Exploring the feasibility of establishing a core set of sexual, reproductive, maternal, newborn, child, and adolescent health indicators in humanitarian settings: results from a multi-methods assessment in Jordan

Hammad, Majd; Foster, Angel M.; Aissaoui, Anya; Clark, Emily; Elamurugan, Kaeshan; Rajendra, Kanya Lakshmi; El Mowafi, Ieman Mona; Kobeissi, Loulou

doi:10.1186/s12978-023-01589-w

Reproductive Health

Table 3 List of indicators that should be excluded according to our stakeholders, with primary rationale

From: Exploring the feasibility of establishing a core set of sexual, reproductive, maternal, newborn, child, and adolescent health indicators in humanitarian settings: results from a multi-methods assessment in Jordan

	Indicator number and name	Rationale for exclusion
Contraception	1.4: Percentage of clients adopting modern contraception method after abortion	• Service not provided • Insufficient security and privacy measures set in place
Comprehensive abortion care	2.1: Number of clients requesting an abortion	• Potential risk for the client and primary care provider • Insufficient security and privacy measures set in place
Maternal Health	3.9: Availability of PAC	• Service mapping exercise^a at the health and/or humanitarian sector level
	3.10: Availability of basic emergency obstetric care (BEmOC)	• Service mapping exercise at the health and/or humanitarian sector level
	3.11: Availability of comprehensive emergency obstetric care (CEmOC)	• Service mapping exercise at the health and/or humanitarian sector level
	3.12: Availability of skilled personal	• High quality medical care • In-patient health care system • Service mapping exercise
	3.13: Number of ANC clients with tetanus vaccination	• Low burden of disease, service not routinely provided
	3.14: Number of ANC clients receiving preventive therapy for malaria	• Low burden of disease, service not routinely provided
	3.15: Number of ANC clients receiving syphilis screening	• Low burden of disease, service not routinely provided
	3.16: Number of ANC clients receiving urinary tract infection screening or treatment	• Low burden of disease, information not actionable
Newborn Health	4.6: Availability of KMC	• Service not routinely provided; information not actionable
	4.7: Availability of neonatal resuscitation	• High quality medical care • In-patient health care system • Service mapping exercise
	4.11: Number of newborns initiating breastfeeding early	• Information not actionable
Child health	5.2: Under 5 mortality rate	• Population-level indicator with impractical denominator
	5.3: Percentage of children under 5 with suspected pneumonia taken to appropriate health facility	• Population-level indicator with impractical denominator
	5.5: Percentage of children under 5 who are wasted	• Low burden of disease, • Population-level indicator with impractical denominator
	5.7: Number of children presenting with fever tested for malaria in endemic settings	• Low burden of disease, specific infectious disease reporting requirements and management protocols for individual cases
	5.8: Number of confirmed cases of malaria in endemic settings	• Low burden of disease, specific infectious disease reporting requirements and management protocols for individual cases
	5.9: Percentage of confirmed malaria cases treated	• Low burden of disease, specific infectious disease reporting requirements and management protocols for individual cases
	5.10: Coverage of DPT3	• Population-level indicator with impractical denominator
Adolescent health	6.1: Adolescent birth rate	• Population-level indicator with impractical denominator
	6.2: Sexual violence against children	• Information not actionable, population-level indicator with impractical denominator
	6.3: Adolescent mortality rate	• Population-level indicator with impractical denominator
	6.4: Percentage of adolescents living with HIV who are currently receiving antiretroviral therapy, disaggregated	• National HIV reporting requirements and management protocols for individual cases, • Population-level indicator with impractical denominator
	6.5: Immunization coverage rate	• Population-level indicator with impractical denominator
	6.6: Suicide rate, disaggregated	• Information not actionable, • Population-level indicator with impractical denominator
Sexual and gender-based violence	7.2: Percentage of health facilities with clinical management of rape services	• Service mapping exercise at the health and/or humanitarian sector level
	7.5: Number of rape survivors requesting an abortion	• Potential risk for the client • Insufficient security and privacy measures set in place • Service not provided
	7.7: Availability of intimate partner violence front line support (LIVES)	• Service not routinely provided
HIV	8.1: Antiretroviral therapy coverage among people living with HIV, disaggregated	• National HIV reporting requirements and management protocols for individual cases
	8.2: Percentage of exposed individuals receiving post-exposure prophylaxis	• National HIV reporting requirements and management protocols for individual cases

^aGiven that Jordan does not have a nationally endorsed HIS, the indicators that ask for number of facilities, would either need to be reworded or conducted as a service mapping exercise at the health and humanitarian sector level. Service mapping exercise aims to examine what services and programs, and by whom are offered; the services and programs that other agencies within the same communities are offering. It seems to also examine the links between services and programs provided and utilized by the target population. Service mapping also aims to identify any service and/or programming gaps that may exist in the community that might need to be addressed [47]

Back to article page

ISSN: 1742-4755

Contact us

General enquiries: journalsubmissions@springernature.com