Dataset Information

How well do mothers recall their own and their infants' perinatal events? A two-district study using cross-sectional stratified random sampling in Bihar, India.

ABSTRACT:

Objective

Global monitoring of maternal, newborn and child health (MNCH) programmes use self-reported data subject to recall error which may lead to incorrect decisions for improving health services and wasted resources. To minimise this risk, samples of mothers of infants aged 0-2 and 3-5 months are sometimes used. We test whether a single sample of mothers of infants aged 0-5 months provides the same information.

Design

An annual MNCH household survey in two districts of Bihar, India (n=6 million).

Participants

Independent samples (n=475 each) of mothers of infants aged 0-5, 0-2 and 3-5 months.

Outcome measures

Main analyses compare responses from the samples of infants aged 0-5 and 0-2 months with Mantel-Haenszel-Cochran statistics using 51 indicators in two districts.

Results

No measurable differences are detected in 79.4% (81/102) comparisons; 20.6% (21/102) display differences for the main comparison. Subanalyses produce similar results. A difference detected for exclusive breast feeding is due to premature complementary feeding by older infants. Measurable differences are detected in 33% (8/24) of the indicators on Front Line Worker (FLW) support, 26.9% (7/26) of indicators of birth preparedness and place of birth and attendant, and 9.5% (4/42) of the indicators on neonatal and antenatal care.

Conclusions

Differences in FLW visits and compliance with their advice may be due to seasonal effects: mothers of older infants aged 3-5 months were pregnant during the dry season; mothers of infants aged 0-2 months were pregnant during the monsoons, making transportation difficult. Useful coverage estimates can be obtained by sampling mothers with infants aged 0-5 months as with two samples suggesting that mothers of young infants recall their own perinatal events and those of their children. For some indicators (eg, exclusive breast feeding), it may be necessary to adjust targets. Excessive stratification wastes resources, does not improve the quality of information and increases the burden placed on data collectors and communities which can increase non-sampling error.

SUBMITTER: Valadez JJ

PROVIDER: S-EPMC6937048 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

How well do mothers recall their own and their infants' perinatal events? A two-district study using cross-sectional stratified random sampling in Bihar, India.

Valadez Joseph James JJ Devkota Baburam B Jeffery Caroline C Hadden Wilbur C WC

BMJ open 20191218 12

<h4>Objective</h4>Global monitoring of maternal, newborn and child health (MNCH) programmes use self-reported data subject to recall error which may lead to incorrect decisions for improving health services and wasted resources. To minimise this risk, samples of mothers of infants aged 0-2 and 3-5 months are sometimes used. We test whether a single sample of mothers of infants aged 0-5 months provides the same information.<h4>Design</h4>An annual MNCH household survey in two districts of Bihar, ...[more]

PMID: 31857302

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Dataset Information

How well do mothers recall their own and their infants' perinatal events? A two-district study using cross-sectional stratified random sampling in Bihar, India.

Objective

Design

Participants

Outcome measures

Results

Conclusions

Publications

How well do mothers recall their own and their infants' perinatal events? A two-district study using cross-sectional stratified random sampling in Bihar, India.

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