HBB Status update – Performance Evaluation in Malawi

1. HBB Status update – Performance Evaluation in Malawi Shivam Gupta Johns Hopkins University – Institute for International Programs

2. Intervention • Start in March – April 2011 • Thirteen districts selected for the roll-out of HBB • Northern Region: Chitipa, Rumphi & Nkhatabay • Central Region: Nkhotakota, Kasungu, Dowa & Lilongwe • Southern Region: Thyolo, Machinga, Zomba, Phalombe, Nsanje & Mwanza • 481 health workers trained till end of Feb 2012 • Registered nurse midwife • Nurse midwife technician • Clinicians • Anesthetic clinical officer

3. Specific questions • Are newborn resuscitation service delivery guidelines and supplies available according to the national rollout plan? • Are the HBB trained health workers able to apply the newborn resuscitation and essential newborn care skills after 12 and 18 months of training? • Is the coverage of HBB implementation at facility level consistent with the national roll out plan? • What barriers exist in the implementation of HBB at the facility level? • What factors have facilitated implementation of HBB at the facility level? • What recommendations can be made for improved availability and quality of neonatal health services in Malawi?

4. Methods - Design • Quasi-experimental Non-randomized controlled study • 13 intervention districts • 15 comparison districts • Baseline measures using secondary data • Two rounds of primary data • 12 and 18 months after phased intervention roll out • Additional descriptive studies

5. Methods - Instruments

6. HBB Malawi Evaluation - Timeline

7. Questions © 2009, Johns Hopkins University. All rights reserved.