In some country studies different aspects or

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In some country studies, different aspects or dimensions of quality of care and/or utilization were used for implementation assessment and others dimensions of the same outcome were used for assessing IMCI effects – for example, some indicators of quality of care dimensions were compared between IMCI and non-IMCI facilities (these are effects) while other quality of care indicators were only assessed as changes in IMCI areas over time (these are process and implementation). 1) The indicators table First, do your best to distinguish between outcome indicators that were used to just understand IMCI implementation - not collected from the counterfactual area or used for comparative analysis - and those that were used for comparison. Organize these into the table below. You can add and subtract rows as necessary. For the next step in developing your country’s IMCI program theory, you will need to figure out the order in which these outcomes were expected to occur, and create boxes for each one. To get things in the right logical order, ask: 1. Which of the outcomes follow directly from the outputs that were identified in Deliverable 1?
2. Which outcomes come next? How many of the preceding short-term outcomes contribute to each of these – once you start getting to this intermediate outcome stage in the causal pathway, it is typical that multiple activities contribute to achieving an outcome, so there may be arrows 4
4. Indicate where each indicator belongs in the table below: short-term, intermediate, or long-term. 5. For the last row in the table: Impact of IMCI – how was it defined? Was mortality defined and measured in your country’s study? What about nutritional status? These are the expected IMCI impacts on health status, and should be the end boxes on the right hand side of the program theory – where all the activities’ causal pathways converge. If mortality or nutrition was not part of your country study, just put the overall IMCI goals of Reduced U5 Mortality and Improved Nutrition.

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