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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

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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