Keesara mHealth 4 FP Protocol 7

Keesara mHealth 4 FP Protocol 7

by Sirina Keesara -

1. Considering the protocol you are developing: identify the process and outcome indicators associated with the program and briefly describe an approach to measuring each.

 

Process Indicators

# women who are called back 

We will be able to measure this through the notes that the community health worker takes. 

 

# women asked for a call back or more information

We will be able to measure this through the technological platform

 

# women respond to the text message

We will be able to measure this through the technological platform

 

increase in counseling ability or knowledge of community health workers

We can measure this through an educational evaluation after the training programs

 

#enrolled and agreeing to enroll 

We can look at those who do not agree to enroll or are not eligible to enroll and see if there is a difference in demographic characteristics

 

2. Define one or more “intermediate” outcome measures (reflecting changes in environment, organizational culture, systems of care, patient or public behavior, and/or clinician behaviors) that can inform you about the mechanism by which your intervention achieves its downstream effect on health inform you about the acceptability of your intervention

 # women continue with the method they are using

# women are able to switch effectively

Satisfaction with family planning services (we can create a scale in client exit interviews) 

Misinformation in patients and health care workers 

Survey of women who did not respond to the text messages asking for reasons they did not respond. 

Survey of women who come back for continuation about whether they received the message or not

Re: Keesara mHealth 4 FP Protocol 7

by Purba Chatterjee -

Nice job! I think you could add # of training programs conducted for the community health workers as a process measure. Also, wondering if it would be useful to look at those women who are not called back and why as a process measure.

-purba

Re: Keesara mHealth 4 FP Protocol 7

by Heidi Moseson -

The ability to track all of these metrics automatically via the mobile device/app is pretty amazing - I am envious! I would agree, adding a metric(s) for more of the training/formative phases could be really useful - such as which stakeholders did you meet with? When and for how long? What trainings did you hold? Who attended? What information/materials were provided? Also, perhaps assessing the attitudes of key players (including patients) at baseline, after the training sessions, mid-way through intervention, and then again at the end. This could provide interesting and useful information.

Re: Keesara mHealth 4 FP Protocol 7

by Sirina Keesara -

I think that training evaluation is a really good idea! I also like the idea of assessing understandability of the messages. Thank you!

Re: Keesara mHealth 4 FP Protocol 7

by Lisa Thompson -

Another process indicator that could easily be measured is tracking number of family planning-related visits, reason for returning for FP visit (spontaneous or text-related), and volume of FP supplies. Also might do a quick survey of women who return to clinic about side effects of FP methods that were delivered to women on their phones. Then you might be able to look at knowledge among those who are receiving text and those who are not.

Re: Keesara mHealth 4 FP Protocol 7

by Sirina Keesara -

The reason for returning is a great way to measure the implementation. Thank you.