Monitoring and evaluation of skilled birth attendance: A proposed new framework

Adetoro Adegoke; Jan J. Hofman; Eugene J. Kongnyuy; Nynke Van Den Broek

doi:10.1016/j.midw.2011.03.006

Monitoring and evaluation of skilled birth attendance: A proposed new framework

Adetoro Adegoke, Jan J. Hofman, Eugene J. Kongnyuy, Nynke Van Den Broek

Liverpool School of Tropical Medicine

Liverpool School of Tropical Medicine

Research output: Contribution to journal › Article › peer-review

29 Citations (Scopus)

Abstract

Background: the Maternal Mortality Ratio(MMR)and proportion of births attended by skilled attendants are the two indicators selected to measure progress towards the achievement of MDG five. By the year 2015, the international community aims to have achieved a 75%reduction in MMR and 90% coverage of women having a skilled attendant at birth. In spite of the importance of this indicator, there is little consistency in how this is monitored and evaluated. This paper provides a review of the literature on the approaches and conceptual frameworks for evaluating progress with skilled birth attendance(SBA). The applicability of current frameworks is reviewed and a new simplified framework for monitoring and evaluation of SBA is proposed.

Methods: We searched electronic atabases, internet, publications and databases of organisations. We hand searched reference lists of key papers, using search terms such as skilled attendn, maternal health, maternal mortality, midwin, health professional, impactn, monitorn and evaluatn.

Findings: there were 44 potentially relevant articles from PUBMED,three from Scopus,seven from WHO, two from UNFPA, one obtained via hand search and one via personal communication. A total of 27 publications were found to be relevant after a review of their abstracts. Of these, 17 were on SBA and maternal mortality,and 10 were on monitoring and evaluation of SBA. Of the publications on

monitoring and evaluation of SBA,two studies assessed global coverage of SBA, eight studies evaluated specific programmes and three of these had a‘conceptual framework’.

Conclusions: no standard framework to evaluate progress made in ensuring increased coverage with skilled birth attendance currently exists. There are three published conceptual frameworks, each of which has valuable and workable components as well as limitations. A simplified systems approach to the Monitoring and Evaluation of SBA using structure, process and outcome criteria is proposed.

Original language	English
Pages (from-to)	350-359
Number of pages	10
Journal	Midwifery
Volume	27
Issue number	3
DOIs	https://doi.org/10.1016/j.midw.2011.03.006
Publication status	Published - 1 Jun 2011

Keywords

Enabling environment
Monitoring and evaluation
Skilled birth attendance
Skilled birth attendants

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.midw.2011.03.006

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title = "Monitoring and evaluation of skilled birth attendance: A proposed new framework",

abstract = "Background: the Maternal Mortality Ratio(MMR)and proportion of births attended by skilled attendants are the two indicators selected to measure progress towards the achievement of MDG five. By the year 2015, the international community aims to have achieved a 75\%reduction in MMR and 90\% coverage of women having a skilled attendant at birth. In spite of the importance of this indicator, there is little consistency in how this is monitored and evaluated. This paper provides a review of the literature on the approaches and conceptual frameworks for evaluating progress with skilled birth attendance(SBA). The applicability of current frameworks is reviewed and a new simplified framework for monitoring and evaluation of SBA is proposed.Methods: We searched electronic atabases, internet, publications and databases of organisations. We hand searched reference lists of key papers, using search terms such as skilled attendn, maternal health, maternal mortality, midwin, health professional, impactn, monitorn and evaluatn.Findings: there were 44 potentially relevant articles from PUBMED,three from Scopus,seven from WHO, two from UNFPA, one obtained via hand search and one via personal communication. A total of 27 publications were found to be relevant after a review of their abstracts. Of these, 17 were on SBA and maternal mortality,and 10 were on monitoring and evaluation of SBA. Of the publications onmonitoring and evaluation of SBA,two studies assessed global coverage of SBA, eight studies evaluated specific programmes and three of these had a{\textquoteleft}conceptual framework{\textquoteright}.Conclusions: no standard framework to evaluate progress made in ensuring increased coverage with skilled birth attendance currently exists. There are three published conceptual frameworks, each of which has valuable and workable components as well as limitations. A simplified systems approach to the Monitoring and Evaluation of SBA using structure, process and outcome criteria is proposed.",

keywords = "Enabling environment, Monitoring and evaluation, Skilled birth attendance, Skilled birth attendants",

author = "Adetoro Adegoke and Hofman, \{Jan J.\} and Kongnyuy, \{Eugene J.\} and \{Van Den Broek\}, Nynke",

year = "2011",

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doi = "10.1016/j.midw.2011.03.006",

language = "English",

volume = "27",

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AU - Adegoke, Adetoro

AU - Hofman, Jan J.

AU - Kongnyuy, Eugene J.

AU - Van Den Broek, Nynke

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Background: the Maternal Mortality Ratio(MMR)and proportion of births attended by skilled attendants are the two indicators selected to measure progress towards the achievement of MDG five. By the year 2015, the international community aims to have achieved a 75%reduction in MMR and 90% coverage of women having a skilled attendant at birth. In spite of the importance of this indicator, there is little consistency in how this is monitored and evaluated. This paper provides a review of the literature on the approaches and conceptual frameworks for evaluating progress with skilled birth attendance(SBA). The applicability of current frameworks is reviewed and a new simplified framework for monitoring and evaluation of SBA is proposed.Methods: We searched electronic atabases, internet, publications and databases of organisations. We hand searched reference lists of key papers, using search terms such as skilled attendn, maternal health, maternal mortality, midwin, health professional, impactn, monitorn and evaluatn.Findings: there were 44 potentially relevant articles from PUBMED,three from Scopus,seven from WHO, two from UNFPA, one obtained via hand search and one via personal communication. A total of 27 publications were found to be relevant after a review of their abstracts. Of these, 17 were on SBA and maternal mortality,and 10 were on monitoring and evaluation of SBA. Of the publications onmonitoring and evaluation of SBA,two studies assessed global coverage of SBA, eight studies evaluated specific programmes and three of these had a‘conceptual framework’.Conclusions: no standard framework to evaluate progress made in ensuring increased coverage with skilled birth attendance currently exists. There are three published conceptual frameworks, each of which has valuable and workable components as well as limitations. A simplified systems approach to the Monitoring and Evaluation of SBA using structure, process and outcome criteria is proposed.

AB - Background: the Maternal Mortality Ratio(MMR)and proportion of births attended by skilled attendants are the two indicators selected to measure progress towards the achievement of MDG five. By the year 2015, the international community aims to have achieved a 75%reduction in MMR and 90% coverage of women having a skilled attendant at birth. In spite of the importance of this indicator, there is little consistency in how this is monitored and evaluated. This paper provides a review of the literature on the approaches and conceptual frameworks for evaluating progress with skilled birth attendance(SBA). The applicability of current frameworks is reviewed and a new simplified framework for monitoring and evaluation of SBA is proposed.Methods: We searched electronic atabases, internet, publications and databases of organisations. We hand searched reference lists of key papers, using search terms such as skilled attendn, maternal health, maternal mortality, midwin, health professional, impactn, monitorn and evaluatn.Findings: there were 44 potentially relevant articles from PUBMED,three from Scopus,seven from WHO, two from UNFPA, one obtained via hand search and one via personal communication. A total of 27 publications were found to be relevant after a review of their abstracts. Of these, 17 were on SBA and maternal mortality,and 10 were on monitoring and evaluation of SBA. Of the publications onmonitoring and evaluation of SBA,two studies assessed global coverage of SBA, eight studies evaluated specific programmes and three of these had a‘conceptual framework’.Conclusions: no standard framework to evaluate progress made in ensuring increased coverage with skilled birth attendance currently exists. There are three published conceptual frameworks, each of which has valuable and workable components as well as limitations. A simplified systems approach to the Monitoring and Evaluation of SBA using structure, process and outcome criteria is proposed.

KW - Enabling environment

KW - Monitoring and evaluation

KW - Skilled birth attendance

KW - Skilled birth attendants

U2 - 10.1016/j.midw.2011.03.006

DO - 10.1016/j.midw.2011.03.006

M3 - Article

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VL - 27

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EP - 359

JO - Midwifery

JF - Midwifery

IS - 3

ER -

Monitoring and evaluation of skilled birth attendance: A proposed new framework

Abstract

Keywords

UN SDGs

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