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TwitterThe 2022 Ghana Demographic and Health Survey (2022 GDHS) is the seventh in the series of DHS surveys conducted by the Ghana Statistical Service (GSS) in collaboration with the Ministry of Health/Ghana Health Service (MoH/GHS) and other stakeholders, with funding from the United States Agency for International Development (USAID) and other partners.
The primary objective of the 2022 GDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the GDHS collected information on: - Fertility levels and preferences, contraceptive use, antenatal and delivery care, maternal and child health, childhood mortality, childhood immunisation, breastfeeding and young child feeding practices, women’s dietary diversity, violence against women, gender, nutritional status of adults and children, awareness regarding HIV/AIDS and other sexually transmitted infections, tobacco use, and other indicators relevant for the Sustainable Development Goals - Haemoglobin levels of women and children - Prevalence of malaria parasitaemia (rapid diagnostic testing and thick slides for malaria parasitaemia in the field and microscopy in the lab) among children age 6–59 months - Use of treated mosquito nets - Use of antimalarial drugs for treatment of fever among children under age 5
The information collected through the 2022 GDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of the country’s population.
National coverage
The survey covered all de jure household members (usual residents), all women aged 15-49, men aged 15-59, and all children aged 0-4 resident in the household.
Sample survey data [ssd]
To achieve the objectives of the 2022 GDHS, a stratified representative sample of 18,450 households was selected in 618 clusters, which resulted in 15,014 interviewed women age 15–49 and 7,044 interviewed men age 15–59 (in one of every two households selected).
The sampling frame used for the 2022 GDHS is the updated frame prepared by the GSS based on the 2021 Population and Housing Census.1 The sampling procedure used in the 2022 GDHS was stratified two-stage cluster sampling, designed to yield representative results at the national level, for urban and rural areas, and for each of the country’s 16 regions for most DHS indicators. In the first stage, 618 target clusters were selected from the sampling frame using a probability proportional to size strategy for urban and rural areas in each region. Then the number of targeted clusters were selected with equal probability systematic random sampling of the clusters selected in the first phase for urban and rural areas. In the second stage, after selection of the clusters, a household listing and map updating operation was carried out in all of the selected clusters to develop a list of households for each cluster. This list served as a sampling frame for selection of the household sample. The GSS organized a 5-day training course on listing procedures for listers and mappers with support from ICF. The listers and mappers were organized into 25 teams consisting of one lister and one mapper per team. The teams spent 2 months completing the listing operation. In addition to listing the households, the listers collected the geographical coordinates of each household using GPS dongles provided by ICF and in accordance with the instructions in the DHS listing manual. The household listing was carried out using tablet computers, with software provided by The DHS Program. A fixed number of 30 households in each cluster were randomly selected from the list for interviews.
For further details on sample design, see APPENDIX A of the final report.
Face-to-face computer-assisted interviews [capi]
Four questionnaires were used in the 2022 GDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Ghana. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.
The GSS organized a questionnaire design workshop with support from ICF and obtained input from government and development partners expected to use the resulting data. The DHS Program optional modules on domestic violence, malaria, and social and behavior change communication were incorporated into the Woman’s Questionnaire. ICF provided technical assistance in adapting the modules to the questionnaires.
DHS staff installed all central office programmes, data structure checks, secondary editing, and field check tables from 17–20 October 2022. Central office training was implemented using the practice data to test the central office system and field check tables. Seven GSS staff members (four male and three female) were trained on the functionality of the central office menu, including accepting clusters from the field, data editing procedures, and producing reports to monitor fieldwork.
From 27 February to 17 March, DHS staff visited the Ghana Statistical Service office in Accra to work with the GSS central office staff on finishing the secondary editing and to clean and finalize all data received from the 618 clusters.
A total of 18,540 households were selected for the GDHS sample, of which 18,065 were found to be occupied. Of the occupied households, 17,933 were successfully interviewed, yielding a response rate of 99%. In the interviewed households, 15,317 women age 15–49 were identified as eligible for individual interviews. Interviews were completed with 15,014 women, yielding a response rate of 98%. In the subsample of households selected for the male survey, 7,263 men age 15–59 were identified as eligible for individual interviews and 7,044 were successfully interviewed.
The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2022 Ghana Demographic and Health Survey (2022 GDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 GDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results. A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95% of all possible samples of identical size and design.
If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2022 GDHS sample was the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the GDHS 2022 is an SAS program. This program used the Taylor linearization method to estimate variances for survey estimates that are means, proportions, or ratios. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.
A more detailed description of estimates of sampling errors are presented in APPENDIX B of the survey report.
Data Quality Tables
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TwitterThe 1998 Ghana Demographic and Health Survey (GDHS) is the latest in a series of national-level population and health surveys conducted in Ghana and it is part of the worldwide MEASURE DHS+ Project, designed to collect data on fertility, family planning, and maternal and child health.
The primary objective of the 1998 GDHS is to provide current and reliable data on fertility and family planning behaviour, child mortality, children’s nutritional status, and the utilisation of maternal and child health services in Ghana. Additional data on knowledge of HIV/AIDS are also provided. This information is essential for informed policy decisions, planning and monitoring and evaluation of programmes at both the national and local government levels.
The long-term objectives of the survey include strengthening the technical capacity of the Ghana Statistical Service (GSS) to plan, conduct, process, and analyse the results of complex national sample surveys. Moreover, the 1998 GDHS provides comparable data for long-term trend analyses within Ghana, since it is the third in a series of demographic and health surveys implemented by the same organisation, using similar data collection procedures. The GDHS also contributes to the ever-growing international database on demographic and health-related variables.
National
Sample survey data
The major focus of the 1998 GDHS was to provide updated estimates of important population and health indicators including fertility and mortality rates for the country as a whole and for urban and rural areas separately. In addition, the sample was designed to provide estimates of key variables for the ten regions in the country.
The list of Enumeration Areas (EAs) with population and household information from the 1984 Population Census was used as the sampling frame for the survey. The 1998 GDHS is based on a two-stage stratified nationally representative sample of households. At the first stage of sampling, 400 EAs were selected using systematic sampling with probability proportional to size (PPS-Method). The selected EAs comprised 138 in the urban areas and 262 in the rural areas. A complete household listing operation was then carried out in all the selected EAs to provide a sampling frame for the second stage selection of households. At the second stage of sampling, a systematic sample of 15 households per EA was selected in all regions, except in the Northern, Upper West and Upper East Regions. In order to obtain adequate numbers of households to provide reliable estimates of key demographic and health variables in these three regions, the number of households in each selected EA in the Northern, Upper West and Upper East regions was increased to 20. The sample was weighted to adjust for over sampling in the three northern regions (Northern, Upper East and Upper West), in relation to the other regions. Sample weights were used to compensate for the unequal probability of selection between geographically defined strata.
The survey was designed to obtain completed interviews of 4,500 women age 15-49. In addition, all males age 15-59 in every third selected household were interviewed, to obtain a target of 1,500 men. In order to take cognisance of non-response, a total of 6,375 households nation-wide were selected.
Note: See detailed description of sample design in APPENDIX A of the survey report.
Face-to-face
Three types of questionnaires were used in the GDHS: the Household Questionnaire, the Women’s Questionnaire, and the Men’s Questionnaire. These questionnaires were based on model survey instruments developed for the international MEASURE DHS+ programme and were designed to provide information needed by health and family planning programme managers and policy makers. The questionnaires were adapted to the situation in Ghana and a number of questions pertaining to on-going health and family planning programmes were added. These questionnaires were developed in English and translated into five major local languages (Akan, Ga, Ewe, Hausa, and Dagbani).
The Household Questionnaire was used to enumerate all usual members and visitors in a selected household and to collect information on the socio-economic status of the household. The first part of the Household Questionnaire collected information on the relationship to the household head, residence, sex, age, marital status, and education of each usual resident or visitor. This information was used to identify women and men who were eligible for the individual interview. For this purpose, all women age 15-49, and all men age 15-59 in every third household, whether usual residents of a selected household or visitors who slept in a selected household the night before the interview, were deemed eligible and interviewed. The Household Questionnaire also provides basic demographic data for Ghanaian households. The second part of the Household Questionnaire contained questions on the dwelling unit, such as the number of rooms, the flooring material, the source of water and the type of toilet facilities, and on the ownership of a variety of consumer goods.
The Women’s Questionnaire was used to collect information on the following topics: respondent’s background characteristics, reproductive history, contraceptive knowledge and use, antenatal, delivery and postnatal care, infant feeding practices, child immunisation and health, marriage, fertility preferences and attitudes about family planning, husband’s background characteristics, women’s work, knowledge of HIV/AIDS and STDs, as well as anthropometric measurements of children and mothers.
The Men’s Questionnaire collected information on respondent’s background characteristics, reproduction, contraceptive knowledge and use, marriage, fertility preferences and attitudes about family planning, as well as knowledge of HIV/AIDS and STDs.
A total of 6,375 households were selected for the GDHS sample. Of these, 6,055 were occupied. Interviews were completed for 6,003 households, which represent 99 percent of the occupied households. A total of 4,970 eligible women from these households and 1,596 eligible men from every third household were identified for the individual interviews. Interviews were successfully completed for 4,843 women or 97 percent and 1,546 men or 97 percent. The principal reason for nonresponse among individual women and men was the failure of interviewers to find them at home despite repeated callbacks.
Note: See summarized response rates by place of residence in Table 1.1 of the survey report.
The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling errors are the results of shortfalls made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 1998 GDHS to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 1998 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.
A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.
If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 1998 GDHS sample is the result of a two-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the 1998 GDHS is the ISSA Sampling Error Module. This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.
Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Age distribution of eligible and interviewed men - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months
Note: See detailed tables in APPENDIX C of the survey report.
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TwitterThe 1993 Ghana Demographic and Health Survey (GDHS) is a nationally representative survey of 4,562 women age 15-49 and 1,302 men age 15-59. The survey is designed to furnish policymakers, planners and program managers with factual, reliable and up-to-date information on fertility, family planning and the status of maternal and child health care in the country. The survey, which was carried out by the Ghana Statistical Service (GSS), marks Ghana's second participation in the worldwide Demographic and Health Surveys (DHS) program.
The principal objective of the 1993 GDHS is to generate reliable and current information on fertility, mortality, contraception and maternal and child health indicators. Such data are necessary for effective policy formulation as well as program design, monitoring and evaluation. The 1993 GDHS is, in large measure, an update to the 1988 GDHS. Together, the two surveys provide comparable information for two points in time, thus allowing assessment of changes and trends in various demographic and health indicators over time.
Long-term objectives of the survey include (i) strengthening the capacity of the Ghana Statistical Service to plan, conduct, process and analyze data from a complex, large-scale survey such as the Demographic and Health Survey, and (ii) contributing to the ever-expanding international database on demographic and health-related variables.
National
Sample survey data
The 1993 GDHS is a stratified, self-weighting, nationally representative sample of households chosen from 400 Enumeration Areas (EAs). The 1984 Population Census EAs constituted the sampling frame. The frame was first stratified into three ecological zones, namely coastal, forest and savannah, and then into urban and rural EAs. The EAs were selected with probability proportional to the number of households. Households within selected EAs were subsequently listed and a systematic sample of households was selected for the survey. The survey was designed to yield a sample of 5,400 women age 15-49 and a sub-sample of males age 15-59 systematically selected from one-third of the 400 EAs.
Note: See detailed description of sample design in APPENDIX A of the survey report.
Face-to-face
Survey instruments used to elicit information for the 1993 GDHS are 1) Household Schedule 2) Women's Questionnaire and 3) Men's Questionnaire.
The questionnaires were structured based on the Demographic and Health Survey Model B Questionnaire designed for countries with low levels of contraceptive use. The final version of the questionnaires evolved out of a series of meetings with personnel of relevant ministries, institutions and organizations engaged in activities relating to fertility and family planning, health and nutrition and rehabilitation of persons with disabilities.
The questionnaires were first developed in English and later translated and printed in five major local languages, namely: Akan, Dagbani, Ewe, Ga, and Hausa. In the selected households, all usual members and visitors were listed in the household schedule. Background information, such as age, sex, relationship to head of household, marital status and level of education, was collected on each listed person. Questions on economic activity, occupation, industry, employment status, number of days worked in the past week and number of hours worked per day was asked of all persons age seven years and over. Those who did not work during the reference period were asked whether or not they actively looked for work.
Information on the health and disability status of all persons was also collected in the household schedule. Migration history was elicited from all persons age 15 years and over, as well as information on the survival status and residence of natural parents of all children less than 15 years in the household.
Data on source of water supply, type of toilet facility, number of sleeping rooms available to the household, material of floor and ownership of specified durable consumer goods were also elicited.
Finally, the household schedule was the instrument used to identify eligible women and men from whom detailed information was collected during the individual interview.
The women's questionnaire was used to collect information on eligible women identified in the household schedule. Eligible women were defined as those age 15-49 years who are usual members of the household and visitors who spent the night before the interview with the household. Questions asked in the questionnaire were on the following topics:
All female respondents with at least one live birth since January 1990 and their children born since 1st January 1990 had their height and weight taken.
The men's questionnaire was administered to men in sample households in a third of selected EAs. An eligible man was 15-59 years old who is either a usual household member or a visitor who spent the night preceding the day of interview with the household.
Topics enquired about in the men's questionnaire included the following: - Background Characteristics - Reproductive History - Contraceptive Knowledge and Use - Marriage - Fertility Preferences - Knowledge of AIDS and Other STDs.
Questionnaires from the field were sent to the secretariat at the Head Office for checking and office editing. The office editing, which was undertaken by two officers, involved correcting inconsistencies in the questionnaire responses and coding open-ended questions. The questionnaires were then forwarded to the data processing unit for data entry. Data capture and verification were undertaken by four data entry operators. Nearly 20 percent of the questionnaires were verified. This phase of the survey covered four and a half months - that is, from mid-October, 1993 to the end of February, 1994.
After the data entry, three professional staff members performed the secondary editing of questionnaires that were flagged either because entries were inconsistent or values of specific variables were out of range or missing. The secondary editing was completed on 17th March, 1994 and the tables for the preliminary report were generated on 18th March, 1994. The software package used for the data processing was the Integrated System for Survey Analysis (ISSA).
A sample of 6,161 households was selected, from which 5,919 households were contacted for interview. Interviews were successfully completed in 5,822 households, indicating a household response rate of 98 percent. About 3 percent of selected households were absent during the interviewing period, and are excluded from the calculations of the response rate.
Even though the sample was designed to yield interviews with nearly 5,400 women age 15-49 only 4,700 women were identified as eligible for the individual interview. Individual interviews were successfully completed for 4,562 eligible women, giving a response rate of 97 percent. Similarly, instead of the expected 1,700 eligible men being identified in the households only 1,354 eligible men were found and 1,302 of these were successfully interviewed, with a response rate of 96 percent.
The principal reason for non-response among eligible women and men was not finding them at home despite repeated visits to the households. However, refusal rates for both eligible women and men were low, 0.3 percent and 0.2 percent, respectively.
Note: See summarized response rates in Table 1.1 of the survey report.
The results from sample surveys are affected by two types of errors, non-sampling error and sampling error. Non-sampling error is due to mistakes made in carrying out field activities, such as failure to locate and interview the correct household, errors in the way the questions are asked, misunderstanding on the part of either the interviewer or the respondent, data entry errors, etc. Although efforts were made during the design and implementation of the 1993 GDHS to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be measured statistically. The sample of eligible women selected in the 1993 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each one would have yielded results that differed somewhat from the actual sample selected. The sampling error is a measure of the variability between all possible samples; although it is not known exactly, it can be estimated from the survey results.
Sampling error is usually measured in terms of standard error of a particular statistic (mean, percentage, etc.), which is the square root of the variance of the statistic. The standard error can be used to calculate confidence intervals within which, apart from non-sampling errors, the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that same statistic as measured in 95 percent of all possible samples with the same design (and expected size) will fall within a range
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TwitterThe 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.
National
Sample survey data
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.
Face-to-face [f2f]
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.
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.
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
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TwitterThe 2003 Ghana Demographic and Health Survey (GDHS) is a nationwide sample survey carried out to provide information on population, family planning, maternal and child health, nutrition, childhood mortality, and AIDS and sexually transmitted infections (STIs). This is the fourth round in a series of national-level population and health surveys conducted in Ghana under the worldwide Demographic and Health Surveys Program, others being in 1988, 1993, and 1998. This latest GDHS included, for the first time, testing of blood samples to provide national rates of anaemia and HIV. All four demographic and health surveys have been implemented by the Ghana Statistical Service, in close collaboration with other stakeholders.
The principal objective of the 2003 Ghana Demographic and Health Survey (GDHS) is to provide data to monitor the population and health situation in the country. The primary objective is to provide current and reliable data on fertility and family planning behaviour, infant and child mortality, breastfeeding, antenatal care, children’s immunisations and childhood diseases, nutritional status of mothers and children, use of maternal and child health services, and awareness and behaviour regarding AIDS and other STIs. New features of the 2003 GDHS include the collection of information on female and male circumcision, information on malaria and ownership and use of insecticide-treated bed nets, and haemoglobin and HIV testing.
The long-term objective of the survey includes strengthening the technical capacity of major government institutions, including the Ghana Statistical Service (GSS). The 2003 GDHS also provides comparable data for long-term trend analyses in Ghana, since the surveys were implemented by the same organisation, using similar data collection procedures. It also contributes to the ever-growing international database on demographic and health-related information.
National
Sample survey data
The sample for the 2003 GDHS covered the population residing in private households in the country. A representative probability sample of about 6,600 households was selected nationwide. The list of enumeration areas (EAs) from the 2000 Ghana Population and Housing Census was used as a frame for the sample. The frame was first stratified into the 10 administrative regions in the country, then into rural and urban EAs. The sample was selected in such a manner as to allow for separate estimates for key indicators for the country as a whole, for each of the 10 regions in Ghana, as well as for urban and rural areas separately.
The 2003 GDHS used a two-stage stratified sample design. At the first stage of sampling, 412 sample points or EAs were selected, each with probability proportional to size, based on the number of households. A complete household listing exercise was carried out between May and June 2003 within all the selected EAs (clusters). The second stage of selection involved systematic sampling of households from this list. The sample selected per EA varied by region depending on the population size. Fifteen households per EA were selected in all the regions except in Brong Ahafo, Upper East, and Upper West regions, where 20 households per EA were selected, and in the Northern region, where 16 households per EA were selected. The objective of this exercise was to ensure adequate numbers of complete interviews to provide estimates for important population characteristics with acceptable statistical precision. Due to the disproportional number of EAs and different sample sizes selected per EA among regions, the household sample for the 2003 GDHS is not selfweighted at the national level.
Note: See detailed description of sample design in APPENDIX A of the survey report.
Face-to-face [f2f]
Three questionnaires were used for the 2003 GDHS: the Household Questionnaire, the Women’s Questionnaire, and the Men’s Questionnaire. The contents of these questionnaires were based on the model questionnaires developed by the MEASURE DHS+ programme and were designed to provide information needed by health and family planning programme managers and policymakers. The questionnaires were adapted to the Ghanaian situation and a number of questions pertaining to ongoing health, HIV, and family planning programmes were added. These questionnaires were translated from English into the five major languages (Akan, Nzema, Ewe, Ga, and Dagbani).
The Household Questionnaire was used to list all the usual members and visitors in the selected households. Information was collected on the characteristics of each person listed, including the age, sex, education, and relationship to the head of household. The main purpose of the Household Questionnaire was to identify eligible women and men for the individual interview. The Household Questionnaire collected information on characteristics of the household’s dwelling unit, such as the source of drinking water, type of toilet facilities, flooring materials, ownership of various consumer goods, and ownership and use of mosquito nets. It was also used to record height and weight measurements of women 15-49 and children under the age of 5, and to record the respondents’ consent to the haemoglobin and HIV testing.
The Women’s Questionnaire was used to collect information from all women age 15-49. These women were asked questions on the following topics: respondent’s background characteristics, such as education, residential history, media exposure, knowledge and use of family planning methods, fertility preferences, antenatal and delivery care, breastfeeding and infant and child feeding practices, vaccinations and childhood illnesses, childhood mortality, marriage and sexual activity, woman’s work and husband’s background characteristics, and awareness and behaviour regarding AIDS and other STIs.
The Men’s Questionnaire was administered to all men age 15-59 in every household 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 and nutrition.
The processing of the GDHS results began shortly after the fieldwork commenced. Completed questionnaires were returned periodically from the field to the GSS headquarters in Accra, where they were entered and edited by data processing personnel who were specially trained for this task. Twelve data entry operators from GSS were trained for one week on data entry procedures using CSPro. All data were entered twice (100 percent verification). In addition, tables were run periodically to monitor the quality of the data collected. The concurrent processing of the data was an advantage for data quality because field coordinators were able to advise teams of problems detected during the data entry. The data entry and editing phase of the survey was completed in mid-December 2003.
Response rates are important because high nonresponse may affect the reliability of the results. A total of 6,628 households were selected in the sample, of which 6,333 were occupied at the time of fieldwork. The difference between selected and occupied households is largely due to structures being vacant or destroyed. Successful interviews were conducted in 6,251 households, yielding a response rate of 99 percent.
In the households interviewed in the survey, a total of 5,949 eligible women age 15-49 were identified; interviews were completed with 5,691 of these women, yielding a response rate of 96 percent. In the same households, a total of 5,345 eligible men age 15-59 were identified and interviews were completed with 5,015 of these men, yielding a male response rate of 94 percent. The response rates are slightly lower for the urban than rural sample, and 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, principally related to their employment and life style.
Response rates for the HIV testing component were lower than those for the interviews. Details of the HIV testing response rates are discussed in Chapter 13 of the final GDHS report which is presented in this documentation.
Note: See summarized response rates by place of residence in Table 1.2 of the survey report.
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 2003 Ghana Demographic and Health Survey (GDHS) to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2003 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of
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Women age 15-49, Births, Children age 0-4, Men age 15-59, All persons
Demographic and Household Survey [hh/dhs]
MICRODATA SOURCE: Ghana Statistical Service, Ghana Health Service, and ICF International.
SAMPLE UNIT: Woman SAMPLE SIZE: 9396
SAMPLE UNIT: Birth SAMPLE SIZE: 23118
SAMPLE UNIT: Child SAMPLE SIZE: 5884
SAMPLE UNIT: Man SAMPLE SIZE: 4388
SAMPLE UNIT: Member SAMPLE SIZE: 43945
Face-to-face [f2f]
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TwitterThe primary objective of the 2014 GDHS was to generate recent reliable information on fertility, family planning, infant and child mortality, maternal and child health, and nutrition. In addition, the survey collected specialised data on malaria treatment, prevention, and prevalence among children age 6-59 months; blood pressure among adults; anaemia among women and children; and HIV prevalence among adults. This information is essential for making informed policy decisions and for planning, monitoring, and evaluating programmes related to health in general, and reproductive health in particular, at both the national and regional levels. Analysis of data collected in the 2014 GDHS provides updated estimates of basic demographic and health indicators covered in the earlier rounds of the 1988, 1993, 1998, 2003, and 2008 surveys.
The GDHS will assist policymakers and programme managers in evaluating and designing programmes and strategies for improving the health of Ghana’s population. The 2014 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. Furthermore, the survey adds to the international database on demographic and health–related information for research purposes.
National
Sample survey data [ssd]
The sampling frame used for the 2014 GDHS is an updated frame from the 2010 Ghana Population and Housing Census provided by the Ghana Statistical Service (GSS 2013b). The sampling frame excluded nomadic and institutional populations such as persons in hotels, barracks, and prisons.
The 2014 GDHS followed a two-stage sample design and was intended to allow estimates of key indicators at the national level as well as for urban and rural areas and each of Ghana's 10 administrative regions. The first stage involved selecting sample points (clusters) consisting of enumeration areas (EAs) delineated for the 2010 PHC. A total of 427 clusters were selected, 216 in urban areas and 211 in rural areas.
The second stage involved the systematic sampling of households. A household listing operation was undertaken in all the selected EAs in January-March 2014, and households to be included in the survey were randomly selected from the list. About 30 households were selected from each cluster to constitute the total sample size of 12,831 households. Because of the approximately equal sample sizes in each region, the sample is not self-weighting at the national level, and weighting factors have been added to the data file so that the results will be proportional at the national level.
All women age 15-49 who were either permanent residents of the selected households or visitors who stayed in the household the night before the survey were eligible to be interviewed and have their blood pressure measured.
In half of the households, all men age 15-59 who were either permanent residents of the selected households or visitors who stayed in the households the night before the survey were eligible to be interviewed. In addition, in the subsample of households selected for the male survey: • blood pressure measurements were performed among eligible men who consented to being tested; • children age 6-59 months were tested for anaemia and malaria with the parent's or guardian's consent; • eligible women who consented were tested for anaemia; • blood samples were collected for laboratory testing of HIV from eligible women and men who consented; and • height and weight information was collected from eligible women, men, and children age 0- 59 months.
For further details on sample selection, see Appendix A of the final report.
Face-to-face [f2f]
Three questionnaires were used for the 2014 GDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire. These questionnaires, which were based on standard Demographic and Health Survey (DHS) questionnaires, were adapted to reflect the population and health issues relevant to Ghana. Comments on the questionnaires were solicited from various stakeholders representing government ministries and agencies, nongovernmental organisations, and international donors. The definitive questionnaires were first prepared in English; they were then translated into the major local languages, namely Akan, Ga, and Ewe.
The Household Questionnaire was used to list all the members of and visitors to the selected households. Basic demographic information was collected on the characteristics of each person listed, including his or her age, sex, marital status, education, and relationship to the head of the household. For children under age 18, parents’ survival status was determined. The data on age and sex of household members obtained in the Household Questionnaire were used to identify women and men who were eligible for individual interviews. The Household Questionnaire also included questions on child education as well as the characteristics of the household’s dwelling unit, such as source of water, type of toilet facilities, materials used for the floor of the dwelling unit, and ownership of various durable goods.
The Woman’s Questionnaire was used to collect information from all eligible women age 15-49.
In half of the selected households, the Man’s Questionnaire was administered to all men age 15-59. The Man’s Questionnaire collected much of the same information found in the Woman’s Questionnaire but was shorter because it did not contain a detailed reproductive history or questions on maternal and child health.
The data processing operation included 100 percent verification (also called second data entry) and secondary editing, which involved resolution of computer-identified inconsistencies. The data processing activities at the central office were led by one key GSS officer who took part in the main fieldwork training. Data processing was accomplished using CSPro software. Data entry and editing were initiated in September 2014 and completed in February 2015.
A total of 12,831 households were selected for the sample, of which 12,010 were occupied. Of the occupied households, 11,835 were successfully interviewed, yielding a response rate of 99 percent, the same as the 2008 GDHS household response rate (GSS, GHS, and ICF Macro 2009).
In the interviewed households, 9,656 eligible women were identified for individual interviews; interviews were completed with 9,396 women, yielding a response rate of 97 percent. In the subsample of households selected for the male survey, 4,609 eligible men were identified and 4,388 were successfully interviewed, yielding a response rate of 95 percent. The lower response rate for men was likely due to their more frequent and longer absences from the household.
The estimates from a sample survey are affected by two types of errors: non-sampling errors and sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2014 Ghana DHS (GDHS) to minimize this type of error, non-sampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2014 GDHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.
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 2014 GDHS sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulae. Sampling errors are computed in either ISSA or SAS, using programs developed by ICF International. These programs use the Taylor linearization method of variance estimation 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.
The Taylor linearization method treats any percentage or average as a ratio estimate, r = y x , where y represents the total sample value for variable y, and x represents the
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TwitterThe Ghana Living Standards Survey (GLSS) is a nationwide household survey carried out by the Government of Ghana (Ghana Statistical Service) with the support of the World Bank (Social Dimensions of Adjustment Project Unit). The objective of the survey is to provide data to the government for measuring the living standards of the population and the progress made in raising them. The survey data will permit a more effective formulation and implementation of policies designed to improve the welfare of the population. The GLSS was launched in September 1987 and is currently planned to be undertaken over a five-year period. The five interval ensures that a steady stream of data becomes available to monitor the impact of the Government's Economic Recovery Program, including the Program of Actions to Mitigate the Social Costs of Adjustment (PAMSCAD). GLSS provides data on various aspects of the Ghanaian household economic and social activities and the interactions between these activities. Data are collected at three levels; the individual level, the household level and community level. The results from the household questionnaire administered to 1525 households over the six month period from september 1987 to march 1988. These results provides a first and useful look at key economic indicators however, because the database does not cover a complete twelve month period, inferences from this sample should be made with caution.
National
The survey covered all household members of all age and sex category who reside in Ghana.
Sample survey data [ssd]
The GLSS canvasses a nationally representative sample of 3200 households. A two-stage stratified sample design was used. At the first stage, 200 enumeration areas (EAs) were selected with probability proportional to the number of Census households. Stratification criteria were urban/rural and ecological zones. Households in the selected EAs were then listed through a filed operation. Comparing the number of households listed with those in the census in each EA, 200 “workloads” were allocated among the 200 selected EAs. In the second stage, 16 households were selected to make up each workload, but some received three, while a few received none. This design has resulted in a self-weighting sample (with equal probability of selection for each household in Ghana).
The methodology that was used reflects the purpose of the survey. To balance the desire for a large representative sample with the expense of a long, detailed survey instrument, a sample size of 3'200 households was selected. The households were to be chosen in such a manner that each household had an equal probability of being selected. At the same time, the logistics of locationg the households and conducting all interviews within a specific time frame required that the households be grouped into "workloads" of 16 households each. A final concern was that all three of the of the country's ecological zones (coastal, forest and savannah), and each of urban, semi-urban and rural areas (population greater than 5000, 1500 to 5000, and less than 1500, respectively) from the same proportion in the sample as key do in the national population.
To achieve the three objectives simultaneously, a stratified selection process was used. For the 1984 Census, all of Ghana was divided into approximately 13'000 enumeration areas. From this list, it was determinated what proportion of the 200 GLSS workloads should be selected from each of the nine zone/urban categories. Two hundred sampling areas were then selected from the enumeration areas in the sub-divided list. For each enumeration area, the probability of being selected was proportional to the number of households contained in that area.
Face-to-face [f2f]
Three types of questionnaires are used in the GLSS: (1) a household questionnaire; (2) a community questionnaire; (3) a price questionnaire. The household questionnaire comprises 16 sections which allow the collection of a total of about 800 pieces of information on the household. It includes household composition, housing, education, health, economic activities, migration, housing characteristics, anthropometry, agro-pastoral activities, non-farm self-employment, expenditures and inventory of durable goods, food expenses and home production, fertility, other income, credit and savings.
The community questionnaire, used in the rural areas, is administered to the persons best informed about the community (village chief, teachers, etc). It includes demography, economy and infrastructure, education, health and agriculture. The price questionnaire is filled out based on direct observation of the market prices. It includes food items, pharmaceutical items and other non-food items.
The quality control of the data collection occurs at three instances such as:
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TwitterFeed the Future (FTF) initiative in Ghana is a collaborative effort that supports country-owned processes and plans for improving food security and nutrition, particularly in the northern part of the country. These datasets cover the interim survey that took place in 2015 and was designed as a follow-up to the baseline survey that happened from 2012 to 2013. The survey covered a range of indicators organized around four groups: (1) economic well-being; (2) women and children anthropometry; (3) hunger and diet diversity; and (4) women's empowerment. The survey design involved two stages in which enumeration areas were selected followed by households. Data was collected in a face-to-face fashion using well-designed questionnaires and other study materials.
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TwitterThe 2017 Ghana Maternal Health Survey (GMHS) was implemented by the Ghana Statistical Service (GSS). Data collection took place from 15 June to 12 October 2017. 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. Financial support for the 2017 GMHS was provided by the Government of Ghana through the Ministry of Health (MOH) and by USAID, the European Union (EU) delegation to Ghana, and the United Nations Population Fund (UNFPA).
SURVEY OBJECTIVES The primary objectives of the 2017 GMHS were as follows: - To collect data at the national level that will allow an assessment of the level of maternal mortality in Ghana for the country as a whole and for three zones: Coastal (Western, Central, Greater Accra, and Volta regions), Middle (Eastern, Ashanti, and Brong Ahafo regions), and Northern (Northern, Upper East, and Upper West regions) - To identify specific causes of maternal and non-maternal deaths, in particular deaths due to abortionrelated causes, among adult women - To collect data on women’s perceptions of and experiences with antenatal, maternity, and emergency obstetrical care, especially with regard to care received before, during, and following the termination or abortion of a pregnancy - To measure indicators of the utilisation of maternal health services, especially post-abortion care services - To allow follow-on studies and surveys that will be used to observe possible reductions in maternal mortality as well as abortion-related mortality
The information collected through the 2017 GMHS is intended to assist policymakers and programme managers in evaluating and designing programmes and strategies for improving the health of the country’s population.
National coverage
Household Woman
the survey covered all household members, all women aged 15-49 and for autopsy questionnaire women aged 12-49.
Sample survey data [ssd]
The sample for the 2017 GMHS was designed to provide estimates of key reproductive health indicators for the country as a whole, for urban and rural areas separately, for three zonal levels (Coastal, Middle, and Northern), and for each of the 10 administrative regions in Ghana (Western, Central, Greater Accra, Volta, Eastern, Ashanti, Brong Ahafo, Northern, Upper East, and Upper West).
The sampling frame used for the 2017 GMHS is the frame of the 2010 Population and Housing Census (PHC) conducted in Ghana. The 2010 PHC frame is maintained by GSS and updated periodically as new information is received from various surveys. The frame is a complete list of all census enumeration areas (EAs) created for the PHC. An EA is a geographic area that covers an average of 161 households (per updates to the PHC frame from the 2014 Ghana Demographic and Health Survey [GDHS]). Individual EA size is the number of residential households in the EA according to the 2010 PHC. The average size of urban EAs (185 households) is slightly larger than the average size of rural EAs (114 households). The sampling frame contains information about the EA’s location, type of residence (urban or rural), and estimated number of residential households.
The 2017 GMHS sample was stratified and selected from the sampling frame in two stages. Each region was separated into urban and rural areas; this yielded 20 sampling strata. Samples of EAs were selected independently in each stratum in two stages. Implicit stratification and proportional allocation were achieved at each of the lower administrative levels by sorting the sampling frame within each sampling stratum before the sample selection, according to administrative units at different levels, and by using a probability proportional to size selection at the first stage of sampling.
In the first stage, 900 EAs (466 EAs in urban areas and 434 EAs in rural areas) were selected with probability proportional to EA size and with independent selection in each sampling stratum. A household listing operation was implemented from 25 January to 9 April 2017 in all of the selected EAs. The resulting lists of households then served as a sampling frame for the selection of households in the second stage. The household listing operation included inquiring of each household if there had been any deaths in that household since January 2012 and, if so, the name, sex, and age at time of death of the deceased person(s).
Some of the selected EAs were very large. To minimise the task of household listing, each large EA selected for the 2017 GMHS was segmented. Only one segment was selected for the survey with probability proportional to segment size. Household listing was conducted only in the selected segment. Thus, in the GMHS, a cluster is either an EA or a segment of an EA. As part of the listing, the field teams updated the necessary maps and recorded the geographic coordinates of each cluster. The listing was conducted by 20 teams that included a supervisor, three listers/mappers, and a driver.
The second stage of selection provided two outputs: the list of households selected for the main survey (Household Questionnaire and Woman’s Questionnaire) and the list of households selected for the verbal autopsy survey (Verbal Autopsy Questionnaire).
Selection for Main Survey In the second stage of selection for the main survey, a fixed number of 30 households were selected from each cluster, resulting in a total sample size of 27,000 households. Replacement of nonresponding households was not allowed. 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 that uses the 2017 GMHS data. This ensures the representativeness of the survey results at the national and regional levels. Results shown in this report have been weighted to account for the complex sample design.
All women age 15-49 who were either permanent residents of the selected households or visitors who stayed in the household the night before the survey were eligible to be interviewed.
Selection for Verbal Autopsy Survey In the second stage of selection for the verbal autopsy survey, all households in which a female resident age 10-54 died in 2012 or later were selected to be visited by an interviewer. However, only the deaths of female residents who were age 12-49 at the time of death were eligible to be included in the survey. A wider age range was used for the initial selection in case of minor inaccuracies on the part of the person who provided information during the household listing operation; the first questions in the Verbal Autopsy Questionnaire established true eligibility, and interviews ended if the deceased woman was discovered to have died before age 12, after age 49, or before 2012.
There is a chance that some households were both purposively selected for the verbal autopsy survey and randomly selected for the main survey.
Face-to-face [f2f]
Three questionnaires were used in the 2017 GMHS: the Household Questionnaire, the Woman’s Questionnaire, and the Verbal Autopsy Questionnaire. The survey protocol was reviewed and approved by the ICF Institutional Review Board.
The Household Questionnaire and the Woman’s Questionnaire were adapted from The DHS Program’s standard Demographic and Health Survey questionnaires and the questionnaires used in the 2007 GMHS to reflect the specific interests and data needs of this survey. The Verbal Autopsy Questionnaire was adapted from the recent 2016 World Health Organization (WHO) verbal autopsy instrument.
For all questionnaires, input was solicited from stakeholders representing government ministries and development partners. After the finalization of the questionnaires in English, they were translated into three major languages: Akan, Ga, and Ewe. The Household and Woman’s Questionnaires were programmed into tablet computers to facilitate computer-assisted personal interviewing (CAPI) for data collection purposes, with the capability to choose any of the four languages for either of the questionnaires.
The Verbal Autopsy Questionnaire was filled out on paper during data collection and entered into the CAPI system afterwards. The tablet computers were equipped with Bluetooth® technology to enable remote electronic transfer of files, such as assignments from the team supervisor to the interviewers, individual questionnaires among survey team members, and completed questionnaires from interviewers to team supervisors. The CAPI data collection system employed in the 2017 GMHS was developed by The DHS Program using the mobile version of CSPro. The CSPro software was developed jointly by the U.S. Census Bureau, The DHS Program, and Serpro S.A.
Household Questionnaire The Household Questionnaire was used to list all members of and visitors to selected households. Basic demographic information was collected on the characteristics of each person listed, including his or her age, sex, marital status, education, and relationship to the head of the household. The data on age and sex of household members obtained in the Household Questionnaire were used to identify women who were eligible for individual interviews. The Household Questionnaire also collected information on characteristics of the household’s dwelling unit, such as source of water, type of toilet facilities, materials used for the floor of the dwelling unit, and ownership of various
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TwitterThis dataset for Ghana combines preprocessed data from two data sources to create a rich source of information that can be used to develop a detailed understanding of poverty in the country.
Demographic & Health Surveys Preprocessed Data
The dataset contains preprocessed data from the DHS for Ghana. There are five main data files:
1. Household data
2. Household Member data
3. Births data
4. Cluster information
5. Geographic information (shapefile)
The first three files contain all the features required for a complete calculation of the Multidimensional Poverty Index. The household member and births data both contain reference IDs that can be used to join them to a particular household in the household datafile. The cluster file contains information required to link each household to a particular cluster, which in turn can be associated with geographic location information.
For detailed descriptions of the features available, refer to the DHS Recode Manual.
For details on how the preprocessed data was obtained, refer to Part III of my submission for the Kiva Challenge https://www.kaggle.com/taniaj/kiva-crowdfunding-targeting-poverty-sub-nat .
Financial Inclusion Insights Survey Preprocessed Data
The dataset also contains preprocessed data from the FII Survey for Ghana. It contains features relevant for developing a financial deprivation indicator, such as whether the respondent has a formal bank account, whether they have formal savings and whether they have access to formal borrowing services.
For detailed descriptions of the features available, refer to the documentation.
For details on how the preprocessed data was obtained, refer to Part IV of my submission for the Kiva Challenge https://www.kaggle.com/taniaj/kiva-crowdfunding-adding-a-financial-dimension .
Other data
In addition to the main datafiles, there are a number of "_sjoin" files, which are intermediate steps in my kernel, where a spatial join was run locally and saved to be read back in due partly to sjoin not working on Kaggle servers, partly to save time.
Please refer to the following pages for the terms of use:
The original data was provided by:
This dataset was added for use in the Data Science for Good: Kiva Crowdfunding challenge
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License information was derived automatically
Ghana GH: Survey Mean Consumption or Income per Capita: Bottom 40% of Population: Annualized Average Growth Rate data was reported at -0.200 % in 2016. Ghana GH: Survey Mean Consumption or Income per Capita: Bottom 40% of Population: Annualized Average Growth Rate data is updated yearly, averaging -0.200 % from Dec 2016 (Median) to 2016, with 1 observations. Ghana GH: Survey Mean Consumption or Income per Capita: Bottom 40% of Population: Annualized Average Growth Rate data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Ghana – Table GH.World Bank.WDI: Poverty. The growth rate in the welfare aggregate of the bottom 40% is computed as the annualized average growth rate in per capita real consumption or income of the bottom 40% of the population in the income distribution in a country from household surveys over a roughly 5-year period. Mean per capita real consumption or income is measured at 2011 Purchasing Power Parity (PPP) using the PovcalNet (http://iresearch.worldbank.org/PovcalNet). For some countries means are not reported due to grouped and/or confidential data. The annualized growth rate is computed as (Mean in final year/Mean in initial year)^(1/(Final year - Initial year)) - 1. The reference year is the year in which the underlying household survey data was collected. In cases for which the data collection period bridged two calendar years, the first year in which data were collected is reported. The initial year refers to the nearest survey collected 5 years before the most recent survey available, only surveys collected between 3 and 7 years before the most recent survey are considered. The final year refers to the most recent survey available between 2011 and 2015. Growth rates for Iraq are based on survey means of 2005 PPP$. The coverage and quality of the 2011 PPP price data for Iraq and most other North African and Middle Eastern countries were hindered by the exceptional period of instability they faced at the time of the 2011 exercise of the International Comparison Program. See PovcalNet for detailed explanations.; ; World Bank, Global Database of Shared Prosperity (GDSP) circa 2010-2015 (http://www.worldbank.org/en/topic/poverty/brief/global-database-of-shared-prosperity).; ; The comparability of welfare aggregates (consumption or income) for the chosen years T0 and T1 is assessed for every country. If comparability across the two surveys is a major concern for a country, the selection criteria are re-applied to select the next best survey year(s). Annualized growth rates are calculated between the survey years, using a compound growth formula. The survey years defining the period for which growth rates are calculated and the type of welfare aggregate used to calculate the growth rates are noted in the footnotes.
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TwitterThe population and housing census (PHC) is the unique source of reliable and comprehensive data about the size of population and also on major socio-economic & socio-demographic characteristics of the country. It provides data on geographic and administrative distribution of population and household in addition to the demographic and socio-economic characteristics of all the people in the country. Generally, it provides for comparing and projecting demographic data, social and economic characteristics, as well as household and housing conditions at all levels of the country’s administrative units and dimensions: national, regional, districts and localities. The data from the census is classified, tabulated and disseminated so that researchers, administrators, policy makers and development partners can use the information in formulating and implementing various multi-sectorial development programs at the national and community levels. Data on all key variables namely area, household, population, economic activity, literacy and education, fertility and child survival, housing conditions and sanitation are collected and available in the census data. The 2021 PHC in Ghana had an overarching goal of generating updated demographic, social and economic data, housing characteristics and dwelling conditions to support national development planning activities.
National Coverage , Region , District
All persons who spent census night (midnight of 27th June 2021) in Ghana
Census/enumeration data [cen]
This 10% sample data for the 2021 PHC is representative at the district/subdistrict level and also by the urban rural classification.
Computer Assisted Personal Interview [capi]
GSS developed two categories of instruments for the 2021 PHC: the listing form and the enumeration instruments. The listing form was only one, while the enumeration instruments comprised six questionnaires, designated as PHC 1A, PHC 1B, PHC 1C, PHC 1D, PHC 1E and PHC 1F. The PHC 1A was the most comprehensive with the others being its subsets.
Listing Form: The listing form was developed to collect data on type of structures, level of completion, whether occupied or vacant and use(s) of the structures. It was also used to collect information about the availability, number and types of toilet facilities in the structures. It was also used to capture the number of households in a structure, number of persons in households and the sex of the persons residing in the households if occupied. Finally, the listing form was used to capture data on non-household populations such as the population in institutions, floating population and sex of the non-household populations.
PHC 1A: The PHC 1A questionnaire was used to collect data from all households in the country. Primarily, it was used to capture household members and visitors who spent the Census Night in the dwelling of the household, and their relationship with the head of the household. It was also used to collect data on homeless households. Members of the households who were absent were enumerated at the place where they had spent the Census Night. The questionnaire was also used to collect the following household information: emigration; socio-demographic characteristics (sex, age, place of birth and enumeration, survival status of parents, literacy and education; economic activities; difficulty in performing activities; ownership and usage of information, technology and communication facilities; fertility; mortality; housing characteristics and conditions and sanitation.
PHC 1B: The PHC 1B questionnaire was used to collect data from persons in stable institutions comprising boarding houses, hostels and prisons who were present on Census Night. Other information that was captured with this instrument are socio-demographic characteristics, literacy and education, economic activities, difficulty in performing activities; ownership and usage of information, technology and communication facilities; fertility; mortality; housing characteristics and conditions and sanitation.
PHC 1C: The PHC 1C questionnaire was used to collect data from persons in “unstable” institutions such as hospitals and prayer camps who were present at these places on Census Night. The instrument was used to capture only the socio-demographic characteristics of individuals.
PHC 1D: The PHC 1D questionnaire was used to collect data from the floating population. This constitutes persons who were found at airports, seaports, lorry stations and similar locations waiting for or embarking on long-distance travel, as well as outdoor sleepers on Census Night. The instrument captured the socio-demographic information of individuals.
PHC 1E: All persons who spent the Census Night at hotels, motels and guest houses were enumerated using the PHC 1E. The content of the questionnaire was similar to that of the PHC 1D.
PHC 1F: The PHC 1F questionnaire was administered to diplomats in the country.
The Census data editing was implemented at three levels: 1. data editing by enumerators and supervisors during data collection 2. data editing was done at the regional level by the regional data quality monitors during data collection 3. Final data editing was done at the national level using the batch edits in CSPro and STATA Data editing and cleaning was mainly digital.
100 percent
A post Enumeration Survey (PES) was conducted to assess the extent of coverage and content error.
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TwitterThe Annual Household Income and Expenditure Survey (AHIES) is the first nationally representative high-frequency household panel survey in Ghana. The AHIES is being conducted to obtain quarterly and annual data on household final consumption expenditure and a wide scope of demographic, economic and welfare variables including statistics on labour, food security, multi-dimensional poverty and health status for research, policy, and planning. Some of the key macroeconomic indicators to be generated include quarterly GDP, regional GDP, quarterly unemployment, underemployment, inequality, consumption expenditure poverty, multidimensional poverty and food security. The data from the AHIES is classified, tabulated and disseminated so that researchers, administrators, policy makers and development partners can use the information in formulating and implementing various development programs at the national and community levels and also to monitor targets under the Sustainable Development Goals.
Nation - Wide
Individuals, Households
The universe covers the population living within individual households in Ghana. However, such population which is defined as institutionalised population as persons living at elderly houses, rest homes, correction facilities, military baracks, and hospitals with special characteristics, nursery,and also nomadic population are excluded.
With the sampling procedure, 10,800 households in 600 EAs, consisting of 304 (50.67%) urban and 296 (49.33%) rural households were drawn from the 2021 Population and Housing Census listing frame to form the secondary sampling units. A random sampling methodology was adopted to select eighteen (18) households per selected EAs in all regions to form the full sample for the fieldwork to be able to produce regionally representative expenditures for GDP.
Computer Assisted Personal Interview [CAPI]
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Context
This list ranks the 56 cities in the Cuyahoga County, OH by Ghanaian population, as estimated by the United States Census Bureau. It also highlights population changes in each city over the past five years.
When available, the data consists of estimates from the U.S. Census Bureau American Community Survey (ACS) 5-Year Estimates, including:
Variables / Data Columns
Good to know
Margin of Error
Data in the dataset are based on the estimates and are subject to sampling variability and thus a margin of error. Neilsberg Research recommends using caution when presening these estimates in your research.
Custom data
If you do need custom data for any of your research project, report or presentation, you can contact our research staff at research@neilsberg.com for a feasibility of a custom tabulation on a fee-for-service basis.
Neilsberg Research Team curates, analyze and publishes demographics and economic data from a variety of public and proprietary sources, each of which often includes multiple surveys and programs. The large majority of Neilsberg Research aggregated datasets and insights is made available for free download at https://www.neilsberg.com/research/.
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TwitterObjectives: To obtain reliable, valid and comparable health, health-related and well-being data over a range of key domains for adult and older adult populations in nationally representative samples To examine patterns and dynamics of age-related changes in health and well-being using longitudinal follow-up of a cohort as they age, and to investigate socio-economic consequences of these health changes To supplement and cross-validate self-reported measures of health and the anchoring vignette approach to improving comparability of self-reported measures, through measured performance tests for selected health domains To collect health examination and biomarker data that improves reliability of morbidity and risk factor data and to objectively monitor the effect of interventions
Additional Objectives: To generate large cohorts of older adult populations and comparison cohorts of younger populations for following-up intermediate outcomes, monitoring trends, examining transitions and life events, and addressing relationships between determinants and health, well-being and health-related outcomes To develop a mechanism to link survey data to demographic surveillance site data To build linkages with other national and multi-country ageing studies To improve the methodologies to enhance the reliability and validity of health outcomes and determinants data To provide a public-access information base to engage all stakeholders, including national policy makers and health systems planners, in planning and decision-making processes about the health and well-being of older adults
Methods: SAGE's first full round of data collection included both follow-up and new respondents in most participating countries. The goal of the sampling design was to obtain a nationally representative cohort of persons aged 50 years and older, with a smaller cohort of persons aged 18 to 49 for comparison purposes. In the older households, all persons aged 50+ years (for example, spouses and siblings) were invited to participate. Proxy respondents were identified for respondents who were unable to respond for themselves. Standardized SAGE survey instruments were used in all countries consisting of five main parts: 1) household questionnaire; 2) individual questionnaire; 3) proxy questionnaire; 4) verbal autopsy questionnaire; and, 5) appendices including showcards. A VAQ was completed for deaths in the household over the last 24 months. The procedures for including country-specific adaptations to the standardized questionnaire and translations into local languages from English follow those developed by and used for the World Health Survey.
Content
Household questionnaire 0000 Coversheet 0100 Sampling Information 0200 Geocoding and GPS Information 0300 Recontact Information 0350 Contact Record 0400 Household Roster 0450 Kish Tables and Household Consent 0500 Housing 0600 Household and Family Support Networks and Transfers 0700 Assets and Household Income 0800 Household Expenditures 0900 Interviewer Observations
Individual questionnaire 1000 Socio-Demographic Characteristics 1500 Work History and Benefits 2000 Health State Descriptions and Vignettes 2500 Anthropometrics, Performance Tests and Biomarkers 3000 Risk Factors and Preventive Health Behaviours 4000 Chronic Conditions and Health Services Coverage 5000 Health Care Utilization 6000 Social Cohesion 7000 Subjective Well-Being and Quality of Life (WHOQoL-8 and Day Reconstruction Method) 8000 Impact of Caregiving 9000 Interviewer Assessment
National coverage
households and individuals
The household section of the survey covered all households in all ten administrative regions in Ghana. Institutionalised populations are excluded. The individual section covered all persons aged 18 years and older residing within individual households. As the focus of SAGE is older adults, a much larger sample of respondents aged 50 years and older were selected with a smaller comparative sample of respondents aged 18-49 years.
Sample survey data [ssd]
Ghana used a stratified, multistage cluster design. The sample was stratified by administrative region (Ashanti, Brong Ahafo, Central, Eastern, Greater Accra, Northern, Upper East, Upper West, Volta and Western) and type of locality (urban/rural) resulting in 20 strata and is nationally representative. The Census Enumerated Areas (CEA) of the 2000 Population and Housing Census was used as the sampling frame. A sample of 251 EAs was selected as the primary sampling units (PSU). One of the selected PSUs was not used. This was because the EA which was expected to be located at Korle Bu Teaching hospital cccould not be traced. The number of EAs to be selected from each strata was based on proportional allocation (determined by the number of EAs in each strata specified on the census frame). EAs were then selected from each stratum with probability proportional to size; the measure of size being the number of individuals aged 50 years or more in the EA. In each selected EA, a listing of the households was conducted to classify each household into the following mutually exclusive categories: (1) WHS/SAGE Wave 0 follow-up households with one or more members aged 50 years or more; (2) New households with one or more members aged 50 years or more; (3) WHS/SAGE Wave 0 follow-up households which did not include any members aged 50 years or more, but included residents aged 18-49; and, (4) New households which did not include any members aged 50 years or more, but included residents aged 18-49.
Twenty-four households were randomly selected from each selected EA. All WHS/SAGE Wave 0 follow-up 50-plus households were eligible for the household interview (one household respondent was selected). Twenty such households were selected. If this target number was not reached, then the balance was selected using systematic sampling from the new 50-plus households. All 50+ members of the household were eligible for the individual interview (multiple individual interviews possible in these households).
Stages of selection Strata: Region, Locality=20 PSU: EAs=235 surveyed SSU: Households=5269 surveyed TSU: Individual=5573 surveyed
One of the 251 selected PSUs was not used. This was because the EA which was expected to be located at Korle Bu Teaching hospital cccould not be traced.
Face-to-face [f2f] PAPI
The questionnaires were based on the WHS Model Questionnaire with some modification and many new additions. A household questionnaire was administered to all households eligible for the study. A Verbal Autopsy questionnaire was administered to households that had a death in the last 24 months. An Individual questionniare was administered to eligible respondents identified from the household roster. A Proxy questionnaire was administered to individual respondents who had cognitive limitations. The questionnaires were developed in English and were piloted as part of the SAGE pretest in 2005. All documents were translated into three local languanges: Akan, Ga and Twi. All SAGE generic questionnaires are available as external resources.
Data editing took place at a number of stages including: (1) office editing and coding (2) during data entry (3) structural checking of the CSPro files (4) range and consistency secondary edits in Stata
Household Response rate=86% Cooperation rate=98%
Individual: Response rate=80% Cooperation rate=92%
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TwitterWoman, Birth, Child, Birth, Man, Household Member
Women age 15-49, Births, Children age 0-2, Men age 15-59, All persons
Demographic and Household Survey [hh/dhs]
MICRODATA SOURCE: Ghana Statistical Service and Macro International Inc.
SAMPLE UNIT: Woman SAMPLE SIZE: 4562
SAMPLE UNIT: Birth SAMPLE SIZE: 13298
SAMPLE UNIT: Child SAMPLE SIZE: 2204
SAMPLE UNIT: Man SAMPLE SIZE: 1302
SAMPLE UNIT: Member SAMPLE SIZE: 22139
Face-to-face [f2f]
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TwitterThe 2010 Census was undertaken to update current information on the size, sex, age, composition and other characteristics of Ghana's population and to ascertain the specific changes in these characteristics which had taken place since the last census was conducted in 2000. The Census was expected to ensure the continuation of a time series of demographic and socio-economic benchmark data at the national and sub-national levels and enhance the capability-building programme of the Statistical Service.
The main objective of the 2010 Population and Housing Census was to update the statistical information on the characteristics of the population of Ghana.
The 2010 Population and Housing Census is the second time a full-scale housing census was conducted with a population census in one single operation.
National coverage
Households (including household emigrants, ameneties and agricultural activities) Individuals (including females 12 years and older and females 12-54 years) communities (including education, health and sanitation facilities)
The 2010 census covered a de-facto population count of Ghana on Census Night (26th September 2010). These were all usual residents, infants sick as well as the mentally challenged, inmates of institutions. out-door sleepers and all persons who spend census night within the boarders of Ghana, semi-stable floating population enumeration was done immediately after midnight of Census Night. Enumeration was done on Census Night of fishermen, other persons at sea and other persons in Field Camps.
All types of housing structures were listed a week before the census night.
All enumeration of institutional population was done a week before the Census Night
Census/enumeration data [cen]
There was no sampling
Face-to-face [f2f]
PHC-1A: Household questionnaire - admistered to household population. This questionnaire includes modules on Household roster, Usual household members absent, Emigration, Population, Mortality, ICT, Agriculture and Housing
PHC-1A Usual Members Absent Continuation Sheet
PHC-1A Emigration Continuation Sheet
PHC-1B: Group quarter questionnaire - administered to homeless households and group quarter population. This excludes usual members absent, emigration, mortality, ICT at household level, agricultural and housing modules.
PHC-1C: Group quarter questionnaire which was administered to individual members and later transferred to PHC-1B questionnaire
PHC-3: EA Result Sheet - Captured summary information on population by sex and the number of localities in each Enumeration Area (EA).
PHC-4: Final Summary Sheet - Captured summary information on the number of residential structures, number of households, population by sex and household and non-household population and the availability of telecommunication, education, health and toilet facilities in the locality.
The Census data editing was implemented at three levels: 1. Field editing by interviewers and supervisors 2. Office editing and coding of occupation and industry 3. Data cleaning and imputation
Data editing was partly manual and partly automatic. Occupation and Industry coding was done by the Field Supervisors but they were edited in the office after the field work. The questionnaire reference numbers were also reviewed as part of the preparatory activities before scanning.
100 per cent
There was no sampling.
A post Enumeration Survey (PES) was conducted to assess the extent of coverage and content error. ( See Adminstrative Report )
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A survey of 407 farmers in the Juabeso District to unravel the dynamics, reasons and complexities of croplands conversion to cocoa and its implications on food security. Semi-structured questionnaires were used for the survey. The communities selected were - Juabeso Nkwanta, Kwaokrom, Antobia, Adiembra, Helehele, Gyato, Eluibo, Abono, Mafia, Abrokofe, Brekrom, Boinzan, Seniagyokrom, and Adwumam.
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Binary logistic regression showing the factors associated with exclusive breastfeeding.
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TwitterThe 2022 Ghana Demographic and Health Survey (2022 GDHS) is the seventh in the series of DHS surveys conducted by the Ghana Statistical Service (GSS) in collaboration with the Ministry of Health/Ghana Health Service (MoH/GHS) and other stakeholders, with funding from the United States Agency for International Development (USAID) and other partners.
The primary objective of the 2022 GDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the GDHS collected information on: - Fertility levels and preferences, contraceptive use, antenatal and delivery care, maternal and child health, childhood mortality, childhood immunisation, breastfeeding and young child feeding practices, women’s dietary diversity, violence against women, gender, nutritional status of adults and children, awareness regarding HIV/AIDS and other sexually transmitted infections, tobacco use, and other indicators relevant for the Sustainable Development Goals - Haemoglobin levels of women and children - Prevalence of malaria parasitaemia (rapid diagnostic testing and thick slides for malaria parasitaemia in the field and microscopy in the lab) among children age 6–59 months - Use of treated mosquito nets - Use of antimalarial drugs for treatment of fever among children under age 5
The information collected through the 2022 GDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of the country’s population.
National coverage
The survey covered all de jure household members (usual residents), all women aged 15-49, men aged 15-59, and all children aged 0-4 resident in the household.
Sample survey data [ssd]
To achieve the objectives of the 2022 GDHS, a stratified representative sample of 18,450 households was selected in 618 clusters, which resulted in 15,014 interviewed women age 15–49 and 7,044 interviewed men age 15–59 (in one of every two households selected).
The sampling frame used for the 2022 GDHS is the updated frame prepared by the GSS based on the 2021 Population and Housing Census.1 The sampling procedure used in the 2022 GDHS was stratified two-stage cluster sampling, designed to yield representative results at the national level, for urban and rural areas, and for each of the country’s 16 regions for most DHS indicators. In the first stage, 618 target clusters were selected from the sampling frame using a probability proportional to size strategy for urban and rural areas in each region. Then the number of targeted clusters were selected with equal probability systematic random sampling of the clusters selected in the first phase for urban and rural areas. In the second stage, after selection of the clusters, a household listing and map updating operation was carried out in all of the selected clusters to develop a list of households for each cluster. This list served as a sampling frame for selection of the household sample. The GSS organized a 5-day training course on listing procedures for listers and mappers with support from ICF. The listers and mappers were organized into 25 teams consisting of one lister and one mapper per team. The teams spent 2 months completing the listing operation. In addition to listing the households, the listers collected the geographical coordinates of each household using GPS dongles provided by ICF and in accordance with the instructions in the DHS listing manual. The household listing was carried out using tablet computers, with software provided by The DHS Program. A fixed number of 30 households in each cluster were randomly selected from the list for interviews.
For further details on sample design, see APPENDIX A of the final report.
Face-to-face computer-assisted interviews [capi]
Four questionnaires were used in the 2022 GDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Ghana. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.
The GSS organized a questionnaire design workshop with support from ICF and obtained input from government and development partners expected to use the resulting data. The DHS Program optional modules on domestic violence, malaria, and social and behavior change communication were incorporated into the Woman’s Questionnaire. ICF provided technical assistance in adapting the modules to the questionnaires.
DHS staff installed all central office programmes, data structure checks, secondary editing, and field check tables from 17–20 October 2022. Central office training was implemented using the practice data to test the central office system and field check tables. Seven GSS staff members (four male and three female) were trained on the functionality of the central office menu, including accepting clusters from the field, data editing procedures, and producing reports to monitor fieldwork.
From 27 February to 17 March, DHS staff visited the Ghana Statistical Service office in Accra to work with the GSS central office staff on finishing the secondary editing and to clean and finalize all data received from the 618 clusters.
A total of 18,540 households were selected for the GDHS sample, of which 18,065 were found to be occupied. Of the occupied households, 17,933 were successfully interviewed, yielding a response rate of 99%. In the interviewed households, 15,317 women age 15–49 were identified as eligible for individual interviews. Interviews were completed with 15,014 women, yielding a response rate of 98%. In the subsample of households selected for the male survey, 7,263 men age 15–59 were identified as eligible for individual interviews and 7,044 were successfully interviewed.
The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2022 Ghana Demographic and Health Survey (2022 GDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.
Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 GDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results. A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95% of all possible samples of identical size and design.
If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2022 GDHS sample was the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the GDHS 2022 is an SAS program. This program used the Taylor linearization method to estimate variances for survey estimates that are means, proportions, or ratios. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.
A more detailed description of estimates of sampling errors are presented in APPENDIX B of the survey report.
Data Quality Tables