Selecting contextually appropriate performance indicators in a circumpolar context: a modified Delphi approach

Table 3 Selected “Additional” Performance Indicators

Indicator	Ratings ≥ 6 (%)
Indicator	Importance	Relevance	Validity	Reliability
Determinants of health
Maternal education level	93	93	93	79
Domestic violence	93	100	21	7
Smoking during pregnancy	100	100	57	50
Use of illicit drugs during pregnancy	100	93	21	14
Use of alcohol during pregnancy	100	100	29	21
Breastfeeding practices	100	100	64	43
Food insecurity^a	100	100	-	-
Maternal housing (crowded or under-housed)^a	93	93	-	-
Health outcomes
Diabetes in pregnancy	93	93	86	79
Postpartum hemorrhage	93	93	71	50
Postpartum depression	86	93	29	21
Congenital anomalies	86	86	86	79
Small for GA infants	100	100	86	79
Effectiveness
Neonatal readmission to hospital	86	86	93	79
Safety
Births without obstetric intervention	93	86	64	64
Transfers for obstetrical indications^a	92	85	-	-
Unplanned births in the community^a	100	92	-	-
Responsiveness
Characteristics of care providers	92	93	69	69
Cultural competency	92	86	46	38
Patient reported unfair treatment based on ethnicity	92	86	57	29
Patient reported support during labour and birth	100	86	50	50
Presence of breastfeeding support programs	92	86	29	14
Patient reported satisfaction with care	100	100	50	36
Accessibility
Frequency and timing of antenatal care	93	93	79	71
Use of antenatal ultrasound	86	86	93	79
Rate of induced abortions	86	86	86	79
Postpartum visits	100	86	71	64
Maternity care provider in patient’s community^a	100	93	-	-
Maternity care provider who speaks the same language/is from the same culture as the patient^a	92	93	-	-

Indicators for which ≥ 80 % of participants provided a rating of 6 or 7 on the basis of importance and circumpolar relevance
^aDenotes additional indicator suggested by members of the Delphi panel in the first round

ISSN: 1472-6963