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Multiple Indicator Cluster Surveys Survey Design Workshop. Questionnaire for Individual Women: Maternal and Newborn Health. Background. Every year…. More than half a million maternal deaths Approximately 10 million with injuries or disabilities related to pregnancy/childbirth
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Multiple Indicator Cluster SurveysSurvey Design Workshop Questionnaire for Individual Women: Maternal and Newborn Health MICS4 Survey Design Workshop
Background Every year…. • More than half a million maternal deaths • Approximately 10 million with injuries or disabilities related to pregnancy/childbirth • Approximately 4 million neonatal deaths Greatest mortality risk for both mothers and children is during delivery and immediately after birth MICS4 Survey Design Workshop
International Goals • Millennium Development Goals • Countdown to 2015 • World Fit for Children MICS4 Survey Design Workshop
Overview of module Maternal health Antenatal care Delivery characteristics Newborn health Birthweight Initiation of breastfeeding Tetanus protection MICS4 Survey Design Workshop
Eligibility • Women of reproductive age (15-49 years) • Live birth in the two years preceding interview MICS4 Survey Design Workshop
Overview of module Maternal health Antenatal care Delivery characteristics Newborn health Birthweight Initiation of breastfeeding Tetanus protection MICS4 Survey Design Workshop
MICS Indicators • # 5.5a Antenatal care coverage • Proportion of women age 15-49 years that were attended at least once by skilled health personnel during pregnancy in the last 2 years • Note: • Skilled provider means doctor, nurse, midwife, auxiliary midwife MICS4 Survey Design Workshop
MICS Indicators # 5.5b Antenatal care coverage Proportion of women age 15-49 years that were attended at least four or more times by any provider during pregnancy in the last 2 years Note: This indicator refers to 4 or more checks from any provider MICS4 Survey Design Workshop
MICS Indicators # 5.6 - Content of antenatal care Proportion of women age 15-49 years with a live birth in the 2 years preceding the survey who had their blood pressure measured and gave urine and blood samples during their last pregnancy # 3.20 - Intermittent Preventive Treatment (IPTp) Proportion of women age 15-49 years who received at least 2 doses of SP/Fansidar to prevent malaria during antenatal care visits for their last pregnancy leading to a live birth in the 2 years preceding the survey MICS4 Survey Design Workshop
MICS Indicators - Delivery characteristics # 5.7 - Skilled attendant at delivery Proportion of women age 15-49 years with a live birth in the 2 years preceding the survey who were attended during childbirth by skilled health personnel Note: Skilled provider means doctor, nurse, midwife, auxiliary midwife MICS4 Survey Design Workshop
MICS Indicators - Delivery characteristics # 5.8 - Institutional deliveries Proportion of women age 15-49 years with a live birth in the 2 years preceding the survey who delivered in a health facility # 5.9 - Caesarean-section (C-section) Proportion of last live births in the 2 years preceding the survey who were delivered by caesarean section Note: Estimated that 5-15% of deliveries require C-section MICS4 Survey Design Workshop
MICS Indicators - Newborn MICS4 Survey Design Workshop
MICS Indicators - Newborn # 2.19 - Infants weighed at birth Proportion of last live births in the 2 years preceding the survey who were weighed at birth MICS4 Survey Design Workshop
MICS Indicators - Newborn # 2.18 - Low-birthweight infants Proportion of last live births in the 2 years preceding the survey weighing below 2,500 grams at birth MICS4 Survey Design Workshop
MICS Indicators - Newborn # 2.4 - Children ever breastfed Proportion of women with a live birth in the 2 years preceding the survey who breastfed the child at any time Note: This indicator refers to live born children, regardless of whether currently living or dead MICS4 Survey Design Workshop
MICS Indicators - Newborn # 2.5 - Early initiation of breastfeeding Proportion of women with a live birth in the 2 years preceding the survey who put the newborn infant to the breast within 1 hour of birth Note: This indicator refers to live born children, regardless of whether currently living or dead MICS4 Survey Design Workshop
MICS Indicators - Newborn # 3.7 - Neonatal tetanus protection Proportion of women age 15-49 with a live birth in the 2 years preceding the survey who were given at least two doses of tetanus toxoid vaccine within the appropriate interval prior to giving birth MICS4 Survey Design Workshop
Summary of methodological issues • Coding categories to be adapted in country: • Type of provider for antenatal care • Type of provider for delivery care • Place of delivery • Prelacteal feed • For a comparable indicator, some question series may not be adapted: • Birthweight • Tetanus Toxoid • MDG indicators – maintain broad coding categories for comparability MICS4 Survey Design Workshop
Prepared by: Holly Newby Statistics and Monitoring Section UNICEF/New York 1-212-303-7932 hnewby@unicef.org MICS4 Survey Design Workshop