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MICS4 Survey Design Workshop
Multiple Indicator Cluster SurveysSurvey 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.
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
MICS4 Survey Design Workshop
• Women of reproductive age (15-49 years)
• Live birth in the two years preceding interview
Eligibility
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
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
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
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
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)
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)
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
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
MICS4 Survey Design Workshop
PN.1 Post-partum stay in health facility
MICS4 Survey Design Workshop
PN.2 Post-natal health check for the newborn
Facility births
MICS4 Survey Design Workshop
PN.2 Post-natal health check for the newborn
Home births with
attendant
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).
MICS4 Survey Design Workshop
Holly Newby Statistics and
Monitoring SectionUNICEF/New York1-212-303-7932