From raw data to a score: comparing quantitative methods that construct multi-level composite implementation strength scores of family planning programs in Malawi

Table 1 Indicators per implementation strength domain and health worker type

IS domain	Indicator	HW type
Training	Appropriately trained in FP*	HFW, HSA, CBDA
Training	Ever trained in YFHS	HFW, HSA, CBDA
Supervision	Supervised for FP in last 3 months	HFW, HSA, CBDA
	Last supervision covered youth FP topics	HSA, CBDA
	HF has received supervision that included FP from someone external to the facility in previous 3 reporting months	IC
	HFs whose supervision checklist of HWs includes Youth FP	IC
Contraceptive methods and supplies	Provides range of FP methods appropriate to type**	IC, HSA, CBDA
	Appropriate FP method available on day of interview**	IC, HSA, CBDA
	Has FP guidelines and job aids	IC, HSA, CBDA
	Has youth FP guidelines	IC, HSA, CBDA
	HF provides FP methods branded with social marketing	IC
	HF has FP pamphlets	IC
Demand generation activities	Conducted youth event in last 3 months	IC, HSA, CBDA
	Conducted SRH talks in last 3 months	HSA, CBDA
	Conducted youth spaces in last 3 months	IC, HSA, CBDA
	Conducted community meetings in last 3 months	IC, HSA, CBDA
	HF has peer educators for FP	IC
Accessibility	Ensures privacy during FP consultations	IC, HSA, CBDA
	Provides FP at least more than 12 h per week	HSA, CBDA
	Provides FP at least more than 24 h per week	IC
	HF has private room for FP consultations	IC
	HF has space designated for youth consultations & activities	IC
	HF has conducted mobile outreach since Jan 2017	IC

*Pertains to whether the HW is appropriately trained out of the choices of counseling, condoms, OCPs, injectables, and implants. HFWs should be trained in all, HSAs on all except implants, and CBDAs on all except injectables and implants
**Same as appropriate training. Provision and availability of method type is based on HW type

ISSN: 1478-7954