Multiple Indicator Cluster Surveys Survey Design Workshop

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

2. 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

3. Overview of module • 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. MICS4 Survey Design Workshop

4. Eligibility • Women of reproductive age (15-49 years) • Live birth in the two years preceding interview MICS4 Survey Design Workshop

5. 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

6. 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

7. 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

8. Module provides detailed data Period after birth PNC visit MICS4 Survey Design Workshop

9. Module provides detailed data Period after birth Counts as a post-natal health check if yes to either one (or both) PNC visit MICS4 Survey Design Workshop

10. Module provides detailed data Period after birth Counts as a post-natal health check if yes to either one (or both) PNC visit MICS4 Survey Design Workshop

11. Module provides detailed data Counts as a post-natal health check if yes to PNC visit Period after birth PNC visit MICS4 Survey Design Workshop

12. Module provides detailed data Counts as PN2 and PN3 Period after birth PNC visit MICS4 Survey Design Workshop

13. PN.1 Post-partum stay in health facility MICS4 Survey Design Workshop

14. PN.2 Post-natal health check for the newborn Facility births MICS4 Survey Design Workshop

15. PN.2 Post-natal health check for the newborn Home births with attendant MICS4 Survey Design Workshop

16. 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

17. Holly Newby Statistics and Monitoring Section UNICEF/New York 1-212-303-7932 hnewby@unicef.org MICS4 Survey Design Workshop