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DATA SUMMARY SHEET Comparing International and national data on MDG Indicator 5.5 antenatal care coverage Philippines International definition Antenatal care coverage (at least one visit) is the percentage of women aged 15-49 with a live birth in a given time period that received antenatal care provided by skilled health personnel at least once during pregnancy, as a percentage of women age 15-49 years with a live birth in a given time period. Antenatal care coverage (at least four visits) is the percentage of women aged 15-49 with a live birth in a given time period that received antenatal care four or more times with any provider (whether skilled or unskilled), as a percentage of women aged 15-49 years with a live birth in a given time period. A skilled health worker/attendant is an accredited health professional - such as a midwife, doctor or nurse - who has been educated and trained to proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns. Both trained and untrained traditional birth attendants (TBA) are excluded. Calculation of estimates for MDG monitoring The number of women aged 15-49 with a live birth in a given time period that received antenatal care provided by skilled health personnel at least once during pregnancy, is expressed as a percentage of women aged 15-49 with a live birth in the same period. The number of women aged 15-49 with a live birth in a given time period that received antenatal care by any provider (whether skilled or unskilled) four or more times during pregnancy, is expressed as a percentage of women aged 15-49 with a live birth in the same period. Process used by international agencies for obtaining data from national sources UNICEF and WHO maintain antenatal care data obtained from national-level household surveys. Before acceptance into the global databases, UNICEF and WHO undergo a verification process that includes correspondence with field offices to clarify any questions regarding estimates. National data sources National-level household surveys, including Demographic and Health Surveys, Fertility and Family Surveys, Reproductive Health Surveys, Multiple Indicator Cluster Surveys, and national surveys based on similar methodologies. Explanation of most common discrepancies between national and international coverage estimates 1) 2) Use of figures compiled at the health facility level vs. figures compiled at the household level Different definitions of skilled health personnel Comparison of national and international data National data Data Year on 1 visit 1990 1991 1992 1993 1994 1995 1996 1997 1998 91.2 Data available at UNICEF Source 1998 NDHS Data on 4 visits 52.1 Source 1998 NDHS Discrepancies? Causes? No data differences for 1 visit (differences due to rounding). 2000 MICS and 2002 LSMS data also used by the NSO. 1999 2000 Data on 4 visits Source Data on 1 visit DHS 1993 52.1 83.1 DHS 1998 77.0 85.7 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 MICS 2000- Standard tables rerun by UNICEF HQ - June 85.9 2001 2002 2003 Year 2000 2001 2002 93.0 2003 NDHS 62.3 2003 NDHS 2004 2005 2006 Workshop on MDG Monitoring: 2015 and beyond, Bangkok, 9-13 July 2012 DHS 2003 70.4 87.6 2003 2004 2005 2006 2007 2007 2008 2008 2008 95.8 77.8 NDHS NDHS MICS: Multiple Indicator Cluster Survey; DHS: Demographic and Health Survey DHS 2008 77.8 91.1 2008 National definition Antenatal care coverage (at least one visit) – The number of women aged 15-49 years with a live birth in a given time period who received antenatal care provided by skilled health personnel at least once during pregnancy expressed as a percentage of all women aged 15-49 years with a live birth in the same time period. Antenatal care coverage (at least four visits) – The number of women aged 15-49 years with a live birth in a given time period who received antenatal care provided by skilled health personnel four or more times during pregnancy expressed as a percentage of all women aged 15-49 years with a live birth in the same time period. Other data on file at UNICEF but not taken into account for MDG monitoring Data source Reason for exclusion for MDG monitoring Data used at national level but not included in the MDG monitoring by UNICEF How to submit missing or new survey or census data for international monitoring to UNICEF? Data from new nationally representative household surveys and censuses, as well as from nationally representative surveys not listed in this document can be sent to: Holly Newby, UNICEF, e-mail: [email protected] and Lale Say, WHO, [email protected]. Remarks If there are any errors or omissions in this document, thank you for returning a corrected copy of this file by email to: [email protected] , [email protected] and [email protected]. Workshop on MDG Monitoring: 2015 and beyond, Bangkok, 9-13 July 2012