1. What are the innovations?
We have worked with Bill & Melinda Gates Foundation funded projects to describe each of their maternal and newborn health innovations using a common framework.
2. Do innovations enhance interactions and increase life-saving intervention coverage?
Measuring interactions between families and frontline workers
We are undertaking large-scale surveys in Ethiopia, North-Eastern Nigeria and Uttar Pradesh, India, by interviewing families, frontline workers and health facility staff. The surveys will show whether:
- Interactions between families and frontline workers have been enhanced, i.e. increased in number, and become better in quality and more equitable.
- The coverage of life-saving interventions and behaviours has increased as a result of the maternal and newborn health innovations.
Understanding the link between enhanced interactions and coverage of critical interventions
We are conducting in-depth interviews to find out how and why the interactions between frontline workers and families have changed and how they affect the coverage of life-saving interventions.
Cost effectiveness analysis
We are developing an economic model to synthesise evidence on the costeffectiveness of a range of maternal and newborn health innovations.
3. How and why does scale-up happen?
We are conducting interviews with a range of stakeholders - including national and regional government, development agencies and civil society - to find out what factors help an innovation get scaled up nationally and what barriers need to be overcome. Our analysis provides recommendations on what different stakeholders can do to improve scalability of innovations to improve maternal and newborn survival.
4. To what extent do scaled-up innovations affect coverage of life-saving interventions and survival?
Measuring scale-up: Pathway analysis of innovations and implementation strength
For innovations that are most likely to be scaled up, we are developing an in-depth understanding of each innovation’s pathway from its implementation through to the life-saving interventions intended to improve as a result. Implementation strength is a score showing the intensity of effort put into operationalising an innovation: through regular data collection over time, this measure shows the extent to which implementation efforts result in the scale-up of an innovation to a wider geographic area.
Measuring scale-up: Coverage of life-saving interventions surveys, analysing lives saved and cost-effectiveness
In areas where innovations are being scaled up, we are conducting surveys to estimate the change in the coverage of life-saving interventions. The surveys will also assess the relationship between implementation strength (‘dose’) and change in the coverage of critical life-saving interventions (‘response’), i.e. if more effort is put in to implementing an innovation, does it result in more life-saving interventions reaching women and newborns? We will use mathematical modelling to estimate the number of maternal and newborn lives saved when an innovation is scaled up, and its cost effectiveness.