Document Detail

Child mortality estimation: appropriate time periods for child mortality estimates from full birth histories.
MedLine Citation:
PMID:  22952435     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Child mortality estimates from complete birth histories from Demographic and Health Surveys (DHS) surveys and similar surveys are a chief source of data used to track Millennium Development Goal 4, which aims for a reduction of under-five mortality by two-thirds between 1990 and 2015. Based on the expected sample sizes when the DHS program commenced, the estimates are usually based on 5-y time periods. Recent surveys have had larger sample sizes than early surveys, and here we aimed to explore the benefits of using shorter time periods than 5 y for estimation. We also explore the benefit of changing the estimation procedure from being based on years before the survey, i.e., measured with reference to the date of the interview for each woman, to being based on calendar years.
METHODS AND FINDINGS: Jackknife variance estimation was used to calculate standard errors for 207 DHS surveys in order to explore to what extent the large samples in recent surveys can be used to produce estimates based on 1-, 2-, 3-, 4-, and 5-y periods. We also recalculated the estimates for the surveys into calendar-year-based estimates. We demonstrate that estimation for 1-y periods is indeed possible for many recent surveys.
CONCLUSIONS: The reduction in bias achieved using 1-y periods and calendar-year-based estimation is worthwhile in some cases. In particular, it allows tracking of the effects of particular events such as droughts, epidemics, or conflict on child mortality in a way not possible with previous estimation procedures. Recommendations to use estimation for short time periods when possible and to use calendar-year-based estimation were adopted in the United Nations 2011 estimates of child mortality.
Jon Pedersen; Jing Liu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-08-28
Journal Detail:
Title:  PLoS medicine     Volume:  9     ISSN:  1549-1676     ISO Abbreviation:  PLoS Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-06     Completed Date:  2012-12-12     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101231360     Medline TA:  PLoS Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1001289     Citation Subset:  IM    
Fafo Institute of Applied International Studies, Oslo, Norway.
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MeSH Terms
Bias (Epidemiology)
Child Mortality* / trends
Health Care Surveys / statistics & numerical data
Kazakhstan / epidemiology
Mali / epidemiology
Moldova / epidemiology
Reproductive History*
Rwanda / epidemiology
Sample Size
Statistics as Topic*
Time Factors
Zimbabwe / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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