Skip to main content

Table 6 Validation Results on Maternal and Newborn Outcome Quality Indicators in Northern Ethiopia (N = 455)

From: Beyond health system contact: measuring and validating quality of childbirth care indicators in primary level facilities of northern Ethiopia

Indicators

Women’s reported prevalence (%)

True prevalence (%)

Sensitivity of women’s self-report (95% CI)

Specificity of women’s self-report (95% CI)

Population survey estimate (Pr)

AUC (95% CI)

IF

Criteria met

Maternal obstetric complication (yes to any)

18.68

14.95

45.59(33.45–58.12)

85.79(81.91–89.11)

17.90

0.65(0.61–0.70)

1.19

Both

Severe bleeding (hemorrhage)

9.67

8.35

28.95(15.42–45.90)

92.32(89.34–94.69)

9.46

0.60(0.53–0.66)

1.13

Both

Tear/laceration in vagina

3.96

3.52

50.0(24.65–75.35)

97.72(95.85–98.90)

3.96

0.74(0.69–0.78)

1.12

Both

Delays were not experienced during care

11.65

14.07

32.81(21.59–45.69)

91.82(88.64–94.33)

11.65

0.64(0.57–0.71)

0.83

Both

Birth asphyxia

8.13

6.81

64.52(12.76–64.86)

95.99(93.66–97.65)

8.13

0.76(0.68–0.84)

1.19

Both

Preeclampsia, eclampsia

5.93

3.96

38.89(17.30–64.25)

95.42 (93.02–97.18)

5.94

0.62(0.53–0.70)

1.50

AUC

Neonatal complication (yes to any)

17.36

12.53

64.91(51.10–77.10)

89.45(86.00–92.29)

14.34

0.71(0.65–0.76)

1.39

AUC

Newborn death within facility

1.98

4.18

10.53(1.30–33.14)

98.42(96.72–99.35)

1.95

0.60(0.45–0.73)

0.47

AUC

Still birth

6.37

4.18

26.32(9.15–51.20)

94.50(91.92–96.44)

6.37

0.57(0.50–0.64)

1.52

No

  1. Notes: True prevalence indicates observers’ prevalence
  2. Criteria Met - Indicator met either both AUC and IF, AUC only or IF only after validation analysis done
  3. IF Inflation factor, AUC Area under receiver operating characteristic curve