This continuum has been presented as a rallying call to reduce the toll of maternal, newborn and child deaths, and has reached a solid international acceptance. MCH care frameworks to integrate and improve health system performance have simultaneously been proposed as the so-called continuum of care for maternal, newborn, and child health. We highlight the Millennium Development Goals (MDG), as well as the current Sustainable Development Goals (SDG) that reinforce good health and well-being for women and children (Goal 3), coupled with the target of universal health coverage and reflected in the renewed Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030). Since the 1990s, the international community has implemented important initiatives to reduce the morbidity and mortality of mothers and newborn infants. Maternal and child health (MCH) has been a priority public health problem for decades. Additional efforts are needed to identify good indicators for a comprehensive maternal and child healthcare monitoring system. However, most indicators lack demonstrated scientific soundness and refer to particular continuum phases and levels within the healthcare system. There is a broad choice of indicators for maternal and child healthcare. The distribution by the classifying variables is clearly uneven, with a predominance of indicators for childbirth, hospital care and facility level. Only 6.7% indicators exhibited all requirements for scientific soundness. Three hundred forty-six were duplicated, which resulted in 1445 indicators for analysis. Selection was based on the characteristics associated with scientific soundness (formula, evidence level, and reliability). The identified indicators were characterized as follows: formula, justification, evidence level, pilot study, indicator type, phase of the continuum, intended organizational level of application, level of care, and income level of the countries. The eligibility criteria was documents in Spanish or English with indicators to monitor aspects of the continuum of care phases of interest. MethodĪ search conducted using international repositories, national and international indicator sets, scientific articles published between 20, and grey literature. To perform a systematic review of indicators for the central phases of the maternal and child healthcare continuum of care (pregnancy, childbirth, newborn care and postpartum). Research and different organizations have proposed indicators to monitor the quality of maternal and child healthcare, such indicators are used for different purposes.
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