96 CHAPTER 4 was available (Appendix 2). This set complements the basic indicator set and allows local coalitions to use additional indicators (e.g. regarding educational level, single parent family, long-term low income) if they want to. In reflecting on the indicator set, experts mentioned some conceptual considerations (e.g. indicators are often formulated as risks, while the reverse can be a protective factor). They also mentioned methodological considerations (e.g. indicators regarding children’s health at age two are currently missing and should be added when more youth healthcare data is available). Experts gave their consent to the indicator set provided that the set will be piloted in practice. Based on the experts’ feedback, the indicator set and development agenda were finalized. Final indicator set Finally, 19 indicators could be selected to monitor Solid Start on a local level (Table 3): 7 in the preconception phase, 5 during pregnancy and 7 after birth (up to two years). Some examples are debts, psychological or psychiatric problems, late antenatal care, smoking during pregnancy, vulnerability during pregnancy and after birth, not receiving postpartum care, and preterm birth and/or low birth weight for gestational age (SGA). Appendix 2 describes the selected indicators in more detail. Data is available in nationwide data sources for all these operationalized indicators and can be presented at local (municipality) level. The development agenda consists of 21 indicators (Appendix 2). These (preferred) indicators lacked data or a clear operationalization. Some examples are smoking before pregnancy, stress due to finances, unwanted or unplanned pregnancy, stress during pregnancy, loneliness among parents, secure bonding, abuse or neglect of children, and stress with parenting.
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