Evaluating delivery systems: complex evaluations and plausibility inference.

Webster, J; Kweku, M; Dedzo, M; Tinkorang, K; Bruce, J; Lines, J; Chandramohan, D; Hanson, K; (2010) Evaluating delivery systems: complex evaluations and plausibility inference. The American journal of tropical medicine and hygiene, 82 (4). pp. 672-7. ISSN 0002-9637 DOI: https://doi.org/10.4269/ajtmh.2010.09-0473

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Delivery system evaluation is poorly defined and therefore a barrier to achieving increased coverage of interventions. We use a pre- and post-implementation cross-sectional observational study with assessment of the intermediate processes to evaluate a new delivery system for insecticide-treated nets (ITNs) in two regions of Ghana. In Volta Region, ownership of at least one net rose from 38.3% to 45.4% (P = 0.06), and 6.5% of respondents used a voucher in the purchase. In Eastern Region, ownership of a net rose from 13.7% to 26.0% (P < 0.001) and 0.5% of households used a voucher to purchase a net. Just 40.7% and 21.1% of eligible antenatal clinic (ANC) attendees were offered a voucher in Volta and Eastern Regions, respectively, and 36.0% and 30.7% used their voucher in the purchase of an ITN. Without attributing nets to the specific delivery system, in Eastern Region the success of the new system would be overestimated.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Centre for Evaluation
PubMed ID: 20348517
Web of Science ID: 276219700028
URI: http://researchonline.lshtm.ac.uk/id/eprint/3944


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