Samantha R Lattof, Allisyn C Moran, Nancy Kidula, Ann-Beth Moller, CHandani Anoma Jayathilaka, Theresa Diaz, Özge Tunçalp
Summary: 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.
Highlights:
- The monitoring framework for antenatal care (ANC) is composed of four key components:
- 1) a list of required ANC measures for monitoring the new WHO ANC model, 2) a menu of existing ANC indicators to be used in global, national and/or subnational monitoring, 3) a monitoring framework for interventions and strategies aimed at improving the delivery and experience of routine ANC. And 4) a research agenda highlighting areas where ANC recommendations exist, but indicators still need to be developed.
- To assist countries in monitoring implementation of the new WHO ANC model, 9 core indicators are proposed that can be monitored globally and/or nationally, and 6 context-specific indicators are appropriate for national and subnational monitoring.
- Most indicators are currently collected from population-based household surveys; however, as health information systems improve, we recommend collecting the majority of these indicators from routine health management information systems.
- 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 adolescent girls’ and women’s experiences of ANC.
How to Use: This resource offers researchers and implementers a framework for monitoring routine ANC with multilevel indicators and a research agenda.