care visit within 24 hours of Yes (Countdown, Captures contact in the immediate postpartum period; for facility delivery (home births) or length of stay multi127) delivery, assesses if length of stay sufficient for postnatal checks. For for 24 hours with check (facility births) home-births without SBA, assesses coverage of postnatal home visit Need to standardise the adequate period (12 or 24 hours postnatally); data could be used to calculate total length of stay after vaginal singleton delivery after facility birth Percentage of HIV positive pregnant and Yes (Countdown, Captures integration of maternal health services with general health postpartum women receiving ART multi127) services, in this case HIV Most existing indicators focus on PMTCT, whereas ours emphasises women’s own need for access to general health services that continue care beyond pregnancy Operationalising this indicator, would need decision whether to measure any ARV, or movement long-term treatment for a certain length of time of facility with respect to: (Service Captures the facility capability to provide routine and emergency care, Yes “Readiness” Infrastructure (water, electricity, 24/7 provision and is required for the two subsequent indicators opening) assessment data8, Operationalization requires standardisation across a variety of Routine delivery (infection prevention, 129, 130) instruments, including consensus on whether a signal function was AMSTL, partograph) performed within a 3 interval Basic emergency care (antibiotics, uterotonics, MgSO4, manual extraction of placenta, removal of retained products, assisted vaginal Comprehensive care (C-section, blood transfusion) Staffing Availability of EmONC facilities within (Ethiopia, Captures geographic access to functional emergency care & bolsters No two hours Zambia131, 132) desirability of geo-located facility data, & assessment of facility capability Experience is growing; best with facility censuses, including outputs Availability of routine delivery facilities No (Zambia131) Captures routine provision & complements previous indicator at little within two hours marginal cost. Has advantage of emphasising access to decent care for all deliveries not just complicated ones Systems
care visit within 24 hours of delivery (home births) or length of stay for 24 hours with check (facility births) Yes (Countdown, multi127) Captures contact in the immediate postpartum period; for facility delivery, assesses if length of stay sufficient for postnatal checks. For home-births without SBA, assesses coverage of postnatal home visit Need to standardise the adequate period (12 or 24 hours postnatally); data could be used to calculate total length of stay after vaginal singleton delivery after facility birth Percentage of HIV positive pregnant and postpartum women receiving ART Yes (Countdown, multi127) Captures integration of maternal health services with general health services, in this case HIV Most existing indicators focus on PMTCT, whereas ours emphasises women’s own need for access to general health services that continue care beyond pregnancy Operationalising this indicator, would need decision whether to measure any ARV, or movement long-term treatment for a certain length of time Systems outputs “Readiness” of facility with respect to: Infrastructure (water, electricity, 24/7 opening) Routine delivery (infection prevention, AMSTL, partograph) Basic emergency care (antibiotics, uterotonics, MgSO4, manual extraction of placenta, removal of retained products, assisted vaginal Comprehensive care (C-section, blood transfusion) Staffing Yes (Service provision assessment data8, 129, 130) Captures the facility capability to provide routine and emergency care, and is required for the two subsequent indicators Operationalization requires standardisation across a variety of instruments, including consensus on whether a signal function was performed within a 3 interval Availability of EmONC facilities within two hours No (Ethiopia, Zambia131, 132) Captures geographic access to functional emergency care & bolsters desirability of geo-located facility data, & assessment of facility capability Experience is growing; best with facility censuses, including Availability of routine delivery facilities within two hours No (Zambia131) Captures routine provision & complements previous indicator at little marginal cost. Has advantage of emphasising access to decent care for all deliveries not just complicated ones