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dc.contributor.authorFlenady, Vicki
dc.contributor.authorWojcieszek, Aleena M
dc.contributor.authorFjeldheim, Ingvild
dc.contributor.authorFriberg, Ingrid K
dc.contributor.authorNankabirwa, Victoria
dc.contributor.authorJani, Jagrati V
dc.contributor.authorMyhre, Sonja
dc.contributor.authorMiddleton, Philippa
dc.contributor.authorCrowther, Caroline
dc.contributor.authorEllwood, David
dc.contributor.authorTudehope, David
dc.contributor.authorPattinson, Robert
dc.contributor.authorHo, Jacqueline
dc.contributor.authorMatthews, Jiji
dc.contributor.authorOrtega, Aurora Bermudez
dc.contributor.authorVenkateswaran, Mahima
dc.contributor.authorChou, Doris
dc.contributor.authorSay, Lale
dc.contributor.authorMehl, Garret
dc.contributor.authorFroen, J Frederik
dc.date.accessioned2017-07-17T01:22:55Z
dc.date.available2017-07-17T01:22:55Z
dc.date.issued2016
dc.identifier.issn1471-2393
dc.identifier.doi10.1186/s12884-016-1049-y
dc.identifier.urihttp://hdl.handle.net/10072/124080
dc.description.abstractBackground: 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central
dc.relation.ispartofpagefrom293-1
dc.relation.ispartofpageto293-14
dc.relation.ispartofjournalBMC pregnancy and childbirth
dc.relation.ispartofvolume16
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchReproductive medicine not elsewhere classified
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode321599
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3215
dc.titleeRegistries: indicators for the WHO Essential Interventions for reproductive, maternal, newborn and child health
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorEllwood, David A.


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