Pregnancy module

1.0 Overview

This module determines basic pregnancy outcome information such as pregnancy duration, child sex, etc.

2.0 Module Diagram and Data

2.1 Module Diagram

digraph pregnancy { bgcolor="transparent"; node [shape=box]; start; choice [label="Pregnancy results in either a live birth or a stillbirth?"]; birth_outcome [label=< <B>Assign birth outcome<br/>(live birth vs stillbirth)</B> >]; gestational_age [label=< <B>Assign gestational age at end of pregnancy</B> >]; sex [label=< <B>Assign sex of infant</B> >]; lbwsg [label=< <B>Assign birthweight and gestational age at end of pregnancy</B> >]; preterm [label=< <B>Assign preterm status</B> >] pregnancy_outcome [label=< <B>Assign pregnancy outcome<br/>(live birth vs stillbirth vs abortion/miscarriage/ectopic)</B> >] end; start -> choice; choice -> birth_outcome [label="Yes"]; choice -> gestational_age [label="No"]; gestational_age -> preterm; birth_outcome -> sex; sex -> lbwsg; lbwsg -> preterm; preterm -> pregnancy_outcome; pregnancy_outcome -> end; }

All instructions are detailed on the MNCNH portfolio pregnancy model document. This document also contains a list of model assumptions and limitations as well as verification and validation criteria.

The inputs and outputs for this module are summarized in the tables below.

Module required inputs

Input

Source module

Application

Note

Broad pregnancy outcome

Initial attributes module

Affects pregnancy outcome (which is just a refinement of this input), gestational age

LBWSG category propensity

Initial attributes module

Used to sample exposure value from the LBWSG exposure distribution. Ordering of the LBWSG exposure categories matters when sampling. See the correlated propensities and special ordering of the categories sections of the facility choice model document.

IFA/MMS coverage

Hemoglobin module

Affects birth outcome, birthweight, and gestational age

Will need to perform baseline calibration

IV iron coverage

Hemoglobin module

Affects birth outcome, birthweight, and gestational age

Module outputs

Output

Value

Note

Pregnancy outcome

“live_birth”, “stillbirth”, or “abortion/miscarriage/ectopic”

Gestational age at end of pregnancy

point value in weeks

For live birth and stillbirth pregnancies, this is assigned based on LBWSG category, which is correlated with other model variables as described in the correlated propensities section of the facility choice model documentation.

Preterm status

“preterm” or “term”

Equals “preterm” if gestational age at end of pregnancy is < 37 weeks, “term” if gestational age at end of pregnancy is 37+ weeks. Preterm status will be used for validation of the facility choice model.

Sex of infant

“male” or “female”

N/A for pregnancies resulting in abortion/miscarriage/ectopic pregnancy

Birthweight

point value in grams

N/A for pregnancies resulting in abortion/miscarriage/ectopic pregnancy. Assigned based on LBWSG category, which is correlated with other model variables as described in the correlated propensities section of the facility choice model documentation.