Multiple Indicator Clustar Survey and Demographic and Health Survey in the Eastern Mediterranean Region

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1. Lisowska B. Household surveys: do competing standards (IrMIDHS). Accessed November 10, 2018 from National serve country needs. Discussion Paper No. 4, June 28, 2016, Institute of Health Research of Iran (NIHR) Available at: Joinedup Data Standards project. Publish What You Fund . http://nihr.tums.ac.ir/Show/Item/410. 2016 Aug 18. 12. Kroneman M, Boerma W, Groenewegen P. Netherlands: 2. Hancioglu A, Arnold F. Measuring coverage in MNCH: health system review. Health systems in transition. 2016; 18: tracking progress in health for women and children using 1240. DHS and MICS household surveys. PLoS Medicine. 2013; 10: 13. Džakula A, Sagan A, Pavić N, Lončarek K and Sekelj e1001391. Kauzlarić K. Croatia: Health system review. Health Systems in 3. Unicef. Multiple Indicator Cluster Survey (MICS). Available Transition, 2014; 16(3): 1–162. at: https://mics.unicef.org/. Accessed September 9, 2019. 14. DHS program. Using Biomarkers to Collect Health Data, DHS 4. DHS program. Description of The Demographic and Health Topics, Questionnaire & Modules and DHS Survey Types. Surveys Program. Available at: Available at: https://dhsprogram.com/whatwedo/. https://dhsprogram.com/data/GuidetoDHSStatistics/. Accessed April 22, 2019. September 2018. 15. Economou C, Kaitelidou D, Karanikolos M, Maresso A. 5. Corsi DJ, Neuman M, Finlay JE, Subramanian S. Demographic Greece: Health System Review. Health systems in transition. and health surveys: a profile. International Journal of 2017; 19: 1166. Epidemiology. 2012; 41: 160213. 16. Christou A, Dibley MJ, Raynes ‐Greenow C. Beyond counting 6. Rashidian A, KarimiShahanjarini A, Khosravi A, Elahi E, stillbirths to understanding their determinants in low ‐and Beheshtian M, Shakibazadeh E, et al. Iran's multiple indicator middle ‐income countries: a systematic assessment of stillbirth demographic and health survey2010: Study protocol. data availability in household surveys. Tropical Medicine &

Downloaded from irje.tums.ac.ir at 5:31 IRST on Saturday October 10th 2020 International Journal of Preventive Medicine. 2014; 5: 632. International Health. 2017; 22: 294311.

7. Vaessen M, Mamadou T, Le T. Chapter XXII: The 17. Alexa J, Recka L, Votápková J, Spranger A, Wittenbecher F. Demographic and Health Surveys in Household Sample Czech Republic: health system review. Health systems in Surveys in Developing and Transition Countries. United transition. 2015; 17: 1165. Nations Statistical Division, United Nations Department of 18. Unicef. surveys. Available at: http://mics.unicef.org/surveys. Economic and Social Affairs. 2005:495522 . Accessed September 9, 2019.

8. Gordon D, Nandy S, Pantazis C, Pemberton S, Townsend P. 19. GHDx. Kuwait Family Health Survey. Available at: Using multiple indicator cluster survey (mics) and http://ghdx.healthdata.org/record/kuwaitfamilyhealth demographic and health survey (dhs) data to measure child survey1996. Accessed November 6, 2018. poverty. University of Bristol & London School of Economics, 20. GHDx. United Arab Emirates Family Health Survey. UK. In UNICEF MICS conference 2003 Oct. Available at: http://ghdx.healthdata.org/record/united arabemiratesfamilyhealthsurvey1995. Accessed 9. ICF. The Demographic and Health Surveys (DHS) Program. November 6, 2018. Available at: 21. Manesh AO, Sheldon TA, Pickett KE, CarrHill R. Accuracy of https://www.icf.com/resources/projects/researchand child morbidity data in demographic and health surveys. evaluation/demographicandhealthsurveys. Accessed 15 International Journal of Epidemiology. 2007; 37: 194200. November 2018. 22. Unicef. I have seen certain surveys called DHSMICS or 10. Unicef. Monitoring the situation of children and women for 20 similar. Are these surveys done in collaboration between DHS years: The multiple indicator cluster surveys (MICS) 1995– and MICS? Available at: http://mics.unicef.org/faq. 2015. New York, NY: UNICEF. 2015;199. Accessed Jan 12, 2020. 11. Multiple Indicator Demographic and Health Survey

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Iranian Journal of Epidemiology Summer 2020; 16 (2): 108-121. Original Article Multiple Indicator Clustar Survey and Demographic and Health Survey in the Eastern Mediterranean Region: What is the Iran’s Situation in Terms of Implementation? Abdalmaleki E1, Abdi Zh2, Gohrimehr M1, Alvandi R1, Riazi Isfahani S2, Ahmadnezhad E3 1 MSc, Researcher, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran 2 Assistant Professor, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran 3 Assistant Professor, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran Corresponding author : Ahmadnezhad E, [email protected] : (Received 3 June 2019 ; Accepted 2 November 2019 )

Background and Objectives : One of the data sources for monitoring the progress towards Sustainable Development Goals and Universal Health Coverage (UHC) is household surveys such as Multiple Indicator Cluster Survey (MICS) and Demographic and health Survey (DHS). This study was conducted to assess the implementation of these surveys in the Eastern Mediterranean Region (EMR) to evaluate the experience of Iran in conducting these surveys and to propose one of them as the best option for implementation in Iran.

Methods: In this review article, by reviewing the databases of the relevant organizations, the implementation history, instructions, protocols, and the generated indicators of these two surveys were assessed.

Results: So far, 26 standard DHS and 56 standard MICS have been implemented in the EMR. Iraq implemented the highest number of MICS and Egypt carried out the highest number of DHS. In the global reports, no DHS/MICS surveys were conducted in Iran after 2000 However, according to the official reports, Iran conducted two rounds of a survey called MIDHS (a combination of DHS and MICS) in 2010 and 2015.

Conclusion : The EMR has performed well in implementing these surveys. According to the findings, DHS is more suitable for Iran. However, right now, what is important is not to decide which survey to be conducted. Considering the international commitments for monitoring the progress towards UHC, it is important to conduct

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Keywords: PopulationBased Survey, Demographic and Health Survey, Multiple Indicator Survey, Universal Health Coverage, Sustaible Development Goals