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Table 2 PPC Data sources

From: Program assessment of efforts to improve the quality of postpartum counselling in health centers in Morogoro region, Tanzania

Domains of Quality

Measurement Methods

Sampling

Final sample

Structural inputs

Supply and infrastructure availability

Observations of infrastructure, drugs, supplies, and commodities

100% of all health centers in 5 districts

18 health centers: 9 program, 9 comparison

Supervision

PPC provider survey

• Interview with facility in-charge to determine available human resources (n = 18)

• Sub-sample health center RCH providers (n = 88) available on day of visit

• Sub-analysis of RCH service providers that reported providing PPC services in the preceding 7 days

18 health centers in-charges: 9 program, 9 comparison

62 PPC providers; 38 program area, 24 comparison

Provider profile

Health provider ability and availability

Perceptions of PPC

Qualitative in-depth provider interviews

Sub-analysis of PPC providers interviewed as part of qualitative in-depth interviews carried out among 57 RCH providers (mean of 3 per facility)

10 PPC Providers; 6 program area, 4 comparison

Client profile

• Social profile

• Health profile

• Qualitative in-depth interviews

• PPC client exit interviews

Of 45 PPC clients observed, 41 consented to exit interviews.

41 completed exit interviews; 25 program area, 16 comparison

Process

• PPC Counseling content

• PPC Service accessibility and efficiency

Observations of PPC counseling sessions delivered

• Total approved target sample of 240 to detect a 30% difference (design effect of 2.0) in frequency of observed messages on postpartum family planning across study arms. Quota based on availability on day of visit.

• 55 PPC Clients presented for services during 36 days of observation (2 days per facility).

• Of 55 total PPC clients, 45 consented to observation; 9 departed prior to service delivery and 1 declined consent.

45 completed observations; 26 program area, 19 comparison

Outcome

Client knowledge

Quantitative PPC client exit interviews

Of 45 PPC clients observed, 41 consented to exit interviews.

41 completed exit interviews; 25 program area, 16 comparison