Postnatal Care Coverage - Newborns

Outcome indicator

Indicator Phrasing

% of newborns whose health was checked by a trained health care provider within 2 days after their birth
% de nouveau-nés dont l’état de santé a été examiné par du personnel médical qualifié dans les deux jours suivant leur naissance
% novorozenců, jejichž zdravotní stav byl během dvou dní po narození zkontrolován vyškoleným zdravotním personálem

Indicator Phrasing

English: % of newborns whose health was checked by a trained health care provider within 2 days after their birth

French: % de nouveau-nés dont l’état de santé a été examiné par du personnel médical qualifié dans les deux jours suivant leur naissance

Czech: % novorozenců, jejichž zdravotní stav byl během dvou dní po narození zkontrolován vyškoleným zdravotním personálem

What is its purpose?

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

How to Collect and Analyse the Required Data

Collect the following data by conducting individual interviews with mothers of a representative sample of newborns that were delivered in the past 2 years:

  

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

Q1In the past two years, did you give birth to a child that was alive when it was born?

A1: yes / no / won’t say

 

Q2In the days after you delivered your youngest child, did any health care provider checked on her/his health, either at a health facility, home or other place?

A2:

1) yes

2) no

3) the child died less than 2 days after delivery (and before anyone checked its health)

4) does not remember 

 

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

 

Q3How long after the delivery did the first check take place?

A3:

1) within two days after birth

2) more than 2 days after birth

3) does not remember

 

Q4Who checked her/his health at that time?

A4:

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 newborns who received postpartum health check from a trained health worker within two days after the birth by the total number of surveyed newborns (exclude those whose mothers 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 (the local health authorities should be able to provide this data). If required, adjust the response options. 

 

2) 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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