Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015-2017

Identifying and definitional attributes
Metadata item type:	Indicator
Indicator type:	Indicator
Short name:	PI13b-Proportion of Indigenous regular clients who had their first antenatal care visit within specified periods, 2015-2017
METEOR identifier:	663951
Registration status:	Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018
Description:	Proportion of regular clients who are Indigenous, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results either: less than 13/40 weeks; 13/40 weeks to less than 20/40 weeks; at or after 20/40 weeks or; no result.
Rationale:	The primary care needs of all Australians are met effectively through timely and quality care in the community. Good antenatal care is associated with positive health outcomes for mothers and babies.
Indicator set:	Indigenous primary health care key performance indicators (2015-2017) Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018

Collection and usage attributes
Computation description:	Proportion of regular clients who are Indigenous, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results either: less than 13/40 weeks; 13/40 weeks to less than 20/40 weeks; at or after 20/40 weeks or; no result. ‘Regular client’ refers to a client of an Australian Government Department of Health-funded primary health care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the Department of Health-funded primary health care service at least 3 times in 2 years. ‘Birth’ includes live births and still births if the birthweight was at least 400 grams or the gestational age was 20 weeks or more. 'Previous 12 months' refers to either the previous financial year or the previous calendar year. Presented as a percentage. Calculated separately for each gestational age range.
Computation:	(Numerator ÷ Denominator) x 100
Numerator:	Calculation A: Number of regular clients who are Indigenous, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results less than 13/40 weeks. Calculation B: Number of regular clients who are Indigenous, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results at or after 13/40 weeks and less than 20/40 weeks. Calculation C: Number of regular clients who are Indigenous, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results at or after 20/40 weeks. Calculation D: Number of regular clients who are Indigenous, who gave birth within the previous 12 months and who did not have gestational age recorded at their first antenatal care visit.
Numerator data elements:	Data Element / Data SetBirth—birth status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Guide for use All births (live, still) of more than 20 weeks gestation or more than 400 grams. Data Element / Data SetPerson—Indigenous status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Data Element / Data SetPerson—age, total years N[NN] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Data Element / Data SetPregnancy—estimated duration (at the first visit for antenatal care), completed weeks N[N] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Data Element / Data SetPerson—regular client indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17
Denominator:	Calculation A, B, C and D: Total number of regular clients who are Indigenous and who gave birth within the previous 12 months.
Denominator data elements:	Data Element / Data SetBirth—birth status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Data Element / Data SetPerson—sex, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Data Element / Data SetPerson—Indigenous status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17 Guide for use Indigenous status of baby. Data Element / Data SetPerson—regular client indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17
Disaggregation:	Mother's age: a) less than 20 years b) 20-34 years c) 35 years and over.
Disaggregation data elements:	Data Element / Data SetPerson—age, total years N[NN] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care DSS 2015-17
Representational attributes
Representation class:	Percentage
Data type:	Real
Unit of measure:	Person
Data source attributes
Data sources:	Data SourceIndigenous primary health care data collection Frequency 6 monthly Data custodian Australian Institute of Health and Welfare.
Source and reference attributes
Submitting organisation:	Australian Institute of Health and Welfare Australian Government Department of Health
Relational attributes
Related metadata references:	See also Indigenous primary health care: PI13a-Number of regular clients who had their first antenatal care visit within specified periods, 2015-2017 Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018 Supersedes Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Superseded 05/10/2016 Indigenous, Superseded 20/01/2017 Has been superseded by Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015-2017 Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018