Table 3

Examples of operational results and indicators to be used to compare results from the V&A and non V&A health facilities and communities

Objective 1: To evaluate the impact of the V&A approach on improving reproductive health behaviors and status and reducing inequities at the population level


Results

Indicators

Data source


Increase in clients using maternal health care services

Clients received ANC services from public health facility

Clients received institutional safe delivery care (normal/vacuum/forceps/caesarean section)

Clients received pregnancy related complications management from the designated facility

Clients utilized PNC services

Clients received facility-based care for managing life threatening complications

Clients received key physical and laboratory examinations (weight, height, blood test, urine test, abdomen exam, sonogram or ultrasound, and anemia exam).

Service statistics

Population survey


Improved attitudes of service providers towards poor women

Providers indicating non discriminatory attitudes

Clients recommending services to others

Exit client interview

CPI

Population survey


Improved quality of services

Service waiting hours

Round-the-clock service availability

Maintaining privacy and confidentiality

Availability of necessary service equipments and logistics

Client Provider

Interaction

Client exit

Facility inventory


Reduced out-of-pocket expenses

Medicine cost

Transport cost

Unofficial charge by the providers

Population survey


Reduced disease burden

Proportion of untreated complicated pregnancies

Population survey


Objective 2: To assess the effect of the V&A approach on increasing access to, quality of, and reducing inequities in the use of selected RH services


Results

Indicators

Data source


Increased knowledge and skills of service providers on maternal health care issues

Recite proper schedule of TT and child immunization

Life-threatening complications management

Referral conditions for life-threatening conditions

Interviews with service providers


Increased awareness of clients on maternal health care issues among all clients and poor clients

Complications during pregnancy, delivery and post-partum period

Number of ANC visits and schedule

Schedule of Vitamin A capsule and iron tablet or syrup

Schedule of TT and child immunization

Breastfeeding

Population survey


Increased utilization of maternal health care services

Clients received ANC services from public health facility

Clients received institutional safe delivery care (normal/vacuum/forceps/caesarean section)

Clients received pregnancy related complications management from the designated facility

Clients utilized PNC services

Clients received facility-based care for managing life threatening complications

Clients received key physical and laboratory examinations (weight, height, blood test, urine test, abdomen exam, sonogram or ultrasound, and anemia exam).

Population survey


Improved patient satisfaction with health care experiences

Perceived barriers to accessing services: costs, distance, quality, waiting times, privacy, confidentiality, respect, stigma surrounding service

Population survey

Client exit


Rob et al. BMC Public Health 2011 11:257   doi:10.1186/1471-2458-11-257

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