{"id":"https://openalex.org/W6981038110","doi":null,"title":"Development of an approach for measurement and monitoring of the continuum of care for maternal health in the South African health system","display_name":"Development of an approach for measurement and monitoring of the continuum of care for maternal health in the South African health system","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W6981038110"},"language":"en","primary_location":{"id":"pmh:oai:uwcscholar.uwc.ac.za:10566/19249","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10566/19249","pdf_url":"https://uwcscholar.uwc.ac.za/bitstreams/b56655f7-a482-4bda-b39a-27a9f699f9e9/download","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://uwcscholar.uwc.ac.za/bitstreams/b56655f7-a482-4bda-b39a-27a9f699f9e9/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039673012","display_name":"Mamothena Carol Mothupi","orcid":"https://orcid.org/0000-0002-1139-1639","observed_orcids":["https://orcid.org/0000-0002-1139-1639"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Mothupi, Mamothena Carol","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5039673012"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":true,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/continuum-of-care","display_name":"continuum of care","score":0.9049999713897705},{"id":"https://openalex.org/keywords/maternal-health","display_name":"maternal health","score":0.9909999966621399},{"id":"https://openalex.org/keywords/health-service-monitoring","display_name":"health service monitoring","score":0.4970000088214874},{"id":"https://openalex.org/keywords/composite-index","display_name":"composite index","score":0.8100000023841858},{"id":"https://openalex.org/keywords/health-indicators","display_name":"health indicators","score":0.6499999761581421},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.8450000286102295},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.8149999976158142},{"id":"https://openalex.org/keywords/complex-adaptive-systems","display_name":"complex adaptive systems","score":0.746999979019165},{"id":"https://openalex.org/keywords/south-africa","display_name":"South Africa","score":0.7310000061988831},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.9620000123977661},{"id":"https://openalex.org/keywords/north-west-province","display_name":"North West Province","score":0.7170000076293945},{"id":"https://openalex.org/keywords/health-system-performance-evaluation","display_name":"health system performance evaluation","score":0.6729999780654907},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.3779999911785126}],"concepts":[{"id":"https://openalex.org/C2983493262","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal health","level":4,"score":0.6632999777793884},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4390000104904175},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3889999985694885},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3734000027179718},{"id":"https://openalex.org/C3019007097","wikidata":"https://www.wikidata.org/wiki/Q7834462","display_name":"Continuum of care","level":3,"score":0.3718000054359436},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.36410000920295715},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.35499998927116394},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.32600000500679016},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.28949999809265137},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.275299996137619},{"id":"https://openalex.org/C91375879","wikidata":"https://www.wikidata.org/wiki/Q15473274","display_name":"Environmental planning","level":1,"score":0.27309998869895935},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.2635999917984009},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.2630999982357025}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:uwcscholar.uwc.ac.za:10566/19249","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10566/19249","pdf_url":"https://uwcscholar.uwc.ac.za/bitstreams/b56655f7-a482-4bda-b39a-27a9f699f9e9/download","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},{"id":"pmh:oai:etd.uwc.ac.za:11394/8030","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/11394/8030","pdf_url":null,"source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":null}],"best_oa_location":{"id":"pmh:oai:uwcscholar.uwc.ac.za:10566/19249","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10566/19249","pdf_url":"https://uwcscholar.uwc.ac.za/bitstreams/b56655f7-a482-4bda-b39a-27a9f699f9e9/download","source":{"id":"https://openalex.org/S4306401169","display_name":"University of the Western Cape Electronic Theses and Dissertations Repository (University of the Western Cape)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I869660684","host_organization_name":"University of the Western Cape","host_organization_lineage":["https://openalex.org/I869660684"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G686600162","display_name":null,"funder_award_id":"2018/19","funder_id":"https://openalex.org/F4320320672","funder_display_name":"South African Medical Research Council"},{"id":"https://openalex.org/G8117433718","display_name":null,"funder_award_id":"82769","funder_id":"https://openalex.org/F4320320671","funder_display_name":"National Research Foundation"}],"funders":[{"id":"https://openalex.org/F4320318129","display_name":"Instituut voor Tropische Geneeskunde","ror":"https://ror.org/03xq4x896"},{"id":"https://openalex.org/F4320320671","display_name":"National Research Foundation","ror":"https://ror.org/05s0g1g46"},{"id":"https://openalex.org/F4320320672","display_name":"South African Medical Research Council","ror":"https://ror.org/05q60vz69"},{"id":"https://openalex.org/F4320323071","display_name":"Belgisch Ontwikkelingsagentschap","ror":"https://ror.org/0211vdk93"},{"id":"https://openalex.org/F4320324231","display_name":"Malaysia Toray Science Foundation","ror":"https://ror.org/05983pc92"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W6981038110.pdf","grobid_xml":"https://content.openalex.org/works/W6981038110.grobid-xml"},"referenced_works_count":182,"referenced_works":["https://openalex.org/W54348722","https://openalex.org/W162093207","https://openalex.org/W389657128","https://openalex.org/W641196655","https://openalex.org/W1415077172","https://openalex.org/W1484508239","https://openalex.org/W1605812160","https://openalex.org/W1734483823","https://openalex.org/W1736801223","https://openalex.org/W1836516297","https://openalex.org/W1849627004","https://openalex.org/W1869175042","https://openalex.org/W1871928305","https://openalex.org/W1966510008","https://openalex.org/W1966854813","https://openalex.org/W1977189179","https://openalex.org/W1979067686","https://openalex.org/W1981910462","https://openalex.org/W1982334104","https://openalex.org/W1982848459","https://openalex.org/W1984102999","https://openalex.org/W1985530665","https://openalex.org/W1985781493","https://openalex.org/W1988065397","https://openalex.org/W1996499980","https://openalex.org/W1998900477","https://openalex.org/W1999293411","https://openalex.org/W2001821060","https://openalex.org/W2002459162","https://openalex.org/W2003242021","https://openalex.org/W2003597593","https://openalex.org/W2005987099","https://openalex.org/W2014015929","https://openalex.org/W2016923940","https://openalex.org/W2017544977","https://openalex.org/W2020992095","https://openalex.org/W2024764641","https://openalex.org/W2025625762","https://openalex.org/W2025894068","https://openalex.org/W2029075862","https://openalex.org/W2029148378","https://openalex.org/W2033826627","https://openalex.org/W2034931605","https://openalex.org/W2036954961","https://openalex.org/W2040167149","https://openalex.org/W2046989079","https://openalex.org/W2054103341","https://openalex.org/W2056877910","https://openalex.org/W2061164206","https://openalex.org/W2063282398","https://openalex.org/W2064606506","https://openalex.org/W2070534472","https://openalex.org/W2071433494","https://openalex.org/W2076694972","https://openalex.org/W2077974251","https://openalex.org/W2079367820","https://openalex.org/W2080284806","https://openalex.org/W2085195855","https://openalex.org/W2085465367","https://openalex.org/W2092521485","https://openalex.org/W2094548435","https://openalex.org/W2094933925","https://openalex.org/W2096103248","https://openalex.org/W2098348335","https://openalex.org/W2101288585","https://openalex.org/W2101710978","https://openalex.org/W2106202364","https://openalex.org/W2107819237","https://openalex.org/W2110302356","https://openalex.org/W2110420621","https://openalex.org/W2111388089","https://openalex.org/W2112709421","https://openalex.org/W2113761365","https://openalex.org/W2115402342","https://openalex.org/W2116883661","https://openalex.org/W2120384759","https://openalex.org/W2123126466","https://openalex.org/W2123950509","https://openalex.org/W2125155569","https://openalex.org/W2125168028","https://openalex.org/W2129044618","https://openalex.org/W2132542337","https://openalex.org/W2132755269","https://openalex.org/W2134101766","https://openalex.org/W2134576578","https://openalex.org/W2135504732","https://openalex.org/W2135924160","https://openalex.org/W2142534753","https://openalex.org/W2143926494","https://openalex.org/W2144353967","https://openalex.org/W2144422434","https://openalex.org/W2146917737","https://openalex.org/W2147825190","https://openalex.org/W2148594836","https://openalex.org/W2149098154","https://openalex.org/W2150598419","https://openalex.org/W2154199732","https://openalex.org/W2154817952","https://openalex.org/W2155104559","https://openalex.org/W2157327196","https://openalex.org/W2158136766","https://openalex.org/W2159612600","https://openalex.org/W2162780252","https://openalex.org/W2165256904","https://openalex.org/W2165748306","https://openalex.org/W2166886466","https://openalex.org/W2167839437","https://openalex.org/W2168912817","https://openalex.org/W2174176603","https://openalex.org/W2186968685","https://openalex.org/W2192469637","https://openalex.org/W2216228790","https://openalex.org/W2258057650","https://openalex.org/W2259642310","https://openalex.org/W2280221654","https://openalex.org/W2292645767","https://openalex.org/W2296235202","https://openalex.org/W2330782740","https://openalex.org/W2342268576","https://openalex.org/W2343563984","https://openalex.org/W2345536040","https://openalex.org/W2406355207","https://openalex.org/W2408633053","https://openalex.org/W2463741712","https://openalex.org/W2514770372","https://openalex.org/W2516763805","https://openalex.org/W2525008793","https://openalex.org/W2527090765","https://openalex.org/W2557811426","https://openalex.org/W2563070158","https://openalex.org/W2574014300","https://openalex.org/W2594386399","https://openalex.org/W2599454193","https://openalex.org/W2607507174","https://openalex.org/W2609444679","https://openalex.org/W2612374874","https://openalex.org/W2623155063","https://openalex.org/W2749726689","https://openalex.org/W2750773246","https://openalex.org/W2754868530","https://openalex.org/W2755479991","https://openalex.org/W2760030787","https://openalex.org/W2765817992","https://openalex.org/W2772828331","https://openalex.org/W2773048374","https://openalex.org/W2775349688","https://openalex.org/W2777303630","https://openalex.org/W2780946768","https://openalex.org/W2785331872","https://openalex.org/W2789312679","https://openalex.org/W2798100994","https://openalex.org/W2805477901","https://openalex.org/W2811507058","https://openalex.org/W2840357037","https://openalex.org/W2885912485","https://openalex.org/W2889171813","https://openalex.org/W2890013406","https://openalex.org/W2891125414","https://openalex.org/W2891837986","https://openalex.org/W2896900165","https://openalex.org/W2897205963","https://openalex.org/W2903467778","https://openalex.org/W2913730520","https://openalex.org/W2922224311","https://openalex.org/W2924557636","https://openalex.org/W2939305931","https://openalex.org/W2946070209","https://openalex.org/W2950178552","https://openalex.org/W2950408801","https://openalex.org/W2976333410","https://openalex.org/W2980965860","https://openalex.org/W2987303865","https://openalex.org/W3011726280","https://openalex.org/W3011847192","https://openalex.org/W3012865372","https://openalex.org/W3013289548","https://openalex.org/W3013575955","https://openalex.org/W3027131462","https://openalex.org/W3034118088","https://openalex.org/W3113155779","https://openalex.org/W4237756773","https://openalex.org/W4252338998"],"related_works":["https://openalex.org/W6939891154","https://openalex.org/W587796663","https://openalex.org/W2840357037","https://openalex.org/W2226649490","https://openalex.org/W2232505068","https://openalex.org/W2290193505","https://openalex.org/W6920881543","https://openalex.org/W6958512120","https://openalex.org/W6957931423","https://openalex.org/W2569989791"],"abstract_inverted_index":{"Background:":[0],"The":[1,265],"continuum":[2,85,115,208,238,270,343],"of":[3,23,35,42,86,102,112,116,143,151,157,179,209,236,239,271,279,281,287,301,310,314,321,344],"care":[4,117,210,240,272,288,315],"is":[5,51,72,90,372,404],"a":[6,100,113,144,155,180,225],"public":[7],"health":[8,13,18,25,43,120,213,243,303,329,363],"framework":[9,31,50,231],"for":[10,53,108,118,126,183,211,232,241,268,349,361,383,395],"improving":[11],"maternal":[12,119,212,242,290],"outcomes":[14],"by":[15],"providing":[16],"comprehensive":[17,75,114,207,350],"services,":[19],"at":[20],"different":[21],"levels":[22],"the":[24,29,33,39,49,84,190,199,206,237,269,294,318,342,362,366,384],"system":[26,364],"and":[27,65,79,94,96,110,147,175,177,194,219,228,234,247,261,284,306,316,330,353,358],"across":[28,92,153,160],"lifecycle.The":[30],"emphasizes":[32],"importance":[34],"interventions":[36,340],"to":[37,77,338,354,374,392,406],"address":[38],"social":[40,319],"determinants":[41,320],"as":[44],"well,":[45],"alongside":[46],"healthcare":[47],"services.Although":[48],"useful":[52],"visualizing":[54],"service":[55,81,282,304,356],"organization,":[56],"it":[57],"has":[58,388],"not":[59],"been":[60],"adequately":[61],"integrated":[62,223],"into":[63],"policy":[64],"practice":[66],"in":[67,121,128,164,172,198,244,289,365],"South":[68,122,165,245],"Africa.In":[69],"addition,":[70],"there":[71],"currently":[73],"no":[74],"approach":[76,89,107,252],"monitor":[78,339],"evaluate":[80],"provision":[82,283,357],"along":[83,341],"care.The":[87],"current":[88],"fragmented":[91],"programs":[93],"sectors":[95],"focuses":[97],"on":[98,390],"only":[99],"handful":[101],"indicators.This":[103],"research":[104],"explores":[105],"an":[106,229],"measurement":[109,233,278,359],"monitoring":[111,235],"Africa,":[123],"with":[124,170],"implications":[125],"application":[127],"other":[129],"low-and":[130],"middle-income":[131],"countries":[132],"(LMICs).Methods:":[133],"A":[134],"sequential":[135],"exploratory":[136],"mixed":[137],"methods":[138],"study":[139,323],"was":[140,204,249,253,273],"conducted.It":[141],"consisted":[142],"systematic":[145],"review":[146,156],"critical":[148,262],"interpretive":[149],"synthesis":[150],"evidence":[152],"LMICs;":[154],"potential":[158,326],"indicators":[159,300,327,346],"multiple":[161],"data":[162,188],"sources":[163,333],"Africa;":[166],"key":[167],"informant":[168],"interviews":[169],"experts":[171],"relevant":[173],"sectors;":[174],"development":[176],"testing":[178],"composite":[181,202],"index":[182,203],"tracking":[184],"performance,":[185],"using":[186,255],"indicator":[187],"from":[189,257,328],"North":[191,367],"West":[192,368],"province":[193],"its":[195],"four":[196],"districts":[197],"period":[200],"2013-2017.The":[201],"termed":[205],"index,":[214,297],"or":[215],"C3MH":[216,296],"index.The":[217],"qualitative":[218],"quantitative":[220],"findings":[221],"were":[222,347],"through":[224],"triangulation":[226],"protocol":[227],"analytical":[230],"Africa":[246],"LMICs":[248],"proposed.The":[250],"proposed":[251],"explained":[254],"concepts":[256],"complex":[258],"adaptive":[259],"systems":[260],"realist":[263],"theory.Results:":[264],"adequacy":[266],"model":[267],"proposed,":[274],"which":[275,298],"guided":[276],"holistic":[277],"aspects":[280],"multidimensional":[285],"quality":[286,309],"health.Adequacy":[291],"also":[292],"informed":[293],"four-dimensional":[295],"encompasses":[299],"i)":[302],"access":[305],"utilization,":[307],"ii)":[308],"care,":[311],"iii)":[312],"linkages":[313],"iv)":[317],"health.The":[322],"identified":[324],"39":[325],"non-health":[331],"sector":[332],"that":[334],"can":[335],"be":[336],"used":[337,348],"care.These":[345],"performance":[351],"assessment":[352],"make":[355],"recommendations":[360],"http://etd.uwc.ac.za/Dedication":[369],"This":[370],"work":[371,403],"dedicated":[373,405],"my":[375,396],"late":[376],"father,":[377],"Tona":[378],"David":[379],"Mothupi":[380],"(1955":[381],"-2001),":[382],"ever-lasting":[385],"impression":[386],"he":[387],"made":[389],"me":[391],"always":[393],"reach":[394],"fullest":[397],"potential.We":[398],"did":[399],"it,":[400],"Papa.Equally,":[401],"this":[402]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2025-10-10T00:00:00"}