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Contact Intensity Index Jim Ricca Senior Technical Advisor MCHIP
What is the CII?? ,[object Object],[object Object],[object Object]
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  
Why measure CII? ,[object Object],[object Object],[object Object],[object Object],[object Object]
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
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)

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Contact Intensity Index

  • 1. Contact Intensity Index Jim Ricca Senior Technical Advisor MCHIP
  • 2.
  • 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.
  • 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)