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 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 ar...
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BMJ Publishing Group
2019-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/12/e031289.full |
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| author | Caroline Jeffery Joseph James Valadez Baburam Devkota Wilbur C Hadden |
| author_facet | Caroline Jeffery Joseph James Valadez Baburam Devkota Wilbur C Hadden |
| author_sort | Caroline Jeffery |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-00cb54f0ae2a460ba232d459be314760 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-00cb54f0ae2a460ba232d459be3147602025-08-20T02:07:19ZengBMJ Publishing GroupBMJ Open2044-60552019-12-0191210.1136/bmjopen-2019-031289How well do mothers recall their own and their infants’ perinatal events? A two-district study using cross-sectional stratified random sampling in Bihar, IndiaCaroline Jeffery0Joseph James Valadez1Baburam Devkota2Wilbur C Hadden32 Department of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK1 International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK1 International Public Health, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Sociology, University of Maryland at College Park, College Park, Maryland, USAObjective 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.https://bmjopen.bmj.com/content/9/12/e031289.full |
| spellingShingle | Caroline Jeffery Joseph James Valadez Baburam Devkota Wilbur C Hadden 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/9/12/e031289.full |
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