Many strategies will thus be undertaken during the case study, so that project conclusions can be transferable to other contexts: theoretical enlightenment; reproduction of observations in many cases; 27 and in depth description of programmes, actors and context.
26 The focus of this stage was on rich description of programme functioning and the lived experiences of CMWs and local women seeking maternity services.
Pre-specified extracted information included: (1) type of study, description of programme parameters, methods for risk assessment, tests used, positivity criteria (screening threshold levels [dB] and unilateral vs. bilateral hearing loss used for the screening tests), environmental test conditions, types of personnel performing the test; (2) quality indicators.
In 2008 09, we reviewed 593 published peer-reviewed papers concerning health RCS evaluations but discovered only 4 primary, longitudinal evaluations of health RCS interventions in low- or middle-income countries; the rest were predominantly descriptions of individual programmes or proposed frameworks (Cole DC, Boyd A, Aslanyan G, Bates I, under review).
The 2003 Communications Act set out quotas for the subtitling (80%), signing (5%) and audio description (10%) of programmes to be reached by the 10th anniversary of each channel, as well as a subtitling quota to be reached by the fifth anniversary (60%).
It was introduced in 1987, and a number of laws, decrees and bylaws have modified the programme since.8 What follows is a reconstruction of the structure of the programme at the time that the graduates in the GTS data were observed - based on conversations with relevant parties, the available legal documents, as well as descriptions of the programme on official websites and in government reports.
Evaluation studies should therefore combine effectiveness measures with detailed descriptions of the programme and its context to understand under what conditions participating teams are able to realise changes in quality of care.
Much international public health education literature has focused on global capacity building and/or the description of innovative programmes, but less on quality and appropriateness.
In addition to the self-assessment, we ask the provider to submit a list of the staff and facilities designated for the programme, and a description of the programme objectives and protocol.
