Table 1

Summary of research objectives and methods

Research objectivesModuleMethods
1. Develop a programme theory of the SBM-R(RH) initiative and identify both explicit and implicit assumptions embedded within itModule 1Document review and in-depth interviews with key informants among national and district-level policymakers and programme managers
2. Identify the gaps between the SBM-R(RH) programme and the ground reality across the range of contexts that characterise the Malawian healthcare landscapeModules 2 and 3

  1. Quantitative measure of MIPS, using MOH checklists

  2. Exit interviews

  3. Participation observation, formal and informal interviews and focus group discussions

3. Co-produce and test potential solutions to improve the effective implementation of the SBM-R(RH) initiative to enhance quality and equity of care provided in the health centresModule 4Identification and piloting of potential routes to enhancing enablers and/or circumventing current obstacles. The exact methods will depend on the finding from the first 3 modules.
4. Identify routes through which an equity dimension can be embedded within the SBM-R(RH) initiativeModules 1–4Development of Policy and Programming Research Advisory Group and Patient and Public Involvement Group. These groups will be continuously and actively engaged through all the phases of the project through one-on-one informal meetings and 4 formal knowledge exchange meetings scheduled at key points of the 5-year project.
5. Develop enhanced interdisciplinary research capacity in the emerging field of implementation research, in Malawi, Kenya and CanadaModules 1–4Research staff and two graduate students from Malawi and one postdoctoral student in Canada will be trained over the duration of the project.

  • MIPS, MOH's Integrated Performance Standards for Reproductive Health; MOH, Ministry of Health; SBM-R(RH), Standards Based Management-Recognition for Reproductive Health.