{"doc_desc":{"title":"URBANIZATION, POVERTY AND HEALTH DYNAMICS IN SUB-SAHARAN AFRICA-Maternal and Child Health","idno":"APHRC-UPHD-MATERNAL-AND-CHILD-HEALTH-2007-1.1","producers":[{"name":"African Population & Health Research Center","abbreviation":"APHRC","affiliation":"APHRC","role":"Metadata Producer"}],"prod_date":"2011-10-28","version_statement":{"version":"Version 1.1"}},"study_desc":{"title_statement":{"idno":"APHRC-UPHD-MATERNAL-AND-CHILD-HEALTH-2007-1.1","title":"UPHD - Maternal and child health project","alt_title":"MCH","translated_title":"ENGLISH"},"authoring_entity":[{"name":"African Population & Health Research Center","affiliation":"APHRC"}],"oth_id":[{"name":"Residents of Korogocho and Viwandani Slums","affiliation":"","email":"","role":"Study Subjects"}],"production_statement":{"copyright":"\u00a9 APHRC, 2014","prod_date":"2011-03-24","funding_agencies":[{"name":"Wellcome Trust","abbreviation":"","role":"Funder"}],"grant_no":"GR 07830M"},"distribution_statement":{"contact":[{"name":"Head, Statistics and Survey Unit","affiliation":"African Population & Health Research Center","email":"datarequests@aphrc.org","uri":"www.aphrc.org"}],"depositor":[{"name":"","abbreviation":"","affiliation":""}]},"series_statement":{"series_name":"Maternal and child health survey"},"version_statement":{"version":"v1.0: Edited, anonymous dataset for Data Documentation Working Group","version_date":"2011-10-15","version_notes":"Version 1.1, November 2014. Anonymized datasets, with DOI and Recommended Citation added."},"holdings":[{"text":"","location":"","callno":"","uri":"doi:11239\/176-2007-018-1.1"}],"study_info":{"keywords":[{"keyword":"Maternal Health","vocab":"","uri":""},{"keyword":"Child Health","vocab":"","uri":""}],"abstract":"Maternal and Child Health Project (MCH)\n\n\n\nThe Maternal and Child health project is made up of two components; the Maternal and the Child components. The project is investigating all children born in the NUHDSS since September 2006 and their mothers, for a minimum of three years.  Visits are made to the eligible households every four months.  The main objectives of the study are:\n\n\n\nStudy Objectives\n\n\n\nChild Health Component\n\n\n\n1.\tTo examine the effect of migration, poverty, household composition, and environmental factors on morbidity and mortality of under-five children living in informal          settlements\n\n2.\tTo investigate patterns of malnutrition, morbidity and mortality; main diseases and causes of death among neonates, infants and children\n\n3.\tTo examine the effect of environmental factors on under-five childhood morbidity, health-seeking behaviour (e.g. immunization, treatment of illnesses), and     mortality\n\n4.\tTo determine how mothers (caretakers) overcome or mitigate adverse environment exposures\n\n\n\nMaternal Health Component\n\n\n\n1.\tTo examine maternal health outcomes and postpartum reproductive and sexual behaviour and how these are affected by poverty and migration status,\n\n2.\tTo investigate the socioeconomic and service-related factors associated with use of MH services and the direct and indirect pathways of the determinants of adverse pregnancy outcomes\n\n3.\tTo examine patterns of sexual and contraceptive behaviour among postpartum women and how these are linked to reproductive intentions and HIV risk perception\n\n\n\nMethods\n\n\n\n\u2022\tThe project follows up all children born in the DSS area since September 2006 and their mothers, for a period of 4 years (Jan 2007 - Dec 2010)\n\n\u2022\tWe administer structured questionnaires to the eligible children's mothers or their guardians to collect information on morbidity, health seeking behavior, cause of death (for those who have died)\n\n\u2022\tWe collect anthropometric measurements from all children every round to monitor nutritional status and growth  \n\n\u2022\tThrough the NUHDSS and the questionnaires for the MCH projects, we collect socioeconomic, demographic, migration and pregnancy outcome data for all the mothers and their households\n\n\n\nData Collected\n\n\n\n\u2022\tBackground characteristics\n\n\u2022\tAntenatal care, delivery and post natal care\n\n\u2022\tBirth histories for the mothers \n\n\u2022\tChild's vital health Status\n\n\u2022\tBreastfeeding and child feeding practices\n\n\u2022\tAnthropometric measurements for children\n\n\u2022\tVaccination history\n\n\u2022\tChild morbidity and health seeking practices \n\n\u2022\tPost partum sexual activity \n\n\u2022\tPostpartum contraceptive use","coll_dates":[{"start":"2007-02-01","end":"2010-12-31","cycle":""}],"nation":[{"name":"KENYA","abbreviation":"KEN"}],"geog_coverage":"Two informal settlements, Korogocho and Viwandani, in Nairobi City (the capital city) of Kenya.","analysis_unit":"The unit of analysis is the Child","universe":"The survey covered all mothers who gave birth from september 2006 in the DSA","data_kind":"Sample survey data [ssd]","notes":"The scope of the Survey includes:\n\n\u2022\tBackground characteristics\n\n\u2022\tAntenatal care, delivery and post natal care\n\n\u2022\tBirth histories for the mothers \n\n\u2022\tChild's vital health Status\n\n\u2022\tBreastfeeding and child feeding practices\n\n\u2022\tAnthropometric measurements for children\n\n\u2022\tVaccination history\n\n\u2022\tChild morbidity and health seeking practices \n\n\u2022\tPost partum sexual activity \n\n\u2022\tPostpartum contraceptive use","study_scope":"The scope of the Survey includes:\n\n\u2022\tBackground characteristics\n\n\u2022\tAntenatal care, delivery and post natal care\n\n\u2022\tBirth histories for the mothers \n\n\u2022\tChild's vital health Status\n\n\u2022\tBreastfeeding and child feeding practices\n\n\u2022\tAnthropometric measurements for children\n\n\u2022\tVaccination history\n\n\u2022\tChild morbidity and health seeking practices \n\n\u2022\tPost partum sexual activity \n\n\u2022\tPostpartum contraceptive use"},"method":{"data_collection":{"time_method":"2006 - 2010","data_collectors":[{"name":"African Population & Health Research Center","abbreviation":"APHRC","affiliation":""}],"sampling_procedure":"All NUHDSS female members who gave birth since September 2006 and their children were enrolled in the study. No samples were drawn.","coll_mode":"Face-to-face [f2f]","research_instrument":"DATA COLLECTION\n\n\n\nOnce recruited into the study, the mother and child are followed up every 4 months\n\n\n\nQUESTIONNAIRES\n\n\n\nA recruitment questionnaire is administered during the first visit, an update 1 questionnaire is administered during the first follow up visit, update 2 during the second follow up visit and so on. the content of the questionnaires keep changing from recruitment questionnaire to the subsequent follow up visits. but from update 3 onward the questionnaires are the same as documented below;\n\n\n\nRECRUITMENT (First Visit)\n\n\n\nData Collected\n\n\n\n\u2022\tConsent (from cohort 2)\n\n\u2022\tBackground characteristics\n\n\u2022\tAntenatal care, delivery and post natal care\n\n\u2022\tBirth histories for the mothers \n\n\u2022\tChild's vital health Status (from cohort 2 onwards)\n\n\u2022\tBreastfeeding and child feeding practices (questions 5.18, 5.19, 5.20 added from cohort 3)\n\n\u2022\tAnthropometric measurements for children (from cohort 5 we started taking mother's height)\n\n\u2022\tVaccination history\n\n\u2022\tChild morbidity and health seeking practices \n\n\u2022\tPost partum sexual activity \n\n\u2022\tPostpartum contraceptive use\n\n\u2022\tFuture intentions (questions 10.2p, 10.2q, 10.2r, 10.2s, 10.5p, 10.5q, 10.5r, 10.5s were added from cohort 4 onwards)\n\n\u2022\tPerception of HIV risk and condom use\n\n\u2022\tMigration and poverty (from cohort 5 onwards)\n\n\u2022\tExposure calendar (all cohorts)\n\n\n\nUPDATE 1 (Second Visit)\n\n\n\nData Collected (comparing update 1 to recruitment questionnaires)\n\n\n\n\u2022\tConsent (same)\n\n\u2022\tBackground characteristics (same)\n\n\u2022\tOBA voucher questions (new questions added-from Cohort 2 onwards)\n\n\u2022\tChild's vital health Status (question 4.10 dropped)\n\n\u2022\tBreastfeeding and child feeding practices (questions 5.18, 5.19, 5.20 added from cohort cohort 2)\n\n\u2022\tAnthropometric measurements for children (from cohort 4 we started taking mother's height)\n\n\u2022\tVaccination history (same)\n\n\u2022\tChild morbidity and health seeking practices  (same)\n\n\u2022\tPost partum sexual activity (question 8.1p added, questions 8.2 dropped)\n\n\u2022\tPostpartum contraceptive use (questions 9.1, 9.2, 9.3, 9.7p, 9.8, 9.9, 9.10 dropped)\n\n\u2022\tFuture intentions (only question 10.6 remained, apart from cohort 1 where questions 10.2, 10.3, 10.4, 10.5, 10.6, 10.7, 10.8, 10.10, 10.11, 10.2p, 10.2q, 10.2r, 10.2s, 10.5p, 10.5q, 10.5r, 10.5s were asked )\n\n\n\n\u2022\tPerception of HIV risk and condom use (only questions 11.8, 11.9 remains)\n\n\u2022\tExposure calendar (all cohorts)  (same)\n\n\u2022\tMigration and poverty (from cohort 4 onwards , questions 15.1, 15.2, 15.3 dropped)\n\n\n\n\n\nUPDATE 2 (Third Visit)\n\n\n\nData Collected (comparing update 2 to update 1 questionnaires)\n\n\n\n\u2022\tConsent (same)\n\n\u2022\tBackground characteristics (same)\n\n\u2022\tOBA voucher questions (questions remained for cohort 1 only (they were not asked during update 1))\n\n\u2022\tChild's vital health Status (same)\n\n\u2022\tBreastfeeding and child feeding practices (questions 5.18, 5.19 dropped)\n\n\u2022\tAnthropometric measurements for children (from cohort 2 we started taking mother's height)\n\n\u2022\tVaccination history (same)\n\n\u2022\tChild morbidity and health seeking practices  (same)\n\n\u2022\tPost partum sexual activity (same)\n\n\u2022\tPostpartum contraceptive use (same)\n\n\u2022\tFuture intentions (same)\n\n\u2022\tPerception of HIV risk and condom use (same)\n\n\u2022\tExposure calendar (same)\n\n\u2022\tMigration and poverty (from cohort 3 onwards ,same)\n\n\n\n\n\nUPDATE 3 (Fourth Visit)\n\n\n\nData Collected (comparing update 3 to update 2 questionnaires)\n\n\n\n\u2022\tConsent (same)\n\n\u2022\tBackground characteristics (same)\n\n\u2022\tChild's vital health Status (same)\n\n\u2022\tAnthropometric measurements for children (from cohort 2 we started taking mother's height)\n\n\u2022\tChild morbidity and health seeking practices  (same)\n\n\u2022\tPost partum sexual activity (same)\n\n\u2022\tPostpartum contraceptive use (same)\n\n\u2022\tFuture intentions (same)\n\n\u2022\tPerception of HIV risk and condom use (same)\n\n\u2022\tExposure calendar (same)\n\n\u2022\tMigration and poverty (from cohort 1 onwards ,same)\n\n\n\n\n\nUPDATE 4 (Fifth Visit)\n\n\n\nData Collected (comparing update 4 to update 3 questionnaires)\n\n\n\n\u2022\tConsent (same)\n\n\u2022\tBackground characteristics (same)\n\n\u2022\tChild's vital health Status (same)\n\n\u2022\tAnthropometric measurements for children (from cohort 1 we started taking mother's height)\n\n\u2022\tChild morbidity and health seeking practices  (same)\n\n\u2022\tPost partum sexual activity (same)\n\n\u2022\tPostpartum contraceptive use (same)\n\n\u2022\tFuture intentions (same)\n\n\u2022\tPerception of HIV risk and condom use (same)\n\n\u2022\tExposure calendar (same)\n\n\u2022\tMigration and poverty (same)\n\n\n\n\n\nUPDATE 5 (Sixth Visit)\n\n\n\nData Collected (comparing update 5 to update 4 questionnaires)\n\n\n\n\u2022\tConsent (same)\n\n\u2022\tBackground characteristics (same)\n\n\u2022\tChild's vital health Status (same)\n\n\u2022\tAnthropometric measurements for children (same)\n\n\u2022\tChild morbidity and health seeking practices  (same)\n\n\u2022\tPost partum sexual activity (same)\n\n\u2022\tPostpartum contraceptive use (same)\n\n\u2022\tFuture intentions (same)\n\n\u2022\tPerception of HIV risk and condom use (same)\n\n\u2022\tExposure calendar (same)\n\n\u2022\tMigration and poverty (same)\n\n\n\n\n\n\n\nUPDATE 6 (Seventh Visit)\n\n\n\nData Collected (comparing update 6 to update 5 questionnaires)\n\n\n\nSAME\n\n\n\n\n\nUPDATE 7 (Eight Visit)\n\n\n\nData Collected (comparing update 7 to update 6 questionnaires)\n\n\n\nSAME\n\n\n\n\n\nUPDATE 8 (Nineth Visit)\n\n\n\nData Collected (comparing update 8 to update 7 questionnaires)\n\n\n\nSAME\n\n\n\n\n\nUPDATE 9 (Tenth Visit)\n\n\n\nData Collected (comparing update 9 to update 8 questionnaires)\n\n\n\nSAME","weight":"Sample weights were not used.","cleaning_operations":"Data editing took place at a number of stages throughout the processing, including:\n\na) Office editing and coding\n\nb) During data entry\n\nc) Structure checking and completeness\n\nd) Secondary editing\n\n\n\nDetailed documentation of the editing of data can be found in the \"Standard Procedures Manual\" document provided as an external resource.\n\n\n\nSome corrections are made automatically by the program (80%) and  the rest by visual control of the questionnaire (20%).","method_notes":"Data entry was performed manually at APHRC's headquarters on desktop computers and was done using an in-house built system with a Visual Basic.Net front-end and a Microsoft SQL Server back-end.  Double data entry was carried out on 10% of the questionnaires. \n\n\n\nData were processed in clusters, with each cluster being processed as a complete unit through each stage of data processing.  Each cluster goes through the following steps:\n\n1) Questionnaire reception\n\n2) Office editing and coding\n\n3) Data entry\n\n4) Structure and completeness checking\n\n5) Verification entry\n\n6) Comparison of verification data\n\n7) Back up of raw data\n\n8) Secondary editing\n\n9) Edited data back up\n\n\n\nAfter all clusters are processed, all data is concatenated together and then the following steps are completed for all data files:\n\n10) Export to STATA 10 in 3 files (MCH, MCH Illness, MCH Calendar)\n\n11) Recoding of variables needed for analysis\n\n13) Structural checking of STATA 10 files\n\n14) Data quality tabulations\n\n15) Production of analysis tabulations\n\n \n\nDetails of each of these steps can be found in the Standard Procedures Manual."},"analysis_info":{"response_rate":"540 children were recruited at first recruitment","sampling_error_estimates":"No estimation of sampling errors was done."}},"data_access":{"dataset_use":{"conf_dec":[{"txt":"Details are included in the document: Data Use Agreement Guidelines for Internal\/External Users (External Resources)","required":"yes","form_no":"","uri":""}],"contact":[{"name":"African Population & Health Research Center","affiliation":"","email":"info@aphrc.org","uri":"www.aphrc.org"}],"cit_req":"African Population & Health Research Center, Maternal and child health Survey, October 2011. APHRC, Nairobi - Kenya. doi:11239\/176-2007-018-1.1","conditions":"All non-APHRC staff seeking to use data generated at the Center must obtain written approval to use the data from the Director of Research. This form is developed to assess applications for data use and facilitate responsible sharing of data with external partners\/collaborators\/researchers. By entering into this agreement, the undersigned agrees to use these data only for the purpose for which they were obtained and to abide by the conditions outlined below:\n\n1.\tData Ownership: The data remain the property of APHRC; any unauthorized reproduction and sharing of the data is strictly prohibited. The user will, therefore, not release nor permit others to use or release the data to any other person without the written authorization from the Center.\n\n2.\tPurpose: The provided data must be used for the purpose specified in the Data Request Form; any other use not specified in the form must receive additional or separate authorization.\n\n3.\tRespondent Identifiers: The Center is committed to protecting the identity of the respondents who provide information in its research. All analytical data sets (both qualitative and quantitative) released by the Data Unit MUST are stripped of respondent identifiers to protect the identity of the respondents. By accepting to use APHRC data, the user is pledging that he\/she will not, under any circumstance, regenerate the identifiers or permit others to use the data to learn the identity of any individual, household or community included in any data set.\n\n4.\tConfidentiality pledge: The user will not use nor permit others to use the data to report any information in the data sets that could identify, directly or by inference, individuals or households.\n\n5.\tReporting of errors or inconsistencies: The user will promptly notify the Head of the Statistics and Survey Unit any errors discovered in the data as soon as the errors are discovered.\n\n6.\tPublications resulting from APHRC data: The Center requires external collaborators to work with APHRC staff on all publications resulting from its data. In order to facilitate this, lead authors should send a detailed concept note of the paper (including the background, rationale, data, analytical methods, and preliminary findings) to the Principle Investigator (or Theme Leader) for the project (with a copy to the Director of Research), who will circulate the abstract to concerned researchers for possible expression of interest in participating in the publication as co-authors. Any exception to the involvement of APHRC staff should be approved by the Director of Research, APHRC.\n\n7.\tSecurity: The user will take responsibility for the security of the data by ensuring that the data are used and stored in a secure environment where access is password protected. This will ensure that non-authorized people should not have access to the data.\n\n8.\tLoss of privilege to use data: In the event that APHRC determines that the data user is in violation of the conditions for using the data, or if the user wishes to cancel this agreement, the user will destroy the data files provided to him\/her. APHRC retains the right to revoke this agreement or informs publishers to withhold publication of any work based wholly or in part on its data if the conditions for using the data are violated.\n\n9.\tAcknowledgement: Any work\/reports from this data must acknowledge APHRC as the source of these data. For example, the suggested acknowledgement for NUHDSS data is: \n\n\u201cThis research uses livelihoods data collected under the longitudinal Nairobi Urban Health and Demographic Surveillance System (NUHDSS) since 2006. The NUHDSS is carried out by the African Population and Health Research Center in two slums settlements (Korogocho and Viwandani) in Nairobi City.\u201d\n\nAdditionally all funders, the study communities that provided the data, and staff who collected and analyzed or processed the data should be acknowledged.\n\n10.\tDeposit of Reports\/Papers: The user should submit electronic and paper copies of all publications generated using APHRC data to the Policy Engagement and Communications Department, with copies to the Director of Research.\n\n11.\tChange of contact details: The user will promptly inform the Director of Research of any change in your personal details as contained on this data request form.","disclaimer":"The user of the data acknowledges that APHRC and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses."}}}}