Table 1 Health financing, governance and human resources indicators tested as potential mediators linked to theory of change
Steps on the causal pathway/mediators | Indicators for measurement (data source) |
|---|---|
Strengthened supervision | - Health workers received a supervision visit in the last 90Â days (health worker survey) |
Active governing committees | - Health facility with a governing committee (health facility survey) - Health facility governing committees meetings held in last 90Â days (health facility survey and health worker survey) - Minutes of health facility government committee meetings available (health facility survey and health worker survey) - Health workers satisfied with relationships between health facility and local leaders (health worker survey) |
Availability of drugs, medical supplies and equipment | - Index of stock out of 24 essential drugs in the past 90Â days (health facility survey) - Index of stock out of 5 drugs used during delivery in the past 90Â days (health facility survey) - Index of stock out of medical supplies in the past 90Â days (health facility survey) - Index of stock out of SP (IPTp) (health facility survey) - Index of medical equipment functionality (health facility survey) |
Health worker more motivated and knowledgeable | - Intrinsic and extrinsic motivation score (health worker survey) |
Improved patient provider interactions | - Kindness during delivery ranked by women on a scale of 1–10 where 1 is minimum and 10 is maximum (women survey) |
Adherence to clinical protocol | - Uptake of IPT 2 during ANC (women survey) |
Increased outreach activities | - Frequency of outreach visits performed by health facility staff in past 90Â days (health facility survey and health worker survey) - Outreach visits conducted by health facility staff in the last 90Â days (health facility survey and health worker survey) |
Increase insurance enrolment | - Health insurance scheme available in the community (health facility survey) - Number of community health insurance scheme members per health facility (health facility survey) |
Reduction in user charges | - Probability of payment at delivery at the health facility (or public health facility) (women survey) |