1) Percentage of pregnant women age 15-49 who slept the night before the survey under a mosquito net (treated or untreated).
2) Percentage of pregnant women age 15-49 who slept the night before the survey under an insecticide-treated net (ITN).
3) Among pregnant women age 15-49 in households with at least one ITN, the percentage who slept under an ITN the night before the survey.
Coverage:
Population base: Pregnant women (PR file, HR file)
Time period: The night before the survey
Numerators:
1) Number of pregnant women age 15-49 who reported sleeping under any mosquito net the night before the survey (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49 & hml12 in 1:3)
2) Number of pregnant women age 15-49 who reported sleeping under an ITN the night before the survey (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49 & hml12 in 1:2)
3) Number of pregnant women age 15-49 in households with at least one ITN who reported sleeping under an ITN the night before the survey (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49 & hml12 in 1:2 & any of hml10_1 – hml10_7 = 1)
Denominators:
a) Number of pregnant women age 15-49 in the de facto household population (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49)
b) Number of pregnant women age 15-49 in the de facto household population (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49)
c) Number of pregnant women age 15-49 in the de facto household population in households owning at least one ITN (hv103 = 1 & hv104 = 2 & hml18 = 1 & hml16 in 15:49 & any of hml10_1 – hml10_7 = 1)
Variables: HR file, PR file.
|
hhid |
Household identification |
|
hv103 |
Slept last night |
|
hv104 |
Sex of household member |
|
hml10_1 – _7 |
Insecticide-Treated Net (ITN) |
|
hml12 |
Type of Mosquito Bed Net(s) person slept under last night |
|
hml16 |
Corrected age from Individual file |
|
hml18 |
Pregnancy status from Individual file |
|
hv005 |
Household sample weight |
These indicators use the net roster from the HR file to produce summary variables applied to the pregnant women. First merge hml10_1 – hml10_7 from the HR file to the PR file using hhid as the variable for matching before calculating the indicator (see Matching and Merging Datasets in Chapter 1).
Numerator divided by the denominator, multiplied by 100.
Households with missing information on ownership of nets are considered not to own nets. Nets with missing information on type are considered not to be ITNs.
May be biased by the seasonality of the survey data collection. Some surveys collect information on more than 7 nets. Please check variable hml10_#.
For women with completed individual interview pregnancy status is taken from the woman’s individual questionnaire, otherwise it is taken from the equivalent question in the household questionnaire. Also note that for Malaria Indicator Surveys, pregnancy status is not included in the household questionnaire.
An insecticide-treated net (ITN) is a factory-treated net that does not require any further treatment. Prior to 2018, this was known as a long-lasting insecticidal net (LLIN). See Changes over Time for this chapter.
Eisele, T.P., D. A. Larsen, P.A. Anglewicz, J. Keating, J. Yukich, A. Bennett, P. Hutchinson, and R.W. Steketee. 2012. "Malaria prevention in pregnancy, birthweight, and neonatal mortality: a meta-analysis of 32 national cross-sectional datasets in Africa." The Lancet infectious diseases 12(12): 942-949. https://www.ncbi.nlm.nih.gov/pubmed/22995852
Ricotta, E., H. Koenker, A. Kilian, and M. Lynch. 2014. "Are pregnant women prioritized for bed nets? An assessment using survey data from 10 African countries." Global Health: Science and Practice 2(2): 165-172. http://www.ghspjournal.org/content/2/2/165
van Eijk, A.J., J. Hill, V.A. Alegana, V. Kirui, P. W. Gething, F.O. ter Kuile, and R. W. Snow. 2011. "Coverage of malaria protection in pregnant women in sub-Saharan Africa: a synthesis and analysis of national survey data." The Lancet infectious diseases 11(3): 190-207. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119932/
DHS-8 Tabulation plan: Table 12.7
API Indicator IDs:
ML_NETW_W_ANY, ML_NETW_W_ITN, ML_NETW_W_LLN, ML_NETW_W_IT1
Household Survey Indicators for Malaria Control Indicator 6: Proportion of pregnant women who slept under an ITN the previous night
MICS6 Indicator TC.24: Pregnant women who slept under an ITN