SHOPS Plus is adapting the private sector network approach to increase private sector involvement in tuberculosis (TB) detection and treatment. Although elements of private network models have been successfully developed and used to increase TB detection and patient flows in India, they have not been extensively used or implemented in other settings with a high TB burden, like Nigeria. Since the SHOPS Plus model is a relatively new approach, the process evaluation will document and evaluate the start-up and implementation of the networks in Lagos and Kano. The documentation will assist with adaptive management, and inform scale-up and replication in other states that want to establish private provider networks for TB detection and treatment.
The process evaluation examines five different program implementation topics, including:
- Topic 1: The theoretical and practical aspects of the network model’s design;
- Topic 2: The processes and systems that are intended to facilitate network function;
- Topic 3: The experiences and behaviors of network providers;
- Topic 4: The experiences and behaviors of network beneficiaries; and
- Topic 5: The cost implications of program design and implementation.
Process evaluation data collection will be implemented in two phases, including an early program phase and a late program phase. The early program phase will focus on start-up and late program phase will focus on program adaptations and prospects for sustainability. To examine each evaluation topic the study relies on mixed methods, and draw from various quantitative and qualitative data sources to address them. These methods include:
- Document review
- Key informant interviews with SHOPS Plus program staff and national and state-level stakeholders.
- Focus group discussions with network providers
- Analysis of program monitoring data to describe/track network performance
- Analysis of program financial data to describe the costs of starting up and implementing the program, supporting the networks and the different cadres within the networks and assess the program’s value for money
Status: Phase 1, Ongoing; Phase 2, Spring 2020
Last updated: February 2019