Recommendations for Using Health Service Coverage Cascades to Measure Effective Coverage for Maternal, Newborn, Child, and Adolescent Health Services or Interventions
Year: 2024
Type: article
Abstract: Key Messages Measuring the contact coverage of maternal, newborn, child, and adolescent health (MNCAH) services overestimates the benefits of these services because the quality of care provided during a contact is not measured. Effective coverage measures the proportion of the population that received a service with sufficient quality to have a positive health outcome from the service. MNCAH services and interventions involve a series of complex interactions between patients and the health system that are best measured using health service coverage cascades that follow an individual through their care journey to identify where efficiency is lost. Current data limitations and gaps make measuring effective coverage using health service cascades challenging. Further investment in data collections and measurement methods is required so that the method can be used at both the facility and population levels. We argue that using these cascades for global monitoring for MNCAH is premature and make recommendations for how to scale up use of health service coverage cascades for global monitoring.
Authors: Kathleen Strong, Georgia Konstantinou, Ambrose Agweyu, Theresa Diaz, Debra Jackson, Minjoon Kim, Shogo Kubota, Hannah Leslie, Marzia Lazzerini, Tanya Marchant, Melinda Munos, Moise Muzigaba, Alicia Quach, Ashley Sheffel, Nuhu Yaqub, for the Life Stages Quality of Care Metrics Technical Working Group for Maternal, Newborn, Child and Adolescent Health and Ageing
Institutions: World Health Organization, London School of Hygiene & Tropical Medicine, Kenya Medical Research Institute, KEMRI-Wellcome Trust Research Programme, University of the Western Cape, United Nations Children's Fund, World Health Organization Regional Office for the Western Pacific, University of California, San Francisco, IRCCS Materno Infantile Burlo Garofolo, Johns Hopkins University, The University of Melbourne, World Bank Group
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404069860