Site selection | |
Identification of positive cases | Analysis of clinic register data of skilled birth attendance across intervention districts to identify two primary health care facilities to represent the observed increase in institutional deliveries, in two districts of Nampula Province for study participation. |
Integrated qualitative and quantitative analysis | |
Service uptake and coverage analysis | Estimated coverage was calculated using demographic health survey and national census data regarding women of reproductive age (15–19) and population size per district to find the estimated number of live births that could be expected in each facility catchment area. |
Expert panels (n = 20) | Two expert panels (one per site) were convened, each composed of ten experts familiar with maternal health implementation and service delivery efforts at the facility, district, provincial, and national levels. Findings were used to construct timelines of events during the observation period, and to inform development of semi-structured interview guides and stakeholder mapping for respondent selection in subsequent in-depth interviews. |
Qualitative analysis | |
Key informant interviews (n = 34) | • MCH nurses (2, one from each facility) • Facility managers (2, one from each facility) • TBAs (8, from three communities in each facility catchment area) • CLC members (6, from three communities in each facility catchment area) • Beneficiaries (14, from three communities in each facility catchment area) • Intervention implementation manager (1) |