Antenatal Visit Coverage - One Visit

Outcome indicator

Indicator Phrasing

% of mothers of children aged 0-23 months who had at least one antenatal check provided by skilled health personnel when they were pregnant with the youngest child
% de mères d'enfants âgés de 0 à 23 mois ayant eu au moins une visite prénatale par du personnel de santé qualifié lorsqu'elles étaient enceintes du plus jeune enfant
% matek s dětmi ve věku 0-23 měsíců, které při jejich posledním těhotenství absolvovaly alespoň jednu předporodní prohlídku u kvalifikovaného zdravotního pracovníka

Indicator Phrasing

English: % of mothers of children aged 0-23 months who had at least one antenatal check provided by skilled health personnel when they were pregnant with the youngest child

French: % de mères d'enfants âgés de 0 à 23 mois ayant eu au moins une visite prénatale par du personnel de santé qualifié lorsqu'elles étaient enceintes du plus jeune enfant

Czech: % matek s dětmi ve věku 0-23 měsíců, které při jejich posledním těhotenství absolvovaly alespoň jednu předporodní prohlídku u kvalifikovaného zdravotního pracovníka

What is its purpose?

A range of health problems experienced by pregnant women and their babies can be prevented, detected and treated during antenatal visits with skilled health personnel (doctor, midwife or a nurse with midwifery skills). The indicator therefore assesses the proportion of women who received at least one antenatal care provided by skilled health personnel.

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 0-23.99 months:

 

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

Q1: During your pregnancy with your youngest child, did anyone checked your and your baby’s health?

A1: yes / no

 

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

 

Q2: During your pregnancy with your youngest child, who checked your and your baby’s health?

(multiple options possible; instruct the data collectors to probe: “Did anyone else check your and your baby’s health?”)

A2:

1) doctor

2) nurse

3) midwife

4) traditional birth assistant

5) community health volunteers

6) other – specify: ……………………

7) doesn’t remember

 

 

Calculate the indicator’s value by dividing the number of respondents whose health was checked by skilled health personnel (doctor, nurse, or midwife) by the total number of interviewed respondents (exclude those who did not remember) and multiplying the result by 100.

Important Comments

1) Skilled health personnel is an accredited health professional - such as a midwife, doctor, nurse or auxiliary nurse/midwife - who has been educated and trained to proficiency in the skills needed to manage uncomplicated pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns. Traditional birth attendants and community health workers, trained or not, are excluded from the category of skilled health personnel for antenatal care.

 

2) The two indicators of antenatal care (at least one visit and at least four visits) are based on WHO’s standard questions. While the “one visit” indicator focuses on the quality of care (i.e. care provided by a skilled health professional), the “four visits” indicator focuses on the intensity of care (given by either skilled or unskilled provider). Since most national surveys do not collect information on type of provider for each visit, WHO does not measure the number of visits provided by skilled health personnel. See more details in WHO’s guidance.

 

3) Disaggregate the data by location (rural/urban; nearby a health facility/far from a health facility), socio-economic characteristics (wealth quintile, education level) and mother’s age.

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