Secondary data analysis for generating new evidence (SAGE)

The SAGE project uses Demographic and Health Surveys (DHS) to gain insights into the patterns, transitions and choices women in low- and middle-income countries make in accessing reproductive and maternal healthcare services. The DHS are cross-sectional nationally-representative household surveys conducted in dozens of countries and are a vital data resource for cross-country comparative analyses. Our in-depth analysis includes countries from four geographic regions: Sub-Saharan Africa, Middle East/Europe, South/Southeast Asia and Latin America/the Caribbean.

Photo: Jonathan Torgovnik

The work is published as open access peer-reviewed papers and reports. Its main contributions include:

  • The largest analysis to date aimed at understanding where women receive reproductive and maternal healthcare services; it includes nearly one million women from 57 countries.
  • Rigorous and transparent definitions of what constitutes need for, and use of, appropriate health services, consistent for family planning, antenatal care and delivery care.
  • The development of the most detailed provider classification to date across different surveys, resulting in harmonisation and allowing multi-country comparisons.
  • A literature review of published studies assessing the extent of private sector participation in providing reproductive/maternal health services, identifying current gaps in knowledge and useful directions of future inquiries.
  • A critical assessment of the challenges encountered using DHS data for the purpose of understanding types of providers where women seek care, which could guide future improvements in data collection, DHS dataset structure and analysis approaches.

For more information, please contact Dr Lenka Benova.