The Right Time: An Evaluation of an Equity-Focused Reproductive Health initiative in Missouri

Principles of reproductive justice and equitable evaluation underlie Mathematica’s evaluation approach, which includes a mixed-methods design with four complementary studies related to monitoring, process, outcomes, and cost. (1) The monitoring study tracks progress in key indicators of the initiative’s outputs and outcomes based on the logic model. (2) The process study examines how implementation is occurring to understand specific approaches used, identify best practices of implementation, and support course correction as needed. (3) The outcomes study assesses the outcomes of the initiative, including changes in contraceptive care over time, changes in thoughts and behaviors about contraception, assessments of policy and environmental changes, and the initiative’s impact on maternal and reproductive health outcomes. (4) The cost study determines whether the benefits of the initiative outweigh its costs.