Decision-Focused Evaluations

Decision-Focused Evaluations:
A decision-focused evaluation (DFE) is an experimental (or quasi-experimental) evaluation to estimate the causal impact of a policy, program, or intervention on one or more outcomes of interest. IDinsight designs and implements DFEs to inform client decisions such as which version of an intervention to continue, whether to scale up a particular program, and whether to continue funding a particular implementer or program. Impact can be defined relative to the status quo, or to an alternate intervention being considered.


Client: Zambian Ministry of Health

The Service: Non-monetary “mama kit” gifts, provided to pregnant mothers conditional on delivering in a health facility, have been used by several actors in Zambia to incentivize institutional delivery. Working with the Zambian Ministry of Health, IDinsight designed and implemented a clustered randomized controlled trial (supplemented with qualitative inquiry and cost-effectiveness modeling) to generate rigorous evidence about ideal mama kit contents, operations and cost-effectiveness. This led to a recommendation and decision to include low-cost versions of the mama kits in the Zambian essential medicines list for new mothers. 

 
Zambian mothers examine the contents in their “mama kits”.

Zambian mothers examine the contents in their “mama kits”.

 
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