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MEASURE DHS Potential New Directions. By: Martin Vaessen. July 10, 2007. Core Questionnaire Concept. Basic DHS strategy Comparability of data across countries Reflect current USAID data needs in each round Work with countries to ensure country data needs are represented
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MEASURE DHS Potential New Directions By: Martin Vaessen July 10, 2007
Core Questionnaire Concept • Basic DHS strategy • Comparability of data across countries • Reflect current USAID data needs in each round • Work with countries to ensure country data needs are represented • Use the strengths of DHS to inform additions: • Nationally representative survey • Strong training and supervision component
Frequently Added Options • Addition of biomarkers: • HIV • Syphilis • Vitamin A • Measles • Hepatitis B • Herpes • Lipids • Chlamydia • Gonorrhea • Bacterial vaginosis • Trichomonas • Lead • Tetanus • Diabetes • Blood pressure
Frequently Added Options (cont’d) • Addition of modules • Domestic violence • Female genital cutting • Maternal mortality • Birth registration • Women’s status • Others (health expenditures, child labor, verbal autopsy)
Scope For New Directions • Asking questions on new topics • Questionnaires are already too long • New additions need to go hand-in-hand with reductions • Questionnaire will always be in flux • More frequent use of biomarkers • Through dried blood spots? • Through venous blood draw? • Through collection of other specimens • Urine • Vaginal swabs • Sputum
Scope For New Directions (Cont’d) • Through other measurements • Blood pressure • Additional anthropometry (upper arm circumference, waist-to-hip-ratio) • Grip strength • Pulmonary performance • Dental health • Creating more continuous surveys • Expanding use of technology; PDA’s, GPS
Scope For New Directions (Cont’d) • Emphasize those activities that can build on the basic strength of the DHS • Great sampling procedures • Covers all households • Gets a complete listing of all household members • Best example is the inclusion of HIV testing in DHS surveys • Adult health could be a logical addition