Country Data workshop: Building better dissemination systems for national development indicator Discrepancy analysis Lao PDR Presented by Vilaysook Sisoulath

List of indicators are considered Births attended by skilled health personnel Children with fever being treated with anti-malarial drugs Employment-to-population ratio Malaria death rate Maternal mortality ratio

Discrepancy analysis IndicatorsNationalInternational Births attended by skilled health personnel Definition: Skilled health personnel are a doctor, nurse, midwife or auxiliary midwife include those who have trained, but exclude traditional birth attendants Methodology: The number of births attended by skilled health personnel is expressed as a percentage of live births in the same period. Data source: Data are collected through national-level household surveys, including MICS and DHS. These surveys are generally conducted every 3- 5 years. Definition: Percentage of births attended by skilled health personnel (doctors, nurses or midwives) is the percentage of deliveries attended by health personnel trained in providing life saving obstetric care, Methodology: The number of women aged with a live birth attended by a skilled health personnel (doctors, nurses or midwives) during delivery is expressed as a percentage of women aged with a live birth in the same period Data collection method: Some countries have representative data available through routine registration and these data are also

Discrepancy analysis. Conti IndicatorsNationalInternational Children with fever being treated with anti-malarial drugs Definition Proportion of children under five years of age testing positive for malaria who are treated with appropriate anti-malarial drugs. Reason for replacement Since the MDG indicator is based on all children with fever and not just children with confirmed malaria, it has become difficult to interpret since all fever cases are not necessarily malaria, and the denominator for the indicator includes non- malarial fever. Methodology Number of children under5 reported to have had fever in the previous two weeks who had a figure or heel stick for malaria test divided by total Number of children under5 reported to have had fever in the previous two weeks Data source: National household survey (LSIS) Definition Percentage of children aged months with fever in the two weeks prior to the survey who received any anti-malarial medicine. Methodology he number of children aged 0-59 months with fever in the 2 weeks prior to the survey who received any anti-malarial medicine is expressed as a percentage of the total number of children aged 0-59 months reported to have fever in the two weeks prior to the survey. Data source Data from national-level household surveys, including MICS,DHS and Malaria Indicator Surveys (MIS)

Discrepancy analysis. Conti IndicatorsNationalInternational Employment-to- population ratio Definition: Employment is defended as person age 14 years and above who performed any work at all which included paid employment and self- employment. Methodology Number of population age 14 years and above who are currently worked divided by total number of population age 14 years and above and multiplied by 100 Data sources National survey 3-5 year (Lao Labor force survey) The number of employed population sometime estimated from administrative report Definition: Employment is defined as persons above a specified age who performed any work at all, in the reference period, for pay or profit (or pay in kind), or were temporarily absent from a job for such reasons as illness, maternity or parental leave, holiday, training or industrial dispute. Unpaid family workers who work for at least one hour should be included in the count of employment, although many countries use a higher hour limit in their definition. Methodology The employment-to-population ratios are calculated by expressing the number of persons in employment as a percentage of the population for the corresponding sex and age group (either working-age or youth). Data source : National survey Global estimate

Discrepancy analysis. Conti IndicatorsNationalInternational Malaria death rate Definition The death rate associated with malaria (all age) is the number of deaths caused by malaria per 100,000 people per year Methodology Number of death associated with malaria (all age) divided total number of death in the same time period, and multiplied by 100,000 population. Data source: The Malaria Information System (MIS), Centre for Malariology, Parasitological and Entomology (CPME), Ministry of Health, provided much of the data Definition The death rate associated with malaria is the number of deaths caused by malaria per 100,000 people per year. Methodology Malaria incidence is expressed as the number of new cases (M) per 100,000 population per year with the population of a country derived from projections made by the UN Population Division. Data source Organization (WHO) compiles information supplied by the Ministries of Health, the agencies responsible for malaria surveillance in endemic countries. Information on the proportion of fever cases seeking care are obtained from nationally representative household surveys

Discrepancy analysis. Conti IndicatorsNationalInternational Maternal mortality ratio Definition: The maternal mortality ratio is the annual number of deaths of women from pregnancy-related causes, when pregnant or within 42 days of termination of pregnancy for a specified year (expressed per 100,000 live births). Methodology Use sisterhood method – first calculate the maternal mortality rate and converted to a maternal mortality ratio (MMR-expressed as death per 100,000 live births ) by dividing the maternal mortality rate by general fertility rate (GFR) during the same time period, and multiple the results by 100,000. Data source National survey 5 years (LSIS) Pop Census (direct method)-10 years Definition: The maternal mortality ratio is the annual number of deaths of women from pregnancy-related causes, when pregnant or within 42 days of termination of pregnancy for a specified year (expressed per 100,000 live births). Methodology The maternal mortality ratio can be calculated by dividing recorded (or estimated) number of maternal deaths by total recorded (or estimated) number of live births in the same period and multiplying by 100,000. Measurement requires information on pregnancy status, timing of death (during pregnancy, childbirth, or within 42 days of termination of pregnancy), and cause of death. Data source Global estimate

Thank you