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Health statistics in MICS and DHS – a gendered perspective. Holly Newby Statistics & Monitoring Section UNICEF ESA/STAT/AC.219/12. Major household surveys. Demographic and Health Surveys (DHS) Began in 1984
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Health statistics in MICS and DHS – a gendered perspective Holly Newby Statistics & Monitoring Section UNICEF ESA/STAT/AC.219/12
Major household surveys Demographic and Health Surveys (DHS) • Began in 1984 • Supported by USAID with on-the-ground technical assistance provided by Macro International Multiple Indicator Cluster Surveys (MICS) • Began in 1995 • Supported by UNICEF • Harmonized with DHS
Gender-related data in MICS and DHS • More than 100 indicators are available from survey data with the majority of results available by sex and other background characteristics • Specific modules on women’s empowerment, violence against women and on harmful practices, such as child marriage, and female genital mutilation/cutting • All datasets publically available so that further analysis may be performed
Health areas (with gender data available) • Child health • Diarrhoea • Pneumonia • Malaria • Immunization • Nutrition • Feeding practices • Nutritional status • Mortality • Under five • Adult ** • HIV/AIDS • Knowledge • Attitudes • Behaviour • HIV testing ** • Additional topics • Fertility preferences and contraception • Biological measures • Other
Health analysis at UNICEF Databases: • Over 100 global databases for tracking the situation of children and women • MICS and DHS key sources of data • Disaggregated (when feasible) • www.childinfo.org Analysis: • Focus on disparities, disaggregated data
Breastfeeding Percentage of infants under 6 months old who are exclusively breastfed, by gender
Diarrhea treatment % children under five with diarrhoea receiving recommended treatment, developing countries Source: data source MICS, DHS and other national representative sources, published in UNICEF’s report ‘Diarrhoea: Why children are still dying and what can be done’ 2009
Malaria interventions Girls and boys are equally likely to benefit from malaria interventions Percentage of children under 5 years old sleeping under insecticide-treated nets and percentage of children under 5 years old with fever treated with antimalarials, by gender, sub-Saharan Africa
Underweight prevalence Percentage of children 0-59 months old who are underweight, by region and gender Note: Analysis is based on a subset of 75 countries with residence information, covering 81% of the under-five population in the developing world. Prevalence estimates are calculated according to WHO Child Growth Standards. CEE/CIS is not included in this table, as there were insufficient data to calculate prevalence according to WHO Child Growth Standards, 2003–2008. The rural/urban ratio in CEE/CIS, based on the NCHS reference population, is 1.9. Source: UNICEF global databases, 2010.
Underweight prevalenceby gender and income groups Percentage of children 0-59 months old who are underweight, by gender and wealth quintiles Tanzania
HIV/AIDS comprehensive knowledge Percentage of young people 15-24 years old with comprehensive, correct knowledge about HIV and AIDS, by selected characteristics
Health data from a gendered perspective • There is a wealth of existing data that can be used for advocacy and programmatic insight • Final reports • Data sets • Disaggregated data can often result in large confidence intervals, thus complicating interpretation of results • Little disparity seen at younger ages; substantial disparity at older ages
Under-five mortality Ratio of under-five mortality: Boys to girls, by region Across all regions, under-five mortality is usually higher among boys than girls
Pneumonia care-seeking BOYS AND GIRLS SIMILARLY TAKEN TO APPROPRIATE CARE % under-fives with pneumonia taken to an appropriate health care provider Source: UNICEF’s report ‘Pneumonia the forgotten killer of children’ Data from 67 DHS and MICS, 1996-2003, except wealth index from 32 MICS, 1999-2003
Malaria treatment Proportion under five children, with fever, receiving anti-malarial medicines 2006-2009 Source: UNICEF global databases 2010