How Mataki works

1. Set up the assessment

Choose what you are planning or reviewing and the level: a state, an LGA, a ward or a health facility. Then pick the places it covers. Your account’s place sets the area you work in.

2. Enter the data you have and check it

Enter the figures you already report, such as children vaccinated by antigen and the target population. Before any insight is shown, Mataki checks the data. A place whose figures do not hold together is put on a data-quality hold and left out of the ranking, so a reporting error is less likely to be read as a coverage problem.

3. Find the likely root causes

For each place, the team records what it sees and why it might be happening. Mataki organizes barriers and strengths by the determinants of CFIR 2.0, the Consolidated Framework for Implementation Research, and keeps each place as an investigation: what was observed, the likely root causes, and the determinants behind them. It also shows other explanations to weigh before the team settles on one.

4. Decide where to act first

Every place gets a status, Urgent, Very high, High, Moderate or Sustain, and an Implementation Priority Index (IPI) built with multi-criteria decision analysis. The Priority today list orders every place across your assessments, Urgent first. The ranking is a structured suggestion: the team can record its own judgement and the reason for it.

5. Match actions to the causes

Recommended actions combine programme standard actions, such as Reaching Every Ward and supply practice, with implementation strategies from the CFIR-ERIC matching approach, each shown with its source. The team adds the actions it agrees to the place’s package.

6. Track progress from the field

With the optional tracking link, the officer gives each health worker, officer in charge, LGA officer or Ward Development Committee member a code for one place. With the code they see what was agreed for that place and send short updates from their own phone, with no account. Updates are encrypted on the phone and arrive in the officer’s assessment.

7. Learn what works where

At the next observation the team reviews each package: did the barriers ease, did the near indicators and coverage move, and why. Learning then shows which packages of strategies worked, in which facilities, wards and LGAs, and the contexts that separate success from failure. These are associations in routine data, and Mataki marks findings drawn from few cases.

Meetings, briefs and sharing

A meeting view and a printable brief present the priorities, causes and actions for a review meeting. Assessments can move between devices as one locked file that opens only with the passphrase you choose.

Accounts and administrators

Everyone registers with the level they work at, from health facility to national, and the place that goes with it. After the email is confirmed, an administrator for that place approves the account. Administrators see and manage only the accounts in their own facility, ward, LGA or state, and every action they take is recorded in an audit log. Mataki’s super administrator sees every account and is the only one who can make administrators.

The frameworks behind it

• CFIR 2.0, the updated Consolidated Framework for Implementation Research (Damschroder et al., 2022).
• The ERIC compilation of implementation strategies (Powell, Waltz et al.).
• The CFIR-ERIC implementation strategy matching tool (CFIR Research Team, Center for Clinical Management Research), which Mataki’s strategy matching adapts.
• Good practice in multi-criteria decision analysis (OECD/JRC 2008; ISPOR 2016).

Mataki is an independent tool. It is not endorsed by the authors of these frameworks or by any ministry, agency or funder.