Table 1.

Evaluation framework for both the Community/Health facility Strategy

Primary outcomes - (Reach, Appropriateness, Acceptability, Self-efficacy, Adoption, Cost, Feasibility, Fidelity and Sustainability)
Implementation outcome	Description	Measurement	Time points
Reach	Proportion of the health care/community providers/target population approached; Uptake of intervention packages; and proportion of adherent	Analysis of routine data generated by CHW, peers & Health facilities and individual/patients quantitative assessments using household/patient questionnaires	0, 6, 12, 18 and 24 months
Appropriateness	The extent to which proposed interventions can be delivered at health facilities/community	Individual interviews Focus group discussion, Key informant interviews	0, 6, 12, 18 and 24 months
	Organizational Readiness	Availability and functionality of infrastructure including personnel, equipment, supplies etc. measured using the Health facility readiness and capacity assessment questionnaire	0, 6, 12, 18 and 24 months
	Linkage to healthcare	1. Self-report using h/h questionnaire, 2. Data extraction checklist	12 and 24 months
	Referrals for task sharing/shifting	Data extraction checklist	12 and 24 months
Acceptability	User and provider feedback	Focus group discussions guides Key informants	Formative process ongoing
	Individual/Patient satisfaction (Needs)	Patient Satisfaction Questionnaire	12 and 24 months
Self-efficacy	Personnel beliefs about own competencies to achieve implementation goals	Provider questionnaire Pre/post training assessment tools	12 and 24 months
Adoption	Implementation of the project and challenges to implementation (Barriers and opportunities and coping mechanisms).	Focus group discussions and individual interviews Key informant interviews	0, 6, 12, 18 and 24 months (formative process ongoing)
Cost	Costs associated with implementing the packages	Checklists for cost data (Health facility cost data related to the project Community program cost data)	12 and 24 months
Feasibility	Exposure to and retention of the enhanced interventions e.g. CVD education, counseling etc.	Data extraction checklist (Daily activities conducted related to the enhanced interventions e.g. counselling, no. of people profiled, followed up etc.)	12 and 24 months
Fidelity	The extent to which providers are delivering packages as per the protocol/guidelines	Observer rating forms	Formative process ongoing
Sustainability	The extent to which the program is being implemented as a standard of practice	Key informant interviews with providers.	12 and 24 months
Secondary outcomes – Effectiveness (Change in selected profiles e.g. knowledge, blood pressures (diastolic blood pressure), waist hip ratio/BMI, alcohol history, smoking status, etc.) measured at T 0,6,12,18 and 24 month using surveys.