D.9
Percentage of health centres that have implemented updated maternal care protocols.

Definition:

Ratio of (i) numerator: total number of health centres that have implemented updated protocols for maternal care, and (ii) denominator: total number of health-care centres. The indicator is expressed per 100 health centres.

Notes:

The very nature of health care implies the existence of updated maternal care protocols. The incorporation of the intercultural approach in these protocols should be reviewed.

The components of sexual and reproductive health services are likely to vary according to the standards of each country.

More information on the components of the provision of sexual and reproductive health services can be found in the glossary.

This metadata has been compiled from:

      1. Proposed indicators for the follow-up of the goals of the International Conference on Population and Development in Latin America and the Caribbean http://repositorio.cepal.org/bitstream/
        handle/11362/7159/S023185_es.pdf;jsessionid=A8F4DBD7895C48E9A4355F4259D8B904?sequence=1.
      2. National monitoring of achievements in terms of universal access to reproductive health http://apps.who.int/iris/bitstream/10665/44057/1/9789243596839_spa.pdf.

This objective and others related to maternal and child health in the Context of sexual and reproductive health are framed in the global strategy for women’s, children’s and adolescents’ health (2016-2030): http://www.who.int/pmnch/media/events/2015/gs_2016_30.pdf.

Type
Quantitative
Priority Measures

D.40 - Eliminate causes of maternal morbidity and mortality

40
Eliminate preventable cases of maternal morbidity and mortality, including, within the set of integrated benefits of sexual health and reproductive health services, measures for preventing and avoiding unsafe abortion, including sexual health and reproductive health education, access to modern and effective contraceptive methods, counselling and comprehensive care in cases of unwanted and unaccepted pregnancy, as well as comprehensive post-abortion care, where necessary, on the basis of a risk- and harm-reduction strategy.

D.42 - Safe and quality abortion services in legal or decriminalized abortion settings

42
Ensure, in those cases where abortion is legal or decriminalized under the relevant national legislation, the availability of safe, good-quality abortion services for women with unwanted and unaccepted pregnancies, and urge all other States to consider amending their laws, regulations, strategies and public policies relating to the voluntary termination of pregnancy in order to protect the lives and health of women and adolescent girls, improve their quality of life, and reduce the number of abortions.

D.43 - Comprehensive health care in the reproductive process for all women

43
Ensure that all women have effective access to comprehensive health care during the reproductive process and specifically to skilled, institutional, compassionate obstetric care and to the best possible maternal health services during pregnancy, childbirth and the puerperium, as well as to services that include the termination of pregnancy in those cases where the law provides for such services, and guarantee universal access to assisted fertility treatments.

D.45 - Detection of pregnancy disorders

45
Formulate plans for strengthening mechanisms for detecting problems during pregnancy, including at the preconception stage, improve the quality of antenatal care to include an intercultural perspective, guarantee the provision of a safe supply of blood for care during pregnancy, childbirth and the post-partum and puerperium period, and enhance compassionate care during delivery and birth and comprehensive perinatal care, bearing in mind the needs of women, boys, girls and families.

H.85 - Indigenous peoples rights

85
Respect and implement the provisions of the United Nations Declaration on the Rights of Indigenous Peoples, as well as Convention No. 169 of the International Labour Organization on indigenous and tribal peoples —and call on those countries that have not already done so to sign it and ratify it— adapting legal frameworks and formulating the policies necessary for their implementation, with the full participation of these peoples, including indigenous peoples that live in cities.

H.87 - Traditional medicine and indigenous health practices.

87
Guarantee indigenous peoples’ right to health, including sexual rights and reproductive rights, and their right to their own traditional medicines and health practices, especially as regards reducing maternal and child mortality considering their socio-territorial and cultural specificities as well as the structural factors that hinder the exercise of this right.

I.95 - Right to health in Afro-descendant people

95
Ensure that Afro-descendent persons, in particular Afro-descendent girls, adolescents and women, can exercise the right to health, especially the right to sexual health and reproductive health, taking into account the specific socioterritorial and cultural features and the structural factors, such as racism, that hinder the exercise of their rights.
Related indicators
Topic
 D. Sexual and reproductive health