Knowledge, Attitudes, Practice Clinical Trial
Official title:
Evaluation of the Maternal and Child Survival Program (MCSP) in Mozambique Using Mixed Methods
This study evaluates changes in knowledge, attitudes, practices and coverage of key reproductive, maternal, newborn, and child health (RMNCH) areas, including malaria, family planning (FP), nutrition, water, sanitation and hygiene (WASH), and gender equity among the population in Nampula and Sofala provinces targeted by the Maternal and Child Survival Program (MCSP) in Mozambique.
The specific objectives of the study are to:
1. Assess changes in knowledge, attitudes, practices and coverage (KAPC) of high-impact
interventions related to MNCH (antenatal care, delivery, post-partum/natal care, and
sick child care), immunization, family planning and reproductive health, nutrition, WASH
and malaria among mothers and fathers of children age 0-23 months in MCSP supported
areas;
2. Evaluate the effectiveness of male engagement interventions that encourage couples
communication at increasing antenatal care (ANC) attendance, joint birth preparedness
and complication readiness (BPCR) plans, institutional birth, and use of modern FP;
3. Determine the feasibility and acceptability of male engagement interventions on RMNCH
services for clients and providers;
4. Explore how decisions between couples are made and what may influence their decisions
about seeking RMNCH services; and
5. Explore the experiences of women who were referred to a health facility for themselves
or their child for obstetric, newborn or child health complications, and examine the
factors contributing to whether and how those referrals were completed in Nampula
Province.
This study is a final program evaluation that will use a mixed methods approach, including
both quantitative and qualitative data collection.
Quantitative data will be collected through a cross-sectional KAPC household survey of
mothers and fathers of children age 0-23 months, replicating the same KAPC questionnaire that
was conducted at baseline in 2016 in the same geographic areas. Questions were harmonized
with the DHS and MICS where appropriate. Findings from the endline KAPC survey will be
compared to findings from the baseline survey to assess changes over time in the primary
outcomes of interest.
Qualitative data will be collected through focus group discussions (FGDs) and in-depth
interviews (IDIs) with clients (mothers and fathers of children age 0-23 months) and health
providers in MCSP-supported areas. The qualitative component will be conducted to help us
gain a more in-depth understanding of the influence of male engagement interventions on
couples' decision-making and care-seeking related to RMNCH as well as the barriers and
facilitators that affected the experience of identified women who were referred to health
facilities for obstetric or newborn complications. We will explore both client and provider
experiences with gender-equitable male engagement practices, as well as individual client
referral narratives related to obstetric or newborn complications.
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