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Table 1 Description of health indicators across the continuum of care

From: Identifying national health research priorities in Timor-Leste through a scoping review of existing health data

Health area

 

Indicators and definition

Mortality

Infant mortality rate

Probability of dying between birth and one year of age, per 1,000 live births

Under-five mortality rate

Probability of dying between birth and five years of age, per 1,000 live births

Maternal mortality rate

Annual number of maternal deaths per 1,000 women aged 15 to 49 years

Maternal mortality ratio

Age-standardized maternal mortality rate divided by age-standardized general fertility rate, per 100,000 live births. It is often considered the more useful measure of maternal mortality as it measures the obstetric risk associated with each live birth.

Causes of morbidity

Incidence of top 10 notifiable diseases

Annual number of cases presenting for treatment to health facilities divided by the projected population for that year, by age group

Family planning

Total fertility rate for women aged 15 to 49 years

Total estimated number of births a woman would have by the end of her childbearing period

Contraceptive use

% of married women 15 to 49 years currently using any method of contraception

Perinatal care

Antenatal care

% of mothers who had at least four antenatal care visits

% of mothers who received antenatal care from skilled health personnel

Skilled birth attendance

% of births delivered by skilled health personnel

Place of delivery

% of births delivered in a health facility

Birth weight

% of births with reported birth weight

Low birth weight

% of births less than 2.5 kg

Immunization

DPT coverage

% children who received 3 doses of DPT (HMIS data is for children < one year of age, whereas for all other sources it is for children 12 to 23 months)

Full immunization

% children 12 to 23 months who are fully immunized (received BCG, measles and 3 doses of DPT and polio vaccines)

Nutrition

Breastfeeding

% of children under six months old who were breastfed six or more times in the 24 hours preceding the interview

% children up to five months old exclusively breastfeeding

Complementary feeding

% children six to nine months old receiving complementary foods

Anthropometric indices*- % children under five years old with:

Moderate stunting - height-for-age z-score below −2 standard deviations (SD)

Severe stunting - height-for-age z-score below −3 SD

Moderate wasting - weight-for-height z-score below −2 SD

Severe wasting - weight-for-height z-score below −3 SD

Moderate undernutrition - weight-for-age z-score below −2 SD

Severe undernutrition - weight-for-age z-score below −3 SD

Anemia

% children under five years old with hemoglobin <110 g/dL

  1. *Anthropometric indices: Stunting reflects the cumulative and chronic effects of malnutrition and infection starting in-utero and has the most serious and long-lasting health impact. Wasting indicates acute weight loss. Although undernutrition is a composite indicator that may reflect stunting or wasting and be difficult to interpret, it may be more accurate as it does not include height in its calculation. The anthropometric indices were based on the former NCHS/CDC/WHO international reference values in the MICS and the 2003 DHS, and on the latest WHO Child Growth Standards in the SLS, 2009–10 DHS and WHO World Health Statistics.