Abstract

The 1998 Ghana Demographic and Health Survey (GDHS) is the latest in a series of national-level population and health surveys conducted in Ghana and it is part of the worldwide MEASURE DHS+ Project, designed to collect data on fertility, family planning, and maternal and child health.

The primary objective of the 1998 GDHS is to provide current and reliable data on fertility and family planning behaviour, child mortality, children’s nutritional status, and the utilisation of maternal and child health services in Ghana. Additional data on knowledge of HIV/AIDS are also provided. This information is essential for informed policy decisions, planning and monitoring and evaluation of programmes at both the national and local government levels.

The long-term objectives of the survey include strengthening the technical capacity of the Ghana Statistical Service (GSS) to plan, conduct, process, and analyse the results of complex national sample surveys. Moreover, the 1998 GDHS provides comparable data for long-term trend analyses within Ghana, since it is the third in a series of demographic and health surveys implemented by the same organisation, using similar data collection procedures. The GDHS also contributes to the ever-growing international database on demographic and health-related variables.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 15-49
• Men age 15-59

Kind of data

Sample survey data

Sampling procedure

The major focus of the 1998 GDHS was to provide updated estimates of important population and health indicators including fertility and mortality rates for the country as a whole and for urban and rural areas separately. In addition, the sample was designed to provide estimates of key variables for the ten regions in the country.

The list of Enumeration Areas (EAs) with population and household information from the 1984 Population Census was used as the sampling frame for the survey. The 1998 GDHS is based on a two-stage stratified nationally representative sample of households. At the first stage of sampling, 400 EAs were selected using systematic sampling with probability proportional to size (PPS-Method). The selected EAs comprised 138 in the urban areas and 262 in the rural areas. A complete household listing operation was then carried out in all the selected EAs to provide a sampling frame for the second stage selection of households. At the second stage of sampling, a systematic sample of 15 households per EA was selected in all regions, except in the Northern, Upper West and Upper East Regions. In order to obtain adequate numbers of households to provide reliable estimates of key demographic and health variables in these three regions, the number of households in each selected EA in the Northern, Upper West and Upper East regions was increased to 20. The sample was weighted to adjust for over sampling in the three northern regions (Northern, Upper East and Upper West), in relation to the other regions. Sample weights were used to compensate for the unequal probability of selection between geographically defined strata.

The survey was designed to obtain completed interviews of 4,500 women age 15-49. In addition, all males age 15-59 in every third selected household were interviewed, to obtain a target of 1,500 men. In order to take cognisance of non-response, a total of 6,375 households nation-wide were selected.

Note: See detailed description of sample design in APPENDIX A of the survey report.

Mode of data collection

Face-to-face

Research instrument

Three types of questionnaires were used in the GDHS: the Household Questionnaire, the Women’s Questionnaire, and the Men’s Questionnaire. These questionnaires were based on model survey instruments developed for the international MEASURE DHS+ programme and were designed to provide information needed by health and family planning programme managers and policy makers. The questionnaires were adapted to the situation in Ghana and a number of questions pertaining to on-going health and family planning programmes were added. These questionnaires were developed in English and translated into five major local languages (Akan, Ga, Ewe, Hausa, and Dagbani).

The Household Questionnaire was used to enumerate all usual members and visitors in a selected household and to collect information on the socio-economic status of the household. The first part of the Household Questionnaire collected information on the relationship to the household head, residence, sex, age, marital status, and education of each usual resident or visitor. This information was used to identify women and men who were eligible for the individual interview. For this purpose, all women age 15-49, and all men age 15-59 in every third household, whether usual residents of a selected household or visitors who slept in a selected household the night before the interview, were deemed eligible and interviewed. The Household Questionnaire also provides basic demographic data for Ghanaian households. The second part of the Household Questionnaire contained questions on the dwelling unit, such as the number of rooms, the flooring material, the source of water and the type of toilet facilities, and on the ownership of a variety of consumer goods.

The Women’s Questionnaire was used to collect information on the following topics: respondent’s background characteristics, reproductive history, contraceptive knowledge and use, antenatal, delivery and postnatal care, infant feeding practices, child immunisation and health, marriage, fertility preferences and attitudes about family planning, husband’s background characteristics, women’s work, knowledge of HIV/AIDS and STDs, as well as anthropometric measurements of children and mothers.

The Men’s Questionnaire collected information on respondent’s background characteristics, reproduction, contraceptive knowledge and use, marriage, fertility preferences and attitudes about family planning, as well as knowledge of HIV/AIDS and STDs.

Response rate

A total of 6,375 households were selected for the GDHS sample. Of these, 6,055 were occupied. Interviews were completed for 6,003 households, which represent 99 percent of the occupied households. A total of 4,970 eligible women from these households and 1,596 eligible men from every third household were identified for the individual interviews. Interviews were successfully completed for 4,843 women or 97 percent and 1,546 men or 97 percent. The principal reason for nonresponse among individual women and men was the failure of interviewers to find them at home despite repeated callbacks.

Note: See summarized response rates by place of residence in Table 1.1 of the survey report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling errors are the results of shortfalls made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 1998 GDHS to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 1998 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 1998 GDHS sample is the result of a two-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the 1998 GDHS is the ISSA Sampling Error Module. This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.

Data appraisal

Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Age distribution of eligible and interviewed men - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months

Note: See detailed tables in APPENDIX C of the survey report.

Abstract

The Jordan Population and Family Health Survey (JPFHS) is part of the worldwide Demographic and Health Surveys Program, which is designed to collect data on fertility, family planning, and maternal and child health.

The primary objective of the 2012 Jordan Population and Family Health Survey (JPFHS) is to provide reliable estimates of demographic parameters, such as fertility, mortality, family planning, and fertility preferences, as well as maternal and child health and nutrition, that can be used by program managers and policymakers to evaluate and improve existing programs. The JPFHS data will be useful to researchers and scholars interested in analyzing demographic trends in Jordan, as well as those conducting comparative, regional, or cross-national studies.

Geographic coverage

National coverage

Analysis unit

• Household
• Women age 15-49

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample Design The 2012 JPFHS sample was designed to produce reliable estimates of major survey variables for the country as a whole, urban and rural areas, each of the 12 governorates, and for the two special domains: the Badia areas and people living in refugee camps. To facilitate comparisons with previous surveys, the sample was also designed to produce estimates for the three regions (North, Central, and South). The grouping of the governorates into regions is as follows: the North consists of Irbid, Jarash, Ajloun, and Mafraq governorates; the Central region consists of Amman, Madaba, Balqa, and Zarqa governorates; and the South region consists of Karak, Tafiela, Ma'an, and Aqaba governorates.

The 2012 JPFHS sample was selected from the 2004 Jordan Population and Housing Census sampling frame. The frame excludes the population living in remote areas (most of whom are nomads), as well as those living in collective housing units such as hotels, hospitals, work camps, prisons, and the like. For the 2004 census, the country was subdivided into convenient area units called census blocks. For the purposes of the household surveys, the census blocks were regrouped to form a general statistical unit of moderate size (30 households or more), called a "cluster", which is widely used in surveys as a primary sampling unit (PSU).

Stratification was achieved by first separating each governorate into urban and rural areas and then, within each urban and rural area, by Badia areas, refugee camps, and other. A two-stage sampling procedure was employed. In the first stage, 806 clusters were selected with probability proportional to the cluster size, that is, the number of residential households counted in the 2004 census. A household listing operation was then carried out in all of the selected clusters, and the resulting lists of households served as the sampling frame for the selection of households in the second stage. In the second stage of selection, a fixed number of 20 households was selected in each cluster with an equal probability systematic selection. A subsample of two-thirds of the selected households was identified for anthropometry measurements.

Refer to Appendix A in the final report (Jordan Population and Family Health Survey 2012) for details of sampling weights calculation.

Mode of data collection

Face-to-face [f2f]

Research instrument

The 2012 JPFHS used two questionnaires, namely the Household Questionnaire and the Woman’s Questionnaire (see Appendix D). The Household Questionnaire was used to list all usual members of the sampled households, and visitors who slept in the household the night before the interview, and to obtain information on each household member’s age, sex, educational attainment, relationship to the head of the household, and marital status. In addition, questions were included on the socioeconomic characteristics of the household, such as source of water, sanitation facilities, and the availability of durable goods. Moreover, the questionnaire included questions about child discipline. The Household Questionnaire was also used to identify women who were eligible for the individual interview (ever-married women age 15-49 years). In addition, all women age 15-49 and children under age 5 living in the subsample of households were eligible for height and weight measurement and anemia testing.

The Woman’s Questionnaire was administered to ever-married women age 15-49 and collected information on the following topics: • Respondent’s background characteristics • Birth history • Knowledge, attitudes, and practice of family planning and exposure to family planning messages • Maternal health (antenatal, delivery, and postnatal care) • Immunization and health of children under age 5 • Breastfeeding and infant feeding practices • Marriage and husband’s background characteristics • Fertility preferences • Respondent’s employment • Knowledge of AIDS and sexually transmitted infections (STIs) • Other health issues specific to women • Early childhood development • Domestic violence

In addition, information on births, pregnancies, and contraceptive use and discontinuation during the five years prior to the survey was collected using a monthly calendar.

The Household and Woman’s Questionnaires were based on the model questionnaires developed by the MEASURE DHS program. Additions and modifications to the model questionnaires were made in order to provide detailed information specific to Jordan. The questionnaires were then translated into Arabic.

Anthropometric data were collected during the 2012 JPFHS in a subsample of two-thirds of the selected households in each cluster. All women age 15-49 and children age 0-4 in these households were measured for height using Shorr height boards and for weight using electronic Seca scales. In addition, a drop of capillary blood was taken from these women and children in the field to measure their hemoglobin level using the HemoCue system. Hemoglobin testing was used to estimate the prevalence of anemia.

Cleaning operations

Fieldwork and data processing activities overlapped. Data processing began two weeks after the start of the fieldwork. After field editing of questionnaires for completeness and consistency, the questionnaires for each cluster were packaged together and sent to the central office in Amman, where they were registered and stored. Special teams were formed to carry out office editing and coding of the openended questions.

Data entry and verification started after two weeks of office data processing. The process of data entry, including 100 percent reentry, editing, and cleaning, was done by using PCs and the CSPro (Census and Survey Processing) computer package, developed specially for such surveys. The CSPro program allows data to be edited while being entered. Data processing operations were completed by early January 2013. A data processing specialist from ICF International made a trip to Jordan in February 2013 to follow up on data editing and cleaning and to work on the tabulation of results for the survey preliminary report, which was published in March 2013. The tabulations for this report were completed in April 2013.

Response rate

In all, 16,120 households were selected for the survey and, of these, 15,722 were found to be occupied households. Of these households, 15,190 (97 percent) were successfully interviewed.

In the households interviewed, 11,673 ever-married women age 15-49 were identified and interviews were completed with 11,352 women, or 97 percent of all eligible women.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2012 Jordan Population and Family Health Survey (JPFHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2012 JPFHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling error is a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2012 JPFHS sample is the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulae. The computer

Abstract

The 2013 Turkey Demographic and Health Survey (TDHS-2013) is a nationally representative sample survey. The primary objective of the TDHS-2013 is to provide data on socioeconomic characteristics of households and women between ages 15-49, fertility, childhood mortality, marriage patterns, family planning, maternal and child health, nutritional status of women and children, and reproductive health. The survey obtained detailed information on these issues from a sample of women of reproductive age (15-49). The TDHS-2013 was designed to produce information in the field of demography and health that to a large extent cannot be obtained from other sources.

Specifically, the objectives of the TDHS-2013 included: - Collecting data at the national level that allows the calculation of some demographic and health indicators, particularly fertility rates and childhood mortality rates, - Obtaining information on direct and indirect factors that determine levels and trends in fertility and childhood mortality, - Measuring the level of contraceptive knowledge and practice by contraceptive method and some background characteristics, i.e., region and urban-rural residence, - Collecting data relative to maternal and child health, including immunizations, antenatal care, and postnatal care, assistance at delivery, and breastfeeding, - Measuring the nutritional status of children under five and women in the reproductive ages, - Collecting data on reproductive-age women about marriage, employment status, and social status

The TDHS-2013 information is intended to provide data to assist policy makers and administrators to evaluate existing programs and to design new strategies for improving demographic, social and health policies in Turkey. Another important purpose of the TDHS-2013 is to sustain the flow of information for the interested organizations in Turkey and abroad on the Turkish population structure in the absence of a reliable and sufficient vital registration system. Additionally, like the TDHS-2008, TDHS-2013 is accepted as a part of the Official Statistic Program.

Geographic coverage

National coverage

Analysis unit

• Household
• Women age 15-49
• Children under age of five

Universe

The survey covered all de jure household members (usual residents), children age 0-5 years and women age 15-49 years resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample design and sample size for the TDHS-2013 makes it possible to perform analyses for Turkey as a whole, for urban and rural areas, and for the five demographic regions of the country (West, South, Central, North, and East). The TDHS-2013 sample is of sufficient size to allow for analysis on some of the survey topics at the level of the 12 geographical regions (NUTS 1) which were adopted at the second half of the year 2002 within the context of Turkey’s move to join the European Union.

In the selection of the TDHS-2013 sample, a weighted, multi-stage, stratified cluster sampling approach was used. Sample selection for the TDHS-2013 was undertaken in two stages. The first stage of selection included the selection of blocks as primary sampling units from each strata and this task was requested from the TURKSTAT. The frame for the block selection was prepared using information on the population sizes of settlements obtained from the 2012 Address Based Population Registration System. Settlements with a population of 10,000 and more were defined as “urban”, while settlements with populations less than 10,000 were considered “rural” for purposes of the TDHS-2013 sample design. Systematic selection was used for selecting the blocks; thus settlements were given selection probabilities proportional to their sizes. Therefore more blocks were sampled from larger settlements.

The second stage of sample selection involved the systematic selection of a fixed number of households from each block, after block lists were obtained from TURKSTAT and were updated through a field operation; namely the listing and mapping fieldwork. Twentyfive households were selected as a cluster from urban blocks, and 18 were selected as a cluster from rural blocks. The total number of households selected in TDHS-2013 is 14,490.

The total number of clusters in the TDHS-2013 was set at 642. Block level household lists, each including approximately 100 households, were provided by TURKSTAT, using the National Address Database prepared for municipalities. The block lists provided by TURKSTAT were updated during the listing and mapping activities.

All women at ages 15-49 who usually live in the selected households and/or were present in the household the night before the interview were regarded as eligible for the Women’s Questionnaire and were interviewed. All analysis in this report is based on de facto women.

Note: A more technical and detailed description of the TDHS-2013 sample design, selection and implementation is presented in Appendix B of the final report of the survey.

Mode of data collection

Face-to-face [f2f]

Research instrument

Two main types of questionnaires were used to collect the TDHS-2013 data: the Household Questionnaire and the Individual Questionnaire for all women of reproductive age. The contents of these questionnaires were based on the DHS core questionnaire. Additions, deletions and modifications were made to the DHS model questionnaire in order to collect information particularly relevant to Turkey. Attention also was paid to ensuring the comparability of the TDHS-2013 findings with previous demographic surveys carried out by the Hacettepe Institute of Population Studies. In the process of designing the TDHS-2013 questionnaires, national and international population and health agencies were consulted for their comments.

The questionnaires were developed in Turkish and translated into English.

Cleaning operations

TDHS-2013 questionnaires were returned to the Hacettepe University Institute of Population Studies by the fieldwork teams for data processing as soon as interviews were completed in a province. The office editing staff checked that the questionnaires for all selected households and eligible respondents were returned from the field. A total of 29 data entry staff were trained for data entry activities of the TDHS-2013. The data entry of the TDHS-2013 began in late September 2013 and was completed at the end of January 2014.

The data were entered and edited on microcomputers using the Census and Survey Processing System (CSPro) software. CSPro is designed to fulfill the census and survey data processing needs of data-producing organizations worldwide. CSPro is developed by MEASURE partners, the U.S. Bureau of the Census, ICF International’s DHS Program, and SerPro S.A. CSPro allows range, skip, and consistency errors to be detected and corrected at the data entry stage. During the data entry process, 100% verification was performed by entering each questionnaire twice using different data entry operators and comparing the entered data.

Response rate

In all, 14,490 households were selected for the TDHS-2013. At the time of the listing phase of the survey, 12,640 households were considered occupied and, thus, eligible for interview. Of the eligible households, 93 percent (11,794) households were successfully interviewed. The main reasons the field teams were unable to interview some households were because some dwelling units that had been listed were found to be vacant at the time of the interview or the household was away for an extended period.

In the interviewed 11,794 households, 10,840 women were identified as eligible for the individual interview, aged 15-49 and were present in the household on the night before the interview. Interviews were successfully completed with 9,746 of these women (90 percent). Among the eligible women not interviewed in the survey, the principal reason for nonresponse was the failure to find the women at home after repeated visits to the household.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the TDHS-2013 to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the TDHS-2013 is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall

Datasets dating from 1986 to the present are available for 93 countries in which data were collect through Household questionnaires, Women's questionnaires, Men's questionnaires, Biomarker's questionnaires, and Fieldworker's questionnaires. The following data types are produced from the collected data : Household Recode, Household Member Recode, Individual Women's Recode, Births Recode, Children's Recode, Men's Recode, Couple's Recode, Geographic Data, Geospatial Covariates. To view surveys and available datasets go to https://dhsprogram.com/data/available-datasets.cfm. Access to datasets for DHS surveys and their supporting documents may be granted to individuals who register at https://dhsprogram.com/data/new-user-registration.cfm and create a new research project request.

Abstract

The 2015-16 Armenia Demographic and Health Survey (2015-16 ADHS) is the fourth in a series of nationally representative sample surveys designed to provide information on population and health issues. It is conducted in Armenia under the worldwide Demographic and Health Surveys program. Specifically, the objective of the 2015-16 ADHS is to provide current and reliable information on fertility and abortion levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutritional status of young children, childhood mortality, maternal and child health, domestic violence against women, child discipline, awareness and behavior regarding AIDS and other sexually transmitted infections (STIs), and other health-related issues such as smoking, tuberculosis, and anemia. The survey obtained detailed information on these issues from women of reproductive age and, for certain topics, from men as well.

The 2015-16 ADHS results are intended to provide information needed to evaluate existing social programs and to design new strategies to improve the health of and health services for the people of Armenia. Data are presented by region (marz) wherever sample size permits. The information collected in the 2015-16 ADHS will provide updated estimates of basic demographic and health indicators covered in the 2000, 2005, and 2010 surveys.

The long-term objective of the survey includes strengthening the technical capacity of major government institutions, including the NSS. The 2015-16 ADHS also provides comparable data for longterm trend analysis because the 2000, 2005, 2010, and 2015-16 surveys were implemented by the same organization and used similar data collection procedures. It also adds to the international database of demographic and health–related information for research purposes.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-49

Universe

The survey covered all de jure household members (usual residents), children age 0-4 years, women age 15-49 years and men age 15-49 years resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample was designed to produce representative estimates of key indicators at the national level, for Yerevan, and for total urban and total rural areas separately. Many indicators can also be estimated at the regional (marz) level.

The sampling frame used for the 2015-16 ADHS is the Armenia Population and Housing Census, which was conducted in Armenia in 2011 (APHC 2011). The sampling frame is a complete list of enumeration areas (EAs) covering the whole country, a total number of 11,571 EAs, provided by the National Statistical Service (NSS) of Armenia, the implementing agency for the 2015-16 ADHS. This EA frame was created from the census data base by summarizing the households down to EA level. A representative probability sample of 8,749 households was selected for the 2015-16 ADHS sample. The sample was selected in two stages. In the first stage, 313 clusters (192 in urban areas and 121 in rural areas) were selected from a list of EAs in the sampling frame. In the second stage, a complete listing of households was carried out in each selected cluster. Households were then systematically selected for participation in the survey. Appendix A provides additional information on the sample design of the 2015-16 Armenia DHS. Because of the approximately equal sample size in each marz, the sample is not self-weighting at the national level, and weighting factors have been calculated, added to the data file, and applied so that results are representative at the national level.

For further details on sample design, see Appendix A of the final report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Five questionnaires were used for the 2015-16 ADHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, the Biomarker Questionnaire, and the Fieldworker Questionnaire. These questionnaires, based on The DHS Program’s standard Demographic and Health Survey questionnaires, were adapted to reflect the population and health issues relevant to Armenia. Input was solicited from various stakeholders representing government ministries and agencies, nongovernmental organizations, and international donors. After all questionnaires were finalized in English, they were translated into Armenian. They were pretested in September-October 2015.

Cleaning operations

The processing of the 2015-16 ADHS data began shortly after fieldwork commenced. All completed questionnaires were edited immediately by field editors while still in the field and checked by the supervisors before being dispatched to the data processing center at the NSS central office in Yerevan. These completed questionnaires were edited and entered by 15 data processing personnel specially trained for this task. All data were entered twice for 100 percent verification. Data were entered using the CSPro computer package. The concurrent processing of the data was an advantage because the senior ADHS technical staff were able to advise field teams of problems detected during the data entry. In particular, tables were generated to check various data quality parameters. Moreover, the double entry of data enabled easy comparison and identification of errors and inconsistencies. As a result, specific feedback was given to the teams to improve performance. The data entry and editing phase of the survey was completed in June 2016.

Response rate

A total of 8,749 households were selected in the sample, of which 8,205 were occupied at the time of the fieldwork. The main reason for the difference is that some of the dwelling units that were occupied during the household listing operation were either vacant or the household was away for an extended period at the time of interviewing. The number of occupied households successfully interviewed was 7,893, yielding a household response rate of 96 percent. The household response rate in urban areas (96 percent) was nearly the same as in rural areas (97 percent).

In these households, a total of 6,251 eligible women were identified; interviews were completed with 6,116 of these women, yielding a response rate of 98 percent. In one-half of the households, a total of 2,856 eligible men were identified, and interviews were completed with 2,755 of these men, yielding a response rate of 97 percent. Among men, response rates are slightly lower in urban areas (96 percent) than in rural areas (97 percent), whereas rates for women are the same in urban and in rural areas (98 percent).

The 2015-16 ADHS achieved a slightly higher response rate for households than the 2010 ADHS (NSS 2012). The increase is only notable for urban households (96 percent in 2015-16 compared with 94 percent in 2010). Response rates in all other categories are very close to what they were in 2010.

Sampling error estimates

SAS computer software were used to calculate sampling errors for the 2015-16 ADHS. The programs used the Taylor linearization method of variance estimation for means or proportions and the Jackknife repeated replication method for variance estimation of more complex statistics such as fertility and mortality rates.

A more detailed description of estimates of sampling errors are presented in Appendix B of the survey final report.

Data appraisal

Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Age distribution of eligible and interviewed men - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months - Nutritional status of children based on the NCHS/CDC/WHO International Reference Population - Vaccinations by background characteristics for children age 18-29 months

See details of the data quality tables in Appendix C of the survey final report.

Abstract

The Zimbabwe Demographic and Health Survey (ZDHS) is one of a series of surveys carried out by the Central Statistical Office (CSO) as part of the Zimbabwe National Household Survey Capability Programme. Conducted immediately following the second round of the Intercensal Demographic survey in 1988, the objective of the ZDHS was to make available to policy-makers and planners current information on fertility and child mortality levels and trends, contraceptive knowledge, approval and use and basic indicators of maternal and child health. To obtain these data, a nationally representative sample of 4201 women 15-49 was interviewed in the survey between September 1988 and January 1989.

The ZDHS is one of a series of surveys undertaken by the Central Statistical Office (CSO) as part of the Zimbabwe National Household Survey Capability Programme (ZNHSCP). The ZDHS was conducted immediately after the second round of the Intercensal Demographic Survey (ICDS) in 1988. The main objective of the ZDHS was to provide information on: - fertility levels, trends and preferences; - family planning awareness, approval and use; - maternal and child health, including infant and child mortality; - and other topics relating to family health.

The survey was designed to obtain information on family planning use similar to that provided by the 1984 Zimbabwe Reproductive Health Survey (ZRHS) and data on fertility and mortality which would complement information collected in the two rounds of the Intercensal Demographic Survey (ICDS). In addition, participation in the worldwide Demographic and Health Survey project offered an opportunity to strengthen survey capability in Zimbabwe, as well as further comparative research by contributing to the international demographic and health database.

Geographic coverage

National

Analysis unit

• Household
• Women age 15-49
• Children under five years

Universe

The population covered by the 1988 ZDHS is defined as the universe of all women age 15-49 in Zimbabwe. Eligibility for the individual interview was determined on a de facto basis, i.e., a woman was eligible if she was 15 to 49 years of age and had spent the night prior to the household interview in the household, irrespective of whether she was a usual member of the household or not.

Kind of data

Sample survey data

Sampling procedure

To achieve this objective, a nationally representative, self-weighting sample of women 15- 49 was selected and interviewed in the survey. The ZDHS sample was drawn from the Zimbabwe Revised Master Sample (ZRMS). The ZRMS was based on the master sample constructed at the initiation of the Zimbabwe National Household Survey Capability Programme (ZNHSCP) and revised for the first round of the Intercensal Demographic Survey in 1987.

The ZRMS can be considered as a two-stage sample, which is self-weighting at the household level. The sample is stratified by eight provinces and six sectors. The sectors, which are determined by land use include: (1) communal lands, (2) large-scale commercial farming areas, (3) small-scale commercial farming areas, (4) urban and semi-urban areas, (5) resettlement schemes, and (6) national parks, forest and other areas.

A subsample of 167 enumeration areas (EAs) from the 273 EAs in the ZRMS was selected for the ZDHS, including 114 in rural areas and 53 in urban areas. The EAs were selected systematically with probability proportional to the number of households in the 1982 census. Household listings prepared prior to the 1987 ICDS were used in selecting the households to be included in the ZDHS from the selected EAs. All women 15-49 present in the households drawn for the ZDHS sample on the night before the interview were eligible for the survey.

Mode of data collection

Face-to-face

Research instrument

Two questionnaires were used for the ZDHS, a household and an individual woman's questionnaire. The questionnaires were adapted from the DHS Model "B" Questionnaire, intended for use in countries with low contraceptive prevalence. A pretest was conducted, and the questionnaires were modified, taking into account the pretest results. The household and individual questionnaires were administered in Shona, Ndebele, or English, with these major languages appearing on the same questionnaire.

Information on the age and sex of all usual members and visitors in the selected households was recorded on the household questionnaire and used to identify women eligible for the individual questionnaire. Eligibility for the individual interview was determined on a de facto basis, i.e., a woman was eligible if she was 15 to 49 years of age and had spent the night prior to the household interview in the household, irrespective of whether she was a usual member of the household or not.

The individual questionnaire was used to collect information on the following topics: - Respondent's background; - Reproduction; - Contraception; - Health and breastfeeding; - Marriage; - Fertility preferences; - Husband's background and women's work; - Height and weight of children 3-60 months.

Cleaning operations

Data entry and editing began in October 1988 and was completed in February 1989, two weeks after fieldwork ended. The initiation of data processing during the fieldwork allowed the errors that were detected to be communicated immediately to the field teams for corrective measures, thus improving the quality of the data. All data processing activities were carried out in Harare, by a team of five data capture operators under a data processing coordinator. The operators were responsible for office editing and coding, as well as for the entry of the questionnaires. The computer hardware consisted of three IBM-compatible micro-computers. The Integrated System for Survey Analysis (ISSA) software package, developed by IRD for the DHS programme, was used for all phases of the data entry, editing and tabulation. Range, skip and most consistency checks were performed during the data capture itself; only the more sophisticated consistency checks were done during secondary editing.

Response rate

Of the 4789 households selected for the ZDHS, 4337 were located in the field; of these, 4107 households were successfully interviewed. Within the households successfully interviewed, 4467 women were identified as eligible, and, among these eligible women, 4201 women were interviewed. The overall response rate, which is the product of the household (95 percent) and individual (94 percent) response rates was 89 percent.

The overall response rate, which is the product of the household and individual response rate, was 89 percent for the whole sample. It was 90 percent or higher, except in Manicaland (89 percent), Mashonaland East (88 percent) and Harare/Chitungwiza (74 percent).

Sampling error estimates

Sampling error is a measure of the variability between all possible samples that could have been selected from the same population using the same design and size. For the entire population and for large subgroups, the ZDHS sample is sufficiently large so that the sampling error for most estimates is small. However, for small subgroups, sampling errors are larger and, thus, affect the reliability of the data. Sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, ratio, etc.), i.e., the square root of the variance. The standard error can be used also to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic as measured in 95 percent of all possible samples with the same design will fall within a range of plus or minus two times the standard error for that statistic.

The computations required to provide sampling errors for survey estimates which are based on complex sample designs like those used for the ZDHS survey are more complicated than those based on simple random samples. The software package CLUSTERS was used to assist in computing the sampling errors with the proper statistical methodology. The CLUSTERS program treats any percentage or average as a ratio estimate, r=y/x, where y represents the total sample value for variable y and x represents the total number of cases in the group or subgroup under consideration.

In addition to the standard errors, CLUSTERS computes the design effect (DEFT) for each estimate, which is defined as the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used. A DEFT value of 1,0 indicates that the sample design is as efficient as a simple random sample, while a value greater than 1,0 indicates the increase in the sampling error due to the use of a more complex and less statistically efficient design. CLUSTERS also computes the relative error and confidence limits for estimates.

Sampling errors are presented below for selected variables considered to be of major interest. Results are presented in the Final Report for the whole country, urban and rural areas, three broad age groups and three educationaI levels. For each variable, the type of statistic (mean, proportion) and the base population are given in B.1 of the Final Report. For each variable, Tables B.2-B.5 present the value of the statistic, its standard error, the number of unweighted and weighted cases, the design effect, the relative standard errors, and the 95 percent confidence limits.

The relative standard error for most

Abstract

The Bangladesh Demographic and Health Survey (BDHS) is the first of this kind of study conducted in Bangladesh. It provides rapid feedback on key demographic and programmatic indicators to monitor the strength and weaknesses of the national family planning/MCH program. The wealth of information collected through the 1993-94 BDHS will be of immense value to the policymakers and program managers in order to strengthen future program policies and strategies.

The BDHS is intended to serve as a source of population and health data for policymakers and the research community. In general, the objectives of the BDHS are to: - asses the overall demographic situation in Bangladesh, - assist in the evaluation of the population and health programs in Bangladesh, and - advance survey methodology.

More specifically, the BDHS was designed to: - provide data on the family planning and fertility behavior of the Bangladesh population to evaluate the national family planning programs, - measure changes in fertility and contraceptive prevalence and, at the same time, study the factors which affect these changes, such as marriage patterns, urban/rural residence, availability of contraception, breastfeeding patterns, and other socioeconomic factors, and - examine the basic indicators of maternal and child health in Bangladesh.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 10-49
• Men

Kind of data

Sample survey data

Sampling procedure

Bangladesh is divided into five administrative divisions, 64 districts (zillas), and 489 thanas. In rural areas, thanas are divided into unions and then mauzas, an administrative land unit. Urban areas are divided into wards and then mahallas. The 1993-94 BDHS employed a nationally-representative, two-stage sample. It was selected from the Integrated Multi-Purpose Master Sample (IMPS), newly created by the Bangladesh Bureau of Statistics. The IMPS is based on 1991 census data. Each of the five divisions was stratified into three groups: 1) statistical metropolitan areas (SMAs) 2) municipalities (other urban areas), and 3) rural areas. In rural areas, the primary sampling unit was the mauza, while in urban areas, it was the mahalla. Because the primary sampling units in the IMPS were selected with probability proportional to size from the 1991 census frame, the units for the BDHS were sub-selected from the IMPS with equal probability to make the BDHS selection equivalent to selection with probability proportional to size. A total of 304 primary sampling units were selected for the BDHS (30 in SMAs, 40 in municipalities, and 234 in rural areas), out of the 372 in the IMPS. Fieldwork in three sample points was not possible, so a total of 301 points were covered in the survey.

Since one objective of the BDHS is to provide separate survey estimates for each division as well as for urban and rural areas separately, it was necessary to increase the sampling rate for Barisal Division und for municipalities relative to the other divisions, SMAs, and rural areas. Thus, the BDHS sample is not self-weighting and weighting factors have been applied to the data in this report.

After the selection of the BDHS sample points, field staffs were trained by Mitra and Associates and conducted a household listing operation in September and October 1993. A systematic sample of households was then selected from these lists, with an average "take" of 25 households in the urban clusters and 37 households in rural clusters. Every second household was identified as selected for the husband's survey, meaning that, in addition to interviewing all ever-married women age 10-49, interviewers also interviewed the husband of any woman who was successfully interviewed. It was expected that the sample would yield interviews with approximately 10,000 ever-married women age 10-49 and 4,200 of their husbands.

Note: See detailed in APPENDIX A of the survey final report.

Sampling deviation

Data collected for women 10-49, indicators calculated for women 15-49. A total of 304 primary sampling units were selected, but fieldwork in 3 sample points was not possible.

Mode of data collection

Face-to-face

Research instrument

Four types of questionnaires were used for the BDHS: a Household Questionnaire, a Women's Questionnaire, a Husbands' Questionnaire, and a Service Availability Questionnaire. The contents of these questionnaires were based on the DHS Model A Questionnaire, which is designed for use in countries with relatively high levels of contraceptive use. Additions and modifications to the model questionnaires were made during a series of meetings with representatives of various organizations, including the Asia Foundation, the Bangladesh Bureau of Statistics, the Cambridge Consulting Corporation, the Family Planning Association of Bangladesh, GTZ, the International Centre for Diarrhoeal Disease Research (ICDDR,B), Pathfinder International, Population Communications Services, the Population Council, the Social Marketing Company, UNFPA, UNICEF, University Research Corporation/Bangladesh, and the World Bank. The questionnaires were developed in English and then translated into and printed in Bangla.

The Household Questionnaire was used to list all the usual members and visitors of selected households. Some basic information was collected on the characteristics of each person listed, including his/her 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 individual interview. In addition, information was collected about the dwelling itself, such as the source of water, type of toilet facilities, materials used to construct the house, and ownership of various consumer goods.

The Women's Questionnaire was used to collect information from ever-married women age 10-49. These women were asked questions on the following topics: - Background characteristics (age, education, religion, etc.), - Reproductive history, - Knowledge and use of family planning methods, - Antenatal and delivery care, - Breastfeeding and weaning practices, - Vaccinations and health of children under age three, - Marriage, - Fertility preferences, and - Husband's background and respondent's work.

The Husbands' Questionnaire was used to interview the husbands of a subsample of women who were interviewed. The questionnaire included many of the same questions as the Women's Questionnaire, except that it omitted the detailed birth history, as well as the sections on maternal care, breastfeeding and child health.

The Service Availability Questionnaire was used to collect information on the family planning and health services available in and near the sampled areas. It consisted of a set of three questionnaires: one to collect data on characteristics of the community, one for interviewing family welfare visitors and one for interviewing family planning field workers, whether government or non-governent supported. One set of service availability questionnaires was to be completed in each cluster (sample point).

Cleaning operations

All questionnaires for the BDHS were returned to Dhaka for data processing at Mitra and Associates. The processing operation consisted of office editing, coding of open-ended questions, data entry, and editing inconsistencies found by the computer programs. One senior staff member, 1 data processing supervisor, questionnaire administrator, 2 office editors, and 5 data entry operators were responsible for the data processing operation. The data were processed on five microcomputers. The DHS data entry and editing programs were written in ISSA (Integrated System for Survey Analysis). Data processing commenced in early February and was completed by late April 1994.

Response rate

A total of 9,681 households were selected for the sample, of which 9,174 were successfully interviewed. The shortfall is primarily due to dwellings that were vacant, or in which the inhabitants had left for an extended period at the time they were visited by the interviewing teams. Of the 9,255 households that were occupied, 99 percent were successfully interviewed. In these households, 9,900 women were identified as eligible for the individual interview and interviews were completed for 9,640 or 97 percent of these. In one-half of the households that were selected for inclusion in the husbands' survey, 3,874 eligible husbands were identified, of which 3,284 or 85 percent were interviewed.

The principal reason for non-response among eligible women and men was failure to find them at home despite repeated visits to the household. The refusal rate was very low (less than one-tenth of one percent among women and husbands). Since the main reason for interviewing husbands was to match the information with that from their wives, survey procedures called for interviewers not to interview husbands of women who were not interviewed. Such cases account for about one-third of the non-response among husbands. Where husbands and wives were both interviewed, they were interviewed simultaneously but separately.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the survey final report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: non-sampling errors and sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions

The National Health and Nutrition Examination Surveys (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The NHANES combines personal interviews and physical examinations, which focus on different population groups or health topics. These surveys have been conducted by the National Center for Health Statistics (NCHS) on a periodic basis from 1971 to 1994. In 1999, the NHANES became a continuous program with a changing focus on a variety of health and nutrition measurements which were designed to meet current and emerging concerns. The sample for the survey is selected to represent the U.S. population of all ages. Many of the NHANES 2007-2008 questions also were asked in NHANES II 1976-1980, Hispanic NHANES 1982-1984, NHANES III 1988-1994, and NHANES 1999-2006. New questions were added to the survey based on recommendations from survey collaborators, NCHS staff, and other interagency work groups. Estimates for previously undiagnosed conditions, as well as those known to and reported by survey respondents, are produced through the survey. In the 2003-2004 wave, the NHANES includes more than 100 datasets. Most have been combined into three datasets for convenience. Each starts with the Demographic dataset and includes datasets of a specific type. 1. National Health and Nutrition Examination Survey (NHANES), Demographic & Examination Data, 2003-2004 (The base of the Demographic dataset + all data from medical examinations). 2. National Health and Nutrition Examination Survey (NHANES), Demographic & Laboratory Data, 2003-2004 (The base of the Demographic dataset + all data from medical laboratories). 3. National Health and Nutrition Examination Survey (NHANES), Demographic & Questionnaire Data, 2003-2004 (The base of the Demographic dataset + all data from questionnaires) Variable SEQN is included for merging files within the waves. All data files should be sorted by SEQN. Additional details of the design and content of each survey are available at the NHANES website.

Abstract

The Demographic Sample Survey 1986/87, shortly called as DSS 1986/87 is carried out by the Central Bureau of Statistics (CBS) with financial support from UNFPA and technical assistance from UNDTCD.

The major objectives of the DSS are to provide intercensal estimates of some important demographic parameters such as birth, death, migration, etc. The DSS 1986/87 not only provides these parameters but also examines the factors affecting fertility, mortality and migration in more details.

Geographic coverage

National Urban/ Rural areas Ecological Zones: Mountain, Hill, Terai

Analysis unit

Individual, Household

Universe

All private households

Kind of data

Sample survey data [ssd]

Sampling procedure

The DSS 1986/87 is a longitudinal study based on multi-stage national probability sample of 129 identifiable compact clusters known as ward/subwards. Ward/subwards (81 rural and 48 urban) were drawn from 35 districts (14 from Terai Zone and 18 and 3 from the Hill and Mountain zones respectively), out of a total of 75 districts in the country. The emphasis that the ultimate sampling units of DSS 1986/87 should be easily identifiable compact clusters is to ensure that the survey could be smoothly carried out in several successive rounds. The DSS 1986/87 drew samples from rural and urban areas separately in order to provide estimates of demographic and non-demographic parameters independently for each of the area.

Altogether 8640 households were eventually selected in the DSS 1986/87 for baseline and prospective study. The rural sample consisits of 6126 households while the urban sample accounts for 2514 households. The households selected in the Mountain, Hill and Terai are 675, 4179 and 3786 respectively. The urban households in the Hill and Terai are 1200 and 1314 respectively. In the Mountain there is no urban area. The sample consists of 35101 rural and 14412 urban population.

Refer to page 2 of "DSS Report" for a detailed description of the Sample Design.

Mode of data collection

Face-to-face [f2f]

Research instrument

The data at baseline survey were collected by using six different schedules:

1. Household schedule The household schedule was employed to collect information on some conventional socio-demographic measures of each usual/permanent member of the selected households.

2. In-migration schedule The In-migration schedule was used to collect detailed information on internal migrants and for immigrants.

3. Fertility and Mortality schedule The Fertility and Mortality schedule was used to collect the information on fertility anf mortality history of ever married worman in the household.

4. Out-migration schedule The Out-migration schedule was used to obtain detailed information on each out-migrant from the household which took place in the last five years preceding the survey.

5. Socio-economic status of the household schedule The Socio-economic status of the household schedule was used to obtain socio-economic characteristics of the households.

6. Migration survey-individual questionnaire The Migration survey-individual questionnaire was administered to internal migrants.

Refer to page 5 of "DSS Report" for detailed information on the types and contents of the questionnaires.

Abstract

The 2022 Ghana Demographic and Health Survey (2022 GDHS) is the seventh in the series of DHS surveys conducted by the Ghana Statistical Service (GSS) in collaboration with the Ministry of Health/Ghana Health Service (MoH/GHS) and other stakeholders, with funding from the United States Agency for International Development (USAID) and other partners.

The primary objective of the 2022 GDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the GDHS collected information on: - Fertility levels and preferences, contraceptive use, antenatal and delivery care, maternal and child health, childhood mortality, childhood immunisation, breastfeeding and young child feeding practices, women’s dietary diversity, violence against women, gender, nutritional status of adults and children, awareness regarding HIV/AIDS and other sexually transmitted infections, tobacco use, and other indicators relevant for the Sustainable Development Goals - Haemoglobin levels of women and children - Prevalence of malaria parasitaemia (rapid diagnostic testing and thick slides for malaria parasitaemia in the field and microscopy in the lab) among children age 6–59 months - Use of treated mosquito nets - Use of antimalarial drugs for treatment of fever among children under age 5

The information collected through the 2022 GDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of the country’s population.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-59

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, men aged 15-59, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

To achieve the objectives of the 2022 GDHS, a stratified representative sample of 18,450 households was selected in 618 clusters, which resulted in 15,014 interviewed women age 15–49 and 7,044 interviewed men age 15–59 (in one of every two households selected).

The sampling frame used for the 2022 GDHS is the updated frame prepared by the GSS based on the 2021 Population and Housing Census.1 The sampling procedure used in the 2022 GDHS was stratified two-stage cluster sampling, designed to yield representative results at the national level, for urban and rural areas, and for each of the country’s 16 regions for most DHS indicators. In the first stage, 618 target clusters were selected from the sampling frame using a probability proportional to size strategy for urban and rural areas in each region. Then the number of targeted clusters were selected with equal probability systematic random sampling of the clusters selected in the first phase for urban and rural areas. In the second stage, after selection of the clusters, a household listing and map updating operation was carried out in all of the selected clusters to develop a list of households for each cluster. This list served as a sampling frame for selection of the household sample. The GSS organized a 5-day training course on listing procedures for listers and mappers with support from ICF. The listers and mappers were organized into 25 teams consisting of one lister and one mapper per team. The teams spent 2 months completing the listing operation. In addition to listing the households, the listers collected the geographical coordinates of each household using GPS dongles provided by ICF and in accordance with the instructions in the DHS listing manual. The household listing was carried out using tablet computers, with software provided by The DHS Program. A fixed number of 30 households in each cluster were randomly selected from the list for interviews.

For further details on sample design, see APPENDIX A of the final report.

Mode of data collection

Face-to-face computer-assisted interviews [capi]

Research instrument

Four questionnaires were used in the 2022 GDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Ghana. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

The GSS organized a questionnaire design workshop with support from ICF and obtained input from government and development partners expected to use the resulting data. The DHS Program optional modules on domestic violence, malaria, and social and behavior change communication were incorporated into the Woman’s Questionnaire. ICF provided technical assistance in adapting the modules to the questionnaires.

Cleaning operations

DHS staff installed all central office programmes, data structure checks, secondary editing, and field check tables from 17–20 October 2022. Central office training was implemented using the practice data to test the central office system and field check tables. Seven GSS staff members (four male and three female) were trained on the functionality of the central office menu, including accepting clusters from the field, data editing procedures, and producing reports to monitor fieldwork.

From 27 February to 17 March, DHS staff visited the Ghana Statistical Service office in Accra to work with the GSS central office staff on finishing the secondary editing and to clean and finalize all data received from the 618 clusters.

Response rate

A total of 18,540 households were selected for the GDHS sample, of which 18,065 were found to be occupied. Of the occupied households, 17,933 were successfully interviewed, yielding a response rate of 99%. In the interviewed households, 15,317 women age 15–49 were identified as eligible for individual interviews. Interviews were completed with 15,014 women, yielding a response rate of 98%. In the subsample of households selected for the male survey, 7,263 men age 15–59 were identified as eligible for individual interviews and 7,044 were successfully interviewed.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2022 Ghana Demographic and Health Survey (2022 GDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 GDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results. A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95% of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2022 GDHS sample was the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the GDHS 2022 is an SAS program. This program used the Taylor linearization method to estimate variances for survey estimates that are means, proportions, or ratios. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.

A more detailed description of estimates of sampling errors are presented in APPENDIX B of the survey report.

Data appraisal

Data Quality Tables

• Age distribution of eligible and interviewed women
• Age distribution of eligible and interviewed men
• Age displacement at age 14/15
• Age displacement at age 49/50
• Pregnancy outcomes by years preceding the survey
• Completeness of reporting
• Standardisation exercise results from anthropometry training
• Height and weight data completeness and quality for children
• Height measurements from random subsample of measured children
• Interference in height and weight measurements of children
• Interference in height and weight measurements of women and men
• Heaping in anthropometric measurements for children (digit preference)
• Observation of mosquito nets
• Observation of handwashing facility
• School attendance by single year of age
• Vaccination cards photographed
• Number of

Abstract

The Indonesia Demographic and Health Survey (IDHS), which is part of the Demographic and Health Surveys (DHS) Project, is one of prominent national surveys in the field of population, family planning, and health. The survey is not only important nationally for planning and evaluating population, family planning, and health developments, but is also important internationally since IDHS has been designed so uniquely that it can be compared with similar surveys in other developing countries.

The 1997 Indonesia Demographic and Health Survey (IDHS) is a follow-on project to the 1987 National Indonesia Contraceptive Prevalence Survey (NICPS), the 1991 IDHS, and the 1994 IDHS. The 1997 IDHS was expanded from the 1994 survey to include a module on family welfare; however, unlike the 1994 survey, the 1997 survey no longer investigated the availability of family planning and health services. The 1997 IDHS also included as part of the household schedule a household expenditure module that provided a means of identifying the household's economic status.

The 1997 IDHS was specifically designed to meet the following objectives: - Provide data concerning fertility, family planning, maternal and child health, maternal mortality, and awareness of AIDS that can be used by program managers, policymakers, and researchers to evaluate and improve existing programs - Provide data about availability of family planning and health services, thereby offering an opportunity for linking women's fertility, family planning, and child care behavior with the availability of services - Provide household expenditure data that which can be used to identify the household's economic status - Provide data that can be used to analyze trends over time by examining many of the same fertility, mortality, and health issues that were addressed in the earlier surveys (1987 NICPS, 1991 IDHS and 1994 IDHS) - Measure changes in fertility and contraceptive prevalence rates and at the same time study factors that affect the changes, such as marriage patterns, urban/rural residence, education, breastfeeding habits, and the availability of contraception - Measure the development and achievements of programs related to health policy, particularly those concerning the maternal and child health development program implemented through public health clinics in Indonesia - Provide indicators for classifying families according to their welfare status.

Geographic coverage

National

Analysis unit

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

Kind of data

Sample survey data

Sampling procedure

Indonesia is divided into 27 provinces. For the implementation of its family planning program, the National Family Planning Coordinating Board (NFPCB) has divided these provinces into three regions as follows:

• Java-Bali: DKI Jakarta, West Java, Central Java, DI Yogyakarta, East Java, and Bali
• Outer Java-Bali I: Dista Aceh, North Sumatra, West Sumatra, South Sumatra, Lampung, West Nusa Tenggara, West Kalimantan, South Kalimantan, North Sulawesi, and South Sulawesi
• Outer Java-Ball II: Riau, Jambi, Bengkulu, East Nusa Tenggara, East Timor, Central Kalimantan, East Kalimantan, Central Sulawesi, Southeast Sulawesi, Maluku, and Irian Jaya

The 1990 Population Census of Indonesia shows that Java-Bali accounts for 62 percent of the national population, Outer Java-Bali I accounts for 27 percent, and Outer Java-Bali II accounts for 11 percent. The sample for the 1997 IDHS was designed to produce reliable estimates of fertility, contraceptive prevalence and other important variables for each of the provinces and urban and rural areas of the three regions.

In order to meet this objective, between 1,650 and 2,050 households were selected in each of the provinces in Java-Bali, 1,250 to 1,500 households in the ten provinces in Outer Java-Bali I, and 1,000 to 1,250 households in each of the provinces in Outer Java-Bali II, for a total of 35,500 households. With an average of O.8 ever-married women 15-49 per household, the sample was expected to yield approximately 28,000 women eligible for the individual interview.

Note: See detailed description of sample design in APPENDIX A of the survey report.

Mode of data collection

Face-to-face [f2f]

Research instrument

The 1997 IDHS used three questionnaires: the household questionnaire, the questionnaire on family welfare, and the individual questionnaire for ever-married women 15-49 years old. The general household and individual questionnaires were based on the DHS Model "A" Questionnaire, which is designed for use in countries with high contraceptive prevalence. Additions and modifications to the model questionnaire were made in order to provide detailed information specific to Indonesia. The questionnaires were developed mainly in English and were translated into Indonesian. One deviation from the standard DHS practice is the exclusion of the anthropometric measurement of young children and their mothers. A separate survey carried out by MOH provides this information.

The household questionnaire includes an expenditure schedule adapted from the core Susenas questionnaire model. Susenas is a national household survey carried out annually by CBS to collect data on various demographic and socioeconomic indicators of the population. The family welfare questionnaire was aimed at collecting indicators developed by the NFPCB to classify families according to their welfare status. Families were identified from the list of household members in the household questionnaire. The expenditure module and the family welfare questionnaire were developed in Indonesian.

Cleaning operations

The first stage of data editing was carried out by the field editors who checked the completed questionnaires for thoroughness and accuracy. Field supervisors then further examined the questionnaires. In many instances, the teams sent the questionnaires to CBS through the regency/municipality statistics offices. In these cases, no checking was done by the PSO. In other cases, Technical Coordinators are responsible for reviewing the completeness of the forms. At CBS, the questionnaires underwent another round of editing, primarily for completeness and coding of responses to open-ended questions. The data were processed using microcomputers and the DHS computer program, ISSA (Integrated System for Survey Analysis). Data entry and office editing were initiated immediately after fieldwork began. Simple range and skip errors were corrected at the data entry stage. Data processing was completed by February 1998, and the preliminary report of the survey was published in April 1998.

Response rate

A total of 35,362 households were selected for the survey, of which 34,656 were found. Of the encountered households, 34,255 (99 percent) were successfully interviewed. In these households, 29,317 eligible women were identified, and complete interviews were obtained from 28,810 women, or 98 percent of all eligible women. The generally high response rates for both household and individual interviews were due mainly to the strict enforcement of the rule to revisit the originally selected household if no one was at home initially. No substitution for the originally selected households was allowed. Interviewers were instructed to make at least three visits in an effort to contact the household or eligible woman.

Note: See summarized response rates by place of residence in Table 1.2 of the survey report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (I) non-sampling errors and (2) sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 1997 IDHS to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 1997 IDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 1997 IDHS sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the 1997 IDHS is the ISSA Sampling Error Module. This module

Abstract

The Health Survey in the West Bank and Gaza Strip (MICS1) is a household survey programme conducted in 1996 by UNICEF and Palestinian Central Bureau of Statistics.

The aim of this survey was to collect data on the health status of the Palestinian population in the West Bank and Gaza Strip in order to facilitate assessment and monitoring of maternal and child health. The collected data would serve as an asset to health planners, the planners of health sector, policy makers and researchers. The main objectives of the survey are: 1. To provide baseline data on the basic indicators of the health situation in the West Bank and Gaza Strip, such as: health insurance, smoking, disability, reproductive health and child health. 2. To begin the process of main streaming the monitoring of Mid-Decade and Summit Goals stage. 3. To support capacity building within the Palestinian Central Bureau of Statistics in the areas of planning, surveillance and subsequent monitoring of the maternal and child health. 4. To foster networking and strengthen linkages with different governmental institutions, UN agencies, and NGOs through the health survey.

Geographic coverage

National

Analysis unit

• Individuals
• Households

Universe

The survey covered all de jure household members (usual residents), all women aged between 15-49 years, all children under 5 living in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The target population of the health survey was all households living in the West Bank and Gaza Strip excluding institutional populations and nomads.

The sample of this survey is a sub-sample of the Demographic Survey. A stratified mulltistage sampling design was used for selecting the surveyed households. At the first stage a sample of localities was selected. The sample of localities were then subdivided into cells of approximately equal size, and a number of cells were selected randomly from each of the sample localities of the second stage. At the third and final stage, a sample of households was randomly selected from the sample cells.

Although a two-stage design would have been preferable, the present, more complex one was utilized because of the limited availability of data, specifically data on the population size of various small area units, e.g. cells. The total sample size was 3,934 households.

Mode of data collection

Face-to-face [f2f]

Research instrument

The questionnaires were developed by the Palestinian Central Bureau of Statistics (PCBS) after revision and adaptation of the following standard questionnaires:

1. UNICEF questionnaire for Multiple Indicator Cluster Survey (MICS).
2. Papchild questionnaire.
3. Demography and Health Survey (DHS) questionnaire.

The questionnaires were prepared and designed in order to meet the need of estimating selected indicators related to the health situation in Palestinian society in accordance with the WHO recommendations. The questionnaires used were as follows:

1. Household questionnaire which includes three sections:
2. Household Roaster (demographic variables such as sex, relation to head of household, date of birth, age, marital status and health variables such as health insurance, accessibility to health services through the question of unexpected illness and injury episode in the last two weeks preceding the survey. Questions pertaining to smoking were also included in this section.)
3. Disability (type and cause).

4. Disposal and Garbage.

5. Women's health questionnaire (reproductive health): This questionnaire was designed to collect data on all women ever-married and aged 14-49 years. It consists of five modules:

6. Respondent's background

7. Ante-natal care

8. Tetanus taxied immunization

9. Child feeding (breastfeeding and supplementary feeding)

10. Family planning.

11. Child health questionnaire: This questionnaire was designed to collect information on all children under five years of age. It was divided into seven sections:

12. General identification

13. Accidents and injuries

14. Morbidity (Diarrhea)

15. Morbidity (Acute respiratory infections)

16. Immunization

17. Anthropometry

18. Vitamin AID Supplementation.

Cleaning operations

Starting four days after beginning fieldwork in the West Bank, data entry was completed for 2,794 questionnaires on July 18, 1996. But in Gaza Strip it started one month after fieldwork because of closures. Data cleaning and checking processes were initiated simultaneously with data entry. Thorough data quality checks and consistency checks were carried out.

Response rate

In total 2,694 housing units were selected for interview in the West Bank and 1,240 in Gaza Strip, giving a total of 3,934 housing units selected. For various reasons, all the households corresponding to these housing units could not be interviewed. The rates of non-response are given in Table A1 for the West Bank and Gaza Strip as well as for both areas combined.

Response rate (West Bank): 97.6% Response rate (Gaza Strip): 99.5% Response rate (Total): 98.2%

Sampling error estimates

Since the data reported here are based on a sample survey and not on complete enumeration, they are subject to two main types of errors: sampling errors and non- sampling errors. Sampling errors are random outcomes of the sample design, and are, therefore, easily measurable.

Non-sampling errors can occur at the various stages of the survey implementation in data collection and data processing, and are generally difficult to be evaluated statistically. They cover a wide range of errors, including errors resulting from non response, sample frame coverage, data processing and response (both respondent and interviewer-related). The use of effective training and suppervision and the careful design of questions as measures have direct bearing on the magnitude of non-sampling errors, and hence the quality of the resulting data.

Data appraisal

Other methods utilized to evaluate the quality of data include; 1. Frequencies of missing values and "don't know" responses and the proportion of responses in the "other" categories. 2. Consistency between different parts of the questionnaire such as between the antenatal care and breastfeeding, between date of birth and anthropometry measurements, and immunization dates and dates of birth. 3. Checks for heaping around decimal point for weight and height measurements was done.

The STAMINA study examined the nutritional risks of low-income peri-urban mothers, infants and young children, and households in Peru during the COVID-19 pandemic. The study was designed to capture information through three, repeated cross-sectional surveys at approximately 6 month intervals over an 18 month period, starting in December 2020. The surveys were carried out by telephone in November-December 2020, July-August 2021 and in February-April 2022. The third survey took place over a longer period to allow for a household visit after the telephone interview.The study areas were Manchay (Lima) and Huánuco district in the Andean highlands (~ 1900m above sea level).In each study area, we purposively selected the principal health centre and one subsidiary health centre. Peri-urban communities under the jurisdiction of these health centres were then selected to participate. Systematic random sampling was employed with quotas for IYC age (6-11, 12-17 and 18-23 months) to recruit a target sample size of 250 mother-infant pairs for each survey. .Data collected included: household socio-demographic characteristics; infant and young child feeding practices (IYCF), child and maternal qualitative 24-hour dietary recalls/7 day food frequency questionnaires, household food insecurity experience measured using the validated Food Insecurity Experience Scale (FIES) survey module (Cafiero, Viviani, & Nord, 2018), and maternal mental health.In addition, questions that assessed the impact of COVID-19 on households including changes in employment status, adaptations to finance, sources of financial support, household food insecurity experience as well as access to, and uptake of, well-child clinics and vaccination health services were included.This folder includes the dataset and dictionary of variables for survey 1 (English only).The survey questionnaire for survey 1 is available at 10.17028/rd.lboro.16825507.

Abstract

The 1995 Kazakstan Demographic and Health Survey (KDHS) is part of the worldwide Demographic and Health Surveys (DHS) program, which is designed to collect data on fertility, family planning and maternal and child health. The 1995 KDHS was the first national level population and health survey in Kazakstan. The purpose of the survey was to provide the Ministry of Health of Kazakstan with information on fertility, reproductive practices of women, maternal care, child health and mortality, child nutrition practices, breastfeeding, nutritional status and anemia. This information is important for understanding the factors that influence the reproductive health of women and the health and survival of infants and young children. It can be used in planning effective policies and programs regarding the health and nutrition of women and their children. This is especially important now during this the time of economic transition which involves virtually all aspects of life for the people of Kazakstan. The survey provides data important to the assessment of the overall demographic situation in the country. It is expected that the findings of the KDHS will become a useful source of information necessary for the ongoing health care reform in Kazakstan.

Geographic coverage

National

Analysis unit

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

Kind of data

Sample survey data

Sampling procedure

The 1995 KDHS employed a nationally representative probability sample of women age 15-49. The country was divided into five survey regions. Four survey regions consisted of groups of contiguous oblasts (except the East Kazakstanskaya oblast which is not contiguous). Almaty City constituted a survey region by itself although it is part of the Almatinskaya oblast. The five survey regions were defined as follows:

I) Almaty City 2) South Region: Taldy-Korganskaya, Almatinskaya (except Almaty city), Dzhambylskaya, South Kazakstanskaya, and Kzyl-Ordinskaya 3) West Region: Aktiubinskaya, Mangistauskaya, Atyrauskaya, and West Kazakstanskaya 4) Central Region: Semipalatinskaya, Zhezkazganskaya, and Tourgaiskaya 5) North and East Region: East Kazakstanskaya, Pavlodarskaya, Karagandinskaya, Akmolinskaya, Kokchetauskaya, North Kazakstanskaya, and Koustanaiskaya

It is important to note that the oblast composition of regions outside of Almaty City was determined on the basis of geographic proximity, and in order to achieve similarity with respect to reproductive practices within regions. The South and West Regions are comprised of oblasts which traditionally have a high proportion of Kazak population and high fertility levels. The Central Region contains three oblasts in which the fertility level is similar to the national average. The North and East Region contains seven oblasts situated in northern Kazakstan in which a relatively high proportion of the population is of Russian origin, and the fertility level is lower than the national average.

In Almaty City, the sample for the 1995 KDHS was selected in two stages. In the first stage, 40 census counting blocks were selected with equal probability from the 1989 list of census counting blocks. A complete listing of the households in the selected counting blocks was carried out. The lists of households served as the frame for second-stage sampling; i.e., the selection of the households to be visited by the KDHS interviewing teams. In each selected household, women age 15-49 were eligible to be interviewed.

In the rural areas, the primary sampling units (PSUs) were the raions which were selected with probability proportional to size, the size being the 1993 population published by Goskomstat (1993). At the second stage, one village was selected in each selected raion, from the 1989 Registry of Villages. This resulted in 50 rural clusters being selected. At the third stage, households were selected in each cluster following the household listing operation as in Almaty City.

In the urban areas other than Almaty City, the PSUs were the cities and towns themselves. In the second stage, one health block was selected from each town except in self-representing cities (large cities that were selected with certainty) where more than one health block was selected. The selected health blocks were segmented prior to the household listing operation which provided the household lists for the third stage selection of households. In total, 86 health blocks were selected.

On average, 22 households were selected in each urban cluster, and 33 households were selected in each rural cluster. It was expected that the sample would yield interviews with approximately 4,000 women between the ages of 15 and 49.

Note: See detailed description of sample design in APPENDIX B of the survey report.

Mode of data collection

Face-to-face

Research instrument

Two questionnaires were used for the 1995 KDHS: the Household Questionnaire and the Individual Questionnaire. The questionnaires were based on the model survey instruments developed in the DHS program. They were adapted to the data needs of Kazakhstan during consultations with specialists in the areas of reproductive health, child health and nutrition in Kazakhstan.

The Household Questionnaire was used to enumerate all usual members and visitors in tile sample households and to collect information relating to the socioeconomic position of a household. In the: first part of the Household Questionnaire, information was collected on age, sex, educational attainment, marital status, and relationship to the head of household of each person listed as a household member or visitor. A primary objective of the first part of the Household Questionnaire was to identify women who were eligible for the individual interview. In the second part of the Household Questionnaire, questions were included on the dwelling unit, such as the number of rooms, the flooring material, the source of water, the type of toilet facilities, and on the availability of a variety of consumer goods.

The Individual Questionnaire was used to collect information from women age 15-49. These women were asked questions on the following major topics: - Background characteristics - Pregnancy history - Outcome of pregnancies and antenatal care - Child health and nutrition practices - Child immunization and episodes of diarrhea and respiratory illness - Knowledge and use of contraception - Marriage and fertility preferences - Husband's background and woman's work - Anthropometry of children and mothers - Hemoglobin measurement of women and children

One of the major efforts of the 1995 KDHS was testing women and children for iron-deficiency anemia. Testing was done by measuring hemoglobin levels in the blood using the Hemocue technique. Before collecting the blood sample, each woman was asked to sign a consent form giving permission for the collection of a finger-stick blood droplet from herself and her children. Results of anemia testing were kept confidential (as are all KDHS data); however, strictly with the consent of respondents, local health care facilities were informed of women and children who had severely low levels of hemoglobin (less than 7 g/dl).

Cleaning operations

Questionnaires were returned to the Institute of Nutrition in Almaty for data processing. The office editing staff checked that the questionnaires for all selected households and eligible respondents were returned from the field. The few questions which had not been pre-coded (e.g., occupation, type of chronic disease) were coded at this time. Data were then entered and edited on microcomputers using the ISSA (Integrated System for Survey Analysis) package, with the data entry software translated into Russian. Office editing and data entry activities began in May 1995 (i.e., the same time that fieldwork started) and were completed in September 1995.

Response rate

A total of 4,480 households were selected in the sample, of which 4,241 were occupied at the time of fieldwork. The main reason for the difference was that some dwelling units which were occupied at the time of the household listing operation were either vacant or the household members were away for an extended period at the time of interviewing. Of the 4,241 occupied households, 4,178 were interviewed, yielding a household response rate of 99 percent.

In the interviewed households, 3,899 women were eligible for the individual interview (i.e., all women 15-49 years of age who were either usual residents or visitors who had spent the previous night in the household). Interviews were successfully completed with 3,771 of these women, yielding a response rate of 97 percent. The principal reason for non-response was the failure to find an eligible woman at home after repeated visits to the household. The overall response rate for the survey--the product of the household and the individual response rates--was 95 percent.

Note: See summarized response rates by place of residence in Table 1.1 of the survey report .

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) non-sampling errors, and (2) sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the KDHS to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate

Abstract

The 2013 Nigeria Demographic and Health Survey (NDHS) was designed to provide data to monitor the population and health situation in Nigeria with an explicit goal of providing reliable information about maternal and child health and family planning services. The primary objective of the 2013 NDHS was to provide up-to-date information on fertility levels, marriage, fertility preferences, awareness and use of family planning methods, child feeding practices, nutritional status of women and children, adult and childhood mortality, awareness and attitudes regarding HIV/AIDS, and domestic violence. This information is intended to assist policymakers and programme managers in evaluating and designing programmes and strategies for improving health and family planning services in the country.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-49

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample Design The sample for the 2013 NDHS was nationally representative and covered the entire population residing in non-institutional dwelling units in the country. The survey used as a sampling frame the list of enumeration areas (EAs) prepared for the 2006 Population Census of the Federal Republic of Nigeria, provided by the National Population Commission. The sample was designed to provide population and health indicator estimates at the national, zonal, and state levels. The sample design allowed for specific indicators to be calculated for each of the six zones, 36 states, and the Federal Capital Territory, Abuja.

Administratively, Nigeria is divided into states. Each state is subdivided into local government areas (LGAs), and each LGA is divided into localities. In addition to these administrative units, during the 2006 population census, each locality was subdivided into census enumeration areas. The primary sampling unit (PSU), referred to as a cluster in the 2013 NDHS, is defined on the basis of EAs from the 2006 EA census frame. The 2013 NDHS sample was selected using a stratified three-stage cluster design consisting of 904 clusters, 372 in urban areas and 532 in rural areas. A representative sample of 40,680 households was selected for the survey, with a minimum target of 943 completed interviews per state.

A complete listing of households and a mapping exercise were carried out for each cluster from December 2012 to January 2013, with the resulting lists of households serving as the sampling frame for the selection of households. All regular households were listed. The NPC listing enumerators were trained to use Global Positioning System (GPS) receivers to calculate the coordinates of the 2013 NDHS sample clusters.

A fixed sample take of 45 households were selected per cluster. All women age 15-49 who were either permanent residents of the households in the 2013 NDHS sample or visitors present in the households on the night before the survey were eligible to be interviewed. In a subsample of half of the households, all men age 15-49 who were either permanent residents of the households in the sample or visitors present in the households on the night before the survey were eligible to be interviewed. Also, a subsample of one eligible woman in each household was randomly selected to be asked additional questions regarding domestic violence.

For further details on sample size and design, see Appendix B of the final report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the 2013 NDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire.

The Household Questionnaire was used to list all of the usual members of and visitors to the selected households. Some basic information was collected on the characteristics of each person listed, including age, sex, marital status, education, and relationship to the head of the household. Information on other characteristics of household members was collected as well, including current school attendance and survivorship of parents among those under age 18. If a child in the household had a parent who was sick for more than three consecutive months in the 12 months preceding the survey or a parent who had died, additional questions related to support for orphans and vulnerable children were asked. Furthermore, if an adult in the household was sick for more than three consecutive months in the 12 months preceding the survey or an adult in the household had died, questions were asked relating to support for sick people or people in households where a member had died.

The Household Questionnaire also collected information on characteristics of the household’s dwelling unit, such as source of water; type of toilet facilities; materials used for the floor of the house; ownership of various durable goods; ownership of agricultural land; ownership of livestock, farm animals, or poultry; and ownership and use of mosquito nets and long-lasting insecticidal nets. The Household Questionnaire was further used to record height and weight measurements for children age 0-59 months and women age 15-49. In addition, data on the age and sex of household members in the Household Questionnaire were used to identify women and men who were eligible for individual interviews.

The Woman’s Questionnaire was used to collect information from all women age 15-49. These women were asked questions on the following main topics: • Background characteristics (age, religion, education, literacy, media exposure, etc.) • Reproductive history and childhood mortality • Knowledge, source, and use of family planning methods • Fertility preferences • Antenatal, delivery, and postnatal care • Breastfeeding and infant feeding practices • Child immunisation and childhood illnesses • Marriage and sexual activity • Women’s work and husbands’ background characteristics • Malaria prevention and treatment • Women’s decision making • Awareness of AIDS and other sexually transmitted infections • Maternal mortality • Domestic violence

The Man’s Questionnaire was administered to all men age 15-49 in every second household in the 2013 NDHS sample. The Man’s Questionnaire collected much of the same information found in the Woman’s Questionnaire but was shorter because it did not contain a detailed reproductive history or questions on maternal and child health or nutrition.

Cleaning operations

The processing of the 2013 NDHS data began simultaneously with the fieldwork. Completed questionnaires were edited in the field immediately by the field editors and checked by the supervisors before being dispatched to the data processing centre in Abuja. The questionnaires were then edited and entered by 26 data processing personnel specially trained for this task. Data were entered using the CSPro computer package, and all data were entered twice to allow 100 percent verification. The concurrent processing of the data offered a distinct advantage because of the assurance that the data were error free and authentic. Moreover, the double entry of data enabled easy comparisons and identification of errors and inconsistencies. Inconsistencies were resolved by tallying results with the paper questionnaire entries. Secondary editing of the data was completed in the last week of July 2013. The final cleaning of the data set was carried out by the ICF data processing specialist and completed in August.

Response rate

A total of 40,320 households were selected from 896 sample points, of which 38,904 were found to be occupied at the time of the fieldwork. Of the occupied households, 38,522 were successfully interviewed, yielding a household response rate of 99 percent. In view of the security challenges in the country, this response rate is highly encouraging and appears to be the result of a well-coordinated team effort.

In the interviewed households, a total of 39,902 women age 15-49 were identified as eligible for individual interviews, and 98 percent of them were successfully interviewed. Among men, 18,229 were identified as eligible for interviews, and 95 percent were successfully interviewed. As expected, response rates were slightly lower in urban areas than in rural areas.

Note: See summarized response rates by residence (urban/rural) in Table 1.2 of the survey report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: non-sampling errors and sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2013 Nigeria DHS (NDHS) to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2013 NDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

Sampling error is usually measured in terms of the standard error

Abstract

The primary objective of the 2006 DHS is to provide to the Department of Health (DOH), Department of National Planning and Monitoring (DNPM) and other relevant institutions and users with updated and reliable data on infant and child mortality, fertility preferences, family planning behavior, maternal mortality, utilization of maternal and child health services, knowledge of HIV/AIDS and behavior, sexually risk behavior and information on the general household amenities. This information contributes to policy planning, monitoring, and program evaluation for development at all levels of government particularly at the national and provincial levels. The information will also be used to assess the performance of government development interventions aimed at addressing the targets set out under the MDG and MTDS. The long-term objective of the survey is to technically strengthen the capacity of the NSO in conducting and analyzing the results of future surveys.

The successful conduct and completion of this survey is a result of the combined effort of individuals and institutions particularly in their participation and cooperation in the Users Advisory Committee (UAC) and the National Steering Committee (NSC) in the different phases of the survey.

The survey was conducted by the Population and Social Statistics Division of the National Statistical Office of PNG. The 2006 DHS was jointly funded by the Government of PNG and Donor Partners through ADB while technical assistance was provided by International Consultants and NSO Philippines.

Geographic coverage

National level Regional level Urban and Rural

Analysis unit

• Households
• Individuals

Universe

The survey covered all de jure household members (usual residents), all women and men aged 15-50 years resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The primary focus of the 2006 DHS is to provide estimates of key population and health indicators at the national level. A secondary but important priority is to also provide estimates at the regional level, and for urban and rural areas respectively. The 2006 DHS employed the same survey methodology used in the 1996 DHS. The 2006 DHS sample was a two stage self-weighting systematic cluster sample of regions with the first stage being at the census unit level and the second stage at the household level. The 2000 Census frame comprised of a list of census units was used to select the sample of 10,000 households for the 2006 DHS.

A total of 667 clusters were selected from the four regions. All census units were listed in a geographic order within their districts, and districts within each province and the sample was selected accordingly through the use of appropriate sampling fraction. The distribution of households according to urban-rural sectors was as follows:

8,000 households were allocated to the rural areas of PNG. The proportional allocation was used to allocate the first 4,000 households to regions based on projected citizen household population in 2006. The other 4,000 households were allocated equally across all four regions to ensure that each region have sufficient sample for regional level analysis.

2,000 households were allocated to the urban areas of PNG using proportional allocation based on the 2006 projected urban citizen population. This allocation was to ensure that the most accurate estimates for urban areas are obtained at the national level.

All households in the selected census units were listed in a separate field operation from June to July 2006. From the list of households, 16 households were selected in the rural census units and 12 in the urban census units using systematic sampling. All women and men age 15-50 years who were either usual residents of the selected households or visitors present in the household on the night before the survey were eligible to be interviewed. Further information on the survey design is contained in Appendix A of the survey report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the 2006 DHS namely; the Household Questionnaire (HHQ), the Female Individual Questionnaire (FIQ) and the Male Individual Questionnaire (MIQ). The planning and development of these questionnaires involved close consultation with the UAC members comprising of the following line departments and agencies namely; Department of Health (DOH), Department of Education (DOE), Department of National Planning and Monitoring (DNPM), National Aids Council Secretariat (NACS), Department of Agriculture and Livestock (DAL), Department of Labour and Employment (DLE), University of Papua New Guinea (UPNG), National Research Institute (NRI) and representatives from Development partners.

The HHQ was designed to collect background information for all members of the selected households. This information was used to identify eligible female and male respondents for the respective individual questionnaires. Additional information on household amenities and services, and malaria prevention was also collected.

The FIQ contains questions on respondents background, including marriage and polygyny; birth history, maternal and child health, knowledge and use of contraception, fertility preferences, HIV/AIDS including new modules on sexual risk behaviour and attitudes to issues of well being. All females age 15-50 years identified from the HHQ were eligible for interview using this questionnaire.

The MIQ collected almost the same information as in the FIQ except for birth history. All males age 15-50 years identified from the HHQ were eligible to be interviewed using the MIQ.

Two pre-tests were carried out aimed at testing the flow of the existing and new questions and the administering of the MIQ between March and April 2006. The final questionnaires contained all the modules used in the 1996 DHS including new modules on malaria prevention, sexual risk behaviour and attitudes to issues of well being.

Cleaning operations

All questionnaires from the field were sent to the NSO headquarters in Port Moresby in February 2007 for editing and coding, data entry and data cleaning. Editing was done in 3 stages to enable the creation of clean data files for each province from which the tabulations were generated. Data entry and processing were done using the CSPro software and was completed by October 2008.

Response rate

Table A.2 of the survey report provides a summary of the sample implementation of the 2006 DHS. Despite the recency of the household listing, approximately 7 per cent of households could not be contacted due to prolonged absence or because their dwellings were vacant or had been destroyed. Among the households contacted, a response rate of 97 per cent was achieved. Within the 9,017 households successfully interviewed, a total of 11, 456 women and 11, 463 of men age 15-49 years were eligible to be interviewed. Successful interviews were conducted with 90 per cent of eligible women (10, 353) and 88 per cent of eligible men (10,077). The most common cause of non-response was absence (5 per cent). Among the regions, the rate of success among women was highest in all the regions (92 per cent each) except for Momase region at 86 per cent. The rate of success among men was highest in Highlands and Islands region and lowest in Momase region. The overall response rate, calculated as the product of the household and female individual response rate (.97*.90) was 87 per cent.

Sampling error estimates

Appendix B of the survey report describes the general procedure in the computation of sampling errors of the sample survey estimates generated. It basically follows the procedure adopted in most Demographic and Health Surveys.

Data appraisal

Appendix C explains to the data users the quality of the 2006 DHS. Non-sampling errors are those that occur in surveys and censuses through the following causes: a) Failure to locate the selected household b) Mistakes in the way questions were asked c) Misunderstanding by the interviewer or respondent d) Coding errors e) Data entry errors, etc.

Total eradication of non-sampling errors is impossible however great measures were taken to minimize them as much as possible. These measures included: a) Careful questionnaire design b) Pretesting of survey instruments to guarantee their functionality c) A month of interviewers’ and supervisors’ training d) Careful fieldwork supervision including field visits by NSOHQ personnel e) A swift data processing prior to data entry f ) The use of interactive data entry software to minimize errors

Abstract

Rwanda Interim Demographic and Health Survey (RIDHS) follows the Demographic and Health Surveys (RDHS) that were successfully conducted in 1992, 2000, and 2005, and is part of a broad, worldwide program of socio-demographic and health surveys conducted in developing countries since the mid-1980s. RIDHS collected the indicators on fertility, family planning and maternal and child health which the survey normally provides. In addition, RIDHS integrated a malaria module and tests for the prevalence of malaria and anemia among women and children, thus determining the prevalence of malaria and anemia for women and children at the national level.

The main objectives of the RIDHS were: • At the national level, gather data to determine demographic rates, particularly fertility and infant and child mortality rates, and analyze the direct and indirect factors that determine fertility and child mortality rates and trends. • Evaluate the level of knowledge and use of contraceptives among women and men. • Gather data concerning family health: vaccinations; prevalence and treatment of diarrhea, acute respiratory infections (ARI), and fever in children under the age of five; antenatal care visits; and assistance during childbirth. • Gather data concerning the prevention and treatment of malaria, particularly the possession and use of mosquito nets, and the prevention of malaria in pregnant women. • Gather data concerning child feeding practices, including breastfeeding. • Gather data concerning circumcision among men between the ages of 15 and 59. • Collect blood samples in all of the households surveyed for anemia testing of women age 15-49, pregnant women and children under age five. • Collect blood samples in all of the households surveyed for hemoglobin and malaria diagnostic testing of women age 15 to 49, pregnant women and children under age five.

Geographic coverage

National coverage

Analysis unit

Household Individual Woman age 15-49 Man age 15-59

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample for the RIDHS is a two-stage stratified area sample. Clusters are the primary sampling units and are constituted from enumeration areas (EA). The EA were defined in the 2002 General Population and Housing Census (RGPH) (SNR, 2005).

These enumeration areas provided the master frame for the drawing of 250 clusters (187 rural and 63 urban), selected with a representative probability proportional to their size. Only 249 of these clusters were surveyed, because one cluster located in a refugee camp had to be eliminated from the sample. A strictly proportional sample allocation would have resulted in a very low number of urban households in certain provinces. It was therefore necessary to slightly oversample urban areas in order to survey a sufficient number of households to produce reliable estimates for urban areas. The second stage involved selecting a sample of households in these enumeration areas. In order to adequately guarantee the accuracy of the indicators, the total number drawn was limited to 30 households per cluster. Because of the nonproportional distribution of the sample among the different strata and the fact that the number of households was set for each cluster, weighting was used to ensure the validity of the sample at both national and provincial levels.

All women age 15-49 years who were either usual residents of the selected household or visitors present in the household on the night before the survey were eligible to be interviewed (7,528 women). In addition, a sample of men age 15-59 who were either usual residents of the selected household or visitors present in the household on the night before the survey were eligible for the survey (7,168 men). Finally, all women age 15-49 and all children under the age of five were eligible for the anemia and malaria diagnostic tests.

The sample for the 2007-08 RIDHS covered the population residing in ordinary households across the country. A national sample of 7,469 households (1,863 in urban areas and 5,606 in rural areas) was selected. The sample was first stratified to provide adequate representation from urban and rural areas as well as all the four provinces and the city of Kigali, the nation’s capital.

Sampling deviation

One cluster located in a refugee camp had to be eliminated from the sample.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the 2007-08 RIDHS: the Household Questionnaire, the Women’s Questionnaire, and the Men’s Questionnaire. The content of these questionnaires was based on model questionnaires developed by the MEASURE DHS project.

Initial technical meetings that were held beginning in September 2007 allowed a wide range of government agencies as well as local and international organizations to contribute to the development of the questionnaires. Based on these discussions, the DHS model questionnaires were modified to reflect the needs of users and relevant issues in population, family planning, anemia, malaria and other health concerns in Rwanda. The questionnaires were then translated from French into Kinyarwanda. These questionnaires were finalized in December 2007 before the training of male and female interviewers.

The Household Questionnaire was used to list all of the usual members and visitors in the selected households. In addition, 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 main source of drinking water, type of toilet facilities, materials used for the floor of the house, the main energy source used for cooking and ownership of various durable goods. Finally, the Household Questionnaire was also used to identify women and children eligible for the hemoglobin (anemia) and malaria diagnostic tests.

The Women’s Questionnaire was used to collect information on women of reproductive age (15-49 years) and covered questions on the following topics: • Background characteristics • Marital status • Birth history • Knowledge and use of family planning methods • Fertility preferences • Antenatal and delivery care • Breastfeeding practices • Vaccinations and childhood illnesses

The Men’s Questionnaire was administered to all men age 15-59 years living in the selected households. The Men’s Questionnaire collected information similar to that of the Women’s Questionnaire, with the only difference being that it did not include birth history or questions on maternal and child health or nutrition. In addition, the Men’s Questionnaire also collected information on circumcision.

Cleaning operations

Data entry began on January 7, 2008, three weeks after the beginning of data collection activities in the field. Data were entered by a team of five data processing personnel recruited and trained by staff from ICF Macro. The data entry team was reinforced during this work with an additional staffer. Completed questionnaires were periodically brought in from the field to the National Institute of Statistics in Kigali, where assigned staff checked them and coded the open-ended questions. Next, the questionnaires were sent to the data entry staff. Data were entered using CSPro, a program developed jointly by the United States Census Bureau, the ICF Macro MEASURE DHS program, and Serpro S.A. All questionnaires were entered twice to eliminate as many data entry errors as possible from the files. In addition, a quality control program was used to detect data collection errors for each team. This information was shared with field teams during supervisory visits to improve data quality. The data entry and internal consistency verification phase of the survey was completed on May 14, 2008.

Response rate

The response rate was high for both men (95.4 percent) and women (97.5 percent).

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2007-08 RIDHS to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2007-08 RIDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population

Abstract

The 2005 Armenia Demographic and Health Survey (2005 ADHS) is the second in a series of nationally representative sample surveys designed to provide information on population and health issues in Armenia. As in the 2000 ADHS, the primary goal of the 2005 survey was to develop a single integrated set of demographic and health data pertaining to the population of the Republic of Armenia. In addition to integrating measures of reproductive, child, and adult health, another feature of the 2005 ADHS survey is that the majority of data are presented at the marz (region) level.

The 2005 ADHS was conducted by the National Statistical Service (NSS) and the MOH of the Republic of Armenia from September through December 2005. ORC Macro provided technical support for the survey through the MEASURE DHS project. MEASURE DHS is a worldwide project, sponsored by the United States Agency for International Development (USAID), with a mandate to assist countries in obtaining information on key population and health indicators. USAID/Armenia provided funding for the survey, while the United Nations Children’s Fund (UNICEF)/Armenia and the United Nations Population Fund (UNFPA)/Armenia supported the survey through in-kind contributions.

The 2005 ADHS collected national- and regional-level data on fertility and contraceptive use, maternal and child health, adult health, and HIV/AIDS and other sexually transmitted diseases. The survey obtained detailed information on these issues from women of reproductive age and, on certain topics, from men as well. Data are presented by marz wherever sample size permits.

The 2005 ADHS results are intended to provide the information needed to evaluate existing social programs and to design new strategies for improving the health of and health services for the people of Armenia. The 2005 ADHS also contributes to the growing international database on demographic and health-related variables.

Geographic coverage

National

Analysis unit

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

Kind of data

Sample survey data

Sampling procedure

The sample was designed to permit detailed analysis-including the estimation of rates of fertility, infant/child mortality, and abortion-for the national level, for Yerevan, and for total urban and total rural areas separately. Many indicators can also be estimated at the regional (marz) level.

A representative probability sample of 7,565 households was selected for the 2005 ADHS sample. The sample was selected in two stages. In the first stage, 308 clusters were selected from a list of enumeration areas in a subsample from a master sample that was designed from the 2001 Population Census. In the second stage, a complete listing of households was carried out in each selected cluster. Households were then systematically selected for participation in the survey.

All women age 15-49 who were either permanent residents of the households in the 2005 ADHS sample or visitors present in the household on the night before the survey were eligible to be interviewed. Interviews were completed with 6,566 women. In addition, in a subsample of one-third of all the households selected for the survey, all men age 15-49 were eligible to be interviewed if they were either permanent residents or visitors present in the household on the night before the survey. Interviews were completed with 1,447 men.

Note: See detailed summarized sample implementation tables in APPENDIX A of the report which is presented in this documentation.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the 2005 ADHS: a Household Questionnaire, a Women’s Questionnaire, and a Men’s questionnaire. The Household and Individual Questionnaires were based on model survey instruments developed in the MEASURE DHS program and on questionnaires used in the 2000 ADHS. The model questionnaires were adapted for use by experts from the NSS and MOH. Input was also sought from a number of non-governmental organizations. The questionnaires were developed in English and translated into Armenian. The Household and Individual Questionnaires were pretested in June 2005.

The Household Questionnaire was used to list all usual members of and visitors to the selected households and to collect information on the socioeconomic status of the household. The first part of the Household Questionnaire collected information on the age, sex, educational attainment, and relationship to the household head of each household member or visitor. This information provides basic demographic data for Armenian households. It also was used to identify the women and men who were eligible for the individual interview (i.e., women and men age 15-49). In the second part of the Household Questionnaire, there were questions on housing characteristics (e.g., flooring material, source of water, type of toilet facilities), on ownership of a variety of consumer goods, and other questions relating to the socioeconomic status of the household. In addition, the Household Questionnaire was used to record height and weight measurements of women, men, and children under age five; hemoglobin measurement of women and children under age five; and blood pressure measurement of women and men.

The Women’s Questionnaire obtained data from women age 15-49 on the following topics: • Background characteristics • Pregnancy history • Antenatal, delivery, and postnatal care • Knowledge, attitudes, and use of contraception • Reproductive and adult health • Health care utilization • Vaccinations, birth registration, and health of children under age five • Episodes of diarrhea and respiratory illness of children under age five • Breastfeeding and weaning practices • Marriage and recent sexual activity • Fertility preferences • Knowledge of and attitude toward HIV/AIDS and other sexually transmitted infections

The Men’s Questionnaire, administered to men age 15-49, focused on the following topics: • Background characteristics • Health and health care utilization • Marriage and recent sexual activity • Attitudes toward and use of condoms • Knowledge of and attitude toward HIV/AIDS and other sexually transmitted infections • Attitudes toward women’s status

Response rate

A total of 7,565 households were selected for the sample, of which 7,003 were occupied at the time of fieldwork. The main reason for the difference is that some of the dwelling units that were occupied during the household listing operation were either vacant or the household was away for an extended period at the time of interviewing. Of the occupied households, 96 percent were successfully interviewed.

In these households, 6,773 women were identified as eligible for the individual interview, and interviews were completed with 97 percent of them. Of the 1,630 eligible men identified, 89 percent were successfully interviewed. Response rates are almost identical in urban and rural areas.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the report which is presented this documentation.

Sampling error estimates

Estimates derived from a sample survey are affected by two types of errors: 1) non-sampling errors, and 2) sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2005 Armenia DHS (2005 ADHS) to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2005 ADHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2005 ADHS sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use a more complex formula. The computer software used to calculate sampling errors for the 2005 ADHS is the sampling error module in ISSA (Integrated System for Survey Analysis). This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. Another approach, the Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.

Note: See detailed

Abstract

The 1993 Ghana Demographic and Health Survey (GDHS) is a nationally representative survey of 4,562 women age 15-49 and 1,302 men age 15-59. The survey is designed to furnish policymakers, planners and program managers with factual, reliable and up-to-date information on fertility, family planning and the status of maternal and child health care in the country. The survey, which was carried out by the Ghana Statistical Service (GSS), marks Ghana's second participation in the worldwide Demographic and Health Surveys (DHS) program.

The principal objective of the 1993 GDHS is to generate reliable and current information on fertility, mortality, contraception and maternal and child health indicators. Such data are necessary for effective policy formulation as well as program design, monitoring and evaluation. The 1993 GDHS is, in large measure, an update to the 1988 GDHS. Together, the two surveys provide comparable information for two points in time, thus allowing assessment of changes and trends in various demographic and health indicators over time.

Long-term objectives of the survey include (i) strengthening the capacity of the Ghana Statistical Service to plan, conduct, process and analyze data from a complex, large-scale survey such as the Demographic and Health Survey, and (ii) contributing to the ever-expanding international database on demographic and health-related variables.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 15-49
• Men age 15-59

Kind of data

Sample survey data

Sampling procedure

The 1993 GDHS is a stratified, self-weighting, nationally representative sample of households chosen from 400 Enumeration Areas (EAs). The 1984 Population Census EAs constituted the sampling frame. The frame was first stratified into three ecological zones, namely coastal, forest and savannah, and then into urban and rural EAs. The EAs were selected with probability proportional to the number of households. Households within selected EAs were subsequently listed and a systematic sample of households was selected for the survey. The survey was designed to yield a sample of 5,400 women age 15-49 and a sub-sample of males age 15-59 systematically selected from one-third of the 400 EAs.

Note: See detailed description of sample design in APPENDIX A of the survey report.

Mode of data collection

Face-to-face

Research instrument

Survey instruments used to elicit information for the 1993 GDHS are 1) Household Schedule 2) Women's Questionnaire and 3) Men's Questionnaire.

The questionnaires were structured based on the Demographic and Health Survey Model B Questionnaire designed for countries with low levels of contraceptive use. The final version of the questionnaires evolved out of a series of meetings with personnel of relevant ministries, institutions and organizations engaged in activities relating to fertility and family planning, health and nutrition and rehabilitation of persons with disabilities.

The questionnaires were first developed in English and later translated and printed in five major local languages, namely: Akan, Dagbani, Ewe, Ga, and Hausa. In the selected households, all usual members and visitors were listed in the household schedule. Background information, such as age, sex, relationship to head of household, marital status and level of education, was collected on each listed person. Questions on economic activity, occupation, industry, employment status, number of days worked in the past week and number of hours worked per day was asked of all persons age seven years and over. Those who did not work during the reference period were asked whether or not they actively looked for work.

Information on the health and disability status of all persons was also collected in the household schedule. Migration history was elicited from all persons age 15 years and over, as well as information on the survival status and residence of natural parents of all children less than 15 years in the household.

Data on source of water supply, type of toilet facility, number of sleeping rooms available to the household, material of floor and ownership of specified durable consumer goods were also elicited.

Finally, the household schedule was the instrument used to identify eligible women and men from whom detailed information was collected during the individual interview.

The women's questionnaire was used to collect information on eligible women identified in the household schedule. Eligible women were defined as those age 15-49 years who are usual members of the household and visitors who spent the night before the interview with the household. Questions asked in the questionnaire were on the following topics:

• Background Characteristics
• Reproductive History
• Contraceptive Knowledge and Use
• Pregnancy and Breastfeeding
• Immunization and Health
• Marriage
• Fertility Preferences
• Maternal Mortality
• Husband's Background and Women's Work
• Knowledge of AIDS and Other Sexually Transmitted Diseases (STDs).

All female respondents with at least one live birth since January 1990 and their children born since 1st January 1990 had their height and weight taken.

The men's questionnaire was administered to men in sample households in a third of selected EAs. An eligible man was 15-59 years old who is either a usual household member or a visitor who spent the night preceding the day of interview with the household.

Topics enquired about in the men's questionnaire included the following: - Background Characteristics - Reproductive History - Contraceptive Knowledge and Use - Marriage - Fertility Preferences - Knowledge of AIDS and Other STDs.

Cleaning operations

Questionnaires from the field were sent to the secretariat at the Head Office for checking and office editing. The office editing, which was undertaken by two officers, involved correcting inconsistencies in the questionnaire responses and coding open-ended questions. The questionnaires were then forwarded to the data processing unit for data entry. Data capture and verification were undertaken by four data entry operators. Nearly 20 percent of the questionnaires were verified. This phase of the survey covered four and a half months - that is, from mid-October, 1993 to the end of February, 1994.

After the data entry, three professional staff members performed the secondary editing of questionnaires that were flagged either because entries were inconsistent or values of specific variables were out of range or missing. The secondary editing was completed on 17th March, 1994 and the tables for the preliminary report were generated on 18th March, 1994. The software package used for the data processing was the Integrated System for Survey Analysis (ISSA).

Response rate

A sample of 6,161 households was selected, from which 5,919 households were contacted for interview. Interviews were successfully completed in 5,822 households, indicating a household response rate of 98 percent. About 3 percent of selected households were absent during the interviewing period, and are excluded from the calculations of the response rate.

Even though the sample was designed to yield interviews with nearly 5,400 women age 15-49 only 4,700 women were identified as eligible for the individual interview. Individual interviews were successfully completed for 4,562 eligible women, giving a response rate of 97 percent. Similarly, instead of the expected 1,700 eligible men being identified in the households only 1,354 eligible men were found and 1,302 of these were successfully interviewed, with a response rate of 96 percent.

The principal reason for non-response among eligible women and men was not finding them at home despite repeated visits to the households. However, refusal rates for both eligible women and men were low, 0.3 percent and 0.2 percent, respectively.

Note: See summarized response rates in Table 1.1 of the survey report.

Sampling error estimates

The results from sample surveys are affected by two types of errors, non-sampling error and sampling error. Non-sampling error is due to mistakes made in carrying out field activities, such as failure to locate and interview the correct household, errors in the way the questions are asked, misunderstanding on the part of either the interviewer or the respondent, data entry errors, etc. Although efforts were made during the design and implementation of the 1993 GDHS to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be measured statistically. The sample of eligible women selected in the 1993 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each one would have yielded results that differed somewhat from the actual sample selected. The sampling error is a measure of the variability between all possible samples; although it is not known exactly, it can be estimated from the survey results.

Sampling error is usually measured in terms of standard error of a particular statistic (mean, percentage, etc.), which is the square root of the variance of the statistic. The standard error can be used to calculate confidence intervals within which, apart from non-sampling errors, the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that same statistic as measured in 95 percent of all possible samples with the same design (and expected size) will fall within a range

Abstract

The 2010 Armenia Demographic and Health Survey (2010 ADHS) is the third in a series of nationally representative sample surveys designed to provide information on population and health issues. It is conducted in Armenia under the worldwide Demographic and Health Surveys program. Specifically, the 2010 ADHS has a primary objective of providing current and reliable information on fertility levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutritional status of young children, childhood mortality, maternal and child health, and awareness and behavior regarding AIDS and other sexually transmitted infections (STIs). The survey obtained detailed information on these issues from women of reproductive age and, for certain topics, from men as well.

The 2010 ADHS results are intended to provide information needed to evaluate existing social programs and to design new strategies to improve health of and health services for the people of Armenia. Data are presented by region (marz) wherever sample size permits. The information collected in the 2010 ADHS will provide updated estimates of basic demographic and health indicators covered in the 2000 and 2005 surveys.

The long-term objective of the survey includes strengthening the technical capacity of major government institutions, including the NSS. The 2010 ADHS also provides comparable data for longterm trend analysis in Armenia because the 2000, 2005, and 2010 surveys were implemented by the same organisation and used similar data collection procedures. It also adds to the international database of demographic and health–related information for research purposes.

The 2010 ADHS was conducted by the National Statistical Service (NSS) and the MOH of Armenia from October 5 through December 25, 2010.

Kind of data

Sample survey data

Sampling procedure

The sample was designed to permit detailed analysis-including the estimation of rates of fertility, infant/child mortality, and abortion-at the national level, for Yerevan, and for total urban and total rural areas separately. Many indicators can also be estimated at the regional (marz) level.

A representative probability sample of 7,580 households was selected for the 2010 ADHS sample. The sample was selected in two stages. In the first stage, 308 clusters were selected from a list of enumeration areas in a subsample of a master sample derived from the 2001 Population Census frame. In the second stage, a complete listing of households was carried out in each selected cluster. Households were then systematically selected for participation in the survey.

All women age 15-49 who were either permanent residents of the households in the 2010 ADHS sample or visitors present in the household on the night before the survey were eligible to be interviewed. Interviews were completed with 5,922 women. In addition, in a subsample of one-third of all of the households selected for the survey, all men age 15-49 were eligible to be interviewed if they were either permanent residents or visitors present in the household on the night before the survey. Interviews were completed with 1,584 men.

Appendix A of the Final Report provides additional information on the sample design of the 2010 Armenia DHS.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the ADHS: a Household Questionnaire, a Woman’s Questionnaire, and a Man’s Questionnaire. The Household Questionnaire and the individual questionnaires were based on model survey instruments developed in the MEASURE DHS program and questionnaires used in the previous 2005 ADHS. The model questionnaires were adapted for use by NSS and MOH. Suggestions were also sought from a number of nongovernmental organizations (NGOs). The questionnaires were developed in English and translated into Armenian. They were pretested in July 2010.

The Household Questionnaire was used to list all usual members of and visitors to the selected households and to collect information on the socioeconomic status of the household. The first part of the Household Questionnaire collected for each household member or visitor information on their age, sex, educational attainment, and relationship to the head of household. This information provided basic demographic data for Armenian households. It also was used to identify the women and men who were eligible for an individual interview (i.e., women and men age 15-49). In the second part of the Household Questionnaire, there were questions on housing characteristics (e.g., the flooring material, the source of water, and the type of toilet facilities), on ownership of a variety of consumer goods, and on other aspects of the socioeconomic status of the household. In addition, the Household Questionnaire was used to obtain information on each child’s birth registration, ask questions about child discipline and child labor, and record height and weight measurements of children under age 5.

The Woman’s Questionnaire obtained information from women age 15-49 on the following topics: - Background characteristics - Pregnancy history - Antenatal, delivery, and postnatal care - Knowledge, attitudes, and use of contraception - Reproductive and adult health - Childhood mortality - Health and health care utilization - Vaccinations of children under age 5 - Episodes of diarrhea and respiratory illness of children under age 5 - Breastfeeding and weaning practices - Marriage and recent sexual activity - Fertility preferences - Knowledge of and attitudes toward AIDS and other sexually transmitted diseases - Woman’s work and husband’s background characteristics

The Man’s Questionnaire, administered to men age 15-49, focused on the following topics: - Background characteristics - Health and health care utilization - Marriage and recent sexual activity - Attitudes toward and use of condoms - Knowledge of and attitudes toward AIDS and other sexually transmitted diseases - Attitudes toward women’s status

Cleaning operations

Data Processing

The processing of the ADHS results began shortly after fieldwork commenced. Completed questionnaires were returned regularly from the field to NSS headquarters in Yerevan, where they were entered and edited by data processing personnel who were specially trained for this task. The data processing personnel included a supervisor, a questionnaire administrator (who ensured that the expected number of questionnaires from all clusters was received), several office editors, 12 data entry operators, and a secondary editor. The concurrent processing of the data was an advantage because the senior DHS technical staff were able to advise field teams of problems detected during the data entry. In particular, tables were generated to check various data quality parameters. As a result, specific feedback was given to the teams to improve performance. The data entry and editing phase of the survey was completed in March 2011.

Response rate

A total of 7,580 households were selected in the sample, of which 7,043 were occupied at the time of the fieldwork. The main reason for the difference is that some of the dwelling units that were occupied during the household listing operation were either vacant or the household was away for an extended period at the time of interviewing. The number of occupied households successfully interviewed was 6,700, yielding a household response rate of 95 percent. The household response rate in urban areas (94 percent) was slightly lower than in rural areas (97 percent).

In these households, a total of 6,059 eligible women were identified; interviews were completed with 5,922 of these women, yielding a response rate of 98 percent. In one-third of the households, a total of 1,641 eligible men were identified, and interviews were completed with 1,584 of these men, yielding a response rate of 97 percent. Response rates are slightly lower in urban areas (97 percent for women and 96 percent for men) than in rural areas where rates were 99 and 97 percent, respectively.

Sampling error estimates

Detailed information on sampling errors is provided in Appendix B of the Final Report.