Comparative Evaluation of Service Delivery Process & Outcomes Between CommCare Mobile App & Paper-based Household Nutrition Counseling Platforms

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Through the CommCare baseline and end line evaluations, Mawa aims to document the experience of the CommCare Nutrition Volunteer (NV) mobile application, compared to the experience of using the paper-based lessons, for conducting individual nutrition counseling sessions. Results of the evaluation will contribute to the Zambian Ministry of Health’s decision on whether to adopt and further scale up the CommCare nutrition counseling application as an integrated part of community-based nutrition service delivery.

Mawa’s partner, the University Research Co., LLC (URC), is leading the evaluation design and analysis, with full partnership from Mawa’s prime partner CRS and Caritas, based in Chipata, Zambia. Field work for baseline took place between May and June 2016 and end line data collection is set to take place between April and August 2017.

The overall objective of the Mawa CommCare evaluation is to contribute to the existing body of knowledge on the effectiveness of CommCare as a key resource for sustainable household nutrition behavior change. The Mawa CommCare evaluation includes a comparison of paper-based versus CommCare mobile phone platforms for facilitating and reporting on outcomes of household nutritional counseling sessions for caregivers of children under two (caregivers) and pregnant and lactating women (PLW). The evaluation explores both process (service provider-focused) and outcome (program participant-focused) indicators associated with the nutrition counseling service.

To date, more than 40 evaluations have been conducted on the use of CommCare globally by a range of implementing partner organizations. Mawa aims to contribute to three of the five existing domains of CommCare evaluation - specifically to:

  1. Document the Mawa CommCare application implementation effort, including qualitative interviews from users and front line workers
  2. Identify and analyze the extent of service delivery process improvement among Mawa’s frontline workers (Nutrition Volunteers) for providing effective nutrition counseling services
  3. To the extent possible, attribute the relative impact of using CommCare in transforming/improving the knowledge, attitude and practices of caregivers and pregnant and lactating women on adopting the essential nutrition actions being promoted by Mawa


Publication Date 
April 2017
Resource Type 
Project Reports
Regions/ Countries