Table 2 Intervention, context, actors, mechanism and outcome elements of realist evaluation
Modalities | Identified themes |
|---|---|
Intervention (I) | - Stage-based health information up to a child’s first birthday - Interaction with the health system (service ratings and feedback) |
Context (C) | Health systems context - Political clout: NDOH leadership and ownership of MomConnect - Awareness-raising Facility responsiveness - Staff training sessions on helpdesk, registration procedures and telephonic support - Staff adoption and adaptation of the new technology - Staff availability Intervention-related context - Anonymous nature of the SMS helpline - Network availability & ownership of a mobile phone - Length of the registration process |
Actors (A) | - Pregnant women - Mothers of newborns - Community health workers - Health care providers |
Mechanism (M) | - Encouragement - Empowerment - Motivation - Knowledge acquisition |
Outcome (O) | - (Perceived) improvement in quality of MCH services - Improved health-seeking behavior and MCH services uptake |