Components of coverage, data collection methods and indicators for selected interventions along the continuum RMNCH+N
Intervention | Target population | Service contact | Likelihood of service | Crude coverage | Quality-adjusted coverage | User adherence adjusted | Outcome-adjusted coverage (effective coverage) |
Data collection and analysis methods | Population survey, surveillance, estimates from population projections | Population survey (recall), facility reports | Facility readiness assessment and population survey (linked analysis) | Population survey, facility reports | Population survey, facility reports; facility assessment with measurement of practices (linked analysis) | Follow-up surveys | Multiple indicators with facility data; surveys often with biomarkers |
Interventions | Increase awareness population, improve access, community workers | Improve service supplies and training | Health worker training and supervision to reduce missed opportunities | Health worker training and supervision to improve standards | Education clients through public and individual channels; community follow-up | Research to improve efficacy prevention and treatment methods | |
Family planning | Sexually active women who do not intend to become pregnant | Woman visits health facility (for any reason) | Facility that is FP ready | Receives FP methods | Multiple methods choice; standards followed | Use modern methods according to protocol | No unintended pregnancy |
Antenatal visit | Women who are pregnant | Visits ANC clinic | Facility that is ANC ready | Receives ANC interventions | All relevant interventions and according to standard | Use of selected interventions at home (eg, IFA) | Positive pregnancy outcomes |
Delivery care | Women who are delivering | Deliver in a health facility | Facility that is delivery care ready | Receives delivery care (SBA, partograph, etc) | Receives all required delivery interventions according to standards | – | Perinatal and maternal health outcomes |
Postnatal care | Women who have delivered; newborns | Visits PNC clinic | Facility that is PNC ready | Receives PNC interventions | Receives PNC interventions according to standard | Use of selected interventions at home | Newborn and maternal health/survival postpartum |
Immunisation | Infants at different ages | Infant visits health facility | Facility that is immunisation ready | Receives vaccination | Receives vaccination according to standards | Timely vaccination according to age and standard | Seroconversion; incidence and mortality due to VPD |
ORS treatment | Children with diarrhoea | Taken to health facility | Facility ready to provide ORS | ORS received (and other treatment/advice) | ORS received according to standards | Use of intervention at home | Mortality/nutrition consequences due to diarrhoea |
ARI treatment | Children with suspected pneumonia | Taken to health facility | Facility ready to diagnose and provide treatment | Receives diagnosis and treatment | Treatment received according to standards | Use of intervention at home/adherence | Mortality and nutrition consequences due to pneumonia |
HIV ART | Person living with HIV | Visits health facility | Facility ready to diagnose and provide treatment | Receives treatment | Receives treatment according to standards | Adherence to treatment | Viral load suppression and survival |
Malaria treatment | Children with fever | Visits health facility | Facility ready to diagnose and provide treatment | Receives treatment | Receives treatment according to standards | Adherence to treatment | Mortality/nutrition consequences due to malaria |
Nutrition | Household population; children; women | Visits health facility or outreach clinic | Facility ready to diagnose and provide treatment | Receives nutritional food | Receives nutritional food according to standards | Uses nutritional food according to standards | Malnutrition prevalence |
ANC, antenatal care; ARI, acute respiratory infection; ART, antiretroviral therapy; FP, family planning; IFA, iron folic acid; ORS, oral rehydration therapy; PNC, postnatal care; RMNCH+N, reproductive, maternal, newborn, and child health and nutrition; SBA, skilled birth attendant; VPD, vaccine preventable disease.