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. 2019 Mar 6;34(2):120–131. doi: 10.1093/heapol/czz004

Table 1.

Use of care across the maternal health continuum among all births

Indicator Definition
Antenatal care (ANC)
 1+ ANC Received one or more ANC visits; all other births were classified as receiving no ANC
 4+ ANC Received four or more ANC visits
 Early ANC Initiated ANC within the first 3 months (first trimester) of pregnancy
 Delayed ANC Initiated ANC in the fourth month of pregnancy or later
Delivery care
 Facility delivery Birth that occurred in a health facility; all other births (e.g. those that occurred at home or in another non-facility location) were classified as not being a facility delivery
Post-natal care (PNC)
 Received PNC Health worker checked on the mother’s health after giving birth; births for which a health worker checked on the baby’s health but not on the woman’s health were classified as having not received PNC
 Timely PNC PNC users who received their first PNC check within 48 h of delivery
 Delayed PNC PNC users who received their first PNC check more than 48 h after delivery
Continuum of maternal care (among users of 1+ ANC)
 Discontinuous care Received at least one service (ANC, facility delivery, or PNC) during the maternal period, but did not receive all three services
 Continuous care, suboptimal Made contact with health services during each point of the maternal health continuum (received 1+ ANC visit, facility delivery and PNC), but did not receive care at the recommended ANC intensity (4+ ANC) and /or PNC timing (within 48 h of birth), irrespective of ANC initiation timing
 Continuous care, completed pathway Received 4+ ANC, facility delivery and PNC within 48 h of delivery were classified as having received continuous care and completed the continuum of maternal care pathway, irrespective ANC initiation timing
Sector of care (among continuous care users—both suboptimal and completed pathway)
 Public sector Received ANC, facility delivery and PNC entirely in the public sector; a small proportion of continuous care users (<1%) who received either ANC and/or PNC at home, and facility delivery in the public sector, were also classified as having received public sector care
 Private sector Received ANC, facility delivery and PNC entirely in the private sector (including for profit, not-for-profit and faith-based)
 Mixed, public and private sector Received ANC, facility delivery and PNC from at least one public sector source and at least one private sector source