Midline assessments are carried out in the middle of the intervention to ensure that the project is moving in the right trajectory and to identify the key challenges and achievements of the program. It aids in course correction and seeks to undertake reparative measures and also acts as a tool to understand the project status. A midline assessments uses comparisons to baseline data, and assesses the impact by measuring key indicators over a period of time.
Outline India, the parent company of Track Your Metrics, has undertaken multiple midline assessments, namely in the sectors of education and health.
Outline India conducted a midline assessment to evaluate an adolescent sexual and reproductive health program in Bihar. They worked with Mathematica Policy Research, which is the MEL partner for Packard Foundation and Pathfinder International’s Population and Reproductive Health (PRH) program based in Bihar.
The impact evaluation sought to gauge the knowledge, attitudes, and practices toward healthy timing and spacing of pregnancy, demand for and uptake of contraceptive services and family planning, access to contraceptive and maternal health services, and sexual health and counselling services provided for both married and unmarried adolescents in Mahadalit communities.
As a part of the midline study a qualitative approach was undertaken wherein key informant interviews (KIIs) and focus group discussions (FGDs) were conducted with all relevant stakeholders and a training was conducted internally with Outline India researchers along with a briefing session for the field staff.
The midline assessment saw stakeholders across a wide spectrum, from married and unmarried men and women to ASHAs, ANMs, block medical officers and program officials.
The midline assessments were aimed at gathering perceptions of the program from the on-field staff and beneficiaries and gain knowledge of the factors that have acted as stimulants and impediments in the program.
Another example is a midline study that followed up on the levels of knowledge, attitudes, and behaviours pertaining to education of girl child in rural India. As the India partner for the ‘Empowering Next Generations to Advance Girls’ Education’ (ENGAGE) project, surveys were conducted in 500 households across Rajasthan and Bihar, with a parent-child pair from each household. The study measured the effectiveness of ENGAGE in mobilizing and engaging school‐aged girls, boys, men and women to address the barriers and social norms preventing access to quality education in India.
RCTs, DiDs, and other longitudinal studies, frequently sees the use of midline assessments. After a midline assessment is complete, the results are analysed, recommendations where applicable are implemented and the whole exercise is completed by an endline assessment, at the end of the project.