Journey Tracking

ValuePoints (VPs) are a set of standardized metrics designed to assess and incentivize high-quality maternal healthcare delivery. These metrics quantify key aspects of care throughout the pregnancy journey, offering insights into maternal care-seeking behavior and rewarding healthcare providers for timely and essential service delivery.

Developed with guidance from the Leapfrog-to-Value Maternity Playbook (2024), the ValuePoints framework integrates WHO maternity care guidelines with practical insights gained from MomCare implementation. This approach ensures alignment with both global best practices and local healthcare systems to drive improved maternal and neonatal outcomes.

How ValuePoints Work

Each pregnant participant can attain up to 10 ValuePoints, allocated across key maternity services. Healthcare providers earn these points by registering service delivery in a digital health management tool, ensuring transparency and accountability. The core care indicators include:

  • Early antenatal care (<12 weeks)
  • Early ultrasound (<24 weeks)
  • Comprehensive antenatal screening (full ANC profile)
  • At least four antenatal care (ANC) visits
  • Facility-based delivery
  • At least two postnatal care (PNC) visits

Services with stronger evidence linking them to positive health outcomes are weighted more heavily, reinforcing the importance of high-value care interventions. Additionally, ValuePoints can be shared among multiple providers—for instance, when a facility refers a patient for an ultrasound, points are distributed between the referring and receiving providers. This approach fosters collaboration and continuity of care across the maternal health system.

A high ValuePoint score reflects a more complete journey, and serves as a valuable proxy for , high-quality maternity care. The score aims to provide a simplified overview of care practices to assess maternal health interventions, allocate resources effectively, and drive quality improvements.

Furthermore, while VPs primarily measure care delivery outcomes, patient experience surveys—adapted from the ICHOM Pregnancy and Childbirth standard set—are incorporated to integrate maternal feedback. Future iterations of the framework will leverage these insights to enhance patient-centered care and ensure that maternity services are not only effective but also respectful and responsive to women’s needs.

Take-aways

By adopting the ValuePoints approach, care providers and policy makers have access to a digital tool that incentivizes best practices, strengthens provider accountability, and ultimately, improves maternal and neonatal health outcomes at scale.