DataFirst 2021-10-12 NADA Version 1 Coronavirus Rapid Mobile Survey of Maternal and Child Health 2020 CRAM-MATCH 2020 zaf-us-cram-match-2020-v1 University of Stellenbosch NADA DataFirst Support Health Survey [hs] v1: Edited, anonymised data for public distribution The Coronavirus Rapid Mobile Survey of Maternal and Child Health (CRAM-MATCH) was a rapid SMS (Short Message Service) survey conducted in South Africa conducted among pregnant women and mothers registered with the MomConnect mhealth platform in South Africa. This national survey was conducted in June (n=3140) with a follow up in July (n=2287). The survey collected data from pregnant women and new mothers in South Africa on how the Coronavirus pandemic has affected their health including their access to health care. South Africa The survey data is nationally representative The data is at the national level Individuals The survey collected data from pregnant women and new mothers in South Africa. Sample survey data The surveys collected data on nutrition, depressive symptoms, access to antenatal care, vaccinations, and ART. Data on impediments to access was collected by asking the respondents who did not access care or collect their medicine, why they did not do so. Responses included fears about contracting COVID-19, problems with available transport, long waiting times, or stock-outs at the facility. The sample was drawn from the Momconnect mhealth platform created by the South African National Department of Health (NDOH) in 2014. MomConnect is a mobile health (mHealth) solution created to improve and promote maternal health services in South Africa by providing pregnant mothers with free messaging facility and a helpdesk. The mobile health application also created a national pregnancy registry which has excellent coverage of pregnant women and new mothers. By 2017 more than half of the women attending public sector antenatal care services in South Africa were registered on the Momconnect platform. By 2019 there were over 2 million registered MomConnect users. A self-weighted sample of 15 000 pregnant women and mothers with children under 12 months was drawn from the database of MomConnect users. The sample was stratified based on province, gestational age or age of their baby and their type of phone. The 15 000 women all received an invitation to join the SMS survey on the afternoon of 24 June 2020. They could respond by SMS with "JOIN" to participate in the survey, by SMSing "STOP" to not participate or to reply with "MORE" if they needed more information. Those who participated in the survey received R10 in airtime. The wave 1 survey was completed on June 30, 2020. The wave 2 survey invitation was sent on the 2nd of July 2020 and the survey ended on the 5th of July 2020. Poverty Quintiles Two sets of poverty quintiles were created for respondents by constructing poverty quintiles for primary care public health facilities. The first poverty quintile measures the wealth quintile of the small area place where the facility that the respondent last visited is located. The second poverty quintile measures the average wealth quintile of the catchment area that the facility covers. Because of the focus on access to primary care and because the Momconnect moms' registrations are at their local primary care facility, only data related to public sector primary care facilities was extracted from the government database of facilities (clinics, community health centres and community day centres). The richest 15% of areas was also excluded since these individuals are unlikely to make use of public facilities. This implies that the 'wealthiest' quintile only represents the wealthiest of the 85% poorest South Africans. Each small area place in Census was then linked to their closest public primary care facility, using the GIS codes in both the Census and the national facility database to create a catchment area for each facility.Poverty quintiles were created by deriving a measure of living standards and wealth measures via Principal Component Analysis (PCA), using data on employment status, education level, earnings, household size, and cell phone and car ownership of the residents of the area collected during the 2011 census. PCA was used to calculate wealth scores and these were aggregated over the entire catchment area, weighted by the population size of each Small Area place in the Census 2011. The sample of respondents was matched to these poverty quintiles via the Momconnect facility identifier, which captures the facility where the mother was registered. Mobile Phone [mp] Two questionnaires were used, one for the Wave 1 Survey and another for the Wave 2 Survey. The Project received permission from the National Department of Health to survey their patients. The Team obtained ethics approval for data collection from the University of Stellenbosch's Research Ethics Committee for Social, Behavioural and Education Research [project 14926 on 15 June 2020] as part of the rapid Coronavirus research stream. Assuming a response rate of 20%, from the targeted sample of 15 000 women, the project aimed to achieve a survey sample of 3000 and realised a sample of 3140 for wave 1 and thus had an effective response rate of 21%. Of the 3140 individuals who responded to wave 1, 2287 also responded in wave 2. The attrition rate between wave 1 and wave 2 was thus about 27%. DataFirst University of Stellenbosch. Coronavirus Rapid Mobile Survey of Maternal and Child Health (CRAM-MATCH) 2020 [dataset]. Version 1. Stellenbosch: US [producer], 2020. Cape Town: DataFirst [distributor], 2021. DOI: https://doi.org/10.25828/3f2y-wc33 Public access data, available to all cram-match-2020-v1 15000 50 Facility-Code Facility-Code Facility-Code Facility-Code Facility-Code 15000 Field:Export-Id Field:Export-Id Field:Export-Id Field:Export-Id Field:Export-Id 15000 Field:Export-Id Field:Export-Id Field:Export-Id Field:Export-Id Field:Export-Id 15000 1 561731 179246.004 144929.641 When did you last go to the clinic or hospital? When did you last go to the clinic or hospital? When did you last go to the clinic or hospital? When did you last go to the clinic or hospital? When did you last go to the clinic or hospital? 3140 11860 1 Before March 2 March 3 April 4 May 5 June 6 Don't want to answer Sysmiss Why didn't you go to the clinic recently? Why didn't you go to the clinic recently? Why didn't you go to the clinic recently? Why didn't you go to the clinic recently? Why didn't you go to the clinic recently? 504 14496 1 Waiting time 2 Transport problems 3 Afraid of getting the Coronavirus 4 No need 5 Other 6 Don't want to answer Sysmiss During April, May and June, was there a child in your home who was sick or neede During April, May and June, was there a child in your home who was sick or neede During April, May and June, was there a child in your home who was sick or neede During April, May and June, was there a child in your home who was sick or neede During April, May and June, was there a child in your home who was sick or neede 3083 11917 1 Yes 2 No 3 Don’t want to answer Sysmiss Did the child see a nurse/doctor? Did the child see a nurse/doctor? Did the child see a nurse/doctor? Did the child see a nurse/doctor? Did the child see a nurse/doctor? 684 14316 1 Yes 2 No 3 Don’t want to answer Sysmiss Why didn't the child see a nurse/doctor? Why didn't the child see a nurse/doctor? Why didn't the child see a nurse/doctor? Why didn't the child see a nurse/doctor? Why didn't the child see a nurse/doctor? 35 14965 1 Afraid of getting the Coronavirus 2 No need 3 Waiting time 4 Transport problems 5 Other 6 Don't want to answer Sysmiss If you take ART, during May and June, have you run out of medication? If you take ART, during May and June, have you run out of medication? If you take ART, during May and June, have you run out of medication? If you take ART, during May and June, have you run out of medication? If you take ART, during May and June, have you run out of medication? 3047 11953 1 Yes 2 No 3 Don't need ART 4 Don't want to answer Sysmiss Why did you run out of ART? Why did you run out of ART? Why did you run out of ART? Why did you run out of ART? Why did you run out of ART? 169 14831 1 Afraid of getting the Coronavirus 2 No ART available 3 Waiting time 4 Transport problems 5 Don't want to answer Sysmiss Has any adult in this household gone to bed hungry in the past 7 days? Has any adult in this household gone to bed hungry in the past 7 days? Has any adult in this household gone to bed hungry in the past 7 days? Has any adult in this household gone to bed hungry in the past 7 days? Has any adult in this household gone to bed hungry in the past 7 days? 3022 11978 1 Yes 2 No 3 Don’t want to answer Sysmiss Has any child in this household gone to bed hungry in the past 7 days? Has any child in this household gone to bed hungry in the past 7 days? Has any child in this household gone to bed hungry in the past 7 days? Has any child in this household gone to bed hungry in the past 7 days? Has any child in this household gone to bed hungry in the past 7 days? 2992 12008 1 Yes 2 No 3 No child in the hh 4 Don’t want to answer Sysmiss In the last 7 days have you felt hopeless, down or depressed? In the last 7 days have you felt hopeless, down or depressed? In the last 7 days have you felt hopeless, down or depressed? In the last 7 days have you felt hopeless, down or depressed? In the last 7 days have you felt hopeless, down or depressed? 2943 12057 1 No 2 Yes, a few days 3 Yes, most days 4 Don't want to answer Sysmiss In the last 7 days have you felt little interest or pleasure in doing things? In the last 7 days have you felt little interest or pleasure in doing things? In the last 7 days have you felt little interest or pleasure in doing things? In the last 7 days have you felt little interest or pleasure in doing things? In the last 7 days have you felt little interest or pleasure in doing things? 2915 12085 1 No 2 Yes, a few days 3 Yes, most days 4 Don't want to answer Sysmiss type type type type type 15000 Postbirth Prebirth channel channel channel channel channel 15000 SMS WhatsApp province province province province province 15000 Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape 15000 1 2 3 4 15000 1 Yesterday did you breastfeed your baby? Yesterday did you breastfeed your baby? Yesterday did you breastfeed your baby? Yesterday did you breastfeed your baby? Yesterday did you breastfeed your baby? 987 14013 1 Yes 2 No 9 Don't want to answer Sysmiss Did you use a pregnancy test to see if you were pregnant? Did you use a pregnancy test to see if you were pregnant? Did you use a pregnancy test to see if you were pregnant? Did you use a pregnancy test to see if you were pregnant? Did you use a pregnancy test to see if you were pregnant? 1300 13700 1 Before March 2 March 3 April 4 May 5 June 6 Don't want to answer Sysmiss Yesterday did you feed your baby formula or porridge such as nestum? Yesterday did you feed your baby formula or porridge such as nestum? Yesterday did you feed your baby formula or porridge such as nestum? Yesterday did you feed your baby formula or porridge such as nestum? Yesterday did you feed your baby formula or porridge such as nestum? 981 14019 1 Yes 2 No 9 Don't want to answer Sysmiss Where did you use the pregnancy test? Where did you use the pregnancy test? Where did you use the pregnancy test? Where did you use the pregnancy test? Where did you use the pregnancy test? 1176 13824 1 Waiting time 2 Transport problems 3 Afraid of getting the Coronavirus 4 No need 5 Other 6 Don't want to answer Sysmiss Why did you not use a pregnancy test? Why did you not use a pregnancy test? Why did you not use a pregnancy test? Why did you not use a pregnancy test? Why did you not use a pregnancy test? 117 14883 1 Knew I was pregnant 2 Couldn't afford 3 Difficult to get one 4 Other 8 Don't want to answer Sysmiss In the last 7 days did you feed your baby... In the last 7 days did you feed your baby... In the last 7 days did you feed your baby... In the last 7 days did you feed your baby... In the last 7 days did you feed your baby... 190 14810 1 ONLY breastmilk 2 ONLY baby formula/nestum 3 Breastmilk AND baby formula/nestum 8 Don't want to answer Sysmiss Do you have any other children? Do you have any other children? Do you have any other children? Do you have any other children? Do you have any other children? 1288 13712 0 children 1 1 child 2 2 children 3 3 children 4 4+ children 8 Don't want to answer Sysmiss Do you have any other children? Do you have any other children? Do you have any other children? Do you have any other children? Do you have any other children? 971 14029 1 1 child 2 2 children 3 3 children 4 4+ children 8 Don't want to answer Sysmiss In the last 7 nights did YOU ever go to bed hungry? In the last 7 nights did YOU ever go to bed hungry? In the last 7 nights did YOU ever go to bed hungry? In the last 7 nights did YOU ever go to bed hungry? In the last 7 nights did YOU ever go to bed hungry? 2250 12750 1 Yes 2 No 3 Don't know 9 Don't want to answer Sysmiss In the last 7 nights did A CHILD go to bed hungry in your household? In the last 7 nights did A CHILD go to bed hungry in your household? In the last 7 nights did A CHILD go to bed hungry in your household? In the last 7 nights did A CHILD go to bed hungry in your household? In the last 7 nights did A CHILD go to bed hungry in your household? 2232 12768 1 Yes 2 No 3 Don't know 8 No children 9 Don't want to answer Sysmiss Have you eaten any meat in the last 30 days? Have you eaten any meat in the last 30 days? Have you eaten any meat in the last 30 days? Have you eaten any meat in the last 30 days? Have you eaten any meat in the last 30 days? 2221 12779 1 Yes 2 No I can't afford meat 3 No, I didn't want meat 5 Don't Know 6 Don't want to answer Sysmiss Since you found out you were pregnant how many times have you visited a clinic? Since you found out you were pregnant how many times have you visited a clinic? Since you found out you were pregnant how many times have you visited a clinic? Since you found out you were pregnant how many times have you visited a clinic? Since you found out you were pregnant how many times have you visited a clinic? 1256 13744 1 1 2 2 3 3 4 4 5 5 6 6+ 8 Don't Know 9 Don't want to answer Sysmiss Since your baby was born, have you ever taken your baby to the clinic? Since your baby was born, have you ever taken your baby to the clinic? Since your baby was born, have you ever taken your baby to the clinic? Since your baby was born, have you ever taken your baby to the clinic? Since your baby was born, have you ever taken your baby to the clinic? 957 14043 1 Yes 2 No 9 Don't want to answer Sysmiss How many times have you taken your baby to the clinic since they were born? How many times have you taken your baby to the clinic since they were born? How many times have you taken your baby to the clinic since they were born? How many times have you taken your baby to the clinic since they were born? How many times have you taken your baby to the clinic since they were born? 925 14075 1 1 2 2 3 3 4 4 5 5 6 6+ 8 Don't Know 9 Don't want to answer Sysmiss Do you think you are likely to get the coronavirus? Do you think you are likely to get the coronavirus? Do you think you are likely to get the coronavirus? Do you think you are likely to get the coronavirus? Do you think you are likely to get the coronavirus? 1251 13749 1 Yes 2 No 8 Don't know 9 Don't want to answer Sysmiss In June did you have any kind of job or sell things or earn any income, no matte In June did you have any kind of job or sell things or earn any income, no matte In June did you have any kind of job or sell things or earn any income, no matte In June did you have any kind of job or sell things or earn any income, no matte In June did you have any kind of job or sell things or earn any income, no matte 1245 13755 1 Yes 2 No 9 Don't want to answer Sysmiss When did your child last receive a vaccination/umjovo? When did your child last receive a vaccination/umjovo? When did your child last receive a vaccination/umjovo? When did your child last receive a vaccination/umjovo? When did your child last receive a vaccination/umjovo? 948 14052 1 Before March 2 March 3 April 4 May 5 June 6 July 8 Don't Know 9 Don't want to answer Sysmiss What is your highest level of education? What is your highest level of education? What is your highest level of education? What is your highest level of education? What is your highest level of education? 2177 12823 1 Completed primary school 2 Some high school 3 Passed matric 4 Tertiary qualification 9 Don't want to answer Sysmiss One thing you are MOST worried about One thing you are MOST worried about One thing you are MOST worried about One thing you are MOST worried about One thing you are MOST worried about 2155 How many nights did YOU go to bed hungry? How many nights did YOU go to bed hungry? How many nights did YOU go to bed hungry? How many nights did YOU go to bed hungry? How many nights did YOU go to bed hungry? 408 14592 1 2 3 4 5 6 7 8 9 Sysmiss How many nights did the child go to bed hungry? How many nights did the child go to bed hungry? How many nights did the child go to bed hungry? How many nights did the child go to bed hungry? How many nights did the child go to bed hungry? 200 14800 1 2 3 4 5 6 7 8 9 Sysmiss 2915 12085 1 Sysmiss 15000 100006 998842 545306.641 241850.339 (mean) wealth_index_catch (mean) wealth_index_catch (mean) wealth_index_catch (mean) wealth_index_catch (mean) wealth_index_catch 14393 607 -4.659 2.395 -1.179 1.531 (mean) wealth_index_SAL (mean) wealth_index_SAL (mean) wealth_index_SAL (mean) wealth_index_SAL (mean) wealth_index_SAL 14552 448 -6.922 10.632 -0.164 2.672 (first) dccode (first) dccode (first) dccode (first) dccode (first) dccode 14485 515 101 947 638.916 248.612 (first) district (first) district (first) district (first) district (first) district 14485 Alfred Nzo Amajuba Amathole Bojanala Buffalo City Cacadu Cape Winelands Capricorn Central Karoo Chris Hani City of Cape Town City of Johannesburg City of Tshwane Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Eden Ehlanzeni Ekurhuleni Fezile Dabi Frances Baard Gert Sibande Greater Sekhukhune John Taolo Gaetsewe Lejweleputswa Mangaung Mopani Namakwa Nelson Mandela Bay Ngaka Modiri Molema Nkangala O.R.Tambo Overberg Pixley ka Seme Sedibeng Sisonke Siyanda Thabo Mofutsanyane UMgungundlovu Ugu Ukhahlamba Umkhanyakude Umzinyathi Uthukela Uthungulu Vhembe Waterberg West Coast West Rand Xhariep Zululand eThekwini Metropolitan iLembe (sum) population_number_catch (sum) population_number_catch (sum) population_number_catch (sum) population_number_catch (sum) population_number_catch 14485 515 129943 20521.386 16904.861 (sum) population_number_SAL (sum) population_number_SAL (sum) population_number_SAL (sum) population_number_SAL (sum) population_number_SAL 14874 126 11717 687.662 466.522 5 quantiles of wealth_index_catch 5 quantiles of wealth_index_catch 5 quantiles of wealth_index_catch 5 quantiles of wealth_index_catch 5 quantiles of wealth_index_catch 14393 607 1 2 3 4 5 Sysmiss 5 quantiles of wealth_index_SAL 5 quantiles of wealth_index_SAL 5 quantiles of wealth_index_SAL 5 quantiles of wealth_index_SAL 5 quantiles of wealth_index_SAL 14552 448 1 2 3 4 5 Sysmiss