Implementing Global Standards of Maternal and Neonatal Healthcare at Healthcare Provider Level: A Strategy for Disseminating and Using Guidelines

Attachment

LEVEL OF DATA COLLECTION	PURPOSE	PROPOSED  INDICATORS
Regional or national (more than one facility)	These indicators are proposed to reflect coverage of services at a national or subnational level	% of health facilities at which staff routinely practice active management of the third stage of labor or selected other skills and procedures highlighted in the standards of care
Individual facility	These indicators are proposed to reflect quality of care provided at specific facilities	% of cases of hemorrhage (or other selected conditions) managed according to standards of care
		Case fatality rates*: only recommended in large hospitals with a substantial number of maternal deaths
		Time interval between admission and treatment for obstetric emergencies*
Population-based	These indicators are proposed to reflect service utilization	% of births assisted by a skilled attendant
		Caesarean section rates
		% of births for which women receive postnatal care
		% of births for which women receive at least one (or four) antenatal care visits

* Sources: Guidelines for Monitoring the Availability and Use of Obstetric Services, UNICEF, WHO and UNFPA, 1997.

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