Table 6.
Validation Results on Maternal and Newborn Outcome Quality Indicators in Northern Ethiopia (N = 455)
| Indicators | Women’s reported prevalence (%) | True prevalence (%) | Sensitivity of women’s self-report (95% CI) | Specificity of women’s self-report (95% CI) | Population survey estimate (Pr) | AUC (95% CI) | IF | Criteria met |
|---|---|---|---|---|---|---|---|---|
| Maternal obstetric complication (yes to any) | 18.68 | 14.95 | 45.59(33.45–58.12) | 85.79(81.91–89.11) | 17.90 | 0.65(0.61–0.70) | 1.19 | Both |
| Severe bleeding (hemorrhage) | 9.67 | 8.35 | 28.95(15.42–45.90) | 92.32(89.34–94.69) | 9.46 | 0.60(0.53–0.66) | 1.13 | Both |
| Tear/laceration in vagina | 3.96 | 3.52 | 50.0(24.65–75.35) | 97.72(95.85–98.90) | 3.96 | 0.74(0.69–0.78) | 1.12 | Both |
| Delays were not experienced during care | 11.65 | 14.07 | 32.81(21.59–45.69) | 91.82(88.64–94.33) | 11.65 | 0.64(0.57–0.71) | 0.83 | Both |
| Birth asphyxia | 8.13 | 6.81 | 64.52(12.76–64.86) | 95.99(93.66–97.65) | 8.13 | 0.76(0.68–0.84) | 1.19 | Both |
| Preeclampsia, eclampsia | 5.93 | 3.96 | 38.89(17.30–64.25) | 95.42 (93.02–97.18) | 5.94 | 0.62(0.53–0.70) | 1.50 | AUC |
| Neonatal complication (yes to any) | 17.36 | 12.53 | 64.91(51.10–77.10) | 89.45(86.00–92.29) | 14.34 | 0.71(0.65–0.76) | 1.39 | AUC |
| Newborn death within facility | 1.98 | 4.18 | 10.53(1.30–33.14) | 98.42(96.72–99.35) | 1.95 | 0.60(0.45–0.73) | 0.47 | AUC |
| Still birth | 6.37 | 4.18 | 26.32(9.15–51.20) | 94.50(91.92–96.44) | 6.37 | 0.57(0.50–0.64) | 1.52 | No |
Notes: True prevalence indicates observers’ prevalence
Criteria Met - Indicator met either both AUC and IF, AUC only or IF only after validation analysis done
IF Inflation factor, AUC Area under receiver operating characteristic curve