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2 results on '"MATERNAL health services"'

1. Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal.

Author

Bryce, Emily, Katz, Joanne, Heidkamp, Rebecca, Lama, Tsering Pema, Khatry, Subarna K., LeClerq, Steve, and Munos, Melinda

Subjects
*MATERNAL health services, *STATISTICS, *COUNSELING, *CONFIDENCE intervals, *SELF-evaluation, *MULTIVARIATE analysis, *PREGNANT women, *NUTRITION education, *DESCRIPTIVE statistics, *PRENATAL care, *SENSITIVITY & specificity (Statistics), *DATA analysis software
Abstract

The delivery of nutrition‐related interventions and counselling during antenatal care is critical for a healthy pregnancy for both mother and child. However, the accuracy of maternal reports of many of these services during household surveys has not yet been examined. Our objectives were to assess the validity of the maternal reports of 10 antenatal nutrition interventions, including counselling, and examine associates between maternal characteristics and accuracy. Maternal report of services received collected during a post‐partum survey was compared to the gold standard, the direct observation of all women's antenatal care visits. Individual‐level validity was assessed by calculating indicator sensitivity, specificity and area under the operating curve (AUC). The inflation factor (IF) measured population‐level bias. For five indicators, the high true coverage limited our ability to assess the validity of the maternal reports. There were no indicators that had both high individual‐level validity (AUC > 0.70) and low population bias (0.75 < IF < 1.25). Indicators with greater true coverage estimates had higher sensitivity and lower specificity estimates compared to those indicators with lower true coverage. There were no maternal characteristics associated with the accuracy of the report. Maternal report of antenatal nutrition‐related interventions and counselling during household surveys was found to have variable validity across indicators. Additional research in settings with varying coverage levels should be considered to best inform antenatal care coverage measurement in household surveys. Key Messages: The coverage of nutrition‐related interventions and counselling was high (>89%) for the majority of indicators.Maternal reports resulted in higher coverage estimates than what was observed for all but one indicator.No indicator assessed had high individual level validity (AUC > 0.70) and low population bias (0.75 < IF < 1.25).The greater the indicator's true coverage estimate, the greater the sensitivity and lower the specificity values. [ABSTRACT FROM AUTHOR]

Published
2022
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2. Measuring coverage in MNCH: testing the validity of women's self-report of key maternal and newborn health interventions during the peripartum period in Mozambique

Author

Cynthia Stanton, Lidia Chongo, Mary Drake, Jim Ricca, Maria da Luz Vaz, Leonardo Chavane, David Cantor, Matias dos Anjos, and Barbara Rawlins

Subjects
Program evaluation, Adult, Adolescent, Science, Child Health Services, Psychological intervention, Developing country, Social and Behavioral Sciences, Young Adult, Nursing, Pregnancy, Environmental health, Peripartum Period, Childbirth, Medicine, Humans, Maternal Health Services, Child, Mozambique, Multidisciplinary, business.industry, Infant, Newborn, Reproducibility of Results, Millennium Development Goals, Middle Aged, Sample size determination, Area Under Curve, Female, Self Report, business, Qualitative research, Research Article
Abstract

BackgroundAs low-income countries strive to meet targets for Millennium Development Goals 4 and 5, there is growing need to track coverage and quality of high-impact peripartum interventions. At present, nationally representative household surveys conducted in low-income settings primarily measure contact with the health system, shedding little light on content or quality of care. The objective of this study is to validate the ability of women in Mozambique to report on facility-based care they and their newborns received during labor and one hour postpartum.Methods and findingsThe study involved household interviews with women in Mozambique whose births were observed eight to ten months previously as part of a survey of the quality of maternal and newborn care at government health facilities. Of 487 women whose births were observed and who agreed to a follow-up interview, 304 were interviewed (62.4%). The validity of 34 indicators was tested using two measures: area under receiver operator characteristic curve (AUC) and inflation factor (IF); 27 indicators had sufficient numbers for robust analysis, of which four met acceptability criteria for both (AUC >0.6 and 0.75ConclusionsWomen are able to report on some aspects of peripartum care. Larger studies may be able to validate some indicators that this study could not assess due to the sample size. Future qualitative research may assist in improving question formulation for some indicators. Studies of similar design in other low-income settings are needed to confirm these results.

Published
2012

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