Table 2

Case studies characteristics in second stage of the evaluation

Case IDCase study settingObservation period (days)Interviews (n)Monitoring indicators
Per casePer countryPer country
Burkina Faso 1Rural setting
Low implementation*
Staffing: 3 HFWs
Catchment population:
11 011		10 3 HFWs
3 CHWs
3 postpartum women		4 policymakers
3 MOMI implementers		By month by facility:

  • Deliveries and births

  • Postpartum haemorrhage

  • Postpartum sepsis

  • Postpartum anaemia

  • Newborn fever or low temperature

  • Newborn prematurity

  • Postpartum family planning

  • Postpartum care

Burkina Faso 2Rural setting
High implementation
Staffing: 3 HFWs
Catchment population:
10 175		10 3 HFWs
3 CHWs
3 postpartum women
Burkina Faso 3Urban setting
High implementation
Staffing: 20 HFWs
Catchment population:
17 093		10 5 HFWs
3 CHWs
4 postpartum women
Burkina Faso 4Urban setting
Low implementation
Staffing: 17 HFWs
Catchment population:
16 114		10 5 HFWs
4 CHWs
3 postpartum women
Kenya 1Rural setting
High implementation
Staffing: 9 HFWs
+4 CHWs helping at the facility
Catchment population:
24 821		10 2 HFWs
3 CHWs
4 postpartum women		2 policymakers
4 MOMI implementers		By month by facility:

  • Deliveries and births

  • Postpartum care

  • Maternal problems

  • Neonatal problems

  • Maternal and neonatal deaths

  • Family planning

  • Dialogue sessions, training and delivery

By month by community:

  • Home deliveries and births

  • Family planning

  • Maternal and neonatal deaths

Kenya 2Rural setting
High implementation
Staffing: 3 HFWs+3 CHWs helping at the facility
Catchment population:
7538		10 1 HFWs
3 CHWs
4 postpartum women
Kenya 3Urban setting
Low implementation
Staffing: 12 HFWs
+2 CHWs helping at the facility
Catchment population:
16 274		10 2 HFWs
3 CHWs
4 postpartum women
Kenya 4Rural setting
Low implementation
Staffing: 5 HFWs
+4 CHWs helping at the facility
Catchment population:
13 066		10 2 HFWs
3 CHWs
3 postpartum women
Malawi 1Urban setting
High implementation
Staffing: 28 HFWs
Catchment population:
58 061		9 5 HFWs
2 CHWs
3 postpartum women		6 policymakers
3 MOMI interviews		By month by facility:

  • Deliveries and pregnancies

  • Postpartum anaemia

  • Postpartum sepsis

  • HIV testing, diagnosis, protocol

  • Family planning and postpartum family planning

  • Nutrition check and counselling

  • Women with abnormal BMI

  • Neonatal sepsis

  • Infant growth and nutrition

  • Women counselled on baby complementary feeding

  • Infant pneumonia

  • Men and family planning and contraception

  • 3rd trimester counselling

  • 1st week postpartum counselling

  • Immunisation

  • Warmth counselling and hypothermia

  • Hygiene counselling and neonatal sepsis

  • Baby danger sign counselling and complications

Malawi 2Peri-urban setting
Low implementation
Staffing: 7 HFWs
Catchment population:
48 895		10 3 HFWs
2 CHWs
3 postpartum women
Malawi 3Rural setting
Low implementation
Staffing: 4 HFWs
Catchment population:
14 669		10 2 HFWs
2 CHWs
3 postpartum women
Malawi 4Rural setting
Low implementation
Staffing: 3 HFWs
Catchment population:
15 280		12 2 HFWs
2 CHWs
3 postpartum women
Mozambique 1Rural setting
Low implementation
Staffing: 3 HFWs
Catchment population:
21 452		9 2 HFWs
3 CHWs
3 postpartum women		6 policymakers
5 MOMI interviews		By month by facility:

  • Deliveries and babies born

  • Proportion of women and proportion of babies who had a home visit where the checklist was used and proportion who were found to be high risk

  • Proportion of mothers delivering at the peripheral facility and proportion of babies born at the peripheral facility who had PPC where the checklist was used and proportion who were found to be high risk, and referred

  • Proportion of mothers counselled on postpartum intrauterine device during antenatal care and insertion after delivery

  • Proportion of mothers attending the child vaccination clinic who had a consultation and who were found to have a problem

Mozambique 2Rural setting
High implementation
Staffing: 6 HFWs
Catchment population:
22 310		10 3 HFWs
2 CHWs
3 postpartum women
Mozambique 3Rural setting
Low implementation
Staffing: 44 HFWs
Catchment population:
36 039		15 4 HFWs
2 CHWs
3 postpartum women
Mozambique 4Rural setting
High implementation
Staffing: 8 HFWs
Catchment population:
6007		9 2 HFWs
3 postpartum women

  • Case studies’ data were supplemented with the analysis of three work packages reports, minutes of four Project Management Team meetings, field visits reports (five in Burkina Faso, three in Kenya, Malawi and Mozambique), minutes of Policy Advisory Board meetings (three in Burkina Faso, Kenya and Mozambique, two in Malawi), event logs in all sites, minutes of four Participatory Evaluation Workshops that took place after the case studies evaluation (one in each country).

  • *Level of implementation as perceived by the local MOMI implementers before case studies evaluation.

  • BMI, body mass index; CHW, community health worker; HFW, health facility worker; MOMI, Missed Opportunities in Maternal and Infant Health; PPC, postpartum care.