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 |