Measuring Coverage in MNCH: Tracking Progress in Health for Women and Children Using DHS and MICS Household Surveys

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Household surveys are the primary data source of coverage indicators for children and women for most developing countries. Most of this information is generated by two global household survey programmes—the USAID-supported Demographic and Health Surveys (DHS) and the UNICEF-supported Multiple Indicator Cluster Surveys (MICS). In this review, we provide an overview of these two programmes, which cover a wide range of child and maternal health topics and provide estimates of many Millennium Development Goal indicators, as well as estimates of the indicators for the Countdown to 2015 initiative and the Commission on Information and Accountability for Women's and Children's Health. MICS and DHS collaborate closely and work through interagency processes to ensure that survey tools are harmonized and comparable as far as possible, but we highlight differences between DHS and MICS in the population covered and the reference periods used to measure coverage. These differences need to be considered when comparing estimates of reproductive, maternal, newborn, and child health indicators across countries and over time and we discuss the implications of these differences for coverage measurement. Finally, we discuss the need for survey planners and consumers of survey results to understand the strengths, limitations, and constraints of coverage measurements generated through household surveys, and address some technical issues surrounding sampling and quality control. We conclude that, although much effort has been made to improve coverage measurement in household surveys, continuing efforts are needed, including further research to improve and refine survey methods and analytical techniques.

Vyšlo v časopise: Measuring Coverage in MNCH: Tracking Progress in Health for Women and Children Using DHS and MICS Household Surveys. PLoS Med 10(5): e32767. doi:10.1371/journal.pmed.1001391
Kategorie: Review
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1001391

Souhrn

Zdroje

1. Requejo J, Bryce J, Victora C, the Countdown to 2015 Report Writing Team (2012) Building a future for women and children: the 2012 Report. Washington (D.C.): World Health Organization and UNICEF. Available: http://www.countdown2015mnch.org/documents/2012Report/2012-complete-no-profiles.pdf. Accessed 8 December 2012.

2. Commission on Information and Accountability for Women's and Children's Health (2011) Keeping promises, measuring results. Geneva: World Health Organization.

3. Countdown to 2015, HMN, UNICEF, WHO (2011) Monitoring maternal, newborn and child health: understanding key progress indicators. Geneva: World Health Organization.

4. BarrosAJD, VictoraCG (2013) Measuring coverage in MNCH: Determining and interpreting inequalities in coverage of maternal, newborn, and child health interventions. PLoS Med 10: e1001390 doi:10.1371/journal.pmed.1001390.

5. MEASURE DHS Demographic and Health Surveys. Available: http://www.measuredhs.com/. Accessed 8 December 2012.

6. UNICEF. Statistics and Monitoring: Multiple Indicator Cluster Survey. Available: http://www.unicef.org/statistics/index_24302.html Accessed 8 December 2012.

7. FabicMS, ChoiYJ, BirdS (2012) A systematic review of Demographic and Health Surveys: data availability and utilization for research. Bull World Health Organ 90 : 604–612.

8. CDC (2012) Information on the US Centers for Disease Control and Prevention Reproductive Health Surveys. Available: www.cdc.gov/reproductivehealth/Global/index.htm. Accessed 8 December 2012.

9. AidData (2011) Information on PAPFAM surveys. Available: http://www.aiddata.org/project/show/2433396. Accessed 8 December 2012.

10. WHO (2012) Information on the World Health Surveys. Available: http://www.who.int/healthinfo/survey/whscurrent/en/index.html. Accessed 8 December 2012.

11. Malariasurveys.org (2011) Information on Malaria Indicator Surveys. Available: www.malariasurveys.org. Accessed 8 December 2012.

12. MEASURE DHS (2012) Information about AIDS Indicator Surveys. Available: http://measuredhs.com/What-We-Do/Survey-Types/AIS.cfm. Accessed 8 December 2012.

13. SMART (2006) SMART. Measuring mortality, nutritional status and food security in crisis situations: SMART methodology. Version 1, April 2006. Available at http://smartindicators.org. Accessed 8 December 2012.

14. MathersC, BoermaT (2010) Mortality measurement matters: improving data collection and estimation methods for child and adult mortality. PLoS Med 7: e1000265 doi:10.1371/journal.pmed.1000265.

15. United Nations Statistics Division (2005) Household sample surveys in developing and transition countries, studies in methods, series F number 96, United Nations publication, sales number 05.XVII.6. Available http://unstats.un.org/unsd/publication/seriesf/Seriesf_96e.pdf. Accessed 8 December 2012.

16. CampbellH, el ArifeenS, HazirH, O'KellyJ, BryceJ, et al. (2013) Measuring coverage in MNCH: Challenges in monitoring the proportion of young children with pneumonia who receive antibiotic treatment. PLoS Med 10: e1001421 doi:10.1371/journal.pmed.1001421.

17. HazirT, BequemK, el ArifeenS, KhanAM, HuqueMH, et al. (2013) Measuring coverage in MNCH: A prospective validation study in Pakistan and Bangladesh on measuring correct treatment of childhood pneumonia. PLoS Med 10: e1001422 doi:10.1371/journal.pmed.1001422.

18. EiseleT, SilumbeK, YukichJ, HamainzaB, KeatingJ, et al. (2013) Measuring coverage in MNCH: Accuracy of measuring diagnosis and treatment of childhood malaria from household surveys in Zambia. PLoS Med 10: e1001417 doi:10.1371/journal.pmed.1001417.

19. Fischer WalkerCL, FontaineO, BlackRE (2013) Measuring coverage in MNCH: Current indicators for measuring coverage of diarrhea treatment interventions and opportunities for improvement. PLoS Med 10: e1001385 doi:10.1371/journal.pmed.1001385.

20. CuttsFT, IzurietaH, RhodaDA (2013) Measuring coverage in MNCH: Design, implementation, and interpretation challenges associated with tracking vaccination coverage using household surveys. PLoS Med 10: e1001404 doi:10.1371/journal.pmed.1001404.

21. HazelE, RequejoJ, DavidJ, BryceJ (2013) Measuring coverage in MNCH: Evaluation of community-based treatment of childhood illnesses through household surveys. PLoS Med 10: e1001384 doi:10.1371/journal.pmed.1001384.

22. EiseleT, RhodaDA, CuttsFT, KeatingJ, RenR, et al. (2013) Measuring coverage in MNCH: Total survey error and the interpretation of intervention coverage estimates from household surveys. PLoS Med 10: e1001386 doi:10.1371/journal.pmed.1001386.

23. MEASURE DHS (2012) DHS core questionnaire. Available: http://www.measuredhs.com/publications/publication-DHSQ6-DHS-Questionnaires-and-Manuals.cfm. Accessed 8 December 2012.

24. Childinfo (2012) MICS core questionnaire. Available: http://www.childinfo.org/mics4_questionnaire.html. Accessed 8 December 2012.

25. StantonCK, RawlinsB, DrakeM, dos AnjosM, CantorD, et al. (2013) Measuring coverage in MNCH: Testing the validity of women's self-report of key maternal and newborn health interventions during the peripartum period in Mozambique. PLoS ONE 8: e60694 doi:10.1371/journal.pone.0060694.

26. TunçalpÖ, StantonC, CastroA, AdanuRK, HeymannM, et al. (2013) Measuring coverage in MNCH: Validating women's self-report of emergency cesarean sections in Ghana and the Dominican Republic. PLoS ONE 8: e60761 doi:10.1371/journal.pone.0060761.

27. GuoY, LiuL, LiM, YangL, JuL, et al. (2013) Measuring coverage in MNCH: A validation study linking population survey derived coverage to maternal, newborn, and child health care records in rural China. PLoS ONE 8: e60762 doi:10.1371/journal.pone.0060762.

28. StringerJ, StinsonK, TihPM, GigantiM, EkoueviD, et al. (2013) Measuring coverage in MNCH: Population HIV-free survival among children under two years of age in four African countries. PLoS Med 10: e1001424 doi:10.1371/journal.pmed.1001424.

29. Levy PS, Lemeshow S (2008) Sampling of populations: methods and applications. New York: John Wiley & Sons, Inc. 616 p.

30. Kish L (1965) Survey sampling. New York: John Wiley & Sons, Inc. 643 p.

31. ICF Macro (2012) Sampling manual for use with Demographic and Health Surveys. Calverton (Maryland): ICF Macro. Available: http://www.measuredhs.com/publications/publication-DHSM4-DHS-Questionnaires-and-Manuals.cfm. Accessed 8 December 2012.

32. Childinfo (2012) http://www.childinfo.org/files/MICS3_Chapter_4_-_Designing_and_Selecting_the_Sample_060219.pdf.Accessed 8 December 2012.

33. Deaton A (1997) The analysis of household surveys: a microeconometric approach to development policy. Baltimore (Maryland): Johns Hopkins University Press. 479 p.

34. Woolridge JM (2002) Econometric analysis of cross section and panel data. Cambridge (Massachusetts): MIT Press. 752 p.

35. MoranA, KerberK, SitrinD, GuentherT, MorrisseyCS, et al. (2013) Measuring coverage in MNCH: Indicators for global tracking of newborn care. PLoS Med 10: e1001415 doi:10.1371/journal.pmed.1001415.

36. RequejoJH, NewbyH, BryceJ (2013) Measuring coverage in MCNH: Challenges and opportunities in the selection of coverage indicators for global monitoring. PLoS Med 10: e1001416 doi:10.1371/journal.pmed.1001416.

37. Pullum TW (2006) An assessment of age and date reporting in the DHS surveys, 1985–2003. DHS Methodological Reports number 5. Calverton (Maryland): Macro International Inc.