Antenatal Care

MICS3 Data Analysis and Report Writing

Background

– detect potential complications of pregnancy and delivery– promote good nutrition, hygiene and rest– provide family planning information– management of STIs– tetanus immunization – HIV counseling and ART prophylaxis– malaria prophylaxis

Antenatal period presents opportunities for reaching pregnant women with interventions that may be vital to their health and well-being and that of their infants, for example:

Background

WHO recommends a minimum of four antenatal visits based on a review of the effectiveness of different models of antenatal care.

WHO guidelines are specific on the content of antenatal care visits, which should include:

- blood pressure measurement- urine testing for bacteriuria & proteinuria- blood testing to detect syphilis & severe anemia- weight/height measurement (optional)

International Goals & Targets

Special emphasis must be placed on prenatal and postnatal care and care for newborns, particularly for those living in

areas without access to services

Definition of Indicator

Percentage of women aged 15-49 years attended at least once during pregnancy by skilled health personnel (doctors, nurses, midwives or auxiliary midwives)

Numerator: Number of women aged 15-49 years attended at least once during pregnancy by skilled health personnel (doctors, nurses, midwives, or auxiliary midwives) in the 2 years prior to the survey

Denominator: Number of women aged 15-49 years surveyed with a birth in the 2 years prior to the survey

Methodological Issues

• MICS includes a set of questions to measure the specific care received during the antenatal visit including:

– blood pressure measurement– blood testing– urine testing– weight/height measurement

Tabulation Plan

Tabulation Plan

Regional Antenatal Care Coverage

Antenatal Care Coverage

87 87 86

72 7166

54

71

0

20

40

60

80

100

% w

om

en

ag

ed

15-4

9 y

ears

att

en

ded

at

least

on

ce d

uri

ng

pre

gn

an

cy b

y s

kille

d h

ealt

h p

ers

on

nel

Antenatal Care (ROSA)

Antenatal Care

54

16

28

43

49

60

81

95

0 20 40 60 80 100

South Asia

Afghanistan

Nepal

Pakistan

Bangladesh

India

Maldives

Sri Lanka

% women aged 15-49 years attended at least once during pregnancy by skilled health personnel

Antenatal Care (TACRO)

% women aged 15-49

years attended at least once

during pregnancy by skilled health

personnel

87

697072

7979

8183848486868686

899191929494949596

9898999999100100100100100

0 20 40 60 80 100

Latin America/Caribbean

EcuadorCosta Rica

PanamaBolivia

HaitiGuyana

HondurasGuatemala

PeruBrazil

El SalvadorMexico

NicaraguaBarbadosColombiaSuriname

Trinidad/TobagoParaguayUruguay

VenezuelaChile

BelizeArgentina

GrenadaDR

JamaicaSaint Vincent/Grenadines

Antigua/BarbudaCuba

DominicaSaint Kitts/Nevis

Saint Lucia

Antenatal Care (MENA)

% women aged 15-49 years

attended at least once during

pregnancy by skilled health

personnel

71

41

60

67

68

69

71

77

77

81

81

87

90

92

94

95

96

97

97

99100

0 20 40 60 80 100

Middle East/North Africa

Yemen

Sudan

Djibouti

Morocco

Egypt

Syria

Iran

Iraq

Algeria

Libya

Lebanon

Saudi Arabia

Tunisia

Qatar

Kuwait

OPT

Bahrain

UAE

Jordan

Oman

86

66

71

81

81

91

91

92

95

97

97

98

99

99

100

0 20 40 60 80 100

CEE/CIS

Azerbaijan

Tajikistan

Macedonia TFYR

Turkey

Albania

Kazakhstan

Armenia

Georgia

Kyrgyzstan

Uzbekistan

Turkmenistan

Bosnia/Herzegovina

Moldova, Rep of

Belarus

Antenatal Care (CEE/CIS)

% women aged 15-49 years attended at least once

during pregnancy by skilled health

personnel

87

27

38

61

74

76

78

86

88

88

89

92

92

94

100

0 20 40 60 80 100

East Asia/Pacific

Lao PDR

Cambodia

Timor-Leste

Malaysia

Myanmar

PNG

Viet Nam

Kiribati

Philippines

China

Indonesia

Thailand

Mongolia

Brunei Darussalam

Antenatal Care (EAPRO)

% women aged 15-49 years

attended at least once during

pregnancy by skilled health

personnel

72

27

32

66

70

74

78

80

85

85

88

90

91

92

92

93

93

94

94

94

97

0 20 40 60 80 100

East/Southern Africa

Ethiopia

Somalia

Angola

Eritrea

Comoros

Burundi

Madagascar

Lesotho

Mozambique

Kenya

Swaziland

Namibia

Rwanda

Uganda

Zambia

Zimbabwe

Malawi

South Africa

Tanzania

Botswana

Antenatal Care (ESARO)

% women aged 15-49

years attended at least once

during pregnancy by skilled health

personnel

66

41

42

57

58

62

62

64

68

68

73

79

81

83

84

85

85

86

88

91

91

92

9499

0 20 40 60 80 100

West/Central Africa

Niger

Chad

Mali

Nigeria

CAR

Guinea-Bissau

Mauritania

Congo, Dem Rep

Sierra Leone

Burkina Faso

Senegal

Benin

Cameroon

Guinea

Liberia

Togo

Eq. Guinea

Côte d'Ivoire

Gambia

Sao Tome/Principe

Ghana

Gabon

Cape Verde

Antenatal Care (WCARO)

% women aged 15-49 years

attended at least once during

pregnancy by skilled health

personnel