|Measuring Coverage in MNCH: A Validation Study Linking Population Survey Derived Coverage to Maternal, Newborn, and Child Health Care Records in Rural China|
|Liu, Li1; Li, Mengying1; Yang, Li2; Ju, Lirong3; Tan, Biqin4; Walker, Neff1; Bryce, Jennifer1; Campbell, Harry5; Black, Robert E.1; Guo, Yan6|
|收录类别||SCI ; SSCI|
|WOS标题词||Science & Technology|
|研究领域[WOS]||Science & Technology - Other Topics|
|关键词[WOS]||OBSTETRIC COMPLICATIONS ; PERINATAL EVENTS ; WOMENS REPORTS ; RECALL ; MISCLASSIFICATION ; PREGNANCY ; AGREEMENT ; ACCURACY|
Background: Accurate data on coverage of key maternal, newborn, and child health (MNCH) interventions are crucial for monitoring progress toward the Millennium Development Goals 4 and 5. Coverage estimates are primarily obtained from routine population surveys through self-reporting, the validity of which is not well understood. We aimed to examine the validity of the coverage of selected MNCH interventions in Gongcheng County, China.
Method and Findings: We conducted a validation study by comparing women′s self-reported coverage of MNCH interventions relating to antenatal and postnatal care, mode of delivery, and child vaccinations in a community survey with their paper- and electronic-based health care records, treating the health care records as the reference standard. Of 936 women recruited, 914 (97.6%) completed the survey. Results show that self-reported coverage of these interventions had moderate to high sensitivity (0.57 [95% confidence interval (CI): 0.50-0.63] to 0.99 [95% CI: 0.98-1.00]) and low to high specificity (0 to 0.83 [95% CI: 0.80-0.86]). Despite varying overall validity, with the area under the receiver operating characteristic curve (AUC) ranging between 0.49 [95% CI: 0.39-0.57] and 0.90 [95% CI: 0.88-0.92], bias in the coverage estimates at the population level was small to moderate, with the test to actual positive (TAP) ratio ranging between 0.8 and 1.5 for 24 of the 28 indicators examined. Our ability to accurately estimate validity was affected by several caveats associated with the reference standard. Caution should be exercised when generalizing the results to other settings.
Conclusions: The overall validity of self-reported coverage was moderate across selected MNCH indicators. However, at the population level, self-reported coverage appears to have small to moderate degree of bias. Accuracy of the coverage was particularly high for indicators with high recorded coverage or low recorded coverage but high specificity. The study provides insights into the accuracy of self-reports based on a population survey in low- and middle-income countries. Similar studies applying an improved reference standard are warranted in the future.
|项目编号||50140 ; 43386|
|资助机构||Child Health Epidemiology Reference Group (CHERG) for WHO ; UNICEF ; Bill & ; Melinda Gates Foundation|
|作者单位||1.Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA|
2.Guangxi Med Univ, Sch Publ Hlth, Nanning, Peoples R China
3.Capital Med Univ, Sch Publ Hlth, Beijing, Peoples R China
4.Univ Edinburgh, Sch Med, Edinburgh, Midlothian, Scotland
5.Gongcheng Cty Maternal & Child Hlth Hosp, Beijing, Gongcheng Count, Peoples R China
6.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Beijing 100871, Peoples R China
|Liu, Li,Li, Mengying,Yang, Li,et al. Measuring Coverage in MNCH: A Validation Study Linking Population Survey Derived Coverage to Maternal, Newborn, and Child Health Care Records in Rural China[J]. PLOS ONE,2013,8(5).|
|APA||Liu, Li.,Li, Mengying.,Yang, Li.,Ju, Lirong.,Tan, Biqin.,...&Guo, Yan.(2013).Measuring Coverage in MNCH: A Validation Study Linking Population Survey Derived Coverage to Maternal, Newborn, and Child Health Care Records in Rural China.PLOS ONE,8(5).|
|MLA||Liu, Li,et al."Measuring Coverage in MNCH: A Validation Study Linking Population Survey Derived Coverage to Maternal, Newborn, and Child Health Care Records in Rural China".PLOS ONE 8.5(2013).|