Maternal and newborn health project in Gombe state, northeast Nigeria. Data from household, health facility and birth attendant surveys between 2015 and 2019

Permanent identifier

https://doi.org/10.17037/DATA.00001712

Description

This collection comprises the survey instruments and datasets for the cluster household, health facility and birth attendant quantitative surveys, which were conducted by the IDEAS II project in Gombe State, North-East Nigeria between November 2015 and August 2019. Data were collected to: (1) evaluate progress in the state against a set of priority indicators for maternal and newborn health (2) support local decision makers; and (3) improve measurement of priority indicators for maternal and newborn health by comparing the coverage estimates derived from multiple sources.

Data access

The full survey datasets cannot be made available, due to the presence of direct and indirect identifiers that may be used to identify individuals, households, and health facilities that participated in the study. However, access to a fully anonymised version of the survey data may be provided for use in research.

To enable maximum benefit to be gained from the research data and ensure participant confidentiality is protected, a two-tier approach to de-identification has been adopted:

1. The first stage was performed prior to submission to the repository: survey data was processed to remove information that may directly identify individuals, households, and health facilities involved in the study (see Privacy section).


2. The second stage will be performed following submission of a data request. A survey dataset will be produced that contains only the specific variables requested by the researcher. Additional anonymisation may be necessary to remove or disguise confidential information that may be used to indirectly identify individuals, households, and health facilities.

We recommend that researchers interested in the survey data take the following approach to applying for data access:

1. Review the survey questionnaires and other documents available at https://doi.org/10.17037/DATA.00001712.


2. Produce a list of the survey datasets (e.g. Gombe_Health_Facility_2018-02) and question numbers (e.g. 2.1, 2.2, 2.3, 2.4.) in which you are interested.


3. Complete and submit the request form for ‘maternal_newborn_health_survey_data’, specifying the question numbers for each survey dataset in which you’re interested in the ‘Data requested’ text box.

The data request will be reviewed by repository staff, who will prepare an anonymised dataset that meets the request, while ensuring that it does not contain confidential information.

Data collection methods

Annual cluster household survey of individual women aged 13-49 about their uptake of health care, and the content of that health care during the pregnancy, intra-partum, and post-natal periods for their most recent live birth that occurred in the 12 months prior to survey date undertaken once a year.

The household survey was conducted in 80 clusters from Gombe State, a total of 6,000 households. Clusters were defined as segmented enumeration areas. Cluster sampling was performed by listing all enumeration areas within intervention and comparison wards, cumulating their population size, and systematically selecting 40 from the list with probability proportional to size. All households in selected enumeration areas were listed, and enumeration areas segmented into groups of 75 or fewer households: field teams randomly selected one segment from each enumeration area as the cluster to be surveyed. Sampling completed in roughly 6,000 households across the 80 clusters (40 intervention clusters and 40 comparison clusters) for each round of data collection and with approximately 1,000 women with a live birth in the 12 months prior to the survey.

The facility survey was completed every six months in the 97 primary health facilities providing services to household clusters plus 18 referral facilities in Gombe State. It comprised a readiness assessment, review of facility records and interviews with birth attendants. The facility questionnaire included a check list of staff, equipment, drugs, and infrastructure items present on the day of survey, and data extraction from maternity registers to ascertain facility workload during the last six months. In each facility, the birth attendant interview was conducted with the frontline worker who carried out the last delivery recorded in the maternity register. The questionnaire included questions about training and supervision, routine activities carried out, availability of supplies, workload during the last month and a detailed set of questions about behaviours during the last birth they attended.

Geographic regions

Gombe state, northeast Nigeria

Key dates

Data collected between November 2015 and August 2019

Population

Human population

Privacy

The following modifications were made to the datasets and/or survey documentation to reduce the disclosure risk to research participants. Further de-identification may be necessary on a case-by-case basis.

Health Facility:

• Anything that can identify the health facility: EA name, ward name, facility name, GPS
• Interviewer details: name

Birth attendant:

• Anything that can identify the health facility: cluster name, ward name, facility name, GPS
• Interviewer details: name and mobile number

Household module 1:

• Details of where household located: ward, village, GPS
• Household head details: name
• Interviewer name, phone number

Household module 2:

• Details of where household located: ward, village, GPS
• Household head details: name
• Women’s details: name, name of child
• Interviewer name, phone number

Details of the EA, ward etc are identified as a code that can be linked across surveys and is consistent over time.

Unique identifiers

• Household unique IDS are structured LGA code/EA code/household number
• Individual unique IDS are structured LGA code/EA code/household number/person number
• Facility unique IDS are LGA code/facility code
• Observation and exit interview unique IDS are LGA code/facility code/observation number

Keywords

Maternal, Newborn, Gombe, Nigeria, Household, Health facility, Birth attendant, Pregnancy, Antenatal care, Childbirth, Postnatal care, Coverage, Quality of Care

Language of written material

English, Hausa

Project information

Creators

Associated roles

File description

The following files are held for preservation purposes. Please direct any questions to the research team.

Gombe Health Facility

Gombe Household Head Module 1

Gombe Household Head Module 2

Gombe Birth Attendant