List 32 n p Periconceptual


Contraceptive use   Folic acid fortification/supplementation   Iron fortification Safe abortion services   Post-abortion case management   Ectopic pregnancy case management

 

 

Contraceptive use

 

Definition: Coverage and effectiveness of Family Planning interventions are specified in the FamPlan module.

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Folic acid fortification/supplementation

 

Definition: Percent of women 15-49 that have appropriate food fortification (0.4 mg folic acid per day) around the time of pregnancy.

 

Default data source: Coverage data for this indicator are calculated from the Food Fortification Initiative. Using fortification standard and daily food intake, we estimate the daily potential folic acid contribution from fortification. Any contribution beyond 100% is capped. To estimate the overall folic acid fortification coverage, we also adjust for quality and compliance using percent of food industrially processed and percent of food fortified. For more detail see the paper.

 

Notes: This is not the same indicator as iron/folate supplementation during pregnancy.

 

Effect size reference: Keats EC, Neufeld LM, Garrett GS, Mbuya MNN, Bhutta ZA. Improved micronutrient status and health outcomes in low- and middle-income countries following large-scale fortification: evidence from a systematic review and meta-analysis. Am J Clin Nutr. 2019;109(6):1696-1708. doi:10.1093/ajcn/nqz023. https://pubmed.ncbi.nlm.nih.gov/30997493/
 
Imdad A, Yakoob MY, Bhutta ZA. The effect of folic acid, protein energy and multiple micronutrient supplements in pregnancy on stillbirths. BMC Public Health 2011; 11(Suppl 3): S4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3231910/.
 
Li B, Zhang X, Peng X, Zhang S, Wang X, Zhu C. Folic Acid and Risk of Preterm Birth: A Meta-Analysis. Front Neurosci. 2019 Nov 28;13:1284. doi: 10.3389/fnins.2019.01284. PMID: 31849592; PMCID: PMC6892975. https://pubmed.ncbi.nlm.nih.gov/31849592/
 

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Iron fortification

 

Definition: Percent of women 15-49 that have appropriate food fortification (18 mg iron per day) around the time of pregnancy.  

 

Default data source: Coverage data for this indicator are calculated from the Food Fortification Initiative. Using fortification standard and daily food intake, we estimate the daily potential iron contribution from fortification. Any contribution beyond 100% is capped. To estimate the overall iron fortification coverage, we also adjust for quality and compliance using percent of food industrially processed and percent of food fortified. For more detail see the paper.

 

Notes: This is not the same indicator as iron supplementation during pregnancy.
 
The effect size used by default in LiST is for daily iron supplementation among women of reproductive age. If the user wishes to model fortification of staple foods with iron instead, the recommended effect size is 0.36 (effect of iron fortification on anemia, studies from low- and middle-income countries only, from Das et al. 2013).

 

Effect size reference: Keats EC, Neufeld LM, Garrett GS, Mbuya MNN, Bhutta ZA. Improved micronutrient status and health outcomes in low- and middle-income countries following large-scale fortification: evidence from a systematic review and meta-analysis. Am J Clin Nutr. 2019;109(6):1696-1708. doi:10.1093/ajcn/nqz023. https://pubmed.ncbi.nlm.nih.gov/30997493/

 

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Safe abortion services

 

Definition: Among women who get an abortion, the percent who get a safe abortion (defined as via D&C, vacuum aspiration, or medical abortion).

 

Default data source: Sedgh G, Singh S, Shah IH, et al. Induced abortion: Incidence and trends worldwide from 1995 to 2008. Lancet 2012; 379(9816): 625-32. http://www.ncbi.nlm.nih.gov/pubmed/22264435.

 

Notes: Country-specific estimates are not available. Regional data are being used.

 

Effect size reference: Pollard SL, Mathai M, Walker N. Estimating the impact of interventions on cause-specific maternal mortality: A Delphi approach. BMC Public Health 2013, 13(Suppl 3): S12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847442/.

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Post-abortion case management

 

Definition: Percent of women who have had an abortion who get the appropriate post-abortion case management at a Basic Emergency Obstetric Care (BEmOC) level.

 

Default data source: Coverage data for this indicator are not typically available. Currently set at 0 for baseline; user should enter local data if possible and available.

 

Notes:

 

Effect size reference: Pollard SL, Mathai M, Walker N. Estimating the impact of interventions on cause-specific maternal mortality: A Delphi approach. BMC Public Health 2013, 13(Suppl 3): S12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847442/.

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Ectopic pregnancy case management

 

Definition: Percent of women with an ectopic pregnancy who receive case management at a Basic Emergency Obstetric Care (BEmOC) level.

 

Default data source: Coverage data for this indicator are not typically available. Currently set at 0 for baseline; user should enter local data if possible and available.

 

Notes:

 

Effect size reference: Pollard SL, Mathai M, Walker N. Estimating the impact of interventions on cause-specific maternal mortality: A Delphi approach. BMC Public Health 2013, 13(Suppl 3): S12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847442/.

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