The impact of activities will be assessed using population-level outcomes data collected
through oversampling of the demographic and health survey (DHS) in the intervention districts. The overall impact
evaluation is complemented by an analysis of trends in facility health care utilization. A comprehensive costing
project captures the total expenditures and financial inputs of the health care system to determine the cost of
systems improvement. Targeted evaluations and operational research pieces focus on specific programmatic
components, supported by partnership-supported work to build in-country research capacity.