eRegistries : indicators for the WHO essential interventions for reproductive, maternal, newborn and child health

Show simple item record Flenady, Vicki Wojcieszek, Aleena M. Fjeldheim, Ingvild Friberg, Ingrid K. Nankabirwa, Victoria Jani, Jagrati V. Myhre, Sonja Middleton, Philippa Crowther, Caroline Ellwood, David Tudehope, David Pattinson, Robert Clive Ho, Jacqueline Matthews, Jiji Ortega, Aurora Bermudez Venkateswaran, Mahima Chou, Doris Say, Lale Mehl, Garret Froen, J. Frederik 2017-06-23T09:01:38Z 2017-06-23T09:01:38Z 2016-09
dc.description Additional file 1: Example score sheet with indicator criteria. en_ZA
dc.description Additional file 2: Evaluation rounds, interventions addressed with number of indicators and indicator sources. en_ZA
dc.description Additional file 3: Likely indicator values for power comparison displayed in Fig. 3. en_ZA
dc.description Additional file 4: Response to feedback – examples of indicator amendments. en_ZA
dc.description Additional file 5: List of final indicators. en_ZA
dc.description Additional file 6: Glossary of denominator units and definitions. en_ZA
dc.description.abstract BACKGROUND : Electronic health registries – eRegistries - can systematically collect relevant information at the point of care for reproductive, maternal, newborn and child health (RMNCH). However, a suite of process and outcome indicators is needed for RMNCH to monitor care and to ensure comparability between settings. Here we report on the assessment of current global indicators and the development of a suite of indicators for the WHO Essential Interventions for use at various levels of health care systems nationally and globally. METHODS : Currently available indicators from both household and facility surveys were collated through publicly available global databases and respective survey instruments. We then developed a suite of potential indicators and associated data points for the 45 WHO Essential Interventions spanning preconception to newborn care. Four types of performance indicators were identified (where applicable): process (i.e. coverage) and outcome (i.e. impact) indicators for both screening and treatment/prevention. Indicators were evaluated by an international expert panel against the eRegistries indicator evaluation criteria and further refined based on feedback by the eRegistries technical team. RESULTS : Of the 45 WHO Essential Interventions, only 16 were addressed in any of the household survey data available. A set of 216 potential indicators was developed. These indicators were generally evaluated favourably by the panel, but difficulties in data ascertainment, including for outcome measures of cause-specific morbidity and mortality, were frequently reported as barriers to the feasibility of indicators. Indicators were refined based on feedback, culminating in the final list of 193 total unique indicators: 93 for preconception and antenatal care; 53 for childbirth and postpartum care; and 47 for newborn and small and ill baby care. CONCLUSIONS : Large gaps exist in the availability of information currently collected to support the implementation of the WHO Essential Interventions. The development of this suite of indicators can be used to support the implementation of eRegistries and other data platforms, to ensure that data are utilised to support evidence-based practice, facilitate measurement and accountability, and improve maternal and child health outcomes. en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2017 en_ZA
dc.description.sponsorship The Norwegian Agency for Development Cooperation (Norad) funded the harmonized Reproductive Health Registries project (GLO-4279 QZA 12/0355 harmonized Reproductive Health Registries) that led to the eRegistries Initiative (QZA-14/0022 Every Mother and Child Counts). This was led in partnership by the Norwegian Institute of Public Health and the WHO Department for Reproductive Health and the Mater Research Institute, University of Queensland (Australia), the University of Oxford (UK), and the Health Information Systems Program (Vietnam). The contribution by JFF and JVJ was supported in part by the Centre for Intervention Science in Maternal and Child Health (CISMAC; project number 223269), which is funded by the Research Council of Norway through its Centers of Excellence scheme and the University of Bergen, Norway. en_ZA
dc.description.uri en_ZA
dc.description.uri en_ZA
dc.identifier.citation Flenady, V, Wojcieszek, AM, Fjeldheim, I et al. 2016, 'eRegistries : indicators for the WHO essential interventions for reproductive, maternal, newborn and child health', BMC Pregnancy and Childbirth, vol. 16, art. no. 293, pp. 1-14. en_ZA
dc.identifier.issn 1471-2393
dc.identifier.other 10.1186/s12884-016-1049-y
dc.language.iso en en_ZA
dc.publisher BioMed Central en_ZA
dc.rights © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. en_ZA
dc.subject Performance indicators en_ZA
dc.subject Process indicators en_ZA
dc.subject Outcome indicators en_ZA
dc.subject Intervention coverage en_ZA
dc.subject eHealth en_ZA
dc.subject Registries en_ZA
dc.subject Maternal health en_ZA
dc.subject Perinatal health en_ZA
dc.subject Newborn health en_ZA
dc.title eRegistries : indicators for the WHO essential interventions for reproductive, maternal, newborn and child health en_ZA
dc.type Article en_ZA

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