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Multi Indicator Cluster Survey (MICS) 2005. November 30, 2007. What Is MICS ? Multiple Indicator Cluster Survey. Household survey developed by UNICEF in 1990’s. It assists countries in filling data gaps for monitoring human development, especially the situation of women and children. .

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What is mics multiple indicator cluster survey l.jpg
What Is MICS ?Multiple Indicator Cluster Survey

  • Household survey developed by UNICEF in 1990’s.

  • It assists countries in filling data gaps for monitoring human development, especially the situation of women and children.


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What is MICS Cont’d

  • Many countries were involved in each round,

    using common questionnaire modules.

  • Facilitates the production of comparable estimates of indicators.

  • It uses international definitions of indicators.


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What is MICS Cont’d

Jamaica is among :

  • the 191 signatories to the Millennium Development Goals (MDG).

  • the 189 member states who adopted the Plan of Action of A World Fit For Children.


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What is MICS Cont’d

  • Round 1 - 1995 No Jamaica

  • Round 2 - 2000 Jamaica but no official report

  • Round 3 - 2005 Jamaica and here we are!


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OBJECTIVES

  • To provide up-to-date information for assessing the situation of children and women in Jamaica;

  • To furnish data for monitoring progress toward goals established by the MDG, A World Fit For Children (WFFC), and other internationally agreed upon goals;

  • To contribute to the improvement of data and monitoring systems in Jamaica


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Survey Management

  • A Steering Committee was formed with representatives from:

    UNICEF UNFPA UNAIDS STATIN

    UNDP PAHO PIOJ ECC Cabinet Office

    MOH MOEY SALISES CCDC


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Survey Management cont’d

  • Survey coordination and implementation was done by STATIN through the Special Projects and Field Services Divisions.


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Questionnaires

  • The survey instrument consisted of three questionnaires:

  • Household

  • Woman (15-49 yrs)

  • Child (0-4 yrs) .


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Household Questionnaire

  • Modules included:

    • Household Information Panel

    • Household Listing

    • Education

    • Child Labour

    • Orphaned and Vulnerable Children

    • Water and Sanitation

    • Child Discipline

    • Child Disability

    • Salt Iodization


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Women’s Questionnaire

  • Modules Included:

    • Basic Characteristics

    • Child Mortality

    • Tetanus Toxoid immunisation

    • Maternal and Newborn Health

    • Marriage/Common-law unions

    • Attitudes Toward Domestic Violence

    • HIV/AIDS


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Child Questionnaire

  • Modules included:

    • Information Panel

    • Birth Registration and Early Learning

    • Child Development

    • Breastfeeding

    • Occurrence and treatment of Illness

    • Immunization



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Training of Field Staff

  • Training included:

  • interviewing techniques

  • the questionnaires

  • mock interviews between trainees

  • interviewing practice. These practice interviews were conducted in areas close to the training centres.

  • Trainees were tested, and based on the test results, observation and participation in the training sessions,

  • 83 persons were offered employment on the project.


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Field Work

  • Field work began October 10, 2005

  • 13 Supervisors

  • 70 Interviewers and Field Editors


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Problems during field work

  • Adverse weather

  • Violence in some sections of Kingston, St. Andrew and St. Catherine. Interviewers were forced to leave some EDs.

  • Vacant dwellings

  • Upper income communities that have gated communities and to which access was not granted by security personnel.


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Data Processing

  • Data was manually edited and keyed into the computer using the CSPro software

    • 7 Data Entry Operators

    • 2 Data Entry Supervisors

  • Computer edits were done

  • Process lasted from November 2005 – March 2006


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    Data analysis

    • Done in SPSS ver. 14.0 by STATIN

    • Using syntaxes prepared by UNICEF

    • Rigorous process




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    Child mortality

    • The infant mortality rate is the probability of dying before the first birthday.

    • The under-five mortality rate is the probability of dying before the fifth birthday.

    • Based on an indirect estimation technique known as the Brass method


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    Child mortality

    • Infant mortality – 26 per 1000

    • Under 5 mortality – 31 per 1000

    • Mortality higher among children of women with low levels of education




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    Birth Weight

    • Majority of birth occur in hospitals

    • 97% of babies were weighed at birth

    • Approx 12% weighed less than 2500 gms


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    Immunization

    • Overall, more than 70 % of children had immunization cards.

    • If the child did not have a card, the mother was asked to recall whether or not the child had received BCG, Polio, DPT or measles vaccination .


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    CHILD HEALTH

    During the two weeks preceding the survey

    • 2.4% had diarrhoea

    • 6.5% had symptoms of pneumonia

      • 75% were taken to an appropriate provider

      • Amoxil was the antibiotic of choice

    • 23% of women knew of the two danger signs of pneumonia


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    Water and Sanitation

    Water

    • Use of improved drinking water sources

    • Use of adequate water treatment method

    • Time to source of drinking water

    • Person collecting drinking water

      Sanitation

    • Use of improved sanitation facilities

    • Sanitary disposal of child’s faeces


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    Water and Sanitation

    • Use of improved drinking water sources - 93.5%

      • 97 % in urban areas

      • 88 % in rural areas

  • 53% used water treatment method

    .



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    Water and Sanitation cont’d

    • 97% live in households using improved sanitation facilities

    • Flush toilets most common in urban areas

    • Pit latrines most common in rural areas


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    Water and Sanitation cont’d

    • 36% of children diapers were properly disposed.

    • 56% thrown directly into garbage.


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    Reproductive Health

    • 91% of women received antenatal care from skilled personnel at least once during pregnancy

      • The doctor was the main provider (57.8%)

      • Then Nurse / midwife (32.7%)

    • Over 95% of women had blood and urine samples taken during pregnancy


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    Reproductive Health cont’d

    • 97% of births were delivered by skill personnel

      • 56% assisted by nurse / midwife

      • 41% assisted by doctors


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    Child Development

    • 86% of children under 5 had an adult household member who engaged in activities that promote learning and school readiness

    • Fathers involvement was only 41%

    • 51% of children were living without their fathers


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    Child Development cont’d

    • 3% of children age 0 – 59 months were left in care of other children under 10 yrs

    • 1% of children were left alone


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    Education

    • Pre-school Attendance

      86% of children attended pre-school

    • 89% urban

    • 81% from rural areas

      94% of children 48 - 59 months attended pre-school.


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    Education cont’d

    • 97.4% attended primary school

    • Attendance increased with age from 89.7% among children 6 years to 99.3% among 11 year old

    • Transition to secondary school almost universal


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    Education cont’d

    • At the secondary level

    • Attendance was lower among boys (89 %) than among girls (93 %).

    • Higher levels of attendance among children whose mothers have a higher level of education.


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    Education - Distance from school

    Primary 97% lived less than 5 miles

    68% lived within a mile

    Secondary 86% lived less than 5 miles

    42% lived within a mile

    • 11 % of rural lived within one mile

    • 4 % in KMA lived within one mile


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    Child Protection

    • Birth Registration

      89% of children under 5 were registered

      Of those not registered

      57% owed hospital fees

      32% said too costly to register


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    Child Labour - Definition

    • Ages 5-11: at least one hour of economic work or 28 hours of domestic work per week.

    • Ages 12-14: at least 14 hours of economic work or 28 hours of domestic work per week.


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    Child Labour

    • Children 5 -11 yrs - 7.9%

    • Children 12-14 yrs - 2.3%

    • More males -7 % than females - 5 %


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    Child Discipline

    • Psychological aggression -If child was shouted, yelled or screamed at and/or called dumb, lazy or other such name

    • Minor physical punishment – If child was shaken, spanked, hit or slapped on bottom with bare hand and/or hit anywhere on the body with a hard instrument and/or hit/slapped on arm, leg or hand

    • Severe physical punishment - If child is hit/slapped on the face, head or ears and/or beat with an instrument over and over as hard as one could.


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    Child Discipline

    • 87% of children 2 – 14 were subjected to at least one form of psychological or physical punishment

    • 8% were subjected to severe physical punishment

    • Women with higher educational levels used non-violent discipline and less to psychological and minor physical punishment than women with lower levels education.



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    Domestic Violence

    • 6.1% of women felt that a husband or male partner was justified in beating his wife for at least one reason

    • The most popular reason was if the woman neglected her children


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    Child Disability - 2-9 years

    • Most Common Disabilities Reported.

    • Not understanding instructions - 4.9%

    • Dull or slow - 4.7%

    • Not Speaking - 3.9%


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    HIV/AIDS, and orphaned and vulnerable children

    • 69% of women knew three main ways of preventing HIV

    • 83% knew about one faithful partner

    • 89% knew about using a condom

    • 87% knew about abstaining



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    HIV cont’d

    • During Antenatal Care

      83% received information about HIV prevention

      90% have tested for HIV

      84% have received result


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    Conclusion

    • Health status of women and children good

    • Need to improve vital registration especially for infant and young child deaths

    • Young children need to be protected from child labour whether inside or outside the home

    • Need to decrease the levels of social inequality as measured by the educational levels of women as these influence attitudes and behaviours e.g. child discipline, domestic violence


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