- identify the impact of PBF on maternal and child health (MCH) service coverage and quality,
- identify key factors responsible for this impact, and
- assess cost-effectiveness of PBF as a strategy to improve coverage and quality.
- Household surveys: A household survey will be implemented at baseline (i.e., before implementation of PBF begins), and at endline (i.e., after PBF has been implemented for two years).
- Facility-based surveys: A facility-based survey will be implemented at baseline and at endline.
- Maternal and Child Health Service coverage indicators and
- Quality of care indicators.
The study is a blocked-by-region cluster-randomized trial (CRT), having a pre-post with comparison design. The team relied primarily on experimental control to answer the main research questions for this study. The study will also include a qualitative component at endline to probe deeper for explanations or explore specific issues that are relevant to PBF.