Home » Topics » Nutrition and Anthropometry » Calculation of median exclusive breastfeeding
Calculation of median exclusive breastfeeding [message #11314] 
Sun, 04 December 2016 13:49 
anarinaldi
Messages: 13 Registered: December 2016 Location: Uberlandia  Brazil

Member 


My colleagues and I are working with DHS datasets, specifically about breastfeeding. We are calculating the exclusive breastfeeding median using the formula available in the page 124 of material "Guide to DHS Statistics" (median = mi1 + (pi1 0.5)/(pi1 pi ) x (w i)).
Our doubt is how to calculate the median when the first proportion of breastfeeding (pi) is lower than 50%. Besides, how to calculate when the proportion of breastfeeding in the last age range (45months) is higher than 50%.



Re: Calculation of median exclusive breastfeeding [message #11364 is a reply to message #11314] 
Fri, 09 December 2016 12:54 
LizDHS
Messages: 1516 Registered: February 2013

Senior Member 


Dear User,
A response from Dr. Tom Pullum:
Quote:
If the proportion in the first interval is less than .50, then I think it would be best just to say that the median duration is <1 month. If the proportion in the final interval is more than .50, then it would be best to say that the median duration is greater than the final month in your data.
The DHS calculation is not simple. It may change in the future to use day of birth, not just the month and year of birth (and the surveys always give the day, month, and year of interview). If you are having difficulty matching the DHS calculation, please tell me what survey you are using.






Re: Calculation of median exclusive breastfeeding [message #12344 is a reply to message #12343] 
Wed, 03 May 2017 14:02 
anarinaldi
Messages: 13 Registered: December 2016 Location: Uberlandia  Brazil

Member 


Hello Voddo:
I use a publication of WHO: http://apps.who.int/iris/bitstream/10665/44306/1/97892415992 90_eng.pdf
In the Annex 5 (page 78) there is one explanation.
I wrote about this calculation in one article (in revision). In my case I calculate for exclusive breastfeeding.
For current status data, the first step was to obtain a distribution of infants by three age range (0 to 1.9 months, 2 to 3.9 months and 4 to 5.9 months). The distribution was smoothed by a moving average of three groups (previous, current and following value of the distribution) and divided by 3. The second step was to calculate the percentages of infants classified as exclusively breastfed in each age range. The third step was to calculate the median of exclusive breastfeeding by linear interpolation between the midpoint of the first age range for which the proportion falls below 50% and next youngest midpoint age range. This procedure is recommended by DHS Guidelines to calculate median for current status data, and by WHO(4). The final equation to calculate the median is described below (Figure 2). The median of exclusive breastfeeding using current status was calculated only for infants under 6 months.
I send the commands in Stata. I calculated the duration country by country. I didn't use loop, but I using the sintaxe that I use, it can be prepared.
First, it is necessary to generate a variable that indicate if each child is or not breastfed at present moment (yes=1 and no=0)
After, you generate a variable about age range (2 months of each interval) and a variable that indicates the situation of breastfeeding (yes/no) by age range
After, you need to collapse the dataset to calculate the moving average and after then the median duration.
collapse (count) BF [aw= SAMPLING], by(AGE_RANGE BF_AGE)
reshape wide BF,i(AGE_RANGE)j(BF_AGE)
egen freqtotal=rowtotal(BF_AGE0 BF_AGE1)
gen meanmovel= (freqtotal[_n1]+freqtotal[_n]+freqtotal[_n+1])/3
replace meanmovel=(BF_AGE0+BF_AGE1) if AGE_RANGE==1
replace meanmovel=(BF_AGE0+BF_AGE1) if AGE_RANGE== (PUT THE LAST VALUE OF INTERVAL)
gen meanmovelBF= (BF_AME1[_n1]+BF_AME1[_n]+BF_AME1[_n+1])/3
replace meanmovelBF=BF_AME1 in 1
replace meanmovelBF = BF_AME1 in 6 (PUT THE LAST VALUE OF INTERVAL)
gen freqBF=BF_AME1/meanmovelBF
After you calculate the median duration using formule available at publication of WHO (annex 5).
I don't know if the information is easy to understand.




Re: Calculation of median exclusive breastfeeding [message #14089 is a reply to message #12349] 
Tue, 13 February 2018 15:36 
Radhika_DHS
Messages: 4 Registered: January 2018 Location: India

Member 


Hi
I am trying to compute median duration of any breastfeeding for last born child under three years from NFHS 4 data for India, I have followed WHO document for Indicators for assessing infant and young child feeding practices, Annex 5 Instructions for calculating duration of breastfeeding, pg 78, but my result is coming very different from report, I have taken m4 variable to compute currently breastfeeding, looking for input.
Thanks
Radhika
Radhika



Goto Forum:
Current Time: Thu Mar 30 03:56:12 Coordinated Universal Time 2023
