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Multi Indicator Cluster Survey (MICS) 2005

Multi Indicator Cluster Survey (MICS) 2005. November 30, 2007. What Is MICS ? Multiple Indicator Cluster Survey. Household survey developed by UNICEF in 1990’s. It assists countries in filling data gaps for monitoring human development, especially the situation of women and children. .

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Multi Indicator Cluster Survey (MICS) 2005

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  1. Multi Indicator Cluster Survey (MICS) 2005 November 30, 2007

  2. What Is MICS ?Multiple Indicator Cluster Survey • Household survey developed by UNICEF in 1990’s. • It assists countries in filling data gaps for monitoring human development, especially the situation of women and children.

  3. What is MICS Cont’d • Many countries were involved in each round, using common questionnaire modules. • Facilitates the production of comparable estimates of indicators. • It uses international definitions of indicators.

  4. What is MICS Cont’d Jamaica is among : • the 191 signatories to the Millennium Development Goals (MDG). • the 189 member states who adopted the Plan of Action of A World Fit For Children.

  5. What is MICS Cont’d • Round 1 - 1995 No Jamaica • Round 2 - 2000 Jamaica but no official report • Round 3 - 2005 Jamaica and here we are!

  6. OBJECTIVES • To provide up-to-date information for assessing the situation of children and women in Jamaica; • To furnish data for monitoring progress toward goals established by the MDG, A World Fit For Children (WFFC), and other internationally agreed upon goals; • To contribute to the improvement of data and monitoring systems in Jamaica

  7. Survey Management • A Steering Committee was formed with representatives from: UNICEF UNFPA UNAIDS STATIN UNDP PAHO PIOJ ECC Cabinet Office MOH MOEY SALISES CCDC

  8. Survey Management cont’d • Survey coordination and implementation was done by STATIN through the Special Projects and Field Services Divisions.

  9. Questionnaires • The survey instrument consisted of three questionnaires: • Household • Woman (15-49 yrs) • Child (0-4 yrs) .

  10. Household Questionnaire • Modules included: • Household Information Panel • Household Listing • Education • Child Labour • Orphaned and Vulnerable Children • Water and Sanitation • Child Discipline • Child Disability • Salt Iodization

  11. Women’s Questionnaire • Modules Included: • Basic Characteristics • Child Mortality • Tetanus Toxoid immunisation • Maternal and Newborn Health • Marriage/Common-law unions • Attitudes Toward Domestic Violence • HIV/AIDS

  12. Child Questionnaire • Modules included: • Information Panel • Birth Registration and Early Learning • Child Development • Breastfeeding • Occurrence and treatment of Illness • Immunization

  13. Sample Selection

  14. Training of Field Staff • Training included: • interviewing techniques • the questionnaires • mock interviews between trainees • interviewing practice. These practice interviews were conducted in areas close to the training centres. • Trainees were tested, and based on the test results, observation and participation in the training sessions, • 83 persons were offered employment on the project.

  15. Field Work • Field work began October 10, 2005 • 13 Supervisors • 70 Interviewers and Field Editors

  16. Problems during field work • Adverse weather • Violence in some sections of Kingston, St. Andrew and St. Catherine. Interviewers were forced to leave some EDs. • Vacant dwellings • Upper income communities that have gated communities and to which access was not granted by security personnel.

  17. Data Processing • Data was manually edited and keyed into the computer using the CSPro software • 7 Data Entry Operators • 2 Data Entry Supervisors • Computer edits were done • Process lasted from November 2005 – March 2006

  18. Data analysis • Done in SPSS ver. 14.0 by STATIN • Using syntaxes prepared by UNICEF • Rigorous process

  19. Response Rate

  20. FINDINGS

  21. Child mortality • The infant mortality rate is the probability of dying before the first birthday. • The under-five mortality rate is the probability of dying before the fifth birthday. • Based on an indirect estimation technique known as the Brass method

  22. Child mortality • Infant mortality – 26 per 1000 • Under 5 mortality – 31 per 1000 • Mortality higher among children of women with low levels of education

  23. Breastfeeding

  24. Breastfeeding cont’d

  25. Birth Weight • Majority of birth occur in hospitals • 97% of babies were weighed at birth • Approx 12% weighed less than 2500 gms

  26. Immunization • Overall, more than 70 % of children had immunization cards. • If the child did not have a card, the mother was asked to recall whether or not the child had received BCG, Polio, DPT or measles vaccination .

  27. CHILD HEALTH During the two weeks preceding the survey • 2.4% had diarrhoea • 6.5% had symptoms of pneumonia • 75% were taken to an appropriate provider • Amoxil was the antibiotic of choice • 23% of women knew of the two danger signs of pneumonia

  28. Water and Sanitation Water • Use of improved drinking water sources • Use of adequate water treatment method • Time to source of drinking water • Person collecting drinking water Sanitation • Use of improved sanitation facilities • Sanitary disposal of child’s faeces

  29. Water and Sanitation • Use of improved drinking water sources - 93.5% • 97 % in urban areas • 88 % in rural areas • 53% used water treatment method .

  30. Water and Sanitation cont’d

  31. Water and Sanitation cont’d • 97% live in households using improved sanitation facilities • Flush toilets most common in urban areas • Pit latrines most common in rural areas

  32. Water and Sanitation cont’d • 36% of children diapers were properly disposed. • 56% thrown directly into garbage.

  33. Reproductive Health • 91% of women received antenatal care from skilled personnel at least once during pregnancy • The doctor was the main provider (57.8%) • Then Nurse / midwife (32.7%) • Over 95% of women had blood and urine samples taken during pregnancy

  34. Reproductive Health cont’d • 97% of births were delivered by skill personnel • 56% assisted by nurse / midwife • 41% assisted by doctors

  35. Child Development • 86% of children under 5 had an adult household member who engaged in activities that promote learning and school readiness • Fathers involvement was only 41% • 51% of children were living without their fathers

  36. Child Development cont’d • 3% of children age 0 – 59 months were left in care of other children under 10 yrs • 1% of children were left alone

  37. Education • Pre-school Attendance 86% of children attended pre-school • 89% urban • 81% from rural areas 94% of children 48 - 59 months attended pre-school.

  38. Education cont’d • 97.4% attended primary school • Attendance increased with age from 89.7% among children 6 years to 99.3% among 11 year old • Transition to secondary school almost universal

  39. Education cont’d • At the secondary level • Attendance was lower among boys (89 %) than among girls (93 %). • Higher levels of attendance among children whose mothers have a higher level of education.

  40. Education - Distance from school Primary 97% lived less than 5 miles 68% lived within a mile Secondary 86% lived less than 5 miles 42% lived within a mile • 11 % of rural lived within one mile • 4 % in KMA lived within one mile

  41. Child Protection • Birth Registration 89% of children under 5 were registered Of those not registered 57% owed hospital fees 32% said too costly to register

  42. Child Labour - Definition • Ages 5-11: at least one hour of economic work or 28 hours of domestic work per week. • Ages 12-14: at least 14 hours of economic work or 28 hours of domestic work per week.

  43. Child Labour • Children 5 -11 yrs - 7.9% • Children 12-14 yrs - 2.3% • More males -7 % than females - 5 %

  44. Child Discipline • Psychological aggression -If child was shouted, yelled or screamed at and/or called dumb, lazy or other such name • Minor physical punishment – If child was shaken, spanked, hit or slapped on bottom with bare hand and/or hit anywhere on the body with a hard instrument and/or hit/slapped on arm, leg or hand • Severe physical punishment - If child is hit/slapped on the face, head or ears and/or beat with an instrument over and over as hard as one could.

  45. Child Discipline • 87% of children 2 – 14 were subjected to at least one form of psychological or physical punishment • 8% were subjected to severe physical punishment • Women with higher educational levels used non-violent discipline and less to psychological and minor physical punishment than women with lower levels education.

  46. Child Discipline (cont.d)

  47. Domestic Violence • 6.1% of women felt that a husband or male partner was justified in beating his wife for at least one reason • The most popular reason was if the woman neglected her children

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