Figure 1
Schematic representation of the development and establishment of the indicator set.
Table 1
Characteristics of participants.
| TOTAL ** | ROUND 1 – QUESTIONNAIRE | ROUND 2 – EXPERT MEETING | ROUND 3 – QUESTIONNAIRE | DISCUSSION – EXPERT MEETING | |
|---|---|---|---|---|---|
| Total number of participants | 39 | 39 | 28 | 28 | 21 |
| Field of expertise | |||||
| Policy* | 22 | 22 | 16 | 16 | 14 |
| Practice* | 12 | 12 | 7 | 9 | 7 |
| - Social sector | 4 | 4 | 2 | 3 | 1 |
| - Medical sector | 3 | 3 | 1 | 1 | 1 |
| - Both | 5 | 5 | 4 | 5 | 5 |
| Research* | 9 | 9 | 7 | 6 | 4 |
| Other* (e.g. providing support for collaboration and the formation of Solid Start coalitions in general) | 3 | 3 | 3 | 3 | 2 |
[i] * More than one field of expertise is possible.
** The same pool of 39 experts was approached in each round (e.g. the discussion was attended by 21 of these 39 experts).
Figure 2
Flowchart of the selection of topics and indicators to monitor Solid Start on a local level.
Table 2
Overview of the prioritized topics (n = 30)*.
| PRECONCEPTION | PREGNANCY | AFTER BIRTH (UP TO TWO YEARS) | |
|---|---|---|---|
| Topics in all three phases* | Poverty | Poverty | Poverty |
| Early detection by healthcare provider | Early detection by healthcare provider | Early detection by healthcare provider | |
| Health: psychological/psychiatric problems | Health: psychological/psychiatric problems | Health: psychological/psychiatric problems parents | |
| Health: stress | Health: stress | Health: stress | |
| Topics in two phases* | Domestic violence (including screening) | Domestic violence (including screening) | |
| Substance use: smoking | Substance use: smoking | ||
| Social network | Social network | ||
| Cumulation of risk factors | Cumulation of risk factors | ||
| Topics in one phase | Preconception care | Care: multidisciplinary collaboration | Health outcomes child: premature birth |
| Interventions (process indicators) | Unintended and/or unwanted pregnancy | Relation parent – child | |
| Low literacy | Health: intellectual disability parent | ||
| Client characteristics: socioeconomic status | Child abuse and neglect |
[i] * The topics that occur in multiple phases are presented on the same row.
Table 3
Selected indicators to monitor Solid Start on a local level (n = 19).
| PRECONCEPTION |
|---|
| Percentage of women and men in the reproductive age with debts |
| Percentage of women and men in the reproductive age with psychological or psychiatric problems |
| Percentage of women and men in the reproductive age with stress |
| Percentage of women in the reproductive age who smoke |
| Percentage of families reached with a preconception consultation (preconception care) |
| Percentage of low literacy among young people (<30 years) without partner and children |
| Percentage of women and men in the reproductive age living in a neighbourhood with a low liveability score |
| PREGNANCY |
| Percentage of pregnant women with debts * |
| Percentage of pregnant women who have their first antenatal care visit after the 10th week of pregnancy * |
| Percentage of pregnant women with psychological or psychiatric problems |
| Percentage of women who smoke at some point during pregnancy |
| Percentage of pregnant women in a potentially vulnerable situation (3 or more risk factors to vulnerability) |
| AFTER BIRTH (UP TO TWO YEARS) |
| Percentage of children born in a family with debts |
| Percentage of families not receiving postpartum care (at home) after birth * |
| Percentage of children aged 0 to 2 years of whom one or both parents have psychological or psychiatric problems |
| Percentage of children born in a family in a potentially vulnerable situation (3 or more risk factors to vulnerability) * |
| Percentage of children with a preterm birth or with a low birth weight for gestational age (SGA) * |
| Percentage of children born in a family of which one or both parents have a mild intellectual disability |
| Number of out-of-home placements for children before the age of 2 (per 1,000) * |
[i] * These indicators are also included in the indicator set to monitor the national Solid Start program.