Measuring Maternal Child Health Care in Health Results Based Financing Impact Evaluations (IE)

This presentation provides principles and examples of how to measure maternal-child health care in RBF impact evaluations.
The presenters highlight generic conceptual models, share common IE designs, and share examples of core indicators to track.
 
From the presentation:
 
Assessing Clinical Quality: Recommendations for HRBF
- Use structured patient observations for assessing performance quality of common pediatric conditions (obstetric conditions under development)
- Use patient exit interviews for assessing effectiveness of counseling and other patient attributes (e.g. satisfaction, equity)
- Use vignettes (small samples) &/or case scenarios (larger samples) for assessing practical knowledge and uncommon conditions
- More research on validity & reliability
 
Concluding Thoughts:
- Consensus-building needed on selection of MCH indicators (Input, Process, Output)
- More specific results models and hypotheses needed
- True HW performance measures are elusive
- Quality is multi-dimensional: Multiple approaches to quality measurement needed
- Investment in validity & reliability of potential indicators needed