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Using routine surveys to measure mortality: a tool for programme managers.

P H David1, L Bisharat, S Kawar

  • 1Centre for Population Studies, London School of Hygiene and Tropical Medicine, England.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
Summary
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Routine surveys for vaccination coverage can be adapted to collect vital child and maternal health data. This provides timely, population-based health indicators using inexpensive methods.

Area of Science:

  • Public Health
  • Demography
  • Health Services Research

Background:

  • Increasing demand for timely, population-based health data for program planning and performance measurement.
  • Existing routine surveys for vaccination coverage are widely implemented.

Purpose of the Study:

  • To assess the adaptability of routine vaccination coverage surveys for collecting additional health indicators.
  • To determine the feasibility of obtaining population-based estimates of child and maternal mortality using adapted surveys.

Main Methods:

  • Trials conducted in Jordan, Syria, Djibouti, and the People's Democratic Republic of Yemen.
  • Adaptation of routine vaccination coverage surveys by adding specific questions on fertility and child/maternal survival.
  • Emphasis on robust estimation methods and supervised fieldwork.

Related Experiment Videos

Main Results:

  • Adapted surveys successfully collected data on child and maternal mortality indicators.
  • Population-based estimates of childhood mortality trends and levels were obtained.
  • Lifetime risk of maternal death could be estimated.

Conclusions:

  • Widely-used routine surveys can be cost-effectively adapted to monitor key health indicators.
  • Inexpensive, low-technology surveys can meet the need for essential health monitoring.
  • This approach offers a practical solution for generating vital health statistics in resource-limited settings.