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Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal

The delivery of nutrition‐related interventions and counselling during antenatal care is critical for a healthy pregnancy for both mother and child. However, the accuracy of maternal reports of many of these services during household surveys has not yet been examined. Our objectives were to assess t...

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Autores principales: Bryce, Emily, Katz, Joanne, Heidkamp, Rebecca, Lama, Tsering Pema, Khatry, Subarna K., LeClerq, Steve, Munos, Melinda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932699/
https://www.ncbi.nlm.nih.gov/pubmed/34905808
http://dx.doi.org/10.1111/mcn.13303
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author Bryce, Emily
Katz, Joanne
Heidkamp, Rebecca
Lama, Tsering Pema
Khatry, Subarna K.
LeClerq, Steve
Munos, Melinda
author_facet Bryce, Emily
Katz, Joanne
Heidkamp, Rebecca
Lama, Tsering Pema
Khatry, Subarna K.
LeClerq, Steve
Munos, Melinda
author_sort Bryce, Emily
collection PubMed
description The delivery of nutrition‐related interventions and counselling during antenatal care is critical for a healthy pregnancy for both mother and child. However, the accuracy of maternal reports of many of these services during household surveys has not yet been examined. Our objectives were to assess the validity of the maternal reports of 10 antenatal nutrition interventions, including counselling, and examine associates between maternal characteristics and accuracy. Maternal report of services received collected during a post‐partum survey was compared to the gold standard, the direct observation of all women's antenatal care visits. Individual‐level validity was assessed by calculating indicator sensitivity, specificity and area under the operating curve (AUC). The inflation factor (IF) measured population‐level bias. For five indicators, the high true coverage limited our ability to assess the validity of the maternal reports. There were no indicators that had both high individual‐level validity (AUC > 0.70) and low population bias (0.75 < IF < 1.25). Indicators with greater true coverage estimates had higher sensitivity and lower specificity estimates compared to those indicators with lower true coverage. There were no maternal characteristics associated with the accuracy of the report. Maternal report of antenatal nutrition‐related interventions and counselling during household surveys was found to have variable validity across indicators. Additional research in settings with varying coverage levels should be considered to best inform antenatal care coverage measurement in household surveys.
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spelling pubmed-89326992022-03-24 Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal Bryce, Emily Katz, Joanne Heidkamp, Rebecca Lama, Tsering Pema Khatry, Subarna K. LeClerq, Steve Munos, Melinda Matern Child Nutr Original Articles The delivery of nutrition‐related interventions and counselling during antenatal care is critical for a healthy pregnancy for both mother and child. However, the accuracy of maternal reports of many of these services during household surveys has not yet been examined. Our objectives were to assess the validity of the maternal reports of 10 antenatal nutrition interventions, including counselling, and examine associates between maternal characteristics and accuracy. Maternal report of services received collected during a post‐partum survey was compared to the gold standard, the direct observation of all women's antenatal care visits. Individual‐level validity was assessed by calculating indicator sensitivity, specificity and area under the operating curve (AUC). The inflation factor (IF) measured population‐level bias. For five indicators, the high true coverage limited our ability to assess the validity of the maternal reports. There were no indicators that had both high individual‐level validity (AUC > 0.70) and low population bias (0.75 < IF < 1.25). Indicators with greater true coverage estimates had higher sensitivity and lower specificity estimates compared to those indicators with lower true coverage. There were no maternal characteristics associated with the accuracy of the report. Maternal report of antenatal nutrition‐related interventions and counselling during household surveys was found to have variable validity across indicators. Additional research in settings with varying coverage levels should be considered to best inform antenatal care coverage measurement in household surveys. John Wiley and Sons Inc. 2021-12-14 /pmc/articles/PMC8932699/ /pubmed/34905808 http://dx.doi.org/10.1111/mcn.13303 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Bryce, Emily
Katz, Joanne
Heidkamp, Rebecca
Lama, Tsering Pema
Khatry, Subarna K.
LeClerq, Steve
Munos, Melinda
Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title_full Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title_fullStr Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title_full_unstemmed Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title_short Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal
title_sort validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern nepal
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932699/
https://www.ncbi.nlm.nih.gov/pubmed/34905808
http://dx.doi.org/10.1111/mcn.13303
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