Preparing for Data Analysis and Interpreting Data

Preparing for Data Analysis and Interpreting Data

CEI 2015.0 Implementing the Reproductive Health Assessment Toolkit for Conflict-Affected Women

November 5, 2006

ObjectivesObjectives

At end of session, you will be able to:

• List analysis options

• Describe use of Analysis Guide

• Link data to action

Data Quality Data Quality

• Review after interviews

• Double-entry (CSPro Verify)

• Data cleaning

Analysis Options Analysis Options

• Send to DRH/CDC

• Run own analysis– Pre-programmed (SAS)– Program of choice

Analysis GuideAnalysis Guide

• Key indicator list– Snapshot of data

• Analysis tables– More detailed information, sub-groups

such as age, ability to read, relationships status

Types of IndicatorsTypes of Indicators

• Knowledge and attitudes

• RH outcomes

• Help-seeking behaviors

• Barriers

Background CharacteristicsBackground Characteristics

• Age groups

• Ethnicity

• Religion

• Education level

• Reading and writing ability

• Displacement status and length

• Relationship status

Safe Motherhood IndicatorsSafe Motherhood Indicators

• Knowledge of pregnancy danger signs

• Currently pregnant

• Antenatal care (ANC)

• Pregnancies in last two years

• Delivery care

• Postpartum care

• Help-seeking behaviors for complications

Key Indicator ListKey Indicator ListIndicator Definition Construction using questionnaire Value Rationale/Data

useRelated tables

SM-e) Receipt of minimum ANC* in last two years

Proportion of women who received minimum antenatal care visits (at least 3) by a trained provider among women whose most recent pregnancy ended in a live birth or stillbirth in the last two years

Numerator:

Q218= 1 (Yes)

Seen anyone for antenatal care

AND

Q219 = 1 (mentioned) for Doctor or nurse/midwife

Trained antenatal care provider

AND

Q220= 3 OR 4 (3 or more times)

Minimum antenatal care visits

Denominator:

Q217A= 1 or 2 or 3 or 4

Women whose most recent pregnancy ended in a live birth or stillbirth in the last two years

This measures whether women who gave birth in the last two years received minimum antenatal visits by a trained provider. At least three visits are recommended, ideally early in the pregnancy. This indicates local antenatal care practices that can put women and infants at risk.

SM-11, 12, 13, 14, 15

70%

*ANC = Antenatal Care

Analysis TablesAnalysis Tables

Table SM-11: Type of antenatal care provider for women during their most recent pregnancy that ended in a live birth or stillbirth in the last two years [country and year] (Q219).* {N= 80}

Characteristic % women (n)

Doctor 30% (25)

Nurse/midwife 50% (40)

Traditional birth attendant/community health worker

30% (24)

Other 5% (4)

*Percentages may add to greater than 100% as respondent may give more than 1 response.

Analysis TablesAnalysis TablesTable SM-13: Demographic characteristics of women receiving antenatal care (ANC) by a trained provider among women whose most recent pregnancy ended in a live birth or

stillbirth in the last two years [country and year] (Q219). {N= 100} Characteristic ANC by a trained

provider and ≥3 visits %(n)

ANC by an untrained provider or no ANC %

(n)

Total (N= 100) 70% (70) 30% (30)

Age (n= 99) Q105

15-24 10% (8) 60% (18)

25-34 20% (13) 20% (5)

35-49 70% (48) 20% (7)

Relationship Status (n= 100) Q406

Married, living together 40% (28) 10% (2)

Married, not living together 30% (21) 10% (4)

Not married, living with partner 10% (7) 60% (18)

Not married, not living with partner

20% (14) 20% (7)

Family Planning IndicatorsFamily Planning Indicators

• Ever heard modern methods

• Ever used modern methods

• Modern contraceptive prevalence

• Barriers to FP

• Unmet need for FP

• Future intent to use a method

Sexual History/STIs IndicatorsSexual History/STIs Indicators

• Condom use at last higher risk sex

• Knowledge of STI symptoms

• STI symptoms in last 12 months

• Help-seeking behaviors for symptoms

HIV/AIDS IndicatorsHIV/AIDS Indicators

• Comprehensive correct knowledge– HIV/AIDS– Mother-to-child-transmission

• Accepting attitudes people living with HIV/AIDS (PLWH/A)

• Perceived risk

• Received HIV test results in last 12 months

• HIV test in the future

Gender-based Violence IndicatorsGender-based Violence Indicators

• Outsider physical/sexual violence during and post conflict

• Reporting outsider violence

• Ever intimate partner violence (IPV)

• IPV in last year

• Reporting IPV

• Family violence

Female Genital Cutting (FGC) IndicatorsFemale Genital Cutting (FGC) Indicators

• Prevalence of FGC– Respondents– Youngest daughter of respondent

• Future intent of FGC

• Favorable to continuation of FGC

Emotional Health IndicatorsEmotional Health Indicators

• Emotional distress – SRQ-20

• Suicidal thoughts in past 4 weeks

Suggestions for Data UseSuggestions for Data Use

Support grant proposals or special requests for money

Develop/modify• programs or services• health systems• policies

Disseminate findings

Improved reproductive

health outcomes

Reliable population

reproductive health data

Support advocacy efforts

Identify and prioritize reproductive health needs

DATA

ACTION

OUTCOME

Data to ActionData to Action

• Disseminate results

• Assemble stakeholders

• Present overview of data

• Prioritize health needs– Size, seriousness, effectiveness of

interventions in "A method for setting priorities among health problems" in APEX-PH, 1991

• Develop action plan

Example: Safe MotherhoodExample: Safe Motherhood

Data to Action

• Ensure quality ANC services available

• Apply for a grant to get resources to staff and supply ANC clinics

• Develop information campaign to promote safe motherhood– Focus among young, unmarried women

DRH Technical AssistanceDRH Technical Assistance

• Run analyses

• Provide analysis programs

• Consult on interpreting data

• Consult on data to action

www.cdc.gov/reproductivehealth/Refugee

Reproductive Health Assessment Toolkit for Conflict-Affected WomenReproductive Health Assessment

Toolkit for Conflict-Affected Women