Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework
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 an...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-06-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/5/6/e002605.full |
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| author | Özge Tunçalp Samantha R Lattof Allisyn C Moran Theresa Diaz Chandani Anoma Jayathilaka Ann-Beth Moller Nancy Kidula |
| author_facet | Özge Tunçalp Samantha R Lattof Allisyn C Moran Theresa Diaz Chandani Anoma Jayathilaka Ann-Beth Moller Nancy Kidula |
| author_sort | Özge Tunçalp |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b74e7ab1bf7f4b478bad7cfaa5bc2098 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-b74e7ab1bf7f4b478bad7cfaa5bc20982024-12-07T23:15:09ZengBMJ Publishing GroupBMJ Global Health2059-79082020-06-015610.1136/bmjgh-2020-002605Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring frameworkÖzge Tunçalp0Samantha R Lattof1Allisyn C Moran2Theresa Diaz3Chandani Anoma Jayathilaka4Ann-Beth Moller5Nancy Kidula6Department of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), WHO, Geneva, SwitzerlandDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneve, Switzerlandmaternal health team lead1 Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, SwitzerlandDepartment of Family Health, Gender and Life Course, WHO Regional Office for South-East Asia, New Delhi, Delhi, IndiaUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneve, SwitzerlandIntercountry Support Team for East and Southern Africa, WHO Regional Office for Africa, Harare, ZimbabweMonitoring 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.https://gh.bmj.com/content/5/6/e002605.full |
| spellingShingle | Özge Tunçalp Samantha R Lattof Allisyn C Moran Theresa Diaz Chandani Anoma Jayathilaka Ann-Beth Moller Nancy Kidula Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework BMJ Global Health |
| title | Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework |
| title_full | Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework |
| title_fullStr | Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework |
| title_full_unstemmed | Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework |
| title_short | Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework |
| title_sort | implementation of the new who antenatal care model for a positive pregnancy experience a monitoring framework |
| url | https://gh.bmj.com/content/5/6/e002605.full |
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