@article{fdi:010065380, title = {{I}mproving survey data on pregnancy-related deaths in low-and middle-income countries : a validation study in {S}enegal}, author = {{H}elleringer, {S}. and {P}ison, {G}. and {M}asquelier, {B}. and {K}ante, {A}. {M}. and {D}ouillot, {L}. and {N}diaye, {C}. {T}. and {D}uthe, {G}. and {S}okhna, {C}heikh and {D}elaunay, {V}al{\'e}rie}, editor = {}, language = {{ENG}}, abstract = {{O}bjective{I}n low- and middle-income countries ({LMIC}s), siblings' survival histories ({SSH}) are often used to estimate maternal mortality, but {SSH} data on causes of death at reproductive ages have seldom been validated. {W}e compared the accuracy of two {SSH} instruments: the standard questionnaire used during the demographic and health surveys ({DHS}) and the siblings' survival calendar ({SSC}), a new questionnaire designed to improve survey reports of deaths among women of reproductive ages. {M}ethods{W}e recruited 1189 respondents in a {SSH} survey in {N}iakhar, {S}enegal. {M}ortality records from a health and demographic surveillance system ({HDSS}) constituted the reference data set. {R}espondents were randomly assigned to an interview with the {DHS} or {SSC} questionnaires. {A} total of 164 respondents had a sister who died at reproductive ages over the past 15years before the survey according to the {HDSS}. {R}esults{T}he {DHS} questionnaire led to selective omissions of deaths: {DHS} respondents were significantly more likely to report their sister's death if she had died of pregnancy-related causes than if she had died of other causes (96.4% vs. 70.9%, {P}<0.007). {A}mong reported deaths, both questionnaires had high sensitivity (>90%) in recording pregnancy-related deaths. {B}ut the {DHS} questionnaire had significantly lower specificity than the {SSC} (79.5% vs. 95.0%, {P}=0.015). {T}he {DHS} questionnaire overestimated the proportion of deaths due to pregnancy-related causes, whereas the {SSC} yielded unbiased estimates of this parameter. {C}onclusion{S}tatistical models informed by {SSH} data collected using the {DHS} questionnaire might exaggerate maternal mortality in {S}enegal and similar settings. {A} new questionnaire, the {SSC}, could permit better tracking progress towards the reduction in maternal mortality.}, keywords = {maternal mortality ; siblings' survival histories ; survey data ; sensitivity and specificity ; {S}enegal ; {SENEGAL}}, booktitle = {}, journal = {{T}ropical {M}edicine and {I}nternational {H}ealth}, volume = {20}, numero = {11}, pages = {1415--1423}, ISSN = {1360-2276}, year = {2015}, DOI = {10.1111/tmi.12583}, URL = {https://www.documentation.ird.fr/hor/fdi:010065380}, }