DOI: 10.7910/dvn/rg5hhz
title: Validation Data of Indicators Measuring: Density and Distribution of Midwives and Midwives are authorized to deliver basic emergency obstetric and newborn care (BEmONC)

description: This is the dataset to validate three indicators related to the density and distribution of midwives and midwife performance of BEmONC functions. 

1. Health worker density and distribution [of midwifery professionals] 
(per 1,000 population);

Metadata
Numerator: Number of health workers by cadre 
Denominator: Total population 

Disaggregator(s)
Cadre: General and specialist practitioners, nursing and midwifery professionals, traditional and complementary medicine professionals; 

Distribution: Place of employment (urban/rural), Subnational (district) Data Source
Health worker registry 

Indicator Reference
WHO Core Health Indicators

2. Density of midwives, by district (by births)
Numerator: Number of midwives in a district
Denominator: All births/pregnancies in a district
Disaggregator(s): None 

Data Source 
Surveys 

Indicator Reference
WHO Consultation on Improving Measurement of Quality of MNCH in Facilities

3. Midwives are authorized to deliver basic emergency obstetric and newborn care (BEmONC)

Metadata
Midwives are authorized to perform specific tasks
Indicator Definition: A national policy allows midwives to deliver the seven functions of basic emergency obstetric and newborn care. 
• Parenteral antibiotics
• Parenteral oxytocin
• Parenteral anticonvulsants
• Manual removal of the placenta
• Removal of retained products of conception
• Assisted vaginal delivery
• Newborn resuscitation

Disaggregation
Nurse
Midwife
Nurse-Midwife
Medical Assistant 

Data Source
WHO RMNCAH Policy Survey 2018
Indicator Reference
Countdown to 2030

Study Aims:
1. To compare documentary evidence of authorization of midwives and midwifery professionals to perform the seven basic EmONC signal functions with the reported response on the indicator for that country. 

2. To compare authorization to evidence of actual performance of each signal function by midwives and midwifery professionals in the last 90-day period in facilities where emergency maternal and newborn care is available each study setting.

3. To compare the scope of practice of midwifery professionals in each country to international reference standards. To compare estimates from two indicators that aim to measure the same construct (density and distribution of midwives and midwifery professionals), in order to explore whether they are consistent/track reliably with each other (convergent validity), whether there is evidence that one measure gives more accurate estimate or is a more efficient way to capture the construct, and finally whether adjusting these two indicators by linking the data sources and/or adjusting the numerator and/or denominator would give a better estimate of this construct.
description: This dataset contains anonymized primary data collected from midwives in Argentina, Ghana and India, as well as all questionnaires and data dictionaries to support use of these datasets. All secondary data is published in the associated publications and is publicly available.

Variables that have been removed or anonymized include:
 o City, Town, postal code, provider ID
o All Questions in Block A of questionnaire
o Q113: Age
o Q115 Professional Title
o Q118: Years in service