Multiple Indicators Cluster Survey

Presentation By
Neil Dhital, Roll no: 382

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 Background
• The Multiple Indicator Cluster Surveys (MICS)- international
household survey program, developed by UNICEF , implemented by
countries- internationally comparable, statistically rigorous data on
the situation of children and women.

• MICS-1st: in over 60 countries in mainly 1995 in response to the

World Summit for Children and measurement of the mid-decade
progress

• MICS-2 : In 2000, measured weather achievement of goal set by

World Submit for Children, and Producing baseline survey for MDGs
(in over 100 countries)

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 ….Background
• MICS-3: In 2006 Measuring to track progress of MDGs

• MICS-4: In 2011 Measuring to track progress of MDGs

Started 3 years cycle,

• MICS-5: In 2014 end , Measuring achievements of MDGs and

for baseline survey for SDG

• The MICS is highly comparable to the Demographic and

Health Survey (DHS) for validity.

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 MICS In Nepal
 Conducted by Central Bureau of Statistics (CBS) of Nepal
Government in the technical and financial support of UNICEF.
 1st in 1995, 2nd in 2001 3rd in 2006, 4th in 2010 and 5th in 2014
 1st to 4th in every 5 years 6th was in 3 years
 7th in 2019 (Planned)

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 Survey Objectives
1. To provide up-to-date information for assessing the situation of
children and women in Nepal;
2. To generate data for the critical assessment of the progress made in
various areas, and to put additional efforts in those areas that require
more attention;
3. To furnish data needed for monitoring/tracking progress toward goals
established in the Millennium Declaration and other internationally
agreed upon goals, as a basis for future action;
4. To identify disparities, to allow for evidence-based policy-making
aimed at social inclusion of the most vulnerable;
5. To contribute to the generation of baseline data for the post-2015
agenda;
6. To validate data from other sources and the results of focused
interventions.
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 Major areas
MICS are the principal source of data on MNCH indicators in low
and middle income countries
• Child mortality
• Nutrition
• Child health
• Water and sanitation
• Reproductive health
• Child development
• Literacy and education
• Child protection
• HIV/Aids
• Tobacco and alcohol use

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 MICS In Nepal-coverage

• This time NMICS-5, 2014 covered all the 75 districts with a sample
size of 12,975 households (in 519 clusters).

• It has provided disaggregated data of 15 sub-regional levels and

also urban and rural areas. The data was compiled by 15 teams of
interviewers conducting survey by covering households, women
aged 15-49 and children under five years

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 Sample Design
 Data Source, Census 2068

 15 sub-regions of (75 districts)

• Eastern Mountains • Central Terai • Mid-Western Hills
• Eastern Hills • Western Mountains • Mid-Western Terai
• Eastern Terai • Western Hills • Far Western Mountains
• Central Mountains • Western Terai • Far Western Hills
• Central Hills • Mid-Western Mountains • Far Western Terai

 The urban and rural areas within each sub-region were identified as
the main sampling strata and the sample was selected in two stages

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 ….Sample Design
 Within each stratum, a specified number of census enumeration areas
were selected systematically with probability proportional to size. After
a household listing was carried out within the selected enumeration
areas, a systematic sample of 25 households was drawn in each sample
enumeration area.
 The total sample size consisted of 13,000 households in 520 sample
enumeration areas
 One of these enumeration areas was not visited because it was
inaccessible due to high altitude and heavy snowfall during the field
work period
 Total data collection – 12975 HHs in 519 sample enumeration area
 The national survey of 12,405 households included interviews with 14,162
women aged 15-49 and 5,349 mothers/caretakers of children under five years.
In addition, water testing was also performed in 1,492 households.

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 Training and Fieldwork

• Master training of trainers was held January, February 2014.

This was followed by three weeks, residential in Dhulikhel

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 Questionnaires
Four sets of questionnaires were used in the survey:
1. household questionnaire , was used to collect basic Demographic
information on all household member
2. questionnaire for individual women administered in each household to
all women aged 15–49 years;
3. under-5 children, questionnaire, to mothers (or caretakers) for all
children under five years of age living in the household;
4. Water quality testing questionnaire to test for bacteria and measure
E. coli content in household drinking water and water source in a
subsample of the households.

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 Data Processing

• Data were entered using CSPro software, Version 5.0. Data

were entered on 10 laptop computers by 10 data-entry
operators
• Data were analysed using the Statistical Package for Social
Sciences (SPSS) software, Version 21.0

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 Major findings
Child Mortality
• Under-5 mortality -38 deaths per 1,000 live births,
• Infant mortality rate- 33 deaths per 1,000 live births,
• Neonatal mortality - 23 deaths per 1,000 live births

Nutritional Status (under 5 years)

• One in three (30 percent) children under five, with 9 percent classified as
severely underweight.
• More than one-third (37 percent), with 16 percent severely stunted, and
• 11 percent were, with 3 percent severely wasted.

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 Major findings
Water and Sanitation
• 93 % of the population-use from improved drinking water
source.
• 82 % of household members were at the risk of E. coli
concentration ≥ their household water
• 60 % are using improved sanitation

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 Major findings
Reproductive Health
• Total fertility rate : 2.3
• Contraceptive prevalence rate: 49.6 %
• Unmet need : 25.9 %

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 References
1. Report ,Multiple Indicators Cluster Survey -2014
2. https://en.wikipedia.org/wiki/Multiple_Indicator_Cluster_Su
rveys
3. https://www.nytimes.com/1990/09/30/us/world-summit-
for-children-world-s-leaders-gather-un-for-summit-meeting-
children.html

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