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.

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.

Report
Changes in maternal and newborn health care in Uttar Pradesh, India

Interactions between families and frontline workers – their frequency, quality, and equity – and coverage of interventions for mothers and newborns in Uttar Pradesh, India

India Improving coverage measurement Tracking progress Implementation projects Intervention coverage Research findings
Report
Changes in maternal and newborn health care in Gombe State, Nigeria

Interactions between families and frontline workers – their frequency, quality, and equity – and coverage of interventions for mothers and newborns in Gombe State, Nigeria.

Nigeria Improving coverage measurement Tracking progress Understanding quality improvement Implementation projects Intervention coverage Research findings
Report
Changes in maternal and newborn health care in Ethiopia

The aim of this study was to estimate changes in maternal and newborn health care in areas of Ethiopia where implementation projects funded by the Bill & Melinda Gates Foundation were operating.

Ethiopia Improving coverage measurement Tracking progress Understanding quality improvement Intervention coverage Research findings

Published content

News
IDEAS at #HSR2018

A number of IDEAS researchers will be attending the Fifth Global Symposium on Health Systems Research taking place in Liverpool from 8-12 October....

Ethiopia General India Nigeria Community-based newborn care Fostering innovation sustainability Improving coverage measurement Supporting local decision-making Tracking progress Understanding quality improvement Behaviour change Capacity strengthening Context Economics Evaluation methods Evidence for policy and practice Implementation projects Implementation strength
News
A successful project – or just good timing? Measuring interventions and their impact on health outcomes

Attributing changes in health outcomes to specific interventions or projects is tricky. Oftentimes coincidental factors, such as the construction...

Ethiopia General Improving coverage measurement Tracking progress Understanding quality improvement Evaluation methods Implementation projects
News
Improved health systems could prevent over 8 million deaths each year in low- and middle-income countries

Beyond this terrible human cost, poor quality health systems represented enormous economic losses to countries due to lost productivity each year....

General Fostering innovation sustainability Improving coverage measurement Supporting local decision-making Tracking progress Understanding quality improvement Evaluation methods Research findings
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...

Ethiopia General Improving coverage measurement Evaluation methods
News
IDEAS Summer Seminar Series

More than seven years later, the team is building on the wealth of data, results, partnerships and learning created.  During the seminar series ...

Ethiopia General India Nigeria Community-based newborn care Fostering innovation sustainability Improving coverage measurement Supporting local decision-making Tracking progress Understanding quality improvement Research findings
Blog Post
Are women getting quality care? And how can we know? Measuring the coverage of high quality care

We have traditionally depended on household survey estimates of the coverage of contacts with health facilities to understand access, for example...

General Improving coverage measurement Evaluation methods Intervention coverage Research findings
Journal article
Linking data sources for measurement of effective coverage in maternal and newborn health: what do we learn from individual- vs ecological-linking methods?

Methods We used data from Mayuge District, Uganda. Data from household surveys on access to SBA were linked to health facility assessment census...

General Improving coverage measurement Intervention coverage Research findings
News
Filling the gaps – supporting excellence in Ethiopian research

The in-service training for thirty EPHI staff, with participants from each directorate, organised by the Health System & Reproductive Health...

Ethiopia Improving coverage measurement Supporting local decision-making Capacity strengthening Local data use
Blog Post
Slow and steady – validating health data in Gombe State line by line

As an output from our first data quality learning workshop in March 2017, LGA M&E officers and MNCH coordinators were excited about revitalizing...

Nigeria Improving coverage measurement Supporting local decision-making Tracking progress Understanding quality improvement Evidence for policy and practice Local data use
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