From: The practice of ‘doing’ evaluation: lessons learned from nine complex intervention trials in action
ACT Consortium study1and location | Study aims | Evaluation activities conducted |
---|---|---|
1, Uganda | Cluster randomised trial (CRT) to evaluate an intervention package to enhance health facility care for malaria and febrile illnesses in children. | 1) Cross-sectional community surveys; 2) cohort study of children; 3) patient exit interviews; 4) health centre surveillance; 5) key informant in-depth interviews (IDIs) and questionnaires; 6) community focus group discussions (FGDs). |
2, Uganda | CRT to evaluate the cost-effectiveness of artemisinin-based combination therapies (ACTs) following the introduction of rapid diagnostic tests (RDTs) for the home-management of malaria at the community level. | 1) Blood slide readings to assess appropriateness of treatment; 2) follow-up household and morbidity surveys 3) FGDs and IDIs with community medicine distributors and community members. |
3, Uganda | CRT to evaluate the impact of introduction of RDTs to drug shops on the improvement of rational drug use for case management of malaria. | 1) Blood slide readings to assess appropriateness of treatment; 2) follow-up household surveys; 3) FGDs with drug vendors, carers and health workers; 4) adverse event surveillance. |
4, Tanzania | Before-and-after observational evaluation of interventions to increase access to RDTs in public facilities and to ACTs in public and private facilities. | 1) Household, health facility and outlet surveys; 2) post-intervention key informant interviews; 3) mixed qualitative methods including mapping exercises; rapid assessments of communities, IDIs and FGDs. |
5 (a), Cameroon | CRT to evaluate basic and enhanced provider interventions to improve malaria diagnosis and appropriate use of ACTs in public and mission health facilities. | 1) Intervention delivery evaluation (questionnaires, stocking records); 2) patient exit survey; 3) analysis of facility records and facility audit; 4) provider survey. |
5 (b), Nigeria | CRT to evaluate provider & community interventions to improve malaria diagnosis using RDTs and appropriate use of ACTs in public health facilities and private sector medicine retailers. | 1) Intervention delivery evaluation (questionnaires, stocking records, records of school-based intervention); 2) patient exit survey; 3) analysis of facility records and facility audit; 4) provider survey; 5) household survey. |
6, Afghanistan | Individually randomised trial (IRT) and CRT evaluating an intervention to improve diagnosis and appropriate treatment of malaria with RDTs at health clinic level, and among community health workers. | 1) Clinic based data collection; 2) entry and exit interviews with patients; 3) IDIs with health workers; 4) data collected from community health workers. |
9, Tanzania | CRT evaluating health worker and patient oriented interventions to improve uptake of RDTs and adherence to results in primary health facilities. | 1) Health facility data collection; 2) patient exit interviews; 3) intervention delivery evaluation (observations, questionnaires, IDIs); 4) follow-up household survey; 5) IDIs with health workers. |
15, Ghana | IRT to evaluate an intervention to introduce RDTs to health facilities to improve diagnosis and appropriate treatment of malaria. | 1) IDIs with health workers; 2) FGDs with community members. Conducted via a separately funded project: 3) blood slide reading to assess appropriateness of treatment; 4) health facility-based data collection; 5) follow-up household survey. |