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Direct Method for Estimating Child Mortality Rates: MICS4 Workshop

Learn about the direct method in the MICS4 Survey Design Workshop to estimate child mortality rates. Understand the importance of complete birth history and sources of errors to improve data accuracy.

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Direct Method for Estimating Child Mortality Rates: MICS4 Workshop

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  1. Multiple Indicator Cluster SurveysSurvey Design Workshop Questionnaire for Individual Women: Birth History MICS4 Survey Design Workshop

  2. MICS4 Survey Design Workshop

  3. Direct method • “Complete birth history” for every woman of reproductive age (15-49 years) • Women are asked to report for each live birth the date of birth and, if the child has died, the age at death • Can directly estimate child mortality rate for defined time periods before the survey

  4. Measures of mortality in early life • Infant mortality “rate” (IMR) • Neonatal mortality “rate” (NNMR) • Post-neonatal mortality “rate” (PNNMR) • Under-five mortality “rate” (U5MR)

  5. Direct method • Relies heavily on the quality of information collected • Work best in populations where dates and durations are well-known MICS4 Survey Design Workshop

  6. Sources of errors • Omission of births and deaths • Recall bias: • Misreporting of age at death (age heaping at 12 months is common) • Birth misplacement MICS4 Survey Design Workshop

  7. Sources of errors • Selection bias • Interview only women alive at the time of survey (also applies to indirect method) • Information bias • Incorrectly recall stillbirth vs. live birth or vice versa (also applies to indirect method)

  8. Sources of errors • Length of instrument • Longer fieldworker training needed • Careful monitoring of data collection needed

  9. Estimates from direct method MICS4 Survey Design Workshop

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