Multiple Indicator Cluster Surveys Data dissemination and further analysis workshop Further Analysis: Early Child Development MICS4 Data Dissemination and Further Analysis Workshop Further Analysis: ECD 2 Outline 1. The patterns of inequity with existing data 2. Associations between variables in the Early Child Development Module and ECDI 3. Associations between relevant variables outside of ECD module and ECDI 4. Analysis of the trend 5. Cumulative risk factors 6. Bottleneck analysis 3 1st Idea: Different Patterns of Inequity "Gradual inequity" labelled as “A” "Gradual inequity" labelled as “B” 100% 100% 80% 80% 55% 60% 34% 40% 20% 4% 12% 57% 61% middle fourth 35% 20% 0% 0% poorest second middle fourth richest poorest 100% 100% 80% 80% 60% 42% 40% 3% 6% poorest second middle richest 85% 93% 89% 92% middle fourth richest 68% 60% 40% 20% 4% second "Bottom Inequity" labelled as “D” "Top Inequity" labelled as “C” 20% 51% 60% 40% 18% 81% 20% 0% fourth richest 0% poorest second Access to Early Childhood Education, 36 to 59 months, by Wealth Quintile 2nd Idea: association between variables in the CD Module 1. Establish the hypothesis (based on literature or expert opinion) 2. Tabulate 3. Look for: • Expected patterns (association with well-known risk and protective factors) and • Contrast to commonly-found patterns (are they due to lack of adequate data, or do they indicate country-specific attitudes, or…) 4. The strengths of associations can be explored using crosstabulations or multi-way tables and the chi-square statistic, as well as the odds ratio 5 Sample 1: reading the books and child development Hypothesis: in the families where it is reported that primary caregivers are reading books to a child, the child literacy/numeracy skills will be higher Early child development index Percentage of children age 36-59 months who are developmentally on track in literacy-numeracy, physical, social-emotional, and learning domains, and the early child development index score, Country, Year Reading books No to a child Yes ECDI Total Percentage of children age 36-59 months who are developmentally on track for indicated domains Early child Number of LiteracySocialdevelopment children age numeracy Physical Emotional Learning index score [1] 36-59 months 20.9 99.2 88.2 92.9 82.9 145 99.9 95.6 1261 32.4 94.9 99.5 31.2 99.8 94.2 98.8 94.3 1406 compute books = 0. if (EC7AA = "A" or EC7AB ="B" or EC7AX = "X") books = 1. variable label books "Reading books to a child". value label books 0 "No" 1 "Yes". …… /table hl4 [c] + nuts2 [c] + hh6 [c] + age2 [c] + preschool [c] +melevel [c] + windex5 [c] + ethnicity [c] + books [c] + tot1 [c] 6 Sample 2: the impact of fathers on child development Hypothesis: more children developmentally on target in families where father participates in activities with child Early child development index Percentage of children age 36-59 months who are developmentally on track in literacy-numeracy, physical, social-emotional, and learning domains, and the early child development index score, Country, Year Father support Living in the HH and not supporting the child Living in the HH and supporting the child ECDI Total Percentage of children age 36-59 months who are developmentally on track for indicated domains Early child Number of LiteracySocialdevelopment children age numeracy Physical Emotional Learning index score [1] 36-59 months 64.8 98.5 74.1 96.9 86.7 497 66.0 97.5 84.1 97.3 90.1 174 65.1 98.2 76.7 97.0 87.6 671 compute fatsup = 0. if (nofather = 0 and fact = 100) fatsup = 1. variable label fatsup "Father support". value label fatsup 0 "Living in the HH and not supporting the child" 1 "Living in the HH and supporting the child". 7 3rd Idea: association between modules (stunting and ECDI) Hypothesis: lower ECDI in the stunted children Early child development index Percentage of children age 36-59 months who are developmentally on track in literacy-numeracy, physical, social-emotional, and learning domains, and the early child development index score, Country, Year Height for age: Not stunted (-2sd) Stunted (-2sd) Height for age: Not stunted (-3sd) Stunted (-3sd) ECDI Total Percentage of children age 36-59 months who are developmentally on track for indicated Early child Number of domains developme children LiteracySocialnt index age 36-59 numeracy Physical Emotional Learning score [1] months 33.0 99.8 93.7 99.0 94.0 1122 12.5 100.0 94.6 93.5 89.7 50 32.5 99.8 93.6 99.0 94.0 1154 9.2 100.0 100.0 82.2 82.2 18 31.2 99.8 94.2 98.8 94.3 1406 8 (Almost) unlimited possibilities • Explore the associations between ECDI and other variables: • Availability of playthings; • Inadequate care; • Living with biological parents • Explore the association between ECDI and some variables outside the ECD module • Iodized Salt Consumption • Violent Disciplining practices • … 9 Value added • Most of the knowledge is coming from developed countries • Opportunity for advocacy • Strong associations with low ECDI indicate areas of disadvantage • Strong associations with high ECDI indicate areas of strength • If there are discrepancies, explore policies, customs, practices, availability, accessibility and quality of ECD and other social services to find an explanation 10 4th Idea: Trend Analysis Attendance to Early Childhood Education 90 80 70 60 50 2005 81.6 40 2010 30 20 39.5 10 0 • Note: check the definition; check the confidence interval 11 5th Idea: Cumulative risk factors for child development • Create an index (cumulative risk factors to child development) • Children living without biological parents • Inadequate care • Stunting • Violent disciplining practices • Who are the children most at risk? What are the main determinants of risk? • Multivariate analysis • A binary logistic regression analysis 12 th Idea: Analyze System Bottlenecks (Tanahashi 6From Tanahashi T. Bulletin of the World Health Organization, 1978, 56 (2) http://whqlibdoc.who.int/bulletin/1978/Vol56-No2/bulletin_1978_56(2)_295-303.pdf framework) Effective coverage- quality Adequate coverage- continuity Utilisation – first contact with services Accessibility – physical access to services Accessibility – to human resources Availability – critical inputs to system Target Population Bottleneck in the education system in G Effective Coverage - % of children who attain academic standards 1 9% Continuity - % of children who retain school through Grade 6 67% 2 Utilisation - % of children who have ever attened primary school 83% Access - % of children who have physical access to primary school 89% Human Resources - % of children who can be covered by existing qualified teachers 63% Commodity - % of children who can be covered by existing textbooks 49% 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Regional disparity 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Effective Coverage - % of children who attain academic standards 9% 2% 67% Continuity - % of children who retain school through Grade 6 38% 83% Utilisation - % of children who have ever attened primary school 62% 89% Access - % of children who have physical access to primary school 70% 63% Human Resources - % of children who can be covered by existing qualified teachers 42% 49% 43% Commodity - % of children who can be covered by existing textbooks National Northern Your turn Ideas welcomed (group work) 16