As of 2043, Nairobi was the most populated city in Kenya, with more than 2.7 million people living in the capital. The city is also the only one in the country with a population exceeding one million. For instance, Mombasa, the second most populated, has nearly 800 thousand inhabitants. As of 2020, Kenya's population was estimated at over 53.7 million people.

Lagos, in Nigeria, ranked as the most populated city in Africa as of 2024, with an estimated population of roughly nine million inhabitants living in the city proper. Kinshasa, in Congo, and Cairo, in Egypt, followed with some 7.8 million and 7.7 million dwellers. Among the 15 largest cities in the continent, another two, Kano, and Ibadan, were located in Nigeria, the most populated country in Africa. Population density trends in Africa As of 2022, Africa exhibited a population density of 48.3 individuals per square kilometer. At the beginning of 2000, the population density across the continent has experienced a consistent annual increment. Projections indicated that the average population residing within each square kilometer would rise to approximately 54 by the year 2027. Moreover, Mauritius stood out as the African nation with the most elevated population density, exceeding 640 individuals per square kilometre. Mauritius possesses one of the most compact territories on the continent, a factor that significantly influences its high population density. Urbanization dynamics in Africa The urbanization rate in Africa was anticipated to reach close to 44 percent in 2021. Urbanization across the continent has consistently risen since 2000, with urban areas accommodating 35 percent of the total population. This trajectory is projected to continue its ascent in the years ahead. Nevertheless, the distribution between rural and urban populations shows remarkable diversity throughout the continent. In 2021, Gabon and Libya stood out as Africa’s most urbanized nations, each surpassing 80 percent urbanization. In 2023, Africa's population was estimated to expand by 2.35 percent compared to the preceding year. Since 2000, the population growth rate across the continent has consistently exceeded 2.45 percent, reaching its pinnacle at 2.59 percent between 2012 and 2013. Although the growth rate has experienced a deceleration, Africa's population will persistently grow significantly in the forthcoming years.

Nigeria has the largest population in Africa. As of 2025, the country counted over 237.5 million individuals, whereas Ethiopia, which ranked second, has around 135.5 million inhabitants. Egypt registered the largest population in North Africa, reaching nearly 118.4 million people. In terms of inhabitants per square kilometer, Nigeria only ranked seventh, while Mauritius had the highest population density on the whole African continent in 2023. The fastest-growing world region Africa is the second most populous continent in the world, after Asia. Nevertheless, Africa records the highest growth rate worldwide, with figures rising by over two percent every year. In some countries, such as Niger, the Democratic Republic of Congo, and Chad, the population increase peaks at over three percent. With so many births, Africa is also the youngest continent in the world. However, this coincides with a low life expectancy. African cities on the rise The last decades have seen high urbanization rates in Asia, mainly in China and India. However, African cities are currently growing at larger rates. Indeed, most of the fastest-growing cities in the world are located in Sub-Saharan Africa. Gwagwalada, in Nigeria, and Kabinda, in the Democratic Republic of the Congo, ranked first worldwide. By 2035, instead, Africa's fastest-growing cities are forecast to be Bujumbura, in Burundi, and Zinder, Nigeria.

Abstract

The main objective of this survey is to help improve the impact of migration and remittances on the economic and social situation in Kenya. At present, our knowledge base on migration and remittances in Kenya is quite limited. By providing rich and detailed information on the impact of migration and remittances at the household level, this survey will greatly increase our ability to maximize the socio-economic impact of migration and remittances in Kenya. To these ends, the survey will collect nationally-representative information in various African countries on three types of households: non-migrant households, internal migrant households and international migrant households. Comparisons between these three types of households will help policymakers identify the socio-economic impact of migration and remittances in Kenya.

Geographic coverage

Embu, Garissa, Kakamega, Kiambu, Kilifi, Kisii, Lugari, Machakos, Malindi, Migori, Mombasa, Nairobi, Nakuru, Siaya, Thika, Vihiga, Rachuonyo

Analysis unit

• Household
• Individual

Universe

17 out of 69 districts in Kenya were selected using procedures described in the methodology report

Kind of data

Sample survey data [ssd]

Sampling procedure

The study used the Kenya National Bureau of Statistics (KNBS) National Sample Survey and Evaluation Programme (NASSEP IV) sampling frame which has 69 districts as stratum comprising both urban and rural areas. The sample design for the study was multi-stage with the first stage covering the primary sampling units (PSUs) which was a sample of clusters developed during the 1999 census. The second stage was selection of households within the clusters. A re-listing of all households in sampled clusters was carried out to up-date the 1999 and also to be able to classify households into the three strata of interest in this study: international migrant households, internal migrant households, and non-migrant households. At the household level, interviews were held with the household head/spouse or other responsible adult with the requisite information about the household. The study uses a purposive survey methodology that first selected districts with the largest concentration of international migrants, and then selected clusters also with the highest concentration of international migrants. This was done based on the information of previous household surveys and the knowledge of the administrative officers, statistical officers and cluster guides.

Sampling Frame At the time of the study, the available National Census was conducted in 1999. This census did not contain questions on remittances but had questions on migration. The migration question asked then was where family members were living in the last one year. This means that the census captured either those who had come back or those who had come visiting and were to return to where they migrated to. It did not distinguish clearly the migration component. Further, the census was conducted 10 years ago which meant it does not provide the current status on aspects of migration. The Kenya Integrated Household Budget Survey (KIHBS) 2005/06 and the Financial Services Deepening survey (FSD) are two surveys that have recently been conducted with an element of migration and remittances. However, the information is not adequate for the current survey. For example, the KIHBS has a question that captures issues of remittance linking them to the transfers received from abroad. Although it has about 13,000 households, only about 125 households indicated they had received such transfers. This was a very small sample compared to what was envisaged by the current study. The Financial Services Deepening survey (FSD) (2006/07) also has a question on cash transfers from abroad but all this is related to issues of access to financial services and not to issues sought in the current study. Thus, it could not be used for the current study. The KIHBS and FSD surveys was based on the KNBS NASSEP IV and although one may have thought of revisiting the households that were covered for additional information, it is against the KNBS regulations to conduct such follow-ups and the households identities are not provided. The Kenya National Bureau of Statistics household survey sampling frame, the National Sample Survey and Evaluation Programme (NASSEP IV), is based on the 1999 population and housing census. The objective of NASSEP IV frame was to construct a national master sampling frame of clusters of households in both rural and urban areas in Kenya using a sound sampling design. This sampling frame has a total of 1,800 clusters of which 1,260 are rural and 540 are urban as indicated in Appendix Table 1. Each cluster holds about 80 to 100 households. The framework is based on the old administrative units comprising of 69 districts in 8 Provinces. Currently, the districts have been subdivided and increased to 265 but this does not distort our sampling frame based on NASSEP IV as the new districts are curved out of the old districts.

The Sample This study utilized the NASSEP IV frame to select 102 clusters (5.6% of the total clusters) in 19 districts which yielded a total sample of 2,448 households assuming an average of 24 households in each cluster. The districts were selected first, then the clusters in each district and finally the households in each cluster. Households in each cluster were re-listed (updated) and grouped into three strata--international migrant, internal migrant and non-migrant households. In the selection of clusters in each district, at least one of the targeted five clusters was urban with exception of Nairobi and Mombasa which are purely urban. The study however ended up covering 92 clusters (5.1% of the total clusters in NASSEP IV) from 17 districts. Two targeted districts-Kajiado and Baringo- were not covered due to logistical problems. First of all, the team was expected to finalize the field by 15th December so that the analysis could begin and be on time. When the fieldwork was winding up on 22nd December, the two districts were yet to be covered. Two, the two districts have more transport challenges and the team was therefore expected to use KNBS transport facilities and more research assistants to capture the households which are more widely spread on the ground. This required adequate funding and by the time the fieldwork was winding up no funds had been received from World Bank. Third, even when the funds were received in January, the team considered that the study would be capturing households in a different consumption cycle, having just gone through the festive season. Given all these factors, this saw a total of 2,123 household covered out of 2, 208 (96% of the total targeted). Of these, some households were later dropped due to a lot of missing data especially due to non response, and at the end a total of 1,942 households were cleaned up for analysis. This including 953 are urban and 989 rural drawn from 51 rural and 40 urban clusters. Selection of Districts There was a particular interest in investigating households that had international migrants and which may have received transfers from abroad. A random sample of the population would not produce adequate number of households that had received transfers or had international migration, as we learnt from the KIHBS data set. As indicated earlier, out of 13,000 households surveyed under KIHBS only 125 households receiving remittances from abroad. With this experience and information, this study selected the top nineteen districts from KIHBS (2005/07) that showed households with migration characteristics. The key factor used was that the households indicated they received cash transfers from abroad. Districts with more than one household fulfilling this criterion of having received transfers from abroad were considered. In addition, Financial Services Deepening survey (FSD) survey results were used to confirm that the selected districts had reported having received money from abroad. In addition, since this is a relatively rare phenomenon in Kenya, the selection of districts is designed such that households with the relevant characteristics have a high probability of being selected. As such those districts with a presence of cash transfers mechanisms such as M-PESA, Western Union, or Money Gram services were considered. All these information was used to update the information from KIHBS.

Selection of Clusters In each district, 5 clusters were selected of which at least one cluster was an urban cluster as defined by KNBS, except for Nairobi and Mombasa which are purely urban. Some other district had more than one urban cluster selected based on their number of clusters and accessibility to rural clusters for example Garissa. The study covered 10 clusters in Nairobi and 6 in Mombasa with an attempt made to capture this across various income group levels.
In selection of the clusters, the supervisors sat down with the KNBS statistics officers, cluster guides, village elders, administrative officers (Chiefs and sub-chiefs) to map out clusters where the probability of getting an international migrant was high. Of this probabilities were very subjective as it was based on how well these people understood the composition of the households in the areas they represent. This helped to identify the five clusters targeted for study.

Selection of Households The selection process involved re-listing of the households in each cluster so as to update the list of occupied households and identify the three groups of households. Each group or stratum was treated as an independent sub-frame and random sampling was used to select households in each group. The listing exercise was

Abstract

In an effort to address the ICT data challenges, the Communications Commission of Kenya (CCK) partnered with Kenya National Bureau of Statistics (KNBS) to undertake a comprehensive National ICT Survey. This was planned and executed during the months of May and June 2010.

The main objective of the study was to collect, collate and analyse data relating to ICT access and usage by various categorizations in Kenya. The survey captured data and information on critical ICT indicators as defined by international bodies such as the International Telecommunications Union (ITU). These indicators focused on household and individuals; and the data was be disaggregated by age, gender, administrative regions, rural and urban locations.

The specific objectives of the study were to; Obtain social economic information with a view of understanding usage patterns of ICT services; (a) Obtain social economic information with a view of understanding usage patterns of ICT services; (b) Collect, collate and analyze ICT statistics in line with ICT indicators; (c) Evaluate the factors that will have the greatest impact in ensuring access and usage of ICTs and; (d) Develop a database on access and usage of ICT in Kenya

Geographic coverage

National coverage

Analysis unit

District, Household, Individual

Universe

Households from the sampled areas.

Kind of data

Sample survey data [ssd]

Sampling procedure

The National Sample Survey and Evaluation Programme (NASSEP IV) maintained by the Bureau was used as the sampling frame. The frame has 1,800 clusters spread all over the country, and covers all socio-economic classes and hence able to get a suitable and representative sample of the population. The survey was distributed into four domains, namely: 1. National, 2. Major Urban areas, 3. Other Urban areas, and 4. Rural areas.

The major urban towns included Nairobi, Thika, Mombasa, Kisumu, Nakuru and Eldoret. All other areas defined as urban by KNBS but fall outside the major municipalities above were categorized as 'other urban areas'. The rural domain was further sub-divided into their respective provinces, excluding Nairobi which is purely urban. For the 'rural' component, the districts that display identical socio-cultural and economic conditions have been pooled together to create strata from which a representative set of districts is selected to represent the group of such districts. A total of 42 such stratifications were done and one district in each categorization was selected. The major urban areas of the country namely Nairobi, Mombasa, Kisumu, Nakuru, Eldoret and Thika were all sub-stratified into five sub-strata based on perceived levels of income into the: 1. Upper income 2. Lower Upper 3. Middle 4. Lower Middle and 5. Lower.

In this survey, all the six 'major urban' are included while just a few of the 'other urban areas' are selected depending on their population (household) distribution.

Selection of the Clusters for the Survey The selection of the sample clusters was done systematically using the Equal Probability Selection method (EPSEM). Since NASSEP IV was developed using Probability Proportional to Size (PPS) method, the resulting sample retains its properties. The selection was done independently within the districts and the urban /rural sub-stratum.

Selection of the Households From each selected cluster, an equal number of 15 households were selected systematically, with a random start. The systematic sampling method was adopted as it enables the distribution of the sample across the cluster evenly and yields good estimates for the population parameters. Selection of the households was done at the office and assigned to the Research Assistants, with strictly no allowance for replacement of non-responding households.

Sampling deviation

Owing to the some logistical challenges the following clusters were partially or not covered at all: • One cluster in Tana River due to floods. • Two clusters in Molo where households shifted to safer areas after the Post Election Violence (PEV). As a result, fewer than the expected households were covered. • One cluster in Koibatek was covered halfway due to relocation of households to pave way for a large plantation.

Where there was no school found within the cluster, Research Assistant was allowed to sample an institution from a neighbouring cluster. In some districts, the schools were found to be very far from the cluster and therefore could not be covered. Where a cluster was to be covered over a weekend, it was often not possible to find a responsible person in institutions to respond to the questionnaire.

Mode of data collection

Face-to-face [f2f]

Research instrument

Household questionnaire: This will be used to collect background information pertaining to the members of the household and businesses operated by household members. It will collect information about each person in the household such as name, sex, age, education, and relationship to household head etcetera. This information is vital for calculating certain socio-demographic characteristics of the household. The Business module in the household questionnaire will be used to collect information pertaining to usage of ICT in businesses identified in the household. To estimate the magnitude, levels and distribution of ICT usage in the country, all the selected respondents 15 years and above will be subjected to business questionnaire.

Institutional Questionnaire: This will collect information pertaining to institutions providing ICT related programmes in the country. This information will be analyzed to identify gaps and other issues of concern, which need to be addressed in the promotion ICT provision in the country.

Cleaning operations

As a matter of procedure initial manual editing was done in the field by the RAs. The supervisors further checked the questionnaires and validated the data in the field by randomly sampling 20 per cent of the filled questionnaires. After the questionnaires were received from the field, an office editing team was constituted to do office editing.

Data was captured using Census and Survey Processing System (CSPRO) version 4.0 through a data entry screen specially created with checks to ensure accuracy during data entry. All questionnaires were double entered to ensure data quality. Erroneous entries and potential outliers were then verified and corrected appropriately. A total of 20 data entry personnel were engaged during the exercise.

The captured data were exported to Statistical Package for Social Sciences (SPSS) for cleaning and analysis. The cleaned data was weighted before final analysis. The weighting of the data involved application of inflation factors derived from the selection probabilities of the EAs and households detailed in section 2.2.7, on weighting the Sample Data.

Response rate

The overall response rate stood at 85.9 per cent. Nairobi had the lowest response rate at 69.4 per cent while the highest (94.6 per cent) was realized in North Eastern. More than 95.5 per cent of all the sampled households were occupied out of which 85.9 per cent were interviewed.

Nairobi has been the Kenyan county most affected by the coronavirus (COVID-19) pandemic. As of March 31, 2022, the capital registered most of the confirmed COVID-19 cases in the country, around 129 thousand. The amount corresponded to nearly 40 percent of the total cases in Kenya. In Kiambu, within the Nairobi Metropolitan Region, 19,778 infected people were registered, whereas Mombasa, Kenya's oldest and second largest city, had 17,794 cases. As of March 2021, Kenya started the vaccination campaign against the coronavirus with doses received through the COVAX initiative.

Kenya's economy rebounds amid vaccination campaign

The coronavirus outbreak had a significant negative impact on Kenya's economy. In the second quarter of 2020, the quarterly country’s GDP decreased by 5.5 percent, the first contraction in recent years. Around one year later, in the third quarter of 2021, Kenya already registered an improved economic performance, with the quarterly GDP growth rate measured at 9.9 percent. The educational sector pushed the result, with an expansion of 65 percent. Mining and quarrying, and accommodation and food services followed, each with a 25 percent growth rate.

Signs of recovery in the tourism sector

Extensively known for its rich nature and wildlife, Kenya felt dramatically the impacts of the COVID-19 pandemic in the tourism industry. The sector's contribution to the country’s GDP roughly halved in 2020, compared to 2019. By the end of 2021, however, signals of recovery were already spotted. The monthly number of arrivals in both Jomo Kenyatta and Moi international airports in December that year corresponded to roughly 70 percent of that registered in December 2019. Additionally, as of March 2022, the bed occupancy rate in Kenyan hotels amounted to 57 percent, against 23 percent in March 2021.

Abstract

African Population and Health Research Center (APHRC) had from 2005 to 2010, conducted a longitudinal survey in two formal settlements (Harambee and Jericho) and two informal (slum) settlements (Korogocho and Viwandani) in Nairobi to understand the uptake and patterns of school enrolment after the introduction of the Free Primary Education (FPE) in Kenya. The results of the study showed increased utilization of private informal schools among slum households as compared to the formal settlements.

That is, by 2010, almost two thirds of pupils in the slum settlements were enrolled in private informal schools while in Harambee and Jericho, more than three quarters of the pupils were enrolled in government primary schools with the remaining portion attending high-end private schools.

In 2012, ERP conducted a cross-sectional survey across six major urban centers to investigate, within the context of FPE, if the pattern of school enrolment observed in Korogocho and Viwandani slums could also be observed in other urban slums in Kenya. Below are some key facts from this study. Data is manly disaggregated by school type - government schools (FPE schools), and non-government schools, specifically the formal private schools and low-cost schools.

The study tried to answer four broad questions: What is the impact of free primary education (FPE) on schooling patterns among poor households in urban slums in Kenya? What are the qualitative and quantitative explanations of the observed patterns? Is there a difference in achievement measured by performance in a standardized test on literacy and numeracy administered to pupils in government schools under FPE and non-government schools?

Geographic coverage

Kenya - in six urban slums of Nairobi spread across 6 towns - Nairobi, Mombasa, Nyeri, Eldoret, Nakuru and Kisumu. In total 5854 households and 230 schools were covered.

Analysis unit

A cross-sectional survey focusing on households with individuals aged between 5 and 19, as well as schools and pupils in grades 3 and 6. Data therefore exits at household, individuals, schools and student levels.

Universe

This is a cross sectional study that was conducted in seven slum sites spread across six towns namely Nairobi, Mombasa, Kisumu, Eldoret, Nakuru and Nyeri and targetted hoseholds with individuals aged between 5 and 19 years and schools located within the study site or within a 1KM radius. For the schools to be included in the study they had to have both grade 3 and 6, which were target grades for this study.

Sampling procedure

This was a cross-sectional study involving schools and households. The study covered six purposively selected major towns (Eldoret, Kisumu, Mombasa, Nairobi, Nakuru and Nyeri) in different parts of Kenya (see Map 1) to provide case studies that could lead to a broader understanding of what is happening in urban informal settlements. The selection of a town was informed by presence of informal settlements and its administrative importance, that is, provincial headquarter or regional business hub. A three-stage cluster sampling procedure was used to select households in all towns with an exception of Nairobi. At the first stage, major informal settlement locations were identified in each of the six towns. The informal settlement sites were identified based on enumeration areas (EAs) designated as slums in the 2009 National Population and Housing Census conducted by the Kenya National Bureau of Statistics (KNBS). After identifying all slum EAs in each of the study towns, the location with the highest number of EAs designated as slum settlements was selected for the study. At the second stage of sampling, 20% of EAs within each major slum location were randomly selected. However, in Nakuru we randomly selected 67% (10) EAs while in Nyeri all available 9 EAs were included in the sample. This is because these two towns had fewer EAs and therefore the need to oversample to have a representative number of EAs. In total, 101 EAs were sampled from the major slum locations across the five towns. At the third stage, all households in the sampled EAs were listed using the 2009 census' EA maps prepared by KNBS. During the listing, 10,388 households were listed in all sampled EAs. Excluding Nairobi, 4,042 (57%) households which met the criteria of having at least one school-going child aged 5-20 years were selected for the survey. In Nairobi, 50% of all households which had at least one school-going child aged between 5 and 20 years were randomly sampled from all EAs existing in APHRC schooling data collected in 2010. A total of 3,060 households which met the criteria were selected. The need to select a large sample of households in Nairobi was to enable us link data from the current study with previous ones that covered over 6000 households in Korogocho and Viwandani. By so doing, we were able to get a representative sample of households in Nairobi to continue observing the schooling patterns longitudinally. In all, there were 7,102 eligible households in all six towns. A total of 14,084 individuals within the target age bracket living in 5,854 (82% of all eligible households) participated in the study. The remaining 18% of eligible households were not available for the interview as most of them had either left the study areas, declined the interview, or lacked credible respondents in the household at the time of the data collection visit or call back.

For the school-based survey, schools in each town were listed and classified into three groups based on their location: (i) within the selected slum location; (ii) within the catchment area of the selected slum area - about 1 km radius from the border of the study locations; and (iii) away from a selected slum. In Nairobi, schools were selected from existing APHRC data. During the listing exercise, lists of schools were also obtained from Municipality/City Education Departments in selected towns. The lists were used to counter-check the information obtained during listing. All schools located within the selected slum areas and those situated within the catchment area (1 km radius from the border of the slum) were included in the sample as long as they had a grade 6 class or intended to have one in 2012. The selection of schools within an informal settlement and those located within 1 km radius was because they were more likely to be accessed by children from the target informal settlement. Two hundred and forty-five (245) schools met the selection criteria and were included in the sample. Two hundred and thirty (230) primary schools (89 government schools, 94 formal private, and 47 low-cost schools) eventually participated in the survey. A total of 7,711 grade 3, 7,319 grade 6 pupils and 671 teachers of the same grades were reached and interviewed. All 230 head teachers (or their deputies) were interviewed on school characteristics.

Mode of data collection

Face-to-face [f2f]; Focus groups; Assessment; Filming (classroom observation).

Research instrument

Five survey questionnaires were administered at household level:

(i). An individual schooling history questionnaire was administered to individuals aged 5 - 20. The questionnaire was directly administered to individuals aged 12 - 20 and administered to a proxy for children younger than 12 years. Ideally, the proxy was the child's parent or guardian, or an adult familiar with the individual's schooling history and who usually resides in the same household. The questionnaire had two main sections: school participation for the current year (year of interview), and school participation for the five years preceding the year of interview (i.e. 2007 to 2011). The section on schooling participation on the current year collected information on the schooling status of the individual, the type, name and location of the school that the individual was attending, grade, and whether the individual had changed schools or dropped out of school in the current year. Respondents also provided information on the reasons for changing schools and dropping out of school, where applicable. The section on school participation for previous years also collected similar information. The questionnaire also collected information on the individual's year of birth and when they joined grade one.

(ii). A household schedule questionnaire was administered to the household head or the spouse. It sought information on the members of the household, their relationship to the household head, their gender, age, education and parental survivorship.

(iii). A parental/guardian perception questionnaire was administered to the household head or the parent/guardian of the child. It collected information on the parents/guardians' perceptions on Free Primary Education since its implementation, household support to school where child(ren) attends and household schooling decision.

(iv). A parental/guardian involvement questionnaire was strictly administered to a parent or guardian who usually lives in the household and who was equipped with adequate knowledge of the individual's schooling information (i.e. credible respondent). The questionnaire was completed for each individual of the targeted age bracket (5-20 years). The information on the child comprised questions on the gender of the child, parental/guardian aspirations for the child's educational attainment, and parental beliefs about the child's ability in school and their chances of achieving the aspired level.

(v). A household amenities and livelihood questionnaire was administered to the household head or the spouse or a member of the household who could give reliable information. The questionnaire collected information on duration of stay in the

Abstract

The 2003 Kenya Demographic and Health Survey (2003 KDHS) is a nationally representative sample survey of 8,195 women age 15 to 49 and 3,578 men age 15 to 54 selected from 400 sample points (clusters) throughout Kenya. It is designed to provide data to monitor the population and health situation in Kenya as a follow-up of the 1989, 1993 and 1998 KDHS surveys. The survey utilised a two-stage sample based on the 1999 Population and Housing Census and was designed to produce separate estimates for key indicators for each of the eight provinces in Kenya. Unlike prior KDHS surveys, the 2003 KDHS covered the northern half of Kenya. Data collection took place over a five-month period, from 18 April to 15 September 2003.

OBJECTIVES

The 2003 Kenya Demographic and Health Survey (KDHS) is the latest in a series of national level population and health surveys to be carried out in Kenya in the last three decades. The 2003 KDHS is designed to provide data to monitor the population and health situation in Kenya and to be a follow-up to the 1989, 1993, and 1998 KDHS surveys.

The survey obtained detailed information on fertility levels; marriage; sexual activity; fertility preferences; awareness and use of family planning methods; breastfeeding practices; nutritional status of women and young children; childhood and maternal mortality; maternal and child health; and awareness and behaviour regarding HIV/AIDS and other sexually transmitted infections. New features of the 2003 KDHS include the collection of information on malaria and the use of mosquito nets, domestic violence, and HIV testing of adults.

More specifically, the objectives of the 2003 KDHS were to: - At the national and provincial level, provide data that allow the derivation of demographic rates, particularly fertility and childhood mortality rates, which can be used to evaluate the achievements of the current national population policy for sustainable development; - Measure changes in fertility and contraceptive prevalence use and at the same time study the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and important social and economic factors; - Examine the basic indicators of maternal and child health in Kenya, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, use of immunisation services, use of mosquito nets, and treatment of children and pregnant women for malaria; - Describe the patterns of knowledge and behaviour related to the transmission of HIV/AIDS and other sexually transmitted infections; - Estimate adult and maternal mortality ratios at the national level; - Ascertain the extent and pattern of domestic violence and female genital cutting in the country; - Estimate the prevalence of HIV in the country at the national and provincial level and use the data to corroborate the rates from the sentinel surveillance system.

Geographic coverage

The 2003 KDHS was the first survey in the Demographic and Health Surveys (DHS) programme to cover the entire country, including North Eastern Province and other northern districts that had been excluded from the prior surveys (Turkana and Samburu in Rift Valley Province and Isiolo, Marsabit, and Moyale in Eastern Province).

Analysis unit

• Household
• Women age 15-49
• Men age 15-54
• Children under five

Universe

All women age 15-49 years who were either usual residents of the households in the sample or visitors present in the household on the night before the survey were eligible to be interviewed in the survey. The survey collected information on demographic and health issues from a sample of women in the reproductive ages (15-49) and from men age 15-54 years in the one-in-two sub-sample of households selected for the male survey.

Kind of data

Sample survey data

Sampling procedure

The sample for the 2003 KDHS covered the population residing in households in the country. A representative probability sample of almost 10,000 households was selected for the KDHS sample. This sample was constructed to allow for separate estimates for key indicators for each of the eight provinces in Kenya, as well as for urban and rural areas separately. Given the difficulties in traveling and interviewing in the sparsely populated and largely nomadic areas in the North Eastern Province, a smaller number of households was selected in this province. Urban areas were oversampled. As a result of these differing sample proportions, the KDHS sample is not self-weighting at the national level; consequently, all tables except those concerning response rates are based on weighted data.

The survey utilised a two-stage sample design. The first stage involved selecting sample points (“clusters”) from a national master sample maintained by CBS (the fourth National Sample Survey and Evaluation Programme [NASSEP IV]). The list of enumeration areas covered in the 1999 population census constituted the frame for the NASSEP IV sample selection and thus for the KDHS sample as well. A total of 400 clusters, 129 urban and 271 rural, were selected from the master frame. The second stage of selection involved the systematic sampling of households from a list of all households that had been prepared for NASSEP IV in 2002. The household listing was updated in May and June 2003 in 50 selected clusters in the largest cities because of the high rate of change in structures and household occupancy in the urban areas.

All women age 15-49 years who were either usual residents of the households in the sample or visitors present in the household on the night before the survey were eligible to be interviewed in the survey. In addition, in every second household selected for the survey, all men age 15-54 years were eligible to be interviewed if they were either permanent residents or visitors present in the household on the night before the survey. All women and men living in the households selected for the Men's Questionnaire and eligible for the individual interview were asked to voluntarily give a few drops of blood for HIV testing.

Mode of data collection

Face-to-face

Research instrument

Three questionnaires were used in the survey:a) the Household Questionnaire, b) the Women's Questionnaire and c) the Men's Questionnaire. The contents of these questionnaires were based on model questionnaires developed by the MEASURE DHS+ programme.

In consultation with a broad spectrum of technical institutions, government agencies, and local and international organisations, CBS modified the DHS model questionnaires to reflect relevant issues in population, family planning, HIV/AIDS, and other health issues in Kenya. A number of thematic questionnaire design committees were organised by CBS. Periodic meetings of each of the thematic committees, as well as the final meeting, were also arranged by CBS. The inputs generated in these meetings were used to finalise survey questionnaires. These questionnaires were then translated from English into Kiswahili and 11 other local languages (Embu, Kalenjin, Kamba, Kikuyu, Kisii, Luhya, Luo, Maasai, Meru, Mijikenda, and Somali). The questionnaires were further refined after the pretest and training of the field staff.

a) The Household Questionnaire was used to list all of the usual members and visitors in the selected households. Some basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview. The Household Questionnaire also collected information on characteristics of the household's dwelling unit, such as the source of water, type of toilet facilities, materials used for the floor and roof of the house, ownership of various durable goods, and ownership and use of mosquito nets. In addition, this questionnaire was used to record height and weight measurements of women age 15-49 years and children under the age of 5 years, households eligible for collection of blood samples, and the respondents' consent to voluntarily give blood samples. The HIV testing procedures are described in detail in the next section.

b) The Women's Questionnaire was used to collect information from all women age 15-49 years and covered the following topics: - Background characteristics (e.g., education, residential history, media exposure) - Reproductive history - Knowledge and use of family planning methods - Fertility preferences - Antenatal and delivery care - Breastfeeding
Vaccinations and childhood illnesses
- Marriage and sexual activity - Woman's work and husband's background characteristics - Infant and child feeding practices - Childhood mortality - Awareness and behaviour about AIDS and other sexually transmitted diseases
- Adult mortality including maternal mortality.

The Women's Questionnaire also included a series of questions to obtain information on women's experience of domestic violence. These questions were administered to one woman per household. In households with two or more eligible women, special procedures were followed, which ensured that there was random selection of the woman to be interviewed.

c) The Men's Questionnaire was administered to all men age 15-54 years living in every second household in the sample. The Men's Questionnaire collected similar information contained in the Women's Questionnaire, but was shorter because it did not contain questions on reproductive history, maternal and child

Over 16,200 new private buildings had construction completed in Nairobi, Kenya, as of 2020. Of those, residential constructions were the most numerous, some 13,200. The country's capital registered a far higher number of finished buildings in comparison to other counties. In Mombasa, Kenya's second biggest city, 504 new residential and 170 non-residential units were completed.