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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 0.75
SUBMITTER: Bhattacharya AA
PROVIDER: S-EPMC6657002 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
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]