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

Abstract

The Bangladesh Demographic and Health Survey (BDHS) 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 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: - assess 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 objective of the BDHS is to provide up-to-date information on fertility and childhood mortality levels; nuptiality; fertility preferences; awareness, approval, and use of family planning methods; breastfeeding practices; nutrition levels; and maternal and child health. This information is intended to assist policymakers and administrators in evaluating and designing programs and strategies for improving health and family planning services in the country.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 10-49
• Men age 15-59

Kind of data

Sample survey data

Sampling procedure

Bangladesh is divided into six administrative divisions, 64 districts (zillas), and 490 thanas. In rural areas, thanas are divided into unions and then mauzas, a land administrative unit. Urban areas are divided into wards and then mahallas. The 1996-97 BDHS employed a nationally-representative, two-stage sample that was selected from the Integrated Multi-Purpose Master Sample (IMPS) maintained by the Bangladesh Bureau of Statistics. Each division was stratified into three groups: 1 ) statistical metropolitan areas (SMAs), 2) municipalities (other urban areas), and 3) rural areas. 3 In the 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 so as to retain the overall probability proportional to size. A total of 316 primary sampling units were utilized for the BDHS (30 in SMAs, 42 in municipalities, and 244 in rural areas). In order to highlight changes in survey indicators over time, the 1996-97 BDHS utilized the same sample points (though not necessarily the same households) that were selected for the 1993-94 BDHS, except for 12 additional sample points in the new division of Sylhet. Fieldwork in three sample points was not possible (one in Dhaka Cantonment and two in the Chittagong Hill Tracts), so a total of 313 points were covered.

Since one objective of the BDHS is to provide separate estimates for each division as well as for urban and rural areas separately, it was necessary to increase the sampling rate for Barisal and Sylhet Divisions and 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.

Mitra and Associates conducted a household listing operation in all the sample points from 15 September to 15 December 1996. A systematic sample of 9,099 households was then selected from these lists. Every second household was selected for the men's survey, meaning that, in addition to interviewing all ever-married women age 10-49, interviewers also interviewed all currently married men age 15-59. It was expected that the sample would yield interviews with approximately 10,000 ever-married women age 10-49 and 3,000 currently married men age 15-59.

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

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 Men' s Questionnaire and a Community 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. These model questionnaires were adapted for use in Bangladesh during a series of meetings with a small Technical Task Force that consisted of representatives from NIPORT, Mitra and Associates, USAID/Bangladesh, the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Population Council/Dhaka, and Macro International Inc (see Appendix D for a list of members). Draft questionnaires were then circulated to other interested groups and were reviewed by the BDHS Technical Review Committee (see Appendix D for list of members). The questionnaires were developed in English and then translated into and printed in Bangla (see Appendix E for final version in English).

The Household Questionnaire was used to list all the usual members and visitors in the 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 the 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 five, - Marriage, - Fertility preferences, - Husband's background and respondent's work, - Knowledge of AIDS, - Height and weight of children under age five and their mothers.

The Men's Questionnaire was used to interview currently married men age 15-59. It was similar to that for women except that it omitted the sections on reproductive history, antenatal and delivery care, breastfeeding, vaccinations, and height and weight. The Community Questionnaire was completed for each sample point and included questions about the existence in the community of income-generating activities and other development organizations and the availability of health and family planning services.

Response rate

A total of 9,099 households were selected for the sample, of which 8,682 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 8,762 households occupied, 99 percent were successfully interviewed. In these households, 9,335 women were identified as eligible for the individual interview (i.e., ever-married and age 10-49) and interviews were completed for 9,127 or 98 percent of them. In the half of the households that were selected for inclusion in the men's survey, 3,611 eligible ever-married men age 15-59 were identified, of whom 3,346 or 93 percent were interviewed.

The principal reason for non-response among eligible women and men was the failure to find them at home despite repeated visits to the household. The refusal rate was low.

Note: See summarized response rates by residence (urban/rural) 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 BDHS 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 BDHS 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 BDHS 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 BDHS is the ISSA Sampling Error Module. This module used the Taylor

Abstract

The 2002 Vietnam Demographic and Health Survey (VNDHS 2002) is a nationally representative sample survey of 5,665 ever-married women age 15-49 selected from 205 sample points (clusters) throughout Vietnam. It provides information on levels of fertility, family planning knowledge and use, infant and child mortality, and indicators of maternal and child health. The survey included a Community/ Health Facility Questionnaire that was implemented in each of the sample clusters.

The survey was designed to measure change in reproductive health indicators over the five years since the VNDHS 1997, especially in the 18 provinces that were targeted in the Population and Family Health Project of the Committee for Population, Family and Children. Consequently, all provinces were separated into “project” and “nonproject” groups to permit separate estimates for each. Data collection for the survey took place from 1 October to 21 December 2002.

The Vietnam Demographic and Health Survey 2002 (VNDHS 2002) was the third DHS in Vietnam, with prior surveys implemented in 1988 and 1997. The VNDHS 2002 was carried out in the framework of the activities of the Population and Family Health Project of the Committee for Population, Family and Children (previously the National Committee for Population and Family Planning).

The main objectives of the VNDHS 2002 were to collect up-to-date information on family planning, childhood mortality, and health issues such as breastfeeding practices, pregnancy care, vaccination of children, treatment of common childhood illnesses, and HIV/AIDS, as well as utilization of health and family planning services. The primary objectives of the survey were to estimate changes in family planning use in comparison with the results of the VNDHS 1997, especially on issues in the scope of the project of the Committee for Population, Family and Children.

VNDHS 2002 data confirm the pattern of rapidly declining fertility that was observed in the VNDHS 1997. It also shows a sharp decline in child mortality, as well as a modest increase in contraceptive use. Differences between project and non-project provinces are generally small.

Geographic coverage

The 2002 Vietnam Demographic and Health Survey (VNDHS 2002) is a nationally representative sample survey. The VNDHS 1997 was designed to provide separate estimates for the whole country, urban and rural areas, for 18 project provinces and the remaining nonproject provinces as well. Project provinces refer to 18 focus provinces targeted for the strengthening of their primary health care systems by the Government's Population and Family Health Project to be implemented over a period of seven years, from 1996 to 2002 (At the outset of this project there were 15 focus provinces, which became 18 by the creation of 3 new provinces from the initial set of 15). These provinces were selected according to criteria based on relatively low health and family planning status, no substantial family planning donor presence, and regional spread. These criteria resulted in the selection of the country's poorer provinces. Nine of these provinces have significant proportions of ethnic minorities among their population.

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 2002 VNDHS is defined as the universe of all women age 15-49 in Vietnam.

Kind of data

Sample survey data

Sampling procedure

The sample for the VNDHS 2002 was based on that used in the VNDHS 1997, which in turn was a subsample of the 1996 Multi-Round Demographic Survey (MRS), a semi-annual survey of about 243,000 households undertaken regularly by GSO. The MRS sample consisted of 1,590 sample areas known as enumeration areas (EAs) spread throughout the 53 provinces/cities of Vietnam, with 30 EAs in each province. On average, an EA comprises about 150 households. For the VNDHS 1997, a subsample of 205 EAs was selected, with 26 households in each urban EA and 39 households for each rural EA. A total of 7,150 households was selected for the survey. The VNDHS 1997 was designed to provide separate estimates for the whole country, urban and rural areas, for 18 project provinces and the remaining nonproject provinces as well. Because the main objective of the VNDHS 2002 was to measure change in reproductive health indicators over the five years since the VNDHS 1997, the sample design for the VNDHS 2002 was as similar as possible to that of the VNDHS 1997.

Although it would have been ideal to have returned to the same households or at least the same sample points as were selected for the VNDHS 1997, several factors made this undesirable. Revisiting the same households would have held the sample artificially rigid over time and would not allow for newly formed households. This would have conflicted with the other major survey objective, which was to provide up-to-date, representative data for the whole of Vietnam. Revisiting the same sample points that were covered in 1997 was complicated by the fact that the country had conducted a population census in 1999, which allowed for a more representative sample frame.

In order to balance the two main objectives of measuring change and providing representative data, it was decided to select enumeration areas from the 1999 Population Census, but to cover the same communes that were sampled in the VNDHS 1997 and attempt to obtain a sample point as close as possible to that selected in 1997. Consequently, the VNDHS 2002 sample also consisted of 205 sample points and reflects the oversampling in the 20 provinces that fall in the World Bank-supported Population and Family Health Project. The sample was designed to produce about 7,000 completed household interviews and 5,600 completed interviews with ever-married women age 15-49.

Mode of data collection

Face-to-face

Research instrument

As in the VNDHS 1997, three types of questionnaires were used in the 2002 survey: the Household Questionnaire, the Individual Woman's Questionnaire, and the Community/Health Facility Questionnaire. The first two questionnaires were based on the DHS Model A Questionnaire, with additions and modifications made during an ORC Macro staff visit in July 2002. The questionnaires were pretested in two clusters in Hanoi (one in a rural area and another in an urban area). After the pretest and consultation with ORC Macro, the drafts were revised for use in the main survey.

a) The Household Questionnaire was used to enumerate all usual members and visitors in selected households and to collect information on age, sex, education, marital status, and relationship to the head of household. The main purpose of the Household Questionnaire was to identify persons who were eligible for individual interview (i.e. ever-married women age 15-49). In addition, the Household Questionnaire collected information on characteristics of the household such as water source, type of toilet facilities, material used for the floor and roof, and ownership of various durable goods.

b) The Individual Questionnaire was used to collect information on ever-married women aged 15-49 in surveyed households. These women were interviewed on the following topics:
- Respondent's background characteristics (education, residential history, etc.); - Reproductive history; - Contraceptive knowledge and use;
- Antenatal and delivery care; - Infant feeding practices; - Child immunization; - Fertility preferences and attitudes about family planning; - Husband's background characteristics; - Women's work information; and - Knowledge of AIDS.

c) The Community/Health Facility Questionnaire was used to collect information on all communes in which the interviewed women lived and on services offered at the nearest health stations. The Community/Health Facility Questionnaire consisted of four sections. The first two sections collected information from community informants on some characteristics such as the major economic activities of residents, distance from people's residence to civic services and the location of the nearest sources of health care. The last two sections involved visiting the nearest commune health centers and intercommune health centers, if these centers were located within 30 kilometers from the surveyed cluster. For each visited health center, information was collected on the type of health services offered and the number of days services were offered per week; the number of assigned staff and their training; medical equipment and medicines available at the time of the visit.

Cleaning operations

The first stage of data editing was implemented by the field editors soon after each interview. Field editors and team leaders checked the completeness and consistency of all items in the questionnaires. The completed questionnaires were sent to the GSO headquarters in Hanoi by post for data processing. The editing staff of the GSO first checked the questionnaires for completeness. The data were then entered into microcomputers and edited using a software program specially developed for the DHS program, the Census and Survey Processing System, or CSPro. Data were verified on a 100 percent basis, i.e., the data were entered separately twice and the two results were compared and corrected. The data processing and editing staff of the GSO were trained and supervised for two weeks by a data processing specialist from ORC Macro. Office editing and processing activities were initiated immediately after the beginning of the fieldwork and were completed in late December 2002.

Response rate

The results of the household and individual

Abstract

The Thai Demographic and Health Survey (TDHS) was a nationally representative sample survey conducted from March through June 1988 to collect data on fertility, family planning, and child and maternal health. A total of 9,045 households and 6,775 ever-married women aged 15 to 49 were interviewed. Thai Demographic and Health Survey (TDHS) is carried out by the Institute of Population Studies (IPS) of Chulalongkorn University with the financial support from USAID through the Institute for Resource Development (IRD) at Westinghouse. The Institute of Population Studies was responsible for the overall implementation of the survey including sample design, preparation of field work, data collection and processing, and analysis of data. IPS has made available its personnel and office facilities to the project throughout the project duration. It serves as the headquarters for the survey.

The Thai Demographic and Health Survey (TDHS) was undertaken for the main purpose of providing data concerning fertility, family planning and maternal and child health to program managers and policy makers to facilitate their evaluation and planning of programs, and to population and health researchers to assist in their efforts to document and analyze the demographic and health situation. It is intended to provide information both on topics for which comparable data is not available from previous nationally representative surveys as well as to update trends with respect to a number of indicators available from previous surveys, in particular the Longitudinal Study of Social Economic and Demographic Change in 1969-73, the Survey of Fertility in Thailand in 1975, the National Survey of Family Planning Practices, Fertility and Mortality in 1979, and the three Contraceptive Prevalence Surveys in 1978/79, 1981 and 1984.

Geographic coverage

National

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 1987 THADHS is defined as the universe of all women Ever-married women in the reproductive ages (i.e., women 15-49). This covered women in private households on the basis of a de facto coverage definition. Visitors and usual residents who were in the household the night before the first visit or before any subsequent visit during the few days the interviewing team was in the area were eligible. Excluded were the small number of married women aged under 15 and women not present in private households.

Kind of data

Sample survey data

Sampling procedure

SAMPLE SIZE AND ALLOCATION

The objective of the survey was to provide reliable estimates for major domains of the country. This consisted of two overlapping sets of reporting domains: (a) Five regions of the country namely Bangkok, north, northeast, central region (excluding Bangkok), and south; (b) Bangkok versus all provincial urban and all rural areas of the country. These requirements could be met by defining six non-overlapping sampling domains (Bangkok, provincial urban, and rural areas of each of the remaining 4 regions), and allocating approximately equal sample sizes to them. On the basis of past experience, available budget and overall reporting requirement, the target sample size was fixed at 7,000 interviews of ever-married women aged 15-49, expected to be found in around 9,000 households. Table A.I shows the actual number of households as well as eligible women selected and interviewed, by sampling domain (see Table i.I for reporting domains).

THE FRAME AND SAMPLE SELECTION

The frame for selecting the sample for urban areas, was provided by the National Statistical Office of Thailand and by the Ministry of the Interior for rural areas. It consisted of information on population size of various levels of administrative and census units, down to blocks in urban areas and villages in rural areas. The frame also included adequate maps and descriptions to identify these units. The extent to which the data were up-to-date as well as the quality of the data varied somewhat in different parts of the frame. Basically, the multi-stage stratified sampling design involved the following procedure. A specified number of sample areas were selected systematically from geographically/administratively ordered lists with probabilities proportional to the best available measure of size (PPS). Within selected areas (blocks or villages) new lists of households were prepared and systematic samples of households were selected. In principle, the sampling interval for the selection of households from lists was determined so as to yield a self weighting sample of households within each domain. However, in the absence of good measures of population size for all areas, these sampling intervals often required adjustments in the interest of controlling the size of the resulting sample. Variations in selection probabilities introduced due to such adjustment, where required, were compensated for by appropriate weighting of sample cases at the tabulation stage.

SAMPLE OUTCOME

The final sample of households was selected from lists prepared in the sample areas. The time interval between household listing and enumeration was generally very short, except to some extent in Bangkok where the listing itself took more time. In principle, the units of listing were the same as the ultimate units of sampling, namely households. However in a small proportion of cases, the former differed from the latter in several respects, identified at the stage of final enumeration: a) Some units listed actually contained more than one household each b) Some units were "blanks", that is, were demolished or not found to contain any eligible households at the time of enumeration. c) Some units were doubtful cases in as much as the household was reported as "not found" by the interviewer, but may in fact have existed.

Mode of data collection

Face-to-face

Research instrument

The DHS core questionnaires (Household, Eligible Women Respondent, and Community) were translated into Thai. A number of modifications were made largely to adapt them for use with an ever- married woman sample and to add a number of questions in areas that are of special interest to the Thai investigators but which were not covered in the standard core. Examples of such modifications included adding marital status and educational attainment to the household schedule, elaboration on questions in the individual questionnaire on educational attainment to take account of changes in the educational system during recent years, elaboration on questions on postnuptial residence, and adaptation of the questionnaire to take into account that only ever-married women are being interviewed rather than all women. More generally, attention was given to the wording of questions in Thai to ensure that the intent of the original English-language version was preserved.

a) Household questionnaire

The household questionnaire was used to list every member of the household who usually lives in the household and as well as visitors who slept in the household the night before the interviewer's visit. Information contained in the household questionnaire are age, sex, marital status, and education for each member (the last two items were asked only to members aged 13 and over). The head of the household or the spouse of the head of the household was the preferred respondent for the household questionnaire. However, if neither was available for interview, any adult member of the household was accepted as the respondent. Information from the household questionnaire was used to identify eligible women for the individual interview. To be eligible, a respondent had to be an ever-married woman aged 15-49 years old who had slept in the household 'the previous night'.

Prior evidence has indicated that when asked about current age, Thais are as likely to report age at next birthday as age at last birthday (the usual demographic definition of age). Since the birth date of each household number was not asked in the household questionnaire, it was not possible to calculate age at last birthday from the birthdate. Therefore a special procedure was followed to ensure that eligible women just under the higher boundary for eligible ages (i.e. 49 years old) were not mistakenly excluded from the eligible woman sample because of an overstated age. Ever-married women whose reported age was between 50-52 years old and who slept in the household the night before birthdate of the woman, it was discovered that these women (or any others being interviewed) were not actually within the eligible age range of 15-49, the interview was terminated and the case disqualified. This attempt recovered 69 eligible women who otherwise would have been missed because their reported age was over 50 years old or over.

b) Individual questionnaire

The questionnaire administered to eligible women was based on the DHS Model A Questionnaire for high contraceptive prevalence countries. The individual questionnaire has 8 sections: - Respondent's background - Reproduction - Contraception - Health and breastfeeding - Marriage - Fertility preference - Husband's background and woman's work - Heights and weights of children and mothers

The questionnaire was modified to suit the Thai context. As noted above, several questions were added to the standard DHS core questionnaire not only to meet the interest of IPS researchers hut also because of their relevance to the current demographic situation in Thailand. The supplemental questions are marked with an asterisk in the individual questionnaire. Questions concerning the following items were added in the individual questionnaire: - Did the respondent ever

Abstract

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

The ADHS was conducted by the National Statistical Service and the Ministry of Health of the Republic of Armenia during October through December 2000. ORC Macro provided technical support for the survey through the MEASURE DHS+ project. MEASURE DHS+ is a worldwide project, sponsored by the USAID, with a mandate to assist countries in obtaining information on key population and health indicators. USAID/Armenia provided funding for the survey. The United Nations Children’s Fund (UNICEF)/Armenia provided support through the donation of equipment.

The ADHS collected national- and regional-level data on fertility and contraceptive use, maternal and child health, adult health, and 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 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 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 15-54

Kind of data

Sample survey data

Sampling procedure

The sample was designed to provide estimates of most survey indicators (including fertility, abortion, and contraceptive prevalence) for Yerevan and each of the other ten administrative regions (marzes). The design also called for estimates of infant and child mortality at the national level for Yerevan and other urban areas and rural areas.

The target sample size of 6,500 completed interviews with women age 15-49 was allocated as follows: 1,500 to Yerevan and 500 to each of the ten marzes. Within each marz, the sample was allocated between urban and rural areas in proportion to the population size. This gave a target sample of approximately 2,300 completed interviews for urban areas exclusive of Yerevan and 2,700 completed interviews for the rural sector. Interviews were completed with 6,430 women. Men age 15-54 were interviewed in every third household; this yielded 1,719 completed interviews.

A two-stage sample was used. In the first stage, 260 areas or primary sampling units (PSUs) were selected with probability proportional to population size (PPS) by systematic selection from a list of areas. The list of areas was the 1996 Data Base of Addresses and Households constructed by the National Statistical Service. Because most selected areas were too large to be directly listed, a separate segmentation operation was conducted prior to household listing. Large selected areas were divided into segments of which two segments were included in the sample. A complete listing of households was then carried out in selected segments as well as selected areas that were not segmented.

The listing of households served as the sampling frame for the selection of households in the second stage of sampling. Within each area, households were selected systematically so as to yield an average of 25 completed interviews with eligible women per area. All women 15-49 who stayed in the sampled households on the night before the interview were eligible for the survey. In each segment, a subsample of one-third of all households was selected for the men's component of the survey. In these households, all men 15-54 who stayed in the household on the previous night were eligible for the survey.

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

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the ADHS: a Household Questionnaire, a Women’s Questionnaire, and a Men’s Questionnaire. The questionnaires were based on the model survey instruments developed for the MEASURE DHS+ program. The model questionnaires were adapted for use during a series of expert meetings hosted by the Center of Perinatology, Obstetrics, and Gynecology. The questionnaires were developed in English and translated into Armenian and Russian. The questionnaires were pretested in July 2000.

The Household Questionnaire was used to list all usual members of and visitors to a household and to collect information on the physical characteristics of the dwelling unit. The first part of the household questionnaire collected information on the age, sex, residence, educational attainment, and relationship to the household head of each household member or visitor. This information provided 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 15-49 and men 15-54). The second part of the Household Questionnaire consisted of questions on housing characteristics (e.g., the flooring material, the source of water, and the type of toilet facilities) and on ownership of a variety of consumer goods.

The Women’s Questionnaire obtained information on the following topics: - Background characteristics - Pregnancy history - Antenatal, delivery, and postnatal care - Knowledge and use of contraception - Attitudes toward contraception and abortion - Reproductive and adult health - 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 - Height and weight of women and children under age five - Hemoglobin measurement of women and children under age five - Marriage and recent sexual activity - Fertility preferences - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

The Men’s Questionnaire focused on the following topics: - Background characteristics - Health - Marriage and recent sexual activity - Attitudes toward and use of condoms - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

Cleaning operations

After a team had completed interviewing in a cluster, questionnaires were returned promptly to the National Statistical Service in Yerevan for data processing. The office editing staff first checked that questionnaires for all selected households and eligible respondents had been received from the field staff. In addition, a few questions that had not been precoded (e.g., occupation) were coded at this time. Using the ISSA (Integrated System for Survey Analysis) software, a specially trained team of data processing staff entered the questionnaires and edited the resulting data set on microcomputers. The process of office editing and data processing was initiated soon after the beginning of fieldwork and was completed by the end of January 2001.

Response rate

A total of 6,524 households were selected for the sample, of which 6,150 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, 97 percent were successfully interviewed.

In these households, 6,685 women were identified as eligible for the individual interview (i.e., age 15-49). Interviews were completed with 96 percent of them. Of the 1,913 eligible men identified, 90 percent were successfully interviewed. The principal reason for non-response among eligible women and men was the failure to find them at home despite repeated visits to the household. The refusal rate was low.

The overall response rates, the product of the household and the individual response rates, were 94 percent for women and 87 percent for men.

Note: See summarized response rates by residence (urban/rural) 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 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 2000 Armenia Demographic and Health Survey (ADHS) 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 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

Pursuant to Local Laws 126, 127, and 128 of 2016, certain demographic data is collected voluntarily and anonymously by persons voluntarily seeking social services. This data can be used by agencies and the public to better understand the demographic makeup of client populations and to better understand and serve residents of all backgrounds and identities.

The data presented here has been collected through either electronic form or paper surveys offered at the point of application for services. These surveys are anonymous.

Each record represents an anonymized demographic profile of an individual applicant for social services, disaggregated by response option, agency, and program. Response options include information regarding ancestry, race, primary and secondary languages, English proficiency, gender identity, and sexual orientation.

Idiosyncrasies or Limitations: Note that while the dataset contains the total number of individuals who have identified their ancestry or languages spoke, because such data is collected anonymously, there may be instances of a single individual completing multiple voluntary surveys. Additionally, the survey being both voluntary and anonymous has advantages as well as disadvantages: it increases the likelihood of full and honest answers, but since it is not connected to the individual case, it does not directly inform delivery of services to the applicant. The paper and online versions of the survey ask the same questions but free-form text is handled differently. Free-form text fields are expected to be entered in English although the form is available in several languages. Surveys are presented in 11 languages.
Paper Surveys 1. Are optional 2. Survey taker is expected to specify agency that provides service 2. Survey taker can skip or elect not to answer questions 3. Invalid/unreadable data may be entered for survey date or date may be skipped 4. OCRing of free-form tet fields may fail. 5. Analytical value of free-form text answers is unclear Online Survey 1. Are optional 2. Agency is defaulted based on the URL 3. Some questions must be answered 4. Date of survey is automated

Includes questions written in Spanish pertaining to: race & ethnicitygendersexual orientationagetribal affiliationdisabilityincomehouseholdlanguagelocationeducationhousing statustransportationemployment status

Abstract

The 1993 Kenya Demographic and Health Survey (KDHS) was a nationally representative survey of 7,540 women age 15-49 and 2,336 men age 20-54. The KDHS was designed to provide information on levels and trends of fertility, infant and child mortality, family planning knowledge and use, maternal and child health, and knowledge of AIDS. In addition, the male survey obtained data on men's knowledge and attitudes towards family planning and awareness of AIDS. The data are intended for use by programme managers and policymakers to evaluate and improve family planning and matemal and child health programmes. Fieldwork for the KDHS took place from mid-February until mid-August 1993. All areas of Kenya were covered by the survey, except for seven northem districts which together contain less than four percent of the country's population.

The KDHS was conducted by the National Council for Population and Development (NCPD) and the Central Bureau of Statistics of the Government of Kenya. Macro International Inc. provided financial and technical assistance to the project through the intemational Demographic and Health Surveys (DHS) contract with the U.S. Agency for International Development.

OBJECTIVES

The KDHS is intended to serve as a source of population and health data for policymakers and the research community. It was designed as a follow-on to the 1989 KDHS, a national-level survey of similar size that was implemented by the same organisations. In general, the objectives of KDHS are to: - assess the overall demographic situation in Kenya, - assist in the evaluation of the population and health programmes in Kenya, - advance survey methodology, and - assist the NCPD to strengthen and improve its technical skills to conduct demographic and health surveys.

The KDHS was specifically designed to: - provide data on the family planning and fertility behaviour of the Kenyan population to enable the NCPD to evaluate and enhance the National Family Planning Programme, - 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 habits and other socioeconomic factors, and - examine the basic indicators of maternal and child health in Kenya.

KEY FINDINGS

The 1993 KDHS reinforces evidence of a major decline in fertility which was first revealed by the findings of the 1989 KDHS. Fertility continues to decline and family planning use has increased. However, the disparity between knowledge and use of family planning remains quite wide. There are indications that infant and under five child mortality rates are increasing, which in part might be attributed to the increase in AIDS prevalence.

Geographic coverage

The 1993 KDHS sample is national in scope, with the exclusion of all three districts in North Eastern Province and four other northern districts (Samburu and Turkana in Rift Valley Province and Isiolo and 4 Marsabit in Eastern Province). Together the excluded areas account for less than 4 percent of Kenya's population.

Analysis unit

• Household
• Women age 15-49
• Men age 20-54
• Children under five

Universe

The population covered by the 1993 KDHS is defined as the universe of all women age 15-49 in Kenya and all husband age 20-54 living in the household.

Kind of data

Sample survey data

Sampling procedure

The sample for the 1993 KDHS was national in scope, with the exclusion of all three districts in Northeastern Province and four other northern districts (Isiolo and Marsabit from Eastern Province and Samburu and Turkana from Rift Valley Province). Together the excluded areas account for less than four percent of Kenya's population. The KDHS sample points were selected from a national master sample maintained by the Central Bureau of Statistics, the third National Sample Survey and Evaluation Programme (NASSEP-3), which is an improved version of NASSEP2 used in the 1989 survey. This master sample follows a two-stage design, stratified by urban-rural residence, and within the rural stratum, by individual district. In the first stage, 1989 census enumeration areas (EAs) were selected with probability proportional to size. The selected EAs were segmented into the expected number of standard-sized clusters to form NASSEP clusters. The entire master sample consists of 1,048 rural and 325 urban ~ sample points ("clusters"). A total of 536 clusters---92 urban and 444 rural--were selected for coverage in the KDHS. Of these, 520 were successfully covered. Sixteen clusters were inaccessible for various reasons.

As in the 1989 KDHS, selected districts were oversampled in the 1993 survey in order to produce more reliable estimates for certain variables at the district level. Fifteen districts were thus targetted in the 1993 KDHS: Bungoma, Kakamega, Kericho, Kilifi, Kisii, Machakos, Meru, Murang'a, Nakuru, Nandi, Nyeri, Siaya, South Nyanza, Taita-Taveta, and Uasin Gishu; in addition, Nairobi and Mombasa were also targetted. Although six of these districts were subdivided shortly before the sample design was finalised) the previous boundaries of these districts were used for the KDHS in order to maintain comparability with the 1989 survey. About 400 rural households were selected in each of these 15 districts, just over 1000 rural households in other districts, and about 18130 households in urban areas, for a total of almost 9,000 households. Due to this oversampling, the KDHS sample is not self-weighting at the national level.

After the selection of the KDHS sample points, fieldstaff from the Central Bureau of Statistics conducted a household listing operation in January and early February 1993, immediately prior to the launching of the fieldwork. A systematic sample of households was then selected from these lists, with an average "take" of 20 households in the urban clusters and 16 households in rural clusters, for a total of 8,864 households selected. Every other household was identified as selected for the male survey, meaning that, in addition to interviewing all women age 15-49, interviewers were to also interview all men age 20-54. It was expected that the sample would yield interviews with approximately 8,000 women age 15-49 and 2,500 men age 20-54.

Mode of data collection

Face-to-face

Research instrument

Four types of questionnaires were used for the KDHS: a Household Questionnaire, a Woman's Questionnaire, a Man's Questionnaire and a Services Availability Questionnaire. The contents of these questionnaires were based on the DHS Model B Questionnaire, which is designed for use in countries with low levels of contraceptive use. Additions and modifications to the model questionnaires were made during a series of meetings organised around specific topics or sections of the questionnaires (e.g., fertility, family planning). The NCPD invited staff from a variety of organisations to attend these meetings, including the Population Studies Research Institute and other departments of the University of Nairobi, the Woman's Bureau, and various units of the Ministry of Health. The questionnaires were developed in English and then translated into and printed in Kiswahili and eight of the most widely spoken local languages in Kenya (Kalenjin, Kamba, Kikuyu, Kisii, Luhya, Luo, Meru, and Mijikenda).

a) 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.

b) The Woman's Questionnaire was used to collect information from women aged 15-49. 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 five, Marriage, Fertility preferences, Husband's background and respondent's work, Awareness of AIDS. In addition, interviewing teams measured the height and weight of children under age five (identified through the birth histories) and their mothers.

c) Information from a subsample of men aged 20-54 was collected using a Man's Questionnaire. Men were asked about their background characteristics, knowledge and use of family planning methods, marriage, fertility preferences, and awareness of AIDS.

d) The Services Availability Questionnaire was used to collect information on the health and family planning services obtained within the cluster areas. One service availability questionnaire was to be completed in each cluster.

Cleaning operations

All questionnaires for the KDHS were returned to the NCPD headquarters for data processing. The processing operation consisted of office editing, coding of open-ended questions, data entry, and editing errors found by the computer programs. One NCPD officer, one data processing supervisor, one questionnaire administrator, two office editors, and initially four data entry operators were responsible for the data processing operation. Due to attrition and the need to speed up data processing, another four data entry operators were later hired

Abstract

The 2014 Kenya Demographic and Health Survey (KDHS) provides information to help monitor and evaluate population and health status in Kenya. The survey, which follows up KDHS surveys conducted in 1989, 1993, 1998, 2003, and 2008-09, is of special importance for several reasons. New indicators not collected in previous KDHS surveys, such as noncommunicable diseases, fistula, and men's experience of domestic violence, are included. Also, it is the first national survey to provide estimates for demographic and health indicators at the county level. Following adoption of a constitution in Kenya in 2010 and devolution of administrative powers to the counties, the new 2014 KDHS data should be valuable to managers and planners. The 2014 KDHS has specifically collected data to estimate fertility, to assess childhood, maternal, and adult mortality, to measure changes in fertility and contraceptive prevalence, to examine basic indicators of maternal and child health, to estimate nutritional status of women and children, to describe patterns of knowledge and behaviour related to the transmission of HIV and other sexually transmitted infections, and to ascertain the extent and pattern of domestic violence and female genital cutting. Unlike the 2003 and 2008-09 KDHS surveys, this survey did not include HIV and AIDS testing. HIV prevalence estimates are available from the 2012 Kenya AIDS Indicator Survey (KAIS), completed prior to the 2014 KDHS. Results from the 2014 KDHS show a continued decline in the total fertility rate (TFR). Fertility decreased from 4.9 births per woman in 2003 to 4.6 in 2008-09 and further to 3.9 in 2014, a one-child decline over the past 10 years and the lowest TFR ever recorded in Kenya. This is corroborated by the marked increase in the contraceptive prevalence rate (CPR) from 46 percent in 2008-09 to 58 percent in the current survey. The decline in fertility accompanies a marked decline in infant and child mortality. All early childhood mortality rates have declined between the 2003 and 2014 KDHS surveys. Total under-5 mortality declined from 115 deaths per 1,000 live births in the 2003 KDHS to 52 deaths per 1,000 live births in the 2014 KDHS. The maternal mortality ratio is 362 maternal deaths per 100,000 live births for the seven-year period preceding the survey; however, this is not statistically different from the ratios reported in the 2003 and 2008-09 KDHS surveys and does not indicate any decline over time. The proportion of mothers who reported receiving antenatal care from a skilled health provider increased from 88 percent to 96 percent between 2003 and 2014. The percentage of births attended by a skilled provider and the percentage of births occurring in health facilities each increased by about 20 percentage points between 2003 and 2014. The percentage of children age 12-23 months who have received all basic vaccines increased slightly from the 77 percent observed in the 2008-09 KDHS to 79 percent in 2014. Six in ten households (59 percent) own at least one insecticide-treated net, and 48 percent of Kenyans have access to one. In malaria endemic areas, 39 percent of women received the recommended dosage of intermittent preventive treatment for malaria during pregnancy. Awareness of AIDS is universal in Kenya; however, only 56 percent of women and 66 percent of men have comprehensive knowledge about HIV and AIDS prevention and transmission. The 2014 KDHS was conducted as a joint effort by many organisations. The Kenya National Bureau of Statistics (KNBS) served as the implementing agency by providing guidance in the overall survey planning, development of survey tools, training of personnel, data collection, processing, analysis, and dissemination of the results. The Bureau would like to acknowledge and appreciate the institutions and agencies for roles they played that resulted in the success of this exercise: Ministry of Health (MOH), National AIDS Control Council (NACC), National Council for Population and Development (NCPD), Kenya Medical Research Institute (KEMRI), Ministry of Labour, Social Security and Services, United States Agency for International Development (USAID/Kenya), ICF International, United Nations Fund for Population Activities (UNFPA), the United Kingdom Department for International Development (DfID), World Bank, Danish International Development Agency (DANIDA), United Nations Children's Fund (UNICEF), German Development Bank (KfW), World Food Programme (WFP), Clinton Health Access Initiative (CHAI), Micronutrient Initiative (MI), US Centers for Disease Control and Prevention (CDC), Japan International Cooperation Agency (JICA), Joint United Nations Programme on HIV/AIDS (UNAIDS), and the World Health Organization (WHO). The management of such a huge undertaking was made possible through the help of a signed memorandum of understanding (MoU) by all the partners and the creation of active Steering and Technical Committees.

Geographic coverage

County, Urban, Rural and National

Analysis unit

Households

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample for the 2014 KDHS was drawn from a master sampling frame, the Fifth National Sample Survey and Evaluation Programme (NASSEP V). This is a frame that the KNBS currently operates to conduct household-based surveys throughout Kenya. Development of the frame began in 2012, and it contains a total of 5,360 clusters split into four equal subsamples. These clusters were drawn with a stratified probability proportional to size sampling methodology from 96,251 enumeration areas (EAs) in the 2009 Kenya Population and Housing Census. The 2014 KDHS used two subsamples of the NASSEP V frame that were developed in 2013. Approximately half of the clusters in these two subsamples were updated between November 2013 and September 2014. Kenya is divided into 47 counties that serve as devolved units of administration, created in the new constitution of 2010. During the development of the NASSEP V, each of the 47 counties was stratified into urban and rural strata; since Nairobi county and Mombasa county have only urban areas, the resulting total was 92 sampling strata. The 2014 KDHS was designed to produce representative estimates for most of the survey indicators at the national level, for urban and rural areas separately, at the regional (former provincial1) level, and for selected indicators at the county level. In order to meet these objectives, the sample was designed to have 40,300 households from 1,612 clusters spread across the country, with 995 clusters in rural areas and 617 in urban areas. Samples were selected independently in each sampling stratum, using a two-stage sample design. In the first stage, the 1,612 EAs were selected with equal probability from the NASSEP V frame. The households from listing operations served as the sampling frame for the second stage of selection, in which 25 households were selected from each cluster. The interviewers visited only the preselected households, and no replacement of the preselected households was allowed during data collection. The Household Questionnaire and the Woman's Questionnaire were administered in all households, while the Man's Questionnaire was administered in every second household. Because of the non-proportional allocation to the sampling strata and the fixed sample size per cluster, the survey was not self-weighting. The resulting data have, therefore, been weighted to be representative at the national, regional, and county levels.

Sampling deviation

Not available

Mode of data collection

Face-to-face [f2f]

Research instrument

The 2014 KDHS used a household questionnaire, a questionnaire for women age 15-49, and a questionnaire for men age 15-54. These instruments were based on the model questionnaires developed for The DHS Program, the questionnaires used in the previous KDHS surveys, and the current information needs of Kenya. During the development of the questionnaires, input was sought from a variety of organisations that are expected to use the resulting data. A two-day workshop involving key stakeholders was held to discuss the questionnaire design. Producing county-level estimates requires collecting data from a large number of households within each county, resulting in a considerable increase in the sample size from 9,936 households in the 2008-09 KDHS to 40,300 households in 2014. A survey of this magnitude introduces concerns related to data quality and overall management. To address these concerns, reduce the length of fieldwork, and limit interviewer and respondent fatigue, a decision was made to not implement the full questionnaire in every household and, in so doing, to collect only priority indicators at the county level. Stakeholders generated a list of these priority indicators. Short household and woman's questionnaires were then designed based on the full questionnaires; the short questionnaires contain the subset of questions from the full questionnaires required to measure the priority indicators at the county level. Thus, a total of five questionnaires were used in the 2014 KDHS: (1) a full Household Questionnaire, (2) a short Household Questionnaire, (3) a full Woman's Questionnaire, (4) a short Woman's Questionnaire, and (5) a Man's Questionnaire. The 2014 KDHS sample was divided into halves. In one half, households were administered the full Household Questionnaire, the full Woman's Questionnaire, and the Man's Questionnaire. In the other half, households were administered the short Household Questionnaire and the short Woman's Questionnaire. Selection of these subsamples was done at the household level-within a cluster, one in every two

Abstract

The 2017 Tajikistan Demographic and Health Survey (TjDHS) is the second Demographic and Health Survey conducted in Tajikistan. It was implemented by the Statistical Agency under the President of the Republic of Tajikistan (SA) in collaboration with the Ministry of Health and Social Protection of Population (MOHSP).

The primary objective of the 2017 TjDHS is to provide current and reliable information on population and health issues. Specifically, the TjDHS collected information on fertility and contraceptive use, maternal and child health and nutrition, childhood mortality, domestic violence against women, child discipline, awareness and behavior regarding HIV/AIDS and other sexually transmitted infections (STIs), and other health-related issues such as smoking and high blood pressure. The 2017 TjDHS follows the 2012 TjDHS survey and provides updated estimates of key demographic and health indicators.

The information collected through the TjDHS is intended to assist policy makers and program managers in evaluating and designing programs 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

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame used for the 2017 TjDHS is the 2010 Tajikistan Population and Housing Census conducted by the SA. Administratively, Tajikistan is divided into five regions: Dushanbe, Districts of Republican Subordination (DRS), Sughd, Khatlon, and Gorno-Badakhshan Autonomous Oblast (GBAO). Each region is subdivided into urban and rural areas. The country is divided into districts distributed over the country’s regions. Each district is further divided into census divisions, which are subdivided into instruction areas. Each instruction area is divided into urban enumeration areas (EAs) or rural villages. The sampling frame of the 2017 TjDHS is a list of EAs and natural villages covering all urban and rural areas of the country, with the primary sampling units (PSUs) being EAs in urban areas and natural villages in rural areas. An EA is a geographical area, usually a city block, consisting of the minimum number of households required for efficient counting; each EA serves as a counting unit for the population census.

The sample was designed to yield representative results for the urban and rural areas separately, and for each of the four administrative regions and Dushanbe. In addition, as in the previous TjDHS survey, the sample was designed to allow certain indicators to be presented for the 12 districts in Khatlon covered under the Feed the Future program (FTF); these 12 districts have been combined as a single FTF domain. The sampling frame excluded institutional populations such as persons in hotels, barracks, and prisons.

The 2017 TjDHS followed a stratified two-stage sample design. The first stage involved selecting sample PSUs (clusters) with a probability proportional to their size within each sampling stratum. A total of 366 clusters were selected, 166 in urban areas and 200 in rural areas.

The second stage involved systematic sampling of households. A household listing operation was undertaken in all of the selected clusters, and a fixed number of 22 households was selected from each cluster with an equal probability systematic selection process, for a total sample of just over 8,000 households.

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

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the 2017 TjDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Biomarker Questionnaire. These questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Tajikistan. In addition, information about the fieldworkers for the survey was collected through a self-administered Fieldworker Questionnaire. Suggestions were 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 Russian and Tajik.

Cleaning operations

All electronic data files were transferred via a secure internet file streaming system (IFSS) to the SA central office in Dushanbe, where they were stored on a password-protected computer. The data processing operation included secondary editing, which required resolution of computer-identified inconsistencies and coding of open-ended questions. The data were processed by two IT specialists and one secondary editor who took part in the main fieldwork training; they were supervised remotely by The DHS Program staff. Data editing was accomplished using CSPro software. During the fieldwork, field-check tables were generated to check various data quality parameters, and specific feedback was given to the teams to improve performance. Secondary editing and data processing were initiated in August 2017 and completed in February 2018.

Response rate

All 8,064 households in the selected housing units were eligible for the survey, of which 7,915 were occupied. Of the occupied households, 7,843 were successfully interviewed, yielding a response rate of 99%.

In the interviewed households, 10,799 women age 15-49 were identified for subsequent individual interviews; interviews were completed with 10,718 women, yielding a response rate of 99%, which is the same response rate achieved in the 2012 survey.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: nonsampling errors and 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 2017 Tajikistan Demographic and Health Survey (TjDHS) 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 2017 TjDHS 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 among 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 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 2017 TjDHS sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulas. Sampling errors are computed in SAS using programs developed by ICF. These programs use 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 final report.

Data appraisal

Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months - Height and weight data completeness and quality for children

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

Abstract

The 2006-07 Pakistan Demographic and Health Survey (PDHS) was undertaken to address the monitoring and evaluation needs of maternal and child health and family planning programmes. The survey was designed with the broad objective to provide policymakers, primarily in the Ministries of Population Welfare and Health, with information to improve programmatic interventions based on empirical evidence. The aim is to provide reliable estimates of the maternal mortality ratio (MMR) at the national level and a variety of other health and population indicators at national, urban-rural, and provincial levels.

The 2006-07 Pakistan Demographic and Health Survey (PDHS) is the fifth in a series of demographic surveys conducted by the National Institute of Population Studies (NIPS) since 1990. However, the PDHS 2006-07 is the second survey conducted as part of the worldwide Demographic andHealth Surveys programme. The survey was conducted under the aegis of the Ministry of Population Welfare and implemented by the National Institute of Population Studies. Other collaborating institutions include the Federal Bureau of Statistics, the Aga Khan University, and the National Committee for Maternal and Neonatal Health. Technical support was provided by Macro International Inc. and financial support was provided by the United States Agency for International Development (USAID). The United Nations Population Fund (UNFPA) and United Nations Children's Fund (UNICEF) provided logistical support for monitoring the fieldwork for the PDHS.

The 2006-07 PDHS supplements and complements the information collected through the censuses and demographic surveys conducted by the Federal Bureau of Statistics. It updates the available information on population and health issues, and provides guidance in planning, implementing, monitoring and evaluating health and population programmes in Pakistan. Some of the findings of the PDHS may seem at variance with data compiled by other sources. This may be due to differences in methodology, reference period, wording of questions and subsequent interpretation. This fact may be kept in mind while analyzing and comparing PDHS data with other sources. The results of the survey assist in the monitoring of the progress made towards meeting the Millennium Development Goals (MDGs).

The 2006-07 PDHS includes topics related to fertility levels and determinants, family planning, fertility preferences, infant, child and maternal mortality and their causes, maternal and child health, immunization and nutritional status of mothers and children, knowledge of HIV/AIDS, and malaria. The 2006-07 PDHS also includes direct estimation of maternal mortality and its causes at the national level for the first time in Pakistan. The survey provides all other estimates for national, provincial and urban-rural domains. This being the fifth survey of its kind, there is considerable trend information on reproductive health, fertility and family planning over the past one and a half decades.

More specifically, PDHS had the following objectives: - Collect quality data on fertility levels and preference, family planning knowledge and use, childhood—and especially neonatal—mortality levels and awareness regarding HIV/ AIDS and other indicators relevant to the Millennium Development Goals and the Poverty Reduction Strategy Paper; - Produce a reliable national estimate of the MMR for Pakistan, as well as information on the direct and indirect causes of maternal deaths using verbal autopsy instruments; - Investigate factors that impact on maternal and neonatal morbidity and mortality (i.e., antenatal and delivery care, treatment of pregnancy complications, and postnatal care); - Improve the capacity of relevant organizations to implement surveys and analyze and disseminate survey findings.

Geographic coverage

The survey provides estimates at national, urban and rural, and provincial levels (each as a separate domain).

The sample for the 2006-07 PDHS represents the population of Pakistan excluding the Federally Administered Northern Areas (FANA) and restricted military and protected areas. Although the Federally Administered Tribal Areas (FATA) were initially included in the sample, due to security and political reasons, it was not possible to cover any of the sample points in the FATA.

In urban areas, cities like Karachi, Lahore, Gujranwala, Faisalbad, Rawalpindi, Multan, Sialkot, Sargodha, Bahawalpur, Hyderabad, Sukkur, Peshawar, Quetta, and Islamabad were considered as large-sized cities.

Analysis unit

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

Kind of data

Sample survey data

Sampling procedure

The 2006-07 PDHS is the largest-ever household based survey conducted in Pakistan. The sample is designed to provide reliable estimates for a variety of health and demographic variables for various domains of interest. The survey provides estimates at national, urban and rural, and provincial levels (each as a separate domain). One of the main objectives of the 2006-07 Pakistan Demographic and Health Survey (PDHS) is to provide a reliable estimate of the maternal mortality ratio (MMR) at the national level. In order to estimate MMR, a large sample size was required. Based on prior rough estimates of the level of maternal mortality in Pakistan, a sample of about 100,000 households was proposed to provide estimates of MMR for the whole country. For other indicators, the survey is designed to produce estimates at national, urban-rural, and provincial levels (each as a separate domain). The sample was not spread geographically in proportion to the population; rather, the smaller provinces (e.g., Balochistan and NWFP) as well as urban areas were over-sampled. As a result of these differing sample proportions, the PDHS sample is not self-weighting at the national level.

The sample for the 2006-07 PDHS represents the population of Pakistan excluding the Federally Administered Northern Areas (FANA) and restricted military and protected areas. Although the Federally Administered Tribal Areas (FATA) were initially included in the sample, due to security and political reasons, it was not possible to cover any of the sample points in the FATA.

In urban areas, cities like Karachi, Lahore, Gujranwala, Faisalbad, Rawalpindi, Multan, Sialkot, Sargodha, Bahawalpur, Hyderabad, Sukkur, Peshawar, Quetta, and Islamabad were considered as large-sized cities. Each of these cities constitutes a stratum, which has further been substratified into low, middle, and high-income groups based on the information collected during the updating of the urban sampling frame. After excluding the population of large-sized cities from the population of respective former administrative divisions, the remaining urban population within each of the former administrative divisions of the four provinces was grouped together to form a stratum.

In rural areas, each district in Punjab, Sindh, and NWFP provinces is considered as an independent stratum. In Balochistan province, each former administrative division has been treated as a stratum. The survey adopted a two-stage, stratified, random sample design. The first stage involved selecting 1,000 sample points (clusters) with probability proportional to size-390 in urban areas and 610 in rural areas. A total of 440 sample points were selected in Punjab, 260 in Sindh, 180 in NWFP, 100 in Balochistan, and 20 in FATA. In urban areas, the sample points were selected from a frame maintained by the FBS, consisting of 26,800 enumeration blocks, each including about 200-250 households. The frame for rural areas consists of the list of 50,588 villages/mouzas/dehs enumerated in the 1998 population census.

The FBS staff undertook the task of a fresh listing of the households in the selected sample points. Aside from 20 sample points in FATA, the job of listing of households could not be done in four areas of Balochistan due to inability of the FBS to provide household listings because of unrest in those areas. Another four clusters in NWFP could not be covered because of resistance and refusal of the community. In other words, the survey covered a total of 972 sample points.

The second stage of sampling involved selecting households. In each sample point, 105 households were selected by applying a systematic random sampling technique. This way, a total of 102,060 households were selected. Out of 105 sampled households, ten households in each sample point were selected using a systematic random sampling procedure to conduct interviews for the Long Household and the Women's Questionnaires. Any ever-married woman aged 12-49 years who was a usual resident of the household or a visitor in the household who stayed there the night before the survey was eligible for interview.

Mode of data collection

Face-to-face

Research instrument

The following six types of questionnaires were used in the PDHS: - Community Questionnaire - Short Household Questionnaire - Long Household Questionnaire - Women’s Questionnaire - Maternal Verbal Autopsy Questionnaire - Child Verbal Autopsy Questionnaire

The contents of the Household and Women’s Questionnaires were based on model questionnaires developed by the MEASURE DHS programme, while the Verbal Autopsy Questionnaires were developed by Pakistani experts and the Community Questionnaire was patterned on the basis of one used by NIPS in previous surveys.

NIPS developed the draft questionnaires in consultation with a broad spectrum of technical experts, government agencies, and local and international organizations so as to reflect relevant issues of population, family planning, HIV/AIDS, and other health areas. A number of meetings were organized

Abstract

The 2009 Samoa Demographic and Health Survey (SDHS) is a national survey covering all four regions of the country. The survey was designed to collect, analyze, and disseminate information on housing and household characteristics, education, maternal and child health, nutrition, fertility and family planning, gender, and knowledge and behaviour related to HIV/AIDS and sexually transmitted infections (STI).

The 2009 SDHS is the first DHS survey to be undertaken in Samoa both by the health sector and for an improved health system. The planning and implementation of the survey was carried out jointly by the Samoa Bureau of Statistics (SBS) and the Ministry of Health (MOH) with the technical assistance and guidance of ICF Macro. The Ministry of Women, Community and Social Development assisted by facilitating community support for the survey through villages and mayors.

The Samoa DHS is part of a worldwide survey program. The international MEASURE DHS program is designed to:

• Assist countries in conducting household sample surveys to periodically monitor changes in population, health, and nutrition. • Provide an international database that can be used by researchers investigating topics related to population, health, and nutrition.

As part of the international DHS program, surveys are being carried out in countries in Africa, Latin America and the Caribbean, Asia, Eastern Europe and the Middle East. Data from these surveys are used to better understand the population, health, and nutrition situation in Samoa.

Geographic coverage

National Regional Urban and Rural

Analysis unit

individual (woman aged 15-49, man aged 15-54), household

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49 and men aged 15-54 years

Kind of data

Sample survey data [ssd]

Sampling procedure

The Survey used a two-stage sample based on the 2006 Population and Housing Census (PHC) to allow reliable estimation of key demographic and health indicators such as fertility, contraceptive prevalence, and infant and child mortality for each of the four geographic regions in Samoa.

The population covered in the 2009 SDHS is the universe of all women age 15-49 in Samoa in a sample of 2,247 selected households. Every other household selected for the women's samplev was also eligible for the men's sample (men age 15-54).

The primary sampling unit (PSU) for the 2009 SDHS was the cluster. The first stage involved selecting clusters from the master sample frame (the 2006 Population and Housing Census). In the second stage, all the households in each selected cluster were listed. Households were then systematically selected from each cluster for participation in the survey. The design did not allow for replacement of clusters or households.

The sample was designed to include10 percent of the households in rural areas and 12 percent of the households in the urban areas. The sample was designed to permit detailed analysis of most indicators for the national level, for urban and rural areas separately, and for each of the four regions (Apia Urban Area, North West Upolu, Rest of Upolu, and Savaii). Overall, a total of 296 primary sampling units or clusters were selected, 104 in urban areas and 196 in the rural areas. Because Samoan household do not move frequently, a fresh household listing was not deemed to be necessary. Instead, a list from the November was used. In the urban clusters, 5 households were selected per cluster, whereas in the rural clusters, 10 households were selected per cluster. The number of clusters in each of the four geographical regions was calculated by diving the total allocated number of households by the sample taken of 5 for Apia Urban Area (the number of households of households in the urban EAs) and 10 for other regions (the number of households for rural EAs). In each region EAs were stratified by urban location first and then by rural location. Clusters were selected systematically, with propability proportional to size.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the SDHS: 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. The model questionnaires were adapted to meet the current needs of Samoa. Each household selected for the SDHS was eligible for interview with the Household Questionnaire.

The Household Questionnaire was used to list all usual members of and visitors to the selected households and to collect information on the socio-economic status of the household. It was also used to identify the women and men who were eligible for the individual interview (i.e., women age 15-49 and men age 15-54).

The Women's Questionnaire was used to collect information from all women age 15-49 years and covered the following topics: - background characteristics (education, residential history, media exposure, etc.) - birth history - antenatal, delivery, and postnatal care - knowledge, attitudes, and use of family planning methods - fertility preferences; marriage, woman's work, and husband's background characteristics - breastfeeding and infant feeding practices; vaccinations and childhood illnesses - childhood mortality - knowledge of and attitudes toward aids and other sexually transmitted diseases - knowledge of and attitudes toward tuberculosis - other health issues.

The Men's Questionnaire, administered to all men age 15-54 years living in every other Household (i.e. half of the sample households), collected information similar to that on the Women's Questionnaire but was shorter because it did not contain questions on reproductive history, maternal and child health, and nutrition.

After finalization of the questionnaires in English, they were translated into Samoan.

Cleaning operations

The processing of the SDHS results began shortly after the fieldwork started. Data editing was first done in the field by the field editors and supervisors. Completed and edited questionnaires for each cluster were packed and delivered to the SDHS centre at Motootua where they were entered and edited by data processing personnel. The data processing team was composed of 15 data entry operators, 1 data entry supervisor with 2 assistants and 7 office editors working in two shifts. Data operators and supervisors went through a one-week training programme with the technical assistance of ICF Macro. Data were entered using CSPro, a programme specially developed for use in household based surveys and censuses. All data were entered twice (100 percent verification). The concurrent processing of the data was an advantage because the survey technical staff were able to advise field teams of problems detected during the data entry using tables generated to check various data quality parameters. As a result, specific feedback was given to the teams to improve their performances. The data entry and editing phase of the survey was completed in February 2010.

Response rate

The Samoa DHS 2009 selected 2,247 households for the sample, of which 2,066 were found occupied at the time of the fieldwork. Of these 1947 households were successfully interviewed yielding a household response rate of 94 percent.

In the households interviewed, a total of 3,033 eligible women aged 15-49 were identified, of whom 2657 were interviewed (respond rate of 88 percent). For eligible men aged 15-54 were identified in the sub-sample a total of 1,689 but only 1,307 were successfully interviewed (respond rate of 77 percent).

By area, response rates for households and women are slightly lower in urban (82 and 86 percent, respectively) than in rural areas (95 and 86 percent, respectively). For men on the other hand, response rate is higher in urban areas, 81 percent, than in rural areas, 76 percent.

The principal reason for non-response for eligible women and men was the failure to find them at home despite repeated visits to the households. The substantially lower response rates for men reflect the more frequent and longer absences of men from the home.

Response rates by region and the details on the calculation of the response rates can be found in Appendix A of the 2009 SDHS report.

Sampling error estimates

Sampling errors for the 2009 SDHS were calculated using a Macro SAS procedure. This procedure used 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.

Sampling errors for the 2009 SDHS are calculated for selected variables considered to be of primary interest. The results are presented in Appendix B of the 2009 SDHS report for the country as a whole, for urban and rural areas, and for the four geographical regions. Standard errors, design effect, relative standard errors and 95 percent confidence limits for each statistic of a variable are presented in the tables of the Appendix. Details on sampling error calculation are also provided.

In summary, for the total sample, the value of the DEFT, averaged over all variables, is 1.05. This means that, due to multi-stage clustering of the sample, the average standard error is increased by a factor of 1.05 over that in an equivalent simple random sample.

Data appraisal

Data quality tables and were generated to assess the quality and reliability of the 2009 SDHS data.

Abstract

The 2013 NDHS is part of the worldwide Demographic and Health Surveys (DHS) programme funded by the United States Agency for International Development (USAID). DHS surveys are designed to collect data on fertility, family planning, and maternal and child health; assist countries in monitoring changes in population, health, and nutrition; and provide an international database that can be used by researchers investigating topics related to population, health, and nutrition.

The overall objective of the survey is to provide demographic, socioeconomic, and health data necessary for policymaking, planning, monitoring, and evaluation of national health and population programmes. In addition, the survey measured the prevalence of anaemia, HIV, high blood glucose, and high blood pressure among adult women and men; assessed the prevalence of anaemia among children age 6-59 months; and collected anthropometric measurements to assess the nutritional status of women, men, and children.

A long-term objective of the survey is to strengthen the technical capacity of local organizations to plan, conduct, and process and analyse data from complex national population and health surveys. At the global level, the 2013 NDHS data are comparable with those from a number of DHS surveys conducted in other developing countries. The 2013 NDHS adds to the vast and growing international database on demographic and health-related variables.

Geographic coverage

National coverage

Analysis unit

Households and individuals

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample Design The primary focus of the 2013 NDHS was to provide estimates of key population and health indicators, including fertility and mortality rates, for the country as a whole and for urban and rural areas. In addition, the sample was designed to provide estimates of most key variables for the 13 administrative regions.

Each of the administrative regions is subdivided into a number of constituencies (with an overall total of 107 constituencies). Each constituency is further subdivided into lower level administrative units. An enumeration area (EA) is the smallest identifiable entity without administrative specification, numbered sequentially within each constituency. Each EA is classified as urban or rural. The sampling frame used for the 2013 NDHS was the preliminary frame of the 2011 Namibia Population and Housing Census (NSA, 2013a). The sampling frame was a complete list of all EAs covering the whole country. Each EA is a geographical area covering an adequate number of households to serve as a counting unit for the population census. In rural areas, an EA is a natural village, part of a large village, or a group of small villages; in urban areas, an EA is usually a city block. The 2011 population census also produced a digitised map for each of the EAs that served as the means of identifying these areas.

The sample for the 2013 NDHS was a stratified sample selected in two stages. In the first stage, 554 EAs-269 in urban areas and 285 in rural areas-were selected with a stratified probability proportional to size selection from the sampling frame. The size of an EA is defined according to the number of households residing in the EA, as recorded in the 2011 Population and Housing Census. Stratification was achieved by separating every region into urban and rural areas. Therefore, the 13 regions were stratified into 26 sampling strata (13 rural strata and 13 urban strata). Samples were selected independently in every stratum, with a predetermined number of EAs selected. A complete household listing and mapping operation was carried out in all selected clusters. In the second stage, a fixed number of 20 households were selected in every urban and rural cluster according to equal probability systematic sampling.

Due to the non-proportional allocation of the sample to the different regions and the possible differences in response rates, sampling weights are required for any analysis using the 2013 NDHS data to ensure the representativeness of the survey results at the national as well as the regional level. Since the 2013 NDHS sample was a two-stage stratified cluster sample, sampling probabilities were calculated separately for each sampling stage and for each cluster.

See Appendix A in the final report for details

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were administered in the 2013 NDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire. These questionnaires were adapted from the standard DHS6 core questionnaires to reflect the population and health issues relevant to Namibia at a series of meetings with various stakeholders from government ministries and agencies, nongovernmental organisations, and international donors. The final draft of each questionnaire was discussed at a questionnaire design workshop organised by the MoHSS from September 25-28, 2012, in Windhoek. The questionnaires were then translated from English into the six main local languages—Afrikaans, Rukwangali, Oshiwambo, Damara/Nama, Otjiherero, and Silozi—and back translated into English. The questionnaires were finalised after the pretest, which took place from February 11-25, 2013.

The Household Questionnaire was used to list all usual household members as well as visitors in the selected households. Basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. For children under age 18, parents’ survival status was determined. In addition, the Household Questionnaire included questions on knowledge of malaria and use of mosquito nets by household members, along with questions regarding health expenditures. The Household Questionnaire was used to identify women and men who were eligible for the individual interview and the interview on domestic violence. The 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, and ownership of various durable goods. The results of tests assessing iodine levels were recorded as well.

In half of the survey households (the same households selected for the male survey), the Household Questionnaire was also used to record information on anthropometry and biomarker data collected from eligible respondents, as follows: • All eligible women and men age 15-64 were measured, weighed, and tested for anaemia and HIV. • All eligible women and men age 35-64 had their blood pressure and blood glucose measured. • All children age 0 to 59 months were measured and weighed. • All children age 6 to 59 months were tested for anaemia.

The Woman’s Questionnaire was also used to collect information from women age 50-64 living in half of the selected survey households on background characteristics, marriage and sexual activity, women’s work and husbands’ background characteristics, awareness and behaviour regarding AIDS and other STIs, and other health issues.

The Man’s Questionnaire was administered to all men age 15-64 living in half of the selected survey households. The Man’s Questionnaire collected much of the same information as 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

CSPro—a Windows-based integrated census and survey processing system that combines and replaces the ISSA and IMPS packages—was used for entry, editing, and tabulation of the NDHS data. Prior to data entry, a practical training session was provided by ICF International to all data entry staff. A total of 28 data processing personnel, including 17 data entry operators, one questionnaire administrator, two office editors, three secondary editors, two network technicians, two data processing supervisors, and one coordinator, were recruited and trained on administration of questionnaires and coding, data entry and verification, correction of questionnaires and provision of feedback, and secondary editing. NDHS data processing was formally launched during the week of June 22, 2013, at the National Statistics Agency Data Processing Centre in Windhoek. The data entry and editing phase of the survey was completed in January 2014.

Response rate

A total of 11,004 households were selected for the sample, of which 10,165 were found to be occupied during data collection. Of the occupied households, 9,849 were successfully interviewed, yielding a household response rate of 97 percent.

In these households, 9,940 women age 15-49 were identified as eligible for the individual interview. Interviews were completed with 9,176 women, yielding a response rate of 92 percent. In addition, in half of these households, 842 women age 50-64 were successfully interviewed; in this group of women, the response rate was 91 percent.

Of the 5,271 eligible men identified in the selected subsample of households, 4,481 (85 percent) were successfully interviewed.

Response rates were higher in rural than in urban areas, with the rural-urban difference more marked among men than among women.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: nonsampling errors and 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

BackgroundOne of the greatest obstacles facing efforts to address quality of care in low and middle income countries is the absence of relevant and reliable data. This article proposes a methodology for creating a single “Quality Index” (QI) representing quality of maternal and neonatal health care based upon data collected as part of the Demographic and Health Survey (DHS) program.MethodsUsing the 2012 Indonesian Demographic and Health Survey dataset, indicators of quality of care were identified based on the recommended guidelines outlined in the WHO Integrated Management of Pregnancy and Childbirth. Two sets of indicators were created; one set only including indicators available in the standard DHS questionnaire and the other including all indicators identified in the Indonesian dataset. For each indicator set composite indices were created using Principal Components Analysis and a modified form of Equal Weighting. These indices were tested for internal coherence and robustness, as well as their comparability with each other. Finally a single QI was chosen to explore the variation in index scores across a number of known equity markers in Indonesia including wealth, urban rural status and geographical region.ResultsThe process of creating quality indexes from standard DHS data was proven to be feasible, and initial results from Indonesia indicate particular disparities in the quality of care received by the poor as well as those living in outlying regions.ConclusionsThe QI represents an important step forward in efforts to understand, measure and improve quality of MNCH care in developing countries.

Abstract

The 2022 Kenya Demographic and Health Survey (2022 KDHS) is the seventh DHS survey implemented in Kenya. The Kenya National Bureau of Statistics (KNBS) in collaboration with the Ministry of Health (MoH) and other stakeholders implemented the survey. Survey planning began in late 2020 with data collection taking place from February 17 to July 19, 2022. ICF provided technical assistance through The DHS Program, which is funded by the United States Agency for International Development (USAID) and offers financial support and technical assistance for population and health surveys in countries worldwide. Other agencies and organizations that facilitated the successful implementation of the survey through technical or financial support were the Bill & Melinda Gates Foundation, the World Bank, the United Nations Children's Fund (UNICEF), the United Nations Population Fund (UNFPA), Nutrition International, the World Food Programme (WFP), the United Nations Entity for Gender Equality and the Empowerment of Women (UN Women), the World Health Organization (WHO), the Clinton Health Access Initiative, and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

SURVEY OBJECTIVES The primary objective of the 2022 KDHS is to provide up-to-date estimates of demographic, health, and nutrition indicators to guide the planning, implementation, monitoring, and evaluation of population and health-related programs at the national and county levels. The specific objectives of the 2022 KDHS are to: Estimate fertility levels and contraceptive prevalence Estimate childhood mortality Provide basic indicators of maternal and child health Estimate the Early Childhood Development Index (ECDI) Collect anthropometric measures for children, women, and men Collect information on children's nutrition Collect information on women's dietary diversity Obtain information on knowledge and behavior related to transmission of HIV and other sexually transmitted infections (STIs) Obtain information on noncommunicable diseases and other health issues Ascertain the extent and patterns of domestic violence and female genital mutilation/cutting

Geographic coverage

National coverage

Analysis unit

Household, individuals, county and national level

Universe

The survey covered sampled households

Sampling procedure

The sample for the 2022 KDHS was drawn from the Kenya Household Master Sample Frame (K-HMSF). This is the frame that KNBS currently operates to conduct household-based sample surveys in Kenya. In 2019, Kenya conducted a Population and Housing Census, and a total of 129,067 enumeration areas (EAs) were developed. Of these EAs, 10,000 were selected with probability proportional to size to create the K-HMSF. The 10,000 EAs were randomized into four equal subsamples. The survey sample was drawn from one of the four subsamples. The EAs were developed into clusters through a process of household listing and geo-referencing. To design the frame, each of the 47 counties in Kenya was stratified into rural and urban strata, resulting in 92 strata since Nairobi City and Mombasa counties are purely urban.

The 2022 KDHS was designed to provide estimates at the national level, for rural and urban areas, and, for some indicators, at the county level. Given this, the sample was designed to have 42,300 households, with 25 households selected per cluster, resulting into 1,692 clusters spread across the country with 1,026 clusters in rural areas and 666 in urban areas.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Eight questionnaires were used for the 2022 KDHS: 1. A full Household Questionnaire 2. A short Household Questionnaire 3. A full Woman's Questionnaire 4. A short Woman's Questionnaire 5. A Man's Questionnaire 6. A full Biomarker Questionnaire 7. A short Biomarker Questionnaire 8. A Fieldworker Questionnaire.

The Household Questionnaire collected information on: o Background characteristics of each person in the household (for example, name, sex, age, education, relationship to the household head, survival of parents among children under age 18) o Disability o Assets, land ownership, and housing characteristics o Sanitation, water, and other environmental health issues o Health expenditures o Accident and injury o COVID-19 (prevalence, vaccination, and related deaths) o Household food consumption

The Woman's Questionnaire was used to collect information from women age 15-49 on the following topics: o Socioeconomic and demographic characteristics o Reproduction o Family planning o Maternal health care and breastfeeding o Vaccination and health of children o Children's nutrition o Woman's dietary diversity o Early childhood development o Marriage and sexual activity o Fertility preferences o Husbands' background characteristics and women's employment activity o HIV/AIDS, other sexually transmitted infections (STIs), and tuberculosis (TB) o Other health issues o Early Childhood Development Index 2030 o Chronic diseases o Female genital mutilation/cutting o Domestic violence

The Man's Questionnaire was administered to men age 15-54 living in the households selected for long Household Questionnaires. The questionnaire collected information on: o Socioeconomic and demographic characteristics o Reproduction o Family planning o Marriage and sexual activity o Fertility preferences o Employment and gender roles o HIV/AIDS, other STIs, and TB o Other health issues o Chronic diseases o Female genital mutilation/cutting o Domestic violence

The Biomarker Questionnaire collected information on anthropometry (weight and height). The long Biomarker Questionnaire collected anthropometry measurements for children age 0-59 months, women age 15-49, and men age 15-54, while the short questionnaire collected weight and height measurements only for children age 0-59 months.

The Fieldworker Questionnaire was used to collect basic background information on the people who collected data in the field. This included team supervisors, interviewers, and biomarker technicians.

All questionnaires except the Fieldworker Questionnaire were translated into the Swahili language to make it easier for interviewers to ask questions in a language that respondents could understand.

Cleaning operations

Data were downloaded from the central servers and checked against the inventory of expected returns to account for all data collected in the field. SyncCloud was also used to generate field check tables to monitor progress and flag any errors, which were communicated back to the field teams for correction.

Secondary editing was done by members of the central office team, who resolved any errors that were not corrected by field teams during data collection. A CSPro batch editing tool was used for cleaning and tabulation during data analysis.

Response rate

A total of 42,022 households were selected for the sample, of which 38,731 (92%) were found to be occupied. Among the occupied households, 37,911 were successfully interviewed, yielding a response rate of 98%. The response rates for urban and rural households were 96% and 99%, respectively. In the interviewed households, 33,879 women age 15-49 were identified as eligible for individual interviews. Interviews were completed with 32,156 women, yielding a response rate of 95%. The response rates among women selected for the full and short questionnaires were the similar (95%). In the households selected for the male survey, 16,552 men age 15-54 were identified as eligible for individual interviews and 14,453 were successfully interviewed, yielding a response rate of 87%.

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 HANES 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 1999-2000 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, 1999-2000 (The base of the Demographic dataset + all data from medical examinations).

2. National Health and Nutrition Examination Survey (NHANES), Demographic & Laboratory Data, 1999-2000 (The base of the Demographic dataset + all data from medical laboratories).

3. National Health and Nutrition Examination Survey (NHANES), Demographic & Questionnaire Data, 1999-2000 (The base of the Demographic dataset + all data from questionnaires)

Not all files from the 1999-2000 wave are included. This is for two reasons, both of which related to the merging variable (SEQN). For a subset of the files, SEQN is not a unique identifier for cases (i.e. some respondents have multiple cases) or SEQN is not in the file at all. The following datasets from this wave of the NHANES are not included in these three files and can be found individually from the "https://www.cdc.gov/nchs/nhanes/index.htm" Target="_blank">NHANES website at the CDC:

Examination: Dietary Interview (Individual Foods File)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Questionnaire: Analgesics Pain Relievers
Questionnaire: Dietary Supplement Use -- Ingredient Information
Questionnaire: Dietary Supplement Use -- Supplement Blend
Questionnaire: Dietary Supplement Use -- Supplement Information
Questionnaire: Drug Information
Questionnaire: Dietary Supplement Use -- Participants Use of Supplement
Questionnaire: Physical Activity Individual Activity File
Questionnaire: Prescription Medications

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 "https://www.cdc.gov/nchs/nhanes/index.htm" Target="_blank">NHANES website.

Please note: This is a Synthetic data file, also known as a Dummy file - it is not real data. This synthetic file should not be used for purposes other than to develop an test computer programs that are to be submitted by remote access. Each record in the synthetic file matches the format and content parameters of the real Statistics Canada Master File with which it is associated, but the data themselves have been 'made up'. They do NOT represent responses from real individuals and should NOT be used for actual analysis. These data are provided solely for the purpose of testing statistical package 'code' (e.g. SPSS syntax, SAS programs, etc.) in preperation for analysis using the associated Master File in a Research Data Centre, by Remote Job Submission, or by some other means of secure access. If statistical analysis 'code' works with the synthetic data, researchers can have some confidence that the same code will run successfully against the Master File data in the Resource Data Centres. In the fall of 1991, the National Health Information Council recommended that an ongoing national survey of population health be conducted. This recommendation was based on consideration of the economic and fiscal pressures on the health care systems and the requirement for information with which to improve the health status of the population in Canada. Commencing in April 1992, Statistics Canada received funding for development of a National Population Health Survey (NPHS). The NPHS collects information related to the health of the Canadian population and related socio-demographic information to: aid in the development of public policy by providing measures of the level, trend and distribution of the health status of the population, provide data for analytic studies that will assist in understanding the determinants of health, and collect data on the economic, social, demographic, occupational and environmental correlates of health. In addition the NPHS seeks to increase the understanding of the relationship between health status and health care utilization, including alternative as well as traditional services, and also to allow the possibility of linking survey data to routinely collected administrative data such as vital statistics, environmental measures, community variables, and health services utilization. The NPHS collects information related to the health of the Canadian population and related socio-demographic information. It is composed of three components: the Households, the Health Institutions, and the North components. The Household component started in 1994/1995 and is conducted every two years. The first three cycles (1994/1995, 1996/1997, 1997/1998) were both cross-sectional and longitudinal. The NPHS longitudinal sample includes 17,276 persons from all ages in 1994/1995 and these same persons are to be interviewed every two years. Beginning in Cycle 4 (2000/2001) the survey became strictly longitudinal (collecting health information from the same individuals each cycle). The cross-sectional and longitudinal documentation of the Household component is presented separately as well as the documentation for the Health Institutions and North components. The cross-sectional component of the Population Health Survey Program has been taken over by the Canadian Community Health Survey (CCHS). With the introduction of the Canadian Community Health Survey (CCHS), there were many changes to the 2000-2001 National Population Health Survey - Household questionnaire. Since NPHS is strictly a longitudinal survey, some content was migrated to the CCHS (such as the two-week disability section and certain questions on place where health care was provided) or was dropped (e.g. certain chronic conditions), while the order of the questionnaire changed. As only the longitudinal respondent is now surveyed, it was no longer necessary to distinguish between the General questionnaire and the Health component. Health Canada, Public Health Agency of Canada and provincial ministries of health use NPHS longitudinal data to plan, implement and evaluate programs and health policies to improve health and the efficiency of health services. Non-profit health organizations and researchers in the academic fields use the information to move research ahead and to improve health.

Supporting documentation on code lists, subject definitions, data accuracy, and statistical testing can be found on the American Community Survey website in the Data and Documentation section...Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section..Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, for 2010, the 2010 Census provides the official counts of the population and housing units for the nation, states, counties, cities and towns..Explanation of Symbols:.An ''**'' entry in the margin of error column indicates that either no sample observations or too few sample observations were available to compute a standard error and thus the margin of error. A statistical test is not appropriate..An ''-'' entry in the estimate column indicates that either no sample observations or too few sample observations were available to compute an estimate, or a ratio of medians cannot be calculated because one or both of the median estimates falls in the lowest interval or upper interval of an open-ended distribution..An ''-'' following a median estimate means the median falls in the lowest interval of an open-ended distribution..An ''+'' following a median estimate means the median falls in the upper interval of an open-ended distribution..An ''***'' entry in the margin of error column indicates that the median falls in the lowest interval or upper interval of an open-ended distribution. A statistical test is not appropriate..An ''*****'' entry in the margin of error column indicates that the estimate is controlled. A statistical test for sampling variability is not appropriate. .An ''N'' entry in the estimate and margin of error columns indicates that data for this geographic area cannot be displayed because the number of sample cases is too small..An ''(X)'' means that the estimate is not applicable or not available..Estimates of urban and rural population, housing units, and characteristics reflect boundaries of urban areas defined based on Census 2000 data. Boundaries for urban areas have not been updated since Census 2000. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..While the 2010 American Community Survey (ACS) data generally reflect the December 2009 Office of Management and Budget (OMB) definitions of metropolitan and micropolitan statistical areas; in certain instances the names, codes, and boundaries of the principal cities shown in ACS tables may differ from the OMB definitions due to differences in the effective dates of the geographic entities..The Census Bureau introduced an improved sequence of labor force questions in the 2008 ACS questionnaire. Accordingly, we recommend using caution when making labor force data comparisons from 2008 or later with data from prior years. For more information on these questions and their evaluation in the 2006 ACS Content Test, see the "Evaluation Report Covering Employment Status" at http://www.census.gov/acs/www/Downloads/methodology/content_test/P6a_Employment_Status.pdf, and the "Evaluation Report Covering Weeks Worked" at http://www.census.gov/acs/www/Downloads/methodology/content_test/P6b_Weeks_Worked_Final_Report.pdf. Additional information can also be found at http://www.census.gov/hhes/www/laborfor/laborforce.html..The Census Bureau introduced a new set of disability questions in the 2008 ACS questionnaire. Accordingly, comparisons of disability data from 2008 or later with data from prior years are not recommended. For more information on these questions and their evaluation in the 2006 ACS Content Test, see the Evaluation Report Covering Disability..The age specified on the population 15 years and over, population 25 years and over, population 30 years and over, civilian population 18 years and over, civilian population 5 years and over, population 1 years and over, population 5 years and over, and population 16 years and over lines refer to the data shown in the "Total" column while the second column is limited to the population 60 years and over..The 60 years and over column of data refers to the age of the householder for the estimates of households, occupied housing units, owner-occupied housing units, and renter-occupied housing units lines..Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estima...

Abstract

The 2008 Ghana Demographic and Health Survey (GDHS) is a national survey covering all ten regions of the country. The survey was designed to collect, analyse, and disseminate information on housing and household characteristics, education, maternal health and child health, nutrition, family planning, gender, and knowledge and behaviour related to HIV/AIDS. It included, for the first time, a module on domestic violence as one of the topics of investigation.

The 2008 GDHS is designed to provide data to monitor the population and health situation in Ghana. This is the fifth round in a series of national level population and health surveys conducted in Ghana under the worldwide Demographic and Health Surveys programme. Specifically, the 2008 GDHS has the 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 women and young children, childhood mortality, maternal and child health, domestic violence, and awareness and behaviour regarding AIDS and other sexually transmitted infections (STIs). The information collected in the 2008 GDHS will provide updated estimates of basic demographic and health indicators covered in the earlier rounds of 1988, 1993, 1998, and 2003 surveys.

The long-term objective of the survey includes strengthening the technical capacity of major government institutions, including the Ghana Statistical Service (GSS). The 2008 GDHS also provides comparable data for long-term trend analysis in Ghana, since the surveys were implemented by the same organisation, using similar data collection procedures. It also adds to the international database on demographic and health–related information for research purposes.

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 2008 GDHS was a household-based survey, implemented in a representative probability sample of more than 12,000 households selected nationwide. This sample was selected in such a manner as to allow for separate estimates of key indicators for each of the 10 regions in Ghana, as well as for urban and rural areas separately.

The 2008 GDHS utilised a two-stage sample design. The first stage involved selecting sample points or clusters from an updated master sampling frame constructed from the 2000 Ghana Population and Housing Census. A total of 412 clusters were selected from the master sampling frame. The clusters were selected using systematic sampling with probability proportional to size. A complete household listing operation was conducted from June to July 2008 in all the selected clusters to provide a sampling frame for the second stage selection of households.

The second stage of selection involved the systematic sampling of 30 of the households listed in each cluster. The primary objectives of the second stage of selection were to ensure adequate numbers of completed individual interviews to provide estimates for key indicators with acceptable precision and to provide a sample large enough to identify adequate numbers of under-five deaths to provide data on causes of death.

Data were not collected in one of the selected clusters due to security reasons, resulting in a final sample of 12,323 selected households. Weights were calculated taking into consideration cluster, household, and individual non-responses, so the representations were not distorted.

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

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used for the 2008 GDHS: 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 programme and the 2003 GDHS Questionnaires.

A questionnaire design workshop organised by GSS was held in Accra to obtain input from the Ministry of Health and other stakeholders on the design of the 2008 GDHS Questionnaires. Based on the questionnaires used for the 2003 GDHS, the workshop and several other informal meetings with various local and international organisations, the DHS model questionnaires were modified to reflect relevant issues in population, family planning, domestic violence, HIV/AIDS, malaria and other health issues in Ghana. These questionnaires were translated from English into three major local languages, namely Akan, Ga, and Ewe. The questionnaires were pre-tested in July 2008. The lessons learnt from the pre-test were used to finalise the survey instruments and logistical arrangements.

The Household Questionnaire was used to list all the usual members and visitors in the selected households. Some basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview. The Household Questionnaire collected information on characteristics of the household’s dwelling unit, such as the source of water, type of toilet facilities, materials used for the floor and roof of the house, ownership of various durable goods, and ownership and use of mosquito nets. The Household Questionnaire was also used to record height and weight measurements, consent for, and the results of, haemoglobin measurements for women age 15-49 and children under five years. The haemoglobin testing procedure is described in detail in the next section.

The Household Questionnaire was also used to record all deaths of household members that occurred since January 2003. Based on this information, in each household that reported the death of a child under age five years since January 2005,3 field editors administered a Verbal Autopsy Questionnaire. Data on child mortality based on the verbal autopsy will be presented in a separate publication.

The Women’s Questionnaire was used to collect information from all women age 15-49 in half of selected households. These women were asked questions about themselves and their children born in the five years since 2003 on the following topics: education, residential history, media exposure, reproductive history, knowledge and use of family planning methods, fertility preferences, antenatal and delivery care, breastfeeding and infant and young child feeding practices, vaccinations and childhood illnesses, marriage and sexual activity, woman’s work and husband’s background characteristics, childhood mortality, awareness and behaviour about AIDS and other sexually transmitted infections (STIs), awareness of TB and other health issues, and domestic violence.

The Women’s Questionnaire included a series of questions to obtain information on women’s exposure to malaria during their most recent pregnancy in the five years preceding the survey and the treatment for malaria. In addition, women were asked if any of their children born in the five years preceding the survey had fever, whether these children were treated for malaria and the type of treatment they received.

The Men’s Questionnaire was administered to all men age 15-59 living in half of the selected households in the GDHS sample. The Men’s Questionnaire collected much of the same information found in the Women’s Questionnaire, but was shorter because it did not contain a reproductive history or questions on maternal and child health or nutrition.

Cleaning operations

The processing of the GDHS results began shortly after the fieldwork commenced. Completed questionnaires were returned periodically from the field to the GSS office in Accra, where they were entered and edited by data processing personnel who were specially trained for this task. Data were entered using CSPro, a programme specially developed for use in DHS surveys. All data were entered twice (100 percent verification). The concurrent processing of the data was a distinct advantage for data quality, because GSS had the opportunity to advise field teams of problems detected during data entry. The data entry and editing phase of the survey was completed in February 2009.

Response rate

A total of 12,323 households were selected in the sample, of which 11,913 were occupied at the time of the fieldwork. This difference between selected and occupied households occurred mainly because some of the selected structures were found to be vacant or destroyed. The number of occupied households successfully interviewed was 11,778, yielding a household response rate of 99 percent.

In the households selected for individual interview in the survey (50 percent of the total 2008 GDHS sample), a total of 5,096 eligible women were identified; interviews were completed with 4,916 of these women, yielding a response rate of 97 percent. In the same households, a total of 4,769 eligible men were identified and interviews were completed with 4,568 of these men, yielding a response rate of 96 percent. The response rates are slightly lower among men than women.

The principal reason for non-response among both eligible women and men was the failure to find individuals at home despite repeated visits to the household. The lower response rate for men reflects the more frequent and longer absences of men from the household

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

Sampling error

Users can download data or view data tables on topics related to the labor force of the United States. Background Current Population Survey is a joint effort between the Bureau of Labor Statistics and the Census Bureau. It provides information and data on the labor force of the United States, such as: employment, unemployment, earnings, hours of work, school enrollment, health, employee benefits and income. The CPS is conducted monthly and has a sample of approximately 50,000 households. It is representative of the non-institutionalized US population. The sample provides estimates for the nation as a whole and serves as part of model-based estimates for individual states and other geographic areas. User Functionality Users can download data sets or view data tables on their topic of interest. Data can be organized by a variety of demographic variables, including: sex, age, race, marital status and educational attainment. Data is available on a national or state level. Data Notes The CPS is conducted monthly and has a sample of approximately 50,000 households. It is representative of the non-institutionalized US population. The sample provides estimates for th e nation as a whole and serves as part of model-based estimates for individual states and other geographic areas.