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Randomised comparison of two household survey modules for measuring stillbirths and neonatal deaths in five countries: The every newborn-INDEPTH study

The Lancet Global Health Mar 25, 2020

Akuze J, Blencowe H, Waiswa P, et al. - In view of the concerns regarding data-quality of household surveys, most notably the Demographic and Health Survey (DHS), which run in more than 90 countries and are the main data source of stillbirths and neonatal deaths occurring annually from the highest burden regions, researchers here performed comparison two questionnaires: a full birth history module with additional questions on pregnancy losses (FBH+; the current DHS standard) and a full pregnancy history module (FPH), which gathers information on all livebirths, stillbirths, miscarriages, and neonatal deaths. Between July 28, 2017, and Aug 13, 2018, interview using either FBH+ or FPH was performed among women residing in five Health and Demographic Surveillance System sites within the INDEPTH Network (Bandim in Guinea-Bissau, Dabat in Ethiopia, IgangaMayuge in Uganda, Matlab in Bangladesh, and Kintampo in Ghana). Interview of 69,176 women was performed by either FBH+ (n = 34,805) or FPH (n = 34,371). Relative to FBH+, FPH takes an average of 1·4 min longer to complete, but exhibited the potential to raise reporting of stillbirths in high burden contexts. They observed between-site heterogeneity probably reflecting variations in interviewer training and survey implementation, highlighting the significance of interviewer skills, training, and consistent implementation in data quality.

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