The document discusses the Contact Intensity Index (CII), which measures personal contact with trained health providers over the past month. It proposes to analyze the CII in a modified KPC module to evaluate its impact on health facilities and behavior change in various countries. The document outlines the importance of assessing the quality and quantity of health messaging and the associated challenges in documentation.

1. Contact Intensity Index Jim Ricca Senior Technical Advisor MCHIP

2. What is the CII?? A measure of personal contact with a trained (quality) provider(s) of health information within the last month. Proposal: Measure the CII in a modified KPC module on Health Contacts.

3. Does CII matter? A retrospective analysis Project Country 1. Health facility improvement 2. Governance 3. Behavior Change – one-on-one 4. Outreach Services 5. Comm. treatment 6. Comm. Finance 7. Behavior change - mass media Nepal x x x x x x Mali x x x x x Benin x x x Rwanda 2 x x x x Ethiopia x x x x x Cambodia 3 x x x x Madagascar x x x Guinea x x x x x Senegal x x x x x x x Cambodia 2 x x x x x Rwanda 1 x x x x x Kenya x Haiti x x x x x Mozambique x x x Malawi x x x x x Cambodia 1 x x x x More successful 82% 82% 91% 73% 36% 73% 36% Less successful 100% 80% 20% 80% 40% 20% 20% Odds Ratio 0.8 1.0 4.6 0.9 0.9 3.6 1.8 Fisher Exact Test NS NS 0.05 NS NS 0.08 NS Significant at the level p < 0.05 Significant at the level p < 0.10

4. Why measure CII? Hypothesis: After a certain minimum threshold level of message quality if reached, the QUANTITY rather than the QUALITY of contact/messaging is most important PVO CS projects tend to do this well This determinant of behavior change is not currently well documented We can do this easily!

5. NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP 2 During the last month, how often have any of the following types of people visited you in your home to talk to you about your health or the health of your child? READ REPONSE CATEGORIES NEVER (0 times) ONCE (1 time) TWICE (2 times) THREE TIMES FOUR OR MORE TIMES A Doctor 99 1 2 3 4 B Nurse 99 1 2 3 4 C Auxiliary Midwife 99 1 2 3 4 D Trained Birth Attendant 99 1 2 3 4 E Community Health Worker 99 1 2 3 4 F Health Educator 99 1 2 3 4 G Growth Monitoring Person 99 1 2 3 4 H Husband/Partner 99 1 2 3 4 I Care Group Member 99 1 2 3 4 J Mother/Mother-In-Law 99 1 2 3 4 K Sister 99 1 2 3 4 L Grandparent 99 1 2 3 4 M Aunt 99 1 2 3 4 N Friend/Neighbor 99 1 2 3 4 O Traditional Healer 99 1 2 3 4 P Village Elder 99 1 2 3 4 Q Other (Specify: ________________________) 99 1 2 3 4 3 In the last month, how many times have you attended any type of meeting in the community in which your health or the health of your child was discussed? READ RESPONSE CATEGORIES NEVER (0 times) ONCE (1 time) TWICE (2 times) THREE TIMES FOUR OR MORE TIMES A Mothers’ Group 99 1 2 3 4 B Care Group 99 1 2 3 4 C Breastfeeding Group 99 1 2 3 4 D Health Education Group 99 1 2 3 4 E Village Development Committee 99 1 2 3 4 F Savings/Finance Group 99 1 2 3 4 G Other (Specify: ________________________) 99 1 2 3 4

6. CII Indicator TABULATION PLAN There is one indicator to be tabulated from these questions, although additional analyses are certainly possible. Number of quality health contacts Average Monthly Contact Intensity = ___________________________________________ Number of respondents (mothers of children 0-23 months)