Mothupi Mamothena Carol, Knight Lucia, Tabana Hanani
University of the Western Cape School of Public Health, Robert Sobukwe Rd, Bellville, Cape Town, 7535, South Africa.
BMC Res Notes. 2020 Mar 13;13(1):151. doi: 10.1186/s13104-020-04984-9.
This study uses health and non-health sector data sources to select and assess available indicators for service provision along the continuum of care for maternal health at subnational levels in South Africa. It applies the adequacy approach established in another study to assess the multi-dimensionality of available indicators. Using adequacy and the process of assessment in the study, the comprehensiveness of the continuum of care for improving maternal health outcomes can be assessed.
We found 27 indicators of care utilization and access, linkages of care, and quality of care from the routine district health information system. The General Household Survey contained 11 indicators for the social determinants of health on the continuum of care framework. Indicator gaps include health promotion during and after pregnancy, maternal nutrition, empowerment and quality of care. At present, the available indicators measure about 74% of the interventions on the continuum of care framework. We make recommendations regarding improvements needed to better measure and monitor the continuum of care for maternal health. These involve actions within the health system and include integration of non-health system indicators.
本研究利用卫生和非卫生部门的数据来源，选择并评估南非次国家层面孕产妇保健连续照护过程中服务提供的现有指标。它应用另一项研究中确立的充分性方法来评估现有指标的多维度性。通过在本研究中运用充分性及评估过程，可以评估改善孕产妇健康结果的连续照护的全面性。
我们从常规的地区卫生信息系统中发现了27项关于照护利用与可及性、照护联系以及照护质量的指标。综合住户调查包含了11项关于连续照护框架中健康社会决定因素的指标。指标差距包括孕期及产后的健康促进、孕产妇营养、赋权和照护质量。目前，现有指标衡量了连续照护框架中约74%的干预措施。我们就更好地衡量和监测孕产妇保健连续照护所需的改进提出了建议。这些建议涉及卫生系统内部的行动，包括整合非卫生系统指标。
