M4ID, Finland

Design and implementation of a Monitoring & Evaluation framework for the Lab.our Ward Pilot Project in Odisha.

M4ID, Finland

International Organisation


Key Highlights

  • 35 patients consulted across 3 Community Health Centres (CHC)
  • Infrastructure is very poor in facilities and cannot manage complicated deliveries
  • 51.43% patients stated the facility was very dirty
  • Facilities lack gynaecologists and obstetricians to conduct deliveries

 Impact Evaluation study on infrastructure improvements in labour wards of Government health centres

M4ID is a social impact company established with a mission to improve development and health outcomes of underserved and vulnerable communities. In India, M4ID piloted the ‘Lab.Our Ward’ project in the state of Odisha. Lab.Our Ward aims to improve the birth experience of women in low-resource settings, and improve the quality of care from the perspectives of both women and care providers, through a suite of interventions. The study explored the viability of service, product and space innovations tailored for maternity wards in resource constrained settings and captured the experiences of patients and their supporters in accessing services related to delivery/birth-giving.


Research Tools

02.Focus Group Discussions
03.Convergent Interviews
05.Priority Ranking Exercise


The evaluation adopted the World Health Organization’s Quality of Care theoretical framework, to examine “the extent to which health care services provided to individuals and patient populations improve desired health outcomes.” Indicators were matched to the eight standards of care and quality statements of the standardised and validated WHO framework. Out of these, context-appropriate indicators were chosen to fit local realities and undertake the assessment.