Table 2 Seven Indicators for measuring SMRAC
SMRAC indicators | Definition | Recommendation |
|---|---|---|
Are enough facilities providing SMRAC services? | ||
1. Amount of SMRAC services available | Number of facilities providing basic and comprehensive SMRAC | For every 500,000 population: 5 SMRAC facilities, at least 1 of which offers comprehensive SMRAC |
Are SMRAC services well-distributed? | ||
2. Distribution of SMRAC facilities | Number of facilities providing basic and comprehensive SMRAC in sub national areas | Minimum: 100 % of sub-national areas have adequate level of SMRAC as recommended in indicator 1 |
What proportion of services for women with obstetric complications are services for MR/abortion complications? | ||
3. Proportion of women treated for obstetric complications that are MR/abortion related | Numerator: number of women with MR/abortion complications treated at a facility in a given period; | Over time, a declining percentage of women with abortion/MR complications |
Denominator: number of all women with obstetric complications treated at facility in the same time period | ||
How common are serious abortion/MR complications? | ||
4. Proportion of women treated for MR/abortion complications that are serious | Numerator: number of women with serious MR/abortion complications treated at a facility in a given period; Denominator: number of all women with any MR/abortion complications treated at facility in the same time period | Over time a declining percentage of women with serious MR/abortion complications |
To what extent are MR and safe, legal abortion being provided? | ||
5. Proportion of women who receive MR and safe, legal abortion among all women receiving MR/abortion care | Numerator: number of women receiving MR and safe, legal abortion procedures at a facility in a given time period | Over time, a shift towards a higher proportion of women receiving MR and safe, legal abortion |
Denominator: number of all women receiving MR and abortion-related services in facility in the same time period | Recommended level: Approaching 100 % | |
Are appropriate technologies being used? | ||
6. Proportion of uterine evacuations performed with appropriate technology | Numerator: number of uterine evacuation procedures performed with appropriate technology at facility in a given period. | Over time, a shift toward a higher proportion of procedures performed with appropriate technology as per WHO recommendationsa |
Denominator: number of all uterine evacuation procedures performed at facility within the same time period | Recommended level: 100 % | |
Are women who have received MR or safe, legal abortion or treatment for MR/abortion complications provided contraception before being discharged from a facility? | ||
7. Proportion of women receiving MR, safe, legal abortion, or treatment for MR/abortion complications who obtain contraception before leaving facility | Numerator: number of women receiving MR, safe, legal abortion or treatment for MR/abortion complications who obtain contraception before leaving facility | At least 60 % of all women receiving MR/abortion services accept contraception |
Denominator: number of women receiving MR, safe, legal abortion, or treatment for MR/abortion complications in facility in the same time period. | ||