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Institute for International Programs


Improve quality
© 2018 Anamika Nath, Courtesy of Photoshare

Improved quality and availability of
MNCH & Nutrition intervention
coverage estimates 

Improved quality and availability of MNCH & Nutrition intervention coverage estimates 

Overall Aim

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.

Focus Areas

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:                              

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:

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:


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).


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

Arnold, Fred

Demographic and Health Surveys Program (DHS)/ICF

Blanc, Ann

The Population Council 

Campbell, Harry

University of Edinburgh

Carter, EmilyJohns Hopkins Bloomberg School of Public Health, Institute for International Programs 

Eisele, Thom

Tulane University

Khan, ShaneMultiple Indicator Cluster Survey (MICS)/The United Nations Children’s Fund (UNICEF)

Kim, Sunny

International Food Policy Research Institute (IFPRI)

Marchant, Tanya

London School of Hygiene & Tropical Medicine 

Munos, Melinda

Johns Hopkins University, Institute for International Programs 

Stanton, Cynthia

Stanton-Hill Associates

Margaret Kosek

University of Virginia

Jennifer Requejo

The United Nations Children’s Fund (UNICEF)