Table 1

Definitions of the study outcome

StageContacts with healthcare providersContents of carePrimary outcome
ANCAt least four contacts6 care items:
  1. HIV test

  2. Haemoglobin test ≥2

  3. Tetanus toxoid vaccination ≥2

  4. Intermittent preventive treatment for malaria ≥3

  5. Blood group and Rhesus factor test

  6. Blood pressure assessment ≥4

  1. Inadequate contacts: ≤3 contacts

  2. Adequate contacts with low-quality care: ≥4 contacts with ≤5 care items

  3. Adequate contacts with high-quality care (ie, quality-adjusted adequate contacts): ≥4 contacts with six care items

PPCSkilled facility-based delivery (SFD)3 care items:
  1. Dried newborn's body

  2. Skin-to-skin contact

  3. Initiation of breastfeeding ≤30 min

  1. Inadequate contact: non-SFD

  2. Adequate contact with low-quality care: SFD with ≤2 care items

  3. Adequate contact with high-quality care (ie, quality-adjusted adequate contact): SFD with three care items

PNC3 contacts with timeliness:
First:≤48 hours
Second: 3–10 days
Third: 36–48 days
14 care items:
Mother:
  1. Temperature measurement

  2. Blood pressure assessment

  3. Bleeding check

  4. Breastfeeding problem check

  5. Haemoglobin assessment

  6. Fundal height assessment

  7. Perineum/Lochia check

  8. Vitamin A supplement


Newborn:
  1. General physical examination

  2. BCG immunisation

  3. Oral polio vaccine

  4. Umbilical cord bleeding check

  5. Temperature measurement

  6. Breastfeeding difficulties check

  1. Inadequate contact: ≤2 contacts or non-timely contacts

  2. Adequate contacts with low-quality care: 3 timely contacts with ≤13 care items

  3. Adequate contacts with high-quality care (ie, quality-adjusted adequate contacts): 3 timely contacts with 14 care items

  • ANC, antenatal care; PNC, postnatal care; PPC, peripartum care.