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Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health PoliciesContents

Abbreviations 274

1. Background 274

2. Source mapping and selection 275

3. Selection of indicators 276

4. Data extraction methods 276

5. Database creation 277

Annex 1: Data sources 279

Annex 2: Indicator data dictionary 287

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report274274

Abbreviations MCA Department of Maternal, Newborn, Child

and Adolescent Health and Ageing

EWEC Every Woman Every Child

PRG Policy Reference Group

RMNCAH Reproductive, Maternal, Newborn, Child and Adolescent Health

SRH Department of Sexual and Reproductive Health and Research

WHA World Health Assembly

WHO World Health Organization

1. Background

The new Global Strategy on Women’s, Children’s and Adolescents’ Health 2016–2030 (Global Strategy 2.0) emphasizes the need to improve the health of all women, children and adolescents through transformative multisectoral actions which accelerate coverage of interventions, mitigate gender and equity gaps, improve quality of services and allow all women and children to survive and thrive. Such an approach brings to the centre of the discussion the need for countries to endorse and implement policies that allow for these transformations to happen. New and ambitious goals and targets set in the Global Strategy 2.0 will require the presence and utilization of strong, evidence-informed and equity-focused policies. Policies should go beyond mere evidence-based intervention policies, span across the continuum of care for reproductive, maternal, newborn, child and adolescent health (RMNCAH) into a life course approach and reach beyond traditional health system boundaries.

Since 2009 the Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA) has administered a Global Policy Survey of World Health Organization (WHO) Member States to track country progress in adopting WHO recommendations in national health policies related to RMNCAH. There have been four rounds to date: 2009–2010, 2011–2012, 2013–2014 and 2016. In addition, the Department of Sexual and Reproductive Health and Research (SRH), as part of monitoring progress on the Global Reproductive Health Strategy approved by the World Health Assembly (WHA) through resolution 57.12, has been tracking policies on sexual and reproductive health and has done so biennially since 2009. The biennial reports are included in the corresponding year during WHA meetings. We now propose to combine efforts and establish a global platform to track the adoption and implementation

of essential RMNCAH policies in all countries, with special attention to 81 low- and middle-income countries that account for the highest burden of maternal, newborn and child mortality. We seek to stimulate greater global and national policy dialogue and link this dialogue with the development of country-specific investment plans and accountability for accelerated progress towards the Global Strategy 2.0 goals and targets. By undertaking these activities, we aim to provide a useful source of information for governments, partners and the community-at-large in the challenging path of implementing the new Global Strategy 2.0.

To optimize the approach, the MCA and RHR Departments have established a Global RMNCAH Policy Reference Group (PRG), to advise WHO on the content of the policy tracking and the utilization of related outputs. The first meeting was held in February 2017. This group advised on some potential priority indicators but asked that we provide them with more direction on priorities and what policies are needed prior to recommending a final list of policies to be monitored. They also emphasized the need to streamline the current global policy survey by examining if there are other potential data sources to extract key policies on an ongoing basis, decreasing the need to have a large survey of countries to collect policy information.

To respond to this request, a list of potential policies in RMNCAH has been developed based on the Every Woman Every Child (EWEC) Global Strategy, key global initiatives, and WHO priorities in the area of RMNCAH. In addition, the PRG undertook a mapping of policy tracking for the Global Strategy for Women’s, Children’s and Adolescents’ Health 2030 (GS 2030) in February 2017 which resulted in the identification of 30 RMNCAH policy data sources. Starting with this list and adding additional sources

275Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 275

identified by the MCA Department team, a critical review of potential data sources was undertaken to identify indicators from each source, select sources and indicators for inclusion in a database, and extract and compile data into a single database. This report details the process by which sources and indicators were selected, as well as the methods used to extract data from disparate sources. In addition, it provides key metadata about the indicators in the final database.

2. Source mapping and selectionBased on preliminary analysis conducted by the Global RMNCAH PRG, and individual research, 42 data sources were identified for possible inclusion in the database. Each source was reviewed and assessed to determine:

� If the source provides country-level data

� Type of data (numeric or non-numeric)

� Format of source (e.g. spreadsheet, interactive map, non-database format, etc.)

� If data were collected or compiled (i.e. original data collection undertaken or data compiled from existing sources)

� Method of data collection/compilation

� Frequency of source update

� Year of last update

� Number of countries for which data are available

� Method for assessing data quality

� GS 2030 Action Area(s)

� GS 2030 Objective Area(s)

� Additional notes/relevant observations

� Indicators collected.

The following summary describes the key characteristics of the 42 sources assessed for inclusion in the database:

� Of the 42 sources, 5 did not provide country-level data. These sources generally were indicator guides, proposed frameworks/global strategies or provided information on regional trends.

� Of the 37 sources that provided country-level data, the maximum number of countries listed in a single source was 215. The minimum number of countries listed in a single source was 24.

� Of the 37 sources that provided country-level data, quality of data was validated in a variety of ways; 22 sources did not state how quality of data was verified.

� Of the 37 sources that provided country-level data, 7 of them were document repositories. Document repositories were defined as sources that provided information on a general topic but did not provide information according to a standard list of indicators. This was commonly found for sources that addressed case law, legal matters, compacts and country-level policies by providing a PDF or web link to the original source document.

� Of the 30 sources that provided country-level data and were not document repositories, 19 of them presented data in a spreadsheet format (csv/xlsx). The remaining 11 sources provided data in a variety of formats that included interactive maps, PDFs, weblinks and tables.

Once this information was compiled and organized into a spreadsheet in Excel, it was submitted to the MCA/EME Coordinator at WHO for review. Based on the information on each source, the MCA/EME Coordinator selected sources for inclusion in the database. Based on further review of the sources to cross-reference duplicated indicators across sources, remove sources that presented data in a way that could not be standardized across countries, and include several additional sources to capture specific indicators of interest, a total of 17 sources were selected for final inclusion in the database.

A list of final sources with details can be found in Annex 1: Data sources. Furthermore, the Excel file RMNCAH Source Tracking 10.6.17 details all sources reviewed and final sources selected.

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report276276

3. Selection of indicators

The final list of indicators available from the selected sources was reviewed by the MCA/EME Coordinator at WHO for indicator selection. At time of selection, if an indicator of interest required hand abstraction, it was included in the final list and alternative means for obtaining the raw data were pursued (see section 4: Data extraction methods for further details).

In total, 348 indicators were selected for abstraction from 16 sources. However, the source total remains at 17 (refer to Annex 1: Data sources), as the MCA/EME Coordinator decided that no indicators should be abstracted from source #10, but it should remain on the list if any indicators needed value verification at a later date.

To provide detailed information on indicator definitions and response options, a data dictionary was created which can be found in Annex 2: Indicator data dictionary. Furthermore, the Word file RMNCAH Data Dictionary 10.6.17 can be referenced to obtain these data. In addition, the Excel file RMNCAH Source Tracking 10.6.17 details all indicators reviewed and final indicators selected.

4. Data extraction methodsTo abstract selected indicators, spreadsheets (csv/xlxs) were downloaded from the identified website for each source (refer to Annex 1: Data sources). For sources where spreadsheets were not available (i.e. indicators that would require hand abstraction due to presentation via PDFs, interactive maps, etc.), MCA/EME staff reached out to the respective department at WHO or the United Nations organization responsible for the data to obtain raw data files.

Once the respective spreadsheets were downloaded, data were sorted alphabetically by country name, and country names were matched with ISO3 codes using the VLOOKUP function in Excel. The ISO3 code was used to organize data from all sources. ISO3 codes were obtained from the International Organization for Standardization’s online browsing platform at: https://www.iso.org/obp/ui/#search

Three data sources needed no further transformation before they could be used to

populate the final database. Data sources that did not require further transformation include:

� Global Analysis and Assessment of Sanitation and Drinking-Water (Source: 3)

� World Policy Analysis Center (Source: 24)

� UNICEF: Monitoring the Situation of Children and Women (Source: 41).

Five sources were publically available in a format that required hand abstraction. The MCA Department team was able to reach out to partners to request data as an Excel file. From the Excel files provided, no further transformation was required for the following data sources:

� MCA Policy Indicators Survey (Source: 16)

� Global status report on violence prevention (Source: 13)

� International Labour Organization: Working Conditions (Source: 38)

� World Health Organization, UNICEF, IBFAN – Marketing of Breast-Milk Substitutes: National Implementation of the International Code Status Report 2016 (Source: 39)

� Food Fortification Initiative (Source: 40).

Eight data sources required additional transformation before they could be used to populate the final database. Data sources that required additional transformation included:

� Global Health Expenditure Database (Source: 9)

� National Health Workforce Account (Source: 18)

� OHCHR Status of Ratification Interactive Dashboard (Source: 19)

� WHO vaccine-preventable diseases: monitoring system (Source: 34)

� Worldwide Governance Indicators (Source: 35)

� OECD Child Family Database and Child Well-Being (Source: 36)

277Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 277

� World Bank: Social Expenditure Indicators (Source: 37)

� World Bank Country and Lending Groups (Source: 42).

The details on data transformation for each source are below.

Global Health Expenditure Database (Source: 9)Data from this source needed to be transformed from long (multiple rows per country) to wide (one row per country with a column for each indicator). To do so, a pivot table was created with the country as the rows and the indicators as the columns. In addition, the original database used the following notation: empty values are “:”, values equal to 0 are “–“, and values less than 0.5 are “<”. The empty values were converted to blanks, 0 values converted to 0, and values less than 0.5 were converted to 0.5.

National Health Workforce Account (Source: 18)Data for this source needed to be organized to represent values for the most current year data were reported. To do so, data were sorted alphabetically in ascending order and by year in descending order. Duplicate country entries were then removed, isolating values for the most current year.

OHCHR Status of Ratification Interactive Dashboard (Source: 19)Data for this source are available in an interactive, colour-coded map. In addition, there is an option to list countries by colour on the left side of the webpage. Country names were selected by colour, copied and pasted into an Excel workbook where the labels based on the map were recorded. This was a manual process, as there was no downloadable file available from the source.

WHO vaccine-preventable diseases: monitoring system (Source: 34)For the immunization schedule data, a separate tab was created for each vaccine, and the data were copied into each tab from the full schedule based on filtering the full schedule by vaccine description. Any vaccine that contained the corresponding antigen was included on the vaccine-specific tab. Next, a separate tab was created, and a column given for each vaccine indicator. Finally, the VLOOKUP

function in Excel was used to populated the indicators with Yes/No for presence of each vaccine in the immunization schedule.

Worldwide Governance Indicators (Source: 35)Data from this source needed to be transformed from long (multiple rows per country) to wide (one row per country with a column for each indicator). To do so, a pivot table was created with the country as the rows and the indicators as the columns.

OECD Child Family Database and Child Well-Being (Source: 36)Data for this source needed to be organized to represent values for the most current year data were reported. To do so, data were sorted alphabetically in ascending order and by year in descending order. Duplicate country entries were then removed, isolating values for the most current year.

World Bank: Social Expenditure Indicators (Source: 37)Data for this source needed to be organized to represent values for the most current year data were reported. To do so, data were sorted alphabetically in ascending order and by year in descending order. Duplicate country entries were then removed, isolating values for the most current year.

World Bank Country Income Group (Source: 42)Data for this source did not include the Cook Islands and Niue. To obtain their country income group classification, the following source was used: http://who.int/phe/health_topics/outdoorair/databases/country_grouping_2016.pdf?ua=1

5. Database creationA database repository was created in Excel which contained country names, ISO3 codes, and a column for each indicator with an assigned variable name. Variable names were created for each indicator, except for indicators abstracted from the World Policy Analysis Center (Source: 24). For this source, variable names for indicators were kept the same as the original source to ensure ease of transfer into the database.

Once variable names were established, indicators were then transferred from the original source to

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report278278

the database using the VLOOKUP function in Excel. Values that were blank in the original source file were transferred into the Excel data repository as 0 and then replaced with a blank. Countries not listed in the original source document were transferred into the Excel data repository as #N/A and then replaced with a blank. Prior to the data transfer, all indicators and corresponding values (categorical variables) were checked for inconsistencies in spelling of response options. For quality control, countries and indicators were randomly checked to ensure appropriate alignment between source, country and indicator value during the data transfer process.

After the data transfer, a data dictionary (Annex 2: Indicator data dictionary) was created to compile:

� Variable Name

� Variable Description

� Variable Values

� Source Name/Number.

For all sources that provided categorical variables, variable values were assigned to each indicator.

The exception was the World Policy Analysis Center (Source: 24), where variable values were kept the same as the original source to maintain integrity of data during the transfer. All numerical values were transferred as is.

Once all data were populated, the Excel database was copied and pasted as values, all #N/A values were converted to blanks, and the Excel database was imported into STATA statistical software. In STATA, all variables were labelled, and all value sets were given numeric labels. Finally, each variable was checked for consistency and correctness of value set labels (numeric and text). The STATA do file RMNCAH_Database_Labels.do can be referenced to obtain the code used for this process.

The final database is available in a number of formats:

� STATA file (RMNCAH-Database.dta)

� Excel file with numeric responses (RMNCAH-database-numeric.xlsx)

� Excel file with text responses (RMNCAH-database-lables.xlsx).

279Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 279

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ions

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aria

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ified

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ases

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oss

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in a

sys

tem

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fash

ion

acco

rdin

g to

a

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d re

view

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vaila

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sour

ces.

34W

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eet

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x)Co

mpi

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Surv

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HO/U

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ourc

e,

thos

e da

ta w

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timat

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ount

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ach

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as

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lly, a

nd d

ata

wer

e no

t “b

orro

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” fro

m o

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ntrie

s. T

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was

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mpt

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.

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report282282

Source numberSo

urce

na

me

Sour

ce

loca

tion

Source provides country-level data on RMNCAH indicators

Type of data (numeric or non-numeric)

Sour

ce

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re d

ata

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ces

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iden

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mos

t lik

ely

estim

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ssib

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s in

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data

.

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ocal

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rpor

ated

: Loc

al

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ere

cons

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nd d

ata

have

bee

n pu

t in

the

cont

ext o

f loc

al e

vent

s, b

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thos

e oc

curri

ng in

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imm

uniza

tion

syst

em a

nd

mor

e w

idel

y oc

curri

ng e

vent

s.

(5) N

o av

erag

ing:

In th

e ev

ent t

hat m

ultip

le

data

poi

nts

are

avai

labl

e fo

r a g

iven

coun

try

and

antig

en, a

vera

ges

wer

e no

t tak

en

auto

mat

ical

ly. R

athe

r, po

tent

ial b

iase

s in

ea

ch o

f the

sou

rces

wer

e co

nsid

ered

and

a

cons

iste

nt p

atte

rn o

ver t

ime

was

atte

mpt

ed.

(6) N

o sm

ooth

ing:

Whi

le th

ere

are

frequ

ently

ge

nera

l tre

nds,

dat

a po

ints

wer

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(8) P

AB c

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est

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urin

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mat

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odel

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(9) D

raft

estim

ates

are

revie

wed

by

natio

nal

auth

oriti

es, a

nd re

visio

ns a

re m

ade

base

d on

th

ese

com

men

ts.

283Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 283

Source numberSo

urce

na

me

Sour

ce

loca

tion

Source provides country-level data on RMNCAH indicators

Type of data (numeric or non-numeric)

Sour

ce

form

at

Data collected or compiled

Met

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35W

orld

wid

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vern

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In

dica

tors

(WGI

)

http

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taba

nk.

wor

ldba

nk.o

rg/

data

/repo

rts.a

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so

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orld

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cato

rs

Yes

Num

eric

Spre

adsh

eet

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Inte

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map

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Met

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ert

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Annu

ally

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dat

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man

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nsis

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ta a

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ell,

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nsur

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axim

um o

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com

para

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.

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report284284

Source number

Sour

ce

nam

eSo

urce

lo

catio

n

Source provides country-level data on RMNCAH indicators

Type of data (numeric or non-numeric)

Sour

ce

form

at

Data collected or compiled

Met

hod

of d

ata

colle

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36OE

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hild

Fa

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Da

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.org

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Orga

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Com

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285Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 285

Source numberSo

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na

me

Sour

ce

loca

tion

Source provides country-level data on RMNCAH indicators

Type of data (numeric or non-numeric)

Sour

ce

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39W

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Hea

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UN

ICEF

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AN

– M

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Subs

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Natio

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Impl

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Inte

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de S

tatu

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port

2016

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/in

fant

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code

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port2

016/

en/;

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from

M

CA/E

ME

WHO

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ff (in

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(csv

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file

Com

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/UN

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All

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to th

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co

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8No

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Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report286286

Source number

Sour

ce

nam

eSo

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lo

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Source provides country-level data on RMNCAH indicators

Type of data (numeric or non-numeric)

Sour

ce

form

at

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/

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1719

2

287Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 287

Anne

x 2:

Indi

cato

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a di

ctio

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o1:

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Glob

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nalys

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sses

smen

t of S

anita

tion

and

Drin

king

-Wat

er (G

LAAS

)So

urce

: 3di

sab_

pop

Polic

ies

and

plan

s ha

ve s

peci

fic m

easu

res

to re

ach

vuln

erab

le p

opul

atio

n gr

oups

: Peo

ple

with

di

sabi

litie

s (n

atio

nal)

0: N

o1:

Yes

Glob

al A

nalys

is a

nd A

sses

smen

t of S

anita

tion

and

Drin

king

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LAAS

)So

urce

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licie

s an

d pl

ans

have

spe

cific

mea

sure

s to

reac

h vu

lner

able

gro

ups:

Wom

en (n

atio

nal)

0: N

o1:

Yes

Glob

al A

nalys

is a

nd A

sses

smen

t of S

anita

tion

and

Drin

king

-Wat

er (G

LAAS

)So

urce

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form

_pop

Polic

ies

and

plan

s ha

ve s

peci

fic m

easu

res

to re

ach

vuln

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le g

roup

s: P

opul

atio

ns li

ving

in s

lum

s or

info

rmal

set

tlem

ents

(nat

iona

l)0:

No

1: Y

esGl

obal

Ana

lysis

and

Ass

essm

ent o

f San

itatio

n an

d Dr

inki

ng-W

ater

(GLA

AS)

Sour

ce: 3

dise

ase_

pop

Polic

ies

and

plan

s ha

ve s

peci

fic m

easu

res

to re

ach

vuln

erab

le p

opul

atio

ns: P

opul

atio

n w

ith h

igh

burd

en o

f dis

ease

(nat

iona

l)0:

No

1: Y

esGl

obal

Ana

lysis

and

Ass

essm

ent o

f San

itatio

n an

d Dr

inki

ng-W

ater

(GLA

AS)

Sour

ce: 3

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report288288

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: 9

289Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 289

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

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e/Nu

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: 9

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report290290

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

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291Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 291

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Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report292292

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293Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 293

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nce

– Li

fe s

kills

and

soc

ial d

evel

opm

ent t

rain

ing

0: N

one

1: L

imite

d2:

Lar

ger s

cale

3: D

on’t

know

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

yout

h_vio

l3Pr

ogra

mm

es to

pre

vent

you

th v

iole

nce

– M

ento

ring

0: N

one

1: L

imite

d2:

Lar

ger s

cale

3: D

on’t

know

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

yout

h_vio

l4Pr

ogra

mm

es to

pre

vent

you

th v

iole

nce

– Af

ter-

scho

ol s

uper

visio

n0:

Non

e1:

Lim

ited

2: L

arge

r sca

le3:

Don

’t kn

ow

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

yout

h_vio

l5Pr

ogra

mm

es to

pre

vent

you

th v

iole

nce

– Sc

hool

ant

i-bul

lying

0: N

one

1: L

imite

d2:

Lar

ger s

cale

3: D

on’t

know

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

law

_ipv

1La

ws

agai

nst i

ntim

ate

partn

er v

iole

nce

– La

w re

gard

ing

min

imum

lega

l age

at m

arria

ge e

xists

0: N

o1:

Yes

2: S

ubna

tiona

l

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

law

_ipv

2La

ws

agai

nst i

ntim

ate

partn

er v

iole

nce

– Ac

cord

ing

to th

e la

w, th

e m

inim

um le

gal a

ge o

f mar

riage

for f

emal

esAg

e in

yea

rsGl

obal

sta

tus

repo

rt on

vio

lenc

e pr

even

tion

Sour

ce: 1

3

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report294294

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

law

_ipv

3La

ws

agai

nst i

ntim

ate

partn

er v

iole

nce

– Ac

cord

ing

to th

e la

w, th

e m

inim

um le

gal a

ge o

f mar

riage

for m

ales

Age

in y

ears

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

cps

Impl

emen

tatio

n of

chi

ld p

rote

ctio

n se

rvic

es0:

Non

e1:

Lim

ited

2: L

arge

r sca

le

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

wea

p1La

ws

agai

nst w

eapo

ns o

n sc

hool

pre

mis

es –

Ex

iste

nce

0: N

o1:

Yes

2: S

ubna

tiona

l

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

wea

p2La

ws

agai

nst w

eapo

ns o

n sc

hool

pre

mis

es –

En

forc

emen

t2:

Lim

ited

3: P

artia

l4:

Ful

l

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

pbs_

chilm

alCo

nduc

t nat

iona

l pop

ulat

ion-

base

d su

rvey

–

Child

mal

treat

men

t0:

No

1: Y

es2:

Sub

natio

nal

3: D

on’t

know

Glob

al s

tatu

s re

port

on v

iole

nce

prev

entio

nSo

urce

: 13

mca

_1Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

a m

inim

um o

f 4 A

NC v

isits

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_2Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

an A

NC v

isit

in fi

rst t

rimes

ter

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_3Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

right

to a

cces

s sk

illed

care

at c

hild

birth

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_4Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

pres

ence

of b

irth

com

pani

on d

urin

g la

bour

and

ch

ildbi

rth0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_5Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

use

of p

arto

grap

h fo

r mon

itorin

g ac

tive

labo

ur0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

295Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 295

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_6Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

use

of o

xyto

cin

for m

anag

emen

t of t

hird

sta

ge o

f la

bour

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_7Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

use

of m

agne

sium

sul

fate

for t

he p

reve

ntio

n an

d tre

atm

ent o

f ecl

amps

ia0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_8Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

use

of a

nten

atal

cor

ticos

tero

ids

for p

rete

rm la

bour

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_9Na

tiona

l pol

icie

s/st

rate

gies

that

reco

mm

end

the

use

of e

rgom

etrin

e fo

r man

agem

ent o

f thi

rd s

tage

of

labo

ur0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_10

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d th

e us

e of

mis

opro

stol

for m

anag

emen

t of t

hird

sta

ge

of la

bour

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_11

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d th

e di

scha

rge

of m

othe

r and

bab

y on

ly af

ter 2

4 ho

urs

follo

win

g ch

ildbi

rth0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_12

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d po

stna

tal c

onta

ct b

y tra

ined

pro

vider

(in

<24

hou

rs

afte

r birt

h)0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_13

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d at

leas

t one

hom

e vis

it in

pos

tnat

al c

onta

ct0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_14

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d en

gagi

ng c

omm

unity

hea

lth w

orke

r for

pos

tnat

al

cont

act

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_15

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d sp

ecia

l car

e fo

r low

-birt

h-w

eigh

t new

born

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report296296

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_16

Natio

nal p

olic

ies/

stra

tegi

es th

at re

com

men

d Ka

ngar

oo M

othe

r Car

e fo

r low

-birt

h-w

eigh

t new

born

s0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_17

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Oxyt

ocin

for p

ostp

artu

m h

aem

orrh

age

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_18

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Mag

nesi

um s

ulfa

te fo

r ecl

amps

ia

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_19

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Pare

nter

al a

ntib

iotic

s

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_20

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Man

ually

rem

ove

plac

enta

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_21

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Rem

ove

reta

ined

pro

duct

s of

con

cept

ion

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_22

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Perfo

rm a

ssis

ted

vagi

nal d

elive

ry

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_23

Natio

nal p

olic

ies

allo

win

g m

idw

ife a

nd n

urse

-mid

wife

to a

dmin

iste

r sel

ecte

d lif

e-sa

ving

inte

rven

tions

–

Perfo

rm n

ewbo

rn re

susc

itatio

n

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_24

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es k

ey m

edic

ines

1: Y

es2:

No

data

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

297Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 297

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_25

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es m

agne

sium

sul

fate

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_26

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es o

xyto

cin

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6m

ca_2

7Na

tiona

l Ess

entia

l Med

icin

es L

ist f

or d

elive

ry a

nd n

ewbo

rn c

are

incl

udes

mis

opro

stol

tabl

ets

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_28

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es a

mpi

cillin

or a

mox

icilli

n in

ject

ions

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_29

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es g

enta

myc

in in

ject

ion

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_30

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es m

etro

nida

zole

inje

ctio

n0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_31

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es d

exam

etha

sone

inje

ctio

n0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_32

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es p

roca

ine

peni

cillin

in

ject

ion

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_33

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es a

nten

atal

cor

ticos

tero

ids

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_34

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

del

ivery

and

new

born

car

e in

clud

es c

hlor

hexid

ine

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report298298

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_35

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es k

ey

equi

pmen

t1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_36

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es m

anua

l va

cuum

asp

irato

r0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_37

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es

vent

ouse

/forc

eps

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_38

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es p

arto

grap

h0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_39

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es

self-

infla

ting

bag

(new

born

size

) with

pae

diat

ric m

asks

of d

iffer

ent s

izes

and

valve

s0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_40

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es s

uctio

n pu

mp,

cat

hete

r and

suc

tion

bulb

1: Y

es2:

No

data

3: U

nkno

wn/

no a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_41

Natio

nal s

tand

ard

equi

pmen

t and

sup

plie

s lis

t for

mat

erna

l and

new

born

car

e in

clud

es o

xyge

n su

pply

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_42

Polic

y on

not

ifica

tion/

revie

w o

f mat

erna

l and

new

born

dea

ths

– No

tific

atio

n of

all

mat

erna

l dea

ths

with

in 2

4 ho

urs

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_43

Polic

y on

not

ifica

tion/

revie

w o

f mat

erna

l and

new

born

dea

ths:

Zer

o re

porti

ng o

n m

ater

nal d

eath

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

299Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 299

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_44

Polic

y on

not

ifica

tion/

revie

w o

f mat

erna

l and

new

born

dea

ths

– Re

view

of a

ll m

ater

nal d

eath

s0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_45

Polic

y on

not

ifica

tion/

revie

w o

f mat

erna

l and

new

born

dea

ths

– Re

view

of a

ll st

ill bi

rths

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_46

Polic

y on

not

ifica

tion/

revie

w o

f mat

erna

l and

new

born

dea

ths

– Re

view

of a

ll ne

onat

al d

eath

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_47

Natio

nal s

trate

gy/p

lan

of a

ctio

n to

redu

ce m

ater

nal m

orta

lity

(at t

he ti

me

of s

urve

y)0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_48

Natio

nal s

trate

gy/p

lan

of a

ctio

n to

redu

ce n

ewbo

rn m

orta

lity

(at t

he ti

me

of s

urve

y)0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_49

Cond

ucte

d sp

ecifi

c na

tiona

l rev

iew

cov

erin

g m

ater

nal h

ealth

pro

gram

mes

in p

ast t

wo

year

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_50

Cond

ucte

d sp

ecifi

c na

tiona

l rev

iew

cov

erin

g ne

wbo

rn h

ealth

pro

gram

mes

in p

ast t

wo

year

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_51

User

fee

wai

ver i

n pu

blic

sec

tor –

An

tena

tal c

are

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_52

User

fee

wai

ver i

n pu

blic

sec

tor –

Ch

ild b

irth

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report300300

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_53

User

fee

wai

ver i

n pu

blic

sec

tor –

Ca

esar

ean

deliv

ery

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_54

User

fee

wai

ver i

n pu

blic

sec

tor –

Ph

arm

aceu

tical

and

sup

plie

s fo

r mat

erna

l and

new

born

car

e0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_55

Data

repo

rting

per

iod

for M

CA p

olic

y in

dica

tors

(yea

r)M

CA P

olic

y In

dica

tor S

urve

ySo

urce

: 16

mca

_chd

_1Im

plem

enta

tion

of th

e In

tegr

ated

Man

agem

ent o

f Chi

ldho

od Il

lnes

s (IM

CI) S

trate

gy0:

No

1: Y

es2:

No

data

4: N

ot a

pplic

able

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_2Na

tiona

l clin

ical

gui

delin

es fo

r chi

ldca

re u

pdat

ed s

ince

201

20:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_3Ho

spita

l car

e gu

idel

ines

bas

ed o

n 20

13 e

ditio

n of

WHO

’s p

ocke

t boo

k fo

r hos

pita

l car

e fo

r chi

ldre

n0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_4Na

tiona

l IM

CI g

uide

lines

bas

ed o

n 20

14 W

HO g

ener

ic g

uide

lines

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_5Gu

idel

ine

on m

anag

emen

t of p

neum

onia

in c

omm

unity

/hom

e by

trai

ned

prov

ider

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_6Na

tiona

l pol

icy

to u

se c

omm

unity

-bas

ed h

ealth

pro

vider

s0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_7Up

date

d gu

idel

ines

to tr

eat c

hest

indr

awin

g at

firs

t-le

vel h

ealth

faci

litie

s w

ith a

ntib

iotic

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

301Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 301

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_chd

_8M

anag

emen

t of d

iarrh

oea

– Us

e of

low

-osm

olal

ity O

RS a

nd z

inc

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_9M

anag

emen

t of d

iarrh

oea

– Us

e of

com

mun

ity-b

ased

hea

lth p

rovid

ers

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_10

Natio

nal p

olic

y to

use

com

mun

ity-b

ased

pro

vider

s to

trea

t mal

aria

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_11

Polic

y to

use

pai

d co

mm

unity

-bas

ed p

rovid

ers

for p

neum

onia

, dia

rrhoe

a an

d m

alar

ia c

are

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_12

One

com

mun

ity-b

ased

pro

vider

del

iverin

g m

ore

than

one

inte

rven

tion

(pne

umon

ia, d

iarrh

oea,

m

alar

ia)

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_13

Com

mun

ity-b

ased

pro

vider

s tra

ined

to m

anag

e pn

eum

onia

, dia

rrhoe

a an

d m

alar

ia in

an

inte

grat

ed

man

ner

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_14

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

use

in c

hild

ren

unde

r-fiv

e –

Pa

edia

tric

form

ulat

ion

of a

mox

icilli

n0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report302302

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_chd

_15

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

use

in c

hild

ren

unde

r-fiv

e –

Paed

iatri

c fo

rmul

atio

n of

co-

trim

oxaz

ole

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_16

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

use

in c

hild

ren

unde

r-fiv

e –

Key

med

icin

es (t

race

rs)

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_17

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

use

in c

hild

ren

unde

r-fiv

e –

Oxyg

en fo

r the

rapy

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_18

Natio

nal E

ssen

tial M

edic

ines

Lis

t for

use

in c

hild

ren

unde

r-fiv

e –

Rota

virus

vac

cina

tion

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_19

Min

istry

of H

ealth

eng

aged

in n

atio

nal C

RC im

plem

enta

tion

and

mon

itorin

g pr

oces

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_20

Natio

nal s

trate

gy/p

lan

of a

ctio

n to

redu

ce c

hild

mor

talit

y (a

t the

tim

e of

sur

vey)

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_21

Cond

ucte

d sp

ecifi

c na

tiona

l rev

iew

cov

erin

g ch

ild h

ealth

pro

gram

mes

in p

ast t

wo

year

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_22

User

fee

in p

ublic

sec

tor f

or c

hild

ren

unde

r-fiv

e –

Imm

uniza

tion

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_23

User

fee

in p

ublic

sec

tor f

or c

hild

ren

unde

r-fiv

e –

Sick

chi

ld v

isit

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

5: P

artia

l

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

303Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 303

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_chd

_24

User

fee

in p

ublic

sec

tor f

or c

hild

ren

unde

r-fiv

e –

Phar

mac

eutic

als

and

supp

lies

for t

reat

men

t0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_chd

_25

User

fee

in p

ublic

sec

tor f

or c

hild

ren

unde

r-fiv

e –

Wel

lnes

s an

d gr

owth

mon

itorin

g vis

its0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er5:

Par

tial

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

1Na

tiona

l sta

ndar

ds fo

r del

ivery

of h

ealth

ser

vices

spe

cific

ally

for y

oung

peo

ple

(age

s 10

–24

year

s)0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

2Cl

early

def

ined

com

preh

ensi

ve p

acka

ge o

f hea

lth s

ervic

es fo

r ado

lesc

ents

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

3Sy

stem

in p

lace

for r

egul

ar a

dole

scen

t-sp

ecifi

c tra

inin

g fo

r hea

lth p

rovid

ers

in fi

rst-

leve

l fac

ilitie

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

4Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for s

exua

l and

re

prod

uctiv

e he

alth

and

fam

ily p

lann

ing

0: N

o1:

Yes

2: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

5Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for i

nter

vent

ions

to p

reve

nt

HIV/

AIDS

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

6Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for n

utrit

iona

l int

erve

ntio

n0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

7Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for a

lcoh

ol u

se p

reve

ntio

n0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report304304

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_ad_

8Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for t

obac

co c

ontro

l ac

tiviti

es0:

No

1: Y

es2:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

9Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for m

enta

l hea

lth0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

10Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for i

njur

y pr

even

tion

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

11Ad

oles

cent

s a

spec

ific

targ

et g

roup

in n

atio

nal p

olic

ies/

stra

tegi

es/p

lans

for v

iole

nce

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/no

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

12La

ws

and

regu

latio

ns a

llow

min

or a

dole

scen

ts to

see

k th

e fo

llow

ing

serv

ices

with

out p

aren

tal/

spou

sal –

Con

sent

con

trace

ptive

ser

vices

exc

ept s

teril

izatio

n0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

13La

ws

and

regu

latio

ns a

llow

min

or a

dole

scen

ts to

see

k th

e fo

llow

ing

serv

ices

with

out p

aren

tal/

spou

sal c

onse

nt –

Em

erge

ncy

cont

race

ptio

n

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

4: N

ot a

pplic

able

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

14La

ws

and

regu

latio

ns a

llow

min

or a

dole

scen

ts to

see

k th

e fo

llow

ing

serv

ices

with

out p

aren

tal/

spou

sal c

onse

nt –

HIV

test

ing

and

coun

sellin

g se

rvic

es0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

15La

ws

and

regu

latio

ns a

llow

min

or a

dole

scen

ts to

see

k th

e fo

llow

ing

serv

ices

with

out p

aren

tal/

spou

sal c

onse

nt –

Ha

rm re

duct

ion

inte

rven

tion

for i

njec

ting

drug

use

rs

0: N

o1:

Yes

2: N

o da

ta3:

Unk

now

n/No

ans

wer

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

16Na

tiona

l stra

tegy

or p

lan

of a

ctio

n th

at s

peci

fical

ly ad

dres

ses

adol

esce

nt h

ealth

issu

es (a

t the

tim

e of

sur

vey)

0: N

o1:

Yes

2: N

o da

ta

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

305Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 305

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

mca

_ad_

17Bu

dget

allo

cate

d to

sup

port

activ

ities

pla

nned

for a

dole

scen

t hea

lth0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

18Co

nduc

ted

spec

ific

natio

nal r

evie

w c

over

ing

adol

esce

nt h

ealth

pro

gram

mes

in p

ast t

wo

year

s0:

No

1: Y

es2:

No

data

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

mca

_ad_

19Us

er fe

e w

aive

r in

publ

ic h

ealth

sec

tor f

or o

lder

ado

lesc

ents

(15–

19 y

ears

)0:

No

1: Y

es2:

No

data

3: U

nkno

wn/

No a

nsw

er4:

Not

app

licab

le

MCA

Pol

icy

Indi

cato

r Sur

vey

Sour

ce: 1

6

nat_

wrk

frc1a

Nurs

ing

and

mid

wife

ry p

erso

nnel

den

sity

(per

100

0 po

pula

tion)

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc1b

Year

of d

ata

colle

ctio

n: N

ursi

ng a

nd m

idw

ifery

per

sonn

el d

ensi

ty (p

er 1

000

popu

latio

n)Na

tiona

l Hea

lth W

orkf

orce

Acc

ount

Sour

ce: 1

8na

t_w

rkfrc

2aCo

mm

unity

and

trad

ition

al h

ealth

wor

kers

den

sity

(per

100

0 po

pula

tion)

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc2b

Year

of d

ata

colle

ctio

n: C

omm

unity

and

trad

ition

al h

ealth

wor

kers

den

sity

(per

100

0 po

pula

tion)

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc3a

Num

ber o

f nur

sing

and

mid

wife

ry p

erso

nnel

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc3b

Year

of d

ata

colle

ctio

n: N

umbe

r of n

ursi

ng a

nd m

idw

ifery

per

sonn

elNa

tiona

l Hea

lth W

orkf

orce

Acc

ount

Sour

ce: 1

8na

t_w

rkfrc

4aNu

mbe

r of n

ursi

ng p

erso

nnel

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc4b

Year

of d

ata

colle

ctio

n: N

umbe

r of n

ursi

ng p

erso

nnel

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc5a

Num

ber o

f mid

wife

ry p

erso

nnel

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc5b

Year

of d

ata

colle

ctio

n: N

umbe

r of m

idw

ifery

per

sonn

elNa

tiona

l Hea

lth W

orkf

orce

Acc

ount

Sour

ce: 1

8na

t_w

rkfrc

6aNu

mbe

r of c

omm

unity

and

trad

ition

al h

ealth

wor

kers

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc6b

Year

of d

ata

colle

ctio

n: N

umbe

r of c

omm

unity

and

trad

ition

al h

ealth

wor

kers

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report306306

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

nat_

wrk

frc7a

Num

ber o

f com

mun

ity h

ealth

wor

kers

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc7b

Year

of d

ata

colle

ctio

n: N

umbe

r of c

omm

unity

hea

lth w

orke

rsNa

tiona

l Hea

lth W

orkf

orce

Acc

ount

Sour

ce: 1

8na

t_w

rkfrc

8aNu

mbe

r of t

radi

tiona

l birt

h at

tend

ants

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc8b

Year

of d

ata

colle

ctio

n: N

umbe

r of t

radi

tiona

l birt

h at

tend

ants

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc9a

Num

ber o

f lic

ense

d qu

alifi

ed o

bste

trici

ans

activ

ely

wor

king

Natio

nal H

ealth

Wor

kfor

ce A

ccou

ntSo

urce

: 18

nat_

wrk

frc9b

Year

of d

ata

colle

ctio

n: N

umbe

r of l

icen

sed

qual

ified

obs

tetri

cian

s ac

tivel

y w

orki

ngNa

tiona

l Hea

lth W

orkf

orce

Acc

ount

Sour

ce: 1

8ra

t_hm

n_rg

ht_

trts

Num

ber o

f hum

an ri

ghts

trea

ties

that

hav

e be

en ra

tifie

d0:

0 –

41:

5 –

92:

10

– 14

3: 1

5 –

18

OHCH

R St

atus

of R

atifi

catio

n In

tera

ctive

Da

shbo

ard

Sour

ce: 1

9

edu_

free_

prim

Is p

rimar

y ed

ucat

ion

tuiti

on-f

ree?

• Tu

ition

repo

rted

mea

ns th

at th

e co

untry

repo

rts c

harg

ing

tuiti

on in

prim

ary

scho

ol. A

cou

ntry

’s

cons

titut

ion

may

sta

te th

at e

duca

tion

is tu

ition

-fre

e, b

ut if

the

coun

try re

ports

that

tuiti

on is

ch

arge

d, it

app

ears

as

tuiti

on re

porte

d.

• Tu

ition

-fre

e in

clud

es c

ases

whe

re n

o tu

ition

is c

harg

ed in

prim

ary

scho

ol b

ut th

ere

may

be

othe

r fee

s. T

hese

add

ition

al fe

es c

anno

t be

com

pare

d ac

ross

cou

ntrie

s, a

s th

ere

is n

ot e

noug

h in

form

atio

n av

aila

ble.

1: T

uitio

n re

porte

d5:

Tui

tion-

free

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

edu_

com

p_pr

imIs

prim

ary

educ

atio

n co

mpu

lsor

y?1:

Not

com

puls

ory

5: C

ompu

lsor

yW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4ed

u_fre

ecom

p_pr

imIs

prim

ary

educ

atio

n tu

ition

free

and

com

puls

ory?

• Tu

ition

repo

rted

mea

ns th

at th

e co

untry

repo

rts c

harg

ing

tuiti

on in

prim

ary

scho

ol. A

cou

ntry

’s

cons

titut

ion

may

sta

te th

at e

duca

tion

is tu

ition

-fre

e, b

ut if

the

coun

try re

ports

that

tuiti

on is

ch

arge

d, it

app

ears

as

tuiti

on re

porte

d.

• Tu

ition

-fre

e in

clud

es c

ases

whe

re n

o tu

ition

is c

harg

ed in

prim

ary

scho

ol b

ut th

ere

may

be

othe

r fee

s. T

hese

add

ition

al fe

es c

anno

t be

com

pare

d ac

ross

cou

ntrie

s, a

s th

ere

is n

ot e

noug

h in

form

atio

n av

aila

ble.

1: T

uitio

n re

porte

d3:

Tui

tion-

free,

but

not

co

mpu

lsor

y5:

Tui

tion-

free

and

com

puls

ory

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

307Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 307

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

edu_

inte

grIs

incl

usive

edu

catio

n av

aila

ble

for c

hild

ren

with

dis

abilit

ies?

• In

def

inin

g th

e te

rm “c

hild

ren

with

dis

abilit

ies”

som

e co

untri

es re

fer t

o pe

rson

s w

ith p

hysi

cal

disa

bilit

ies,

som

e re

fer t

o pe

rson

s w

ith m

enta

l hea

lth c

ondi

tions

or i

ntel

lect

ual d

isab

ilitie

s, a

nd

som

e di

scus

s pe

rson

s w

ith d

isab

ilitie

s in

gen

eral

. For

the

purp

oses

of o

ur v

aria

ble

the

term

“c

hild

ren

with

dis

abilit

ies”

cap

ture

s al

l of t

hese

def

initi

ons.

• No

pub

lic s

peci

al e

duca

tion

mea

ns c

hild

ren

with

dis

abilit

ies

rece

ive n

o ad

ditio

nal s

uppo

rt to

m

eet t

heir

need

s w

ithin

the

publ

ic s

choo

l sys

tem

. Non

gove

rnm

enta

l and

oth

er o

rgan

izatio

ns

may

pro

vide

som

e su

ppor

t for

chi

ldre

n w

ith d

isab

ilitie

s ou

tsid

e th

e pu

blic

sys

tem

.

• Lo

w d

egre

e of

inte

grat

ion

mea

ns th

at c

hild

ren

with

dis

abilit

ies

are

sent

to s

epar

ate

scho

ols

with

in th

e sa

me

publ

ic s

choo

l sys

tem

.

• At

leas

t med

ium

deg

ree

of in

tegr

atio

n m

eans

that

chi

ldre

n w

ith d

isab

ilitie

s m

ay a

ttend

the

sam

e sc

hool

s as

oth

er s

tude

nts,

but

not

nec

essa

rily

the

sam

e cl

assr

oom

s.

• Hi

gh d

egre

e of

inte

grat

ion

mea

ns th

at c

hild

ren

with

dis

abilit

ies

are

able

to b

e ta

ught

with

in th

e sa

me

clas

sroo

m a

s ot

her s

tude

nts.

• A

publ

ic s

choo

l sys

tem

is a

sch

ool s

yste

m th

at is

gov

ernm

ent-

prov

ided

and

acc

essi

ble

to th

e ge

nera

l pub

lic.

1: N

o pu

blic

spe

cial

ed

ucat

ion

2: L

ow d

egre

e of

in

tegr

atio

n4:

At l

east

med

ium

deg

ree

of in

tegr

atio

n5:

Hig

h de

gree

of

inte

grat

ion

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report308308

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

genp

rimed

uDo

citi

zens

hav

e a

gene

ral c

onst

itutio

nal r

ight

to e

duca

tion

or a

spe

cific

con

stitu

tiona

l rig

ht to

pr

imar

y ed

ucat

ion?

• Ge

nera

l rig

ht to

edu

catio

n m

eans

the

cons

titut

ion

expl

icitl

y m

entio

ns a

righ

t to

educ

atio

n or

a

right

to e

duca

tion

at a

ll le

vels

.

• Sp

ecifi

c rig

ht to

prim

ary

educ

atio

n m

eans

the

cons

titut

ion

expl

icitl

y m

entio

ns a

righ

t to

prim

ary

educ

atio

n, a

righ

t to

educ

atio

n at

all

leve

ls o

r a ri

ght t

o ed

ucat

ion

for a

t lea

st 6

yea

rs o

r unt

il at

le

ast a

ge 1

1.

• No

t gra

nted

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n th

e rig

ht to

ed

ucat

ion

or p

rimar

y ed

ucat

ion

for a

ll ci

tizen

s. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

th

e rig

ht to

edu

catio

n or

prim

ary

educ

atio

n, b

ut th

at it

doe

s no

t exp

licitl

y in

clud

e ei

ther

of t

hese

rig

hts.

If th

e rig

ht to

edu

catio

n is

onl

y gu

aran

teed

to s

peci

fic g

roup

s of

peo

ple,

the

coun

try w

ill ap

pear

as

not g

rant

ing

the

right

to e

duca

tion

to a

ll ci

tizen

s on

this

var

iabl

e.

• As

pira

tiona

l in

cons

titut

ion

mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e ge

nera

l rig

ht to

edu

catio

n or

the

spec

ific

right

to p

rimar

y ed

ucat

ion

but d

oes

not u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

exa

mpl

e, c

onst

itutio

ns in

this

cat

egor

y m

ight

sta

te th

at th

e co

untry

ai

ms

to p

rote

ct th

e rig

ht to

edu

catio

n or

inte

nds

to p

rovid

e fre

e pr

imar

y ed

ucat

ion.

• Gu

aran

teed

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

prot

ects

the

right

to e

duca

tion

or

prim

ary

educ

atio

n in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns in

this

cat

egor

y m

ight

gu

aran

tee

citiz

ens’

righ

t to

educ

atio

n or

mak

e it

the

Stat

e’s

resp

onsi

bilit

y to

pro

vide

prim

ary

educ

atio

n. H

owev

er, c

onst

itutio

ns in

this

cat

egor

y do

not

gua

rant

ee th

at e

duca

tion

is fr

ee a

nd/

or c

ompu

lsor

y.

• Gu

aran

teed

com

puls

ory

or fr

ee m

eans

that

the

cons

titut

ion

guar

ante

es th

e rig

ht to

free

or

com

puls

ory

educ

atio

n, b

ut n

ot b

oth,

in a

utho

ritat

ive la

ngua

ge, e

ither

gen

eral

ly or

spe

cific

ally

at

the

prim

ary

leve

l. Gu

aran

teed

com

puls

ory

and

free

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

bot

h th

e rig

ht to

free

and

the

right

to c

ompu

lsor

y ed

ucat

ion

in a

utho

ritat

ive la

ngua

ge, e

ither

gen

eral

ly or

spe

cific

ally

at th

e pr

imar

y le

vel.

1: N

ot g

rant

ed in

co

nstit

utio

n2:

Asp

iratio

nal i

n co

nstit

utio

n3:

Gua

rant

eed

in

cons

titut

ion

4: G

uara

ntee

d co

mpu

lsor

y or

free

5: G

uara

ntee

d co

mpu

lsor

y an

d fre

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

309Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 309

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

sece

duDo

citi

zens

hav

e a

gene

ral c

onst

itutio

nal r

ight

to e

duca

tion

or a

spe

cific

con

stitu

tiona

l rig

ht to

se

cond

ary

educ

atio

n?

• Ge

nera

l rig

ht to

edu

catio

n m

eans

the

cons

titut

ion

expl

icitl

y m

entio

ns a

righ

t to

educ

atio

n or

a

right

to e

duca

tion

at a

ll le

vels

.

• Sp

ecifi

c rig

ht to

sec

onda

ry e

duca

tion

mea

ns th

e co

nstit

utio

n ex

plic

itly

men

tions

a ri

ght t

o se

cond

ary

educ

atio

n, a

righ

t to

educ

atio

n at

all

leve

ls or

a ri

ght t

o ed

ucat

ion

for a

t lea

st 6

yea

rs o

r un

til a

t lea

st a

ge 1

1.

• No

t gra

nted

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n th

e rig

ht

to e

duca

tion

or s

econ

dary

edu

catio

n fo

r all

citiz

ens.

Thi

s do

es n

ot m

ean

that

the

cons

titut

ion

deni

es th

e rig

ht to

edu

catio

n or

sec

onda

ry e

duca

tion,

but

that

it d

oes

not e

xplic

itly

incl

ude

eith

er

of th

ese

right

s. If

the

right

to e

duca

tion

is o

nly

guar

ante

ed to

spe

cific

gro

ups

of p

eopl

e, th

e co

untry

will

appe

ar a

s no

t gra

ntin

g th

e rig

ht to

edu

catio

n to

all

citiz

ens

on th

is v

aria

ble.

• As

pira

tiona

l in

cons

titut

ion

mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e ge

nera

l rig

ht to

edu

catio

n or

the

spec

ific

right

to s

econ

dary

edu

catio

n bu

t doe

s no

t use

lang

uage

stro

ng e

noug

h to

be

cons

ider

ed a

gua

rant

ee. F

or e

xam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht s

tate

that

the

coun

try

aim

s to

pro

tect

the

right

to e

duca

tion

or in

tend

s to

pro

vide

free

seco

ndar

y ed

ucat

ion.

• Gu

aran

teed

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

prot

ects

the

right

to e

duca

tion

or

seco

ndar

y ed

ucat

ion

in a

utho

ritat

ive la

ngua

ge. F

or e

xam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht

guar

ante

e ci

tizen

s’ ri

ght t

o ed

ucat

ion

or m

ake

it th

e St

ate’

s re

spon

sibi

lity

to p

rovid

e se

cond

ary

educ

atio

n. H

owev

er, c

onst

itutio

ns in

this

cat

egor

y do

not

gua

rant

ee th

at e

duca

tion

is fr

ee a

nd/

or c

ompu

lsor

y.

• Gu

aran

teed

com

puls

ory

or fr

ee m

eans

that

the

cons

titut

ion

guar

ante

es th

e rig

ht to

free

or

com

puls

ory

educ

atio

n, b

ut n

ot b

oth,

in a

utho

ritat

ive la

ngua

ge, e

ither

gen

eral

ly or

spe

cific

ally

at

the

seco

ndar

y le

vel.

• Gu

aran

teed

com

puls

ory

and

free

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

bot

h th

e rig

ht to

free

an

d th

e rig

ht to

com

puls

ory

educ

atio

n in

aut

horit

ative

lang

uage

, eith

er g

ener

ally

or s

peci

fical

ly at

the

seco

ndar

y le

vel.

1: N

ot g

rant

ed in

co

nstit

utio

n2:

Asp

iratio

nal i

n co

nstit

utio

n3:

Gua

rant

eed

in

cons

titut

ion

4: G

uara

ntee

d co

mpu

lsor

y or

free

5: G

uara

ntee

d co

mpu

lsor

y an

d fre

e

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report310310

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

high

edu

Do c

itize

ns h

ave

a ge

nera

l con

stitu

tiona

l rig

ht to

edu

catio

n or

a s

peci

fic c

onst

itutio

nal r

ight

to

high

er e

duca

tion?

• Ge

nera

l rig

ht to

edu

catio

n m

eans

the

cons

titut

ion

expl

icitl

y m

entio

ns a

righ

t to

educ

atio

n or

a

right

to e

duca

tion

at a

ll le

vels

.

• Sp

ecifi

c rig

ht to

hig

her e

duca

tion

mea

ns th

e co

nstit

utio

n ex

plic

itly

men

tions

a ri

ght t

o hi

gher

ed

ucat

ion,

a ri

ght t

o ed

ucat

ion

at a

ll le

vels

or a

righ

t to

educ

atio

n fo

r at l

east

6 y

ears

or u

ntil

at

leas

t age

11.

• No

t gra

nted

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n th

e rig

ht to

ed

ucat

ion

or h

ighe

r edu

catio

n fo

r all

citiz

ens.

Thi

s do

es n

ot m

ean

that

the

cons

titut

ion

deni

es

the

right

to e

duca

tion

or h

ighe

r edu

catio

n, b

ut th

at it

doe

s no

t exp

licitl

y in

clud

e ei

ther

of t

hese

rig

hts.

If th

e rig

ht to

edu

catio

n is

onl

y gu

aran

teed

to s

peci

fic g

roup

s of

peo

ple,

the

coun

try w

ill ap

pear

as

not g

rant

ing

the

right

to e

duca

tion

to a

ll ci

tizen

s on

this

var

iabl

e.

• As

pira

tiona

l in

cons

titut

ion

mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e ge

nera

l rig

ht to

edu

catio

n or

th

e sp

ecifi

c rig

ht to

hig

her e

duca

tion

but d

oes

not u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a

guar

ante

e. F

or e

xam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht s

tate

that

the

coun

try a

ims

to

prot

ect t

he ri

ght t

o ed

ucat

ion

or in

tend

s to

pro

vide

free

high

er e

duca

tion.

• Gu

aran

teed

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

prot

ects

the

right

to e

duca

tion

or

high

er e

duca

tion

in a

utho

ritat

ive la

ngua

ge. F

or e

xam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht

guar

ante

e ci

tizen

s’ ri

ght t

o ed

ucat

ion

or m

ake

it th

e St

ate’

s re

spon

sibi

lity

to p

rovid

e hi

gher

ed

ucat

ion.

How

ever

, con

stitu

tions

in th

is c

ateg

ory

do n

ot g

uara

ntee

that

edu

catio

n is

free

and

/or

com

puls

ory.

• Gu

aran

teed

com

puls

ory

or fr

ee m

eans

that

the

cons

titut

ion

guar

ante

es th

e rig

ht to

free

or

com

puls

ory

educ

atio

n, b

ut n

ot b

oth,

in a

utho

ritat

ive la

ngua

ge, e

ither

gen

eral

ly or

spe

cific

ally

at

the

high

er le

vel.

• Gu

aran

teed

com

puls

ory

and

free

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

bot

h th

e rig

ht to

free

an

d th

e rig

ht to

com

puls

ory

educ

atio

n in

aut

horit

ative

lang

uage

, eith

er g

ener

ally

or s

peci

fical

ly at

the

high

er le

vel.

1: N

ot g

rant

ed in

co

nstit

utio

n2:

Asp

iratio

nal i

n co

nstit

utio

n3:

Gua

rant

eed

in

cons

titut

ion

4: G

uara

ntee

d co

mpu

lsor

y or

free

5: G

uara

ntee

d co

mpu

lsor

y an

d fre

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

311Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 311

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

edu_

gend

erDo

es th

e co

nstit

utio

n pr

otec

t the

righ

t to

educ

atio

n re

gard

less

of g

ende

r?

• Th

e rig

ht to

edu

catio

n is

con

side

red

to b

e pr

otec

ted

for g

irls

whe

n th

e fo

llow

ing

are

expl

icitl

y gr

ante

d to

bot

h bo

ys a

nd g

irls

or a

re g

rant

ed in

gen

eral

and

the

cons

titut

ion

stat

es th

at

indi

vidua

ls e

njoy

righ

ts o

n an

equ

al b

asis

rega

rdle

ss o

f gen

der:

the

right

to e

duca

tion,

the

right

to

edu

catio

n at

all

leve

ls, t

he ri

ght t

o co

mpu

lsor

y ed

ucat

ion,

the

right

to fr

ee e

duca

tion

and

the

proh

ibiti

on o

f dis

crim

inat

ion

in e

duca

tion.

• No

ne-s

peci

fic to

gen

der m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y pr

otec

t the

righ

t to

educ

atio

n fo

r girl

s. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

this

righ

t, bu

t tha

t it d

oes

not e

xplic

itly

incl

ude

it. T

he c

ount

ry m

ay p

rote

ct c

itize

ns’ r

ight

to e

duca

tion,

but

not

spe

cific

ally

base

d on

gen

der.

• As

pira

tiona

l mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e rig

ht to

edu

catio

n fo

r girl

s bu

t doe

s no

t us

e la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

exa

mpl

e, c

onst

itutio

ns in

this

ca

tego

ry m

ight

sta

te th

at th

e co

untry

aim

s to

ens

ure

girls

hav

e th

e rig

ht to

edu

catio

n.

• Sp

ecifi

cally

gua

rant

eed

with

exc

eptio

ns in

clud

es c

ases

whe

re e

qual

ity in

edu

catio

n is

gu

aran

teed

to b

oth

sexe

s bu

t allo

ws

this

pro

tect

ion

to b

e cu

rtaile

d in

cer

tain

circ

umst

ance

s ba

sed

on g

ende

r. Th

is c

ateg

ory

does

not

app

ly to

this

var

iabl

e, a

s th

ere

are

no c

ount

ries

that

ha

ve e

xcep

tions

to p

rote

ctio

n ag

ains

t dis

crim

inat

ion

in e

duca

tion

base

d on

gen

der.

• Br

oadl

y gu

aran

teed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

to c

itize

ns

and

prov

ides

gen

eral

pro

tect

ion

agai

nst d

iscr

imin

atio

n ba

sed

on g

ende

r but

doe

s no

t spe

cific

ally

prot

ect a

gain

st d

iscr

imin

atio

n in

edu

catio

n ba

sed

on g

ende

r.

• Sp

ecifi

cally

gua

rant

eed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

and

prot

ects

aga

inst

dis

crim

inat

ion

in e

duca

tion

base

d on

gen

der i

n au

thor

itativ

e la

ngua

ge. F

or

exam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht g

uara

ntee

pro

tect

ion

agai

nst d

iscr

imin

atio

n in

ed

ucat

ion

base

d on

gen

der o

r mak

e it

the

Stat

e’s

resp

onsi

bilit

y to

ens

ure

this

righ

t for

boy

s an

d gi

rls.

1: N

on-s

peci

fic to

gen

der

2: A

spira

tiona

l3:

Spe

cific

ally

guar

ante

ed

with

exc

eptio

ns4:

Bro

adly

guar

ante

ed5:

Spe

cific

ally

guar

ante

ed

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report312312

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

edu_

ethn

icDo

es th

e co

nstit

utio

n pr

otec

t the

righ

t to

educ

atio

n re

gard

less

of e

thni

city

?

• Th

e rig

ht to

edu

catio

n is

con

side

red

to b

e pr

otec

ted

whe

n th

e fo

llow

ing

are

expl

icitl

y gr

ante

d on

the

basi

s of

eth

nici

ty o

r are

gra

nted

in g

ener

al a

nd th

e co

nstit

utio

n st

ates

that

indi

vidua

ls

enjo

y rig

hts

on a

n eq

ual b

asis

rega

rdle

ss o

f the

ir et

hnic

ity: t

he ri

ght t

o ed

ucat

ion,

the

right

to

educ

atio

n at

all

leve

ls, t

he ri

ght t

o co

mpu

lsor

y ed

ucat

ion,

the

right

to fr

ee e

duca

tion

and

the

proh

ibiti

on o

f dis

crim

inat

ion

in e

duca

tion.

• No

ne-s

peci

fic to

eth

nici

ty m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y pr

otec

t the

righ

t to

educ

atio

n on

the

basi

s of

eth

nici

ty. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

this

righ

t, bu

t tha

t it d

oes

not e

xplic

itly

incl

ude

it. T

he c

ount

ry m

ay p

rote

ct c

itize

ns’ r

ight

to e

duca

tion,

but

no

t spe

cific

ally

base

d on

eth

nici

ty.

• As

pira

tiona

l mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e rig

ht to

edu

catio

n ba

sed

on e

thni

city

but

do

es n

ot u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

exa

mpl

e, c

onst

itutio

ns

in th

is c

ateg

ory

mig

ht s

tate

that

the

coun

try a

ims

to e

nsur

e et

hnic

min

oriti

es h

ave

the

right

to

educ

atio

n.

• Sp

ecifi

cally

gua

rant

eed

with

exc

eptio

ns in

clud

es c

ases

whe

re e

qual

ity in

edu

catio

n is

gu

aran

teed

bas

ed o

n et

hnic

ity b

ut a

llow

s th

is p

rote

ctio

n to

be

curta

iled

in c

erta

in c

ircum

stan

ces

base

d on

eth

nici

ty. T

his

cate

gory

doe

s no

t app

ly to

this

var

iabl

e, a

s th

ere

are

no c

ount

ries

that

ha

ve e

xcep

tions

to p

rote

ctio

n ag

ains

t dis

crim

inat

ion

in e

duca

tion

base

d on

eth

nici

ty.

• Br

oadl

y gu

aran

teed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

to c

itize

ns a

nd

prov

ides

gen

eral

pro

tect

ion

agai

nst d

iscr

imin

atio

n ba

sed

on e

thni

city

but

doe

s no

t spe

cific

ally

prot

ect a

gain

st d

iscr

imin

atio

n in

edu

catio

n ba

sed

on e

thni

city.

• Sp

ecifi

cally

gua

rant

eed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

and

prot

ects

aga

inst

dis

crim

inat

ion

in e

duca

tion

base

d on

eth

nici

ty in

aut

horit

ative

lang

uage

. For

ex

ampl

e, c

onst

itutio

ns in

this

cat

egor

y m

ight

gua

rant

ee p

rote

ctio

n ag

ains

t dis

crim

inat

ion

in

educ

atio

n ba

sed

on e

thni

city

or m

ake

it th

e St

ate’

s re

spon

sibi

lity

to e

nsur

e th

is ri

ght.

1: N

on-s

peci

fic to

et

hnic

ity2:

Asp

iratio

nal

3: S

peci

fical

ly gu

aran

teed

w

ith e

xcep

tions

4: B

road

ly gu

aran

teed

5: S

peci

fical

ly gu

aran

teed

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

313Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 313

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

edu_

relig

Does

the

cons

titut

ion

prot

ect t

he ri

ght t

o ed

ucat

ion

rega

rdle

ss o

f rel

igio

n?

• Th

e rig

ht to

edu

catio

n is

con

side

red

to b

e pr

otec

ted

whe

n th

e fo

llow

ing

are

expl

icitl

y gr

ante

d on

th

e ba

sis

of re

ligio

n or

are

gra

nted

in g

ener

al a

nd th

e co

nstit

utio

n st

ates

that

indi

vidua

ls e

njoy

rig

hts

on a

n eq

ual b

asis

rega

rdle

ss o

f the

ir re

ligio

n: th

e rig

ht to

edu

catio

n, th

e rig

ht to

edu

catio

n at

all

leve

ls, t

he ri

ght t

o co

mpu

lsor

y ed

ucat

ion,

the

right

to fr

ee e

duca

tion

and

the

proh

ibiti

on o

f di

scrim

inat

ion

in e

duca

tion.

• No

ne-s

peci

fic to

relig

ion

mea

ns th

at th

e co

nstit

utio

n do

es n

ot e

xplic

itly

prot

ect t

he ri

ght t

o ed

ucat

ion

on th

e ba

sis

of re

ligio

n. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

this

righ

t, bu

t th

at it

doe

s no

t exp

licitl

y in

clud

e it.

The

cou

ntry

may

pro

tect

citi

zens

’ rig

ht to

edu

catio

n, b

ut n

ot

spec

ifica

lly o

n th

e ba

sis

of re

ligio

n.

• As

pira

tiona

l mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e rig

ht to

edu

catio

n ba

sed

on re

ligio

n bu

t do

es n

ot u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

exa

mpl

e, c

onst

itutio

ns

in th

is c

ateg

ory

mig

ht s

tate

that

the

coun

try a

ims

to e

nsur

e re

ligio

us m

inor

ities

hav

e th

e rig

ht to

ed

ucat

ion.

• Sp

ecifi

cally

gua

rant

eed

with

exc

eptio

ns in

clud

es c

ases

whe

re e

qual

ity in

edu

catio

n is

gu

aran

teed

on

the

basi

s of

relig

ion

but a

llow

s th

is p

rote

ctio

n to

be

curta

iled

in c

erta

in

circ

umst

ance

s ba

sed

on re

ligio

n. T

his

cate

gory

doe

s no

t app

ly to

this

var

iabl

e, a

s th

ere

are

no c

ount

ries

that

hav

e ex

cept

ions

to p

rote

ctio

n ag

ains

t dis

crim

inat

ion

in e

duca

tion

base

d on

re

ligio

n.

• Br

oadl

y gu

aran

teed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

to c

itize

ns

and

prov

ides

gen

eral

pro

tect

ion

agai

nst d

iscr

imin

atio

n on

the

basi

s of

relig

ion

but d

oes

not

spec

ifica

lly p

rote

ct a

gain

st d

iscr

imin

atio

n in

edu

catio

n ba

sed

on re

ligio

n.

• Sp

ecifi

cally

gua

rant

eed

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to e

duca

tion

and

prot

ects

aga

inst

dis

crim

inat

ion

in e

duca

tion

base

d on

relig

ion

in a

utho

ritat

ive la

ngua

ge. F

or

exam

ple,

con

stitu

tions

in th

is c

ateg

ory

mig

ht g

uara

ntee

pro

tect

ion

agai

nst d

iscr

imin

atio

n in

ed

ucat

ion

base

d on

relig

ion

or m

ake

it th

e St

ate’

s re

spon

sibi

lity

to e

nsur

e th

is ri

ght.

1: N

on-s

peci

fic to

relig

ion

2: A

spira

tiona

l3:

Spe

cific

ally

guar

ante

ed

with

exc

eptio

ns4:

Bro

adly

guar

ante

ed5:

Spe

cific

ally

guar

ante

ed

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report314314

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cons

t_rt_

anyh

lthDo

es th

e co

nstit

utio

n ta

ke a

ny a

ppro

ach

to h

ealth

?

Appr

oach

es to

hea

lth in

clud

e th

e rig

ht to

hea

lth, p

ublic

hea

lth o

r med

ical

ser

vices

.

• No

t gra

nted

mea

ns th

at th

e co

nstit

utio

n do

es n

ot e

xplic

itly

men

tion

heal

th p

rote

ctio

ns. T

his

does

no

t mea

n th

at th

e co

nstit

utio

n de

nies

thes

e pr

otec

tions

, but

that

it d

oes

not e

xplic

itly

incl

ude

them

.

• Gr

ante

d to

spe

cific

gro

ups,

not

uni

vers

ally

mea

ns th

e co

nstit

utio

n ex

plic

itly

guar

ante

es th

e rig

ht

to h

ealth

, pub

lic h

ealth

or m

edic

al s

ervic

es to

spe

cific

gro

ups,

but

not

to a

ll ci

tizen

s. S

peci

fic

grou

ps th

at a

re n

amed

in c

onst

itutio

ns in

clud

e ch

ildre

n, e

lder

ly pe

ople

, poo

r peo

ple,

per

sons

with

di

sabi

litie

s, w

omen

and

eth

nic

min

oriti

es.

• As

pira

tiona

l in

cons

titut

ion

mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e rig

ht to

hea

lth, p

ublic

hea

lth

or m

edic

al s

ervic

es b

ut d

oes

not u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

ex

ampl

e, th

e na

tion

will

ende

avou

r to

prov

ide

the

right

to h

ealth

or i

nten

ds to

pro

vide

med

ical

se

rvic

es.

• Gu

aran

teed

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

expl

icitl

y gu

aran

tees

the

right

to h

ealth

, m

edic

al s

ervic

es o

r pub

lic h

ealth

to c

itize

ns in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns

in th

is c

ateg

ory

mig

ht g

uara

ntee

citi

zens

’ rig

ht to

hea

lth o

r mak

e it

the

Stat

e’s

resp

onsi

bilit

y to

en

sure

to p

rote

ct it

.

1: N

ot g

rant

ed in

co

nstit

utio

n2:

Gra

nted

to s

peci

fic

grou

ps, n

ot u

nive

rsal

ly3:

Asp

iratio

nal i

n co

nstit

utio

n5:

Gua

rant

eed

in

cons

titut

ion

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cons

t_rt_

hlth

Do c

itize

ns h

ave

a sp

ecifi

c rig

ht to

hea

lth?

• Th

e rig

ht to

hea

lth in

clud

es th

e rig

ht to

“hea

lth”,

“hea

lth s

ecur

ity” a

nd o

vera

ll w

ell-b

eing

”.

• No

t gra

nted

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n he

alth

pr

otec

tions

. Thi

s do

es n

ot m

ean

that

the

cons

titut

ion

deni

es th

ese

prot

ectio

ns, b

ut th

at it

doe

s no

t exp

licitl

y in

clud

e th

em.

• Gr

ante

d to

spe

cific

gro

ups,

not

uni

vers

ally

mea

ns th

e co

nstit

utio

n ex

plic

itly

guar

ante

es th

e rig

ht

to h

ealth

, pub

lic h

ealth

or m

edic

al s

ervic

es to

spe

cific

gro

ups,

but

not

to a

ll ci

tizen

s. S

peci

fic

grou

ps th

at a

re n

amed

in c

onst

itutio

ns in

clud

e ch

ildre

n, e

lder

ly pe

ople

, poo

r peo

ple,

per

sons

w

ith d

isab

ilitie

s, w

omen

and

eth

nic

min

oriti

es.

• As

pira

tiona

l in

cons

titut

ion

mea

ns th

at th

e co

nstit

utio

n pr

otec

ts th

e rig

ht to

hea

lth, p

ublic

hea

lth

or m

edic

al s

ervic

es b

ut d

oes

not u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

. For

ex

ampl

e, th

e na

tion

will

ende

avou

r to

prov

ide

the

right

to h

ealth

or i

nten

ds to

pro

vide

med

ical

se

rvic

es.

• Gu

aran

teed

in c

onst

itutio

n m

eans

that

the

cons

titut

ion

expl

icitl

y gu

aran

tees

the

right

to h

ealth

, m

edic

al s

ervic

es o

r pub

lic h

ealth

to c

itize

ns in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns

in th

is c

ateg

ory

mig

ht g

uara

ntee

citi

zens

’ rig

ht to

hea

lth o

r mak

e it

the

Stat

e’s

resp

onsi

bilit

y to

en

sure

the

prot

ectio

n of

the

right

to h

ealth

.

1: N

ot g

rant

ed in

co

nstit

utio

n2:

Gra

nted

to s

peci

fic

grou

ps, n

ot u

nive

rsal

ly3:

Asp

iratio

nal i

n co

nstit

utio

n5:

Gua

rant

eed

in

cons

titut

ion

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

315Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 315

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

al_l

v_hl

thCa

n w

orki

ng p

aren

ts ta

ke le

ave

spec

ifica

lly fo

r chi

ldre

n’s

heal

th n

eeds

?

• Le

ave

for c

hild

ren’

s he

alth

nee

ds in

cude

s le

ave

spec

ifica

lly fo

r chi

ldre

n’s

heal

th n

eeds

, inc

ludi

ng

whe

re le

ave

is a

vaila

ble

only

for s

erio

us il

lnes

s, h

ospi

taliz

atio

n or

urg

ent h

ealth

nee

ds.

1: N

o le

ave

3: Y

es, u

npai

d le

ave

5: Y

es, p

aid

leav

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

al_b

f_br

eaks

Are

mot

hers

of i

nfan

ts g

uara

ntee

d br

east

feed

ing

brea

ks a

t wor

k?

• If

legi

slat

ion

spec

ifies

a le

ngth

of t

ime

perm

itted

to b

reas

tfeed

afte

r the

mot

her r

etur

ns to

wor

k an

d th

e m

othe

r is

also

ent

itled

to p

aid

mat

erna

l lea

ve, t

he a

ge s

how

n is

the

sum

of p

ost-

birth

pa

id m

ater

nal l

eave

and

the

brea

stfe

edin

g br

eak

entit

lem

ent.

1: N

o gu

aran

tee

2: Y

es, u

ntil

child

is

1–5.

9 m

onth

s ol

d4:

Yes

, unt

il ch

ild is

6–

11.9

mon

ths

old

5: Y

es, u

ntil

child

is a

t le

ast 1

yea

r old

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

al_b

g_6m

osAr

e w

orki

ng m

othe

rs g

uara

ntee

d pa

id o

ptio

ns to

faci

litat

e ex

clus

ive b

reas

tfeed

ing

for a

t lea

st

6 m

onth

s?1:

Non

e3:

Bre

astfe

edin

g br

eaks

or

mat

erna

l lea

ve o

nly

5: B

oth

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

al_l

v_ed

uCa

n w

orki

ng p

aren

ts ta

ke le

ave

spec

ifica

lly fo

r chi

ldre

n’s

educ

atio

nal n

eeds

?1:

No

leav

e3:

Yes

, unp

aid

leav

e5:

Yes

, pai

d le

ave

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

al_h

ealth

ored

u_lv

Can

wor

king

par

ents

take

leav

e to

mee

t chi

ldre

n’s

heal

th a

nd e

duca

tiona

l nee

ds?

• Le

ave

for c

hild

ren’

s he

alth

nee

ds is

onl

y le

ave

spec

ifica

lly d

esig

nate

d fo

r chi

ldre

n’s

heal

th n

eeds

. It d

oes

not i

nclu

de c

ases

whe

re le

ave

is a

vaila

ble

only

for s

erio

us il

lnes

ses,

ho

spita

lizat

ion

or u

rgen

t hea

lth n

eeds

.

• Le

ave

for c

hild

ren’

s ed

ucat

iona

l nee

ds is

onl

y le

ave

spec

ifica

lly d

esig

nate

d fo

r chi

ldre

n’s

educ

atio

nal n

eeds

. The

re a

re n

o co

untri

es th

at o

nly

guar

ante

e le

ave

for c

hild

ren’

s ed

ucat

iona

l ne

eds

with

out a

lso

guar

ante

eing

leav

e fo

r chi

ldre

n’s

heal

th n

eeds

.

• W

hen

leav

e to

mee

t a c

hild

’s h

ealth

nee

ds is

mad

e av

aila

ble

only

to w

omen

, it w

as n

ot in

clud

ed.

Our m

ap o

nly

show

s le

ave

avai

labl

e to

bot

h m

en a

nd w

omen

to e

nsur

e ge

nder

equ

ality

.

• Th

is v

aria

ble

incl

udes

pai

d an

d un

paid

leav

e.

1: N

o le

ave

3: E

duca

tion

only

4: L

eave

for h

ealth

nee

ds

only

5: L

eave

for h

ealth

and

ed

ucat

ion

need

s

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cl_g

enem

pHo

w lo

ng a

re c

hild

ren

prot

ecte

d fro

m fu

ll-tim

e w

ork?

• Fu

ll-tim

e w

ork

is d

efin

ed a

s 35

hou

rs o

f wor

k pe

r wee

k.

Rang

e: 1

2–18

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report316316

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_h

az_m

inag

eW

ithou

t tak

ing

exce

ptio

ns in

to a

ccou

nt, h

ow lo

ng a

re c

hild

ren

prot

ecte

d fro

m h

azar

dous

wor

k?

• Ha

zard

ous

wor

k is

wor

k th

at is

har

mfu

l to

child

ren’

s he

alth

or s

afet

y. If

a co

untry

exp

licitl

y de

fined

haz

ardo

us w

ork

in it

s le

gisl

atio

n, it

s ow

n de

finiti

on w

as u

sed.

For

cou

ntrie

s th

at d

o no

t def

ine

haza

rdou

s w

ork,

we

use

the

Inte

rnat

iona

l Lab

our O

rgan

izatio

n’s

defin

ition

: “(a

) wor

k w

hich

exp

oses

chi

ldre

n to

phy

sica

l, ps

ycho

logi

cal o

r sex

ual a

buse

; (b)

wor

k un

derg

roun

d,

unde

r wat

er, a

t dan

gero

us h

eigh

ts o

r in

conf

ined

spa

ces;

(c) w

ork

with

dan

gero

us m

achi

nery

, eq

uipm

ent a

nd to

ols,

or w

hich

invo

lves

the

man

ual h

andl

ing

or tr

ansp

ort o

f hea

vy lo

ads;

(d)

wor

k in

an

unhe

alth

y en

viron

men

t whi

ch m

ay, f

or e

xam

ple,

exp

ose

child

ren

to h

azar

dous

su

bsta

nces

, age

nts,

or p

roce

sses

, or t

o te

mpe

ratu

res,

noi

se le

vels

, or v

ibra

tions

dam

agin

g to

th

eir h

ealth

; (e)

wor

k un

der p

artic

ular

ly di

fficu

lt co

nditi

ons

such

as

wor

k fo

r lon

g ho

urs

or d

urin

g th

e ni

ght o

r wor

k w

here

the

child

is u

nrea

sona

bly

conf

ined

to th

e pr

emis

es o

f the

em

ploy

er.”

• In

som

e ca

ses,

ther

e is

no

min

imum

age

for h

azar

dous

wor

k bu

t the

re is

a m

inim

um a

ge

for g

ener

al e

mpl

oym

ent.

In th

ese

case

s, th

e m

inim

um a

ge fo

r gen

eral

em

ploy

men

t is

used

ba

sed

on th

e as

sum

ptio

n th

at if

chi

ldre

n ar

e no

t per

mitt

ed to

wor

k, th

ey w

ill no

t be

perm

itted

to

do

haza

rdou

s w

ork.

At t

he s

ame

time,

we

assu

me

that

if h

azar

dous

wor

k is

not

regu

late

d se

para

tely,

then

chi

ldre

n w

ill be

abl

e to

do

haza

rdou

s w

ork

once

they

reac

h th

e m

inim

um

wor

king

age

.

Rang

e: 1

4–18

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4

317Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 317

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_w

kper

mit_

12W

hat w

ork

prot

ectio

ns d

o 12

-yea

r-ol

ds h

ave

whe

n ex

cept

ions

to m

inim

um-a

ge p

rote

ctio

ns a

re

cons

ider

ed?

• Le

gal e

xcep

tions

are

cas

es w

here

the

legi

slat

ion

allo

ws

child

ren

to d

o w

ork

at a

you

nger

age

un

der s

peci

fic c

ircum

stan

ces.

For

haz

ardo

us w

ork,

we

incl

ude

any

exce

ptio

n to

the

min

imum

ag

e fo

r haz

ardo

us w

ork

exce

pt “f

orce

maj

eure

” (ex

traor

dina

ry c

ircum

stan

ces

such

as

war

) an

d “n

o ha

rm to

hea

lth, s

afet

y an

d m

oral

s” (b

ecau

se in

this

cas

e th

e w

ork

wou

ld n

o lo

nger

be

def

ined

as

haza

rdou

s). F

or g

ener

al e

mpl

oym

ent a

nd li

ght w

ork,

exc

eptio

ns in

clud

e sp

ecifi

c ty

pes

of w

ork,

suc

h as

agr

icul

tura

l, te

mpo

rary

or s

easo

nal w

ork;

exc

eptio

ns to

allo

w c

hild

ren

to

wor

k w

ith fa

mily

mem

bers

; and

exc

eptio

ns th

at re

quire

onl

y m

inis

ter o

r gov

ernm

ent a

ppro

val o

r w

hen

the

wor

k is

dee

med

indi

spen

sabl

e fo

r the

chi

ld o

r the

ir fa

mily

, bec

ause

thes

e m

ay n

ot b

e ad

equa

tely

prot

ectiv

e in

pra

ctic

e.

• Ha

zard

ous

wor

k is

wor

k th

at is

har

mfu

l to

child

ren’

s he

alth

or s

afet

y. If

a co

untry

exp

licitl

y de

fined

haz

ardo

us w

ork

in it

s le

gisl

atio

n, it

s ow

n de

finiti

on w

as u

sed.

For

cou

ntrie

s th

at d

o no

t def

ine

haza

rdou

s w

ork,

we

use

the

Inte

rnat

iona

l Lab

our O

rgan

izatio

n’s

defin

ition

: “(a

) wor

k w

hich

exp

oses

chi

ldre

n to

phy

sica

l, ps

ycho

logi

cal o

r sex

ual a

buse

; (b)

wor

k un

derg

roun

d,

unde

r wat

er, a

t dan

gero

us h

eigh

ts o

r in

conf

ined

spa

ces;

(c) w

ork

with

dan

gero

us m

achi

nery

, eq

uipm

ent a

nd to

ols,

or w

hich

invo

lves

the

man

ual h

andl

ing

or tr

ansp

ort o

f hea

vy lo

ads;

(d)

wor

k in

an

unhe

alth

y en

viron

men

t whi

ch m

ay, f

or e

xam

ple,

exp

ose

child

ren

to h

azar

dous

su

bsta

nces

, age

nts,

or p

roce

sses

, or t

o te

mpe

ratu

res,

noi

se le

vels

, or v

ibra

tions

dam

agin

g to

th

eir h

ealth

; (e)

wor

k un

der p

artic

ular

ly di

fficu

lt co

nditi

ons

such

as

wor

k fo

r lon

g ho

urs

or d

urin

g th

e ni

ght o

r wor

k w

here

the

child

is u

nrea

sona

bly

conf

ined

to th

e pr

emis

es o

f the

em

ploy

er.”

• In

som

e ca

ses,

ther

e is

no

min

imum

age

for h

azar

dous

wor

k bu

t the

re is

a m

inim

um a

ge fo

r ge

nera

l em

ploy

men

t. In

thes

e ca

ses,

we

assu

me

child

ren

are

not p

rote

cted

from

haz

ardo

us

wor

k on

ce th

ey re

ach

the

min

imum

age

for g

ener

al e

mpl

oym

ent,

beca

use

any

type

of w

ork

is

perm

itted

at t

hat a

ge.

• W

ork

is a

ny e

mpl

oym

ent t

hat i

s no

t spe

cifie

d as

haz

ardo

us o

r lig

ht. C

hild

ren

may

onl

y be

al

low

ed to

wor

k in

agr

icul

ture

or w

ith fa

mily

mem

bers

.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r pa

rtici

patio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

aut

horit

y or

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t exp

licitl

y de

fine

light

wor

k, w

e co

nsid

er w

ork

“ligh

t” w

hen

legi

slat

ion

spec

ifies

that

it c

anno

t har

m th

e ch

ild’s

hea

lth o

r dev

elop

men

t or i

nter

rupt

his

or h

er s

choo

ling,

or w

hen

the

legi

slat

ion

expl

icitl

y id

entif

ies

wor

k th

at c

an b

e do

ne a

t a y

oung

er a

ge th

an g

ener

al e

mpl

oym

ent.

1: N

ot p

rote

cted

from

ha

zard

ous

wor

k2:

Not

pro

tect

ed fr

om

gene

ral e

mpl

oym

ent

4: N

ot p

rote

cted

from

ligh

t w

ork

5: N

o w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report318318

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_w

kper

mit_

14W

hat w

ork

prot

ectio

ns d

o 14

-yea

r-ol

ds h

ave

whe

n ex

cept

ions

to m

inim

um-a

ge p

rote

ctio

ns a

re

cons

ider

ed?

• Le

gal e

xcep

tions

are

cas

es w

here

the

legi

slat

ion

allo

ws

child

ren

to d

o w

ork

at a

you

nger

age

un

der s

peci

fic c

ircum

stan

ces.

For

haz

ardo

us w

ork,

we

incl

ude

any

exce

ptio

n to

the

min

imum

ag

e fo

r haz

ardo

us w

ork

exce

pt “f

orce

maj

eure

” (ex

traor

dina

ry c

ircum

stan

ces

such

as

war

) an

d “n

o ha

rm to

hea

lth, s

afet

y an

d m

oral

s” (b

ecau

se in

this

cas

e th

e w

ork

wou

ld n

o lo

nger

be

def

ined

as

haza

rdou

s). F

or g

ener

al e

mpl

oym

ent a

nd li

ght w

ork,

exc

eptio

ns in

clud

e sp

ecifi

c ty

pes

of w

ork,

suc

h as

agr

icul

tura

l, te

mpo

rary

or s

easo

nal w

ork;

exc

eptio

ns to

allo

w c

hild

ren

to

wor

k w

ith fa

mily

mem

bers

; and

exc

eptio

ns th

at re

quire

onl

y m

inis

ter o

r gov

ernm

ent a

ppro

val o

r w

hen

the

wor

k is

dee

med

indi

spen

sabl

e fo

r the

chi

ld o

r the

ir fa

mily

, bec

ause

thes

e m

ay n

ot b

e ad

equa

tely

prot

ectiv

e in

pra

ctic

e.

• Ha

zard

ous

wor

k is

wor

k th

at is

har

mfu

l to

child

ren’

s he

alth

or s

afet

y. If

a co

untry

exp

licitl

y de

fined

haz

ardo

us w

ork

in it

s le

gisl

atio

n, it

s ow

n de

finiti

on w

as u

sed.

For

cou

ntrie

s th

at d

o no

t def

ine

haza

rdou

s w

ork,

we

use

the

Inte

rnat

iona

l Lab

our O

rgan

izatio

n’s

defin

ition

: “(a

) wor

k w

hich

exp

oses

chi

ldre

n to

phy

sica

l, ps

ycho

logi

cal o

r sex

ual a

buse

; (b)

wor

k un

derg

roun

d,

unde

r wat

er, a

t dan

gero

us h

eigh

ts o

r in

conf

ined

spa

ces;

(c) w

ork

with

dan

gero

us m

achi

nery

, eq

uipm

ent a

nd to

ols,

or w

hich

invo

lves

the

man

ual h

andl

ing

or tr

ansp

ort o

f hea

vy lo

ads;

(d)

wor

k in

an

unhe

alth

y en

viron

men

t whi

ch m

ay, f

or e

xam

ple,

exp

ose

child

ren

to h

azar

dous

su

bsta

nces

, age

nts,

or p

roce

sses

, or t

o te

mpe

ratu

res,

noi

se le

vels

, or v

ibra

tions

dam

agin

g to

th

eir h

ealth

; (e)

wor

k un

der p

artic

ular

ly di

fficu

lt co

nditi

ons

such

as

wor

k fo

r lon

g ho

urs

or d

urin

g th

e ni

ght o

r wor

k w

here

the

child

is u

nrea

sona

bly

conf

ined

to th

e pr

emis

es o

f the

em

ploy

er.”

• In

som

e ca

ses,

ther

e is

no

min

imum

age

for h

azar

dous

wor

k bu

t the

re is

a m

inim

um a

ge fo

r ge

nera

l em

ploy

men

t. In

thes

e ca

ses,

we

assu

me

child

ren

are

not p

rote

cted

from

haz

ardo

us

wor

k on

ce th

ey re

ach

the

min

imum

age

for g

ener

al e

mpl

oym

ent,

beca

use

any

type

of w

ork

is

perm

itted

at t

hat a

ge.

• W

ork

is a

ny e

mpl

oym

ent t

hat i

s no

t spe

cifie

d as

haz

ardo

us o

r lig

ht. C

hild

ren

may

onl

y be

al

low

ed to

wor

k in

agr

icul

ture

or w

ith fa

mily

mem

bers

.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r pa

rtici

patio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

aut

horit

y or

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t exp

licitl

y de

fine

light

wor

k, w

e co

nsid

er w

ork

“ligh

t” w

hen

legi

slat

ion

spec

ifies

that

it c

anno

t har

m th

e ch

ild’s

hea

lth o

r dev

elop

men

t or i

nter

rupt

his

or h

er s

choo

ling,

or w

hen

the

legi

slat

ion

expl

icitl

y id

entif

ies

wor

k th

at c

an b

e do

ne a

t a y

oung

er a

ge th

an g

ener

al e

mpl

oym

ent.

1: N

ot p

rote

cted

from

ha

zard

ous

wor

k2:

Not

pro

tect

ed fr

om

gene

ral e

mpl

oym

ent

4: N

ot p

rote

cted

from

ligh

t w

ork

5: N

o w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

319Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 319

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_w

kper

mit_

16W

hat w

ork

prot

ectio

ns d

o 16

-yea

r-ol

ds h

ave

whe

n ex

cept

ions

to m

inim

um-a

ge p

rote

ctio

ns a

re

cons

ider

ed?

• Le

gal e

xcep

tions

are

cas

es w

here

the

legi

slat

ion

allo

ws

child

ren

to d

o w

ork

at a

you

nger

age

un

der s

peci

fic c

ircum

stan

ces.

For

haz

ardo

us w

ork,

we

incl

ude

any

exce

ptio

n to

the

min

imum

ag

e fo

r haz

ardo

us w

ork

exce

pt “f

orce

maj

eure

” (ex

traor

dina

ry c

ircum

stan

ces

such

as

war

) an

d “n

o ha

rm to

hea

lth, s

afet

y an

d m

oral

s” (b

ecau

se in

this

cas

e th

e w

ork

wou

ld n

o lo

nger

be

def

ined

as

haza

rdou

s). F

or g

ener

al e

mpl

oym

ent a

nd li

ght w

ork,

exc

eptio

ns in

clud

e sp

ecifi

c ty

pes

of w

ork,

suc

h as

agr

icul

tura

l, te

mpo

rary

or s

easo

nal w

ork;

exc

eptio

ns to

allo

w c

hild

ren

to

wor

k w

ith fa

mily

mem

bers

; and

exc

eptio

ns th

at re

quire

onl

y m

inis

ter o

r gov

ernm

ent a

ppro

val o

r w

hen

the

wor

k is

dee

med

indi

spen

sabl

e fo

r the

chi

ld o

r the

ir fa

mily

, bec

ause

thes

e m

ay n

ot b

e ad

equa

tely

prot

ectiv

e in

pra

ctic

e.

• Ha

zard

ous

wor

k is

wor

k th

at is

har

mfu

l to

child

ren’

s he

alth

or s

afet

y. If

a co

untry

exp

licitl

y de

fined

haz

ardo

us w

ork

in it

s le

gisl

atio

n, it

s ow

n de

finiti

on w

as u

sed.

For

cou

ntrie

s th

at d

o no

t def

ine

haza

rdou

s w

ork,

we

use

the

Inte

rnat

iona

l Lab

our O

rgan

izatio

n’s

defin

ition

: “(a

) wor

k w

hich

exp

oses

chi

ldre

n to

phy

sica

l, ps

ycho

logi

cal o

r sex

ual a

buse

; (b)

wor

k un

derg

roun

d,

unde

r wat

er, a

t dan

gero

us h

eigh

ts o

r in

conf

ined

spa

ces;

(c) w

ork

with

dan

gero

us m

achi

nery

, eq

uipm

ent a

nd to

ols,

or w

hich

invo

lves

the

man

ual h

andl

ing

or tr

ansp

ort o

f hea

vy lo

ads;

(d)

wor

k in

an

unhe

alth

y en

viron

men

t whi

ch m

ay, f

or e

xam

ple,

exp

ose

child

ren

to h

azar

dous

su

bsta

nces

, age

nts,

or p

roce

sses

, or t

o te

mpe

ratu

res,

noi

se le

vels

, or v

ibra

tions

dam

agin

g to

th

eir h

ealth

; (e)

wor

k un

der p

artic

ular

ly di

fficu

lt co

nditi

ons

such

as

wor

k fo

r lon

g ho

urs

or d

urin

g th

e ni

ght o

r wor

k w

here

the

child

is u

nrea

sona

bly

conf

ined

to th

e pr

emis

es o

f the

em

ploy

er.”

• In

som

e ca

ses,

ther

e is

no

min

imum

age

for h

azar

dous

wor

k bu

t the

re is

a m

inim

um a

ge fo

r ge

nera

l em

ploy

men

t. In

thes

e ca

ses,

we

assu

me

child

ren

are

not p

rote

cted

from

haz

ardo

us

wor

k on

ce th

ey re

ach

the

min

imum

age

for g

ener

al e

mpl

oym

ent,

beca

use

any

type

of w

ork

is

perm

itted

at t

hat a

ge.

• W

ork

is a

ny e

mpl

oym

ent t

hat i

s no

t spe

cifie

d as

haz

ardo

us o

r lig

ht. C

hild

ren

may

onl

y be

al

low

ed to

wor

k in

agr

icul

ture

or w

ith fa

mily

mem

bers

.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r pa

rtici

patio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

aut

horit

y or

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t exp

licitl

y de

fine

light

wor

k, w

e co

nsid

er w

ork

“ligh

t” w

hen

legi

slat

ion

spec

ifies

that

it c

anno

t har

m th

e ch

ild’s

hea

lth o

r dev

elop

men

t or i

nter

rupt

his

or h

er s

choo

ling,

or w

hen

the

legi

slat

ion

expl

icitl

y id

entif

ies

wor

k th

at c

an b

e do

ne a

t a y

oung

er a

ge th

an g

ener

al e

mpl

oym

ent.

1: N

ot p

rote

cted

from

ha

zard

ous

wor

k2:

Not

pro

tect

ed fr

om

gene

ral e

mpl

oym

ent

4: N

ot p

rote

cted

from

ligh

t w

ork

5: N

o w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report320320

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_a

ge_

scho

olhr

s6Un

til w

hat a

ge a

re c

hild

ren

prot

ecte

d fro

m w

orki

ng 6

or m

ore

hour

s on

a s

choo

l day

?

• If

legi

slat

ion

spec

ifies

that

chi

ldre

n ca

n on

ly do

ligh

t wor

k, w

hich

by

defin

ition

sho

uld

not

inte

rfere

with

sch

oolin

g, it

is a

ssum

ed th

at th

ey a

re p

rote

cted

from

wor

king

6 o

r mor

e ho

urs

on

a sc

hool

day

.

• A

natio

n’s

stat

ed m

axim

um n

umbe

r of h

ours

per

mitt

ed o

n a

scho

ol d

ay is

use

d w

hene

ver

avai

labl

e to

mea

sure

whe

ther

chi

ldre

n ar

e pr

otec

ted

from

wor

king

6 o

r mor

e ho

urs.

• W

hen

coun

tries

do

not s

peci

fy h

ours

of w

ork

allo

wed

on

a sc

hool

day

, we

use

the

max

imum

nu

mbe

r of h

ours

per

mitt

ed p

er d

ay (n

ot s

peci

fic to

a s

choo

l day

) bec

ause

it is

ass

umed

that

th

ese

regu

latio

ns w

ill al

so a

pply

to s

choo

l day

s.

• W

hen

coun

tries

sta

te th

at w

ork

is p

rohi

bite

d du

ring

scho

ol h

ours

but

do

not s

peci

fy p

artic

ular

ho

ur li

mita

tions

, a 6

-hou

r sch

ool d

ay is

ass

umed

and

is c

ombi

ned

with

dat

a on

hou

rs o

f res

t gu

aran

teed

at n

ight

; the

rem

aini

ng n

umbe

r of h

ours

is u

sed

to d

eter

min

e th

e ho

urs

of w

ork

perm

itted

on

scho

ol d

ays.

Rang

e: 1

2–18

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4

cl_s

chda

y_12

How

man

y ho

urs

are

12-y

ear-

olds

lega

lly p

rote

cted

from

wor

king

on

a sc

hool

day

?

• A

natio

n’s

stat

ed m

axim

um n

umbe

r of h

ours

per

mitt

ed o

n a

scho

ol d

ay is

use

d w

hene

ver

avai

labl

e.

• W

hen

coun

tries

do

not s

peci

fy h

ours

of w

ork

allo

wed

on

a sc

hool

day

, we

use

the

max

imum

nu

mbe

r of h

ours

per

mitt

ed p

er d

ay (n

ot s

peci

fic to

a s

choo

l day

) bec

ause

it is

ass

umed

that

th

ese

regu

latio

ns w

ill al

so a

pply

to s

choo

l day

s.

• W

hen

coun

tries

sta

te th

at w

ork

is p

rohi

bite

d du

ring

scho

ol h

ours

but

do

not s

peci

fy p

artic

ular

ho

ur li

mita

tions

, a 6

-hou

r sch

ool d

ay is

ass

umed

and

is c

ombi

ned

with

dat

a on

hou

rs o

f res

t gu

aran

teed

at n

ight

; the

rem

aini

ng n

umbe

r of h

ours

is u

sed

to d

eter

min

e th

e ho

urs

of w

ork

perm

itted

on

scho

ol d

ays.

• Pr

otec

ted

from

any

wor

k m

eans

that

chi

ldre

n ar

e no

t gen

eral

ly pe

rmitt

ed to

do

any

type

of w

ork.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r par

ticip

atio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

au

thor

ityor

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t ex

plic

itly

defin

e lig

ht w

ork,

we

cons

ider

wor

k “li

ght”

whe

n le

gisl

atio

n sp

ecifi

es th

at it

can

not

harm

the

child

’s h

ealth

or d

evel

opm

ent o

r int

erru

pt h

is o

r her

sch

oolin

g, o

r whe

n th

e le

gisl

atio

n ex

plic

itly

iden

tifie

s w

ork

that

can

be

done

at a

you

nger

age

than

gen

eral

em

ploy

men

t.

1: 8

or m

ore

hour

s2:

6–7

.9 h

ours

3: 3

–5.9

hou

rs4:

1–2

.9 h

ours

5: P

rote

cted

from

any

w

ork

999:

Onl

y lig

ht w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

321Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 321

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_s

chda

y_14

How

man

y ho

urs

are

14-y

ear-

olds

lega

lly p

rote

cted

from

wor

king

on

a sc

hool

day

?

• A

natio

n’s

stat

ed m

axim

um n

umbe

r of h

ours

per

mitt

ed o

n a

scho

ol d

ay is

use

d w

hene

ver

avai

labl

e.

• W

hen

coun

tries

do

not s

peci

fy h

ours

of w

ork

allo

wed

on

a sc

hool

day

, we

use

the

max

imum

nu

mbe

r of h

ours

per

mitt

ed p

er d

ay (n

ot s

peci

fic to

a s

choo

l day

) bec

ause

it is

ass

umed

that

th

ese

regu

latio

ns w

ill al

so a

pply

to s

choo

l day

s.

• W

hen

coun

tries

sta

te th

at w

ork

is p

rohi

bite

d du

ring

scho

ol h

ours

but

do

not s

peci

fy p

artic

ular

ho

ur li

mita

tions

, a 6

-hou

r sch

ool d

ay is

ass

umed

and

is c

ombi

ned

with

dat

a on

hou

rs o

f res

t gu

aran

teed

at n

ight

; the

rem

aini

ng n

umbe

r of h

ours

is u

sed

to d

eter

min

e th

e ho

urs

of w

ork

perm

itted

on

scho

ol d

ays.

• Pr

otec

ted

from

any

wor

k m

eans

that

chi

ldre

n ar

e no

t gen

eral

ly pe

rmitt

ed to

do

any

type

of w

ork.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r pa

rtici

patio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

aut

horit

y or

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t exp

licitl

y de

fine

light

wor

k, w

e co

nsid

er w

ork

“ligh

t” w

hen

legi

slat

ion

spec

ifies

that

it c

anno

t har

m th

e ch

ild’s

hea

lth o

r dev

elop

men

t or i

nter

rupt

his

or h

er s

choo

ling,

or w

hen

the

legi

slat

ion

expl

icitl

y id

entif

ies

wor

k th

at c

an b

e do

ne a

t a y

oung

er a

ge th

an g

ener

al e

mpl

oym

ent.

1: 8

or m

ore

hour

s2:

6–7

.9 h

ours

3: 3

–5.9

hou

rs4:

1–2

.9 h

ours

5: P

rote

cted

from

any

w

ork

999:

Onl

y lig

ht w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cl_s

chda

y_16

How

man

y ho

urs

are

16-y

ear-

olds

lega

lly p

rote

cted

from

wor

king

on

a sc

hool

day

?

• A

natio

n’s

stat

ed m

axim

um n

umbe

r of h

ours

per

mitt

ed o

n a

scho

ol d

ay is

use

d w

hene

ver

avai

labl

e.

• W

hen

coun

tries

do

not s

peci

fy h

ours

of w

ork

allo

wed

on

a sc

hool

day

, we

use

the

max

imum

nu

mbe

r of h

ours

per

mitt

ed p

er d

ay (n

ot s

peci

fic to

a s

choo

l day

) bec

ause

it is

ass

umed

that

th

ese

regu

latio

ns w

ill al

so a

pply

to s

choo

l day

s.

• W

hen

coun

tries

sta

te th

at w

ork

is p

rohi

bite

d du

ring

scho

ol h

ours

but

do

not s

peci

fy p

artic

ular

ho

ur li

mita

tions

, a 6

-hou

r sch

ool d

ay is

ass

umed

and

is c

ombi

ned

with

dat

a on

hou

rs o

f res

t gu

aran

teed

at n

ight

; the

rem

aini

ng n

umbe

r of h

ours

is u

sed

to d

eter

min

e th

e ho

urs

of w

ork

perm

itted

on

scho

ol d

ays.

• Pr

otec

ted

from

any

wor

k m

eans

that

chi

ldre

n ar

e no

t gen

eral

ly pe

rmitt

ed to

do

any

type

of w

ork.

• Th

e In

tern

atio

nal L

abou

r Org

aniza

tion

defin

es li

ght w

ork

as “(

a) n

ot li

kely

to b

e ha

rmfu

l to

thei

r hea

lth o

r dev

elop

men

t; an

d (b

) not

suc

h as

to p

reju

dice

thei

r atte

ndan

ce a

t sch

ool,

thei

r pa

rtici

patio

n in

voc

atio

nal o

rient

atio

n or

trai

ning

pro

gram

s ap

prov

ed b

y th

e co

mpe

tent

aut

horit

y or

thei

r cap

acity

to b

enef

it fro

m th

e in

stru

ctio

n re

ceive

d.” W

hen

a co

untry

doe

s no

t exp

licitl

y de

fine

light

wor

k, w

e co

nsid

er w

ork

“ligh

t” w

hen

legi

slat

ion

spec

ifies

that

it c

anno

t har

m th

e ch

ild’s

hea

lth o

r dev

elop

men

t or i

nter

rupt

his

or h

er s

choo

ling,

or w

hen

the

legi

slat

ion

expl

icitl

y id

entif

ies

wor

k th

at c

an b

e do

ne a

t a y

oung

er a

ge th

an g

ener

al e

mpl

oym

ent.

1: 8

or m

ore

hour

s2:

6–7

.9 h

ours

3: 3

–5.9

hou

rs4:

1–2

.9 h

ours

5: P

rote

cted

from

any

w

ork

999:

Onl

y lig

ht w

ork

perm

itted

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report322322

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_a

ge_

nigh

trest

12Un

til w

hat a

ge a

re c

hild

ren

guar

ante

ed 1

2 ho

urs

off f

rom

wor

k at

nig

ht?

• Ho

urs

of re

st a

t nig

ht is

the

num

ber o

f uni

nter

rupt

ed h

ours

off

wor

k at

nig

ht th

at c

hild

ren

are

guar

ante

ed a

t par

ticul

ar a

ges.

• If

legi

slat

ion

spec

ifies

onl

y th

at a

chi

ld c

anno

t wor

k at

nig

ht, i

t is

not a

ssum

ed th

at c

hild

ren

have

at

leas

t 12

hour

s of

f at n

ight

.

• If

a co

untry

spe

cifie

s on

ly th

at w

ork

by c

hild

ren

and

yout

h is

lim

ited

to a

give

n nu

mbe

r of h

ours

pe

r day

, it i

s no

t cou

nted

as

proh

ibiti

ng n

ight

wor

k be

caus

e th

e w

orki

ng h

ours

cou

ld o

ccur

at

nigh

t.

• If

only

light

wor

k is

per

mitt

ed, i

t is

assu

med

that

chi

ldre

n ha

ve a

t lea

st 1

2 ho

urs

of n

ight

ly re

st.

Rang

e: 1

2–18

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4

cl_n

ight

rest

_12

How

man

y ho

urs

off f

rom

wor

k at

nig

ht a

re 1

2-ye

ar-o

lds

guar

ante

ed?

• Ho

urs

of re

st a

t nig

ht a

re th

e nu

mbe

rs o

f uni

nter

rupt

ed h

ours

off

wor

k at

nig

ht th

at c

hild

ren

are

guar

ante

ed a

t age

12.

• No

t gua

rant

eed

mea

ns th

ere

is n

o gu

aran

tee

of ti

me

off s

peci

fical

ly at

nig

ht. I

f a c

ount

ry

spec

ifies

onl

y th

at w

ork

by c

hild

ren

and

yout

h is

lim

ited

to a

give

n nu

mbe

r of h

ours

per

day

, it i

s no

t cou

nted

as

proh

ibiti

ng n

ight

wor

k be

caus

e th

e w

orki

ng h

ours

cou

ld o

ccur

at n

ight

.

• Le

ss th

an 1

0 ho

urs

incl

udes

cas

es w

here

legi

slat

ion

proh

ibits

nig

ht w

ork

but d

oes

not s

peci

fy

the

num

ber o

f hou

rs.

• Pr

otec

ted

from

wor

king

mea

ns c

hild

ren

may

not

do

gene

ral w

ork

at a

ge 1

2. L

ight

wor

k m

ay b

e pe

rmitt

ed. I

f leg

isla

tion

spec

ifies

chi

ldre

n ca

n on

ly do

ligh

t wor

k w

hich

by

defin

ition

sho

uld

not

inte

rfere

with

sch

oolin

g, it

is a

ssum

ed th

at th

ey a

re w

ell p

rote

cted

for n

ight

ly re

st.

1: N

ot g

uara

ntee

d2:

Les

s th

an 1

0 ho

urs

3: O

nly

10–1

1.9

hour

s4:

At l

east

12

hour

s5:

Pro

tect

ed fr

om w

orki

ng

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cl_n

ight

rest

_14

How

man

y ho

urs

off f

rom

wor

k at

nig

ht a

re 1

4-ye

ar-o

lds

guar

ante

ed?

• Ho

urs

of re

st a

t nig

ht a

re th

e nu

mbe

rs o

f uni

nter

rupt

ed h

ours

off

wor

k at

nig

ht th

at c

hild

ren

are

guar

ante

ed a

t age

14.

• No

t gua

rant

eed

mea

ns th

ere

is n

o gu

aran

tee

of ti

me

off s

peci

fical

ly at

nig

ht. I

f a c

ount

ry

spec

ifies

onl

y th

at w

ork

by c

hild

ren

and

yout

h is

lim

ited

to a

give

n nu

mbe

r of h

ours

per

day

, it i

s no

t cou

nted

as

proh

ibiti

ng n

ight

wor

k be

caus

e th

e w

orki

ng h

ours

cou

ld o

ccur

at n

ight

.

• Le

ss th

an 1

0 ho

urs

incl

udes

cas

es w

here

legi

slat

ion

proh

ibits

nig

ht w

ork

but d

oes

not s

peci

fy

the

num

ber o

f hou

rs.

• Pr

otec

ted

from

wor

king

mea

ns c

hild

ren

may

not

do

gene

ral w

ork

at a

ge 1

4. L

ight

wor

k m

ay b

e pe

rmitt

ed. I

f leg

isla

tion

spec

ifies

chi

ldre

n ca

n on

ly do

ligh

t wor

k w

hich

by

defin

ition

sho

uld

not

inte

rfere

with

sch

oolin

g, it

is a

ssum

ed th

at th

ey a

re w

ell p

rote

cted

for n

ight

ly re

st.

1: N

ot g

uara

ntee

d2:

Les

s th

an 1

0 ho

urs

3: O

nly

10–1

1.9

hour

s4:

At l

east

12

hour

s5:

Pro

tect

ed fr

om w

orki

ng

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

323Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 323

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cl_n

ight

rest

_16

How

man

y ho

urs

off f

rom

wor

k at

nig

ht a

re 1

6-ye

ar-o

lds

guar

ante

ed?

• Ho

urs

of re

st a

t nig

ht a

re th

e nu

mbe

rs o

f uni

nter

rupt

ed h

ours

off

wor

k at

nig

ht th

at c

hild

ren

are

guar

ante

ed a

t age

16.

• No

t gua

rant

eed

mea

ns th

ere

is n

o gu

aran

tee

of ti

me

off s

peci

fical

ly at

nig

ht. I

f a c

ount

ry

spec

ifies

onl

y th

at w

ork

by c

hild

ren

and

yout

h is

lim

ited

to a

give

n nu

mbe

r of h

ours

per

day

, it i

s no

t cou

nted

as

proh

ibiti

ng n

ight

wor

k be

caus

e th

e w

orki

ng h

ours

cou

ld o

ccur

at n

ight

.

• Le

ss th

an 1

0 ho

urs

incl

udes

cas

es w

here

legi

slat

ion

proh

ibits

nig

ht w

ork

but d

oes

not s

peci

fy

the

num

ber o

f hou

rs.

• Pr

otec

ted

from

wor

king

mea

ns c

hild

ren

may

not

do

gene

ral w

ork

at a

ge 1

6. L

ight

wor

k m

ay b

e pe

rmitt

ed. I

f leg

isla

tion

spec

ifies

chi

ldre

n ca

n on

ly do

ligh

t wor

k w

hich

by

defin

ition

sho

uld

not

inte

rfere

with

sch

oolin

g, it

is a

ssum

ed th

at th

ey a

re w

ell p

rote

cted

for n

ight

ly re

st.

1: N

ot g

uara

ntee

d2:

Les

s th

an 1

0 ho

urs

3: O

nly

10–1

1.9

hour

s4:

At l

east

12

hour

s5:

Pro

tect

ed fr

om w

orki

ng

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cl_h

az_m

inag

e_ex

cept

How

long

are

chi

ldre

n pr

otec

ted

from

haz

ardo

us w

ork

whe

n ex

cept

ions

to m

inim

um-a

ge

prot

ectio

ns a

re c

onsi

dere

d?

• Ha

zard

ous

wor

k is

wor

k th

at is

har

mfu

l to

child

ren’

s he

alth

or s

afet

y. If

a co

untry

exp

licitl

y de

fined

haz

ardo

us w

ork

in it

s le

gisl

atio

n, it

s ow

n de

finiti

on w

as u

sed.

For

cou

ntrie

s th

at d

o no

t def

ine

haza

rdou

s w

ork,

we

use

the

Inte

rnat

iona

l Lab

our O

rgan

izatio

n’s

defin

ition

: “(a

) wor

k w

hich

exp

oses

chi

ldre

n to

phy

sica

l, ps

ycho

logi

cal o

r sex

ual a

buse

; (b)

wor

k un

derg

roun

d,

unde

r wat

er, a

t dan

gero

us h

eigh

ts o

r in

conf

ined

spa

ces;

(c) w

ork

with

dan

gero

us m

achi

nery

, eq

uipm

ent a

nd to

ols,

or w

hich

invo

lves

the

man

ual h

andl

ing

or tr

ansp

ort o

f hea

vy lo

ads;

(d)

wor

k in

an

unhe

alth

y en

viron

men

t whi

ch m

ay, f

or e

xam

ple,

exp

ose

child

ren

to h

azar

dous

su

bsta

nces

, age

nts,

or p

roce

sses

, or t

o te

mpe

ratu

res,

noi

se le

vels

, or v

ibra

tions

dam

agin

g to

th

eir h

ealth

; (e)

wor

k un

der p

artic

ular

ly di

fficu

lt co

nditi

ons

such

as

wor

k fo

r lon

g ho

urs

or d

urin

g th

e ni

ght o

r wor

k w

here

the

child

is u

nrea

sona

bly

conf

ined

to th

e pr

emis

es o

f the

em

ploy

er.”

• In

som

e ca

ses,

ther

e is

no

min

imum

age

for h

azar

dous

wor

k bu

t the

re is

a m

inim

um a

ge

for g

ener

al e

mpl

oym

ent.

In th

ese

case

s, th

e m

inim

um a

ge fo

r gen

eral

em

ploy

men

t is

used

ba

sed

on th

e as

sum

ptio

n th

at if

chi

ldre

n ar

e no

t per

mitt

ed to

wor

k, th

ey w

ill no

t be

perm

itted

to

do

haza

rdou

s w

ork.

At t

he s

ame

time,

we

assu

me

that

if h

azar

dous

wor

k is

not

regu

late

d se

para

tely,

then

chi

ldre

n w

ill be

abl

e to

do

haza

rdou

s w

ork

once

they

reac

h th

e m

inim

um

wor

king

age

.

Rang

e: 1

2–18

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4

fb_b

irths

upp_

amt

How

muc

h ar

e bi

rth o

r mat

erni

ty g

rant

s av

aila

ble

to fi

rst-

time

pare

nts?

• In

form

atio

n is

pre

sent

ed o

n gr

ants

ava

ilabl

e fo

r the

firs

t chi

ld in

ord

er to

hav

e a

basi

s fo

r co

mpa

rison

acr

oss

coun

tries

1: N

o gr

ant a

vaila

ble

2: L

ess

than

$50

PPP

3: $

50–$

149.

99 P

PP4:

$15

0–$4

99 P

PP5:

$50

0 PP

P or

mor

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report324324

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

fb_m

odel

fam

_pr

esch

How

muc

h fin

anci

al a

ssis

tanc

e is

ava

ilabl

e pe

r mon

th to

low

-inco

me

fam

ilies

with

two

pres

choo

l ch

ildre

n pe

r mon

th?

• Ca

sh b

enef

its re

fer t

o di

rect

fina

ncia

l ass

ista

nce

prov

ided

to h

ouse

hold

s by

the

gove

rnm

ent,

as

oppo

sed

to o

ther

type

s of

ass

ista

nce

such

as

food

sta

mps

or t

ax.

• Ou

r dat

a on

fam

ily b

enef

its in

clud

e on

ly ca

sh b

enef

its b

ecau

se w

e w

ere

unab

le to

exa

min

e ot

her t

ypes

of t

rans

fers

to fa

milie

s, a

s th

ere

was

no

relia

ble

glob

al d

ata

sour

ce fo

r thi

s in

form

atio

n.

• To

pro

vide

a co

ncre

te a

nd c

ompa

rabl

e im

age

of th

e fin

anci

al s

uppo

rt of

fere

d to

fam

ilies

acro

ss

coun

tries

, we

calc

ulat

ed b

enef

it le

vels

for s

ampl

e fa

milie

s w

ith a

spe

cifie

d nu

mbe

r of c

hild

ren

of a

spe

cifie

d ag

e. F

or fa

milie

s w

ith s

choo

l-age

chi

ldre

n, th

e ca

lcul

atio

n w

as m

ade

base

d on

a

fam

ily w

ith tw

o 8-

year

-old

chi

ldre

n.

• W

hen

bene

fits

diffe

red

acco

rdin

g to

inco

me

leve

l, th

e lo

wes

t inc

ome

brac

ket w

as u

sed,

as

we

wer

e pa

rticu

larly

inte

rest

ed in

fina

ncia

l sup

port

avai

labl

e to

fam

ilies

with

the

grea

test

nee

d.

• Be

nefit

s ar

e ad

just

ed fo

r diff

eren

ces

in b

uyin

g po

wer

acr

oss

coun

tries

.

1: N

o kn

own

fam

ily

bene

fits

2: L

ess

than

$20

PPP

3: $

20–5

9.99

PPP

4: $

60–1

49.9

9 PP

P5:

$15

0 PP

P or

mor

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

fb_m

odel

fam

_sc

hool

How

muc

h fin

anci

al a

ssis

tanc

e is

ava

ilabl

e pe

r mon

th to

low

-inco

me

fam

ilies

with

two

scho

ol-a

ge

child

ren

per m

onth

?

• Ca

sh b

enef

its re

fer t

o di

rect

fina

ncia

l ass

ista

nce

prov

ided

to h

ouse

hold

s by

the

gove

rnm

ent,

as

oppo

sed

to o

ther

type

s of

ass

ista

nce

such

as

food

sta

mps

or t

ax.

• Ou

r dat

a on

fam

ily b

enef

its in

clud

e on

ly ca

sh b

enef

its b

ecau

se w

e w

ere

unab

le to

exa

min

e ot

her t

ypes

of t

rans

fers

to fa

milie

s, a

s th

ere

was

no

relia

ble

glob

al d

ata

sour

ce fo

r thi

s in

form

atio

n.

• To

pro

vide

a co

ncre

te a

nd c

ompa

rabl

e im

age

of th

e fin

anci

al s

uppo

rt of

fere

d to

fam

ilies

acro

ss

coun

tries

, we

calc

ulat

ed b

enef

it le

vels

for s

ampl

e fa

milie

s w

ith a

spe

cifie

d nu

mbe

r of c

hild

ren

of a

spe

cifie

d ag

e. F

or fa

milie

s w

ith s

choo

l-age

chi

ldre

n, th

e ca

lcul

atio

n w

as m

ade

base

d on

a

fam

ily w

ith tw

o 8-

year

-old

chi

ldre

n.

• W

hen

bene

fits

diffe

red

acco

rdin

g to

inco

me

leve

l, th

e lo

wes

t inc

ome

brac

ket w

as u

sed,

as

we

wer

e pa

rticu

larly

inte

rest

ed in

fina

ncia

l sup

port

avai

labl

e to

fam

ilies

with

the

grea

test

nee

d.

• Be

nefit

s ar

e ad

just

ed fo

r diff

eren

ces

in b

uyin

g po

wer

acr

oss

coun

tries

.

1: N

o kn

own

fam

ily

bene

fits

2: L

ess

than

$20

PPP

3: $

20–5

9.99

PPP

4: $

60–1

49.9

9 PP

P5:

$15

0 PP

P or

mor

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

325Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 325

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

fb_m

odel

fam

_te

enHo

w m

uch

finan

cial

ass

ista

nce

is a

vaila

ble

per m

onth

to lo

w-in

com

e fa

milie

s w

ith tw

o te

enag

e ch

ildre

n pe

r mon

th?

• Ca

sh b

enef

its re

fer t

o di

rect

fina

ncia

l ass

ista

nce

prov

ided

to h

ouse

hold

s by

the

gove

rnm

ent,

as

oppo

sed

to o

ther

type

s of

ass

ista

nce

such

as

food

sta

mps

or t

ax.

• Ou

r dat

a on

fam

ily b

enef

its in

clud

e on

ly ca

sh b

enef

its b

ecau

se w

e w

ere

unab

le to

exa

min

e ot

her t

ypes

of t

rans

fers

to fa

milie

s, a

s th

ere

was

no

relia

ble

glob

al d

ata

sour

ce fo

r thi

s in

form

atio

n.

• To

pro

vide

a co

ncre

te a

nd c

ompa

rabl

e im

age

of th

e fin

anci

al s

uppo

rt of

fere

d to

fam

ilies

acro

ss

coun

tries

, we

calc

ulat

ed b

enef

it le

vels

for s

ampl

e fa

milie

s w

ith a

spe

cifie

d nu

mbe

r of c

hild

ren

of a

spe

cifie

d ag

e. F

or fa

milie

s w

ith s

choo

l-age

chi

ldre

n, th

e ca

lcul

atio

n w

as m

ade

base

d on

a

fam

ily w

ith tw

o 8-

year

-old

chi

ldre

n.

• W

hen

bene

fits

diffe

red

acco

rdin

g to

inco

me

leve

l, th

e lo

wes

t inc

ome

brac

ket w

as u

sed,

as

we

wer

e pa

rticu

larly

inte

rest

ed in

fina

ncia

l sup

port

avai

labl

e to

fam

ilies

with

the

grea

test

nee

d.

• Be

nefit

s ar

e ad

just

ed fo

r diff

eren

ces

in b

uyin

g po

wer

acr

oss

coun

tries

.

1: N

o kn

own

fam

ily

bene

fits

2: L

ess

than

$20

PPP

3: $

20–5

9.99

PPP

4: $

60–1

49.9

9 PP

P5:

$15

0 PP

P or

mor

e

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

fb_c

csch

supp

Do fa

milie

s re

ceive

ben

efits

for c

hild

care

or s

choo

l cos

ts?

• M

eans

-tes

ted

bene

fits

are

only

avai

labl

e to

fam

ilies

with

inco

mes

bel

ow a

cer

tain

leve

l.

• Be

nefit

s av

aila

ble

with

out a

mea

ns te

st a

re a

vaila

ble

to fa

milie

s w

ithou

t con

side

ring

thei

r in

com

e.

1: N

o be

nefit

s fo

r ch

ildca

re o

r sch

ool c

osts

3: M

eans

-tes

ted

bene

fits

4: B

enef

its a

vaila

ble

with

out m

eans

test

5: B

oth

with

and

with

out a

m

eans

test

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_m

inag

e_fe

m_l

egW

hat i

s th

e m

inim

um a

ge o

f mar

riage

for g

irls?

Rang

e: 9

–21

0: N

o m

inim

um a

geW

orld

Pol

icy

Anal

ysis

Cen

ter

Sour

ce: 2

4cm

_min

age_

mal

_leg

Wha

t is

the

min

imum

age

of m

arria

ge fo

r boy

s?Ra

nge:

13–

220:

No

min

imum

age

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_l

egal

_diff

_le

gIs

ther

e a

gend

er d

ispa

rity

in th

e le

gal a

ge o

f mar

riage

?1:

No

min

imum

age

for

girls

and

boy

s2:

Girl

s ca

n be

mar

ried

3–4

year

s yo

unge

r tha

n bo

ys3:

Girl

s ca

n be

mar

ried

1–2

year

s yo

unge

r tha

n bo

ys5:

No

diffe

renc

e in

m

inim

um a

ge

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report326326

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cm_p

rote

ct_

girl_

13Un

der w

hat c

ircum

stan

ces

can

a 13

-yea

r-ol

d gi

rl be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

girls

mar

ryin

g at

age

13.

• Ca

n m

arry

with

par

enta

l con

sent

and

/or u

nder

relig

ious

or c

usto

mar

y la

w m

eans

that

girl

s m

ay

be m

arrie

d at

age

13

with

par

enta

l per

mis

sion

and

/or u

nder

relig

ious

or c

usto

mar

y la

w. W

e do

no

t con

side

r tha

t the

se re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• On

ly pe

rmitt

ed w

ith c

ourt

appr

oval

or w

hen

preg

nant

mea

ns g

irls

may

be

mar

ried

at a

ge 1

3 on

ly w

ith a

ppro

val t

hat i

s lik

ely

to b

e m

ore

prot

ectiv

e (s

uch

as c

ourt

or s

ocia

l wel

fare

cen

tre

appr

oval

) or i

n th

e ca

se o

f pre

gnan

cy o

r afte

r the

birt

h of

a c

hild

.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

13-

year

-old

gi

rl ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_p

rote

ct_

girl_

15Un

der w

hat c

ircum

stan

ces

can

a 15

-yea

r-ol

d gi

rl be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

girls

mar

ryin

g at

age

15.

• Ca

n m

arry

with

par

enta

l con

sent

and

/or u

nder

relig

ious

or c

usto

mar

y la

w m

eans

that

girl

s m

ay

be m

arrie

d at

age

15

with

par

enta

l per

mis

sion

and

/or u

nder

relig

ious

or c

usto

mar

y la

w. W

e do

no

t con

side

r tha

t the

se re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• On

ly pe

rmitt

ed w

ith c

ourt

appr

oval

or w

hen

preg

nant

mea

ns g

irls

may

be

mar

ried

at a

ge 1

5 on

ly w

ith a

ppro

val t

hat i

s lik

ely

to b

e m

ore

prot

ectiv

e (s

uch

as c

ourt

or s

ocia

l wel

fare

cen

tre

appr

oval

) or i

n th

e ca

se o

f pre

gnan

cy o

r afte

r the

birt

h of

a c

hild

.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

15-

year

-old

gi

rl ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_p

rote

ct_

girl_

17Un

der w

hat c

ircum

stan

ces

can

a 17

-yea

r-ol

d gi

rl be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

girls

mar

ryin

g at

age

17.

• Ca

n m

arry

with

par

enta

l con

sent

and

/or u

nder

relig

ious

or c

usto

mar

y la

w m

eans

that

girl

s m

ay

be m

arrie

d at

age

17

with

par

enta

l per

mis

sion

and

/or u

nder

relig

ious

or c

usto

mar

y la

w. W

e do

no

t con

side

r tha

t the

se re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• On

ly pe

rmitt

ed w

ith c

ourt

appr

oval

or w

hen

preg

nant

mea

ns g

irls

may

be

mar

ried

at a

ge 1

7 on

ly w

ith a

ppro

val t

hat i

s lik

ely

to b

e m

ore

prot

ectiv

e (s

uch

as c

ourt

or s

ocia

l wel

fare

cen

tre

appr

oval

) or i

n th

e ca

se o

f pre

gnan

cy o

r afte

r the

birt

h of

a c

hild

.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

17-

year

-old

gi

rl ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

327Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 327

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cm_p

rote

ct_

boy_

13Un

der w

hat c

ircum

stan

ces

can

a 13

-yea

r-ol

d bo

y be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

boys

mar

ryin

g at

age

13.

• Pa

rent

al c

onse

nt a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law

mea

ns th

at b

oys

may

be

mar

ried

at

age

13 w

ith p

aren

tal p

erm

issi

on a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law.

We

do n

ot c

onsi

der

that

thes

e re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• Co

urt a

ppro

val o

r whe

n pr

egna

nt m

eans

boy

s m

ay b

e m

arrie

d at

age

13

only

with

app

rova

l tha

t is

like

ly to

be

mor

e pr

otec

tive

(suc

h as

cou

rt or

soc

ial w

elfa

re c

entre

app

rova

l) or

whe

n th

ere

is

a pr

egna

ncy

or b

irth

of a

chi

ld.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

13-

year

-old

bo

y ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_p

rote

ct_

boy_

15Un

der w

hat c

ircum

stan

ces

can

a 15

-yea

r-ol

d bo

y be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

boys

mar

ryin

g at

age

13.

• Pa

rent

al c

onse

nt a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law

mea

ns th

at b

oys

may

be

mar

ried

at

age

13 w

ith p

aren

tal p

erm

issi

on a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law.

We

do n

ot c

onsi

der

that

thes

e re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• Co

urt a

ppro

val o

r whe

n pr

egna

nt m

eans

boy

s m

ay b

e m

arrie

d at

age

13

only

with

app

rova

l tha

t is

like

ly to

be

mor

e pr

otec

tive

(suc

h as

cou

rt or

soc

ial w

elfa

re c

entre

app

rova

l) or

whe

n th

ere

is

a pr

egna

ncy

or b

irth

of a

chi

ld.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

13-

year

-old

bo

y ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

cm_p

rote

ct_

boy_

17Un

der w

hat c

ircum

stan

ces

can

a 17

-yea

r-ol

d bo

y be

mar

ried?

• No

rest

rictio

ns m

eans

that

ther

e ar

e no

lega

l res

trict

ions

on

boys

mar

ryin

g at

age

13.

• Pa

rent

al c

onse

nt a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law

mea

ns th

at b

oys

may

be

mar

ried

at

age

13 w

ith p

aren

tal p

erm

issi

on a

nd/o

r und

er re

ligio

us o

r cus

tom

ary

law.

We

do n

ot c

onsi

der

that

thes

e re

quire

men

ts a

re p

rote

ctive

of a

t-ris

k ch

ildre

n.

• Co

urt a

ppro

val o

r whe

n pr

egna

nt m

eans

boy

s m

ay b

e m

arrie

d at

age

13

only

with

app

rova

l tha

t is

like

ly to

be

mor

e pr

otec

tive

(suc

h as

cou

rt or

soc

ial w

elfa

re c

entre

app

rova

l) or

whe

n th

ere

is

a pr

egna

ncy

or b

irth

of a

chi

ld.

• M

arria

ge le

gally

pro

hibi

ted

mea

ns th

at th

ere

are

no c

ircum

stan

ces

unde

r whi

ch a

13-

year

-old

bo

y ca

n le

gally

be

mar

ried.

1: N

o re

stric

tions

2: C

an m

arry

with

pa

rent

al c

onse

nt a

nd/

or u

nder

relig

ious

or

cust

omar

y la

w3:

Onl

y pe

rmitt

ed w

ith

cour

t app

rova

l and

/or

preg

nanc

y5:

Mar

riage

lega

lly

proh

ibite

d

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report328328

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

cm_e

xcep

t_pc

Are

ther

e ex

cept

ions

to th

e ge

nera

l leg

al m

inim

um a

ge o

f mar

riage

for g

irls?

1: N

o le

gisl

ated

min

imum

ag

e of

mar

riage

3: Y

es, e

arlie

r mar

riage

is

lega

l with

par

enta

l co

nsen

t4:

Ear

lier m

arria

ge is

lega

l w

ith p

aren

tal c

onse

nt

only

with

add

ition

al

requ

irem

ents

5: N

o ex

cept

ions

to

min

imum

age

legi

slat

ion

base

d on

par

enta

l con

sent

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

qor_

med

care

_2Do

es th

e co

nstit

utio

n gu

aran

tee

med

ical

car

e tre

atm

ent t

o w

omen

and

girl

s?

• Th

e rig

ht to

med

ical

ser

vices

incl

udes

cur

ative

ser

vices

, hea

lth-c

are

serv

ices

, dis

ease

trea

tmen

t or

dis

cuss

ion

of th

e St

ate’

s re

spon

sibi

lity

to re

stor

e/re

habi

litat

e he

alth

.

• No

rele

vant

pro

visio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n th

e rig

ht to

med

ical

se

rvic

es fo

r wom

en. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

this

righ

t, bu

t tha

t it d

oes

not e

xplic

itly

incl

ude

it fo

r wom

en o

r all

citiz

ens.

• Ge

nera

l gua

rant

ee, n

ot s

peci

fic to

wom

en m

eans

the

cons

titut

ion

expl

icitl

y gu

aran

tees

the

right

to

med

ical

ser

vices

to a

ll ci

tizen

s bu

t doe

s no

t exp

licitl

y ad

dres

s he

alth

pro

tect

ions

for w

omen

or

guar

ante

e th

at w

omen

enj

oy e

qual

righ

ts.

• As

pira

tiona

l for

wom

en m

eans

that

the

cons

titut

ion

prot

ects

the

gene

ral r

ight

to m

edic

al

serv

ices

for w

omen

but

doe

s no

t use

lang

uage

stro

ng e

noug

h to

be

cons

ider

ed a

gua

rant

ee.

For e

xam

ple,

the

natio

n in

tend

s to

pro

vide

med

ical

ser

vices

for w

omen

or,

with

in th

e lim

it of

the

Stat

e’s

reso

urce

s, it

will

prov

ide

heal

th c

are

to c

itize

ns, a

nd w

omen

enj

oy e

qual

righ

ts to

men

.

• Ge

nera

l rig

ht to

med

ical

car

e an

d br

oad

prot

ectio

n fro

m g

ende

r dis

crim

inat

ion

mea

ns th

at th

e co

nstit

utio

n gu

aran

tees

the

right

to m

edic

al c

are

treat

men

t to

citiz

ens

and

prov

ides

gen

eral

pr

otec

tion

agai

nst d

iscr

imin

atio

n ba

sed

on g

ende

r but

doe

s no

t spe

cific

ally

guar

ante

e w

omen

a

right

to m

edic

al c

are

treat

men

t.

• Gu

aran

teed

to w

omen

mea

ns th

at th

e co

nstit

utio

n ex

plic

itly

guar

ante

es th

e rig

ht to

med

ical

se

rvic

es to

wom

en in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns in

this

cat

egor

y m

ight

gu

aran

tee

citiz

ens’

righ

t to

med

ical

ser

vices

and

gua

rant

ee th

at w

omen

enj

oy e

qual

soc

ial a

nd

econ

omic

righ

ts to

men

.

1: N

o re

leva

nt p

rovis

ion

2: G

ener

al g

uara

ntee

, not

sp

ecifi

c to

wom

en3:

Asp

iratio

nal f

or w

omen

4: G

ener

al ri

ght t

o m

edic

al c

are

and

broa

d pr

otec

tion

from

gen

der

disc

rimin

atio

n5:

Gua

rant

eed

to w

omen

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

329Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 329

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

qor_

publ

iche

alth

_2Do

es th

e co

nstit

utio

n gu

aran

tee

prot

ectio

n of

pub

lic h

ealth

to w

omen

and

girl

s?

• Th

e rig

ht to

pub

lic h

ealth

incl

udes

the

“def

ence

of p

ublic

hea

lth”,

“acc

ess

to p

reve

ntive

se

rvic

es”,

“illn

ess

prev

entio

n”, e

tc. E

ach

of th

ese

can

be g

uara

ntee

d in

bro

ad te

rms,

suc

h as

the

stat

emen

t of a

righ

t to

publ

ic h

ealth

, and

/or c

an b

e ph

rase

d m

ore

spec

ifica

lly, s

uch

as a

cces

s to

imm

uniza

tions

and

hea

lth e

duca

tion.

We

cons

ider

ed th

e br

oad

right

to p

ublic

hea

lth to

be

guar

ante

ed w

hen

expl

icitl

y st

ated

or w

hen

thes

e ty

pes

of s

peci

fics

appe

ared

with

in a

bro

ader

ap

plic

able

con

text

. For

exa

mpl

e, if

acc

ess

to im

mun

izatio

ns w

as m

entio

ned

with

in th

e co

ntex

t of

the

prot

ectio

n of

pub

lic h

ealth

or d

isea

se p

reve

ntio

n, th

e rig

ht to

pub

lic h

ealth

was

con

side

red

gran

ted,

but

if it

app

eare

d al

one,

the

over

all r

ight

to p

ublic

hea

lth w

as n

ot c

onsi

dere

d gu

aran

teed

.

• No

rele

vant

pro

visio

n m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n th

e rig

ht to

pub

lic

heal

th fo

r wom

en. T

his

does

not

mea

n th

at th

e co

nstit

utio

n de

nies

this

righ

t, bu

t tha

t it d

oes

not

expl

icitl

y in

clud

e it

for w

omen

or a

ll ci

tizen

s.

• Ge

nera

l gua

rant

ee, n

ot s

peci

fic to

wom

en m

eans

that

the

cons

titut

ion

guar

ante

es th

e rig

ht to

pu

blic

hea

lth fo

r citi

zens

but

doe

s no

t inc

lude

a p

rovis

ion

guar

ante

eing

wom

en e

qual

righ

ts

broa

dly.

• As

pira

tiona

l for

wom

en m

eans

that

the

cons

titut

ion

prot

ects

the

right

to p

ublic

hea

lth fo

r wom

en

but d

oes

not u

se la

ngua

ge s

trong

eno

ugh

to b

e co

nsid

ered

a g

uara

ntee

in a

ddre

ssin

g th

e rig

ht

to p

ublic

hea

lth. F

or e

xam

ple,

the

natio

n w

ill en

deav

our t

o pr

otec

t pub

lic h

ealth

, and

wom

en

enjo

y eq

ual r

ight

s to

men

.

• Ge

nera

l gua

rant

ee o

f pub

lic h

ealth

and

bro

ad p

rote

ctio

n fro

m g

ende

r dis

crim

inat

ion

mea

ns th

at

the

cons

titut

ion

guar

ante

es th

e rig

ht to

pub

lic h

ealth

to c

itize

ns a

nd p

rovid

es g

ener

al p

rote

ctio

n ag

ains

t dis

crim

inat

ion

base

d on

gen

der b

ut d

oes

not s

peci

fical

ly gu

aran

tee

wom

en th

e rig

ht to

pu

blic

hea

lth.

• Gu

aran

teed

to w

omen

mea

ns th

at th

e co

nstit

utio

n ex

plic

itly

guar

ante

es th

e rig

ht to

pub

lic h

ealth

to

wom

en in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns in

this

cat

egor

y m

ight

gua

rant

ee

citiz

ens’

righ

t to

publ

ic h

ealth

or m

ake

it th

e St

ate’

s re

spon

sibi

lity

to e

nsur

e th

e pr

otec

tion

of th

e rig

ht.

1: N

o re

leva

nt p

rovis

ion

2: G

ener

al g

uara

ntee

, not

sp

ecifi

c to

wom

en3:

Asp

iratio

nal f

or w

omen

4: G

ener

al g

uara

ntee

of

publ

ic h

ealth

and

bro

ad

prot

ectio

n fro

m g

ende

r di

scrim

inat

ion

5: G

uara

ntee

d to

wom

en

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report330330

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

qor_

anyh

ealth

_2Do

es th

e co

nstit

utio

n ta

ke a

ny a

ppro

ach

to th

e pr

otec

tion

of h

ealth

for w

omen

?

• Ap

proa

ches

to h

ealth

incl

ude

the

right

to h

ealth

, pub

lic h

ealth

or m

edic

al s

ervic

es.

• No

, non

e m

eans

that

the

cons

titut

ion

does

not

exp

licitl

y m

entio

n he

alth

pro

tect

ions

for w

omen

. Th

is d

oes

not m

ean

that

the

cons

titut

ion

deni

es th

ese

prot

ectio

ns, b

ut th

at it

doe

s no

t exp

licitl

y in

clud

e th

em fo

r wom

en o

r all

citiz

ens.

• Ge

nera

l app

roac

h to

hea

lth, n

ot s

peci

fic to

wom

en m

eans

that

the

cons

titut

ion

expl

icitl

y gu

aran

tees

the

right

to h

ealth

, pub

lic h

ealth

or m

edic

al s

ervic

es to

citi

zens

but

doe

s no

t spe

cific

ally

guar

ante

e an

y of

thes

e rig

hts

to w

omen

or b

road

ly pr

otec

t wom

en fr

om

disc

rimin

atio

n.

• As

pira

tiona

l for

wom

en m

eans

that

the

cons

titut

ion

prot

ects

the

right

to h

ealth

, pub

lic h

ealth

or

med

ical

ser

vices

for w

omen

but

doe

s no

t use

lang

uage

stro

ng e

noug

h to

be

cons

ider

ed a

gu

aran

tee.

For

exa

mpl

e, th

e na

tion

will

ende

avou

r to

prov

ide

the

right

to h

ealth

for w

omen

or

the

Stat

e in

tend

s to

pro

vide

med

ical

ser

vices

to c

itize

ns, a

nd w

omen

enj

oy e

qual

righ

ts to

men

.

• Ge

nera

l app

roac

h to

hea

lth a

nd b

road

pro

tect

ion

from

gen

der d

iscr

imin

atio

n m

eans

that

the

cons

titut

ion

guar

ante

es th

e rig

ht to

hea

lth, p

ublic

hea

lth o

r med

ical

ser

vices

to c

itize

ns a

nd

prov

ides

gen

eral

pro

tect

ion

agai

nst d

iscr

imin

atio

n ba

sed

on g

ende

r but

doe

s no

t spe

cific

ally

guar

ante

e an

y ap

proa

ch to

hea

lth fo

r wom

en.

• Gu

aran

teed

to w

omen

mea

ns th

at th

e co

nstit

utio

n ex

plic

itly

guar

ante

es th

e rig

ht to

hea

lth,

med

ical

ser

vices

or p

ublic

hea

lth to

wom

en in

aut

horit

ative

lang

uage

. For

exa

mpl

e, c

onst

itutio

ns

in th

is c

ateg

ory

mig

ht g

uara

ntee

wom

en’s

righ

t to

heal

th o

r mak

e it

the

Stat

e’s

resp

onsi

bilit

y to

en

sure

the

prot

ectio

n of

pub

lic h

ealth

, and

wom

en e

njoy

equ

al ri

ghts

to m

en.

1: N

one

2: G

ener

al a

ppro

ach

to

heal

th, n

ot s

peci

fic to

w

omen

3: A

spira

tiona

l for

wom

en4:

Gen

eral

app

roac

h to

hea

lth a

nd b

road

pr

otec

tion

from

gen

der

and

disc

rimin

atio

n5:

Gua

rant

eed

to w

omen

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

dc_b

enpr

ovAr

e be

nefit

s av

aila

ble

to fa

milie

s w

ith d

isab

ilitie

s?

• In

def

inin

g th

e te

rm “c

hild

ren

with

dis

abilit

ies”

som

e co

untri

es re

fer t

o pe

rson

s w

ith p

hysi

cal

disa

bilit

ies,

som

e re

fer t

o pe

rson

s w

ith m

enta

l hea

lth c

ondi

tions

or i

ntel

lect

ual d

isab

ilitie

s, a

nd

som

e di

scus

s pe

rson

s w

ith d

isab

ilitie

s in

gen

eral

. For

the

purp

oses

of t

his

data

base

the

term

“c

hild

ren

with

dis

abilit

ies”

cap

ture

s al

l of t

hese

def

initi

ons.

• Da

ta o

n fa

mily

ben

efits

incl

ude

only

gove

rnm

ent-

prov

ided

cas

h be

nefit

s. W

e w

ere

unab

le to

ex

amin

e in

-kin

d tra

nsfe

rs to

fam

ilies

and

tax

cred

its, a

s th

ere

was

no

relia

ble

glob

al d

ata

sour

ce

for t

his

info

rmat

ion.

• No

or l

imite

d fa

mily

ben

efits

incl

udes

cas

es w

here

fam

ily b

enef

its a

re a

vaila

ble

only

in c

erta

in

circ

umst

ance

s, s

uch

as o

nly

to s

peci

fic g

roup

s (fo

r exa

mpl

e, s

ingl

e pa

rent

s or

orp

hans

), or

as

bene

fits

to fu

nd s

peci

fic a

spec

ts o

f life

, suc

h as

hou

sing

or s

choo

l allo

wan

ces.

• M

eans

-tes

ted

fam

ily b

enef

its a

re o

nly

avai

labl

e to

fam

ilies

with

inco

mes

bel

ow a

cer

tain

leve

l. Th

ere

are

no fa

mily

ben

efits

spe

cific

to c

hild

ren

with

dis

abilit

ies.

• Fa

mily

ben

efits

that

are

not

mea

ns-t

este

d ar

e fa

mily

ben

efits

ava

ilabl

e to

fam

ilies

with

out

cons

ider

ing

thei

r inc

omes

. The

re a

re n

o fa

mily

ben

efits

spe

cific

to c

hild

ren

with

dis

abilit

ies.

1: N

o or

lim

ited

fam

ily

bene

fits

2: M

eans

-tes

ted

fam

ily

bene

fits

3: F

amily

ben

efits

are

not

m

eans

-tes

ted

5: S

peci

fic b

enef

its fo

r di

sabl

ed c

hild

ren

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

331Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 331

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

fb_m

odel

fam

_sc

hool

_dc

How

muc

h fin

anci

al a

ssis

tanc

e is

ava

ilabl

e pe

r mon

th to

low

-inco

me

fam

ilies

with

one

sev

erel

y di

sabl

ed s

choo

l-age

chi

ld?

• So

me

coun

tries

adj

ust t

he a

mou

nt o

f the

se b

enef

its b

ased

on

the

age

of th

e ch

ild, t

he fa

mily

’s

inco

me,

the

amou

nt o

f ben

efits

rece

ived

thro

ugh

othe

r sch

emes

and

/or t

he n

atur

e of

the

child

’s

disa

bilit

y. Fo

r the

pur

pose

s of

com

para

bilit

y, w

e ex

amin

e th

e be

nefit

s pr

ovid

ed to

fam

ilies

in th

e lo

wes

t inc

ome

brac

ket w

ith o

ne c

hild

with

the

mos

t sev

ere

leve

l of d

isab

ility

at a

give

n ag

e.

• To

pro

vide

a co

ncre

te a

nd c

ompa

rabl

e im

age

of th

e fin

anci

al s

uppo

rt of

fere

d to

fam

ilies

acro

ss

coun

tries

, we

calc

ulat

ed b

enef

it le

vels

for s

ampl

e fa

milie

s w

ith a

spe

cifie

d nu

mbe

r of c

hild

ren

of

a sp

ecifi

ed a

ge. F

or fa

milie

s w

ith a

teen

age

child

, the

cal

cula

tion

was

mad

e ba

sed

on a

fam

ily

with

one

15-

year

-old

chi

ld.

• No

spe

cific

fam

ily b

enef

its in

clud

es c

ount

ries

with

no

fam

ily b

enef

it sc

hem

e as

wel

l as

coun

tries

w

ith g

ener

al c

ash

fam

ily b

enef

its b

ut n

o be

nefit

s sp

ecifi

cally

for c

hild

ren

with

dis

abilit

ies.

• Be

nefit

s ar

e on

ly th

e am

ount

of m

oney

targ

eted

tow

ards

chi

ldre

n w

ith d

isab

ilitie

s. If

a c

ount

ry

has

a ge

nera

l cas

h fa

mily

ben

efit

and

an a

dditi

onal

sup

plem

ent f

or c

hild

ren

with

dis

abilit

ies,

we

only

cons

ider

the

amou

nt o

f the

sup

plem

ent.

• Be

nefit

s ar

e ad

just

ed fo

r diff

eren

ces

in b

uyin

g po

wer

acr

oss

coun

tries

.

1: N

o sp

ecifi

c fa

mily

be

nefit

s2:

Les

s th

an $

100

PPP

3: $

100–

$199

.99

PPP

4: $

200–

$499

.99

PPP

5: $

500

PPP

or m

ore

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

fb_m

odel

fam

_te

en_d

cHo

w m

uch

finan

cial

ass

ista

nce

is a

vaila

ble

per m

onth

to lo

w-in

com

e fa

milie

s w

ith o

ne s

ever

ely

disa

bled

teen

age

child

?

• So

me

coun

tries

adj

ust t

he a

mou

nt o

f the

se b

enef

its b

ased

on

the

age

of th

e ch

ild, t

he fa

mily

’s

inco

me,

the

amou

nt o

f ben

efits

rece

ived

thro

ugh

othe

r sch

emes

and

/or t

he n

atur

e of

the

child

’s

disa

bilit

y. Fo

r the

pur

pose

s of

com

para

bilit

y, w

e ex

amin

e th

e be

nefit

s pr

ovid

ed to

fam

ilies

in th

e lo

wes

t inc

ome

brac

ket w

ith o

ne c

hild

with

the

mos

t sev

ere

leve

l of d

isab

ility

at a

give

n ag

e.

• To

pro

vide

a co

ncre

te a

nd c

ompa

rabl

e im

age

of th

e fin

anci

al s

uppo

rt of

fere

d to

fam

ilies

acro

ss

coun

tries

, we

calc

ulat

ed b

enef

it le

vels

for s

ampl

e fa

milie

s w

ith a

spe

cifie

d nu

mbe

r of c

hild

ren

of

a sp

ecifi

ed a

ge. F

or fa

milie

s w

ith a

teen

age

child

, the

cal

cula

tion

was

mad

e ba

sed

on a

fam

ily

with

one

15-

year

-old

chi

ld.

• No

spe

cific

fam

ily b

enef

its in

clud

es c

ount

ries

with

no

fam

ily b

enef

it sc

hem

e as

wel

l as

coun

tries

w

ith g

ener

al c

ash

fam

ily b

enef

its b

ut n

o be

nefit

s sp

ecifi

cally

for c

hild

ren

with

dis

abilit

ies.

• Be

nefit

s ar

e on

ly th

e am

ount

of m

oney

targ

eted

tow

ards

chi

ldre

n w

ith d

isab

ilitie

s. If

a c

ount

ry

has

a ge

nera

l cas

h fa

mily

ben

efit

and

an a

dditi

onal

sup

plem

ent f

or c

hild

ren

with

dis

abilit

ies,

we

only

cons

ider

the

amou

nt o

f the

sup

plem

ent.

• Be

nefit

s ar

e ad

just

ed fo

r diff

eren

ces

in b

uyin

g po

wer

acr

oss

coun

tries

.

1: N

o sp

ecifi

c fa

mily

be

nefit

s2:

Les

s th

an $

100

PPP

3: $

100–

$199

.99

PPP

4: $

200–

$499

.99

PPP

5: $

500

PPP

or m

ore

Wor

ld P

olic

y An

alys

is C

ente

rSo

urce

: 24

pol_

imm

uinj

_sa

ftyA

polic

y is

bei

ng im

plem

ente

d fo

r im

mun

izatio

n in

ject

ion

safe

ty0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report332332

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

pol_

imm

u_w

ste

Ther

e is

a n

atio

nal p

olic

y fo

r was

te fo

r im

mun

izatio

n ac

tiviti

es0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

pol_

burn

Ther

e is

a n

atio

nal p

olic

y re

gard

ing

open

bur

ning

for d

ispo

sal

0: N

o1:

Yes

4: N

ot a

pplic

able

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

pol_

buria

lNa

tiona

l pol

icy

rega

rdin

g di

spos

al v

ia b

uria

l0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

lne_

bdg_

imm

uTh

ere

are

line

item

s in

the

natio

nal b

udge

t spe

cific

ally

for t

he p

urch

ase

of v

acci

nes

used

in ro

utin

e im

mun

izatio

ns0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

imm

u_fn

d_go

vPe

rcen

tage

of t

otal

exp

endi

ture

on

vacc

ines

fina

nced

by

gove

rnm

ent f

unds

Rang

e: 0

–100

4: N

ot a

pplic

able

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

imm

u_ni

tag

Coun

try h

as a

sta

ndin

g te

chni

cal a

dvis

ory

grou

p (N

ITAG

)0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

advs

_grp

_tor

Advis

ory

grou

p ha

s fo

rmal

writ

ten

Term

s of

Ref

eren

ce0:

No

1: Y

es4:

Not

app

licab

le

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

leg_

advs

_grp

Ther

e is

a le

gisl

ative

or a

dmin

istra

tive

basi

s fo

r the

adv

isor

y gr

oup

0: N

o1:

Yes

4: N

ot a

pplic

able

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

pol_

imm

u_flu

Coun

try h

as a

form

al n

atio

nal s

easo

nal i

nflu

enza

vac

cina

tion

polic

y0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4im

mu_

flu_c

hld

Child

ren

are

reco

mm

ende

d fo

r inf

luen

za v

acci

natio

n0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4im

mu_

flu_c

dCh

ildre

n w

ith c

hron

ic d

isea

ses

are

reco

mm

ende

d fo

r inf

luen

za v

acci

natio

n0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4

333Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 333

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

imm

u_flu

_pre

gPr

egna

nt w

omen

are

reco

mm

ende

d fo

r inf

luen

za v

acci

natio

n0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4bc

g_ni

sBC

G pa

rt of

the

Natio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

dtp_

nis

DTP-

cont

aini

ng v

acci

ne is

par

t of t

he N

atio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

hepb

_nis

HepB

is p

art o

f the

Nat

iona

l Im

mun

izatio

n Sc

hedu

le0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4hi

b_ni

sHi

b is

par

t of t

he N

atio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

mea

sles

_nis

Mea

sles

is p

art o

f the

Nat

iona

l Im

mun

izatio

n Sc

hedu

le0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4ip

v_op

v_ni

sIP

V/OP

C is

par

t of t

he N

atio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

vita_

nis

Vita

min

A is

par

t of t

he N

atio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

rota

_nis

Rota

virus

is p

art o

f the

Nat

iona

l Im

mun

izatio

n Sc

hedu

le0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4pn

eum

o_ni

sPn

eum

ococ

cal i

s pa

rt of

the

Natio

nal I

mm

uniza

tion

Sche

dule

0: N

o1:

Yes

WHO

vac

cine

-pre

vent

able

dis

ease

s: m

onito

ring

syst

emSo

urce

: 34

rube

lla_n

isRu

bella

is p

art o

f the

Nat

iona

l Im

mun

izatio

n Sc

hedu

le0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4hp

v_ni

sHP

V co

njug

ate

is p

art o

f the

Nat

iona

l Im

mun

izatio

n Sc

hedu

le0:

No

1: Y

esW

HO v

acci

ne-p

reve

ntab

le d

isea

ses:

mon

itorin

g sy

stem

Sour

ce: 3

4

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report334334

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

gov_

effe

ctvn

sGo

vern

men

t effe

ctive

ness

: Est

imat

e

• Go

vern

men

t effe

ctive

ness

cap

ture

s th

e pe

rcep

tions

of t

he q

ualit

y of

pub

lic s

ervic

es, t

he q

ualit

y of

civi

l ser

vice

and

the

degr

ee o

f its

inde

pend

ence

from

pol

itica

l pre

ssur

es, t

he q

ualit

y of

pol

icy

form

ulat

ion

and

impl

emen

tatio

n, a

nd th

e cr

edib

ility

of th

e go

vern

men

t’s c

omm

itmen

t to

such

po

licie

s. E

stim

ate

give

s th

e co

untry

’s s

core

on

the

aggr

egat

e in

dica

tor,

in u

nits

of a

sta

ndar

d no

rmal

dis

tribu

tion

rang

ing

from

app

roxim

atel

y -2

.5 to

2.5

.

Rang

e: -

2.5–

2.5

Wor

ldw

ide

Gove

rnan

ce In

dica

tors

Sour

ce: 3

5

pol_

stab

ilty

Polit

ical

sta

bilit

y an

d ab

senc

e of

vio

lenc

e/te

rroris

m: E

stim

ate

• Po

litic

al s

tabi

lity

and

abse

nce

of v

iole

nce/

terro

rism

mea

sure

s th

e pe

rcep

tions

of t

he li

kelih

ood

of p

oliti

cal i

nsta

bilit

y an

d/or

pol

itica

lly m

otiva

ted

viole

nce,

incl

udin

g te

rroris

m. E

stim

ate

give

s th

e co

untry

’s s

core

on

the

aggr

egat

e in

dica

tor,

in u

nits

of a

sta

ndar

d no

rmal

dis

tribu

tion

rang

ing

from

app

roxim

atel

y -2

.5 to

2.5

.

Rang

e: -

2.5–

2.5

Wor

ldw

ide

Gove

rnan

ce In

dica

tors

Sour

ce: 3

5

avg_

hosh

ld_a

ll1M

ean

aver

age

num

ber o

f peo

ple

per h

ouse

hold

, by

all h

ouse

hold

sOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

avg_

hosh

ld_a

ll2Ye

ar d

ata

colle

cted

: Mea

n av

erag

e nu

mbe

r of p

eopl

e pe

r hou

seho

ld, b

y al

l hou

seho

lds

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6av

g_ho

shld

_cp

l_ch

ld1

Mea

n av

erag

e nu

mbe

r of p

eopl

e pe

r hou

seho

ld, c

oupl

e ho

useh

olds

with

chi

ldre

nOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

avg_

hosh

ld_

cpl_

chld

2Ye

ar d

ata

colle

cted

: Mea

n av

erag

e nu

mbe

r of p

eopl

e pe

r hou

seho

ld, c

oupl

e ho

useh

olds

with

ch

ildre

nOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

avg_

hosh

ld_

sng_

chld

1M

ean

aver

age

num

ber o

f peo

ple

per h

ouse

hold

, sin

gle-

pare

nt h

ouse

hold

s w

ith c

hild

ren

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6av

g_ho

shld

_sn

g_ch

ld2

Year

dat

a co

llect

ed: M

ean

aver

age

num

ber o

f peo

ple

per h

ouse

hold

, sin

gle-

pare

nt h

ouse

hold

s w

ith c

hild

ren

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6ag

e_ch

ld_b

rth1

Mea

n ag

e of

wom

en a

t birt

hOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

age_

chld

_brth

2Ye

ar d

ata

colle

cted

: Mea

n ag

e of

wom

en a

t birt

hOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

chld

_por

_evr

n1Pr

opor

tion

(%) o

f chi

ldre

n (0

–17)

livin

g in

poo

r env

ironm

enta

l con

ditio

nsRa

nge:

0–1

00OE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

chld

_por

_evr

n2Ye

ar d

ata

colle

cted

: Pro

porti

on (%

) of c

hild

ren

(0–1

7) li

ving

in p

oor e

nviro

nmen

tal c

ondi

tions

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6ch

ld_f

lsh_

tlts1

Prop

ortio

n (%

) of c

hild

ren

livin

g in

hou

seho

lds

that

lack

a p

rivat

e flu

shin

g to

ilet

Rang

e: 0

–100

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6ch

ld_f

lsh_

tlts2

Year

dat

a co

llect

ed: P

ropo

rtion

(%) o

f chi

ldre

n liv

ing

in h

ouse

hold

s th

at la

ck a

priv

ate

flush

ing

toile

tOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

335Annex 5: Mapping of data sources and creation of a database for Maternal, Newborn, Child and Adolescent Health Policies 335

Varia

ble

Nam

eVa

riabl

e De

scrip

tion

Varia

ble

Valu

esSo

urce

Nam

e/Nu

mbe

r

adl_

fert_

rate

1Ad

oles

cent

ferti

lity

rate

, birt

hs p

er 1

000

wom

en, 1

5–19

yea

rs o

ldOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

adl_

fert_

rate

2Ye

ar d

ata

colle

cted

: Ado

lesc

ent f

ertil

ity ra

te, b

irths

per

100

0 w

omen

, 15–

19 y

ears

old

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6ch

ld_d

th1

Child

dea

th ra

te d

ue to

neg

ligen

ce, m

altre

atm

ent o

r phy

sica

l ass

ault,

chi

ldre

n 0–

19 y

ears

, rat

e pe

r 10

0 00

0OE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

chld

_dth

2Ye

ar d

ata

colle

cted

: Chi

ld d

eath

rate

due

to n

eglig

ence

, mal

treat

men

t or p

hysi

cal a

ssau

lt, c

hild

ren

0–19

yea

rs, r

ate

per 1

00 0

00OE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

chld

_dth

_no1

Num

ber o

f cas

es o

f chi

ld d

eath

s to

neg

ligen

ce, m

altre

atm

ent o

r phy

sica

l ass

ault,

chi

ldre

n 0–

19

year

sOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

chld

_dth

_no2

Year

dat

a co

llect

ed: N

umbe

r of c

ases

of c

hild

dea

ths

to n

eglig

ence

, mal

treat

men

t or p

hysi

cal

assa

ult,

child

ren

0–19

yea

rsOE

CD C

hild

Fam

ily D

atab

ase

and

Child

Wel

l-Bei

ngSo

urce

: 36

part_

frml_

chld

cre1

aPa

rtici

pant

rate

s (%

) for

chi

ldre

n ag

ed 0

–2 y

ears

in fo

rmal

chi

ldca

re a

nd p

re-s

choo

l ser

vices

Rang

e: 0

–100

OECD

Chi

ld F

amily

Dat

abas

e an

d Ch

ild W

ell-B

eing

Sour

ce: 3

6pa

rt_frm

l_ch

ldcr

e1b

Year

dat

a co

llect

ed: P

artic

ipan

t rat

es (%

) for

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Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report336336

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337Annex 6: Mapping the MCA Department’s survey and policy database

to the framework of priority policy areas for SRMNCAH 337

Annex 6: Mapping priority policy areas

Background

The new Global Strategy on Women’s, Children’s and Adolescents’ Health 2016–2030 (Global Strategy 2.0) emphasizes the need to improve the health of all women, children and adolescents through transformative multisectoral actions which accelerate coverage of interventions, mitigate gender and equity gaps, improve quality of services and allow all women and children to survive and thrive. Such an approach brings to the centre of the discussion the need for countries to endorse and implement policies that allow for these transformations to happen. New and ambitious goals and targets set in the Global Strategy 2.0 will require the presence and utilization of strong, evidence-informed and equity-focused policies. Policies should go beyond mere evidence-based intervention policies, span across the continuum of care for reproductive, maternal, newborn, child and adolescent health (RMNCAH) into a life course approach and reach beyond traditional health system boundaries.

Since 2009 the Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA) has administered a Global Policy Survey of WHO Member States to track country progress in adopting WHO recommendations in national health policies related to MNCAH. There have been four survey rounds to date: 2009–2010, 2011–2012, 2013–2014 and 2016. In addition, the Department of Sexual and Reproductive Health and Research (SRH), as part of monitoring progress on the Global Reproductive Health Strategy approved by the WHA through resolution 57.12, has been tracking policies on sexual and reproductive health and has done so biennially since 2009. The biennial reports are included in the corresponding year during WHA meetings. We now propose to combine our efforts and establish a global platform to track the adoption and implementation of essential RMNCAH policies in all countries, with special attention to 81 low- and middle-income countries that account for the highest burden of maternal, newborn and child mortality (listing available separately). We seek to stimulate greater global and national policy dialogue and link this dialogue with the development of country-specific investment plans and accountability for accelerated progress towards the Global Strategy 2.0 goals and targets. By undertaking these activities, we aim to provide a useful source of information for governments, partners and the community-at-large on the challenging path of implementing the new Global Strategy 2.0.

To optimize the approach, the MCA and SRH Departments have established a Global RMNCAH Policy Reference Group (PRG) to advise WHO on the content of the policy tracking and the utilization of related outputs. The first meeting was held in February 2017. This group advised on some potential priority indicators but asked that we provide them with more direction on priorities and what policies are needed prior to recommending a final list of policies to be monitored. They also emphasized the need to streamline the

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report338338

current global policy survey by examining if there are other potential data sources to extract key policies on an ongoing basis, decreasing the need to have a large survey to collect policy information.

Several tasks have been accomplished to date. We have developed a list of potential policies in RMNCAH based on the EWEC Global Strategy, key global initiatives, and WHO priorities in the area of RMNCAH, and have completed a survey of the PRG and other experts, including regional health advisors, to develop a list of priority policy areas. We have completed a review of other data sources for collection of these policies and created a database of relevant existing data. However, we still need to need to analyse this database, revise the global policy survey questionnaire based on which data cannot be collected from other databases, administer the survey and analyse the results.

The goal of this document is to analyse the newly created database to help inform the revision of the global policy questionnaire. The following sections provide an analysis of what is available in the newly created global policy database compared to the current MCA questionnaire for maternal and newborn, child and adolescent health. In addition, the following sections lay out a suggestion for what to include in the next round of the global policy survey, taking into account which data can be pulled from existing sources which were compiled into the newly created policy database so as to reduce the reporting burden of countries.

339Annex 6: Mapping the MCA Department’s survey and policy database

to the framework of priority policy areas for SRMNCAH 339

1. Maternal and newborn health

The following table details the policy data available in the newly created policy data set, the questions that were asked in the latest MCA policy questionnaire, and suggestions for what to include in the upcoming MCA policy survey for maternal and newborn health.

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Section I – Proposed RMNCAH policy areas to be tracked

1 National legislation that recognizes universal coverage and access to essential health services and to essential medicines

Does the constitution guarantee medical care treatment to women and girls?

Does the constitution guarantee protection of public health to women and girls?

Does the constitution take any approach to the protection of health for women?

Country has revised the Maternity Protection Convention (No. 183)

2 Overall strategy or plan to improve RMNCAH that is aligned with SDGs targets and supported by adequate level of financial resources

S6. Has the country adopted a national strategy/plan of action to reduce maternal mortality?

S6a. Is it part of another document?

S6b. What is the start date?

S6c. What is the end date?

S7. Has the national strategy/plan of action to reduce maternal mortality been costed?

S8. Has the country adopted a national strategy/plan of action to reduce newborn mortality?

S8a. Is it part of another document?

S8b. What is the start date?

S8c. What is the end date?

S9. Has the national strategy/plan of action to reduce newborn mortality been costed?

3 Package of essential RMNCAH interventions and services is up to date and reflects WHO technical guidelines

ANC policy

M1. Is there a national policy/policy statement indicating the minimum ANC visits during the normal pregnancy?

M2. If yes, how many visits?

M3. Does it specify that the first visit should take place during the first 3 months?

M4. Year of adoption of the policy?

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report340340

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

3 (c

ontin

ued) Skilled care at birth policy

M5. Is there a national policy or policy statement on the right of every woman to have access to skilled care at childbirth?

M6. If yes, year of adoption of the policy?

M7. Is there a national policy or policy statement recommending the presence of a birth companion of choice during delivery?

Place of birth policy

M8. Is there a national policy or policy statement on the place of childbirth?

M9. If yes, please indicate recommended place of birth

M10. Year of adoption of the policy?Management of childbirth policy

M11. Does the country have a national policy that recommends the use of magnesium sulfate for the prevention and treatment of eclampsia?

M12. If yes, year of adoption of the policy?

M13. Is there a national policy/policy statement on the use of antenatal corticosteroids for preterm labour?

M14. Is there a national policy for monitoring progress of labour using partograph?

M15. Is there a national policy for active management of third stage of labour?

If yes, does the national policy recommends the following specific drugs for active management of third stage of labour?

M16. Oxytocin

Year of adoption of the policy?

M17. Ergometrine

Year of adoption of the policy?

M18. Misoprostol

Year of adoption of the policy?

Discharge after birth for mother and newborn policy

M19. Is there a national policy on discharge of mother and the baby after normal childbirth at a facility?

M20. If yes, after how many hours?

M21. Year of adoption of the policy?

M20. For births at home, is there a national policy on the minimum recommended period for the mother and newborn to remain under skilled birth attendant observation?

M21. If yes, for how long?

M22. Year of adoption of the policy?

341Annex 6: Mapping the MCA Department’s survey and policy database

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

3 (c

ontin

ued) Postnatal care for mother and newborn

policy

M23. Is there a policy recommending postnatal follow-up contacts (visits/reviews) by a trained provider for mother and newborn?

If yes,

M24. Does it recommend, in case of birth in a health facility, that postnatal care should be received for at least 24 hours after birth?

M25. Does it recommend, in case of birth at home, that first postnatal contact should be as early as possible within 24 hours of birth?

M26. Does it recommend a minimum number of additional (= after 24 hours of birth) contacts (visits/reviews)?

M27. Does it specify that at least one of the recommended contacts should be a home visit?

M28. Does it specify if the contacts are for mother and/or newborn?

Does it describe who should provide care during the contact(s):

M29. Health professional

M30. Community health worker (CHW)

M31. Year of adoption of the policy?

M32. Does the country have national guidelines for postnatal home visits by a trained provider to mothers and/or newborns in the first week after childbirth (“postnatal visits”)?

M33. If yes, year of adoption of the guidelines?

M34. Is there a national policy on special care for low-birth-weight newborns?

M35. Is there a national policy that recommends Kangaroo Mother Care for low-birth-weight newborns?

4 National RMNCAH strategies/plans are linked with the health sector planning cycle and integrated within the overall health sector strategy

5 RMNCAH financial resources are tracked and annually reported on in disaggregated ways (per population group and per decentralized implementation area)

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report342342

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

6 Standards for quality of care for RMNCAH are aligned with the national package of services for each level of care, and governance mechanisms for implementation are institutionalized

7 National Essential Medicines List includes life-saving commodities for RMNCAH interventions

Does the national Essential Drugs List include the following drugs indicated for use during pregnancy, childbirth and postpartum care?

M37A. Magnesium sulfate

M37B. Oxytocin

M37C. Misoprostol tablets

M37D. Ampicillin or amoxicillin injections

M37E. Gentamycin injection

M37F. Injection metronidazole

M37G. Procaine penicillin injection

M37H. Dexamethasone injection

M37I. Antenatal corticosteroids

M37J. Chlorohexidine

8 Health information system disaggregates information by gender and age; civil registration and vital statistics (CRVS) systems are aligned with international standards

Section II – RMNCAH policy areas by technical area

9 Enforcement of the International Code for Marketing of Breastmilk Substitutes and subsequent relevant World Health Assembly resolutions

Legal status of implementing the International Code of Marketing of Breast Milk Substitutes

343Annex 6: Mapping the MCA Department’s survey and policy database

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

10 Maternal and perinatal surveillance and response is institutionalized and regulated

Maternal deaths

M39A. Is there a national policy requiring all maternal deaths to be notified within 24 hours to a central authority?

M39B. If yes, in which year was the policy adopted?

M39B2. Does the system require zero reporting? (Zero reporting implies reporting as zero if there are no maternal deaths during the reference period in health administration unit)

M39C. Does national policy requires all maternal deaths to be reviewed?

M39D. If yes, what year was the policy adopted?

M39E. Is there a facility maternal death review (audit) process in place?

M39F. Is there a community maternal death review (audit) process in place?

M39G. Is there a national panel

(committee) to review maternal deaths in place?

M39H. If yes, how often does the panel meet?

M39I. When did the panel meet last?

M39J. Is there a subnational panel (committee) to review maternal deaths in place?

Stillbirths

M40A. Is there a policy that requires all

stillbirths (fresh or macerated) to be reviewed?

M40B. If yes, in which year was the policy adopted?

M40C. Is there a facility stillbirth review (audit) process in place?

Neonatal deaths

M41A. Is there a policy that requires all neonatal deaths (0–28 days) to be reviewed?

M41B. If yes, in which year was the policy adopted?

M41C. Is there a facility neonatal deaths review (audit) process in place?

M41D. Is there a community neonatal death review (audit) process in place?

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report344344

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Other maternal- and newborn-specific policies

For each type of violence listed below, please indicate if there is a national action plan for prevention or, if none exists, if there is at least one subnational action plan.

1. Interpersonal violence

2. Child maltreatment

3. Youth violence

4. Intimate partner violence

5. Sexual violence

In your country, please indicate which of the following types of laws concerning intimate partner violence exist, indicating whether they are national or, if not, subnational and the extent of enforcement of the laws in those areas where they apply.

1. Domestic or family violence legislation

2. If yes, does it include a law that criminalizes rape in marriage?

3. If yes, does it include a law enabling free entry into marriage and divorce?

4. If yes, does it include a law allowing removal of a violent spouse from the family home?

In your country, please indicate which of the following types of laws addressing sexual violence exist, indicating whether they are national or, if not, subnational and the extent of enforcement of the laws in those areas where they apply.

1. Law addressing sexual violence involving intercourse (e.g. rape laws)

2. Laws addressing contact sexual violence (excluding intercourse)

3. Laws addressing non-contact sexual violence

345Annex 6: Mapping the MCA Department’s survey and policy database

to the framework of priority policy areas for SRMNCAH 345

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Can working parents take leave specifically for children’s health needs?

Leave for children’s health needs incudes leave specifically for children’s health needs, including where leave is available only for serious illness, hospitalization or urgent health needs.

Are mothers of infants guaranteed breastfeeding breaks at work?

If legislation specifies a length of time permitted to breastfeed after the mother returns to work and the mother is also entitled to paid maternal leave, the age shown is the sum of post-birth paid maternal leave and the breastfeeding break entitlement.

Are working mothers guaranteed paid options to facilitate exclusive breastfeeding for at least 6 months?

Section III – Missing RMNCAH policy areas that should be tracked

13 Existence of subnational plans for countries with large populations/devolved systems

14 Existence of an independent national accountability mechanism [with community participation]

15 Existence of multisectoral governance arrangements/strategies/action plans

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report346346

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

16 Progressive universalism of health financing, with focus on worst-off groups

Financial protection for women and newborns

F1. Are there fees for health services in the public sector?

Are women of reproductive age (15–49 years) exempt from user fees for the following services:

F2. Family planning?

Antenatal care?

F2a. Childbirth (normal delivery)?

F2b. Postnatal care for mother?

F2c. Caesarean section?

F2d. Insecticide-treated bednets?

F2e. Pharmaceutical products and/or other medical supplies if required for treatment or delivery?

F2f. Immunization services (TT, Rubella)?

Financial protection for children

F3. Are newborns (0–4 weeks) exempt from user fees for the following services:

F3a. Postnatal care?

F3b. Immunization?

F3c. Sick newborn visits?

F3d. Insecticide-treated nets?

F3e. Pharmaceutical products and/or other medical supplies if required for treatment

347Annex 6: Mapping the MCA Department’s survey and policy database

to the framework of priority policy areas for SRMNCAH 347

Maternal and newborn health questions from MNCAH policy indicator survey that do not fit this template

Are the following supply equipments included in the official MOH standard supply and equipment list?

M38A Manual vacuum aspirator YesNoUnknown

M38B Ventouse/forceps YesNoUnknown

M38C Partograph YesNoUnknown

M38D Self-inflating bag (newborn size) with paediatric masks of different sizes and valvesYesNoUnknown

M38E Suction pump, catheter and suction bulbYesNoUnknown

M38F Oxygen supplyYesNoUnknown

Who is allowed to independently perform the following interventions? (Yes/No)

Midwife Nurse-Midwife Medical Assistant

M36M Assist normal childbirth

Select your answer Select your answer Select your answer

M36B Administer parenteral antibiotics

Select your answer Select your answer Select your answer

M36C Administer uterotonic medicines

Select your answer Select your answer Select your answer

M36DAdminister parenteral anticonvulsivants

Select your answer Select your answer Select your answer

M38E Manually remove the placenta

Select your answer Select your answer Select your answer

M36FRemove retained products of conception

Select your answer Select your answer Select your answer

M36G Perform assisted vaginal delivery

Select your answer Select your answer Select your answer

M36H Perform newborn resuscitation

Select your answer Select your answer Select your answer

M38I Kangaroo Mother Care

Select your answer Select your answer Select your answer

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report348348

2. Child health

The following table details the policy data available in the newly created policy data set, the questions that were asked in the latest MCA policy questionnaire, and suggestions for what to include in the upcoming MCA policy survey for child health.

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Section I – Proposed RMNCAH policy areas to be tracked

1 National legislation that recognizes universal coverage and access to essential health services and to essential medicines

2 Overall strategy or plan to improve RMNCAH that is aligned with SDGs targets and supported by adequate level of financial resources

S10. Has the country adopted a national strategy/plan of action to reduce child mortality?

If yes,

S10a. Is it part of another document?

S10a. What is the start date?

S10b. What is the end date?

S11. Has the national strategy to reduce child mortality been costed?

3 Package of essential RMNCAH interventions and services is up to date and reflects WHO technical guidelines

National guidelines for management of childhood illness

C1. Has the country updated the national Integrated Management of Childhood Illness (IMCI) guidelines based on the 2014 WHO Generic Guidelines?

C2. If no, in which year was the national IMCI guidelines last updated?

C3. Has the country updated the pneumonia guidelines to treat chest indrawing at first-level health facilities with oral antibiotics?

National policy/guidelines on pneumonia case management in communities by trained providers

C5. Does the country have a policy recommending management of pneumonia in the community or at home by a trained provider? If yes,

C5. Please specify who are the trained providers

C6. Year of adoption of the policy?

C8. Does the country have national guidelines on management of pneumonia in the community or at home by a trained provider?

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

National policy/guidelines on diarrhoea case management

C9. Does the country have a national policy recommending the use of both low-osmolarity Oral Rehydration Salts (ORS) and zinc for management of diarrhoea?

C10. Does the country have a national policy recommending the use of zinc for the management of diarrhoea?

C11. Does the country have national guidelines on the use of low-osmolarity ORS?

C12. Does the country have national guidelines on the use of zinc for the management of diarrhoea?

National policy on integrated community case management of childhood illness

Does the country have a national policy/policy statement on the use of community-based health providers to deliver one or more of the following child health interventions at home and/or in the community?

C13. Home/community management of diarrhoea?

C14. Home/community management of pneumonia?

C15. Home/community management of malaria?

If yes,

C16. Please specify who are the community-based providers.

C17. Please specify whether the same provider can deliver one or more interventions (pneumonia, diarrhoea, malaria).

C18. Please specify whether the community-based providers are trained in management of pneumonia, diarrhoea and malaria cases in an integrated manner (during the same training workshop).

Quality of child health-care services

C20. Has the country updated the hospital care guidelines based on the 2013 edition of the WHO’s Pocket book for hospital care for children

4 National RMNCAH strategies/plans are linked with the health sector planning cycle and integrated within the overall health sector strategy

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report350350

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

5 RMNCAH financial resources are tracked and annually reported on in disaggregated ways (per population group and per decentralized implementation area)

6 Standards for quality of care or RMNCAH are aligned with the national package of services for each level of care, and governance mechanism for implementation are institutionalized

7 National Essential Medicines List includes life-saving commodities for RMNCAH interventions

Commodities related to treatment of diarrhoea and pneumonia in the national Essential Drugs List

Does the national Essential Drugs List include the following drugs indicated for use in children <5 years:

C19A. Oral rehydration salts (low-osmolarity ORS)?

C19B. Zinc tablets or syrups?

C19C. Paediatric formulation of amoxicillin?

C19D. Paediatric formulation of cotrimoxazol?

C19E. Oxygen for therapy (GAPP-related)?

C19F. Rotavirus vaccination?

8 Health information system disaggregates information by gender and age; civil registration and vital statistics (CRVS) systems are aligned with international standards

Section II – RMNCAH policy areas by technical area

11 Ratification of the Convention on the Rights of the Child supported by regular review, reporting and action

Periodic reporting to the Convention of the Rights of the Child (CRC)

S4. Does the country have a functioning national human rights institution?

If yes,

S4a. Does its mandate include monitoring fulfilment of the right to health?

S5. Is the Ministry of Health engaged in national CRC implementation and monitoring processes?

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Other child-specific policies

For each type of violence listed below, please indicate if there is a national action plan for prevention or, if none exists, if there is at least one subnational action plan.

1. Interpersonal violence

2. Child maltreatment

3. Youth violence

4. Intimate partner violence

5. Sexual violence

In your country, please indicate which of the following types of laws concerning child maltreatment exist, indicating whether they are national or, if not, subnational and the extent of enforcement of the laws in those areas where they apply.

1. Ban on corporal punishment of children

2. Laws against statutory rape

3. Laws against child marriage

4. Laws against female genital mutilation

In your country, is there a law governing the minimum legal age of marriage?

What is the minimum age of marriage for girls?

What is the minimum age of marriage for boys?

Is there a gender disparity in the legal age of marriage?

Under what circumstances can a 13/15/17-year-old girl be married?

Under what circumstances can a 13/15/17-year-old boy be married?

Are there exceptions to the general legal minimum age of marriage for girls?

A policy is being implemented for immunization injection safety

There is a national policy for waste for immunization activities

There is a national policy regarding open burning for disposal

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report352352

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

National policy regarding disposal via burial

There are line items in the national budget specifically for the purchase of vaccines used in routine immunizations

Country has a standing technical advisory group (NITAG)

Advisory group has formal written Terms of Reference

There is a legislative or administrative basis for the advisory group

Country has a formal national seasonal influenza vaccination policy

Children are recommended for influenza vaccination

Children with chronic diseases are recommended for influenza vaccination

BCG is part of the National Immunization Schedule

DTP-containing vaccine is part of the National Immunization Schedule

HepB is part of the National Immunization Schedule

Hib is part of the National Immunization Schedule

Measles is part of the National Immunization Schedule

IPV/OPC is part of the National Immunization Schedule

Vitamin A is part of the National Immunization Schedule

Rotavirus is part of the National Immunization Schedule

Pneumococcal is part of the National Immunization Schedule

Rubella is part of the National Immunization Schedule

HPV conjugate is part of the National Immunization Schedule

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Section III – Missing RMNCAH policy areas that should be tracked

13 Existence of subnational plans for countries with large populations/ devolved systems

14 Existence of an independent national accountability mechanism [with community participation]

15 Existence of multisectoral governance arrangements/strategies/ action plans

16 Progressive universalism of health financing, with focus on worst-off groups

Financial protection for children

F1. Are there fees for health services in the public sector?

F4. Are children under the age of 5 years exempt from user fees for the following services:

F4a. Immunization?

F4b. Sick child visits?

F4c. Insecticide-treated bednets?

F4d. Well child visits and growth monitoring?

F4f. Pharmaceutical products and/or other medical supplies if required for treatment?

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Child health questions from MNCAH policy indicator survey that do not fit this template

Service Delivery for Maternal, Newborn and Child Health

515 Does the country implement the Integrated Management of Childhood Illness (IMCI) strategy?

If yes,

YesNoUnknown

515a are all the districts (or equivalent administrative areas) of the country targets for IMCI implementation in first-level health facilities?

YesNoUnknown If no,

515b how many districts are targets for IMCI? number

515c Number of districts having initiated IMCI training for first-level health workers number

515d Proportion of first-level health facilities with at least one health worker who cares for children trained in IMCI

Percentage

OR

<25%25–49%50–74%75% or moreunknown

515e Proportion of first-level health facilities with at least 60% of health workers who care for children trained in IMCI

Percentage

OR

<25%25–49%50–74%75% or moreunknown

515f Year of data (IMCI implementation across districts reported above) Year

515g Does the national Integrated Management of Childhood Illness (IMCI) clinical guideline include the first week of life?

YesNoUnknown

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3. Adolescent health

The following table details the policy data available in the newly created policy data set, the questions that were asked in the latest MCA policy questionnaire, and suggestions for what to include in the upcoming MCA policy survey for adolescent health.

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Section I – Proposed RMNCAH policy areas to be tracked

1 National legislation that recognizes universal coverage and access to essential health services and to essential medicines

2 Overall strategy or plan to improve RMNCAH that is aligned with SDGs targets and supported by adequate level of financial resources

Existence of costed national strategies and plans of action

S12. Does the country have a national strategy/plan of action that specifically addresses adolescent health issues?

If yes,

S12a. Start date:

S12b. End date:

S13. Has the national strategy/plan of action for adolescent health been costed?

Existence of national policy/strategy documents specific to the health of adolescents

Does the country have national policy/strategy documents specific to adolescents or young people (10–24 years) or are adolescents or young people cited as a specific target group for defined interventions/activities in a national policy/strategy document for the following health issues?

A1. Sexual and reproductive health, including adolescent pregnancy prevention

A2. HIV/AIDS

A3. Nutrition

A4. Diet and physical activity

A5. Tobacco

A6. Alcohol

A7. Substance use

A8. Mental health

A9. Injury prevention

A10. Violence

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report356356

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

The country has a functional national adolescent health programme

A11. Has budget been allocated to support activities planned for adolescent health?

A12. Is there a record/report of activities implemented in the past financial year?

A13. Is there a designated adolescent health unit in the Ministry of Health or a designated person for coordinating the adolescent health programme at national level?

3 Package of essential RMNCAH interventions and services is up to date and reflects WHO technical guidelines

The country has national standards for delivery of health services to young people

A14. Are there national standards for delivery of health services specifically for young people (ages 10–24 years)?

If yes, do these standards include the following:

A15. A clearly defined comprehensive package of health services?

A16. Within the past 2 years, have quality and coverage measurement surveys been conducted to monitor the implementation of these adolescent health standards?

A17. Is there a continuous professional education system in place for primary health care clinicians and/or nurses to receive adolescent-specific training?

4 National RMNCAH strategies/plans are linked with the health sector planning cycle and integrated within the overall health sector strategy

5 RMNCAH financial resources are tracked and annually reported on in disaggregated ways (per population group and per decentralized implementation area)

6 Standards for quality of care for RMNCAH are aligned with the national package of services for each level of care, and governance mechanism for implementation are institutionalized

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

7 National Essential Medicines List includes life-saving commodities for RMNCAH interventions

8 Health information system disaggregates information by gender and age; civil registration and vital statistics (CRVS) systems are aligned with international standards

Section II – RMNCAH policy areas by technical area

12 School health policy areas in regards to health education and school health services

Other adolescent-specific policies

For each type of violence listed below, please indicate if there is a national action plan for prevention or, if none exists, if there is at least one subnational action plan.

1. Interpersonal violence

2. Child maltreatment

3. Youth violence

4. Intimate partner violence

5. Sexual violence

Section III – Missing RMNCAH policy areas that should be tracked

13 Existence of subnational plans for countries with large populations/devolved systems

14 Existence of an independent national accountability mechanism [with community participation]

15 Existence of multisectoral governance arrangements/strategies/action plans

16 Progressive universalism of health financing, with focus on worst-off groups

Financial protection for adolescents

F1. Are there fees for health services in the public sector?

F5. Are older adolescents (15–19 years) exempt from user fees for all health care?

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report358358

Adolescent health questions from MNCAH policy indicator survey that do not fit this template

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

If no, are adolescents or school-going adolescents exempt from user fees for the following health services:

F5a. Outpatient care visits?

F5b. Inpatient care visits?

F5c. HIV testing and counseling?

F5d. Contraceptives?

F5e. Pharmaceutical products and/or other medical supplies if required for treatment?

F5f. Mental heath (rehabilitation for drug abuse)?

Provisions are made in laws or regulations legally allowing minors to consent to medical interventions

(In law, the term “minor” is used to refer to a person who is under the age at which one legally assumes adulthood and is legally granted rights afforded to adults in society. Depending on the jurisdiction and application, this age may vary but is usually marked at either 18, 20, or 21).

A18 What is the legal age of majority in the country??

For unmarried adolescents, does the country have laws or regulations that allow underage (minor) adolescents to provide consent to the following services without parental consent? If yes, at what age?

Report age in years

A19 Contraceptive services except sterilization?YesNoUnknown

A20 If yes, at what age? Report age in years

A21 Emergency contraception?YesNoUnknown

A22 If yes, at what age? Report age in years

A23 HIV testing and counselling services?YesNoUnknown

A24 If yes, at what age? Report age in years

A25 Harm reduction interventions for injecting drug users (needle exchange, opiate substitution therapy)?

YesNoUnknown

A26 If yes, at what age? Report age in years

A27 HIV care and treatment?YesNoUnknown

A28 If yes, at what age? Report age in years

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Availability of nationally representative data on heath outcomes in adolescents

8.B.1 Do you have a national estimate of the all-cause mortality rate in adolescents?

YesNoUnknown

If yes, provide the latest year for which the estimate is available Year

8.B.2 Do you have a national estimate of main causes of death in adolescents?

YesNoUnknown

If yes, provide the latest year for which the estimate is available (Before 2000, 2000–2004, 2005.....2015)

8.B.3 Do you have a national estimate of main causes of morbidity in adolescents?

YesNoUnknown

If yes, provide the latest year for which the estimate is available (Before 2000, 2000–2004, 2005.....2015)

For married adolescents, does the country have laws or regulations that allow married and underage (minor) adolescents to provide consent to the following services without spousal consent?

A29 Contraceptive services except sterilization?YesNoUnknown

A39 Emergency contraception?YesNoUnknown

A31 HIV testing and counselling services?YesNoUnknown

A32 HIV care and treatment?YesNoUnknown

A33 Harm reduction interventions for injecting drug users (needle exchange, opiate substitution therapy)?

YesNoUnknown

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report360360

4. Cross-cutting RMNCAH

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Section I – Proposed RMNCAH policy areas to be tracked

1 National legislation that recognizes universal coverage and access to essential health services and to essential medicines

Does the constitution take any approach to health?

Approaches to health include the right to health, public health or medical services.

• Not granted means that the constitution does not explicitly mention health protections. This does not mean that the constitution denies these protections, but that it does not explicitly include them.

• Granted to specific groups, not universally means the constitution explicitly guarantees the right to health, public health or medical services to specific groups, but not to all citizens. Specific groups that are named in constitutions include children, elderly people, poor people, persons with disabilities, women and ethnic minorities.

• Aspirational in constitution means that the constitution protects the right to health, public health or medical services but does not use language strong enough to be considered a guarantee. For example, the nation will endeavour to provide the right to health or intends to provide medical services.

• Guaranteed in constitution means that the constitution explicitly guarantees the right to health, medical services or public health to citizens in authoritative language. For example, constitutions in this category might guarantee citizens’ right to health or make it the State’s responsibility to ensure to protect it.

Right to universal access to health services enshrined in national legislation

S1. Does the State’s constitution or national legislation recognize the right to the highest attainable standard of health?

S2. Is universal coverage/access to essential health services and to essential medicines clearly recognized in the constitution or national legislation?

S3. Is the right to health explicitly recognized in national health policies, strategies or plans, including those related to maternal, newborn, child and adolescent health?

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

Do citizens have a specific right to health?

• The right to health includes the right to “health”, “health security”, and “overall well-being”.

• Not granted in constitution means that the constitution does not explicitly mention health protections. This does not mean that the constitution denies these protections, but that it does not explicitly include them.

• Granted to specific groups, not universally means the constitution explicitly guarantees the right to health, public health or medical services to specific groups, but not to all citizens. Specific groups that are named in constitutions include children, elderly people, poor people, persons with disabilities, women and ethnic minorities.

• Aspirational in constitution means that the constitution protects the right to health, public health or medical services but does not use language strong enough to be considered a guarantee. For example, the nation will endeavour to provide the right to health or intends to provide medical services.

• Guaranteed in constitution means that the constitution explicitly guarantees the right to health, medical services or public health to citizens in authoritative language. For example, constitutions in this category might guarantee citizens’ right to health or make it the State’s responsibility to ensure the protection of the right to health.

2 Overall strategy or plan to improve RMNCAH that is aligned with SDGs targets and supported by adequate level of financial resources

Sexual, reproductive, maternal, newborn, child and adolescent health policy survey 2018–2019: report362362

No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

3 Package of essential RMNCAH interventions and services is up to date and reflects WHO technical guidelines

4 National RMNCAH strategies/plans are linked with the health sector planning cycle and integrated within the overall health sector strategy

Periodic reviews of maternal, newborn and child health programmes

S14. Has the country conducted a specific national programme review process for MNCAH in the past 2 years?

If yes,

S14a. Does it cover maternal health?

S14b. Does it cover newborn health?

S14c. Does it cover child health?

S14d. Does it cover adolescent health?

S14e. When did the last programme review take place?

S14f. Are the findings and recommendations of specific MNCH programme reviews taken into account during national health sector reviews?

G5i. Does the country have a national RMNCH scorecard?

If yes, how often are the RMNCH scorecards released?

5 RMNCAH financial resources are tracked and annually reported on in disaggregated ways (per population group and per decentralized implementation area)

6 Standards for quality of care for RMNCAH are aligned with the national package of services for each level of care, and governance mechanisms for implementation are institutionalized

7 National Essential Medicines List includes life-saving commodities for RMNCAH interventions

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No. Policy data available in another data set (exact definition)

MCA policy questionnaire (exact wording of questions)

Suggested questions

8 Health information system disaggregates information by gender and age; civil registration and vital statistics (CRVS) systems are aligned with international standards

Types of disaggregated data captured by the national Health Information System (HIS)

S16. Are the data presented in the national HIS disaggregated by age?

If yes, are the age-disaggregated data available for the following age groups?

S16a. 10–14 years

S16b. 15–19 years

S16c. 10–19 Years

Section III – Missing RMNCAH policy areas that should be tracked

13 Existence of subnational plans for countries with large populations/devolved systems

14 Existence of an independent national accountability mechanism [with community participation]

Community involvement in national maternal newborn and child health programmes

G11a. Is there a national policy/strategy to ensure engagement of civil society organization representatives in national-level planning of MNCAH programmes?

G11b. Is there a national policy/strategy to ensure engagement of civil society organization representatives in periodic review of national programmes for MNCAH?

15 Existence of multisectoral governance arrangements/strategies/action plans

16 Progressive universalism of health financing, with focus on worst-off groups

365Annex 7: Countries by WHO region 365

Annex 7: Countries that completed the 2018–2019 SRMNCAH Policy Survey by WHO region

African RegionAlgeria Angola Benin Botswana Burkina Faso Burundi Cabo Verde Cameroon Chad Congo Côte d’IvoireDemocratic Republic of the

Congo Equatorial Guinea Eritrea

Eswatini Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Mali Mauritania Mauritius Mozambique

Namibia Niger Nigeria Rwanda Senegal Sierra Leone South Africa South Sudan Togo Uganda United Republic of TanzaniaZambia Zimbabwe

Region of the Americas Antigua and Barbuda Argentina Barbados Belize Bolivia (Plurinational State of) Brazil British Virgin Islands* Chile Colombia Costa Rica

Cuba Dominica Dominican Republic Ecuador El Salvador Grenada Guatemala Guyana Haiti Honduras

Mexico NicaraguaPanama Paraguay Peru Saint Kitts and Nevis Suriname Trinidad and Tobago Uruguay Venezuela (Bolivarian Republic of)

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Eastern Mediterranean Region Afghanistan Djibouti Egypt Iraq Jordan Lebanon

Morocco Occupied Palestinian territory* Oman Pakistan Saudi Arabia Somalia

Sudan Syrian Arab Republic United Arab Emirates Yemen

European Region Albania Armenia Austria Azerbaijan Bulgaria Croatia Cyprus Czechia Denmark Estonia Finland France Georgia Israel

Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Norway Poland Portugal Republic of Moldova Romania Russian Federation

San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic

of MacedoniaTurkey Turkmenistan Uzbekistan

South-East Asia Region Bangladesh Bhutan Democratic People’s Republic

of Korea

India IndonesiaMaldives Myanmar

Nepal Sri Lanka Thailand Timor-Leste

Western Pacific RegionAustralia Brunei DarussalamCambodia China Cook Islands French Polynesia* Guam* Lao People’s Democratic Republic Marshall Islands

Micronesia (Federated States of) Mongolia Palau Philippines Singapore Vanuatu Viet Nam Wallis and Futuna Islands*

* Country completed the survey but was not included in the analyses within this report. Region-specific reports will be made available and may include data from non-Member States that responded to the survey.

367Annex 8: Countries by World Bank group 367

Annex 8: Countries that completed the 2018–2019 SRMNCAH Policy Survey by World Bank income groupClassifications based on World Bank country income classifications as of June 2018.

Low income Afghanistan Benin Burkina Faso Burundi Chad Democratic People’s Republic of

Korea Democratic Republic of the

Congo Eritrea Ethiopia

Gambia Guinea Guinea-Bissau Haiti Liberia Madagascar Mali Mozambique Nepal Niger Rwanda

Senegal Sierra Leone Somalia South Sudan Syrian Arab Republic Tajikistan Togo Uganda United Republic of Tanzania Yemen Zimbabwe

Lower middle income Angola Bangladesh Bhutan Bolivia (Plurinational State of) Cabo Verde Cambodia Cameroon Congo Côte d’Ivoire Djibouti Egypt El Salvador Eswatini Georgia

Ghana Honduras India Indonesia Kenya Kyrgyzstan Lao People’s Democratic Republic Lesotho Mauritania Micronesia (Federated States of)Mongolia Morocco Myanmar Nicaragua

Nigeria Occupied Palestinian territory*Pakistan Philippines Republic of Moldova Sri Lanka Sudan Timor-Leste Uzbekistan Vanuatu Viet Nam Zambia

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Upper middle incomeAlbania Algeria Armenia Azerbaijan Belize Botswana Brazil Bulgaria China Colombia Cook Islands† Costa Rica Cuba Dominica Dominican Republic

Ecuador Equatorial Guinea Gabon Grenada Guatemala Guyana Iraq Jordan Kazakhstan Lebanon Maldives Marshall Islands Mauritius Mexico Namibia

Paraguay Peru Romania Russian Federation Serbia South Africa Suriname Thailand The former Yugoslav Republic of

Macedonia Turkey Turkmenistan Tuvalu Venezuela (Bolivarian Republic of Wallis and Futuna Islands*†

High income

Antigua and Barbuda Argentina Australia Austria Barbados British Virgin Islands* Brunei Darussalam Chile Croatia Cyprus Czechia Denmark Estonia Finland

France French Polynesia*Guam* Israel Italy Latvia Lithuania Luxembourg Malta Monaco Norway Oman Palau Panama

Poland Portugal Saint Kitts and Nevis San Marino Saudi Arabia Singapore Slovakia Slovenia Spain Sweden Trinidad and Tobago United Arab Emirates Uruguay

* Country completed the survey but was not included in the analyses within this report. Region-specific reports will be made available and may include data from non-Member States that responded to the survey.

† Not an official World Bank income classification.