IR@PKUHSC  > 北京大学公共卫生学院
学科主题公共卫生
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
刊名PLOS ONE
2013-05-07
DOI10.1371/journal.pone.0060762
8期:5
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Multidisciplinary Sciences
研究领域[WOS]Science & Technology - Other Topics
关键词[WOS]OBSTETRIC COMPLICATIONS ; PERINATAL EVENTS ; WOMENS REPORTS ; RECALL ; MISCLASSIFICATION ; PREGNANCY ; AGREEMENT ; ACCURACY
英文摘要

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.

语种英语
WOS记录号WOS:000319654700007
项目编号50140 ; 43386
资助机构Child Health Epidemiology Reference Group (CHERG) for WHO ; UNICEF ; Bill &amp ; Melinda Gates Foundation
引用统计
被引频次:23[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58022
专题北京大学公共卫生学院
北京大学第一临床医学院_输血科
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
推荐引用方式
GB/T 7714
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).
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Liu, Li]的文章
[Li, Mengying]的文章
[Yang, Li]的文章
百度学术
百度学术中相似的文章
[Liu, Li]的文章
[Li, Mengying]的文章
[Yang, Li]的文章
必应学术
必应学术中相似的文章
[Liu, Li]的文章
[Li, Mengying]的文章
[Yang, Li]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。