Rapid Feedback Monitoring, Evaluation, Research, and Learning

Mathematica was engaged in five RF MERL projects or pilots, including two on early grade reading and three on family care and mobile health. Three of these projects are featured below.

In Senegal, the Lecture Pour Tous (LPT) initiative taught reading in national languages in Grades 1 to 3 with the goal of improving student literacy. The project supplied enhanced continuous teacher professional development and coaching, and reinforced parent and community engagement. Mathematica employed mixed-methods research including lean testing, usability testing, and randomized control trials to test different models of implementation. Our research provided opportunities for project improvement, contributed to the literature on effective early grade reading strategies, and provided rigorous evidence that informed the Government of Senegal’s scaling of some project activities.

In India, the Tuberculosis Health Action Learning Initiative (THALI) deployed technology-enabled approaches to support tuberculosis patients in taking their daily treatment. Mathematica used mixed-methods analysis to evaluate the feasibility and utility of three adherence technologies. Our study included qualitative data collection and a review of administrative data to better understand the technologies and how patients’ compliance to their treatment plan differed by technology and patient characteristics. Our findings discussed implications for India’s efforts to combat tuberculosis.

In Guinea, where maternal, infant and child mortality are prevalent, the government launched an ambitious community health strategy to achieve universal health care. Mathematica employed a qualitative study using semi-structure telephone interviews with stakeholders and providers to assess the strategy’s early results and potential for scale-up. Our findings revealed that the program was taking root in spite of the COVID pandemic but some logistical aspects must be addressed for successful national-level rollout of community-based services. Our research provided guidance to stakeholders charged with scaling the program throughout the country.