The overall research in this
study is divided in 5 phases shown in the figure below, together
with corresponding research outputs. These phases follow the health
system research basic methodology framework.
The study is designed as a
set of case studies, enabling comparison of process and outcome
indicators in each site before and after intervention, as well as
comparison across study sites. Study instruments will be developed
and standardized to ensure that the same study measures are
collected before and after intervention, and across sites. Case
study research of four country settings will be used to inform
future decisions about the optimum design and configuration of
postpartum services for improving maternal and newborn health
outcomes in different settings. Facility- and community-based
services will be assessed (phase 1 and 2).
Formal evaluation of the
processes and effectiveness will include assessment of the health
policy and systems determinants of effective and sustainable
postpartum services (phase 5).
Five phases of the research project phases and