1. Preparing for Data Analysis and Interpreting Data CEI 2015.0 Implementing the Reproductive Health Assessment Toolkit for Conflict-Affected Women November 5, 2006

2. Objectives At end of session, you will be able to: List analysis options Describe use of Analysis Guide Link data to action

3. Data Quality Review after interviews Double-entry (CSPro Verify) Data cleaning

4. Analysis Options Send to DRH/CDC Run own analysis –Pre-programmed (SAS) –Program of choice

5. Analysis Guide Key indicator list –Snapshot of data Analysis tables –More detailed information, sub-groups such as age, ability to read, relationships status

6. Types of Indicators Knowledge and attitudes RH outcomes Help-seeking behaviors Barriers

7. Background Characteristics Age groups Ethnicity Religion Education level Reading and writing ability Displacement status and length Relationship status

8. Safe Motherhood Indicators Knowledge of pregnancy danger signs Currently pregnant Antenatal care (ANC) Pregnancies in last two years Delivery care Postpartum care Help-seeking behaviors for complications

9. Key Indicator List IndicatorDefinitionConstruction using questionnaireValueRationale/Data use Related tables SM-e) Receipt of minimum ANC* in last two years Proportion of women who received minimum antenatal care visits (at least 3) by a trained provider among women whose most recent pregnancy ended in a live birth or stillbirth in the last two years Numerator: Q218= 1 (Yes) Seen anyone for antenatal care AND Q219 = 1 (mentioned) for Doctor or nurse/midwife Trained antenatal care provider AND Q220= 3 OR 4 (3 or more times) Minimum antenatal care visits Denominator: Q217A= 1 or 2 or 3 or 4 Women whose most recent pregnancy ended in a live birth or stillbirth in the last two years This measures whether women who gave birth in the last two years received minimum antenatal visits by a trained provider. At least three visits are recommended, ideally early in the pregnancy. This indicates local antenatal care practices that can put women and infants at risk. SM-11, 12, 13, 14, 15 70% *ANC = Antenatal Care

10. Analysis Tables Table SM-11: Type of antenatal care provider for women during their most recent pregnancy that ended in a live birth or stillbirth in the last two years [country and year] (Q219).* {N= 80} Characteristic% women (n) Doctor30% (25) Nurse/midwife50% (40) Traditional birth attendant/community health worker 30% (24) Other5% (4) *Percentages may add to greater than 100% as respondent may give more than 1 response.

11. Analysis Tables Table SM-13: Demographic characteristics of women receiving antenatal care (ANC) by a trained provider among women whose most recent pregnancy ended in a live birth or stillbirth in the last two years [country and year] (Q219). {N= 100} CharacteristicANC by a trained provider and ≥3 visits %(n) ANC by an untrained provider or no ANC %(n) Total (N= 100)70% (70)30% (30) Age (n= 99) Q105 15-2410% (8)60% (18) 25-3420% (13)20% (5) 35-4970% (48)20% (7) Relationship Status (n= 100) Q406 Married, living together40% (28)10% (2) Married, not living together30% (21)10% (4) Not married, living with partner10% (7)60% (18) Not married, not living with partner 20% (14)20% (7)

12. Family Planning Indicators Ever heard modern methods Ever used modern methods Modern contraceptive prevalence Barriers to FP Unmet need for FP Future intent to use a method

13. Sexual History/STIs Indicators Condom use at last higher risk sex Knowledge of STI symptoms STI symptoms in last 12 months Help-seeking behaviors for symptoms

14. HIV/AIDS Indicators Comprehensive correct knowledge –HIV/AIDS –Mother-to-child-transmission Accepting attitudes people living with HIV/AIDS (PLWH/A) Perceived risk Received HIV test results in last 12 months HIV test in the future

15. Gender-based Violence Indicators Outsider physical/sexual violence during and post conflict Reporting outsider violence Ever intimate partner violence (IPV) IPV in last year Reporting IPV Family violence

16. Female Genital Cutting (FGC) Indicators Prevalence of FGC –Respondents –Youngest daughter of respondent Future intent of FGC Favorable to continuation of FGC

17. Emotional Health Indicators Emotional distress – SRQ-20 Suicidal thoughts in past 4 weeks

18. Suggestions for Data Use Support grant proposals or special requests for money Develop/modify programs or services health systems policies Disseminate findings Improved reproductive health outcomes Reliable population reproductive health data Support advocacy efforts Identify and prioritize reproductive health needs DATA ACTION OUTCOME

19. Data to Action Disseminate results Assemble stakeholders Present overview of data Prioritize health needs –Size, seriousness, effectiveness of interventions in "A method for setting priorities among health problems" in APEX- PH, 1991 Develop action plan

20. Example: Safe Motherhood Data to Action Ensure quality ANC services available Apply for a grant to get resources to staff and supply ANC clinics Develop information campaign to promote safe motherhood –Focus among young, unmarried women

21. DRH Technical Assistance Run analyses Provide analysis programs Consult on interpreting data Consult on data to action

22. www.cdc.gov/reproductivehealth/Refugee Reproductive Health Assessment Toolkit for Conflict-Affected Women