Evidence map›Paper›PMID 27716088›Full record

ArticleBMC pregnancy and childbirth2016

eRegistries: indicators for the WHO Essential Interventions for reproductive, maternal, newborn and child health.

Vicki Flenady, Aleena M Wojcieszek, Ingvild Fjeldheim, Ingrid K Friberg, Victoria Nankabirwa, Jagrati V Jani, Sonja Myhre, Philippa Middleton, Caroline Crowther, David Ellwood and 10 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Vicki FlenadyMater Research Institute, The University of Queensland (MRI-UQ), Brisbane, Australia. vicki.flenady@mater.uq.edu.au.
Aleena M WojcieszekMater Research Institute, The University of Queensland (MRI-UQ), Brisbane, Australia.
Ingvild FjeldheimDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Ingrid K FribergDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Victoria NankabirwaDepartment of Epidemiology and Biostatics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Jagrati V JaniDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Sonja MyhreDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Philippa MiddletonInternational Stillbirth Alliance, Bristol, UK.
Caroline CrowtherSouth Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
David EllwoodInternational Stillbirth Alliance, Bristol, UK.
David TudehopeMater Research Institute, The University of Queensland (MRI-UQ), Brisbane, Australia.
Robert PattinsonMedical Research Council, University of Pretoria, Pretoria, South Africa.
Jacqueline HoPenang Medical College and Penang Hospital, Penang, Malaysia.
Jiji MatthewsChristian Medical College, Vellore, Tamil Nadu, India.
Aurora Bermudez OrtegaThe Australian Nurse Family Partnership Program National Program Centre, Abt Australia, Brisbane, Australia.
Mahima VenkateswaranDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Doris ChouDepartment of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Lale SayDepartment of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Garret MehlDepartment of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
J Frederik FrøenInternational Stillbirth Alliance, Bristol, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundElectronic health registries - eRegistries - can systematically collect relevant information at the point of care for reproductive, maternal, newborn and child health (RMNCH). However, a suite of process and outcome indicators is needed for RMNCH to monitor care and to ensure comparability between settings. Here we report on the assessment of current global indicators and the development of a suite of indicators for the WHO Essential Interventions for use at various levels of health care systems nationally and globally.

methodsCurrently available indicators from both household and facility surveys were collated through publicly available global databases and respective survey instruments. We then developed a suite of potential indicators and associated data points for the 45 WHO Essential Interventions spanning preconception to newborn care. Four types of performance indicators were identified (where applicable): process (i.e. coverage) and outcome (i.e. impact) indicators for both screening and treatment/prevention. Indicators were evaluated by an international expert panel against the eRegistries indicator evaluation criteria and further refined based on feedback by the eRegistries technical team.

resultsOf the 45 WHO Essential Interventions, only 16 were addressed in any of the household survey data available. A set of 216 potential indicators was developed. These indicators were generally evaluated favourably by the panel, but difficulties in data ascertainment, including for outcome measures of cause-specific morbidity and mortality, were frequently reported as barriers to the feasibility of indicators. Indicators were refined based on feedback, culminating in the final list of 193 total unique indicators: 93 for preconception and antenatal care; 53 for childbirth and postpartum care; and 47 for newborn and small and ill baby care.

conclusionsLarge gaps exist in the availability of information currently collected to support the implementation of the WHO Essential Interventions. The development of this suite of indicators can be used to support the implementation of eRegistries and other data platforms, to ensure that data are utilised to support evidence-based practice, facilitate measurement and accountability, and improve maternal and child health outcomes.

Indexed as

AdultDelivery, ObstetricElectronic Health RecordsFamily Planning ServicesFemaleHumansInfantInfant CareInfant, NewbornMaternal-Child Health ServicesOutcome and Process Assessment, Health CareParturitionPregnancyPrenatal CareQuality Indicators, Health CareRegistriesehealthIntervention coverageMaternal healthNewborn healthOutcome indicatorsPerformance indicatorsPerinatal healthProcess indicatorsRegistries

Identifiers

PMID27716088
PMCPMC5045645

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.