Postpartum Care Coverage

Outcome indicator

Indicator Phrasing

% of mothers of children aged 0-11 months who had a postpartum checkup from a trained health worker within two days of the birth of their youngest child
% de mères d'enfants âgés de 0 à 11 mois ayant effectué un examen postnatal auprès d’un agent de santé qualifié dans les deux jours suivant la naissance de leur plus jeune enfant
% matek dětí ve věku 0-11 měsíců, jejichž zdravotní stav byl během dvou dní po porodu zkontrolován vyškoleným zdravotním pracovníkem

Indicator Phrasing

English: % of mothers of children aged 0-11 months who had a postpartum checkup from a trained health worker within two days of the birth of their youngest child

French: % de mères d'enfants âgés de 0 à 11 mois ayant effectué un examen postnatal auprès d’un agent de santé qualifié dans les deux jours suivant la naissance de leur plus jeune enfant

Czech: % matek dětí ve věku 0-11 měsíců, jejichž zdravotní stav byl během dvou dní po porodu zkontrolován vyškoleným zdravotním pracovníkem

What is its purpose?

The indicator assesses the proportion of mothers who were provided with postpartum 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 mothers of children aged 0-11.99 months:

  

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

Q1: In the days after you delivered your youngest child, did a health care provider or a traditional birth attendant 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

 

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.

Important Comments

1) 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.

 

2) This indicator relies on accurate age assessment. Since people often do not remember the exact dates of their children’s birth, the data collectors should never rely only on the information provided by caregivers and always verify the child’s age. This can be done by reviewing the child’s birth certificate or other documents; however, since many caregivers do not have such documents, it is essential that your data collectors are able to determine the child’s age by using local events calendars. Read FAO’s Guidelines (see below) to learn how to prepare local events calendars and how to train data collectors in their correct use.

 

3) 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 …).

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