MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey 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 health Antenatal care Delivery characteristics Newborn health Birthweight Initiation of breastfeeding Tetanus 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 health Antenatal care Delivery characteristics Newborn health Birthweight Initiation of breastfeeding Tetanus protection Overview of module

MICS4 Survey Design Workshop # 5.5a Antenatal care coverage Proportion of women age 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

# 5.5b Antenatal care coverage Proportion of women age 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 # Content of antenatal care Proportion of women age 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 # Intermittent Preventive Treatment (IPTp) Proportion of women age 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

# Skilled attendant at delivery Proportion of women age 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 # Institutional deliveries Proportion of women age years with a live birth in the 2 years preceding the survey who delivered in a health facility # Caesarean-section (C-section) Proportion of last live births in the 2 years preceding the survey who were delivered by caesarean section Note: 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 # Infants weighed at birth Proportion of last live births in the 2 years preceding the survey who were weighed at birth

MICS4 Survey Design Workshop MICS Indicators - Newborn # Low-birthweight infants Proportion of last live births in the 2 years preceding the survey weighing below 2,500 grams at birth

MICS Indicators - Newborn # Children ever breastfed Proportion 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

MICS Indicators - Newborn # Early initiation of breastfeeding Proportion 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 # Neonatal tetanus protection Proportion of women age 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 delivery Prelacteal feed For a comparable indicator, some question series may not be adapted: Birthweight Tetanus Toxoid Summary of methodological issues MDG indicators – maintain broad coding categories for comparability

MICS4 Survey Design Workshop Prepared by: Holly Newby Statistics and Monitoring Section UNICEF/New York