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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