Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria

Antoinette Bhattacharya; Professor Elizabeth Allen; Dr Nasir Umar; Professor Joanna Schellenberg; Professor Tanya Marchant

Journal article

Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria

by Antoinette Bhattacharya, Professor Elizabeth Allen, Dr Nasir Umar, Professor Joanna Schellenberg and Professor Tanya Marchant

published 21 August 2019

This paper assesses the validity of childbirth care indicators as reported in a rural primary health care context. Ensuring these indicators are accurate is vital as they are used to monitor the progress made in improving the quality of care provided to women and newborns in pregnancy, during childbirth and in the post-natal period.

Download Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria 609KB

Antoinette Bhattacharya et al assessed twenty-five childbirth care indicators to validate health worker documentation and women’s self-reports. Women who were interviewed at the time of leaving the health facility were able to recall the care they received with a high degree of validity (AUC≥0.70 and 0.75<IF<1.25) for 9 of 20 indicators assessed; six additional indicators met either AUC or IF criteria for validity. During follow-up interviews, women’s ability to recall their experience had high validity for one of 15 indicators assessed, the placement of their newborn skin-to-skin; two additional indicators met IF criteria only. Health worker documentation had high validity for four of 10 indicators assessed; three additional indicators met AUC or IF criteria.

In conclusion the authors recommend that in addition to standard household surveys, monitoring of facility-based childbirth care should consider drawing from and linking multiple data sources, including routine health facility data and exit interviews with recently delivered women.

Authors

Antoinette Bhattacharya

Professor Elizabeth Allen

Professor in Medical Statistics

Dr Nasir Umar

IDEAS Nigeria Country Coordinator and Assistant Professor

Professor Joanna Schellenberg

IDEAS Co-Principal Investigator and Professor

Professor Tanya Marchant

IDEAS Principal Investigator and Professor

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Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria

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