MICS4 Survey Design Workshop

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

Millennium Development Goals

Countdown to 2015

World Fit for Children

International Goals

MICS4 Survey Design Workshop

Maternal healthAntenatal careDelivery characteristics

Newborn healthBirthweightInitiation of breastfeedingTetanus protection

Overview of module

MICS4 Survey Design Workshop

• Women of reproductive age (15-49 years)

• Live birth in the two years preceding interview

Eligibility

MICS4 Survey Design Workshop

Maternal healthAntenatal careDelivery characteristics

Newborn healthBirthweightInitiation of breastfeeding Tetanus protection

Overview of module

MICS4 Survey Design Workshop

# 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

MICS Indicators

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 careProportion 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

MICS4 Survey Design Workshop

# 5.7 - Skilled attendant at deliveryProportion 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

MICS Indicators - Delivery characteristics

MICS4 Survey Design Workshop

# 5.8 - Institutional deliveriesProportion 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 sectionNote:Estimated that 5-15% of deliveries require C-section

MICS Indicators - Delivery characteristics

MICS4 Survey Design Workshop

MICS Indicators - Newborn

MICS4 Survey Design Workshop

MICS Indicators - Newborn

# 2.19 - Infants weighed at birthProportion 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 infantsProportion of last live births in the 2 years

preceding the survey weighing below 2,500 grams at birth

MICS Indicators - Newborn

# 2.4 - Children ever breastfedProportion 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

MICS4 Survey Design Workshop

MICS Indicators - Newborn

# 2.5 - Early initiation of breastfeedingProportion 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 protectionProportion 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

Coding categories to be adapted in country:Type of provider for antenatal care Type of provider for delivery care Place of deliveryPrelacteal feed

For a comparable indicator, some question series may not be adapted:BirthweightTetanus Toxoid

Summary of methodological issues

MDG indicators – maintain broad coding categories for comparability

MICS4 Survey Design Workshop

Prepared by:

Holly NewbyStatistics and

Monitoring SectionUNICEF/New York1-212-303-7932

hnewby@unicef.org