Work Package 5
Monitoring implementation and actions,
optimising cost-efficiency
Rationale
Work package 5 has two components:
Insufficient implementation of recommendations from MPDSR is a major reason for lack of impact. Reasons include absence of a system for monitoring implementation and MPDSR from health budgeting, and so there is a lack of resources to implement recommendations.
A process-monitoring tool developed by the US Agency for International Development’s Maternal and Child Survival Program (MCSP), can be used to evaluate MPDSR implementation at subnational and facility level. The tool is based on pre-selected tangible factors identified for implementation, such as demonstration of practice through meeting minutes and examples of actions being taken forward from the review process.
In addition to this process-monitoring tool, we will apply tools that monitor death notifications and completion of MPDSR process through self-reporting by staff at facilities to subnational level. These tools include aspects of related budget or expenditure for MPDSR but are not sufficient to assess cost-effectiveness or to enable effective budgeting for MPDSR.
Research team members attending a workshop to optimise the monitoring tool for MPDSR implementation in Ghana – June 2025.
Objectives
- obtain feedback from participating health workers on MPDSR and progress-monitoring tools to improve quality of care at the facility level.
- harmonise, adapt and update MPDSR progress-monitoring tools to include information on implementation of recommendations and their additional costs.
- optimise and evaluate a real-time “action tracker” tool to encourage implementation of recommendations.
- develop a model and tool for budgeting and assessing cost-effectiveness of MPDSR.
- develop an innovative mechanism to resource the implementation of recommendations.
Deliverables
Leads
Dr Mary Kinney
Prof Tracey Sach
