Service Delivery Level
Access To and
Control Over Assets
- What is the average amount of time health care providers spend explaining procedures and treatment regimens to men vs. women?
- What amount of time do providers spend with women and men for the same or comparable conditions? Are men and women treated by the same category of health care provider for comparable conditions?
- What is the amount of time men and women spend in the hospital for similar conditions? Do men or women spend less time, and why? For example, do women leave the health facility sooner than expected after giving birth? Why?
- How and when is information about men’s and women’s access to services collected and analyzed?
- Are there male and female health care providers to fulfill the client’s preferred sex of provider?
- Are commodities available for both female and male health needs, according to demand?
- Are there equal opportunities for male or female health care workers to be employed and promoted?
- Do men and women receive equal pay for equal work, equitable fringe benefits, preferred postings, and equal opportunity to work the same number of hour and shifts?
- Do male or female health care workers have the same opportunities for training in ANC, FP, emergency obstetric and newborn care, active management of the third stage of labor, postpartum care, and other skills, locally, nationally, and internationally?
- Do either male or female health care providers report that there were trainings on these or other topics that they wanted to attend, but were not able to? Why couldn’t they attend (e.g., given on a day off when they had family or other obligations, not selected, too far away, couldn’t afford the cost of the course or other associated costs)?
- Are there enough women midwives and physicians to care for women who prefer female health care providers?
- Are there enough male nurses and physicians to counsel women’s partners on FP and HIV should they desire a man to speak to instead of a woman?
- Are women or men denied promotions or other benefits because of assumptions about competing household obligations or lack of autonomy?
Beliefs and Perceptions
(Norm)
- How do ideas about men’s and women’s proper behavior affect their access to services and treatment by health care providers? How do these attitudes affect how they interact with men, women, boys, and girls?
- How do the attitudes of health care professionals differ toward women vs. men?
- What are providers’ beliefs about gender differences and equality? In general? In the health care work place? For their patients? How does this affect their treatment of patients?
- What are supervisors and administrators attitudes about sending men and women providers for training? In the district? Outside the district? Overseas?
- Do factors related to gender influence promotion decisions?
Practices and Participation
(Roles & Responsibilities)
- Are men’s or women’s health needs prioritized or disregarded? Is triage affected by the sex of a person? For example, are women with obstetric complications treated with the same speed as men with injuries from car accidents or occupational injuries?
- How well do health workers respond to men’s and women’s different health needs?
- Are men and women treated differently by:
- Providers who are women?
- Providers who are men?
- Do women or men experience harassment and assault at their workplaces, and in what form and frequency?
- How and when is information about men’s and women’s different experiences with the services collected and analyzed?
- What is the proportion of men and women in management? Supervisors of each category of health workers, staff, and volunteers?
- How does counseling promote or discourage men’s and women’s personal choice about uptake of services or compliance with treatment, or use of contraceptive methods?
- How are men and women health care workers involved in planning and policy formulation in the facility? Do men and women with equal training and seniority have equal decision-making and influence?
- What would a nurse or midwife do if s/he observes a doctor’s error or failure to follow biosecurity protocols? If the nurse is a woman and the doctor is a man? If the nurse is a man and the doctor a man? If both the nurse and the doctor are women? If the nurse is a man and the doctor a woman?
Laws, Policies,
and Institutions
- Does the organization, spatial arrangement, and client flow in the facility affect men and women differently, making them more or less likely to use the services? Providing them more or less privacy?
- Is health information at the Service Delivery Level disaggregated by sex and age and comparatively analyzed for decision-making?
- Is there any difference in availability of drugs and supplies (e.g. vasectomy vs. oral contraceptive pills) that are routinely used for men’s health compared to women’s health?
- Are men and women treated equally with regard to confidentiality (nondisclosure) of health information?
- Does the health facility have a code of conduct and reporting mechanisms for that cover sexual harassment and assault? Disrespectful treatment?
- As a consequence of facility protocols and procedures, do men or women experience stigma around different diseases? What about differences between groups of men and women, based on things like marital status or sexual orientation?
- HIV
- Malaria
- TB
- STI’s
- How many women and men on staff at the facility have the power to shape policies?
- Which of the facility-level policies promote or discourage male and female clients’ personal choices about uptake of services or compliance with treatment? How do they affect men’s and women’s choices and access to services or treatment? For example, do policies state that tubal ligation is only available to women with at least two children? Do facility policies support the disclosure that a woman is using contraception to her husband, without first consulting her?
- Are staff trained on gender equality and human rights, and how is the training offered often?
- Is there a national policy on gender equality?
- Is there a human resource policy at the district and Service Delivery Levels on gender equality and/or non-discrimination based on gender?
- Are any of the workplace policies discriminatory against men or women?
Maternal & Newborn Health At The Service Delivery Level (client-provider Interactions)
Access To and
Control Over Assets
- Are information, education and communication (IEC) materials equally accessible to men and women clients? Why or why not (i.e., low literacy levels of women, illustrations do not include men and women equitably, or sex- specific pronouns are used in exclusionary ways)?
- Do the illustrations stereotype men’s and women’s roles (i.e., women are caregivers; women are portrayed as responsible for illness of other family members, men are only portrayed as those in need of care or as doctors and administrators)?
- Do men have access to health education and at times they are available?
- During ANC do providers ask a woman if there are any reasons that would prevent her from delivering at a health facility; if she is able to decide for herself where to deliver; and if not, whether she can bring the decision-maker to her next appointment?
Beliefs and Perceptions
(Norm)
- Do men and women have a preference for a health care practitioner of the same sex?
- What are the beliefs held by women that prevent a woman from:
- Using FP?
- Attending ANC?
- Delivering at a health care facility?
- Breastfeeding?
- What are the beliefs held by men that prevent a woman from:
- Using FP?
- Attending ANC?
- Delivering at a health care facility?
- Are there beliefs that would discourage men from getting an HIV test, seeking services for an STI, agreeing to use condoms or supporting his partner to use other types of FP?
- What is considered respectful treatment, respectively, by women and men health workers of:
- Female clients or companions?
- Male clients or companions?
- Do providers believe that a woman should not receive FP until she has a boy child, or that she should not receive a FP method without her husband’s consent? Do health care workers believe men/boys and women/girls should receive the same attention and quality of care? Do health care workers believe men/boys and women/girls should receive the same attention and quality of care?
Practices and Participation
(Roles & Responsibilities)
- Do health workers ask women who decides:
- If she can go to the health facility?
- To bring her child to a health facility for well child or sickcare?
- Where she will deliver?
- Are there incidents of disrespectful care by male or female providers in the facility toward:
- Female clients or companions?
- Male client or companions?
- Female health workers?
- Are women discriminated against for being poor, of a particular ethnic group, for being young or old, for the timing of her arrival (too early or too late in labor), or for coming in with a miscarriage or abortion?
- Do health care providers explain to the woman and her companion progress and procedures during labor, delivery, and postpartum?
- Do health care providers treat women who give birth to a boy differently than those who give birth to a girl?
- How does counseling promote or discourage men and women’s personal choices about uptake of services or compliance with choices of method?
Laws, Policies,
and Institutions
- Is there a national policy on gender equality?
- Are there guidelines for the health sector response on GBV?
- Are there protocols at the Service Delivery Level about screening for and responding to GBV?
- Are there policies and guidelines for
inviting women’s partners for:- ANC
- HIV counseling and testing during ANC
- FP
- Are there guidelines for inviting a woman to bring a companion during delivery at the health facility?
- Do hours or the layout of services exclude women, men, or adolescent boys or girls from attending ANC, FP, delivery, or postpartum care?
Sample Jhpiego Tools
Key Informant Interviews with Gender-Based Violence Service Providers in Facilities
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Gender-Based Violence
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health care providers who deliver gender-based violence services in health facilities. Guide topics include service provider role in the facility/community, social cultural practices in the community, and health care provider training.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver gender-based violence services in facilities
How to Apply the Tool: This key informant interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Key Informant Interviews with Gender-Based Violence Service Providers at Organizations
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Gender-Based Violence
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health care providers who deliver gender-based violence services through organizations such as community-based organizations, safe houses, and legal aid organizations. Guide topics include cultural perceptions of gender-based violence and organizational activities related to gender-based violence service delivery, community engagement, and prevention.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver gender-based violence services through organizations
How to Apply the Tool: This key informant interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Gender-Based Violence Service Readiness and Availability: In-Depth Interviews with Health Care Providers
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the needs and concerns of community members and helps to understand issues related to violence against women, girls, men, and boys in the community. It asks specifically about community support services for survivors of gender-based violence.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Gender-Based Violence
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health care providers who deliver gender-based violence services in health facilities. Guide topics include service provider role in the facility/community, social cultural practices in the community, and health care provider training.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver gender-based violence services in facilities
How to Apply the Tool: This key informant interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Gender-Based Violence
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health care providers who deliver gender-based violence services through organizations such as community-based organizations, safe houses, and legal aid organizations. Guide topics include cultural perceptions of gender-based violence and organizational activities related to gender-based violence service delivery, community engagement, and prevention.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver gender-based violence services through organizations
How to Apply the Tool: This key informant interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the needs and concerns of community members and helps to understand issues related to violence against women, girls, men, and boys in the community. It asks specifically about community support services for survivors of gender-based violence.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego, US Centers for Disease Control and Prevention, and the World Health Organization
Project: Gender-Based Violence Quality Assurance Tool, Global
Health Area: Gender-Based Violence
Tool Type: Quality Assurance Checklist
Tool Objectives: This tool enables the starting, strengthening, or expanding of gender-based violence services by providing 28 evidence-based standards and guidance on how to verify each through direct observation, interviewing providers, and reviewing documentation.
Targeter Users: Health care providers, facilities, program planners, or others trying to start, strengthen, or expand services that respond to gender-based violence
How to Apply the Tool: Originally developed by Jhpiego Mozambique, this tool can be used to start, strengthen, or expand health services for people who have experienced gender-based violence. Further information can be found in the accompanying facilitation guide. Available in English and French.
Authors: Jhpiego, US Centers for Disease Control and Prevention, and the World Health Organization
Project: Gender-Based Violence Quality Assurance Tool, Global
Health Area: Gender-Based Violence
Tool Type: Quality Assurance Checklist
Tool Objectives: This tool enables the starting, strengthening, or expanding of gender-based violence services by providing a minimum care version of the 28 evidence-based standards and guidance within the original tool, and guidance on how to verify each through direct observation, interviewing providers, and reviewing documentation.
Targeter Users: Health care providers, facilities, program planners, or others trying to start, strengthen, or expand services that respond to gender-based violence, particularly in low-income countries where the full tool would not be appropriate
How to Apply the Tool: This is a shortened version of the Gender-Based Violence Quality Assurance Tool and can be used to start, strengthen, or expand post-gender-based violence health services. Further information can be found in the accompanying facilitation guide. Available in English and French.
Authors: Jhpiego
Project: Strengthening the Response to Gender-Based Violence in Bomet County, Kenya
Health Area: Gender-Based Violence
Tool Type: Checklist
Tool Objectives: This tool assesses police stations’ response to gender-based violence and can capture information on readiness, capacity to offer services, infrastructure, service provision, data collection and management, linkage and networking, and medical documentation. Information collected through this tool can be used to strengthen police response to gender-based violence.
Targeter Users: Program staff, researchers, or others seeking to understand and/or strengthen police stations’ response to gender-based violence
How to Apply the Tool: This tool can be used for formative research, baseline/midline/endline evaluations, or to strengthen capacity. It can be used in conjunction with other tools (posted separately) used in Bomet County’s gender assessment.
Authors: Jhpiego, US Centers for Disease Control and Prevention, and the World Health Organization
Project: Gender-Based Violence Quality Assurance Tool, Global
Health Area: Gender-Based Violence
Tool Type: Quality Assurance Checklist
Tool Objectives: This tool enables the starting, strengthening, or expanding of gender-based violence services by providing 28 evidence-based standards and guidance on how to verify each through direct observation, interviewing providers, and reviewing documentation.
Targeter Users: Health care providers, facilities, program planners, or others trying to start, strengthen, or expand services that respond to gender-based violence
How to Apply the Tool: Originally developed by Jhpiego Mozambique, this tool can be used to start, strengthen, or expand health services for people who have experienced gender-based violence. Further information can be found in the accompanying facilitation guide. Available in English and French.
Authors: Jhpiego, US Centers for Disease Control and Prevention, and the World Health Organization
Project: Gender-Based Violence Quality Assurance Tool, Global
Health Area: Gender-Based Violence
Tool Type: Quality Assurance Checklist
Tool Objectives: This tool enables the starting, strengthening, or expanding of gender-based violence services by providing a minimum care version of the 28 evidence-based standards and guidance within the original tool, and guidance on how to verify each through direct observation, interviewing providers, and reviewing documentation.
Targeter Users: Health care providers, facilities, program planners, or others trying to start, strengthen, or expand services that respond to gender-based violence, particularly in low-income countries where the full tool would not be appropriate
How to Apply the Tool: This is a shortened version of the Gender-Based Violence Quality Assurance Tool and can be used to start, strengthen, or expand post-gender-based violence health services. Further information can be found in the accompanying facilitation guide. Available in English and French.
Authors: Jhpiego
Project: Strengthening the Response to Gender-Based Violence in Bomet County, Kenya
Health Area: Gender-Based Violence
Tool Type: Checklist
Tool Objectives: This tool assesses police stations’ response to gender-based violence and can capture information on readiness, capacity to offer services, infrastructure, service provision, data collection and management, linkage and networking, and medical documentation. Information collected through this tool can be used to strengthen police response to gender-based violence.
Targeter Users: Program staff, researchers, or others seeking to understand and/or strengthen police stations’ response to gender-based violence
How to Apply the Tool: This tool can be used for formative research, baseline/midline/endline evaluations, or to strengthen capacity. It can be used in conjunction with other tools (posted separately) used in Bomet County’s gender assessment.
Gender-Based Violence Readiness and Response: In-Depth Interviews with Law Enforcement Mechanisms
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the perspectives of police chiefs/commanders of police officers who run the gender-based violence (GBV) unit on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as GBV in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of GBV and law enforcement’s response within that community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Gender-Based Violence Readiness and Response: In-Depth Interview Guide for Judicial Proceedings (Judges, Magistrates, Etc.)
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of judges and magistrates on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, caseload profile, laws and guidelines, and infrastructure and service delivery.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Gender-Based Violence Readiness and Response: In-Depth Interviews with Legal Aid Organizations
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the perspectives of those working at legal aid clinics on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and law enforcement’s response within that community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the perspectives of police chiefs/commanders of police officers who run the gender-based violence (GBV) unit on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as GBV in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of GBV and law enforcement’s response within that community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of judges and magistrates on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, caseload profile, laws and guidelines, and infrastructure and service delivery.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool captures the perspectives of those working at legal aid clinics on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and law enforcement’s response within that community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Gender-Based Violence Readiness and Response: In-Depth Interviews with Social Support Services
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of those providing social support services on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Gender-Based Violence Readiness and Response: In-Depth Interviews with Temporary Shelters/Safe Homes
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of those working at shelters or safe homes on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Gender-Sensitive and Gender-Integrated Service Delivery: Health Facility Questionnaire
Authors: Jhpiego
Project: Boresha Afya, Tanzania
Health Area: Gender-Based Violence, Maternal Health, Newborn Health, Family Planning
Tool Type: Questionnaire
Tool Objectives: This questionnaire captures facility-level data through interviews with health providers and those in charge of facilities. It covers topics such as the existence of standard operating procedures on gender-sensitive services and gender-based violence-integrated services, accessibility of services, and client privacy.
Targeter Users: Project staff, researchers, or others assessing services at a particular facility for gender sensitivity and gender integration
How to Apply the Tool: This questionnaire can be used for formative research or for baseline/midline/endline assessment. It can be used in conjunction with other questionnaires from the Boresha Afya project that capture information from different stakeholders.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of those providing social support services on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Rural Access and Agricultural Marketing Project (RAAMP), Nigeria
Health Area: Gender-Based Violence
Tool Type: In-Depth Interview Guide
Tool Objectives: This tool explores the perspectives of those working at shelters or safe homes on issues related to violence against women, girls, men, and boys in the community. It is designed to capture information on topics such as gender-based violence in the community, policies and protocols, data, infrastructure and service delivery, and referral and coordination.
Targeter Users: Program managers, researchers, or others seeking to understand community issues of gender-based violence and support service response in the community
How to Apply the Tool: This in-depth interview guide can be used during formative research or for program monitoring. It can be used in conjunction with other tools (posted separately) from RAAMP, which seeks to strengthen financial, institutional, and infrastructure systems in participating states.
Authors: Jhpiego
Project: Boresha Afya, Tanzania
Health Area: Gender-Based Violence, Maternal Health, Newborn Health, Family Planning
Tool Type: Questionnaire
Tool Objectives: This questionnaire captures facility-level data through interviews with health providers and those in charge of facilities. It covers topics such as the existence of standard operating procedures on gender-sensitive services and gender-based violence-integrated services, accessibility of services, and client privacy.
Targeter Users: Project staff, researchers, or others assessing services at a particular facility for gender sensitivity and gender integration
How to Apply the Tool: This questionnaire can be used for formative research or for baseline/midline/endline assessment. It can be used in conjunction with other questionnaires from the Boresha Afya project that capture information from different stakeholders.
Key Informant Interviews with Health Providers of Reproductive, Maternal, Newborn, Child, and Adolescent Health Services
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Family Planning, Reproductive Health, Maternal Health, Newborn Health, Child Health, Adolescent Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health service providers who deliver family planning and reproductive, maternal, newborn, child, and adolescent health services. Guide topics include service provider role in the facility/community, social cultural practices in the community, and health care provider training.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver family planning and/or reproductive, maternal, newborn, child, and adolescent health services
How to Apply the Tool: This guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Survey
Tool Objectives: This survey captures quantitative data on health care provider perspectives on gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of men accessing reproductive, maternal, and newborn health services
How to Apply the Tool: This survey can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of health care providers on issues of gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspectives of health care providers on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This survey can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Family Planning, Reproductive Health, Maternal Health, Newborn Health, Child Health, Adolescent Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health service providers who deliver family planning and reproductive, maternal, newborn, child, and adolescent health services. Guide topics include service provider role in the facility/community, social cultural practices in the community, and health care provider training.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of health care providers who deliver family planning and/or reproductive, maternal, newborn, child, and adolescent health services
How to Apply the Tool: This guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Survey
Tool Objectives: This survey captures quantitative data on health care provider perspectives on gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of men accessing reproductive, maternal, and newborn health services
How to Apply the Tool: This survey can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of health care providers on issues of gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspectives of health care providers on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This survey can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: In-Depth Interview Guide
Tool Objectives: This in-depth interview guide explores the perspectives of health care providers on issues of gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspectives of health care providers on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This in-depth interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Maternal and Child Survival Program (MCSP)
Project: MCSP Nigeria
Health Area: Reproductive Health, Family Planning, Maternal Health, Newborn Health
Tool Type: List of questions to assess the quality of care in health facilities from a gender lens
Tool Objectives: This tool provides a list of questions that can be used to integrate gender into facility surveys assessing quality of care.
Targeter Users: Evaluation teams seeking to conduct an assessment of reproductive, maternal, newborn, child, and adolescent health facilities
How to Apply the Tool: This tool can be used to incorporate a gender perspective into quality of care surveys. Quality of care tools can be used to evaluate the quality of care of an reproductive, maternal, newborn, child, and adolescent health institution from a gender perspective, and identify resources and a plan of action to better integrate gender in the institution. These questions were integrated into the quality of care assessment tools from the MCSP Nigeria project, which are adapted from the World Health Organization’s Service Availability and Readiness Assessment Survey.
Authors: Maternal and Child Survival Program (MCSP)
Project: MCSP, Global
Health Area: Reproductive Health, Maternal Health, Child Health
Tool Type: Client Exit Survey
Tool Objectives: This tool captures women’s experiences accessing care at a particular health facility. It covers topics such as delivery and perceived satisfaction with care.
Targeter Users: Program managers, researchers, or anyone seeking to understand women’s delivery experience at a given health facility
How to Apply the Tool: This client exit survey can be used for formative research or baseline/midline/endline assessment.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: In-Depth Interview Guide
Tool Objectives: This in-depth interview guide explores the perspectives of health care providers on issues of gender and quality of care within reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand the perspectives of health care providers on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This in-depth interview guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Maternal and Child Survival Program (MCSP)
Project: MCSP Nigeria
Health Area: Reproductive Health, Family Planning, Maternal Health, Newborn Health
Tool Type: List of questions to assess the quality of care in health facilities from a gender lens
Tool Objectives: This tool provides a list of questions that can be used to integrate gender into facility surveys assessing quality of care.
Targeter Users: Evaluation teams seeking to conduct an assessment of reproductive, maternal, newborn, child, and adolescent health facilities
How to Apply the Tool: This tool can be used to incorporate a gender perspective into quality of care surveys. Quality of care tools can be used to evaluate the quality of care of an reproductive, maternal, newborn, child, and adolescent health institution from a gender perspective, and identify resources and a plan of action to better integrate gender in the institution. These questions were integrated into the quality of care assessment tools from the MCSP Nigeria project, which are adapted from the World Health Organization’s Service Availability and Readiness Assessment Survey.
Authors: Maternal and Child Survival Program (MCSP)
Project: MCSP, Global
Health Area: Reproductive Health, Maternal Health, Child Health
Tool Type: Client Exit Survey
Tool Objectives: This tool captures women’s experiences accessing care at a particular health facility. It covers topics such as delivery and perceived satisfaction with care.
Targeter Users: Program managers, researchers, or anyone seeking to understand women’s delivery experience at a given health facility
How to Apply the Tool: This client exit survey can be used for formative research or baseline/midline/endline assessment.
Health Behaviors and Attitudes: Key Informant Interviews with County Health Management Team Members
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Family Planning, Reproductive Health, Maternal Health, Newborn Health, Child Health, Adolescent Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health management team members on health-related behaviors, attitudes, and services in their community. Topics include service delivery generally, human resources for health, supervision, quality of services, and supplies and commodities.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of county health management team members, as well as health care providers, facility managers, and central, provincial/regional, or district health care managers who want to improve the services for which they are directly responsible
How to Apply the Tool: This guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of men over age 21 on reproductive, maternal, and newborn health. It uses vignettes related to antenatal care and to labor and delivery, as well as questions related to gender and reproductive, maternal, and newborn health services.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of men accessing reproductive, maternal, and newborn health services
How to Apply the Tool: This focus group discussion guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of women ages 21–49 on issues of gender and quality of care within reproductive, maternal, and newborn health. Topics include vignettes on antenatal care and on labor and delivery, as well as questions on gender and reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand women’s perspective on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This focus group discussion guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Jhpiego
Project: Afya Halisi, Kenya
Health Area: Family Planning, Reproductive Health, Maternal Health, Newborn Health, Child Health, Adolescent Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This guide can be used to explore the perspectives of health management team members on health-related behaviors, attitudes, and services in their community. Topics include service delivery generally, human resources for health, supervision, quality of services, and supplies and commodities.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of county health management team members, as well as health care providers, facility managers, and central, provincial/regional, or district health care managers who want to improve the services for which they are directly responsible
How to Apply the Tool: This guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the Afya Halisi project’s Gender Analysis, posted separately. Tool available in English and Swahili.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of men over age 21 on reproductive, maternal, and newborn health. It uses vignettes related to antenatal care and to labor and delivery, as well as questions related to gender and reproductive, maternal, and newborn health services.
Targeter Users: Program staff, researchers, or others seeking to understand the perspective of men accessing reproductive, maternal, and newborn health services
How to Apply the Tool: This focus group discussion guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Promundo and the Maternal and Child Survival Program (MCSP)
Project: MCSP, Rwanda
Health Area: Reproductive Health, Maternal Health, Newborn Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This focus group discussion guide explores the perspectives of women ages 21–49 on issues of gender and quality of care within reproductive, maternal, and newborn health. Topics include vignettes on antenatal care and on labor and delivery, as well as questions on gender and reproductive, maternal, and newborn health.
Targeter Users: Program staff, researchers, or others seeking to understand women’s perspective on gender and quality of care within reproductive, maternal, and newborn health
How to Apply the Tool: This focus group discussion guide can be used for formative research or baseline/midline/endline evaluations. It can be used in conjunction with other tools from the MCSP Rwanda project, posted separately.
Authors: Jhpiego
Project: N/A
Health Area: Service Delivery
Tool Type: Verification Checklist of Performance Standards
Tool Objectives: This tool assesses the quality of a facility’s provision of gender-sensitive, respectful care by engaging providers in a participatory approach to understand their vision of high-quality care and applying standards to their country’s and facility’s context.
Targeter Users: Health care providers, facility managers, and central, provincial/regional, or district health care managers who want to improve the services for which they are directly responsible
How to Apply the Tool: The performance standards and accompanying verification checklist can be used to establish a desired level of performance, measure actual level of performance, identify performance gaps and facility challenges, and provide an opportunity to recognize and reward high-performing facilities. It can be used for quality improvement/quality assurance as part of self-assessment, internal assessment, external assessment, and integration into other standards. Before using, please view the tool’s facilitation guide, posted here and also available at www.jhpiego.org/gender. Tool available in English and French.
Interview Guide on Malaria in Pregnancy for Use with Facility-Based Providers
Authors: Jhpiego
Project: Impact Malaria, Kenya and Cameroon
Health Area: Malaria, Maternal Health, Child Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This tool captures facility-based provider perspectives on antenatal care and malaria. Topics include service delivery and client practices.
Targeter Users: Program staff or researchers seeking to understand facility-based provider perspectives related to antenatal care and malaria services
How to Apply the Tool: This tool was designed for assessment under Impact Malaria and can be used for formative research or baseline/midline/endline assessment. It can be used in conjunction with other Impact Malaria project tools, posted separately. Tool available in English and French with small differences between the two. The English version contains questions on mosquito net distribution and use, whereas the French version contains questions on diagnostic testing.
Focus Group Discussion Guide on Malaria in Pregnancy for Use with Community-Based Providers
Authors: Jhpiego
Project: Impact Malaria, Kenya and Cameroon
Health Area: Malaria, Maternal Health, Child Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This tool captures community-based provider perspectives on antenatal care and malaria. Topics include service delivery and client practices.
Targeter Users: Program staff or researchers seeking to understand community-based provider perspectives related to antenatal care and malaria services
How to Apply the Tool: This tool was designed for assessment under Impact Malaria and can be used for formative research or baseline/midline/endline assessment. It can be used in conjunction with other Impact Malaria project tools, posted separately. Tool available in English and French with small differences between the two. The English version contains questions on mosquito net distribution and use, and the French version contains questions on testing and treatment; both discuss antenatal care.
Authors: Jhpiego
Project: N/A
Health Area: Service Delivery
Tool Type: Verification Checklist of Performance Standards
Tool Objectives: This tool assesses the quality of a facility’s provision of gender-sensitive, respectful care by engaging providers in a participatory approach to understand their vision of high-quality care and applying standards to their country’s and facility’s context.
Targeter Users: Health care providers, facility managers, and central, provincial/regional, or district health care managers who want to improve the services for which they are directly responsible
How to Apply the Tool: The performance standards and accompanying verification checklist can be used to establish a desired level of performance, measure actual level of performance, identify performance gaps and facility challenges, and provide an opportunity to recognize and reward high-performing facilities. It can be used for quality improvement/quality assurance as part of self-assessment, internal assessment, external assessment, and integration into other standards. Before using, please view the tool’s facilitation guide, posted here and also available at www.jhpiego.org/gender. Tool available in English and French.
Authors: Jhpiego
Project: Impact Malaria, Kenya and Cameroon
Health Area: Malaria, Maternal Health, Child Health
Tool Type: Key Informant Interview Guide
Tool Objectives: This tool captures facility-based provider perspectives on antenatal care and malaria. Topics include service delivery and client practices.
Targeter Users: Program staff or researchers seeking to understand facility-based provider perspectives related to antenatal care and malaria services
How to Apply the Tool: This tool was designed for assessment under Impact Malaria and can be used for formative research or baseline/midline/endline assessment. It can be used in conjunction with other Impact Malaria project tools, posted separately. Tool available in English and French with small differences between the two. The English version contains questions on mosquito net distribution and use, whereas the French version contains questions on diagnostic testing.
Authors: Jhpiego
Project: Impact Malaria, Kenya and Cameroon
Health Area: Malaria, Maternal Health, Child Health
Tool Type: Focus Group Discussion Guide
Tool Objectives: This tool captures community-based provider perspectives on antenatal care and malaria. Topics include service delivery and client practices.
Targeter Users: Program staff or researchers seeking to understand community-based provider perspectives related to antenatal care and malaria services
How to Apply the Tool: This tool was designed for assessment under Impact Malaria and can be used for formative research or baseline/midline/endline assessment. It can be used in conjunction with other Impact Malaria project tools, posted separately. Tool available in English and French with small differences between the two. The English version contains questions on mosquito net distribution and use, and the French version contains questions on testing and treatment; both discuss antenatal care.