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. 2020 Jun 18;5(6):e002605. doi: 10.1136/bmjgh-2020-002605

Table 3.

Catalogue of core indicators and metadata

WHO ANC model Indicator name Numerator Denominator Preferred data source Other data sources
Outputs
Recommendation E.7* Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation) Number of pregnant women aged 15–49 years who had their first antenatal contact in the first trimester Total number of women aged 15–49 years with at least one ANC contact Population-based surveys
Number of antenatal clients with first contact before 12 weeks Total number of antenatal clients with a first contact HMIS
Outcomes
Recommendations A.2.1 and A.2.2* Percentage of pregnant women who received iron and folic acid supplements for 90+ days Number of pregnant women who received the recommended number of iron/folic acid tablets during last pregnancy Total number of women with a live birth Population-based surveys
Indicator not yet developed Indicator not yet developed HMIS
Recommendation B.1.7* Percentage of pregnant women screened for syphilis during ANC Number of antenatal clients screened for syphilis Total number of antenatal clients with a first contact HMIS
Recommendation E.7*  ANC contacts
  1.  Percentage of pregnant women with at least four ANC contacts.

  2.  Percentage of pregnant women with a minimum of eight ANC contacts.

 Number of women aged 15–49 years with a live birth who received ANC from any provider:
  1.  Four or more times.

  2.  A minimum of eight times.

Total number of women aged 15–49 years with a live birth Population-based surveys
Recommendation 1† Percentage of pregnant women who were told about pregnancy danger signs during ANC Number of women aged 15–49 years with a live birth told about pregnancy danger signs during ANC Total number of women aged 15–49 years with at least one ANC contact Population-based surveys
Good clinical practice  Blood pressure measurement:
 percentage of pregnant women with at least one blood pressure measure during ANC
Number of women aged 15–49 years with a live birth who had their blood pressure measured during the last pregnancy that led to a live birth Total number of women age 15–49 years with a live birth Population-based surveys
Number of antenatal clients with blood pressure measurement Total number of antenatal clients with first contact HMIS
Blood pressure measurement:
percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC
Number of antenatal clients with blood pressure measurement in third trimester Total number of antenatal clients with first contact HMIS
Good clinical practice Percentage of pregnant women whose baby’s heartbeat was listened to at least once during ANC Number of women 15–49 years with a live birth whose baby’s heart was listened to at least once during ANC Number of women 15–49 years with a live birth who received ANC Population-based surveys
Number of antenatal clients whose baby’s heartbeat was listened to Total number of antenatal clients with a first contact HMIS
Recommendation B.2.4* Percentage of pregnant women with an ultrasound scan before 24 weeks‡ Number of antenatal clients who had an ultrasound scan before 24 weeks Total number of antenatal clients with a first contact HMIS
Good clinical practice Experience of care (eg, waiting time and support received during ANC)‡ Indicator not yet developed Indicator not yet developed Population-based surveys Research and health facility surveys

*Recommended by WHO.1

†Recommended by WHO.6

‡Placeholder for recommended indicator that may be updated in the future once additional research is conducted.

ANC, antenatal care; HMIS, health management information systems.