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Methodology

 

PMA2020’s primary aim is to collect a nationally representative sample of data from households and service delivery points in selected sentinel sites, to estimate family planning and key water, sanitation and health (WASH) indicators on an annual basis in 11 pledging FP2020 countries

The PMA2020 surveys involve interviewing a probability sample of females aged 15 to 49 years and a probability sample of health facilities, pharmacies, and retail outlets that offer family planning services. The female respondents are asked questions about their background, their birth history and fertility preferences, their use of family planning methods, their reproductive health, and other information that will be helpful to policymakers and program administrators in health and family planning improvement.

The survey sample in each country will be based on a multi-stage cluster design, typically using urban-rural, major regions and districts as the strata. A nationally representative number of clusters or enumeration areas (EAs) will be sampled in each program country. In each EA, households and service delivery points (SDPs) will be listed and mapped. Households will be systematically sampled for inclusion in the survey round, using random selection. Embedded in each household survey is the female respondent survey, with a series of questions for all women of reproductive age (15-49) living at each household, identified through the sampling process in the EAs across the country. Respondents for the SDP survey will be management staff answering on behalf of the facility.

The household and female surveys will be largely carried out by resident enumerators (REs). Eligibility criteria for selection of REs vary by program country, REs are typically women over the age of 21 who are from or near the respective EAs and hold a high school diploma or higher level of educational attainment. In addition, REs are not paid health workers; they demonstrate an ability to conduct fieldwork and have some degree of familiarity with use of mobile phones.

It is estimated that each RE will take 6 weeks to collect data from all selected households, eligible women and SDPs. Data collected from households will be used to generate aggregate numbers (descriptive statistics). Data processing will be geared towards producing weighted national estimates of these female- and facility-based indicators to report to national and international stakeholders. Data will be immediately processed when collection is completed and the measures will be used to populate pre-designed templates for disseminating the results. Reporting will take place semi-annually in the first two years for each project country and annually thereafter. To promote improvement in programs and policies at all levels, data are aggregated at the community level, district level, and national level to provide feedback to relevant stakeholders and decision makers.

PMA2020 has produced a number of reports, tables and papers that take a closer look at the methodology used. All reports and papers can be accessed here.