Maternal, newborn, child and adolescent health and ageing

Data portal

Maternal, newborn, child & adolescent health

Quality of Care Learning Hub

For more information on quality of care workstreams in the department please  click here.

Background

This repository was set up as part of the learning collaborative developed by the Network for Improving quality of care for Maternal, Newborn and Child Health (MNCH) to document and share tried and tested MNCH quality improvement (QI) interventions and the lessons learned from their implementation, for the purpose of adaptation, adoption and scale up. The main purpose of this repository is to improve access to and use of such knowledge products on a global scale. By using the search engine below, you can search and view the content of specific QI initiatives projects or programmes that interest you and/or your peers. The export and share tabs on top of each project card will allow you to share the same information with other people in your network, either as a PDF document or directly via email using a URL.

Filters

This dashboard presents data on 15 common indicators collected by 10 countries in the Network for Improving quality of care for Maternal, Newborn and Child Health (MNCH). The common indicators are collected from participating learning sites where quality improvement interventions for MNCH are being implemented, to track progress related to important care processes and outcomes. More details about the quality of care measurement in the network can be found in the MNH quality of care monitoring framework which countries are using to demonstrate whether, and to what extent, the quality of care investments are producing the desired results.

Monitoring component Description of the component Facility manager and QI team District managers National MOH leadership
Quality improvement (QI) indicators To support rapid improvements in quality of care led by facility-based QI teams supported by district/regional (or other sub-national administrative managerial unit) managers. These indicators are part of a catalogue of 120 indicators. HIGH data collection and use Moderate data collection and use Moderate data use
District / regional performance monitoring indicators To support district/regional managerial and leadership functions in improving and sustaining quality of care (QoC) in facilities. These indicators are also part of a catalogue of 120 indicators. Moderate data collection and use HIGH data collection and use Moderate data use
Implementation milestones To track implementation steps and progress against strategic objectives (leadership, action, learning and accountability), in line with global implementation guidance. Moderate data collection and use Moderate data collection and use HIGH data collection and use
Common indicators Common set of 15 standardized high-level indicators for monitoring in all learning sites in Network countries for use by all stakeholders at every level of the health system and to track performance across network countries. HIGH data collection and use HIGH data use HIGH data use
A number of countries in the network are collecting and sharing data for common MNH QoC indicators. The whole list of 15 MNH QoC indicators recommended for the network and their metadata are shown in the table below. The visualizations of these data can be access in the dashboard page.
# Indicator Definition from the WHO HMIS Guidance QED Operational Definition Numerator Denominator Data Source Frequency of Data Collection
1 Pre-discharge Maternal deaths Number of women who delivered in the facility and died prior to discharge Number of women who delivered in the facility and died prior to discharge Number of women who delivered in the facility and died prior to discharge N/A (count indicator) HMIS/facility register Monthly
2 Pre-discharge Maternal deaths by cause Number of institutional maternal deaths by cause Number of institutional pre-discharge maternal deaths by cause (ICD-MM) Number of maternal deaths by cause (ICD-MM) among women who delivered in the facility and died prior to discharge N/A HMIS/facility register Monthly
3 Neonatal deaths in health facilities by cause Number of institutional neonatal deaths (28 days or less) by cause Number of institutional pre-discharge neonatal deaths (28 days or less) by cause (ICD-PM) Number of neonatal deaths by cause (ICD-PM) among babies born live in a facility who die prior to discharge from the facility (up to 28 days of completed life). This excludes re-admissions for illness N/A HMIS/facility register Monthly
4 Institutional stillbirth rate (disaggregated by fresh and macerated) Percentage of total institutional stillbirths among all institutional deliveries Percentage of babies born in a health facility with no signs of life at birth Number of babies delivered in a facility with no signs of life and born weighing at least 1,000 grams or after 28 weeks of gestation, per 1000 births (alive or dead at birth) Number of babies born in the facility (live and stillbirth) HMIS/facility register Monthly
5 Pre-discharge neonatal mortality rate Percentage of total institutional neonatal deaths (28 days or less) Percentage of babies born live in a facility who die prior to discharge Number of babies born live in a facility who die prior to discharge from the facility (up to 28 days of completed life), per 1000 live births in a given year or period. This excludes re-admissions for illness Number of babies born live in a facility HMIS/facility register Monthly
6 Obstetric case fatality rate (disaggregated by direct and indirect when possible) Percentage of women who delivered at the facility and experienced obstetric complications (regardless of time of onset) and died from these complications before discharge Percentage of women who delivered at the facility and experienced obstetric complications (regardless of time of onset) and died from these complications before discharge Number of women who delivered at the facility and experienced obstetric complications (regardless of time of onset) and died from these complications before discharge Number of women who delivered at the facility HMIS/facility register Monthly
7 Pre-discharge counselling for mother and baby Not applicable Proportion of women who received pre-discharge counselling for the mother and the baby in a given period Number of women who received pre-discharge counselling for the mother and the baby in a given period (for minimum elements) Number of women interviewed who delivered at the facility Client questionnaire (sample of women) Quarterly
8 Companion of Choice Not applicable The proportion of women who wanted and had a companion supporting them during [labor] [childbirth] in the health facility Number of women who wanted and had a companion supporting them during [labor][childbirth] in the health facility Number of women interviewed who wanted a companion during [labor] [delivery] who delivered at the facility Client questionnaire (sample of women) Quarterly
9 Women who experienced physical or verbal abuse anytime during labor, childbirth, or postpartum period Not applicable Proportion of women who report physical or verbal abuse anytime during labor, childbirth, or postpartum period. (Physical Abuse: slapped, pinched or punched by a health worker or other facility staff; Verbal Abuse: shouted at, screamed at, insulted, scolded or mocked by a health worker or other staff) Number of women who report physical or verbal abuse during labor or childbirth Number of women interviewed who delivered at the facility Client questionnaire (sample of women) (e.g. exit interview) Quarterly
10 Newborns breastfed within one hour of birth Percentage of newborns breastfed within one hour of birth Percentage of babies born alive in a facility who are breastfed within one hour of birth Number of babies born alive in a facility who are breastfed within one hour of birth Number of babies born alive in the facility HMIS/facility register Monthly
11 Immediate postpartum Uterotonic for PPH prevention Percentage of women who gave birth in a health facility who are administered immediate postpartum uterotonic to prevent postpartum hemorrhage Percentage of women who gave birth in a facility who received a prophylactic uterotonic immediately after birth (ideally within one minute) for prevention of PPH Number of women who gave birth in a facility who received a prophylactic uterotonic immediately after birth (ideally within one minute) for prevention of PPH Number of women who gave birth in the facility HMIS/facility register Monthly
12 Newborns with birthweight documented Percentage of newborns with documented birthweight in record or register before discharge Percentage of babies born in a facility in a given period with documented birthweight before discharge Number of babies born (livebirths and stillbirths) in a facility in a given period with documented birthweight before discharge Total number of babies born in the facility (livebirths and stillbirths) HMIS/facility register Monthly
13 Premature babies initiating KMC Not applicable Proportion of newborns weighing ≤ 2,000g who are initiated on KMC Number of newborns weighing ≤ 2,000g who are initiated on KMC (or admitted to KMC unit if separate unit exists) Total number of newborns weighing ≤ 2,000g HMIS/facility register Monthly
14 Basic Hygiene Provision Not applicable Proportion of QED facilities in which delivery rooms have at least one functional handwashing station with water and soap available Number of QED facilities in which [all] [at least one] delivery room(s) have at least one functional handwashing station with water and soap available Number of QED facilities assessed Facility survey (e.g. district supervision) Quarterly
15 Basic sanitation available to women and families Not applicable Proportion of QED facilities with basic sanitation available for women during and after labor and childbirth Number of QED facilities with basic sanitation available for women during and after labor and childbirth (clean running water, waste disposal facilities, toilets, and sanitation material for women) Number of QED facilities assessed Facility survey (e.g. district supervision) Quarterly
For general questions or more information about this data portal, please contact mncahdata@who.int.