Table 4. Examples of How Desired Changes, Perceived Barriers and Perceived Benefits Feed Forward Into SMART C4D Objectives. Population: Women of Reproductive Age Desired Changes Perceived Barriers Perceived Benefits SMART C4D Objectives Increased Lack of Improves health Increase by X% the utilization of ANC knowledge about of mothers and number of women and skilled when ANC visits their children who can explain the attendance at should begin and Reduces major importance of delivery how many are causes of seeking a minimum Increase in prompt necessary maternal deaths, of four ANC visits healthcare for Lack of for example, during pregnancy – complications of confidence about obstructed labor, that it will improve delivery benefits of skilled high blood their health and the (emergency attendants during pressure, and health of their obstetric care and delivery infections babies by (date) services) Lack of Increase by X% the Increased practice knowledge number of women of exclusive regarding who feel confident breastfeeding for at postpartum care in seeking ANC as six months and warning signs soon as they know after delivery Long distance to a they are pregnant by health facility and (date) lack of transport Increase by X% the Cost of giving number of who birth in a facility plan to deliver their Health provider babies at a health attitudes Lack of facility and have a confidence transportation plan the benefits of by (date) breastfeeding and Increase by X% the how long it should number of women be continued who think the Religious and benefits of ANC and traditional beliefs delivering at a Lack of male health facility involvement in outweigh the costs decision-making by (date) on RH issues Increase by X% the number of who report positive provider-client interaction on RH by (date) Increase by X% the number of women who know warning
Table 4. Examples of How Desired Changes, Perceived Barriers and Perceived Benefits Feed Forward Into SMART C4D Objectives. Population: Women of Reproductive Age Desired Changes Perceived Barriers Perceived Benefits SMART C4D Objectives Increased utilization of ANC and skilled attendance at delivery Increase in prompt healthcare for complications of delivery (emergency obstetric care and services) Increased practice of exclusive breastfeeding for at six months after delivery Lack of knowledge about when ANC visits should begin and how many are necessary Lack of confidence about benefits of skilled attendants during delivery Lack of knowledge regarding postpartum care and warning signs Long distance to a health facility and lack of transport Cost of giving birth in a facility Health provider attitudes Lack of confidence the benefits of breastfeeding and how long it should be continued Religious and traditional beliefs Lack of male involvement in decision-making on RH issues Improves health of mothers and their children Reduces major causes of maternal deaths, for example, obstructed labor, high blood pressure, and infections Increase by X% the number of women who can explain the importance of seeking a minimum of four ANC visits during pregnancy – that it will improve their health and the health of their babies by (date) Increase by X% the number of women who feel confident in seeking ANC as soon as they know they are pregnant by (date) Increase by X% the number of who plan to deliver their babies at a health facility and have a transportation plan by (date) Increase by X% the number of women who think the benefits of ANC and delivering at a health facility outweigh the costs by (date) Increase by X% the number of who report positive provider-client interaction on RH by (date) Increase by X% the number of women who know warning
MNCHN_Guide_Module_3-The_5_step_C4D_process.docx