Table 1.
Definition of indicators for estimating EC
| MCH service | Measure of need (denominator) | Measure of use (numerator) | Quality estimator |
|---|---|---|---|
| Family planning services | Women 15–49 years old who at the time of survey were able to get pregnant (fecund) | Fecund women 15–49 years old, currently using a modern contraceptive method | Facility level score based on the presence of client privacy during consultation, availability of reproductive health counselling visual aids and record tools, and reproductive health commodity management practices in a facility. (source KSPA) |
| Functional antenatal services | Women 15–49 years old with at least one child under 5 years | Women 15–49 years old with at least one child under 5 years, whom for their most recent birth, reported having made at least four visits for ANC | Individual level score if the respondent recalls the following services being performed: blood pressure taken, urine sample taken, blood sample taken, respondent informed about pregnancy complications, iron tablets/syrup prescribed, and a drug for intestinal parasites prescribed, during any ANC visit (source KDHS) |
| Skilled delivery and perinatal care | Women 15–49 years old with at least one child under 5 years | Women 15–49 years old with at least one child under 5 years, whom for their most recent birth, reported attendance by a skilled health provider (doctor, nurse or midwife) | Facility level score based on reported routinely performed essential new‐born care practices at the facility maternity. These included routine rooming in with the mother, routine weighing of new‐borns, complete examination of new‐borns before discharge, administration of BCG before discharge and other indicators. (source KSPA) |
| Breastfeeding during the first 6 months of life | All children between 0 and 5 months | All children between 0 and 5 months, for whom breastfeeding was reported in the preceding 24 h | Individual level: All children between 0 and 5 months for whom exclusive breastfeeding (breastfeeding only, with no other complementary feed offered) was reported in the preceding 24 h |
| Immunisation services | All children alive between 12 and 23 months | All children alive between 12 and 23 months who received the complete set of vaccines as outlines in the Kenya Ministry of Health National Vaccination Schedule i.e. BCG, three doses of oral or intravenous Polio, three doses of Diphtheria, Pertussis, Tetanus, Hepatitis B and Hemophilus Influenza type B pentavalent vaccine, three doses of pneumococcal vaccine (from Jan 2011 onwards), and Measles vaccines | Facility level score based on observed or health worker reported availability of at least one working weighing scale and thermometer, and routinely performed processes including use of guidelines to assess and treat sick children, routine weighing, temperature taking and recording, assessment of immunization status and keeping of individual patient records. (source KSPA) |
| Management of diarrhoea | All children under 5 years reported to have had diarrhoea in the preceding 4 weeks | All children that had diarrhoea in the preceding 4 weeks, who were given oral rehydration therapy (ORT) or increased fluids. | Individual level: Proportion of children who had diarrhoea in the preceding 4 weeks, who were given the guideline recommended oral rehydration salt mixture |
| Care seeking for acute respiratory illness and/or fever | All children under 5 years reported to have had acute respiratory illness and/or fever in the preceding 2 weeks | All children who had acute respiratory illness and/or fever, for whom advice on treatment was sought from a medical provider | Facility‐level score based on observed or health worker reported availability of at least one working weighing scale and thermometer, and routinely performed processes including use of guidelines to assess and treat sick children, routine weighing, temperature taking and recording, assessment of immunisation status and keeping of individual patient records (source KSPA) |
| Use of insecticide ‐treated nets | All children and pregnant women | Proportion of children and pregnant women living in household that owned an ITN | Individual level: Proportion of children and pregnant women who actually slept under an insecticide‐ treated net in the preceding night |
EC, effective coverage; MCH, maternal and child health.