{"id":117,"date":"2025-10-09T14:47:10","date_gmt":"2025-10-09T13:47:10","guid":{"rendered":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/?page_id=117"},"modified":"2026-03-04T11:39:31","modified_gmt":"2026-03-04T11:39:31","slug":"work-package-5","status":"publish","type":"page","link":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/work-package-5\/","title":{"rendered":"Work package 5"},"content":{"rendered":"\n<div class=\"wp-block-columns alignwide has-accent-5-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-cover alignfull has-custom-content-position is-position-center-right\" style=\"border-radius:20px;min-height:132px;aspect-ratio:unset;\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"287\" class=\"wp-block-cover__image-background wp-image-191 size-full\" alt=\"\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner.png\" data-object-fit=\"cover\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner.png 1920w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-300x45.png 300w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-1024x153.png 1024w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-768x115.png 768w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-1536x230.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\" style=\"background-color:#3d3023\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-right has-accent-5-color has-text-color has-link-color has-x-large-font-size wp-elements-e8f93f139749c2f155e5fad9bf820e45\" style=\"text-transform:uppercase\">Work Package 5<br>Monitoring implementation and actions,<br>optimising cost-efficiency&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-large-font-size\" style=\"text-transform:uppercase\"><strong>Rationale<\/strong><\/h2>\n\n\n\n<p class=\"has-medium-font-size\">Work package 5 has two components:<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-space-between is-nowrap is-layout-flex wp-container-core-buttons-is-layout-5924e470 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-medium-font-size has-custom-font-size wp-element-button\" style=\"border-radius:20px\"><strong>Assessing and improving implementation of MPDSR recommendations<\/strong><\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-2-background-color has-background wp-element-button\" style=\"border-radius:20px\"><strong>Developing a model for assessing the cost-effectiveness of MPDSR<\/strong><\/a><\/div>\n<\/div>\n\n\n\n<p class=\"has-medium-font-size\">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.<br><br>A process-monitoring tool developed by the US Agency for International Development\u2019s 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.<br><br>&nbsp;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.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;6a49656d2d1be&quot;}\" data-wp-interactive=\"core\/image\" class=\"wp-block-image aligncenter size-full is-resized has-custom-border wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"1400\" height=\"715\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on-async--click=\"actions.showLightbox\" data-wp-on-async--load=\"callbacks.setButtonStyles\" data-wp-on-async-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Research-team-members-attending-a-workshop-to-optimise-the-monitoring-tool-for-MPDSR-implementation-in-Ghana-\u2013-June-2025-1.png\" alt=\"\" class=\"wp-image-309\" style=\"border-radius:20px;width:715px;height:auto\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Research-team-members-attending-a-workshop-to-optimise-the-monitoring-tool-for-MPDSR-implementation-in-Ghana-\u2013-June-2025-1.png 1400w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Research-team-members-attending-a-workshop-to-optimise-the-monitoring-tool-for-MPDSR-implementation-in-Ghana-\u2013-June-2025-1-300x153.png 300w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Research-team-members-attending-a-workshop-to-optimise-the-monitoring-tool-for-MPDSR-implementation-in-Ghana-\u2013-June-2025-1-1024x523.png 1024w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Research-team-members-attending-a-workshop-to-optimise-the-monitoring-tool-for-MPDSR-implementation-in-Ghana-\u2013-June-2025-1-768x392.png 768w\" sizes=\"auto, (max-width: 1400px) 100vw, 1400px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on-async--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center has-contrast-color has-text-color has-link-color has-small-font-size wp-elements-2a83354be4071d2d73a64bd8c3438447\"><em>Research team members attending a workshop to optimise the monitoring tool for MPDSR implementation in Ghana \u2013 June 2025.<\/em><\/h4>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-base-color has-accent-1-background-color has-text-color has-background has-link-color wp-elements-05f2b7966f6c842b64e45ce9acd3cbc8 is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:20px;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-large-font-size wp-elements-77ed84fd006713efe38a0f2cf8d4049c\" style=\"text-transform:uppercase\"><strong>Objectives<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\">obtain feedback from participating health workers on MPDSR and progress-monitoring tools to improve quality of care at the facility level.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">harmonise, adapt and update MPDSR progress-monitoring tools to include information on implementation of recommendations and their additional costs.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">optimise and evaluate a real-time \u201caction tracker\u201d tool to encourage implementation of recommendations.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">develop a model and tool for budgeting and assessing cost-effectiveness of MPDSR.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">develop an innovative mechanism to resource the implementation of recommendations.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" style=\"margin-left:var(--wp--preset--spacing--40);text-transform:uppercase\"><strong>Deliverables<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"787\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-scaled.png\" alt=\"Co-design tool for measuring implementation of MPDSR at facility subnational and national level. \nCo-designed data collection tools to capture country specific nad non-country specific costs related to MPDSR.\nEconomic model for assessing cost effectiveness of MPDSR.\" class=\"wp-image-315\" style=\"width:700px\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-scaled.png 2560w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-300x92.png 300w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-1024x315.png 1024w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-768x236.png 768w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-1536x472.png 1536w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/02\/Deliverables-1-2048x630.png 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:20px\">\n<p class=\"has-contrast-color has-text-color has-link-color has-large-font-size wp-elements-a78c1e1fb58f650d21f8b060ac7ec595\" style=\"margin-left:var(--wp--preset--spacing--30);text-transform:uppercase\"><strong>Leads<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-89368f3b wp-block-group-is-layout-flex\" style=\"padding-top:0;padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-group has-accent-5-background-color has-background wp-container-content-69bc4bdf has-global-padding is-layout-constrained wp-container-core-group-is-layout-c385debf wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:0px\"><img loading=\"lazy\" decoding=\"async\" width=\"285\" height=\"269\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Dr-Mary-Kinney.png\" alt=\"Dr Mary Kinney\" class=\"wp-image-249\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Dr Mary Kinney<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-16cda065 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.alignmnh.org\/person\/ms-mary-kinney\/\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c385debf wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:24px\"><img loading=\"lazy\" decoding=\"async\" width=\"276\" height=\"276\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Tracey-Sachs-cuttout-1.png\" alt=\"Prof Tracey Sach\" class=\"wp-image-238\" style=\"object-fit:contain;width:192px;height:200px\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Tracey-Sachs-cuttout-1.png 276w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Tracey-Sachs-cuttout-1-150x150.png 150w\" sizes=\"auto, (max-width: 276px) 100vw, 276px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Prof Tracey Sach<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-16cda065 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background wp-element-button\" href=\"https:\/\/www.southampton.ac.uk\/people\/62drkn\/professor-tracey-sach\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c385debf wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:24px\"><img loading=\"lazy\" decoding=\"async\" width=\"276\" height=\"269\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Patricia-Akweongo.png\" alt=\"\" class=\"wp-image-261\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Prof Patricia Akweongo<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-9a195f31 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background wp-element-button\" href=\"https:\/\/publichealth.ug.edu.gh\/department\/health-policy-planning-management\/faculty\/prof-patricia-akweongo-0\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":5669,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-117","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/users\/5669"}],"replies":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/comments?post=117"}],"version-history":[{"count":9,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/117\/revisions"}],"predecessor-version":[{"id":545,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/117\/revisions\/545"}],"wp:attachment":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/media?parent=117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}