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Evaluating the scale-up for maternal and child survival: a common framework
Jennifer Bryce1, Cesar G Victora, Ties Boerma
1Institute for International Programs, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, 625 North Wolfe Street, Baltimore, USA 20205.
A new evaluation framework is presented to guide efforts in reducing maternal and child mortality, crucial for achieving the Millennium Development Goals (MDGs) 4 and 5. This framework aids in collecting and analyzing evidence for effective maternal and child survival programs.
Area of Science:
- Global Health
- Public Health Policy
- Program Evaluation
Background:
- Millennium Development Goals (MDGs) 4 and 5 aim to reduce child mortality and improve maternal health.
- Approaching the 2015 deadline necessitates robust evaluation of maternal and child survival programs.
- A unified approach to evidence collection and analysis is critical for program effectiveness.
Purpose of the Study:
- To present a comprehensive evaluation framework for scaling up maternal and child survival interventions.
- To standardize the collection, analysis, and synthesis of evidence for MDGs 4 and 5.
- To address uncertainties and identify gaps in current evaluation practices.
Main Methods:
- Development of a conceptual model for scaling up interventions towards MDGs 4 and 5.
- Identification and prioritization of key indicators for maternal and child survival.
- Guidelines for documenting program implementation and contextual factors.
- Considerations for evaluating the scale-up process.
Main Results:
- A four-part framework is proposed, integrating conceptual models, indicators, documentation guidelines, and design considerations.
- The framework aims to standardize evaluation across diverse maternal and child survival programs.
- Key areas of uncertainty and research gaps are highlighted.
Conclusions:
- The proposed framework provides a structured approach to evaluating maternal and child survival programs.
- Standardized evaluation is essential for maximizing the impact of resources towards MDGs 4 and 5.
- Further research is needed to address identified gaps in program evaluation and implementation.
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