Validating Indicators of Family Planning, Maternal and Newborn Care – Cambodia, Bangladesh and Kenya (doi:10.7910/DVN/VRAUAH)

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Part 1: Document Description
Part 2: Study Description
Part 3: Data Files Description
Part 4: Variable Description
Part 5: Other Study-Related Materials
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Validating Indicators of Family Planning, Maternal and Newborn Care – Cambodia, Bangladesh and Kenya

doi:10.7910/DVN/VRAUAH

Harvard Dataverse

2019-11-27

1

Blanc, Ann, 2019, "Validating Indicators of Family Planning, Maternal and Newborn Care – Cambodia, Bangladesh and Kenya", https://doi.org/10.7910/DVN/VRAUAH, Harvard Dataverse, V1, UNF:6:aAXaP5ho/xJ6dhz2DJFxeg== [fileUNF]

Validating Indicators of Family Planning, Maternal and Newborn Care – Cambodia, Bangladesh and Kenya

doi:10.7910/DVN/VRAUAH

Blanc, Ann (Population Council)

Stata

Harvard Dataverse

GIRL Center

GIRL Center

2019-11-27

Evaluation of voucher and accreditation approach on improving maternal and reproductive health care access and quality of care (“Voucher study”)

Principal Investigator: Ben Bellows, Population Council, Washington D.C., USA

https://doi.org/10.7910/DVN/VRAUAH

Medicine, Health and Life Sciences, Social Sciences, Reproductive Health, Voucher, Accreditation

The overarching objective of the study is to improve the monitoring of the quality of maternal, newborn and family planning services through identifying and validating a set of indicators that can be accurately self-reported by women. The main research question is: can accurate information on the quality and content of received maternal and newborn care be self-reported by women in a survey format? The results of the study will inform the recommendation of a select number of indicators for regular use in household surveys as well as strategies to improve data collection. Specifically, the study assesses the accuracy of women’s reports of indicators of antenatal (ANC), family planning (FP) or maternal and newborn postnatal care (PNC). The study also provides insight into factors that are associated with the accuracy of reporting such as: visit number (e.g., first ANC or PNC visit, or follow-up), client age, prior parity, education level and infant age (for PNC visit). The study design for validation analyses relies on secondary analysis of matched observation and client interview data. We compare women’s reports of care received at exit interview to observation by a trained third-party observer using a structured checklist. Women’s reports of care received were collected via exit interview prior to her leaving the health facility following a health visit for herself or her newborn in health facilities located in Bangladesh, Cambodia and Kenya. Data were originally collected as part of an evaluation of a voucher and accreditation intervention led by the Population Council in Bangladesh, Cambodia and Kenya. The primary objective of the evaluation was to assess the influence of the voucher program on family planning and maternal and newborn health service utilization. A secondary objective of the voucher program was to determine whether the voucher program improved service quality by verifying service delivery through reimbursements to providers.

2010-20122011-2013

Bangladesh, Cambodia, Kenya

Barisal, Chittagong, Dhaka, Khulna, Rajshahi and Sylhet, Kampong Thom, Kampot, Prey Veng, Kampong Cham, Kampot, Kep, Siem Reap, Svay Reing, and Oddor Mean Chey, Kisumu, Kiambu, Kitui counties and the Korogocho and Viwandani informal settlements in Nairobi

Individuals (client-provider interactions)

Women of reproductive age (aged 15-49) attending an antenatal, postnatal or family planning consultation at a public or private health facility in regions of Cambodia, Bangladesh and Kenya.

Pooled rounds of repeated cross-sectional data (baseline and follow-up) at each health facility

Other co-investigators / collaborators: Katharine McCarthy, Independent Consultant Charlotte Warren, Population Council, Washington D.C., USA Ben Bellows, Population Council, Washington D.C., USA Ashish Bajracharya, Population Council, Phnom Penh, Cambodia

Data underlying this secondary analysis were collected using a two-stage sampling procedure. First health facilities were randomly selected by geographic region (by operational districts in Cambodia, district-level administrative units in Kenya and upazila in Bangladesh). Second, health facilities were purposefully sampled using pairwise matching to couple voucher facilities with non-accredited facilities on similar characteristics (e.g., availability of emergency obstetric care (EmOC) services, number of available service providers and support staff, number of beds, presence of an anesthesiologist and gynecologist pair, and literacy rate as proxy for the area’s socio-economic status). Individuals recruited from health facilities in the study were purposefully sampled. Women who met study inclusion criteria and provided informed consent at the times of data collection in each facility were enrolled in the study. A target of six women per type of service (ANC, FP or PNC) was enrolled per study facility for two rounds of data collection in each country. Country-specific study protocols detailing the sample strategy have been previously published (Bellows et al., 2011; Warren et al., 2011; Borghi et al., 2015).

Observations of client-provider interactions recorded using structured checklist by third party observer. Interviews with antenatal, postnatal or family planning clients at facility discharge

Submission of the Application for Data Use is required to access the data from this study.

<a href="http://creativecommons.org/publicdomain/zero/1.0">CC0 1.0</a>

Bellows B, Warren C, Vonthanak S, Chhorvann C, Sokhom H, Men C, et al. Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and status in Cambodia. BMC Public Health. 2011;11(1):667.

10.1186/1471-2458-11-667

Bellows B, Warren C, Vonthanak S, Chhorvann C, Sokhom H, Men C, et al. Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and status in Cambodia. BMC Public Health. 2011;11(1):667.

Warren C, Abuya T, Obare F, Sunday J, Njue R, Askew I, et al. Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya. BMC Public Health. 2011 Dec 23;11(1):177.

10.1186/1471-2458-11-177

Warren C, Abuya T, Obare F, Sunday J, Njue R, Askew I, et al. Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya. BMC Public Health. 2011 Dec 23;11(1):177.

Talukder MN, Rob U, Musa SAJM, Bajracharya A, Keya KT, Noor FR, Jahan E, Hossain MI, Saha J, Bellows B. Evaluation of the impact of the voucher program for improving maternal health behavior and status in Bangladesh. Population Council: Dhaka.

Talukder MN, Rob U, Musa SAJM, Bajracharya A, Keya KT, Noor FR, Jahan E, Hossain MI, Saha J, Bellows B. Evaluation of the impact of the voucher program for improving maternal health behavior and status in Bangladesh. Population Council: Dhaka.

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