Postnatal Care Coverage - Women

Outcome indicator

Indicator Phrasing

% of women aged 15 - 49 years whose health was checked by a trained health care provider within 2 days after delivery of their most recent live birth
% de femmes âgées de 15 à 49 ans dont l’état de santé a été examiné par du personnel médical qualifié dans les deux jours suivant leur accouchement d’un enfant vivant
% de mulheres com idades entre 15 e 49 anos cujo estado de saúde foi avaliado por um profissional de saúde formado dentro de 2 dias após o parto do seu mais recente nado-vivo
% žen ve věku 15 – 49 let, jejichž zdravotní stav byl do dvou dní po porodu živého dítěte zkontrolován vyškoleným zdravotním pracovníkem

Indicator Phrasing

English: % of women aged 15 - 49 years whose health was checked by a trained health care provider within 2 days after delivery of their most recent live birth

French: % de femmes âgées de 15 à 49 ans dont l’état de santé a été examiné par du personnel médical qualifié dans les deux jours suivant leur accouchement d’un enfant vivant

Portuguese: % de mulheres com idades entre 15 e 49 anos cujo estado de saúde foi avaliado por um profissional de saúde formado dentro de 2 dias após o parto do seu mais recente nado-vivo

Czech: % žen ve věku 15 – 49 let, jejichž zdravotní stav byl do dvou dní po porodu živého dítěte zkontrolován vyškoleným zdravotním pracovníkem

What is its purpose?

The indicator assesses the proportion of mothers who were provided with postnatal care by qualified health personnel – an effective measure for reducing maternal morbidity and mortality.

How to Collect and Analyse the Required Data

Collect the following data by conducting individual interviews with a representative sample of women aged 15 – 49 years who in the past 12 months delivered a live child:

  

RECOMMENDED SURVEY QUESTIONS (Q) AND POSSIBLE ANSWERS (A)

Q1: In the days after you delivered your youngest child, did any health care provider check on your health, either at a health facility, home or other place?

A1: yes / no / does not remember

 

(ask the following question only if the previous answer is YES)

 

Q2: How long after the delivery did the first check take place?

A2:

1) within two days after birth

2) more than 2 days after birth

3) does not remember

 

Q3: Who checked your health at that time?

A3:

1) doctor / nurse / midwife

2) trained community health worker

3) trained traditional birth attendant

4) untrained community health worker

5) untrained traditional birth attendant

6) relative / friend / other unqualified person

7) does not remember

 

Note: As “trained health worker” count responses 1, 2 and 3.

 

Calculate the indicator’s value by dividing the number of respondents who received postpartum health check from a trained health worker within two days after the birth by the total number of interviewed respondents (exclude those who did not remember) and multiplying the result by 100.

Disaggregate by

Disaggregate the data by location (rural/urban), place of delivery (home, health centre, hospital) and socio-economic characteristics (education level, wealth quintile) and the number of respondent’s children (none, one, two, three, four …).

Important Comments

1) Use the following two questions to assess whether the respondent is “aged 15 – 49 years and had a live birth in the last 12 months”:

QWhat is your age?

A: specify: ______ / won’t say

QIn the past 12 months, did you give birth to a child that was alive when it was born?

A: yes / no / won’t say

 

2) Define in advance what a “trained” community health worker/ TBA means. Ensure that the data collectors are able to determine whether the community health worker/ TBA who visited the respondent was trained or not (the local health authorities should be able to provide this data). If required, adjust the response options. 

  

This guidance was prepared by People in Need ©

Propose Improvements