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Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria.


ABSTRACT:

Background

Improving the quality of facility-based births is a critical strategy for reducing the high burden of maternal and neonatal mortality and morbidity across all settings. Accurate data on childbirth care is essential for monitoring progress. In northeastern Nigeria, we assessed the validity of childbirth care indicators in a rural primary health care context, as documented by health workers and reported by women at different recall periods.

Methods

We compared birth observations (gold standard) to: (i) facility exit interviews with observed women; (ii) household follow-up interviews 9-22 months after childbirth; and (iii) health worker documentation in the maternity register. We calculated sensitivity, specificity, and area under the receiver operating curve (AUC) to determine individual-level reporting accuracy. We calculated the inflation factor (IF) to determine population-level validity.

Results

Twenty-five childbirth care indicators were assessed to validate health worker documentation and women's self-reports. During exit interviews, women's recall had high validity (AUC?0.70 and 0.75ConclusionsIn addition to standard household surveys, monitoring of facility-based childbirth care should consider drawing from and linking multiple data sources, including routine health facility data and exit interviews with recently delivered women.

SUBMITTER: Bhattacharya AA 

PROVIDER: S-EPMC6657002 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Monitoring childbirth care in primary health facilities: a validity study in Gombe State, northeastern Nigeria.

Bhattacharya Antoinette Alas AA   Allen Elizabeth E   Umar Nasir N   Usman Adamu Umar AU   Felix Habila H   Audu Ahmed A   Schellenberg Joanna Rm JR   Marchant Tanya T  

Journal of global health 20191201 2


<h4>Background</h4>Improving the quality of facility-based births is a critical strategy for reducing the high burden of maternal and neonatal mortality and morbidity across all settings. Accurate data on childbirth care is essential for monitoring progress. In northeastern Nigeria, we assessed the validity of childbirth care indicators in a rural primary health care context, as documented by health workers and reported by women at different recall periods.<h4>Methods</h4>We compared birth obser  ...[more]

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