Review of health and non-health sector indicators for monitoring service provision along the continuum of care for maternal health
Date
2020Author
Mothupi, Mamothena Carol
Knight, Lucia
Tabana, Hanani
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This study uses health and non-health sector data sources to select and assess available indicators for
service provision along the continuum of care for maternal health at subnational levels in South Africa. It applies the
adequacy approach established in another study to assess the multi-dimensionality of available indicators. Using
adequacy and the process of assessment in the study, the comprehensiveness of the continuum of care for improving
maternal health outcomes can be assessed.We found 27 indicators of care utilization and access, linkages of care, and quality of care from the routine
district health information system. The General Household Survey contained 11 indicators for the social determinants
of health on the continuum of care framework. Indicator gaps include health promotion during and after pregnancy,
maternal nutrition, empowerment and quality of care. At present, the available indicators measure about 74% of the
interventions on the continuum of care framework. We make recommendations regarding improvements needed
to better measure and monitor the continuum of care for maternal health. These involve actions within the health
system and include integration of non-health system indicators.
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