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 who and skilled when ANC visits their children 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 who of exclusive regarding feel confident in breastfeeding for at postpartum care seeking ANC as soon six months and warning as they know they after delivery Long distance to a are pregnant by health facility and (date) lack of transport Increase by X% the Cost of giving number of women in a facility who plan to deliver Health provider their babies at a attitudes Lack of health facility and confidence about have a the benefits of transportation plan breastfeeding and by (date) how long it should Increase by X% the be continued number of women Religious and who think the traditional beliefs benefits of ANC and Lack of male delivering at a involvement in health facility decision-making outweigh the costs on RH issues by (date) Increase by X% the number of women who report positive provider-client interaction on RH by (date) Increase by X% the number of women
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 Long distance to a health facility and lack of transport Cost of giving in a facility Health provider attitudes Lack of confidence about 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 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 who feel confident in seeking ANC as soon as they know they are pregnant by (date) Increase by X% the number of women 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 women who report positive provider-client interaction on RH by (date) Increase by X% the number of women
Module_3_MNCHN_Guide.docx