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SMART METHOD

SMART METHOD. STEPS FORWARD. FOUR BROAD STEPS. ADAPT “PAST” FIELD TEST EVALUATE AND REVISE DISSEMINATION STRATEGIES. Previous birth history (BAST ). Births to women in household in previous 5 years Current status for each child born in previous 5 years.

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SMART METHOD

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  1. SMART METHOD STEPS FORWARD

  2. FOUR BROAD STEPS • ADAPT “PAST” • FIELD TEST • EVALUATE AND REVISE • DISSEMINATION STRATEGIES

  3. Previous birth history(BAST) • Births to women in household in previous 5 years • Current status for each child born in previous 5 years

  4. Current household census method(CAST) • Age of each person living in HH on day of survey • No. of births and deaths (all ages) within HH during recall period • any adult respondent to enumerate current members

  5. Past household census method(PAST) • Age of all members of family living in HH in beginning of recall period • Current status of individuals • No. of births during recall period

  6. Basic Assumptions • Retrospective mortality estimates are commonly drawn from cross sectional surveys • Simple random sampling is best and most robust but may not always be possible • No comparative studies of different methods have been done to establish one method over another

  7. Common weaknesses • PAST and CAST allow CMR and age -specific rates to be calculated, BAST does not but it is shorter • PAST may be time consuming - importance of field training • No cause of death info. • In and out migration from household? • Importance of standard and validated questions

  8. Methodological points • Expected rates of malnutrition and mortality may vary in the same population • All households visited in mortality survey and only HH with 6 - 59m children for nutrition • Recall period: Apart from precision and PDAR concerns, recall period will depend on fast mortality has been changing • Simple random sampling is better than two stage cluster sampling

  9. FOUR BROAD STEPS • ADAPT “PAST” • FIELD TEST • EVALUATE AND REVISE • DISSEMINATION STRATEGIES

  10. Adapt PAST • Remove un-SMART fields, add food security questions and COD, migration, age/65 - 110) • Ensure a reasonable time limit for the entire interview • Adapt the standard (5 day) training package • Set up field interviewer instructions • Set up standard report generation

  11. FOUR BROAD STEPS • ADAPT “PAST” • FIELD TEST • EVALUATE AND REVISE • DISSEMINATION STRATEGIES

  12. FIELD TEST SMART METHOD • Essentials only (having it all takes time and money every time) • 2 or 3 countries to cover broad contexts; • Implementation schedule not to exceed 4 weeks (collection to public results)

  13. FOUR BROAD STEPS • ADAPT “PAST” • FIELD TEST • EVALUATE AND REVISE • DISSEMINATION STRATEGIES

  14. EVALUATE AND REVISE • Test method (ease of use, accuracy of results, speed of implementation…) • Test training package (transfer of knowledge, targeting audience • Test user satisfaction - to what extent is it responding to user needs • Release SMART Version 1.0

  15. FOUR BROAD STEPS • ADAPT “PAST” • FIELD TEST • EVALUATE AND REVISE • DISSEMINATION STRATEGIES

  16. Dissemination strategy • Strategy to promote use of method among field agencies-should want to use it, rather than obliged to use it • Strategy to promote use of results:Advocacy? Resource allocation? programming?

  17. Schematic Diagram of SMART Instrument SURVEY IDS FAMILY DEMOGRAPHIC PROFILE NUTRITION MORTALITY FOOD SECURITY

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