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SMART METHOD. STEPS FORWARD. FOUR BROAD STEPS. ADAPT “PAST” FIELD TEST EVALUATE AND REVISE DISSEMINATION STRATEGIES. Previous birth history (BAST ). Births to women in household in previous 5 years Current status for each child born in previous 5 years.

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SMART METHOD

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Smart method

SMART METHOD

STEPS FORWARD


Four broad steps

FOUR BROAD STEPS

  • ADAPT “PAST”

  • FIELD TEST

  • EVALUATE AND REVISE

  • DISSEMINATION STRATEGIES


Previous birth history bast

Previous birth history(BAST)

  • Births to women in household in previous 5 years

  • Current status for each child born in previous 5 years


Current household census method cast

Current household census method(CAST)

  • Age of each person living in HH on day of survey

  • No. of births and deaths (all ages) within HH during recall period

  • any adult respondent to enumerate current members


Past household census method past

Past household census method(PAST)

  • Age of all members of family living in HH in beginning of recall period

  • Current status of individuals

  • No. of births during recall period


Basic assumptions

Basic Assumptions

  • Retrospective mortality estimates are commonly drawn from cross sectional surveys

  • Simple random sampling is best and most robust but may not always be possible

  • No comparative studies of different methods have been done to establish one method over another


Common weaknesses

Common weaknesses

  • PAST and CAST allow CMR and age -specific rates to be calculated, BAST does not but it is shorter

  • PAST may be time consuming - importance of field training

  • No cause of death info.

  • In and out migration from household?

  • Importance of standard and validated questions


Methodological points

Methodological points

  • Expected rates of malnutrition and mortality may vary in the same population

  • All households visited in mortality survey and only HH with 6 - 59m children for nutrition

  • Recall period: Apart from precision and PDAR concerns, recall period will depend on fast mortality has been changing

  • Simple random sampling is better than two stage cluster sampling


Four broad steps1

FOUR BROAD STEPS

  • ADAPT “PAST”

  • FIELD TEST

  • EVALUATE AND REVISE

  • DISSEMINATION STRATEGIES


Adapt past

Adapt PAST

  • Remove un-SMART fields, add food security questions and COD, migration, age/65 - 110)

  • Ensure a reasonable time limit for the entire interview

  • Adapt the standard (5 day) training package

  • Set up field interviewer instructions

  • Set up standard report generation


Four broad steps2

FOUR BROAD STEPS

  • ADAPT “PAST”

  • FIELD TEST

  • EVALUATE AND REVISE

  • DISSEMINATION STRATEGIES


Field test smart method

FIELD TEST SMART METHOD

  • Essentials only (having it all takes time and money every time)

  • 2 or 3 countries to cover broad contexts;

  • Implementation schedule not to exceed 4 weeks (collection to public results)


Four broad steps3

FOUR BROAD STEPS

  • ADAPT “PAST”

  • FIELD TEST

  • EVALUATE AND REVISE

  • DISSEMINATION STRATEGIES


Evaluate and revise

EVALUATE AND REVISE

  • Test method (ease of use, accuracy of results, speed of implementation…)

  • Test training package (transfer of knowledge, targeting audience

  • Test user satisfaction - to what extent is it responding to user needs

  • Release SMART Version 1.0


Four broad steps4

FOUR BROAD STEPS

  • ADAPT “PAST”

  • FIELD TEST

  • EVALUATE AND REVISE

  • DISSEMINATION STRATEGIES


Dissemination strategy

Dissemination strategy

  • Strategy to promote use of method among field agencies-should want to use it, rather than obliged to use it

  • Strategy to promote use of results:Advocacy? Resource allocation? programming?


Schematic diagram of smart instrument

Schematic Diagram of SMART Instrument

SURVEY IDS

FAMILY DEMOGRAPHIC PROFILE

NUTRITION

MORTALITY

FOOD SECURITY


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