Indicators Review of key indicators to be measured in the baseline assessment

Groups of indicators Health statusSocial and economicHealth policy/guidelines etcHealth systems/services

Description of an indicator Each indicator has a Numerator Denominator For example: Proportion of primary health facilities that provide basic emergency obstetric and newborn care (24 hours/day, 7 days/week) Proportion of children aged 12–23 months who are fully immunized Under-five mortality rate

Targets A programme will revise and add to its targets as it adds new activities. However, the list of targets should never become too large. A limited number of targets should be selected and should be kept simple – they must be useful for planning activities and resource needs and be useful for evaluation.

SA targets Year Statistic Target (2014) Infant mortality rate per live births. 36 Under-5 mortality rate (U5MR) per live births. 50 Perinatal mortality rate per total births Neonatal mortality rate per live births 12 Stillbirth rate per total births

Where have we got to so far? The DCSTs are required to conduct a situation analysis (baseline assessment) in each district We have agreed about some of the information that the situation analysis needed to provide. For example: Demographic information, e.g. population statistics Mortality statistics, e.g. MMR, U5MR Support systems, e.g. staffing, transport Key programme performance, e.g. IMCI, immunisation Now we need to choose indicators (and tools) that can provide us with this information

Activity Two sets of indicators for review – maternal and child. 6 groups – 3 maternal, 3 child. Choose one to join. Suggested indicators document will be handed out now. First ensure you understand each column heading Discuss each indicator one by one For each variable ask the question: “Is the information provided by this indicator useful or necessary? Should we collect it?”

Activity Which of the direct observation indicators will your team collect? Why? What value will this add to your work? Agree on recommendations about: which variables should be removed from the list whether any new variables need to be added. On the list of indicators mark: Indicators which need to be changed in any way. Indicators that should be removed. Why? Indicators that you want to add? Why?

Report back Each group will report on the indicators that need to be changed, any indicators to be removed and any that need to be added. Reporters should not repeat points already raised by other groups. After this session, the provincial specialists or selected obstetricians and paediatricians, will consider the recommendations from the groups and refine the list of indicators based on these recommendations. The chosen indicators will be incorporated into the situation analysis template that each district will need to complete.

Maternal mortality ratio Under-five child mortality, with the proportion of newborn deaths Children under five who are stunted Proportion of demand for family planning satisfied (met need for contraception) Antenatal care coverage (at least four times during pregnancy) Antiretroviral (ARV) HIVpositive pregnant women to prevent HIV transmission and antiretroviral therapy for [pregnant] women who are treatment-eligible Skilled attendant at birth Postnatal care for mothers and babies within two days of birth Exclusive breastfeeding for six months (0–5 months) Three doses of combined diphtheria-tetanuspertussis (DTP3) immunization coverage (12–23 months) Antibiotic treatment for suspected pneumonia WHO : The 11 indicators of maternal, newborn and child health