Antenatal Care

 

Percent distribution of antenatal care by type of provider, and percentage of antenatal care from a skilled provider

 

Definition

 

1)      Percentage of women with a live birth or a stillbirth in the last 2 years, distributed by highest type of provider of antenatal care for most recent birth.

2)      Percentage of women with a live birth or a stillbirth in the last 2 years receiving antenatal care from a skilled provider for the most recent birth.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within the base population who:

1)      were attended for antenatal care (ANC) for their last most recent live birth (m80 = 1) or stillbirth (m80 = 3), distributed according to the type of provider with the highest level of qualification (m2a – m2n = 1). (Note that types of providers and variables below are based on the standard DHS-8 questionnaire. Actual provider types and variables are survey specific but will be from the m2a–m2n series.) The types of providers are country specific but typically include:

a)       Doctor (m2a = 1)

b)      Nurse/midwife (m2b = 1)

c)       Auxiliary midwife (m2c = 1)

d)      Community health worker/fieldworker (m2i = 1)

e)      Traditional birth attendant (m2g = 1)

f)        Other (m2h = 1 or m2j = 1 or m2k = 1 or m2l = 1 or m2m = 1)

g)       No ANC (m2n = 1)

2)      Number of women receiving antenatal care from a skilled provider for the most recent most recent live birth (m80 = 1) or stillbirth (m80 = 3). The classification of skilled provider is also country specific, but typically includes providers such as Doctor, Nurse/midwife, and Auxiliary midwife (often m2a = 1 or m2b = 1 or m2c = 1, but depends on the survey)

 

Denominator: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey (m80 = 1 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey (m80 = 3 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (m80 = 1 or 3 & p19 < 24 )

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m2a

Prenatal: Doctor

m2b

Prenatal: Country specific health professional

m2c

Prenatal: Country specific health professional

m2d

Prenatal: Country specific health professional

m2e

Prenatal: Country specific health professional

m2f

Prenatal: Country specific health professional

m2g

Prenatal: Traditional birth attendant

m2h

Prenatal: Country specific other person

m2i

Prenatal: Country specific other person

m2j

Prenatal: Country specific other person

m2k

Prenatal: Other

m2l

Prenatal: Country specific other

m2m

Prenatal: Country specific other

m2n

Prenatal: No one

v005

Woman’s individual sample weight

 

 

Calculation

 

During data collection respondents may mention more than one provider. The percent distribution by type of provider takes the highest type of provider from the list above and does not include other providers mentioned by the respondent.

 

For each type of provider, the numerator divided by the overall denominator, multiplied by 100.

 

Handling of Missing Values

 

"Don't know" or missing values on type of provider are excluded from numerators but included in denominators.

 

Notes and Considerations

 

Percent distribution adds up to 100 percent.

 

The category “Trained nurse/midwife” includes only medically trained and licensed personnel. Traditional birth attendants (also sometimes called midwives) are not considered skilled providers, whether trained or untrained.

 

The category “Traditional birth attendant/other” includes auxiliary health personnel and cases where the respondent did not know the level of qualification.

 

The category skilled provider typically includes doctor/nurse, midwife, and auxiliary midwife. The category ‘auxiliary midwife’ may or may not be considered skilled in providing ANC and should be adapted to reflect the country’s healthcare system as in most countries, not all cadres of health care professionals are considered “skilled” in providing ANC.

 

References

 

Footman, K., L. Benova, C. Goodman, D. Macleod, C. A. Lynch, L. Penn‐Kekana, and O. M. R. Campbell. 2015. "Using multi‐country household surveys to understand who provides reproductive and maternal health services in low‐and middle‐income countries: a critical appraisal of the Demographic and Health Surveys." Tropical Medicine & International Health, 20(5): 589-606.

 

Lawn, J. E., Blencowe, H., Waiswa, P. et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016. 387(10018), 587-603.

 

Wang, W., S. Alva, S. Wang, and A. Fort. 2011. Levels and trends in the use of maternal health services in developing countries. DHS Comparative Reports No. 26. Calverton, Maryland, USA: ICF Macro. https://dhsprogram.com/publications/publication-cr26-comparative-reports.cfm

 

Resources

 

DHS-8 Tabulation plan: Table 9.1

 

API Indicator IDs:

RH_ANCP_W_DOC, RH_ANCP_W_NRS, RH_ANCP_W_AUX, RH_ANCP_W_CHW, RH_ANCP_W_OHW, RH_ANCP_W_TBA, RH_ANCP_W_OTH, RH_ANCP_W_MIS, RH_ANCP_W_NON, RH_ANCP_W_SKP

(API link, STATcompiler link)

 

MICS6 Indicator TM.5a: Antenatal care coverage: at least once by skilled health personnel.

 

Changes over Time

 

This indicator changed significantly in DHS-8. The reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey. Finally, the categories of providers changed slightly. “Auxiliary nurse/midwife” was changed to “Auxiliary midwife” and “Community health worker” was changed to “Community health worker/fieldworker”.

 


Percent distribution of number of antenatal care visits, and of timing of first antenatal visit

 

Definition

1)      Percentage of women with a live birth or a stillbirth in the last 2 years, distributed by number of antenatal care visits for most recent birth.

2)      Percentage of women with a live birth or a stillbirth in the last 2 years, distributed by number of months pregnant at time of first antenatal care visit for most recent birth.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within the base population who:

1)      Received antenatal care for their last most recent live birth (m80 = 1) and/or stillbirth (m80 = 3), according to grouped number of visits (m14)

2)      Received antenatal care for their last most recent live birth (m80 = 1) and/or stillbirth (m80 = 3), according to grouped number of months they were pregnant at time of first visit (m13)

 

Denominator: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey (m80 = 1 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey (m80 = 3 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (m80 = 1 or 3 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m14

Number of antenatal visits during pregnancy

m13

Timing of 1st antenatal check (months)

m2n

Prenatal: no one

v005

Woman’s individual sample weight

 

Calculation

 

Number of antenatal visits is grouped into categories of no antenatal visits, 1 visit, 2 visits, 3 visits, 4-7 visits, 8+ visits, and “don’t know” before calculating percentages. Timing of first antenatal visit is grouped into categories of no antenatal visit, <4 months, 4-6 months, 7+ months, and “don’t know” before calculating percentages. The percentages are the numerators divided by the denominator, multiplied by 100.

 

Handling of Missing Values

 

"Don't know" or missing values on number of antenatal care visits and timing of first ANC are excluded from numerators but included in denominators.

 

Notes and Considerations

 

Percent distributions add up to 100 percent.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. The population base for this indicator was also expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

Also, in DHS-8, the groupings were changed to include 8+ ANC visits based on WHO recommendations.

 

References

 

Benova, L., Ö. Tunçalp, A.C. Moran and O.M.R. Campbell, 2018. “Not just a number: examining coverage and content of antenatal care in low-income and middle-income countries.” BMJ Global Health3(2), p.e000779. https://gh.bmj.com/content/3/2/e000779

 

Lawn, J. E., Blencowe, H., Waiswa, P. et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016. 387(10018), 587-603.

 

MacQuarrie, K.L.D., L. Mallick, and C. Allen. 2017. Sexual and reproductive health in early and later adolescence: DHS data on youth Age 10-19. DHS Comparative Reports No. 45. Rockville, Maryland, USA: ICF. https://dhsprogram.com/publications/publication-cr45-comparative-reports.cfm

 

Owolabi, O.O., K.L.M. Wong, M.L. Dennis, E. Radovich, F.L. Cavallaro, C.A. Lynch, A. Fatusi, I. Sombie, and L. Benova. 2017. "Comparing the Use and Content of Antenatal Care in Adolescent and Older First-Time Mothers in 13 Countries of West Africa: A Cross-Sectional Analysis of Demographic and Health Surveys." The Lancet Child & Adolescent Health 1(3):203-212. https://www.sciencedirect.com/science/article/pii/S2352464217300251

 

Wang, W., S. Alva, S. Wang, and A. Fort. 2011. Levels and trends in the use of maternal health services in developing countries. DHS Comparative Reports No. 26. Calverton, Maryland, USA: ICF Macro. https://dhsprogram.com/publications/publication-cr26-comparative-reports.cfm

 

World Health Organization. 2016. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/

 

World Health Organization. 2018. Global reference list of 100 core health indicators. Geneva: World Health Organization. https://apps.who.int/iris/handle/10665/259951

 

Resources

 

DHS-8 Tabulation plan: Table 9.2

 

API Indicator IDs:

RH_ANCN_W_NON, RH_ANCN_W_N01, RH_ANCN_W_N23, RH_ANCN_W_N4P, RH_ANCN_W_DKM,

RH_ANCT_W_NON, RH_ANCT_W_TL4, RH_ANCT_W_T45, RH_ANCT_W_T67, RH_ANCT_W_T8P, RH_ANCT_W_DKM

(API link, STATcompiler link)

 

WHO 100 Core Health Indicators: Antenatal care coverage

 

MICS6 Indicator TM.5b: Antenatal care coverage: at least four times by any provider.

MICS6 Indicator TM.5c: Antenatal care coverage: at least eight times by any provider


 

Median number of months pregnant at time of first antenatal care visit

 

Definition

 

Median number of months pregnant at the time of first antenatal care visit for the most recent birth (live birth or stillbirth) in the 2 years preceding the survey.

 

Coverage:

Population base:

a)       Women who have had alive birth in the 2 years preceding the survey (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey.

 

Numerator:

Number of women within each base population who received antenatal care for their most recent live birth (m80 = 1) or stillbirth (m80 = 3) according to the single number of months they were pregnant at time of first visit (m13)

 

Denominator: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey who received antenatal care for the live birth (m80 = 1 & m13 < 96 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey who received antenatal care for the stillbirth (m80 = 3 & m13 < 96 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey who received antenatal care for their last birth (m80 = 1 or 3 & m13 < 96 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m13

Timing of 1st antenatal check (months)

v005

Woman’s individual sample weight

 

Calculation

 

For the median, first calculate percentages of single months pregnant at first visit by dividing the numerators by the denominator. Cumulate the percentages by single months starting with the lowest value.

 

Linearly interpolate between the number of months immediately before and after where the cumulated distribution exceeds 50 percent to determine the median. See Median Calculations in Chapter 1.

 

Handling of Missing Values

 

“Don’t know” and missing values excluded from numerators and denominator of percentages for median calculation.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also, in DHS-8, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

Resources

 

DHS-8 Tabulation plan: Table 9.2                                                                                        

 

API Indicator IDs:

RH_ANCT_W_MED

(API link, STATcompiler link)

 

 


Percentage of women receiving components of antenatal care

 

Definition

1)      Among women with a live birth or a stillbirth in the last 2 years, the percentage that had their blood pressure measured.

2)      Among women with a live birth or a stillbirth in the last 2 years, the percentage that had a urine sample taken.

3)      Among women with a live birth or a stillbirth in the last 2 years, the percentage that had a blood sample taken.

4)      Among women with a live birth or a stillbirth in the last 2 years, the percentage that had the baby’s heartbeat listened for.

5)      Among women with a live birth or a stillbirth in the last 2 years the percentage that were counseled about maternal diet.

6)      Among women with a live birth or a stillbirth in the last 2 years the percentage that were counseled about breastfeeding.

7)      Among women with a live birth or a stillbirth in the last 2 years, the percentage that were asked about vaginal bleeding.

 

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey (NR file)

b)      Women who received antenatal care for their most recent live birth in the 2 years preceding the survey (NR file)

c)       Women who have had a stillbirth in the 2 years preceding the survey (NR file)

d)      Women who received antenatal care for their most recent stillbirth in the 2 years preceding the survey (NR file)

e)      Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

f)        Women who received antenatal care for their most recent birth (live birth or stillbirth) in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within each base population who:

1)      had their blood pressure measured (m42c = 1)

2)      had a urine sample taken (m42d = 1)

3)      had a blood sample taken (m42e = 1)

4)      had baby’s heartbeat listened for (m42f = 1)

5)      were counseled about maternal diet (m42g = 1)

6)      were counseled about breastfeeding (m42h = 1)

7)      were asked about vaginal bleeding (m42i = 1)

 

Denominators: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey (m80 = 1 & p19 < 24)

b)      Women who have had a live birth in the 2 years preceding the survey who received antenatal care for their last birth (m80 = 1 & m2n = 0 & p19 < 24)

c)       Women who have had a stillbirth in the 2 years preceding the survey (m80 = 3 & p19 < 24)

d)      Women who have had a stillbirth in the 2 years preceding the survey who received antenatal care for their stillbirth (m80 = 3 & m2n = 0 & p19 < 24)

e)      Women who have had a live birth or a stillbirth in the 2 years preceding the survey (m80 = 1 or 3 & p19 < 24)

f)        Women who have had a live birth or a stillbirth in the 2 years preceding the survey who received antenatal care for their last birth (m80 = 1 or 3 & m2n = 0 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m2n

Prenatal: no one (1 = received no antenatal care; 0 = some antenatal care)

m42c

During pregnancy: blood pressure taken

m42d

During pregnancy: urine sample taken

m42e

During pregnancy: blood sample taken

m42f

During pregnancy: baby’s heartbeat listened for

m42g

During pregnancy: counseled about maternal diet

m42h

During pregnancy: counseled about breastfeeding

m42i

During pregnancy: asked about vaginal bleeding

v005

Woman’s individual sample weight

 

Calculation

 

For percentages, the numerator divided by the denominator, multiplied by 100.

 

Handling of Missing Values

 

“Don’t know” and missing values on key components of antenatal care (e.g., urine sample taken) are excluded from numerators but included in denominators, assuming that they did not receive the antenatal care component.

 

Changes over Time

 

In DHS-8, a number of changes were made to indicators on content of ANC. First, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Second, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey. Additionally, maternal report of receipt of these specific items of ANC are now reported among both number of women with a livebirth and/or stillbirth in the last 2 years AND number of women who attended ANC for their livebirth and/or stillbirth in the last 2 years.

 

Several additional key items for content of ANC were added as a proxy for quality of care. These included listening to the baby’s heartbeat and counseling on maternal diet and breastfeeding.

Indicators on iron-supplementation and deworming used to be included in the same table as these components but are now presented in a separate table.

 

References

 

Benova, L., Ö. Tunçalp, A.C. Moran and O.M.R. Campbell, 2018. “Not just a number: examining coverage and content of antenatal care in low-income and middle-income countries.” BMJ Global Health3(2), p.e000779. https://gh.bmj.com/content/3/2/e000779

 

Lawn, J. E., Blencowe, H., Waiswa, P. et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016. 387(10018), 587-603.

 

Owolabi, O.O., K.L.M. Wong, M.L. Dennis, E. Radovich, F.L. Cavallaro, C.A. Lynch, A. Fatusi, I. Sombie, and L. Benova. 2017. "Comparing the Use and Content of Antenatal Care in Adolescent and Older First-Time Mothers in 13 Countries of West Africa: A Cross-Sectional Analysis of Demographic and Health Surveys." The Lancet Child & Adolescent Health 1(3):203-212. https://www.sciencedirect.com/science/article/pii/S2352464217300251

 

World Health Organization. 2016. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/

 

Resources

 

DHS-8 Tabulation plan: Tables 9.3.1 and 9.3.2

 

API Indicator IDs:

RH_ANCC_W_IRN, RH_ANCC_W_PAR, RH_ANCS_W_BLP, RH_ANCS_W_URN, RH_ANCS_W_BLS

(API link, STATcompiler link)

 

MICS6 Indicator TM.6: Content of antenatal care


 

Percentage of women receiving food/cash assistance, deworming, and iron-containing supplementation during pregnancy

 

Definition

1)      Percentage of women with a live birth or a stillbirth in the last 2 years who received food or cash assistance during their most recent pregnancy.

2)      Percentage of women with a live birth or a stillbirth in the last 2 years who took intestinal parasite drugs during their most recent pregnancy.

3)      Percentage of women with a live birth or a stillbirth in the last 2 years who took iron tablets or syrup during their most recent pregnancy.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within each base population who:

1)      received food or cash assistance during the pregnancy of the most recent live birth or stillbirth (m82 = 1)

2)      took iron tablets or syrup during the pregnancy for the most recent live birth or stillbirth (m45 = 1)

3)      took intestinal parasite drugs during the pregnancy for the most recent live birth or stillbirth (m60 = 1)

 

Denominators: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey (m80 = 1 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey (m80 = 3 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (m80 = 1 or 3 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m82

During pregnancy, received food or cash assistance

m45

During pregnancy, given or bought iron tablets/syrup

m60

Drugs for intestinal parasites during pregnancy

v005

Woman’s individual sample weight

 

Calculation

 

For percentages, the numerator divided by the denominator, multiplied by 100.

 

Handling of Missing Values

 

“Don’t know” and missing values on indicators of food/cash assistance, deworming, and iron-containing supplementation are excluded from numerators but included in denominators, assuming that they did not receive the intervention.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also in DHS-8, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

The indicator on food/cash assistance was added in DHS-8. The indicators on iron-supplementation and deworming used to be included in the same table as the other ANC components but are now presented in a separate table.

 

References

 

Benova, L., Ö. Tunçalp, A.C. Moran and O.M.R. Campbell, 2018. “Not just a number: examining coverage and content of antenatal care in low-income and middle-income countries.” BMJ Global Health3(2), p.e000779. https://gh.bmj.com/content/3/2/e000779

 

Bhutta ZA, Das JK, Bahl R, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet 2014;384(9940):347–70

 

Owolabi, O.O., K.L.M. Wong, M.L. Dennis, E. Radovich, F.L. Cavallaro, C.A. Lynch, A. Fatusi, I. Sombie, and L. Benova. 2017. "Comparing the Use and Content of Antenatal Care in Adolescent and Older First-Time Mothers in 13 Countries of West Africa: A Cross-Sectional Analysis of Demographic and Health Surveys." The Lancet Child & Adolescent Health 1(3):203-212. https://www.sciencedirect.com/science/article/pii/S2352464217300251

 

World Health Organization. 2016. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/en/

 

Resources

 

DHS-8 Tabulation plan: Table 9.4

 

API Indicator IDs:

RH_ANCC_W_IRN, RH_ANCC_W_PAR, RH_ANCS_W_BLP, RH_ANCS_W_URN, RH_ANCS_W_BLS

(API link, STATcompiler link)

 

MICS6 Indicator TM.6: Content of antenatal care

 

 


Percent distribution of number of days taking iron-containing supplements during pregnancy

 

Definition

Percentage of women with a live birth or a stillbirth in the last 2 years, distributed by number of days taking iron-containing supplements during their most recent pregnancy.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within each base population who by number of days she took iron-containing supplements during the most recent pregnancy (m46)

 

Denominator: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey (m80 = 1 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey (m80 = 3 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey (m80 = 1 or 3 & p19 < 24)

 

Variables: NR file.

m46

Number of days during which women took iron-containing supplements

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

v005

Woman’s individual sample weight

 

Calculation

 

Number of days during which women took iron-containing supplements is grouped into categories of none, <60, 60-89, 90-179, 180+, and “don’t know” before calculating percentages. Percentages are the numerators divided by the denominator, multiplied by 100.

 

Handling of Missing Values

 

“Don’t know” values included in percent distributions. Missing values are excluded from numerators but included in denominators.

 

Notes and Considerations

 

Percent distributions add up to 100 percent.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also in DHS-8, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

Resources

 

DHS-8 Tabulation plan: Table 9.4

 

API Indicator IDs:

TBD

(API link TBD, STATcompiler link TBD)

 

 


 

Percentage of women who obtained iron-containing supplements, by source of supplements

 

Definition

Percentage of women with a live birth or a stillbirth in the last 2 years who obtained iron-containing supplements during their most recent pregnancy, by source of supplements.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey who were given or bought iron-containing supplements during the pregnancy of the most recent live birth (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey who were given or bought iron-containing supplements during the pregnancy of the most recent stillbirth (NR file)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey who were given or bought iron-containing supplements during the most recent pregnancy (NR file)

Time period: Two years preceding the survey

 

Numerators:

Number of women within each base population who were given or bought iron-containing supplements during pregnancy, by declared source of iron-containing supplements (m45 = 1 & m81a – x)

 

Denominator: Number of women in each of the population bases:

a)       Women who have had a live birth in the 2 years preceding the survey who were given or bought iron-containing supplements during the pregnancy of the most recent live birth (m80 = 1 & m45 =1 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey who were given or bought iron-containing supplements during the pregnancy of the most recent stillbirth (m80 = 3 & m45 =1 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey who were given or bought iron-containing supplements during the most recent pregnancy (m80 = 1 or 3 & m45 =1 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m45

During pregnancy, given or bought iron tablets/syrup

m81a – x

Source of iron tablets/syrup

v005

Woman’s individual sample weight

 

Calculation

 

Numerators divided by the same denominator and multiplied by 100.

 

Notes and Considerations

 

Supplements may have been obtained from more than one source.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also in DHS-8, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

Resources

 

DHS-8 Tabulation plan: Table 9.5

 

API Indicator IDs:

TBD

(API link TBD, STATcompiler link TBD)