Change in maternal and newborn health care. Report from two cross-sectional surveys in six districts of Uttar Pradesh, India, 2012-2015

1. Summary of IDEAS surveys

The IDEAS lndia quantitative surveys were conducted in Uttar Pradesh in late 2012 and again in 2015. Each survey was composed of:

• A cluster-sampled household survey, in which all households within randomly selected clusters were visited for a face-to-face interview.At each household the head of the household or representative was interviewed, a roster of household residents was taken, resident women aged 13-49 years were identified from the roster and each of these women was asked a detailed series of questions relating to her health service use and the care she and her newborns received before, during and after her most recent pregnancy if this had been within two years of the interview date.

• A health facility survey, in which health facilities providing routine MNCH services to each sampled cluster were identified and a detailed interview conducted with the head of that facility about service provision and staffing, an inventory of equipment and commodities made, and data extracted from facility record books.

• A frontline worker survey, in which frontline health workers identified within the sampled cluster were asked a detailed series of questions about service provision, training, knowledge and workload, in relation to maternal and newborn care.

2. Summary of data file contents

The names, datatypes, labels and value labels of the datafile variables correspond with those in the accompanying questionnaires. Datafiles should be read in conjunction with the questionnaires for a full explanation of the data collected. A brief summary of the data held in each datafile is given below.

2a. Health facility datafiles (questions asked of most senior staff member at health facility)

• Availability of equipment, drugs and vaccines on day of survey.
• Facility services, appropriate technology and usual practice.
• Staffing on day of survey.
• Supervision visits of staff.
• Records of facility deliveries, live births, and maternal & neonatal mortality in six months prior to survey.

2b. Frontline worker datafiles (questions asked of individual frontline health workers)

• Consent for interview.
• Services provided by frontline worker.
• Background and training.
• Supervision received.
• Workload in the month prior to survey.
• Recalled activities at the last delivery.
• Knowledge of maternal and newborn care.

2c. Household characteristics datafiles (questions asked of individual household heads)

• Consent for household interview (only consented records included)
• Ethnicity of household head
• Characteristics of dwelling structure (floor & wall construction, toilet facilities, water supply, electricity supply)
• Household items and livestock owned for principle components analysis

2d. Household roster datafiles (household head asked about each household member)

• Sex
• Age group
• Woman of child-bearing age (yes/no)
• Marital status
• Years of completed education

2e. Eligible woman datafiles (questions asked of each eligible woman in household)

• Consent of each individual woman (only consented records included).
• Health service use for all women (facilities and community).
• ANC care, awareness of danger signs and birth preparedness for current pregnancy, if applicable.
• ANC, intrapartum and postpartum care, vaccination history and care-seeking for sickness for the most recent birth within the last 2 years.

To account for clustering, the Stata 'svyset' command has been used on the cluster variable in each dataset.

Bibliographic record

Title

Change in maternal and newborn health care. Report from two cross-sectional surveys in six districts of Uttar Pradesh, India, 2012-2015

Alternative Title

Interactions between families and frontline workers – their frequency, quality, and equity – and coverage of interventions for mothers and newborns

Data Creators

Tanya Marchant

Data Description

This collection comprises the survey instruments and datasets for the household, health facility and frontline worker quantitative surveys which were conducted by the IDEAS project in the Indian state of Uttar Pradesh in 2012 and 2015. Data were collected with the primary aims of demonstrating whether 1) interactions between families and frontline health workers had been enhanced between 2012 and 2015 by increasing in number, improving in quality and becoming more equitable; and 2) whether the coverage of life-saving interventions and behaviours has increased as a result of maternal and newborn health innovations.

Data Collection Methods

A sample of 80 villages from six districts were surveyed in 2012 and surveyed again in 2015. In both surveys approximately 75 households were visited in each village and women of child-bearing age were interviewed about any births during the previous 24 months. These data were linked to interviews with frontline health workers and with staff at primary or community health facilities which were providing maternal and newborn health services to those households.

Geographic regions

80 villages from six districts in Uttar Pradesh

Key dates

Survey was performed in 2012 and 2015

Species:

Human population

Privacy

To preserve the anonymity of individual survey participants, the following modifications have been made to the datasets and/or survey documentation:

• Geographical information below that of district level in the state Uttar Pradesh has been removed.
• Names relating to clusters (i.e. village names) have been removed.
• All GPS co-ordinates have been removed (including those for health facilities which are in a similar vicinity to household clusters)
• Names of individuals and their children have been removed.
• Sampling clusters, households and individuals are only identified by numbers which were generated by these surveys and which are not associated with data held by any other organisation.
• Birth dates have been removed, and for adults replaced with age groups in ten-year intervals.

Ethics

Ethics approval obtained from the London School of Hygiene & Tropical Medicine ethics committee.

Keywords

Uttar Pradesh, India, Maternal and Newborn Health

Language of written material

• English
• Hindi

Project

IDEAS - Informed Decisions for Actions in Maternal and Newborn Health

Funder/Sponsor

Bill & Melinda Gates Foundation

Grant Number

ITDCVW72

Associated Roles

File Description