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A new content-qualified antenatal care coverage indicator: Development and validation of a score using national health surveys in low- and middle-income countries by Luisa Arroyave; Ghada E Saad; Cesar G Victora; Aluisio J D Barros is a Medicine article available to read on EtoBox.

What is A new content-qualified antenatal care coverage indicator: Development and validation of a score using national health surveys in low- and middle-income countries about?

Background Good 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. ## Methods We 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. ## Results The 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 in

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Author

Luisa Arroyave; Ghada E Saad; Cesar G Victora; Aluisio J D Barros

Publisher

International Society of Global Health

Published

2021

Language

EN

Field

Medicine (Health Sciences)