Figure 1
Rescue Mission Overview.
Figure 2
Overarching Theory of Change.
Figure 3
Sampled districts.
Note: This State map reflects 11 districts; a 12th district, Eastern West Khasi Hills, was carved out of West Khasi Hills just before the study commenced (2021) and was not part of our study.
Table 1
Data collection.
| IN‑DEPTH INTERVIEWS (IDIs), FOCUS GROUP DISCUSSIONS (FGDs) | |||||
|---|---|---|---|---|---|
| LEVELS | DEPARTMENT/PARTICIPANT | ROUND I | ROUND II | ROUND III | |
| State | Dept. of Health and Family Welfare, State Rural Livelihoods Society, Dept. of Social Welfare and State Capability Enhancement Project | IDI | 4 | ||
| District | Deputy Commissioner, Medical & Health Officer, Maternal & Child Health Officer, District Community Process Coordinator, District Programme Manager ‑ National Health Mission (DPM ‑ NHM), District Programme Officer ‑ Integrated Child Development Scheme (DPO ‑ ICDS), District Mission Manager ‑ State Rural Livelihoods Mission (DMM ‑ SRLM) | IDI | 16 | ||
| Block | Block Programme Managers ‑ NHM, SRLM, Child Development Project Officer ‑ ICDS | IDI | 35 | ||
| Facility | Medical Officer (MO), MO Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (MO AYUSH), Staff Nurse, Auxiliary Nurse Midwife (ANM) | IDI | 56 | 43 | 2 |
| Frontline cadres | Accredited Social Health Activist (ASHA) | IDI | 27 | ||
| Community Gender & Health Activist (CGHA) | 11 | ||||
| Community | Women’s Groups and Village Health Council (VHC) | FGD | 10 | ||
| Total IDIs and FGDs | 194 IDIs, 10 FGDs | ||||
| Note: While number of participants are distinctly reported, data collection was continuous between rounds II & III. | |||||
| Observations | November 2022 – November 2023 | ||||
| All District and State Review Meetings* | 27 | ||||
| All Sector Meetings* | 66 | ||||
| State Workshops | 2 | ||||
| Field visits by Government leadership | 5 | ||||
| Field observation of health providers | 5 | ||||
| VHC meetings | 1 | ||||
| Total observations | 106 | ||||
Figure 4
Monthly Institutional Delivery Rate; September 2021‑Jun 2023 (% of deliveries).
Source: Mother app data, provided by Govt of Meghalaya.
Figure 5
MO adoption of the State Capability Enhancement approach.