Maternal and Neonatal Health Programme Evaluation
Project Title: Evaluation of Evidence for Action Maternal and Neonatal Child Health Programme Location: Ethiopia, Ghana, Malawi, Nigeria, Sierra Leone, Tanzania Client: DFID Date: January 2014 – February 2017
Montrose is conducting a multi-country evaluation to establish how maternal and new-born health services in sub-Saharan Africa can be most effectively improved through enhanced evidence, advocacy and accountability.
The majority of maternal and newborn deaths are avoidable and yet this remains one of the key human development concerns within sub-Saharan Africa, a region which accounts for approximately 50% of all global maternal deaths. It is thought that weak political will, limited data and poor accountability have all contributed to the slow improvements in this area. However, there is limited evidence as to how improvements in the availability and use of evidence can lead to practical improvements in the quality of care for mothers and newborns.
DFID commissioned projects to improve maternal and neonatal health services in six countries through cultivating political commitment and improving efficiency from greater use of evidence. The projects work with public and private sectors, including civil society. They aim to strengthen both international and regional accountability frameworks and reduce maternal and newborn child deaths.
Montrose is conducting a multi-year review of all the projects to assess how Quality of Care has improved, and how results generated from quality of care tools are being used by governments, health teams and civil society to make more effective decisions around health care delivery. Montrose designed a robust evaluation framework and has conducted an in-depth review of progress to date using online perception surveys, key informant interviews and facility assessments. As a result, Montrose has highlighted recommendations to improve value for money and deliver greater, more sustainable results.
Over the coming years, Montrose will conduct a number of in-country reviews of quality of care, visiting facilities, conducting stakeholder interviews and data analysis to assess the relevance, efficiency, effectiveness, sustainability and impact of the country projects. The evaluation will also draw lessons across the region to input into improved national lesson learning, shared good practice and policy development.
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