Informed decisions for actions in maternal and newborn health

The Mechanisms of Change

The Mechanisms of Change

17 October 2016
Characterising components of a complex intervention to enhance maternal and newborn health

An essential first step in evaluating a complex intervention is to map its components to show what they are, where they are implemented, how they interact and what changes are anticipated as a result of implementation

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During IDEAS Phase I (2010-2016) we characterised innovations of nine projects in three countries using a framework based on a common theory of change. Innovations were diverse in their scope, form and purpose and we developed a typology onto which those innovations were mapped.

The Mechanisms of Change

This gave stakeholders a structured description of how a complex intervention is operationalised and what changes are expected as a result. The process of examining, describing and mapping the components of the intervention can be of benefit to all stakeholders including the implementers, funders, the ministry of health and the evaluators.

Phase II (2016-2020) of IDEAS will support the Gombe State Primary Health Care Development Agency (Nigeria) and the Bill & Melinda Gates Foundation implementation grantees working in the State. We are building on the Phase I characterisation work to examine synergies between grantee innovations. The support focuses on bringing together routine data from state management information systems, grantees and IDEAS as a basis for enhanced decision making in maternal and newborn health.


Essential Reading

The Pathway to Improved Maternal and Newborn Health Outcomes: Use of data for maternal and newborn health in Gombe State, Nigeria


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