Recommendations for Using Health Service Coverage Cascades to Measure Effective Coverage for Maternal, Newborn, Child, and Adolescent Health Services or Interventions
<h3>Key Messages</h3> Measuring the contact coverage of maternal, newborn, child, and adolescent health (MNCAH) services overestimates the benefits of these services because the quality of care provided during a contact is not measured. Effective coverage measures the proportion of the population that received a service with sufficient quality to have a positive health outcome from the service. MNCAH services and interventions involve a series of complex interactions between patients and the health system that are best measured using health service coverage cascades that follow an individual through their care journey to identify where efficiency is lost. Current data limitations and gaps make measuring effective coverage using health service cascades challenging. Further investment in data collections and measurement methods is required so that the method can be used at both the facility and population levels. We argue that using these cascades for global monitoring for MNCAH is premature and make recommendations for how to scale up use of health service coverage cascades for global monitoring.
Authors
- Theresa Diaz (ORCID: https://orcid.org/0000-0001-5063-8078)
- George Ν. Konstantinou (ORCID: https://orcid.org/0000-0003-1371-6764)
- Minjoon Kim (ORCID: https://orcid.org/0000-0003-1511-5604)
- Debra Jackson
- Tanya Marchant (ORCID: https://orcid.org/0000-0002-4228-4334)
- Marzia Lazzerini (ORCID: https://orcid.org/0000-0001-8608-2198)
- Hannah H. Leslie (ORCID: https://orcid.org/0000-0002-7464-3645)
- Kathleen Strong (ORCID: https://orcid.org/0000-0002-8092-1955)
- Melinda Kay Munos (ORCID: https://orcid.org/0000-0002-1349-8026)
- Moïse Muzigaba (ORCID: https://orcid.org/0000-0003-4323-9217)
- Shogo Kubota (ORCID: https://orcid.org/0000-0003-1770-4381)
- Alicia Quach (ORCID: https://orcid.org/0000-0003-3250-3086)
- Ambrose Agweyu (ORCID: https://orcid.org/0000-0001-8760-1279)
- Ashley Sheffel (ORCID: https://orcid.org/0000-0001-6561-7085)
- Nuhu Yaqub (ORCID: https://orcid.org/0000-0002-0218-6123)
Institutions
- United Nations Children's Fund (US)
- World Health Organization - Pakistan (PK)
- Johns Hopkins University (US)
- The University of Melbourne (AU)
- Global Environment Facility (US)
- University of California, San Francisco (US)
- IRCCS Materno Infantile Burlo Garofolo (IT)
- University of California System (US)
- Kenya Medical Research Institute (KE)
- London School of Hygiene & Tropical Medicine (GB)
- World Health Organization (CH)
- World Health Organization Regional Office for the Western Pacific (PH)
- World Bank Group (US)
- University of the Western Cape (ZA)
- Wellcome Trust (GB)
Publication Details
- Journal
- Global Health Science and Practice
- Published
- 2024-11-05
- DOI
- https://doi.org/10.9745/ghsp-d-24-00158
- Citations
- 7
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 7.90
Funders
- United States Agency for International Development
- World Health Organization