Snapshot of Indicators
Survey Design for PMA India Phase 1
Performance Monitoring for Action (PMA), formerly PMA2020, builds on the previous success of PMA2020 surveys in India (Rajasthan) and focused on collecting routine data on key global indicators in family planning and reproductive health, while expanding content area to address questions of contraceptive decision-making and autonomy, in order to better understand the determinants and consequences of unique contraceptive use and patterns of use in India (Rajasthan). These are measured through three-related data collection activities: household and female surveys (HQFQ) producing both cross-sectional and longitudinal data, Service Delivery Point panel surveys (SQ), and an SDP client exit surveys (CQ).
In India (Rajasthan), a cross-sectional and panel household and female surveys (HQFQ) are conducted annually, with follow-up for the panel occurring at Year 2 and 3. The Service Delivery Point Survey (SQ) is conducted biannually with a baseline and a follow-up occurring 6 months after the baseline enrollment each year. The Service Delivery Point Client Exit Interview Survey (CQ) baseline data is collected at Year 1 and follow-up data will be collected annually.
PMA survey uses a multi-stage cluster design, with stratification at the urban and rural level and/or by sub-region. The enumeration area (EA) is the primary sampling unit, obtained from the national statistics agency of the respective geography. Within each urban/rural or sub regional stratum, EAs are selected using probability proportional to size (PPS) method. In each of the EAs, all households and private health facilities are listed and mapped prior to baseline data collection. Listings of public health facilities that serve the selected EAs at all three levels are obtained from the Ministry of Health.
For household and female cross-sectional and panel surveys, resident enumerators (RE) annually conduct a full listing of households within each enumeration area (EA). The annual listing is used to update the baseline weights to generate the cross-sectional estimates. At baseline, 35 households were randomly selected within each EA for interview. RE administered a household questionnaire, including completing a census of household members and guests who slept there the previous night for all selected households who consented to participate. Eligible female aged 15-49, who were usual members, were consented to participate in the female panel survey. Guests who slept at the households were included in the female cross-sectional survey.
PMA uses an open panel design, enrolling new eligible women at annual follow-up (year 2 and year 3). Households selected at baseline and still residing in the EA will be followed-up in subsequent rounds. Adolescents in selected households who were 14 years in the previous round will be enrolled in the panel as 15-year-olds starting in Year 2. Women who were 49 years at an earlier round will not be interviewed in subsequent rounds. Households who moved out of the EA since baseline will be considered lost-to-follow-up. New households residing in residential structures of households interviewed at baseline will be enumerated and enrolled in the panel in subsequent rounds. In addition, when an initially sampled housing structure is vacant or demolished before Year 2 or Year 3 rounds, a new household will be randomly selected form the new household listing to replace the lost one.