When measuring change in targeted outcomes it is also important for implementation planning and resource allocation to understand why changes do – or do not – occur
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Research from Phase I of IDEAS (2010-2016) focused on whether and how interactions between families and frontline workers had been enhanced in areas where implementation was taking place, and whether the coverage of life-saving interventions and behaviours had increased as a result.
Frequent high-quality contacts between families and frontline workers are critical to ensuring that every woman and every child receive the interventions they need. Between 2012 and 2015 some positive changes were observed, yet the demand for health care was not equal across the continuum from pregnancy to postnatal periods, and important gaps were present in the quality of care being provided. Exploring the mechanisms of change revealed issues around equity, motivation and social norms as key to achieving positive change.
In Phase II of IDEAS (2016-2020) the project will continue to support the Bill & Melinda Gates Foundation and its partners – including government actors. Progress in maternal and newborn health in communities and health facilities will be measured and tracked in Ethiopia, India and northeastern Nigeria, and the motivation for health workers to improve quality explored.
Change in maternal and newborn health care in Gombe State, Nigeria, 2012-2015. Interactions between families and frontline workers – their frequency, quality and equity – and coverage of interventions for mothers and newborns
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