The Evaluation

Evaluation Design

Designed in parallel with the T4D intervention, the integrated mixed-method T4D evaluation was designed to provide rigorous evidence regarding whether transparency and accountability can improve health outcomes – and how. Specifically, the study will answer the following core research questions:

  • Facility SurveyWhat is the effect of the community-led transparency and accountability intervention on the utilization of health care services related to maternal and newborn health?

  • What is the effect of the community-led transparency and accountability intervention on the content of health care services related to maternal and newborn health?
  • What is the effect of the community-led transparency and accountability intervention on health outcomes?
  • What is the effect of the community-led transparency and accountability intervention on citizen empowerment and efficacy, both perceived and actual?
  • If there are significant effects, what are the mechanisms through which these effects occur?
  • What is the role of context in shaping or determining these mechanisms?

Our evaluation design (described in detail here) utilizes a unique combination of research methods to provide the full picture of how the intervention works in practice, including randomized controlled trials, quantitative and observational data from the intervention, key informant interviews, analysis of social actions plans, and ethnographic research.

Evaluation Materials