MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop MICS4 in the Context of Global Commitments and Reporting Needs

MICS4 Survey Design Workshop Presentation overview Changing monitoring context Evolution of MICS over time MICS uses at national and global levels MICS4 – new developments

Exciting new developments Major increases in attention and funding for maternal, newborn and child survival Unprecedented amount of new data for monitoring Extensive work with partners on monitoring and indicator development MICS4 Survey Design Workshop

Exciting new developments Child deaths are continuing to decline below 10 million; some progress in maternal mortality reduction million U5 deaths in 2008 Major improvements in key intervention coverage indicators; further measurable declines in child mortality But much more remains to be done… MICS4 Survey Design Workshop

Household survey activity ( )

MICS4 Survey Design Workshop Evolution of data collection since 1990 (MDG baseline) Before 1990, 30 countries with data on whether undernutrition was rising or falling

MICS4 Survey Design Workshop Evolution of data collection since 1990 (MDG baseline) Today, 118 countries with data on whether undernutrition was rising or falling

Extensive work with partners on monitoring activities Interagency monitoring groups play a critical role in the following areas: – Harmonizing monitoring work across partners – Developing new methodologies, standard indicators and monitoring tools – Building statistical capacity at country level – Developing joint estimates

MICS4 Survey Design Workshop Interagency Monitoring Groups – Child Mortality Estimation Group (UNICEF, WHO, WB, UNPD) – Malaria MERG (UNICEF, WHO, WB, CDC, others) – HIV/AIDS MERG (UNICEF, UNAIDS, WHO, others) – Water/Sanitation: JMP Water and Sanitation (UNICEF, WHO) – Immunization Interagency Estimation Group (UNICEF, WHO) – Maternal Mortality Estimation Group (UNICEF/WHO/UNFPA/WB) – Countdown to 2015 (20+ partners)

MICS4 Survey Design Workshop Evolution of MICS over time

MICS4 Survey Design Workshop Evolution of MICS over time Past: World Summit for Children indicators only - Developed to fill gaps for WSC monitoring Present: Numerous international goals and targets - Millennium Development Goals - Countdown to World Fit for Children - UNGASS targets for HIV - RBM targets for malaria - UNICEF/MTSP

MICS4 Survey Design Workshop Evolution of MICS over time MICS implemented every 5 years since 1995 (MICS1 in 1995, MICS2 in 2000, MICS3 in 2005) Nearly 200 MICS surveys conducted globally in first three rounds of surveys MICS3 in over 50 countries during MICS frequency increasing from every 5 years to every 3 years (MICS4 in ) Full datasets and reports at

MICS4 Survey Design Workshop MICS at national & global levels

MICS4 Survey Design Workshop MICS uses at national level Support evidence-based programs & policy formulation Evaluate countries progress in making available key interventions for child and maternal survival and well-being Evaluate disparities between sub-groups within countries Track trends in key areas, including progress toward national commitments (e.g. PRSPs, MDGs) Identify new areas of concern for the government

MICS4 Survey Design Workshop Analyses for evidence-based programming Programmatic implication: Premature introduction of water should be eliminated to increase exclusive BF rates

MICS4 Survey Design Workshop MICS uses at global level Millennium Development Goals - Largest single source of MDG data, along with DHS of 53 MDG indicators derived from MICS3 World Fit for Children - WFFC+5 Commemorative Session (December 2007) Countdown to Major effort to track key intervention coverage for MDGs 4 & 5 Other major global goals and targets, including: - UNGASS targets for HIV/AIDS - RBM targets for malaria

MICS4 Survey Design Workshop Millennium Development Goals UNICEF/WHO lead agencies for reporting on health-related MDGs – MDG 1 (nutrition) – MDG 4 (child mortality) – MDG 5 (maternal health) – MDG 6 (HIV/AIDS and malaria) – MDG 7 (water and sanitation) S-G MDG Report - UNICEF provides key data and analyses; Major MDG report planned for 2010 – MICS4 key data source MDG country profiles

MICS4 Survey Design Workshop Countdown to 2015 Global effort to track progress in child, maternal and newborn survival - monitors coverage of key interventions for MDG 4 & 5 1 st conference in December 2005; 2 nd conference in April to take place every 2-3 years Countdown Report issued for each conference; 2008 Report prepared by UNICEF with partners Profiles prepared for 68 Countdown priority countries; includes coverage indicators and contextual data (e.g. policies) MICS major data source for Countdown reports

MICS4 Survey Design Workshop

Major progress reports

MICS4 Survey Design Workshop Major progress reports

MICS4 Survey Design Workshop MICS 4 – New developments

MICS4 Survey Design Workshop MICS 4 – New developments Increased MICS frequency – MICS4 in Increased pressure to expand MICS4 questionnaire New modules to reflect emerging areas of interest – early childhood development, youth, quality of life, etc. Increased need for data analyses for evidence-based programming Demand for data by end-2010 for use in high-level reports: –S-G MDG report (special report planned for 2010) –Countdown to 2015 (next conference planned for Sept. 2010) –RBM 2010 targets (high-level report planned for Sept 2011)

MICS4 Survey Design Workshop MICS4: Inclusion criteria MICS4 inclusion criteria: Relevant MDG indicators Continuity with WSC indicators Interagency agreement on indicators Relevant to assessing situation of children and women Previously validated modules Possible to collect through household surveys

MICS4 Survey Design Workshop MICS4: New areas of measurement Reproductive health –ANC (number of visits) –Caesarean section Water/Sanitation –Hand washing Child Development Outcomes –New module Malaria –Use of diagnostics; indoor residual spraying; net roster

MICS4 Survey Design Workshop Childinfo