PMID- 36238819 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221015 IS - 2352-8273 (Print) IS - 2352-8273 (Electronic) IS - 2352-8273 (Linking) VI - 19 DP - 2022 Sep TI - Effectiveness of modular approach in ensuring data quality in large-scale surveys: Evidence from National Family Health Survey - 4 (2015-2016). PG - 101254 LID - 10.1016/j.ssmph.2022.101254 [doi] LID - 101254 AB - This study aims to examine the effect of administration of shorter and longer versions of questionnaires on key indicators such as age displacement, birth displacement, age heaping, and skipping questions on antenatal care (ANC) visits and use of contraceptive methods in India using National Family Health Survey (NFHS)-4 data. At the individual level, the effect of the adoption of the shorter and longer versions of the questionnaires on the age displacement of women and children and skipping of the key questions is insignificant. However, the results from the two-level logistic regression model reveal that at the primary sampling unit (PSU) level, work pressure, depending on the number of eligible women in a household, emerges as a confounder in skipping certain questions, namely ANC [1.18 (p < 0.09)] and contraceptive use [AOR = 1.17 (p < 0.05)]. To expand the coverage of NFHS in providing state- and district-level estimates since 2015, the overall sample size was increased from 88,562 households and 89,777 eligible women in 1992-93 to 6,01,509 households and 6,99,686 eligible women in 2015-16. As a strategy to reduce workload and non-sampling errors during the survey, a nested design and modular approach were adopted to provide estimates of maternal and child health indicators at the district/state level and sexual behaviour, HIV/AIDS, and women's empowerment at the state level. It was hypothesised that a longer version of the questionnaire canvassed in the state module may be detrimental to data quality issues. The findings of this study establish the effectiveness of adopting a modular approach in large-scale surveys, depending on the scale of investigation. However, the differential workload calls for expanding the duration of surveys in PSUs, where the number of eligible women is higher. State level variation in the key data quality indicators may be partially explained by differentials in the training of investigators by the agency and use of translators. CI - (c) 2022 The Authors. FAU - Singh, Shri Kant AU - Singh SK AD - Department of Survey Research & Data Analytics, International Institute for Population Sciences, Mumbai, India. FAU - Sharma, Santosh Kumar AU - Sharma SK AD - International Institute for Population Sciences, Mumbai, India. FAU - Rana, Md Juel AU - Rana MJ AD - International Institute for Population Sciences, Mumbai, India. AD - G. B. Pant Social Science Institute, Allahabad, India. FAU - Porwal, Akash AU - Porwal A AD - Population Council, India. FAU - Dwivedi, Laxmi Kant AU - Dwivedi LK AD - Department of Survey Research & Data Analytics, International Institute for Population Sciences, Mumbai, India. LA - eng PT - Journal Article DEP - 20221004 PL - England TA - SSM Popul Health JT - SSM - population health JID - 101678841 PMC - PMC9550650 OTO - NOTNLM OT - Data quality OT - Modular approach OT - NFHS OT - Non-sampling error OT - Skipping OT - Translator COIS- The authors declare that they have no conflict of interest. EDAT- 2022/10/15 06:00 MHDA- 2022/10/15 06:01 PMCR- 2022/10/04 CRDT- 2022/10/14 03:12 PHST- 2021/12/15 00:00 [received] PHST- 2022/08/30 00:00 [revised] PHST- 2022/10/02 00:00 [accepted] PHST- 2022/10/14 03:12 [entrez] PHST- 2022/10/15 06:00 [pubmed] PHST- 2022/10/15 06:01 [medline] PHST- 2022/10/04 00:00 [pmc-release] AID - S2352-8273(22)00233-6 [pii] AID - 101254 [pii] AID - 10.1016/j.ssmph.2022.101254 [doi] PST - epublish SO - SSM Popul Health. 2022 Oct 4;19:101254. doi: 10.1016/j.ssmph.2022.101254. eCollection 2022 Sep.