© 2018 Anamika Nath, Courtesy of Photoshare
Improved quality and availability of
MNCH & Nutrition intervention
Improved quality and availability of MNCH & Nutrition intervention coverage estimates
Intervention coverage data are used to track global and country-level progress towards reproductive, maternal, newborn, and child health and nutrition (RMNCH&N) targets, to evaluate the impact of programs and strategies, and to inform country-level prioritization and planning of activities. Accurate and timely population-based coverage data are essential for all of these processes. This project aims to continue and extend the indicator validation work carried out under the Improved Coverage Measurement (ICM) project and the Child Health Epidemiology Reference Group (CHERG) to reproductive health and nutrition indicators in addition to MNCH indicators. The project is developing evidence-based protocols for linking health facility and household data to estimate quality-adjusted coverage.
1. Increase the availability of evidence for the validity of existing and new MNCAH & Nutrition coverage indicators and questions collected through household surveys.
This work includes the following studies and analyses:
- Validating indicators of diarrhea severity and treatment in children.
- Validating coverage indicators for iron-folic acid supplementation in pregnancy, nutrition education in pregnancy, and breastfeeding promotion in pregnancy and at delivery.
- Validating maternal reports of breastfeeding counselling in infancy.
- Meta-analysis assessing the validity of reporting of maternal and newborn interventions by adolescent women.
- Validation analysis of maternal reporting of interventions delivered during postnatal care in Kenya, Bangladesh, and Cambodia.
- Proof of concept validation study for hormonal contraception.
2. Increase availability of evidence-based tools and protocols for routine national-level linkage of data on careseeking from household surveys with results from service provider assessments.
This work includes analyses in the following areas:
- Development of methods for linking household and facility data for quality-adjusted coverage estimates for RMNCAH and Nutrition.
- Development of measures and indices of quality of care.
3. Improved dissemination of state-of-the-art information on improving coverage measurement for MNCAH and nutrition
Blanc AK, McCarthy KJ, Warren C, Bajracharya A, Bellows B. (2021). The validity of women’s reports of family planning service quality in Cambodia and Kenya. Stud Fam Plann, 52(1):77-93. doi: 10.1111/sifp.12148
Marsh, A.D., Muzigaba, M., Diaz, T., Requejo, J., Jackson, D., Chou, D., et al. Effective coverage measurement in maternal, newborn, child, and adolescent health and nutrition: progress, future prospects, and implications for quality health systems. (2020). Lancet Global Health 2020;8:e730–6, doi:10.1016/S2214-109X(20)30104-2
McCarthy, K.J., Blanc, A.K., Warren, C., Bajracharya, A., Bellows, B. (2020). Validating women’s reports of antenatal and postnatal care received in Bangladesh, Cambodia and Kenya. BMJ Global Health, 5:e002133. doi: http://dx.doi.org/10.1136/bmjgh-2019-002133
Sheffel, A., Zeger, S., Heidkamp, R., Munos, M.K. (2019). Development of summary indices of antenatal care service quality in Haiti, Malawi and Tanzania. BMJ Open, 9:e032558. doi: 10.1136/bmjopen-2019-032558
Kanyangarara, M., Katz, J., Munos, MK., Khatry, SK., Mullany, LC., & Walker, N. (2019). Validity of self-reported receipt of iron supplements during pregnancy: implications for coverage measurement. BMC Pregnancy and Childbirth, 19(1). https://doi.org/10.1186/s12884-019-2247-1
Special Issue of the Journal of Global Health: A collection of 18 research and reviews on measuring intervention coverage for MNCH through household surveys.
Special Collection of PLOS: Measuring Coverage in Maternal, Newborn, and Child Health. This collection presents innovative assessments of the validity of measuring population
Improving Coverage Measurement Core Group
Demographic and Health Surveys Program (DHS)/ICF
The Population Council
University of Edinburgh
|Carter, Emily||Johns Hopkins Bloomberg School of Public Health, Institute for International Programs|
|Khan, Shane||Multiple Indicator Cluster Survey (MICS)/The United Nations Children’s Fund (UNICEF)|
International Food Policy Research Institute (IFPRI)
London School of Hygiene & Tropical Medicine
Johns Hopkins University, Institute for International Programs
University of Virginia
The United Nations Children’s Fund (UNICEF)