Content area

Abstract

Nationally representative household surveys are increasingly relied upon to measure maternal, newborn, and child health (MNCH) intervention coverage at the population level in low- and middle-income countries. Surveys are the best tool we have for this purpose and are central to national and global decision making. However, all survey point estimates have a certain level of error (total survey error) comprising sampling and non-sampling error, both of which must be considered when interpreting survey results for decision making. In this review, we discuss the importance of considering these errors when interpreting MNCH intervention coverage estimates derived from household surveys, using relevant examples from national surveys to provide context. Sampling error is usually thought of as the precision of a point estimate and is represented by 95% confidence intervals, which are measurable. Confidence intervals can inform judgments about whether estimated parameters are likely to be different from the real value of a parameter. We recommend, therefore, that confidence intervals for key coverage indicators should always be provided in survey reports. By contrast, the direction and magnitude of non-sampling error is almost always unmeasurable, and therefore unknown. Information error and bias are the most common sources of non-sampling error in household survey estimates and we recommend that they should always be carefully considered when interpreting MNCH intervention coverage based on survey data. Overall, we recommend that future research on measuring MNCH intervention coverage should focus on refining and improving survey-based coverage estimates to develop a better understanding of how results should be interpreted and used.

Details

1009240
Identifier / keyword
Title
Measuring Coverage in MNCH: Total Survey Error and the Interpretation of Intervention Coverage Estimates from Household Surveys: e1001386
Publication title
PLoS Medicine; San Francisco
Volume
10
Issue
5
Pages
e1001386
Publication year
2013
Publication date
May 2013
Section
Review
Publisher
Public Library of Science
Place of publication
San Francisco
Country of publication
United States
Publication subject
ISSN
15491277
e-ISSN
15491676
Source type
Scholarly Journal
Language of publication
English
Document type
Journal Article
Accession number
23667331
ProQuest document ID
1368594974
Document URL
https://www.proquest.com/scholarly-journals/measuring-coverage-mnch-total-survey-error/docview/1368594974/se-2?accountid=208611
Copyright
© 2013 Eisele et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Eisele TP, Rhoda DA, Cutts FT, Keating J, Ren R, et al. (2013) Measuring Coverage in MNCH: Total Survey Error and the Interpretation of Intervention Coverage Estimates from Household Surveys. PLoS Med 10(5): e1001386. doi:10.1371/journal.pmed.1001386
Last updated
2024-08-26
Database
ProQuest One Academic