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Table 6 EPMM Phase I and Phase II Core Indicators

From: Ending preventable maternal mortality: phase II of a multi-step process to develop a monitoring framework, 2016–2030

Phase I Indicators Phase II Indicators
Coverage
 Four or more antenatal visits Proportion of women ages 15-49 who make their own informed decisions regarding sexual relations, contraceptive use, and reproductive health care
 Skilled attendant at birth Maternal death review coverage
 Institutional delivery Coverage of essential health services
 Maternal death registration Demand for family planning satisfied through modern methods of contraception
 Early postnatal/postpartum care for woman and baby (within 2 days of birth) Civil registration coverage of cause of death (percentage)
 Met need for family planning  
 Uterotonic immediately after birth  
 Caesarean rate  
Health Systems Strengthening & Finance
 Availability of functional emergency obstetric care facilities Availability of functional emergency obstetric care facilities
Geographic distribution of facilities that provide basic and comprehensive emergency obstetric care
Health worker density and distribution (per 1000 population)
Density of midwives, by district (by births)
Percentage of facilities that demonstrate readiness to deliver specific services: family planning, antenatal care, basic emergency obstetric care, and newborn care
Percentage of total health expenditure on reproductive, maternal, newborn, and child health
Out-of-pocket expenditure as a percentage of total expenditure on health
Impact
 Maternal mortality ratio  
 Maternal cause of death (direct/indirect) based on ICD-MM  
 Adolescent birth rate  
Policy
  Presence of laws and regulations that guarantee women ages 15-49 access to sexual and reproductive health care, information, and education
Gender Parity Index
Whether or not legal frameworks are in place to promote, enforce, and monitor equality and non-discrimination on the basis of sex
Presence of protocols/policies on the combined care of mother and baby, immediate breastfeeding, and observations of care
Maternity protection in accordance with ILO Convention 183
International Code of Marketing of Breastmilk Substitutes
Costed implementation plan for maternal, newborn, and child health
Midwives authorized to deliver basic emergency obstetric and newborn care
Legal status of abortion
Presence of a national set of indicators with targets and annual report to inform annual health sector reviews and other planning cycles
If fees exist for health services in the public sector, women of reproductive age (15-49) are exempt from user fees for maternal health-related health services
Annual reviews are conducted of health spending from all financial sources, including spending on RMNCH, as part of broader health sector reviews
Presence of a national policy/strategy to ensure engagement of civil society organization representatives in periodic review of national programs for maternal, newborn, child, and adolescent health
Equity and Transparency (Stratifiers)
  Wealth
Area of residence: urban/rural
Area of residence: geographic region
Level of education: women’s education level
Age
Available in the public domain