Routine Health Management Information System (HMIS)+ CHV monthly reports:
data from the preceding 12 months to determine whether there was a change in service utilization levels for ANC, PNC, delivery at the five health facilities, as well as admissions for premature and low birth weight, and sick newborns will be reviewed. From the various data sources we will also determine the number of adverse maternal and newborn outcomes such as emergency referrals for severe maternal complications, stillbirths, and neonatal deaths. HMIS data from the selected health facilities will be collated and quantitatively analysed to estimate attendance rates, case management practices against guidelines and uptake of different MNH services, referral patterns especially with regard to two-way referral by CHVs. |