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

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Page 1: 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

Multiple Indicator Cluster SurveysSurvey Design Workshop

MICS4 in the Context of Global Commitments and

Reporting Needs

Page 2: 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

Page 3: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop MICS4 in the Context of Global Commitments and Reporting Needs

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

Page 4: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop MICS4 in the Context of Global Commitments and Reporting Needs

Exciting new developments

• Child deaths are continuing to decline below 10 million; some progress in maternal mortality reduction

- 8.8 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

Page 5: 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

Household survey activity(2005-2007)

Page 6: 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

Evolution of data collection since 1990 (MDG baseline)

Before 1990, 30 countries with data on whether undernutrition was rising or falling

Page 7: 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

Evolution of data collection since 1990 (MDG baseline)

Today, 118 countries with data on whether undernutrition was rising or falling

Page 8: MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop MICS4 in the Context of Global Commitments and Reporting Needs

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

Page 9: 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

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)

Page 10: 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

Evolution of MICS over time

Page 11: 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

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 2015 - World Fit for Children - UNGASS targets for HIV - RBM targets for malaria - UNICEF/MTSP

Page 12: 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

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 2005-2006

• MICS frequency increasing from every 5 years to every 3 years (MICS4 in 2009-2011)

• Full datasets and reports at www.childinfo.org

Page 13: 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

MICS at national & global levels

Page 14: 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

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

Page 15: 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

Analyses for evidence-based programming

Programmatic implication: Premature introduction of water should be eliminated to increase exclusive BF rates

Page 16: 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

MICS uses at global level• Millennium Development Goals

- Largest single source of MDG data, along with DHS - 20+ of 53 MDG indicators derived from MICS3

• World Fit for Children - WFFC+5 Commemorative Session (December 2007)

• Countdown to 2015 - 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

Page 17: 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

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

Page 18: 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

Countdown to 2015• Global effort to track progress in child, maternal and newborn

survival - monitors coverage of key interventions for MDG 4 & 5

• 1st conference in December 2005; 2nd conference in April 2008 - 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

Page 19: 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

Page 20: 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

Major progress reports

Page 21: 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

Major progress reports

Page 22: 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

MICS 4 – New developments

Page 23: 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

MICS 4 – New developments

• Increased MICS frequency – MICS4 in 2009-2011

• 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)

Page 24: 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

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

Page 25: 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

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

Page 26: 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

Childinfo