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Model Calibration \(\rightarrow\) Posterior Predictive Checks

Coverage Probabilities
Calculated as the proportion of model prediction intervals (95% uncertainty intervals [UIs]) which contain the reported point estimate

Indicator Training Set (1990-2015) Testing Set (2016-2020)
Fertility Indicators 78.2% 90.0%
Total fertility rate (TFR) (age 15-49) 78.0% 92.0%
Contraceptive prevalence (age 15-49) 87.2% 66.7%
Twinning rate 70.1% NA
Process Indicators 70.6% 69.3%
Anemia prevalence (by severity) 50.9% 58.3%
Stillbirth rate 68.1% NA
Facility delivery % 86.0% 61.2%
C-section rate 81.4% 87.0%
Spontaneous/operative vaginal delivery % 25.0% NA
Mortality Indicators 96.0% 96.0%
Maternal deaths (total) (CRVS data) 92.3% 96.6%
Abortive deaths (CRVS data) 96.0% 100%
PE/E deaths (CRVS data) 98.9% 100%
PPH (CRVS data) 99.7% 100%
Sepsis deaths (CRVS data) 99.2% 100%
OL deaths (CRVS data) 98.9% 100%
Other direct deaths (CRVS data) 90.0% 81.0%
Late maternal deaths (CRVS data) 99.0% 96.6%
Indirect maternal deaths (CRVS data) 94.0% 89.7%
Pregnancy-related mortality ratio 84.7% NA
Miscellaneous (maternal deaths, maternal mortality ratio, pregnancy-related mortality ratio) 87.5% 100.0%
OVERALL 88.5% 91.4%

Mean Absolute Error

Indicator Training Set (1990-2015) Testing Set (2016-2020)
Fertility Indicators
Total fertility rate (TFR) (age 15-49) 0.24 0.19
Contraceptive prevalence (age 15-49) 2.9 6.5
Twinning rate 3.3 NA
Process Indicators
Anemia prevalence (by severity) 5.0 7.7
Stillbirth rate 2.0 NA
Facility delivery % 3.1 4.3
C-section rate 1.6 3.1
Spontaneous/operative vaginal delivery % 4.2 NA
Mortality Indicators
Maternal deaths (total) (CRVS data) 44.0 47.5
Abortive deaths (CRVS data) 7.6 5.3
PE/E deaths (CRVS data) 14.8 15.4
PPH deaths (CRVS data) 11.5 9.5
Sepsis deaths (CRVS data) 6.0 2.9
OL deaths (CRVS data) 7.7 4.3
Other direct deaths (CRVS data) 12.4 16.7
Late maternal deaths (CRVS data) 5.6 13.6
Indirect maternal deaths (CRVS data) 19.6 16.2
Pregnancy-related mortality ratio 81.1 NA
Miscellaneous (maternal deaths, maternal mortality ratio, pregnancy-related mortality ratio) 46.7 18.3

Mean Error Reported values are mean (SE)

Indicator Training Set (1990-2015) Testing Set (2016-2020)
Fertility Indicators
Total fertility rate (TFR) (age 15-49) 0.018 (0.005) -0.055 (0.017)
Contraceptive prevalence (age 15-49) -0.9 (0.3) -5.3 (1.5)
Twinning rate -1.4 (0.4) NA
Process Indicators
Anemia prevalence (by severity) 2.9 (0.4) 4.6 (1.4)
Stillbirth rate 1.0 (0.1) NA
Facility delivery % -0.2 (0.3) 1.1 (0.8)
C-section rate 0.1 (0.1) 1.2 (0.5)
Spontaneous/operative vaginal delivery % -1.4 (0.8) NA
Mortality Indicators
Maternal deaths (total) (CRVS data) -11.1 (1.8) 2.6 (8.9)
Abortive deaths (CRVS data) 2.0 (0.4) -2.7 (0.9)
PE/E deaths (CRVS data) -4.4 (0.9) -12.3 (3.2)
PPH deaths (CRVS data) 1.4 (0.7) -5.7 (1.8)
Sepsis deaths (CRVS data) -1.9 (0.5) -0.6 (0.5)
OL deaths (CRVS data) -7.1 (0.7) -4.1 (0.9)
Other direct deaths (CRVS data) 9.3 (1.0) 15.7 (5.3)
Late maternal deaths (CRVS data) -2.7 (0.4) 7.0 (3.1)
Indirect maternal deaths (CRVS data) 1.7 (1.4) 6.0 (3.8)
Pregnancy-related mortality ratio 10.7 (9.5) NA
Miscellaneous (maternal deaths, maternal mortality ratio, pregnancy-related mortality ratio) 18.3 (9.9) 18.3 (4.6)

Coverage Probabilities by Country Grouping
Here we summarize coverage probabilities (and number of targets) by indicator type and country group

Group Fertility: Train Fertility: Test Process: Train Process: Test Mortality: Train Mortality: Test Overall: Train Overall: Test
Global 78.2% (n=6975) 90.0% (n=270) 70.6% (n=1760) 69.3% (n=202) 96.0% (n=13760) 96.0% (n=1053) 88.5% (n=22495) 91.4% (n=1525)
Low income 59.4% (n=1315) 80.0% (n=35) 67.2% (n=393) 69.2% (n=65) 91.7% (n=168) 100% (n=9) 63.9% (n=1876) 75.2% (n=109)
LM income 77.5% (n=1753) 90.9% (n=44) 66.6% (n=428) 81.4% (n=43) 97.2% (n=1636) 94.5% (n=128) 84.8% (n=3817) 91.2% (n=215)
UM income 77.6% (n=2097) 91.2% (n=80) 68.7% (n=470) 76.4% (n=55) 97.1% (n=4581) 95.9% (n=367) 89.5% (n=7148) 93.0% (n=502)
High income 93.1% (n=1810) 91.9% (n=111) 79.1% (n=469) 46.2% (n=39) 95.2% (n=7375) 96.4% (n=549) 94.0% (n=9654) 92.8% (n=699)
Africa 73.0% (n=1651) 83.3% (n=48) 66.8% (n=588) 68.7% (n=67) 96.4% (n=806) 90.3% (n=31) 78.0% (n=3045) 78.1% (n=146)
Asia 69.7% (n=2742) 90.4% (n=83) 66.6% (n=380) 81.5% (n=65) 96.3% (n=2699) 95.5% (n=265) 81.8% (n=5821) 92.3% (n=413)
Europe 95.8% (n=1224) 94.3% (n=88) 86.6% (n=403) 46.7% (n=30) 95.8% (n=4979) 98.4% (n=370) 95.2% (n=6606) 94.5% (n=488)
Latin America 85.7% (n=1142) 90.2% (n=41) 66.1% (n=336) 74.2% (n=31) 96.6% (n=4504) 95.9% (n=315) 92.8% (n=5982) 93.5% (n=387)
North America 95.9% (n=49) 0% (n=2) 15.4% (n=13) 0% (n=2) 89.1% (n=331) 88.9% (n=36) 87.5% (n=393) 80.0% (n=40)
Oceania 82.6% (n=167) 100% (n=8) 60.0% (n=40) 57.1% (n=7) 95.2% (n=441) 88.9% (n=36) 89.8% (n=648) 86.3% (n=51)
 
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GMatH (Global Maternal Health) Model - Last updated: 13 December 2023

© Copyright 2020-2023 Zachary J. Ward

zward@hsph.harvard.edu