Women's Recall of Delivery and Neonatal Care in Bangladesh and in Malawi:
A Study of Terms, Concepts, and Survey Questions
Report written for Save the Children US, Washington, DC
P. Stanley Yoder*
Mikey Rosato**
Riad Mahmud***
Alfredo Fort*
Fazlur Rahman****
Avril Armstrong*
SayedRubayet*****
March 2010
* ICF Macro, Calverton, Maryland, USA
** Centre for International Health and Development, University College, London
*** UNICEF Bangladesh
**** Centre for Injury Prevention and Research, Bangladesh
***** Save the Children, Bangladesh
Save the Children.
ICF MACRO
an ICF International Company
TABLE OF CONTENTS
List of Tables v Acknowledgments vii Executive Summary ix 1 Introduction '. 1 2 Background 3 2.1 Survey data to inform indicators 3 2.2 Other studies 4 2.3 Current situation: indicators and questions 4 3 Methods 8 3.1 Research questions and assumptions 8 3.2 Data collection methods 9 3.3 Sample and site selection: Malawi 9 3.4 Sample and site selection: Bangladesh .-. 10 3.5 Data collection process ; 11 3.6 Data processing and analysis 12 3.7 Ethical clearances and informed consent 13 4 Results: Essential newborn care in Malawi 14 4.1 Generating a narrative 14 4.2 Typical events for home births 15 4.3 Typical events for facility births 17 4.4 Comparisons of time and place of births 18 4.5 Talking about the placenta 21 4.6 Events of local significance 22 4.7 Asking survey questions 22 4.8 Care of the cord 23 4.9 Care of the newborn: wiping, wrapping, and bathing.... 24 4.10 The timing of newborn care events 25 4.11 Summary points for newborn care questions 29 5 Results: Essential newborn care in Bangladesh 30 5.1 Generating a narrative 30 5.2 Typical events for home births 31 5.3 Typical events for facility births 33 5.4 Comparison of time and place of births 36 5.5 Events of local significance 37 5.6 Summary of narratives 37 5.7 Asking survey questions 38 5.8 Care of the cord 38 5.9 Care of the newborn: wiping, wrapping, and bathing 39 5.10 The timing of newborn care events 40 5.11 Summary points for newborn care questions 44
in
6 Results: Post-natal care for mother and newborn 45 6.1 Importance of data on getting a health checkup 45 6.2 A health checkup for the mother 45 6.3 A checkup for the baby 49 6.4 Summary 51 7 Summary and recommendations 52 7.1 Key events 52 7.2 Questions about essential newborn care 53 7.3 Questions about postnatal care for mother and baby 55 7.4 Indicators proposed to SNL by the TWG 58 7.5 Overall summary 60 References 61 Appendix A Conversation Guide: Narrative section (English) 62 Appendix B Structured Questionnaire (English) 63 Appendix C Events in home and facility births 70 Appendix D Key terms for Malawi (Chichewa) 72 Appendix E Key terms for Bangladesh (Bangla) 76
IV
