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Questions about calculating general fertility  Nigeria 2018 DHS [message #27405] 
Mon, 07 August 2023 12:55 
berhardt93
Messages: 13 Registered: September 2021

Member 


Hi,
I'm working on calculating GFR for the Nigeria 2018 DHS using R programming and am confused on a few points.
For one, on StatCompiler, the GFR for the 3years preceding is listed as 182. However in Table C.11 in the DHS report (and I do understand that this is for the seven years prior since it was used to calculate MMR), the general fertility rate is listed as 0.179. I am confused about why these values are vastly different.
Secondly, I'm a bit confused about how to calculate the GFR, given that the numerator is births for women 1544 years and the denominator is for womenyears of exposure for women 1549 years. But, the GFR is ageadjusted. I am confused about how to include the denominator for 4549 year olds when there is no numerator calculated.
Thanks,
Blake



Re: Questions about calculating general fertility  Nigeria 2018 DHS [message #27442 is a reply to message #27405] 
Tue, 15 August 2023 11:54 
JanetDHS
Messages: 687 Registered: April 2022

Senior Member 


Following is a response from DHS staff member, Tom Pullum:
DHS defines the GFR to be the number of births in an interval of time (in the fertility chapter, this is the past 3 years), regardless of the age of the mother, divided by the womanyears of exposure to age 1544 (in that interval of time), multiplied by 1000. The GFR in the fertility chapter is NOT standardized.
There are alternative definitions of the GFR. In the chapter on adult and maternal mortality, the GFR is calculated for the same 7year reference period as the mortality rates, is reduced to births in the age range 1549 (births before 15 are omitted) and the denominator is expanded to 1549, the same age range as the mortality rates. The GFR for that chapter is standardized on the age distribution of the women in the IR file at the time of the survey. The steps are to calculate the 7 agespecific rates for age 1519, ..., 4549, and then calculate the GFR as a weighted mean of those 7 rates, where the weights are the proportions of women age 1549 who are 1519,..., 4549.
The numbers in Appendix C omit arbitrary factors such as 1000. That's why the GFR in Appendix C is .179 rather than 179. Let us know if you have other questions.



Re: Questions about calculating general fertility  Nigeria 2018 DHS [message #27479 is a reply to message #27442] 
Sun, 20 August 2023 19:50 
berhardt93
Messages: 13 Registered: September 2021

Member 


Hi Tom,
This is super helpful and now I have the denominator. A quick question about the numerator (MMRate) if you don't mind. I'm curious if you have the values at each step of the calculation because I'm getting 478 deaths instead of 451 and can't seem to figure out where I'm going wrong. Here's what I have:
106,590 female siblings (mm2)
12,514 ever deceased female siblings (mm8)
3,679 deceased female siblings at ages 1549 years (mm7)
1,152 siblings died during pregnancy or within 42 days (mm9)
1,152 siblings died within 42 days of delivery (mm12)
1,109 siblings did not die due to accidents or violence (mm16)
478 siblings that died within the 84 months preceding the survey (mm8, v008)
Thanks,
Blake







Re: Questions about calculating general fertility  Nigeria 2018 DHS [message #27606 is a reply to message #27598] 
Mon, 11 September 2023 10:47 
JanetDHS
Messages: 687 Registered: April 2022

Senior Member 


Following is a response from DHS staff member, Tom Pullum:
You need to use weights in the calculation of the numerators and denominators of the rates. For some commands such as collapse you use [iweight=v005/1000000]. The program I provided includes weights where needed.
There is a socalled "reweighting" step in the adult and maternal mortality procedure that has nothing to do with the sample weights. It is described in the Guide to DHS Statistics. To calculate the mortality rate for age 1549, the agespecific mortality rates for 1519, ..., 4549 are weighted by the proportions of women or men in the survey who are in those age groups. Similarly for the GFR or General Fertility Rate, using the agespecific fertility rates and the proportions of women in the seven age groups. The reweighting is equivalent to direct standardization. The program shows how this is done.



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