Table 1 Detailed description of data collection including purpose, sources and methods, and measures for each ARISE-SI activity
Activity | Purpose | Source and method | Measures |
|---|---|---|---|
Assessment of immunization doses | • Establish baseline and monitor trends associated with system improvements | • Usual administrative data reported from the HUs to the District and from the District to UNEPIa | • Number of DPT1 and DPT3 dosesb: DPT1 static, DPT1 outreach, DPT3 static, DPT3 outreach |
Initial assessment at HUs (June 2011) | • Develop improvement teams • Gain in-depth understanding of each HU’s context related to RI | • Caregiver focus groups • 5 Ps—purpose, mapping hard to reach people, personnel, process flow charts, patterns • Introduce HUs to meeting skills | • Microsystem components • Barriers and enablers to RI |
4 Participatory workshops (attended by five HU and one district QI team: June 2011, September 2011, December 2011, February 2012) | • Problem identification • Improvement plan development • Implementation of improvement plan • Reflection on improvement process • Transition to local ownership | • Pre-workshop participant information survey • Before and after action reviews • Observation • Workshop evaluation | • Specific workshop objectives • Pre-intervention baseline: QI knowledge and work environment • Interest and acceptance of Microsystems Approach • Knowledge, skills, and abilities related to Microsystem Approach • RI knowledge • Barriers/enablers to RI • Team and collaboration skills • Ability to work across systems |
QI team coaching (June 2011–February 2012 between workshops) | • Support progression of QI teams’ improvement work • Foster linkages between the district and HU staff and community | • PDSA tracking matrix • Run charts • Attendance roster • Meeting minutes • Coach’s reflective journal • Technical assistance from coach | • Implementation of improvement plans • Consistency of team participation in meetings • Emerging leadership • Group function • Meeting skills • Coach’s role development |
Evaluation by researchers external to projectc (February 2012) | • Validation of findings | • Focus groups • Survey | • In-person meetings of all workshop participants using structured interview guide • Written questionnaire completed individually by workshop participants |