MET is evaluating the impact of the Matrika project in Uttar Pradesh. The project seeks to establish a social franchise network, improve linkages between private health providers and the public sector, and improve community awareness and demand for maternal health services. Social franchising is the fastest growing market-based approach to organising and improving the quality of care in the private sector of low- and middle-income countries, but there is limited evidence on its impact and cost-effectiveness. This evaluation will provide rigorous evidence on whether an innovative model of social franchising can contribute to better population health in a low-income setting.
Photo: PI with WHP (Simon de Trey-White)
The evaluation draws on quantitative and qualitative methods to show the impact of the Matrika project on the quality and coverage of health services along the continuum of care for reproductive, maternal and newborn health. We also aim to understand the scale of the social franchise network, the extent to which various components of the programme are implemented and how impacts are achieved.
The study relies on a range of data collection tools, including: (1) two rounds of a household survey of 3600 women; (2) two rounds of a survey of 450 health providers; (3) direct observations of 250 births in public and private sector maternity facilities; (4) in-depth interviews with key informants; (5) village-level ethnographic fieldwork.
MET has partnered with Sambodhi Research and Communications to evaluate the impact of the Matrika project.