Abstract

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

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

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

Geographic coverage

National coverage

Analysis unit

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

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

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

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

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

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

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

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

Mode of data collection

Face-to-face [f2f]

Research instrument

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

The questionnaires were developed in Turkish and translated into English.

Cleaning operations

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

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

Response rate

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

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

Sampling error estimates

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

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

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

Longitudinal datasets of demographic, social, medical and economic information from a rural demographic in northern KwaZulu-Natal, South Africa where HIV prevalence is extremely high. The data may be filtered by demographics, years, or by individuals questionnaires. The datasets may be used by other researchers but the Africa Centre requests notification that anyone contact them when downloading their data. The datasets are provided in three formats: Stata11 .dta; tables in a MS-Access .accdb database; and worksheets in a MS-Excel .xlsx workbook. Datasets are generated approximately every six months containing information spanning the whole period of surveillance from 1/1/2000 to present.

Abstract

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

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

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

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

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

Geographic coverage

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

Analysis unit

• Household
• Women age 15-49

Universe

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

Kind of data

Sample survey data

Sampling procedure

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

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

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

Mode of data collection

Face-to-face

Research instrument

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

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

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

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

Cleaning operations

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

Response rate

The results of the household and individual

For years, we have relied on population surveys to keep track of regional public health statistics, including the prevalence of non-communicable diseases. Because of the cost and limitations of such surveys, we often do not have the up-to-date data on health outcomes of a region. In this paper, we examined the feasibility of inferring regional health outcomes from socio-demographic data that are widely available and timely updated through national censuses and community surveys. Using data for 50 American states (excluding Washington DC) from 2007 to 2012, we constructed a machine-learning model to predict the prevalence of six non-communicable disease (NCD) outcomes (four NCDs and two major clinical risk factors), based on population socio-demographic characteristics from the American Community Survey. We found that regional prevalence estimates for non-communicable diseases can be reasonably predicted. The predictions were highly correlated with the observed data, in both the states included in the derivation model (median correlation 0.88) and those excluded from the development for use as a completely separated validation sample (median correlation 0.85), demonstrating that the model had sufficient external validity to make good predictions, based on demographics alone, for areas not included in the model development. This highlights both the utility of this sophisticated approach to model development, and the vital importance of simple socio-demographic characteristics as both indicators and determinants of chronic disease.

Abstract

The 1998 Turkish Demographic and Health Survey (TDHS-98) is a nationally representative sample survey designed to provide information on fertility levels and trends, infant and child mortality, family planning, and maternal and child health. Survey results are presented at the national level, by urban and rural residence and for each of the five regions in the country.

The survey was fielded between August and November 1998. Hacettepe University Institute of Population Studies (HIPS) carried out the TDHS-98 in collaboration with the General Directorate of Mother and Child Health and Family Planning, Ministry of Health. Funding for the TDHS-98 was provided both by the U.S. Agency for International Development through the MEASURE/DHS+ program and United Nations Population Fund.

Interviews were carried out in 8,059 households, with 8,576 women, and with 1,971 husbands. All women at ages 15-49 who were present in the household on the night before the interview or who generally live in that household were eligible for the survey. In half of the selected households for women interview, husbands (of currently married eligible women), who were present in the household on the night before the interview or who generally live in that particular household were eligible husbands for the survey.

The 1998 Turkish Demographic and Health Survey (TDHS-98) is the latest in a series of national- level population and health surveys that have been conducted during the last thirty years in Turkey. The primary objective of the TDHS-98 is to provide data on fertility and mortality, family planning, materaal and child health, and reproductive health. The survey obtained detailed information on these issues from a sample of women in the reproductive ages (15-49) and from fl~e husbands of cun'ently married eligible women.

More specifically, the objectives of the TDHS were to: - Collect data at the national level that allow the calculation of demographic rates, particularly fertility and childhood mortality rates; Obtain information on direct and indirect factors that determine levels and trends in fertility and childhood mortality; - Measure the level of contraceptive knowledge and practice by method, region, and urban- rural residence; - Collect data on mother and child health, including innnunisations, prevalence and treatment of diarrhoea among children under five, antenatal care, assistance at delivery, and breastfeeding; - Measure the nutritional status of children under five and of their mothers using anthropometric measurements.

Geographic coverage

The 1998 Turkish Demographic and Health Survey (TDHS-98) is a nationally representative sample survey. Results are also presented by urban and rural residence and for each of the five regions in the country (West, South, Central, North and East).

Analysis unit

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

Universe

The population covered by the 1998 DHS is defined as the universe of all women at ages 15-49 who were present in the household on the night before the interview were eligible for the survey. In half of the selected households for women interview, husbands of currently married eligible women, who were present in the household on the night before the interview or who usually lived in the household were eligible for the husband survey.

Kind of data

Sample survey data

Sampling procedure

The sample for tile TDHS-98 was designed to provide estimates of population and health indicators including fertility and mortality rates for the nation as a who/e, for urban and rural areas, and for tile five major regions of tile country (West, South, Central, North and East). A weighted, multi-stage, stratified cluster sampling approach was used in tile selection of the TDHS-98 sample.

The optimal distribution with a target sample size of I0,000 selected households was based on the provisional results of the 1997 General Population Count. Selection of the TDHS-98 sample was undertaken in three stages. Tile sampling units at tile first stage were tile settlements stratified by population size. The ti'ame for the selection of the primary sampling units (PSU) was prepared using the provisional results of the 1997 Population Count. The fi'ame was divided into two groups, one including those settlements with populations of more than 10,000 and the other including settlements with populations less than 10,000. The selection of the settlement in each group was carried out with probability proportional to size (1997 poptdatiou).

The second stage of selection required the selection of the assigned nnmber of clusters in each selected settlement. For the majority of the settlements (340 clusters), the selection of clusters was based on the household lists that were available from the 1995 Structure Schedules. The State Institute of Statistics (SIS) selected the clusters and provided to Hacettepe Institute of Population Studies a description of each selected cluster. Each cluster included approximately 100 households. For those settlements where SIS was not able to provide information (140 clusters), the lists of households were prepared in the field.

Following the selection of the secondary sampling units (SSUs), a household listing was prepared or updated for each SSU by the TDHS-98 listing teams. Using the household lists, a systematic random sample of fixed number of households (25 in clusters located in settlements over 10,000 and 15 in those less than 10,000) was chosen within each cluster for the TDHS-98. All women at ages 15-49 who were present in the household on the night before the interview were eligible for the survey. In half of the selected households for women interview, husbands of currently married eligible women, who were present in the household on the night before the interview or who usually lived in the household were eligible for the husband survey.

SAMPLE FRAME

Different criteria have been used to describe "urban" and "rural" settlements in Turkey. In the demographic surveys of the 1970s a population size of 2,000 was used to differentiate between urban and rural settlements. In the 1980s, this was increased to 10,00O and, in some surveys in the 1990s, to 20,000. A number of surveys used the administrative status of settlements in combination with population size for the purpose of differentiation.

The urban frame of the 1998 TDHS consisted of a list of provincial centres, district centres, and other settlements with populations larger than 10,000, regardless of administrative status. In turn, the rural frame consists of all district centres, subdistricts and villages not included iF the urban fi'ame. Initial information on these settlements was obtained from the preliminary results of 1997 Population Count. The preliminary results of 1997 Population Count provided a computerized list of all settlements (provincial and district centres, , subdistricts and villages) and their population. The population counts were taken from the cumulative enumeration forms for settlements, which were filled by supervisors during the Population Count.

STRATIFICATION

Currently Turkey is divided administratively into 80 provinces. This figure was 67 for a long time, with new provinces formed since the late 1980s, For purposes of selection in prior surveys in Turkey, these provinces have been grouped into five regions, as described in Chapter 1. This regional breakdown has been popularised as a powerful variable for understanding the demographic, social, cultural, and economic differences between different parts of the country. The five regions, West, South, Central, North, and East regions, include varying numbers of provinces.

One of tile priorities of the TDHS was to produce a sample design that was methodologically and conceptually consistent with the designs of previous demographic surveys carried out by the Hacettepe Institute of Population Studies. In surveys prior to the 1993, the five-region division of the country was used for stratification. In the 1993 TDHS, a more detailed stratification taking into account subregions was employed to obtain a better dispersion of file sample. The criteria for subdividing the five major regions into subregions were the infant mortality rates &each province, estimated from the 1990 Population Census using indirect techniques? Using the infant mortality estimates as well as geographic proximity, the provinces in each region were grouped into 14 subregions at the time of the 1993 TDHS. The sub-regional division developed during the 1993 TDHS was used in the 1998 survey.

SAMPLE ALLOCATION

The target sample size of 10,000 households was allocated among the five major divisions using the sampling error estimates from the TDHS-93 in combination with the power allocation technique with the ex- pectation that the target sample size would provide about 8,000 completed individual interviews. During the power allocation calculations, the aim was to keep the allocation as similar as possible to the 1993 TDHS. The optimal distribution (with power 0.4) among the five major regions is shown in Table B.I. For purposes of comparison, Table B.I also shows the allocation of the TDHS-93 sample and the allocation if the TDHS-98 sample had been distributed proportional to the size of the population in each region. To have an adequate representation of clusters within each of the five major regions, it was decided to select 25 households per standard urban segments (each consisting of 100 households) and 15 households per standard rural segment. It was also determined that 70 percent of the 10,000 households would be located in urban settlements and 30 percent in rural settlements.

SAMPLE SELECTION - SELECTION PROCEDURES

The

The main objective of a demographic household survey (DHS) is to provide estimates of a number of basic demographic and health variables. This is done through interviews with a scientifically selected probability sample that is chosen from a well-defined population.

The 2007 Nauru Demographic and Health Survey (2007 NDHS) was one of four pilot demographic and health surveys conducted in the Pacific under an Asian Development Bank ADB/ Secretariat of the Pacific Community (SPC) Regional DHS Pilot Project. The primary objective of this survey was to provide up-to-date information for policy-makers, planners, researchers and programme managers, for use in planning, implementing, monitoring and evaluating population and health programmes within the country. The survey was intended to provide key estimates of Nauru's demographics and health situation. The findings of the 2007 NDHS are very important in measuring the achievements of family planning and other health programmes. To ensure better understanding and use of these data, the results of this survey should be widely disseminated at different planning levels. Different dissemination techniques will be used to reach different segments of society.

The primary purpose of the 2007 NDHS was to furnish policy-makers and planners with detailed information on fertility, family planning, infant and child mortality, maternal and child health, nutrition, and knowledge of HIV and AIDS and other sexually transmitted infections.

NOTE: The only dissemination used was wide distribution of the report. A planned data use workshop was not undertaken. Hence there is some misconceptions and lack of awareness on the results obtained from the survey. The report is provided on the NBOS website free for download.

Version 1.0

• v1.0: Edited data, second version for internal use only

DHS questionnaire for women cover the following sections:

• Background characteristics (age, education, religion, etc)
• Reproductive history
• Knowledge and use of contraception methods
• Antenatal care, delivery care and postnatal care
• Breastfeeding and infant feeding
• Immunization, child health and nutrition
• Marriage and recent sexual activity
• Fertility preferences
• Knowledge about HIV/AIDS and other sexually transmitted infections
• Husbands background and women's work

The men's questionnaire covers the same except for sections 4, 5, 6 which are not applicable to men.

It was also recognized that some countries have a need for special information that is not contained in the core questionnaire. Separate questionnaire modules were developed on a series of topics. These topics are optional and include:

• maternal mortality
• pill-taking behaviour
• sterilization experience
• children's education
• women's status
• domestic violence
• health expenditures

• consanguinity

• Collection start: 2007

• Collection end: 2007

The 2007 Zambia Demographic and Health Survey (ZDHS) is a national sample survey designed to provide up-to-date information on background characteristics of the respondents, fertility levels, nuptiality, sexual activity, fertility preferences, awareness and use of family planning methods; breastfeeding practices; nutritional status of mothers and young children; early childhood mortality and maternal mortality; maternal and child health; and awareness, behaviour, and prevalence regarding HIV/AIDS and other sexually transmitted infections. The target groups were men age 15-59 and women age 15-49 in randomly selected households across Zambia. Information about children age 0-5 was also collected, including weight and height. The survey collected blood samples for syphilis and HIV testing in order to determine national prevalence rates. While significantly expanded, the 2007 ZDHS is a follow-up to the 1992, 1996, and 2001-2002 ZDHS surveys and provides updated estimates of basic demographic and health indicators covered in the earlier surveys. The 2007 ZDHS is the second DHS that includes the collection of information on violence against women, and syphilis and HIV testing. In addition, data on malaria prevention and treatment were collected. The ZDHS was implemented by the Central Statistical Office (CSO) in partnership with the Ministry of Health, the Tropical Disease Research Centre (TDRC), and the Demography Division at the University of Zambia (UNZA) from April to October 2007. The TDRC provided technical support in the implementation of the syphilis and HIV testing. Macro International provided technical assistance as well as funding to the project through MEASURE DHS, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. The main objective is to provide information on levels and trends in fertility, childhood mortality, use of family planning methods, and maternal and child health indicators including HIV/AIDS. This information is necessary for programme managers, policymakers, and implementers to monitor and evaluate the impact of existing programmes and to design new initiatives for health policies in Zambia. The primary objectives of the 2007 ZDHS project are: To collect up-to-date information on fertility, infant and child mortality, and family planning. To collect information on health-related matters such as breastfeeding, antenatal care, children’s immunisations, and childhood diseases. To assess the nutritional status of mothers and children. To support dissemination and utilization of the results in planning, managing, and improving family planning and health services in the country. To enhance the survey capabilities of the institutions involved in order to facilitate the implementation of surveys of this type in future. To document current epidemics of STIs and HIV/AIDS through use of specialized modules. For HIV/AIDS and syphilis in particular, the testing component of the 2007 Zambia DHS was undertaken to provide information to address the monitoring and evaluation needs of government and non-governmental organization programmes addressing HIV/AIDS and syphilis, and to provide programme managers and policy makers with the information that they need to effectively plan and implement future interventions. The overall objective of the survey was to collect high-quality and representative data on knowledge, attitudes, and behaviours regarding HIV/AIDS and other STIs, and on the prevalence of HIV and syphilis infection among women and men.

Population Health (BRFSS: HRQOL)

Examining Trends, Disparities and Determinants of Health in the US Population

By Health [source]

About this dataset

The Behavioral Risk Factor Surveillance System (BRFSS) offers an expansive collection of data on the health-related quality of life (HRQOL) from 1993 to 2010. Over this time period, the Health-Related Quality of Life dataset consists of a comprehensive survey reflecting the health and well-being of non-institutionalized US adults aged 18 years or older. The data collected can help track and identify unmet population health needs, recognize trends, identify disparities in healthcare, determine determinants of public health, inform decision making and policy development, as well as evaluate programs within public healthcare services.

The HRQOL surveillance system has developed a compact set of HRQOL measures such as a summary measure indicating unhealthy days which have been validated for population health surveillance purposes and have been widely implemented in practice since 1993. Within this study's dataset you will be able to access information such as year recorded, location abbreviations & descriptions, category & topic overviews, questions asked in surveys and much more detailed information including types & units regarding data values retrieved from respondents along with their sample sizes & geographical locations involved!

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How to use the dataset

This dataset tracks the Health-Related Quality of Life (HRQOL) from 1993 to 2010 using data from the Behavioral Risk Factor Surveillance System (BRFSS). This dataset includes information on the year, location abbreviation, location description, type and unit of data value, sample size, category and topic of survey questions.

Using this dataset on BRFSS: HRQOL data between 1993-2010 will allow for a variety of analyses related to population health needs. The compact set of HRQOL measures can be used to identify trends in population health needs as well as determine disparities among various locations. Additionally, responses to survey questions can be used to inform decision making and program and policy development in public health initiatives.

Research Ideas

• Analyzing trends in HRQOL over the years by location to identify disparities in health outcomes between different populations and develop targeted policy interventions.
• Developing new models for predicting HRQOL indicators at a regional level, and using this information to inform medical practice and public health implementation efforts.
• Using the data to understand differences between states in terms of their HRQOL scores and establish best practices for healthcare provision based on that understanding, including areas such as access to care, preventative care services availability, etc

Acknowledgements

If you use this dataset in your research, please credit the original authors. Data Source

License

See the dataset description for more information.

Columns

File: rows.csv | Column name | Description | |:-------------------------------|:----------------------------------------------------------| | Year | Year of survey. (Integer) | | LocationAbbr | Abbreviation of location. (String) | | LocationDesc | Description of location. (String) | | Category | Category of survey. (String) | | Topic | Topic of survey. (String) | | Question | Question asked in survey. (String) | | DataSource | Source of data. (String) | | Data_Value_Unit | Unit of data value. (String) | | Data_Value_Type | Type of data value. (String) | | Data_Value_Footnote_Symbol | Footnote symbol for data value. (String) | | Data_Value_Std_Err | Standard error of the data value. (Float) | | Sample_Size | Sample size used in sample. (Integer) | | Break_Out | Break out categories used. (String) | | Break_Out_Category | Type break out assessed. (String) | | **GeoLocation*...

Abstract

The 2023-24 Lesotho Demographic and Health Survey (2023-24 LDHS) is designed to provide data for monitoring the population and health situation in Lesotho. The 2023-24 LDHS is the 4th Demographic and Health Survey conducted in Lesotho since 2004.

The primary objective of the 2023–24 LDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the LDHS collected information on fertility levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutrition, childhood and maternal mortality, maternal and child health, awareness and behaviour regarding HIV and AIDS and other sexually transmitted infections (STIs), other health issues (including tuberculosis) and chronic diseases, adult mortality (including maternal mortality), mental health and well-being, and gender-based violence. In addition, the 2023–24 LDHS provides estimates of anaemia prevalence among children age 6–59 months and adults as well as estimates of hypertension and diabetes among adults.

The information collected through the 2023–24 LDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of Lesotho’s population. The survey also provides indicators relevant to the Sustainable Development Goals (SDGs) for Lesotho.

Geographic coverage

National coverage

Analysis unit

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

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame used for the 2023–24 LDHS is based on the 2016 Population and Housing Census (2016 PHC), provided by the Lesotho Bureau of Statistics (BoS). The frame file is a complete list of all census enumeration areas (EAs) within Lesotho. An EA is a geographic area, usually a city block in an urban area or a village in a rural area, consisting of approximately 100 households. In rural areas, it may consist of one or more villages. Each EA serves as a counting unit for the population census and has a satellite map delineating its boundaries, with identification information and a measure of size, which is the number of residential households enumerated in the 2016 PHC. Lesotho is administratively divided into 10 districts; each district is subdivided into constituencies and each constituency into community councils.

The 2023–24 LDHS sample of households was stratified and selected independently in two stages. Each district was stratified into urban, peri-urban, and rural areas; this yielded 29 sampling strata because there are no peri-urban areas in Butha-Buthe. In the first sampling stage, 400 EAs were selected with probability proportional to EA size and with independent selection in each sampling stratum. A household listing operation was carried out in all of the selected sample EAs, and the resulting lists of households served as the sampling frame for the selection of households in the next stage.

In the second stage of selection, a fixed number of 25 households per cluster (EA) were selected with an equal probability systematic selection from the newly created household listing. All women age 15–49 who were usual members of the selected households or who spent the night before the survey in the selected households were eligible for the Woman’s Questionnaire. In every other household, all men age 15–59 who were usual members of the selected households or who spent the night before the survey in the selected households were eligible for the Man’s Questionnaire. All households in the men’s subsample were eligible for the Biomarker Questionnaire.

Fifteen listing teams, each consisting of three listers/mappers and a supervisor, were deployed in the field to complete the listing operation. Training of the household listers/mappers took place from 28 to 30 June 2024. The household listing operation was carried out in all of the selected EAs from 5 to 26 July 2024. For each household, Global Positioning System (GPS) data were collected at the time of listing and during interviews.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four questionnaires were used for the 2023–24 LDHS: 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 Lesotho and were translated into Sesotho. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

Cleaning operations

The survey data were collected using tablet computers running the Android operating system and Census and Survey Processing System (CSPro) software, jointly developed by the United States Census Bureau, ICF, and Serpro S.A. English and Sesotho questionnaires were used for collecting data via CAPI. The CAPI programmes accepted only valid responses, automatically performed checks on ranges of values, skipped to the appropriate question based on the responses given, and checked the consistency of the data collected. Answers to the survey questions were entered into the tablets by each interviewer. Supervisors downloaded interview data to their tablet, checked the data for completeness, and monitored fieldwork progress.

Each day, after completion of interviews, field supervisors submitted data to the central server. Data were sent to the central office via secure internet data transfer. The data processing managers monitored the quality of the data received and downloaded completed data files for completed clusters into the system. ICF provided the CSPro software for data processing and technical assistance in the preparation of the data capture, data management, and data editing programmes. Secondary editing was conducted simultaneously with data collection. All technical support for data processing and use of the tablets was provided by ICF.

Contains data from the DHS data portal. There is also a dataset containing Gambia - National Demographic and Health Data on HDX.

The DHS Program Application Programming Interface (API) provides software developers access to aggregated indicator data from The Demographic and Health Surveys (DHS) Program. The API can be used to create various applications to help analyze, visualize, explore and disseminate data on population, health, HIV, and nutrition from more than 90 countries.

The 2001 Nepal Demographic and Health Survey (NDHS) is a nationally representative survey of 8,726 women age 15-49 and 2,261 men age 15-59. This Survey is the sixth in a series of national-level population and health surveys conducted in Nepal. It is the second nationally representative comprehensive survey conducted as part of the global Demographic and Health Survey (DHS) program, the first being the 1996 Nepal Family Health Survey (NFHS). The 2001 NDHS is the first in the history of demographic and health surveys conducted in Nepal that included a male sample. The 2001 NDHS was carried out under the aegis of the Family Health Division of the Department of Health Services, Ministry of Health, and was implemented by New ERA, a local research organization, which also conducted the 1996 NFHS. ORC Macro provided technical support through its MEASURE DHS+ project. The survey was funded by the United States Agency for International Development (USAID) through its mission in Nepal. The principal objective of the 2001 NDHS is to provide current and reliable data on fertility and family planning, infant and child mortality, children's and women's nutritional status, the utilization of maternal and child health services, and knowledge of HIV/AIDS. This information is essential for informed policy decisions, planning, monitoring, and evaluation of programs on health in general and reproductive health in particular at both the national and regional levels. A long-term objective of the survey is to strengthen the technical capacity of the Family Health Division of the Ministry of Health to plan, conduct, process, and analyze data from complex national population and health surveys. The 2001 NDHS data is comparable to data collected in the 1996 NFHS and similar to survey data conducted in other developing countries. This allows for temporal and spatial comparisons of demographic health information. The 2001 NDHS also adds to the vast and growing international database on demographic and health variables. The inclusion of data on men adds to the richness of this data.

Contains data from the DHS data portal. There is also a dataset containing Turkmenistan - National Demographic and Health Data on HDX.

The DHS Program Application Programming Interface (API) provides software developers access to aggregated indicator data from The Demographic and Health Surveys (DHS) Program. The API can be used to create various applications to help analyze, visualize, explore and disseminate data on population, health, HIV, and nutrition from more than 90 countries.

Abstract

The Sudan Demographic and Health Survey (SDHS) was conducted in two phases between November 15, 1989 and May 21, 1990 by the Department of Statistics of the Ministry of Economic and National Planning. The survey collected information on fertility levels, marriage patterns, reproductive intentions, knowledge and use of contraception, maternal and child health, maternal mortality, and female circumcision. The survey findings provide the National Population Committee and the Ministry of Health with valuable information for use in evaluating population policy and planning public health programmes.

A total of 5860 ever-married women age 15-49 were interviewed in six regions in northern Sudan; three regions in southern Sudan could not be included in the survey because of civil unrest in that part of the country. The SDHS provides data on fertility and mortality comparable to the 1978-79 Sudan Fertility Survey (SFS) and complements the information collected in the 1983 census.

The primary objective of the SDHS was to provide data on fertility, nuptiality, family planning, fertility preferences, childhood mortality, indicators of maternal health care, and utilization of child health services. Additional information was coUected on educational level, literacy, source of household water, and other housing conditions.

The SDHS is intended to serve as a source of demographic data for comparison with the 1983 census and the Sudan Fertility Survey (SFS) 1978-79, and to provide population and health data for policymakers and researchers. The objectives of the survey are to: - assess the overall demographic situation in Sudan, - assist in the evaluation of population and health programmes, - assist the Department of Statistics in strengthening and improving its technical skills for conducting demographic and health surveys, - enable the National Population Committee (NPC) to develop a population policy for the country, and - measure changes in fertility and contraceptive prevalence, and study the factors which affect these changes, and - examine the basic indicators of maternal and child health in Sudan.

MAIN RESULTS

Fertility levels and trends

Fertility has declined sharply in Sudan, from an average of six children per women in the Sudan Fertility Survey (TFR 6.0) to five children in the Sudan DHS survey flTR 5.0). Women living in urban areas have lower fertility (TFR 4.1) than those in rural areas (5.6), and fertility is lower in the Khartoum and Northern regions than in other regions. The difference in fertility by education is particularly striking; at current rates, women who have attained secondary school education will have an average of 3.3 children compared with 5.9 children for women with no education, a difference of almost three children.

Although fertility in Sudan is low compared with most sub-Saharan countries, the desire for children is strong. One in three currently married women wants to have another child within two years and the same proportion want another child in two or more years; only one in four married women wants to stop childbearing. The proportion of women who want no more children increases with family size and age. The average ideal family size, 5.9 children, exceeds the total fertility rate (5.0) by approximately one child. Older women are more likely to want large families than younger women, and women just beginning their families say they want to have about five children.

Marriage

Almost all Sudanese women marry during their lifetime. At the time of the survey, 55 percent of women 15-49 were currently married and 5 percent were widowed or divorced. Nearly one in five currently married women lives in a polygynous union (i.e., is married to a man who has more than one wife). The prevalence of polygyny is about the same in the SDHS as it was in the Sudan Fertility Survey.

Marriage occurs at a fairly young age, although there is a trend toward later marriage among younger women (especially those with junior secondary or higher level of schooling). The proportion of women 15-49 who have never married is 12 percentage points higher in the SDHS than in the Sudan Fertiliy Survey.

There has been a substantial increase in the average age at first marriage in Sudan. Among SDHS. Since age at first marriage is closely associated with fertility, it is likely that fertility will decrease in the future. With marriages occurring later, women am having their first birth at a later age. While one in three women age 45-49 had her first birth before age 18, only one in six women age 20-24 began childbearing prior to age 18. The women most likely to postpone marriage and childbearing are those who live in urban areas ur in the Khartoum and Northern regions, and women with pest-primary education.

Breastfeeding and postpartum abstinence

Breastfeeding and postpartum abstinence provide substantial protection from pregnancy after the birth uf a child. In addition to the health benefits to the child, breastfeeding prolongs the length of postpartum amenorrhea. In Sudan, almost all women breastfeed their children; 93 percent of children are still being breastfed 10-11 months after birth, and 41 percent continue breastfeeding for 20-21 months. Postpartum abstinence is traditional in Sudan and in the first two months following the birth of a child 90 percent of women were abstaining; this decreases to 32 percent after two months, and to 5 percent at~er one year. The survey results indicate that the combined effects of breastfeeding and postpartum abstinence protect women from pregnancy for an average of 15 months after the birth of a child.

Knowledge and use of contraception

Most currently married women (71 percent) know at least one method of family planning, and 59 percent know a source for a method. The pill (70 percent) is the most widely known method, followed by injection, female sterilisation, and the IUD. Only 39 percent of women knew a traditional method of family planning.

Despite widespread knowledge of family planning, only about one-fourth of ever-married women have ever used a contraceptive method, and among currently married women, only 9 percent were using a method at the time of the survey (6 percent modem methods and 3 percent traditional methods). The level of contraceptive use while still low, has increased from less than 5 percent reported in the Sudan Fertility Survey.

Use of family planning varies by age, residence, and level of education. Current use is less than 4 percent among women 15-19, increases to 10 percent for women 30-44, then decreases to 6 percent for women 45-49. Seventeen percent of urban women practice family planning compared with only 4 percent of rural women; and women with senior secondary education are more likely to practice family planning (26 percent) than women with no education (3 percent).

There is widespread approval of family planning in Sudan. Almost two-thirds of currently married women who know a family planning method approve of the use of contraception. Husbands generally share their wives's views on family planning. Three-fourths of married women who were not using a contraceptive method at the time of the survey said they did not intend to use a method in the future.

Communication between husbands and wives is important for successful family planning. Less than half of currently married women who know a contraceptive method said they had talked about family planning with their husbands in the year before the survey; one in four women discussed it once or twice; and one in five discussed it more than twice. Younger women and older women were less likely to discuss family planning than those age 20 to 39.

Mortality among children

The neonatal mortality rate in Sudan remained virtually unchanged in the decade between the SDHS and the SFS (44 deaths per 1000 births), but under-five mortality decreased by 14 percent (from 143 deaths per 1000 births to 123 per thousand). Under-five mortality is 19 percent lower in urban areas (117 per 1000 births) than in rural areas (144 per 10(30 births).

The level of mother's education and the length of the preceding birth interval play important roles in child survival. Children of mothers with no education experience nearly twice the level of under-five mortality as children whose mother had attained senior secondary or nigher education. Mortality among children under five is 2.7 times higher among children born after an interval of less than 24 months than among children born after interval of 48 months or more.

Maternal mortality

The maternal mortality rate (maternal deaths per 1000 women years of exposure) has remained nearly constant over the twenty years preceding the survey, while the maternal mortality ratio (number of maternal deaths per 100,000 births), has increased (despite declining fertility). Using the direct method of estimation, the maternal mortality ratio is 352 maternal deaths per 100,000 births for the period 1976-82, and 552 per 100,000 births for the period 1983-89. The indirect estimate for the maternal mortality ratio is 537. The latter estimate is an average of women's experience over an extended period before the survey centred on 1977.

Maternal health care

The health care mothers receive during pregnancy and delivery is important to the survival and well-being of both children and mothers. The SDHS results indicate that most women in Sudan made at least one antenatal visit to a doctor or trained health worker/midwife. Eighty-seven percent of births benefitted from professional antenatal care in urban areas compared with 62 percent in rural areas. Although the proportion of pregnant mothers seen by trained health workers/midwives are similar in urban and rural areas, doctors provided antenatal care for 42 percent and 19 percent of births in urban and rural areas, respectively.

Neonatal tetanus, a major

Abstract

The 2000 Malawi Demographic and Health Survey (MDHS) is a nationally representative sample survey covering 14,213 households, 13,220 women age 15-49, and 3,092 men age 15-54. The 2000 MDHS is similar, but much expanded in size and scope, to the 1992 MDHS. The survey was designed to provide information on fertility trends, family planning knowledge and use, early childhood mortality, various indicators of maternal and child health and nutrition, HIV/AIDS, adult and maternal mortality, and malaria control programme indicators. Unlike earlier surveys in Malawi, the 2000 MDHS sample was sufficiently large to allow for estimates of certain indicators to be produced for 11 districts in addition to estimates for national, regional, and urban-rural domains. Twenty-two mobile survey teams, trained and supervised by the National Statistical Office, conducted the survey from July to November 2000.

The principal aim of the 2000 MDHS project is to provide up-to-date information on fertility and childhood mortality levels, nuptiality, fertility preferences, awareness and use of family planning methods, use of maternal and child health services, and knowledge and behaviours related to HIV/AIDS and other sexually transmitted infections. It was designed as a follow-on to the 1992 MDHS survey, a national-level survey of similar scope. The 2000 MDHS survey also strived to collect data that would be comparable to those collected under the international Multiple Indicator Cluster Survey (MICS), sponsored by UNICEF.

In broad terms, the 2000 MDHS survey aimed to : - Assess trends in Malawi's demographic indicators-principally, fertility and mortality - Assist in the evaluation of Malawi's health, population, and nutrition programmes - Advance survey methodology in Malawi and contribute to national and international databases. In more specific terms, the 2000 MDHS survey was designed to provide data on the family planning and fertility behaviour of the Malawian population and to thereby enable policymakers to evaluate and enhance family planning initiatives in the country. - Measure changes in fertility and contraceptive prevalence and at the same time, study the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and important social and economic factors. - Examine basic indicators of maternal and child health and welfare in Malawi, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, and use of immunisation services. A particular emphasis was placed on the area of malaria programmes, including prevention activities and treatment of episodes of fever. - Describe levels and patterns of knowledge and behaviour related to the prevention of HIV/AIDS and other sexually transmitted infections. - Measure the level of adult and maternal mortality at the national level. - Assess the status of women in the country.

SUMMARY OF FINDINGS

• FERTILITY Fertility Decline. The 2000 MDHS data indicate that there has been a modest decline in fertility since the 1992 MDHS. Large Fertility Differentials. Fertility levels remain high in Malawi, especially in rural parts of the country. The total fertility rate among rural women is 6.7 births per woman compared with 4.5 births in urban areas. Childbearing at Young Ages. One-third of adolescent females (age 15-19) have either already had a child or are currently pregnant.

• FAMILY PLANNING Increasing Use of Contraception. A principle cause of the fertility decline in Malawi is the steady increase in contraceptive use over the last decade. Changing Method Mix. Currently, the most widely used methods among married women are injectable contraceptives (16 percent), female sterilisation (5 percent), and the pill (3 percent). Source of Family Planning Methods. The survey results show that government-run facilities remain the major source for contraceptives in Malawi-providing family planning methods to 68 percent of the current users.

• CHILD HEALTH AND SURVIVAL Progress in Reducing Early Childhood Mortality. The 2000 MDHS data indicate that mortality of children under age 5 has declined since the early 1990s. Childhood Vaccination Coverage Declines. The 2000 MDHS results show that 70 percent of children age 12-23 months are fully vaccinated. Improved Breastfeeding Practices. The 2000 MDHS results show that exclusive breast-feeding of children under 4 months of age has increased to 63 percent from only 3 percent in the 1992 MDHS. Nutritional Status of Children. The results show no appreciable change in the nutritional status of children in Malawi since 1992; still, nearly half (49 percent) of the children under age five are chronically malnourished or stunted in their growth.

• MALARIA CONTROL PROGRAMME INDICATORS Bednets. The use of insecticide-treated bednets (mosquito nets) is a primary health intervention proven to reduce malaria transmission. Treatment of Fever in Children Under Age Five. The survey found that 42 percent of children under age five had a fever in the two weeks preceding the survey.

• WOMEN'S HEALTH Maternal Health Care. The survey findings indicate that use of antenatal services remains high in Malawi. Constraints to Use of Health Services. Women in the 2000 MDHS were asked whether certain circumstances constrain their access to and use of health services for themselves. Rising Maternal Mortality. The survey collected data allowing measurement of maternal mortality. For the period 1994-2000, the maternal mortality ratio was estimated at 1,120 maternal deaths per 100,000 live births. This represents a rise from 620 maternal deaths per 100,000 estimated from the 1992 MDHS for the period 1986-1992.

• HIV/AIDS Impact of the Epidemic on Adult Mortality. All-cause mortality has risen by 76 percent among men and 74 percent among women age 15-49 during the 1990s. The age patterns of the increase are consistent with causes related to HIV/AIDS. Improved Knowledge of AIDS Prevention Methods. The 2000 MDHS results indicate that practical AIDS prevention knowledge has improved since the 1996 MKAPH survey. Condom Use. One of the main objectives of the National AIDS Control Programme is to encourage consistent and correct use of condoms, especially in high-risk sexual encounters. The HIV-testing Experience. The 2000 MDHS data show that 9 percent of women and 15 percent of men have been tested for HIV. However, more than 70 percent of both men and women, while not yet tested, said that they would like to be tested.

Geographic coverage

National

Analysis unit

• Household
• Women age 15-49
• Men age 15-54

Universe

The population covered by the 2000 MDHS is defined as the universe of all women age 15-49 in malawi and all men age 15-54 living in the household.

Kind of data

Sample survey data

Sampling procedure

A major objective of the 2000 MDHS sample design was to provide independent estimates with acceptable precision for important population and health indicators. The sample was designed to provide these estimates for different domains, including estimates for the country, for urban and rural areas, for each of the three regions, and for eleven selected districts (each as a separate domain). The selected districts were chosen based on the size of the district (the five largest) and for programmatic importance.

The population covered by the 2000 MDHS was all women age 15-49 living in the selected households. The initial target sample was 14,000 completed eligible women interviews, and the final sample was 13,220 completed interviews. Information on sampling errors for five selected variables from the MDHS 1992 was used to help determine the most efficient allocation of the target number of interviews by domain with a minimum allocation of 900 for each of the 11 district domain. Based on this objective and some adjustments to ensure that the sample size requirements for each domain were met, the target number of completed interviews was distributed by districts.

SAMPLE FRAME

Based on the 1998 census frame, the National Statistical Office developed an updated preliminary master sample to use during the intercensal period. In order to maintain an integrated household survey approach for future household surveys, it was decided that the 2000 MDHS sample should use the preliminary master sample as the sample frame. The 2000 MDHS sample of enumeration areas (EAs) is thus a sub-sample of NSO's preliminary master sample. NSO's preliminary master sample of EAs is stratified according to district designation and, within districts, by urban-rural designation.1 Since one objective of the master sample is to permit estimation at the district level, the total number of EAs per district was not allocated proportional to population size of the district. Instead, a minimum of 24 EAs were allocated to each district, with certain districts being allocated more EAs based on size and programmatic interest. For instance, Lilongwe and Blantyre districts were each allocated 48 EAs in the master sample. The master sample includes a total of 816 EAs out of the 9,213 EAs established in the 1998 census. A small number of EAs located in national parks and forest areas (representing less than 1 percent of the population of Malawi) were excluded from the master sample.

The design features and stratification of the master sample are implicit in the 2000 MDHS and all other subsamples.

SAMPLE SELECTION

Based on the 2000 MDHS sample design objectives of 36 EAs per "emphasis" district and adequate urban and rural representation, a total of 560 EAs were selected from the master sample: 489 in rural and 71 in

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Abstract

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

The 2008 GDHS is designed to provide data to monitor the population and health situation in Ghana. This is the fifth round in a series of national level population and health surveys conducted in Ghana under the worldwide Demographic and Health Surveys programme. Specifically, the 2008 GDHS has the primary objective of providing current and reliable information on fertility levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutritional status of women and young children, childhood mortality, maternal and child health, domestic violence, and awareness and behaviour regarding AIDS and other sexually transmitted infections (STIs). The information collected in the 2008 GDHS will provide updated estimates of basic demographic and health indicators covered in the earlier rounds of 1988, 1993, 1998, and 2003 surveys.

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

Geographic coverage

National

Analysis unit

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

Kind of data

Sample survey data

Sampling procedure

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

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

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

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

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

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used for the 2008 GDHS: the Household Questionnaire, the Women’s Questionnaire and the Men’s Questionnaire. The content of these questionnaires was based on model questionnaires developed by the MEASURE DHS programme and the 2003 GDHS Questionnaires.

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

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

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

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

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

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

Cleaning operations

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

Response rate

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

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

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

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

Sampling error

Abstract

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

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

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

Geographic coverage

National coverage

Analysis unit

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

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

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

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

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

Mode of data collection

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

Research instrument

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

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

Cleaning operations

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

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

Response rate

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

Sampling error estimates

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

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

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

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

Data appraisal

Data Quality Tables

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

This paper contributes evidence documenting the continued decline in all-cause mortality and changes in the cause of death distribution over time in four developing country populations in Africa and Asia. We present levels and trends in age-specific mortality (all-cause and cause-specific) from four demographic surveillance sites: Agincourt (South Africa), Navrongo (Ghana) in Africa; Filabavi (Vietnam), Matlab (Bangladesh) in Asia. We model mortality using discrete time event history analysis. This study illustrates how data from INDEPTH Network centers can provide a comparative, longitudinal examination of mortality patterns and the epidemiological transition. Health care systems need to be reconfigured to deal simultaneously with continuing challenges of communicable disease and increasing incidence of non-communicable diseases that require long-term care. In populations with endemic HIV, long-term care of HIV patients on ART will add to the chronic care needs of the community.

Geographic coverage

National

Analysis unit

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

Mode of data collection

CAPI

Abstract

The 2016 Timor-Leste Demographic and Health Survey (TLDHS) was implemented by the General Directorate of Statistics (GDS) of the Ministry of Finance in collaboration with the Ministry of Health (MOH). Data collection took place from 16 September to 22 December, 2016.

The primary objective of the 2016 TLDHS project is to provide up-to-date estimates of basic demographic and health indicators. The TLDHS provides a comprehensive overview of population, maternal, and child health issues in Timor-Leste. More specifically, the 2016 TLDHS: • Collected data at the national level, which allows the calculation of key demographic indicators, particularly fertility, and child, adult, and maternal mortality rates • Provided data to explore the direct and indirect factors that determine the levels and trends of fertility and child mortality • Measured the levels of contraceptive knowledge and practice • Obtained data on key aspects of maternal and child health, including immunization coverage, prevalence and treatment of diarrhea and other diseases among children under age 5, and maternity care, including antenatal visits and assistance at delivery • Obtained data on child feeding practices, including breastfeeding, and collected anthropometric measures to assess nutritional status in children, women, and men • Tested for anemia in children, women, and men • Collected data on the knowledge and attitudes of women and men about sexually-transmitted diseases and HIV/AIDS, potential exposure to the risk of HIV infection (risk behaviors and condom use), and coverage of HIV testing and counseling • Measured key education indicators, including school attendance ratios, level of educational attainment, and literacy levels • Collected information on the extent of disability • Collected information on non-communicable diseases • Collected information on early childhood development • Collected information on domestic violence • The information collected through the 2016 TLDHS is intended to assist policy makers and program managers in evaluating and designing programs and strategies for improving the health of the country’s population.

Geographic coverage

National

Analysis unit

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

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame used for the TLDHS 2016 survey is the 2015 Timor-Leste Population and Housing Census (TLPHC 2015), provided by the General Directorate of Statistics. The sampling frame is a complete list of 2320 non-empty Enumeration Areas (EAs) created for the 2015 population census. An EA is a geographic area made up of a convenient number of dwelling units which served as counting units for the census, with an average size of 89 households per EA. The sampling frame contains information about the administrative unit, the type of residence, the number of residential households and the number of male and female population for each of the EAs. Among the 2320 EAs, 413 are urban residence and 1907 are rural residence.

There are five geographic regions in Timor-Leste, and these are subdivided into 12 municipalities and special administrative region (SAR) of Oecussi. The 2016 TLDHS sample was designed to produce reliable estimates of indicators for the country as a whole, for urban and rural areas, and for each of the 13 municipalities. A representative probability sample of approximately 12,000 households was drawn; the sample was stratified and selected in two stages. In the first stage, 455 EAs were selected with probability proportional to EA size from the 2015 TLPHC: 129 EAs in urban areas and 326 EAs in rural areas. In the second stage, 26 households were randomly selected within each of the 455 EAs; the sampling frame for this household selection was the 2015 TLPHC household listing available from the census database.

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

Mode of data collection

Face-to-face [f2f]

Research instrument

Four questionnaires were used for the 2016 TLDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. These questionnaires, based on The DHS Program’s standard Demographic and Health Survey questionnaires, were adapted to reflect the population and health issues relevant to Timor-Leste.

Cleaning operations

The data processing operation included registering and checking for inconsistencies, incompleteness, and outliers. Data editing and cleaning included structure and consistency checks to ensure completeness of work in the field. The central office also conducted secondary editing, which required resolution of computer-identified inconsistencies and coding of open-ended questions. The data were processed by two staff who took part in the main fieldwork training. Data editing was accomplished with CSPro software. Secondary editing and data processing were initiated in October 2016 and completed in February 2017.

Response rate

A total of 11,829 households were selected for the sample, of which 11,660 were occupied. Of the occupied households, 11,502 were successfully interviewed, which yielded a response rate of 99 percent.

In the interviewed households, 12,998 eligible women were identified for individual interviews. Interviews were completed with 12,607 women, yielding a response rate of 97 percent. In the subsample of households selected for the men’s interviews, 4,878 eligible men were identified and 4,622 were successfully interviewed, yielding a response rate of 95 percent. Response rates were higher in rural than in urban areas, with the difference being more pronounced among men (97 percent versus 90 percent, respectively) than among women (98 percent versus 94 percent, respectively). The lower response rates for men were likely due to their more frequent and longer absences from the household.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: non-sampling errors and sampling errors. Non-sampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the TLDHS 2016 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 TLDHS 2016 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 TLDHS 2016 sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the TLDHS 2016 is a SAS program. This program used 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.

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

Data appraisal

Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Age distribution of eligible and interviewed men - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months - Height and weight data completeness and quality for children - Completeness of information on siblings - Sibship size and sex ratio of siblings - Pregnancy-related mortality trends

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