Duration of Stay in Health Facility after Birth

 

Percent distribution by duration of stay in the health facility following the most recent birth by type of delivery

 

Definition

 

Among women with a birth (live birth and/or stillbirth) in the 2 years preceding the survey who delivered their most recent birth in a health facility, percent distribution by duration of stay in the health facility following their most recent birth, according to type of delivery.

 

Coverage:

Population base:

a)       Women who have had a live birth in the 2 years preceding the survey who delivered their most recent live birth in a health facility (NR file)

b)      Women who have had a stillbirth in the 2 years preceding the survey who delivered their most recent stillbirth in a health facility (NR file)

c)       Women who have had one or more births (live birth or stillbirth) in the 2 years preceding the survey who delivered their most recent birth (live birth or stillbirth) in a health facility (NR file)

Time period: Two years preceding the survey

 

Numerator: Number of women within each base population, by duration of stay (m61), for each type of delivery (m17). Duration of stay is grouped into <6 hours, 6-11 hours, 12-23 hours, 1-2 days, 3+ days, and “don’t know”.

 

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 delivered their most recent live birth in a health facility (m80 = 1 & m15 in 20:49 & p19 < 24)

b)      Women who have had a stillbirth in the 2 years preceding the survey who delivered their most recent stillbirth in a health facility (m80 = 3 & m15 in 20:49 & p19 < 24)

c)       Women who have had a live birth or a stillbirth in the 2 years preceding the survey who delivered their most recent birth (live birth or stillbirth) in a health facility (m80 = 1 or 3 & m15 in 20:49 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m15

Place of delivery

m17

Delivery by caesarean section

m61

Time spent at place of delivery

v005

Woman’s individual sample weight

 

Calculation

 

Numerator divided by the denominator, multiplied by 100 for the particular type of delivery (vaginal birth or caesarean section).

 

Categories from m61 are:

<6 hours = 100-105

6-11 hours = 106-111

12-23 hours = 112-123, 200

1-2 days = 124-171, 201-202

3+ days = 172-197, 203-297, 301-397

Don’t Know/Missing = 198, 199, 298, 299, 398, 399, 998, 999

Handling of Missing Values

 

Missing values on type of health facility are excluded from the indicator. “Don’t know” values on duration of stay are included in the denominator and are presented in a separate category in the percent distribution.

 

Notes and Considerations

 

Note the denominator only includes women who delivered in a health facility.

 

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.

 

References

 

Campbell, O.M., L. Cegolon, D. Macleod, and L. Benova. 2016. “Length of stay after childbirth in 92 countries and associated factors in 30 low-and middle-income countries: compilation of reported data and a cross-sectional analysis from nationally representative surveys.” PLoS medicine, 13(3), p.e1001972. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001972

 

Resources

 

DHS-8 Tabulation plan: Table 9.10

 

API Indicator IDs:

RH_DURH_W_H05, RH_DURH_W_H06, RH_DURH_W_H12, RH_DURH_W_D12, RH_DURH_W_D3P

(API link, STATcompiler link)

 

MICS6 Indicator TM.12: Post-partum stay in health facility.