The Performance Monitoring and Accountability 2020 (PMA2020) project implemented a multi-country sub-project called PMA Agile, a system of continuous data collection for a probability sample of urban public and private health facilities and their clients that began November 2017 and concluded December 2019.  The objective was to monitor the supply, quality and consumption of family planning services.  In total, across 14 urban settings, nearly 2300 health facilities were surveyed three to six times in two years and a total sample of 48,610 female and male clients of childbearing age were interviewed in Burkina Faso, Democratic Republic of Congo, India, Kenya, Niger and Nigeria.  Consenting female clients with access to a cellphone were re-interviewed by telephone after four months; two rounds of the client exit, and follow-up interviews were conducted in nearly all settings.  This paper reports on the PMA Agile data system protocols, coverage and early experiences.  An online dashboard is publicly accessible, analyses of measured trends are underway, and the data are publicly available.

The Performance Monitoring and Accountability 2020 (PMA2020) project implemented a multi-country sub-project called PMA Agile, a system of continuous data collection for a probability sample of urban public and private health facilities and their clients that began November 2017 and concluded December 2019.  The objective was to monitor the supply, quality and consumption of family planning services.  In total, across 14 urban settings, nearly 2300 health facilities were surveyed three to six times in two years and a total sample of 48,610 female and male clients of childbearing age were interviewed in Burkina Faso, Democratic Republic of Congo, India, Kenya, Niger and Nigeria.  Consenting female clients with access to a cellphone were re-interviewed by telephone after four months; two rounds of the client exit, and follow-up interviews were conducted in nearly all settings.  This paper reports on the PMA Agile data system protocols, coverage and early experiences.  An online dashboard is publicly accessible, analyses of measured trends are underway, and the data are publicly available.

Background: Maternal and infant mortality remains one of the concerns in India, even in high-performing states like Telangana. However, the urban–rural divide in the maternal and child health service provided and utilisation by the population is more concerning. The Government of India launched schemes like Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) to improve institutional delivery and reduce the out-of-pocket expenditure of users seeking service at public institutions and private institutions facilities. This study aims to study the utilisation of one such service, that is, JSSK, and compare it in urban and rural areas of Telangana state. Methodology: A cross-sectional study was conducted in Warangal and Ranga Reddy districts in the state of Telangana with an interview schedule administered to mothers who had at least one child at the time of the interview and were beneficiaries of JSY and JSSK from the previous delivery. A multistage cluster random sampling was used to select the study area, and a total of 408 respondents were chosen to participate in the study. Results: The study found that most facility characteristics related to maternal and child health, JSSK service availability and JSSK service satisfaction and awareness were significantly different across the urban and rural areas. Conclusion: The study found that crucial factors affecting respondents’ services utilisation differed across urban and rural areas. This study shows there is still a margin of improvement in services provided under the JSY and JSSK, especially in service availability and awareness of the population on their entitlements under these schemes.