ArticleJournal of global health2021
A new content-qualified antenatal care coverage indicator: Development and validation of a score using national health surveys in low- and middle-income countries.
Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Effect of Enhanced Nutrition and Infection Management Intervention Packages on Antenatal Quality of Care Indicators in Rural Amhara, Ethiopia.medRxiv : the preprint server for health sciences · 2026Article
- Prevalence and inequalities of missed opportunities for intermittent preventive therapy (IPTp) of malaria among pregnant women: an analysis of 2018 Nigeria DHS.Malaria journal · 2026Article
- Association between the ownership of home-based records and continuous, quality maternal and child health service utilisation: a multi-country analysis of Demographic Health Surveys from 18 low- and middle-income countries.Journal of global health · 2026Article
- Article
- Disability status and socioeconomic related inequality in receiving quality antenatal care in nine low- and middle-income countries: A multilevel analysis.Reproductive health · 2025Article
- Inequalities and Determinants of Quality Antenatal Care Coverage Among Women of Reproductive Age (15-49) in Tanzania: A Cross-Sectional Analysis of National Data.Health science reports · 2025Article
- Effective coverage for maternal health: operationalising effective coverage cascades for antenatal care and nutrition interventions for pregnant women in seven low- and middle-income countries.Journal of global health · 2025Article
- High Child Mortality and Interventions Coverage in the City of Dar es Salaam, Tanzania: Are the Poorest Paying an Urban Penalty?Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Trends in Coverage and Content of Maternal and Neonatal Care in Bamako, Mali.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Global inequities in adverse pregnancy outcomes: what can we do?AJOG global reports · 2024Article
- Delivery and postnatal care among women in 71 low- and middle-income countries: analyzing coverage gaps using household surveys.BMC pregnancy and childbirth · 2024Article
- Quality adjusted coverage of family planning services in low- and middle-income countries: Analysis of 33 countries using Demographic and Health Survey data.Journal of global health · 2024Article
- Poor coverage of quality-adjusted antenatal care services: a population-level assessment by visit and source of antenatal care services in Bihar state of India.The Lancet regional health. Southeast Asia · 2024Article
- Learning from Ethiopia's success in reducing maternal and neonatal mortality through a health systems lens.BMJ global health · 2024Article
- A tale of two exemplars: the maternal and newborn mortality transitions of two state clusters in India.BMJ global health · 2024Article
- Making the health system work for over 25 million births annually: drivers of the notable decline in maternal and newborn mortality in India.BMJ global health · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Utilization and determinants of adequate quality antenatal care services in India: evidence from the National Family Health Survey (NFHS-5) (2019-21).BMC pregnancy and childbirth · 2023Article
- Is socioeconomic inequality in antenatal care coverage widening or reducing between- and within-socioeconomic groups? A case of 19 countries in sub-Saharan Africa.SSM - population health · 2023Article
- Effect of prenatal care quality on the risk of low birth weight, preterm birth and vertical transmission of HIV, syphilis, and hepatitis.PLOS global public health · 2023Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundGood quality antenatal care (ANC) helps reduce adverse maternal and newborn outcomes, especially in low and middle-income countries (LMICs). Most of the currently used ANC indicators only measure contact with services. We aimed to create and validate a new indicator measured as a score, considering both contact and content, that can be used for monitoring.
methodsWe used data from national surveys conducted in LMICs. Information on ANC was used to build an adequacy score (ANCq) that would be applicable to all women in need of ANC. Cronbach's alpha and factor analysis were used to assess the proposed indicator. We also used a convergent validation approach, exploring the association of our proposed indicator with neonatal mortality.
resultsThe ANCq score was derived from seven variables related to contact with services and content of care ranging from zero to ten. Surveys from 63 countries with all variables were used. The validity assessment showed satisfactory results based on Cronbach's alpha (0.82) and factor analysis. The overall mean of ANCq was 6.7, ranging from 3.5 in Afghanistan to 9.3 in Cuba and the Dominican Republic. In most countries, the ANCq was inversely associated with neonatal mortality and the pooled for all surveys Odds Ratio was 0.90 (95% CI = 0.88-0.92).
conclusionsANCq allows the assessment of ANC in LMICs considering contact with services and content of care. It also presented good validity properties, being a useful tool for assessing ANC coverage and adequacy of care in monitoring and accountability exercises.
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