Table 3. Types of Questions and Sources of Information for Conducting a Situation Analysis. QUESTIONS SOURCES OF INFORMATION* The Problem and why are mothers, newborns, and children under the age of 5 years dying? Secondary Sources: What are the and ratios of mortality and morbidity? Key maternal and child Multiple Indicator Cluster Survey health indicators should include (but are not limited to): (MICS) Mortality and morbidity data (e.g., 350/100,000 live births) Demographic and Health Survey (DHS) Proportion of with at least one antenatal care visit UNICEF global databases on key Skilled birth attendance rate indicators: Contraceptive prevalence rate Government statistics/reports (e.g., Infant mortality rate census data, registration and 5 mortality rate statistics data, health services Low birth weight records) Prevalence of iron deficiency anemia in pregnant reports What are the key risk factors associated with maternal, newborn, and child mortality and morbidity among your population of interest? Primary Sources: What practices at the individual/household level are or are not being conducted to Household/community survey keep mothers, newborns and children from dying or getting sick? For example: Focus group discussion Are mothers accessing antenatal care? In-depth interviews Are mothers practicing exclusive breastfeeding? Social mapping Do mothers provide bed nets for their newborn/child to prevent malaria? Social network survey Where do families take their newborn when the infant is sick? SWOT analysis Do mothers continue to breastfeed when their child has diarrhoea? Direct observation What practices at the community are or are not being conducted to keep mothers, newborns and children from dying or getting sick? What practices at the policy level are or are not being conducted to keep mothers, newborns and children from dying or getting sick? What is the health context (e.g., literacy rate, poverty, geography/topography) What does the continuum of care look like for your population of interest? What healthcare components are available (e.g., family planning; antenatal care; delivery care by a skilled provider; obstetric emergency services; newborn care; postpartum care; diagnosis or management of HIV/AIDS including PMTCT and STIs; prevention and management of childhood illnesses; malaria prevention; prevention and management of essential vaccinations; home visits; nutrition; WASH)
Table 3. Types of Questions and Sources of Information for Conducting a Situation Analysis. QUESTIONS SOURCES OF INFORMATION* The Problem and why are mothers, newborns, and children under the age of 5 years dying? What are the and ratios of mortality and morbidity? Key maternal and child health indicators should include (but are not limited to): Mortality and morbidity data (e.g., 350/100,000 live births) Proportion of with at least one antenatal care visit Skilled birth attendance rate Contraceptive prevalence rate Infant mortality rate 5 mortality rate Low birth weight Prevalence of iron deficiency anemia in pregnant What are the key risk factors associated with maternal, newborn, and child mortality and morbidity among your population of interest? What practices at the individual/household level are or are not being conducted to keep mothers, newborns and children from dying or getting sick? For example: Are mothers accessing antenatal care? Are mothers practicing exclusive breastfeeding? Do mothers provide bed nets for their newborn/child to prevent malaria? Where do families take their newborn when the infant is sick? Do mothers continue to breastfeed when their child has diarrhoea? What practices at the community are or are not being conducted to keep mothers, newborns and children from dying or getting sick? What practices at the policy level are or are not being conducted to keep mothers, newborns and children from dying or getting sick? What is the health context (e.g., literacy rate, poverty, geography/topography) What does the continuum of care look like for your population of interest? What healthcare components are available (e.g., family planning; antenatal care; delivery care by a skilled provider; obstetric emergency services; newborn care; postpartum care; diagnosis or management of HIV/AIDS including PMTCT and STIs; prevention and management of childhood illnesses; malaria prevention; prevention and management of essential vaccinations; home visits; nutrition; WASH) Secondary Sources: Multiple Indicator Cluster Survey (MICS) Demographic and Health Survey (DHS) UNICEF global databases on key indicators: Government statistics/reports (e.g., census data, registration and statistics data, health services records) reports Primary Sources: Household/community survey Focus group discussion In-depth interviews Social mapping Social network survey SWOT analysis Direct observation
MNCH_Guide_Module_3.docx