medical conditions

Table 2.1 Definition and measurement of effective coverage for six common medical conditions

Condition Population in need/ prevalence [A] Receives service for condition X (coverage/ crude coverage) [B] Receives correct interventions for condition X (quality 1/ effective coverage 1/qualityadjusted coverage) [C] Successful treatment: maximum health gain achieved (quality 2/ effective coverage 2/outcomeadjusted coverage) [D] Data for coverage and quality

Antenatal care

Childhood diarrhea

Woman age 18-49 and was pregnant during the specified period (past 2 years) Woman received some antenatal care during pregnancy: 1+ visits Alternative coverage indicator used in sensitivity analyses: 4+ ANC visits Had 4+ visits, at least 1 with skilled health worker and received the following recommended interventions: blood pressure taken as well as blood and urine samples DHS and MICS microdata

Caregiver reports under-5 child had diarrhea in the past 2 weeks (but not symptoms of severe dehydration and not dysentery) Child received some treatment for diarrhea (ORS packet, pre-packaged ORS fluid, recommended homemade fluid, increased fluids, continued feeding, zinc, or antibiotics) and/or had a consultation with a formal provider Child given ORS packet DHS and MICS microdata

Childhood malaria

Child under-5 tests positive for malaria

HIV (adult) Adult tests positive for HIV or is on HIV treatment Child received a medicine for malaria and/or saw a formal provider Received some form of HIV treatment

Tuberculosis (adult)

Hypertension (adult)

Adult tests positive for TB Sought care for TB symptoms from clinic or hospital On TB treatment TB Prevalence Surveys online reports

High blood pressure (systolic 140 mmHg or diastolic 90 mmHg) or on some form of treatment for hypertension in the past 2 weeks Has taken some form of hypertension treatment in the past 2 weeks BP is normal when tested (systolic < 140 mmHg and diastolic < 90 mmHg) and adult is currently on treatment WHO STEPS (mix of microdata and online reports and fact sheets); WB Health Survey and DHS microdata

Source: World Bank. Child received any antimalarial

On antiretroviral therapy Viral load suppressed when tested DHS-Malaria Indicator Surveys microdata DHS-HIV Indicator Survey microdata (Mozambique)

Note: ANC = antenatal care; BP = blood pressure; DHS = Demographic and Health Survey; MICS = Multiple Indicator Cluster Surveys; mmHg = millimeters of mercury; ORS = oral rehydration salts; TB = tuberculosis; WB = World Bank; WHO STEPS = World Health Organization STEPwise Approach to NCD Risk Factor Surveillance.