Document Detail

House-to-house survey vs. snowball technique for capturing maternal deaths in India: a search for a cost-effective method.
MedLine Citation:
PMID:  17598941     Owner:  NLM     Status:  MEDLINE    
BACKGROUND & OBJECTIVE: Estimation of maternal mortality has been difficult because of large sample size requirement. A study using snowball technique for identification of households where maternal death has taken place and its related causes was conducted. We present here the feasibility of carrying out the snowball technique for capturing maternal deaths as against house-to-house survey and to obtain the estimates of maternal mortality ratio (MMR) in some selected States of India.
METHODS: Five states representing high MMR (Uttar Pradesh), medium MMR (Maharashtra, Karnataka, Uttranchal) and low MMR (Delhi) were selected. A total of 8 PHCs and 3 (UFS) were covered. Study used both house-to-house survey and snowball technique to enumerate the maternal deaths in the selected PHCs in rural area and urban frame survey (UFS) in urban area.
RESULTS: In all, 94 maternal deaths were captured through snowball technique as against 83 through house-to-house survey. The estimate of MMR for the five States combined was 356 per 100,000 live births, as compared to assumed 400 per 100,000 live births for the country as a whole. The relative standard error of the estimate of MMR was about 10 per cent.
INTERPRETATION & CONCLUSION: Snowball technique captured more maternal deaths than those in house-to-house survey particularly in rural areas. The estimates also indicated the feasibility of replicating the proposed methodology for estimation of MMR as a time and cost-effective methodology.
Padam Singh; Arvind Pandey; Abha Aggarwal
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Indian journal of medical research     Volume:  125     ISSN:  0971-5916     ISO Abbreviation:  Indian J. Med. Res.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-06-29     Completed Date:  2007-10-15     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  0374701     Medline TA:  Indian J Med Res     Country:  India    
Other Details:
Languages:  eng     Pagination:  550-6     Citation Subset:  IM    
National Institute of Medical Statistics (ICMR), New Delhi, India.
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MeSH Terms
Costs and Cost Analysis*
Data Collection* / economics,  methods
India / epidemiology
Maternal Mortality*
Pilot Projects
Rural Population

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

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