Implementation of the new WHO antenatal care model for a positive pregnancy experience

A monitoring framework

Bibliographic Data

ID21879571
AuthorsSamantha R Lattof (0000-0003-0934-1488), Amelia Castillo Morán (0000-0002-4826-1475, World Health Organization, corresponding author), Allisyn C Moran, Nancy Kidula (0000-0002-3447-244X, World Health Organization - Zimbabwe), Ann‐Beth Moller (0000-0003-3581-0938, World Health Organization), Ann-Beth Moller, Chandani Anoma Jayathilaka (0000-0002-0606-2216, World Health Organization Regional Office for South-East Asia), Theresa Diaz (0000-0001-5063-8078), Özge Tunçalp (0000-0002-5370-682X, World Health Organization)
Year2020
Volume5
Issue6
Pagese002605
Publication date2020-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002605
PMID32565442
OpenAlexW3036280512
LanguageEN
Citations received11
References cited10

Monitoring the implementation and impact of routine antenatal care (ANC), as described in the new World Health Organization (WHO) ANC model, requires indicators that go beyond the previously used global benchmark indicator of four or more ANC visits. To enable consistent monitoring of ANC content and care processes and to provide guidance to countries and health facilities, WHO developed an ANC monitoring framework. This framework builds on a conceptual framework for quality ANC and a scoping review of ANC indicators that mapped existing indicators related to recommendations in the new WHO ANC model. Based on the scoping review and following an iterative and consultative process, we developed a monitoring framework consisting of core indicators recommended for monitoring ANC recommendations in all settings, as well as a menu of additional measures. Finally, a research agenda highlights areas where ANC recommendations exist, but measures require further development. Nine core indicators can already be monitored globally and/or nationally, depending on the preferred data sources. Two core indicators (experience of care, ultrasound scan before 24 weeks) are included as placeholders requiring priority by the research agenda. Six context-specific indicators are appropriate for national and subnational monitoring in various settings based on specific guidance. Thirty-five additional indicators may be relevant and desirable for monitoring, depending on programme priorities. Monitoring implementation of the new WHO ANC model and the outcomes of routine ANC require greater attention to the measurement of ANC content and care processes as well as women’s experience of ANC

Business · Geography · Health care · Implementation research · Monitoring and evaluation · Performance indicator · Political science · Process management · Psychological intervention · Computer Science · Delphi Technique in Research · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Nursing

Tools

Open DOIOpen Access