Improving coverage measurement

Because of challenges in measurement, progress can often only be tracked through the use of proxy measures, which increase the risk of inappropriate decisions being made in maternal and newborn health. This issue affects stakeholders around the world, particularly women and children who might benefit from life-saving interventions.

Many health groups around the world have described the need to improve measurement for mothers and newborns. These include the Every Newborn Action Plan (ENAP), Ending Preventable Maternal Mortality (EPMM) and the Global Strategy for Women, Children and Adolescent’s Health 2016-2030.

IDEAS aims to improve the measurement of priority indicators for maternal and newborn health by testing the coverage estimates derived from multiple sources – including household interviews, service user exit interviews, last event interviews with health facility staff and review of facility records – against gold standard coverage estimates obtained by the observation of births.

We do this, for example, in Gombe State, Nigeria, when we use birth observations as gold standard measures of health worker behaviour to assess the validity of routine data recorded in healthcare registers, and of women’s reports during exit interview and at subsequent household follow-up. We also undertake qualitative research to better understand how women perceive respectful maternity care in Nigeria.

IDEAS team members collaborate closely with ENAP and EPMM metrics working groups to ensure that the learning is relevant to global and country based stakeholders.

Published content

News
A conversation about DHIS2

IDEAS team member Krystyna Makowiecka speaks to Antoinette Bhattacharya about the work she has done in Gombe to look at the quality of routine...

Journal article
Can we use DHIS2 data to monitor maternal and newborn health? A case study from Gombe state, Nigeria

A paper authored by IDEAS team member Antoinette Bhattacharya and published as part of a series on High Quality Health Systems in PLOS ONE aims to...

Journal article
Newborn resuscitation in Gombe State, northeastern Nigeria

This paper published by Josephine Exley, Nasir Umar, Sarah Moxon, Adamu Umar Usman and Tanya Marchant from the IDEAS project, the London School of...

Journal article
Quality over quantity?

Do we need to pay more attention to the quality of health care visits over how many visits are taking place in low resource settings? Is it an...