Delivery in a Health Facility

Outcome indicator

Indicator Phrasing

% of women aged 15 - 49 years whose most recent live birth was delivered in a health facility
% de femmes âgées de 15 à 49 ans dont leur accouchement le plus récent a eu lieu dans un centre médical
% žen ve věku 15 – 49 let, u kterých poslední porod proběhl ve zdravotním středisku

Indicator Phrasing

English: % of women aged 15 - 49 years whose most recent live birth was delivered in a health facility

French: % de femmes âgées de 15 à 49 ans dont leur accouchement le plus récent a eu lieu dans un centre médical

Czech: % žen ve věku 15 – 49 let, u kterých poslední porod proběhl ve zdravotním středisku

What is its purpose?

The indicator measures the proportion of women aged 15 – 49 with a live birth (i.e. not stillbirth) in the past 2 years whose most recent live birth was delivered in a health facility. Delivering in a health facility reduces the risk of life-threatening complications and death.

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 who in the past 2 years delivered a live child:

 

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

Q1: Where did you give birth to your youngest child?

A1:

1) at the respondent’s home

2) at other home

3) in the government hospital

4) in the government health centre

5) in a private hospital

6) in a private clinic

7) in other private medical facility

8) other – specify: __________________

 

 

Calculate the indicator’s value by dividing the number of respondents who delivered at a government or private health facility by the total number of respondents and multiplying the result by 100.

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 2 years”:

Q: What is your age?

A: specify: ______ / won’t say

 

Q: In the past two years, did you give birth to a child that was alive when it was born? [note for the enumerator: even if it was only alive for several seconds]

A: yes / no / won’t say

 

2) Always assess also who attended the woman’s delivery – see guidance here.

 

3) Consider assessing who decided where the delivery will take place by asking: Who made the decision about where to deliver your youngest baby? 

 

4) Disaggregate the data by place of delivery (e.g. hospital, health clinic, home), respondent’s location (rural / urban), number of deliveries, and socio-economic characteristics (wealth category, level of education).

 

5) The set of questions was adapted from UNICEF’s Multiple Indicator Cluster Survey (MICS) questionnaire.

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