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MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire...

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MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module
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Page 1: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Multiple Indicator Cluster SurveysSurvey Design Workshop

Questionnaire for Individual Women:

Post-natal health check module

Page 2: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Background

• The mortality risks for both mother and newborn are highest during the first couple of days after birth.

• Requests from within UNICEF as well as the from wider international development community for standardized data on post-natal care contacts for mother and baby.

• This module was developed by the global MICS programme in collaboration with other development partners.

Page 3: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

• Measures contact with a provider not content of care.

• Focus of data collection on PNC visit:– In the case of facility deliveries contact occurring after

discharge. – In the case of home deliveries, the focus will be on any

contact with a care provider after the TBA/birth attendant leaves the home.

Note that structure of module allows for addition of questions on content, if desired.

Overview of module

Page 4: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

• Women of reproductive age (15-49 years)

• Live birth in the two years preceding interview

Eligibility

Page 5: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

MICS Indicators

PN.1 Post-partum stay in health facility

Numerator: Number of women age 15-49 years who stayed in the health facility for 12 hours or more after the delivery of their last live birth in the 2 years preceding the survey

Denominator:Total number of women age 15-49 years with a live birth in the 2 years preceding the survey

Page 6: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

MICS Indicators

PN.2 Post-natal health check for the newborn

Numerator: Number of last live births in the last 2 years who received a post-natal health check from any provider within 2 days after birth

Denominator: Total number of last live births in the last 2 years

Page 7: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

MICS Indicators

PN.3 Post-natal health check for the mother

Numerator: Number of women age 15-49 years who received a post-natal health check from any provider within 2 days after their last live birth in the 2 years preceding the survey

Denominator: Total number of women age 15-49 years with a live birth in the 2 years preceding the survey

Page 8: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Institutional deliveries

Post partum stay in facility Health check in facility1)Baby 2)Mother Health check after discharge (with info on timing, location, and provider)1)Baby 2)Mother

Module provides detailed data

Period after birth

PNC visit

Page 9: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Institutional deliveries

Post partum stay in facility Health check in facility1)Baby 2)Mother Health check after discharge (with info on timing, location, and provider)1)Baby 2)Mother

Module provides detailed data

Period after birth

PNC visit

Counts as a post-natal health check if yes to either one (or both)

Page 10: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Institutional deliveries Non-institutional deliveries with attendant

Post partum stay in facility

Health check in facility1)Baby 2)Mother

Health check from birth attendant1)Baby 2)Mother

Health check after discharge (with info on timing, location, and provider)1)Baby 2)Mother

Health check after attendant leaves home (with info on timing, location, and provider)1)Baby 2)Mother

Module provides detailed data

Period after birth

PNC visit

Counts as a post-natal health

check if yes to either one (or both)

Page 11: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Institutional deliveries Non-institutional deliveries with attendant

Non-institutional deliveries without

attendant Post partum stay in facility

Health check in facility1)Baby 2)Mother

Health check from birth attendant1)Baby 2)Mother

Health check after discharge (with info on timing, location, and provider)1)Baby 2)Mother

Health check after attendant leaves home (with info on timing, location, and provider)1)Baby 2)Mother

Health check (with info on timing, location, and provider)1)Baby 2)Mother

Module provides detailed data

Period after birth

PNC visit

Counts as a post-natal health

check if yes to PNC visit

Page 12: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Institutional deliveries Non-institutional deliveries with attendant

Non-institutional deliveries without

attendant Post partum stay in facility

Health check in facility1)Baby 2)Mother

Health check from birth attendant1)Baby 2)Mother

Health check after discharge (with info on timing, location, and provider)1)Baby 2)Mother

Health check after attendant leaves home (with info on timing, location, and provider)1)Baby 2)Mother

Health check (with info on timing, location, and provider)1)Baby 2)Mother

Module provides detailed data

Period after birth

PNC visit

Counts as PN2 and PN3

Page 13: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

PN.1 Post-partum stay in health facility

Page 14: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

PN.2 Post-natal health check for the newborn

Facility births

Page 15: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

PN.2 Post-natal health check for the newborn

Home births with

attendant

Page 16: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Methodological issues• New module and not a lot of experience yet.

• Module will require careful training and practice due to lots of skip patterns.

• This new approach should allow for more precise measurement of PNC visits (versus intrapartum or immediate postnatal care).

Page 17: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Post-natal health check module.

MICS4 Survey Design Workshop

Holly Newby Statistics and

Monitoring SectionUNICEF/New York1-212-303-7932

[email protected]


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