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Table 4 EPMM Phase II Core Indicators

From: Ending preventable maternal mortality: phase II of a multi-step process to develop a monitoring framework, 2016–2030

Indicator

 Presence of laws and regulations that guarantee women aged 15-49 access to sexual and reproductive health care, information, and education

 Gender Parity Index (GPI)

 Whether or not legal frameworks are in place to promote, enforce, and monitor equality and non-discrimination on the basis of sex

 Presence of protocols/policies on combined care of mother and baby, immediate breastfeeding, and observations of care

 Maternity protection in accordance with ILO Convention 183

 International Code of Marketing of Breastmilk Substitutes

 Costed implementation plan for maternal, newborn, and child health

 Midwives are authorized to deliver basic emergency obstetric and newborn care

 Legal status of abortion

 Proportion of women aged 15-49 who make their own informed decisions regarding sexual relations, contraceptive use, and reproductive health care

 Geographic distribution of facilities that provide basic and comprehensive emergency obstetric care (EmOC)

 Presence of a national set of indicators with targets and annual report to inform annual health sector reviews and other planning cycles

 Maternal death review coverage

 Percentage of total health expenditure spent on reproductive, maternal, newborn, and child health

 Out-of-pocket expenditure as a percentage of total expenditure on health

 Annual reviews are conducted of health spending from all financial sources, including spending on RMNCH, as part of broader health sector reviews

 Health worker density and distribution (per 1000 population)

 Coverage of essential health services

 If fees exist for health services in the public sector, are women of reproductive age (15-49) exempt from user fees for [MH-related health] services

 Demand for family planning satisfied through modern methods of contraception

 Availability of functional emergency obstetric care (EmOC) facilities

 Density of midwives, by district (by births)

 Percentage of facilities that demonstrate readiness to deliver specific services: family planning, antenatal care, basic emergency obstetric care, and newborn care

 Civil registration coverage of cause of death (percentage)

 Presence of a national policy/strategy to ensure engagement of civil society organization representatives in periodic review of national programs for maternal, newborn, child, and adolescent health (MNCAH)

Standard Equity Stratifiers

 Wealth

 Area of residence: urban/rural

 Area of residence: geographic region

 Level of education: women’s education level

 Age

Transparency Stratifier

 Available in the public domain