Data Tools & Resources
This sub-section builds off the previous section on sources of MNH data and focuses on how stakeholders can collect, use, and interpret data to continue advancing MNH progress. Resources include toolkits, manuals, and guidance that provide stakeholders with the necessary information to strengthen monitoring systems and implement responsive action. This sub-section also includes supplemental resources for additional learning and discussion.
Health Management Information Systems (HMIS)
Country health management information systems (HMIS) are critical tools for tracking changes in MNH levels and coverage. A routine HMIS is a data collection system specifically designed to capture and provide essential real-time data to support planning, management, and decision making at the local, regional and national levels. The following resources catalog specific MNH indicators that are collected in country HMIS and provide guidance on how stakeholders can glean insights from HMIS data in country.
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Research Article
Availability of priority maternal and newborn health indicators: Cross-sectional analysis of pregnancy, childbirth and postnatal care registers from 21 countries
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Implementation Guidance
Every Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems
Surveys & Assessments
In addition to country HMIS, there are multiple surveys and assessments used to measure progress in MNH at various levels of the healthcare system. The following tools provide a blueprint for measuring levels and trends ranging from mortality to experience of care.
Household
Experience of Care Metrics
There is no single measure that can capture “person-centered care” in its entirety; rather, person-centered care encompasses many elements. Person-centered care incorporates people’s experience of care (e.g. did a person feel respected during her antenatal care visit?) and the normative standards (e.g. was a woman offered the option to have a labor and birth companion of her choice?). Experience of care spans a continuum that includes outright mistreatment on one end and highly person-centered care on the other end. It is important that measures are able to capture this continuum and to capture both positive and negative care.
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Research Article
Toward the development of a short multi-country person-centered maternity care scale
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Research Article
The Mothers on Respect (MOR) index: measuring quality, safety, and human rights in childbirth
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Research Article
Mothers Autonomy in Decision Making scale (MADM): Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care
Using the Data
Once the data is collected, stakeholders need to know how to use the information. A key intervention for improving maternal, perinatal and neonatal survival is understanding the number and causes of deaths. The following resources provide guidance on how to analyze, interpret, and respond to collected data to inform responsive health programming.
MPDSR
According to the WHO, maternal and perinatal death surveillance and response (MPDSR) is defined as an essential quality improvement intervention which permits the identification, notification, quantification and determination of causes and avoidability of maternal and neonatal deaths and stillbirth with the goal of orienting the measures necessary for their prevention. Below is a selection of resources that can serve as a toolkit for adoption and implementation of MPDSR.
Additional Learning
This section offers additional information related to partners, forums, or resources for continued learning and discussion about measuring progress in the MNH space.
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Website
Improving Maternal Measurement Capacity and Use (IHMH) Project
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Website
Healthy Newborn Network, Data and Metrics
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Website
Countdown to 2030
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Website
MEASURE Evaluation Legacy Website
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Research Article
Advancing measurement and monitoring of reproductive, maternal, newborn and child health and nutrition: global and country perspectives
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Research Article
Measuring What Matters for Maternal and Newborn Health
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Blog
Time for a Big Stride Forward in Maternal and Newborn Health