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

The New York City Community Health Survey (CHS) is a telephone survey conducted annually by the DOHMH, Division of Epidemiology, Bureau of Epidemiology Services. CHS provides robust data on the health of New Yorkers, including neighborhood, borough, and citywide estimates on a broad range of chronic diseases and behavioral risk factors. The data are analyzed and disseminated to influence health program decisions, and increase the understanding of the relationship between health behavior and health status. For more information see EpiQuery, https://a816-health.nyc.gov/hdi/epiquery/visualizations?PageType=ps&PopulationSource=CHS

Abstract

The Service Delivery Indicators (SDI) are a set of health and education indicators that examine the effort and ability of staff and the availability of key inputs and resources that contribute to a functioning school or health facility. The indicators are standardized, allowing comparison between and within countries over time.

The Health SDIs include healthcare provider effort, knowledge and ability, and the availability of key inputs (for example, basic equipment, medicines and infrastructure, such as toilets and electricity). The indicators provide a snapshot of the health facility and assess the availability of key resources for providing high quality care.

The Mozambique SDI Health survey team visited a sample of 195 health facilities across Mozambique between April and June 2014. The survey team collected rosters covering 2,972 workers for absenteeism and assessed 694 health workers for competence using patient case simulations.

Geographic coverage

National

Analysis unit

Health facilities and healthcare providers

Universe

All health facilities providing primary-level care

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling strategy for SDI surveys is designed towards attaining indicators that are accurate and representative at the national level, as this allows for proper cross-country (i.e. international benchmarking) and across time comparisons, when applicable. In addition, other levels of representativeness are sought to allow for further disaggregation (rural/urban areas, public/private facilities, subregions, etc.) during the analysis stage.

The sampling strategy for SDI surveys follows a multistage sampling approach. The main units of analysis are facilities (schools and health centers) and providers (health and education workers: teachers, doctors, nurses, facility managers, etc.). The multi-stage sampling approach makes sampling procedures more practical by dividing the selection of large populations of sampling units in a step-by-step fashion. After defining the sampling frame and categorizing it by stratum, a first stage selection of sampling units is carried out independently within each stratum. Often, the primary sampling units (PSU) for this stage are cluster locations (e.g. districts, communities, counties, neighborhoods, etc.) which are randomly drawn within each stratum with a probability proportional to the size (PPS) of the cluster (measured by the location’s number of facilities, providers or pupils). Once locations are selected, a second stage takes place by randomly selecting facilities within location (either with equal probability or with PPS) as secondary sampling units. At a third stage, a fixed number of health and education workers and pupils are randomly selected within facilities to provide information for the different questionnaire modules.

Detailed information about the specific sampling process is available in the associated SDI Country Report included as part of the documentation that accompany these datasets.

Mode of data collection

Face-to-face [f2f]

Research instrument

The SDI Health Survey Questionnaire consists of four modules and weights:

Module 1: General Information - Administered to the health facility manager to collect information on equipment, medicines, infrastructure and other facets of the health facility.

Module 2: Provider Absence - A roster of healthcare providers is collected and absence measured.

Module 3: Clinical Vignettes – A selection of providers are given clinical vignettes to measure knowledge of common medical conditions.

Module 4: Facility finances – Information on facility revenue and expenditures is collected from the health facility manager.

Weights: Weights for facilities, absentee-related analyses and clinical vignette analyses.

Cleaning operations

Quality control was performed in Stata.

The New York City Community Mental Health Survey (CMHS) was a one-time telephone survey conducted by the DOHMH. The CMHS was conducted in conjunction with the annual 2012 Community health Survey (CHS). The CMHS provides robust data on the mental health of New Yorkers, including neighborhood, borough, and citywide estimates. The data are analyzed and disseminated to influence mental health program decisions, and increase the understanding of the mental health among New Yorkers.

The Demographic and Health Surveys (DHS) Program overseen by the US Agency for International AID (USAID) uses nationally representative surveys, biomarker testing, and geographic location to collect data on monitoring and impact evaluation indicators for individual countries and for cross-country comparisons.

Standardized DHS surveys include the Demographic and Health Survey, Service Provision Assessment, HIV/AIDS Indicator Survey, Malaria Indicator Survey, and Key Indicators Survey. The DHS Program also collects biomarkers and geographic data. Data availability varies by year and country. A table that lists all currently available data can be found here.

2019–present. The National Health Interview Survey (NHIS) is a nationally representative household health survey of the U.S. civilian noninstitutionalized population. The NHIS data are used to monitor trends in illness and disability, track progress toward achieving national health objectives, for epidemiologic and policy analysis of various health problems, determining barriers to accessing and using appropriate health care, and evaluating Federal health programs. NHIS is conducted continuously throughout the year by the National Center for Health Statistics (NCHS). Public-use data files on adults and children with corresponding imputed income data files, and survey paradata are released annually. The NHIS data website (https://www.cdc.gov/nchs/nhis/documentation/index.html) features the most up-to-date public-use data files and documentation for downloading including questionnaire, codebooks, CSV and ASCII data files, programs and sample code, and in-depth survey description. Most of the NHIS data are included in the public use files. NHIS is protected by Federal confidentiality laws that state the data collected by NCHS may be used only for statistical reporting and analysis. Some NHIS variables have been suppressed or edited in the public use files to protect confidentiality. Analysts interested in using data that has been suppressed or edited may apply for access through the NCHS Research Data Center at https://www.cdc.gov/rdc/. In 2019, NHIS launched a redesigned content and structure that differs from its previous questionnaire designs. NHIS has been conducted continuously since 1957.

As part of the Detroit Community Health Assessment (CHA) process, the Health Department and community partners worked with the University of Michigan Detroit Metropolitan Area Communities Study (DMACS) team to conduct a representative citywide survey of 1,216 residents to gather relevant information about Detroiters’ experiences, perceptions, priorities and aspirations around community health. The survey was implemented in the summer of 2018 and the results of the survey are included here.

The Health Survey for England series was designed to monitor trends in the nation's health; estimating the proportion of people in England who have specified health conditions, and the prevalence of risk factors and behaviours associated with these conditions. The surveys provide regular information that cannot be obtained from other sources. The surveys have been carried out since 1994 by the Joint Health Surveys Unit of NatCen Social Research and the Research Department of Epidemiology and Public Health at UCL. Each survey in the series includes core questions, e.g. about alcohol and smoking, and measurements (such as blood pressure, height and weight, and analysis of blood and saliva samples), and modules of questions on topics that vary from year to year. The trend tables show data for available years between 1993 and 2016 for adults (defined as age 16 and over) and for children. The survey samples cover the population living in private households in England. In 2016 the sample contained 8,011 adults and 2,056 children and 5,049 adults and 1,117 children had a nurse visit. We would very much like your feedback about whether some proposed changes to the publications would be helpful and if the publications meet your needs. This will help us shape the design of future publications to ensure they remain informative and useful. Please answer our reader feedback survey on Citizen Space which is open until 18 June 2018.

Abstract

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

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

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

Geographic coverage

National level Regional level Urban and Rural

Analysis unit

• Households
• Individuals

Universe

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

Kind of data

Sample survey data [ssd]

Sampling procedure

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

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

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

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

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

Mode of data collection

Face-to-face [f2f]

Research instrument

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

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

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

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

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

Cleaning operations

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

Response rate

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

Sampling error estimates

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

Data appraisal

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

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

Abstract

The National Family Health Survey 2019-21 (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India, each state/union territory (UT), and for 707 districts.

The primary objective of the 2019-21 round of National Family Health Surveys is to provide essential data on health and family welfare, as well as data on emerging issues in these areas, such as levels of fertility, infant and child mortality, maternal and child health, and other health and family welfare indicators by background characteristics at the national and state levels. Similar to NFHS-4, NFHS-5 also provides information on several emerging issues including perinatal mortality, high-risk sexual behaviour, safe injections, tuberculosis, noncommunicable diseases, and the use of emergency contraception.

The information collected through NFHS-5 is intended to assist policymakers and programme managers in setting benchmarks and examining progress over time in India’s health sector. Besides providing evidence on the effectiveness of ongoing programmes, NFHS-5 data will help to identify the need for new programmes in specific health areas.

The clinical, anthropometric, and biochemical (CAB) component of NFHS-5 is designed to provide vital estimates of the prevalence of malnutrition, anaemia, hypertension, high blood glucose levels, and waist and hip circumference, Vitamin D3, HbA1c, and malaria parasites through a series of biomarker tests and measurements.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15 to 54

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, all men age 15-54, and all children aged 0-5 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

A uniform sample design, which is representative at the national, state/union territory, and district level, was adopted in each round of the survey. Each district is stratified into urban and rural areas. Each rural stratum is sub-stratified into smaller substrata which are created considering the village population and the percentage of the population belonging to scheduled castes and scheduled tribes (SC/ST). Within each explicit rural sampling stratum, a sample of villages was selected as Primary Sampling Units (PSUs); before the PSU selection, PSUs were sorted according to the literacy rate of women age 6+ years. Within each urban sampling stratum, a sample of Census Enumeration Blocks (CEBs) was selected as PSUs. Before the PSU selection, PSUs were sorted according to the percentage of SC/ST population. In the second stage of selection, a fixed number of 22 households per cluster was selected with an equal probability systematic selection from a newly created list of households in the selected PSUs. The list of households was created as a result of the mapping and household listing operation conducted in each selected PSU before the household selection in the second stage. In all, 30,456 Primary Sampling Units (PSUs) were selected across the country in NFHS-5 drawn from 707 districts as on March 31st 2017, of which fieldwork was completed in 30,198 PSUs.

For further details on sample design, see Section 1.2 of the final report.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four survey schedules/questionnaires: Household, Woman, Man, and Biomarker were canvassed in 18 local languages using Computer Assisted Personal Interviewing (CAPI).

Cleaning operations

Electronic data collected in the 2019-21 National Family Health Survey were received on a daily basis via the SyncCloud system at the International Institute for Population Sciences, where the data were stored on a password-protected computer. Secondary editing of the data, which required resolution of computer-identified inconsistencies and coding of open-ended questions, was conducted in the field by the Field Agencies and at the Field Agencies central office, and IIPS checked the secondary edits before the dataset was finalized.

Field-check tables were produced by IIPS and the Field Agencies on a regular basis to identify certain types of errors that might have occurred in eliciting information and recording question responses. Information from the field-check tables on the performance of each fieldwork team and individual investigator was promptly shared with the Field Agencies during the fieldwork so that the performance of the teams could be improved, if required.

Response rate

A total of 664,972 households were selected for the sample, of which 653,144 were occupied. Among the occupied households, 636,699 were successfully interviewed, for a response rate of 98 percent.

In the interviewed households, 747,176 eligible women age 15-49 were identified for individual women’s interviews. Interviews were completed with 724,115 women, for a response rate of 97 percent. In all, there were 111,179 eligible men age 15-54 in households selected for the state module. Interviews were completed with 101,839 men, for a response rate of 92 percent.

The Health Survey provides the most complete picture possible of developments in the health, medical contacts, lifestyle and preventive behaviour of the Dutch population.

Statistics Netherlands has been conducting an annual Health Survey since 1981. In the period 1997-2009, the Health Survey was part of the Continuing Survey on Living Conditions (POLS). As of 2010, the Health Survey is being conducted as an independent survey again.

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian noninstitutionalized population of the United States and is one of the major data collection programs of the National Center for Health Statistics (NCHS) which is part of the Centers for Disease Control and Prevention (CDC). The National Health Survey Act of 1956 provided for a continuing survey and special studies to secure accurate and current statistical information on the amount, distribution, and effects of illness and disability in the United States and the services rendered for or because of such conditions. The survey referred to in the Act, now called the National Health Interview Survey, was initiated in July 1957. Since 1960, the survey has been conducted by NCHS, which was formed when the National Health Survey and the National Vital Statistics Division were combined. NHIS data are used widely throughout the Department of Health and Human Services (DHHS) to monitor trends in illness and disability and to track progress toward achieving national health objectives. The data are also used by the public health research community for epidemiologic and policy analysis of such timely issues as characterizing those with various health problems, determining barriers to accessing and using appropriate health care, and evaluating Federal health programs. The NHIS also has a central role in the ongoing integration of household surveys in DHHS. The designs of two major DHHS national household surveys have been or are linked to the NHIS. The National Survey of Family Growth used the NHIS sampling frame in its first five cycles and the Medical Expenditure Panel Survey currently uses half of the NHIS sampling frame. Other linkage includes linking NHIS data to death certificates in the National Death Index (NDI). While the NHIS has been conducted continuously since 1957, the content of the survey has been updated about every 10-15 years. In 1996, a substantially revised NHIS questionnaire began field testing. This revised questionnaire, described in detail below, was implemented in 1997 and has improved the ability of the NHIS to provide important health information.

These data are part of the 2013 National Health Survey for the population of Serbia (without data on Kosovo and Metohia), which was carried out by the Ministry of Health of the Republic of Serbia The survey was conducted in accordance with the methodology and instruments of the European Health Interview Survey wave 2 (EHIS-wave 2). Data on demographic and socio-economic characteristics of the respondents and their own health assessment was obtained through a face-to-face interview carried out at home, while information at the level of the household was obtained by means of a household questionnaire. The questions were validated instruments based on the standard questionnaires from similar types of surveys.

The Public Health Agency of Sweden annually conducts a national public health survey, Health on Equal Terms, including a sample of 20 000 people aged 16-84 years. The survey, which was conducted for the first time in 2004, is an on going collaboration between the The Public Health Agency of Sweden and county councils/regions in Sweden and is carried out with help from Statistics Sweden (SCB). All studies, since 2004, can be found under the tab Related studies.

The survey is voluntary and done with the purpose to investigate the health in the population and to show changes in the population's health over time as a follow up of the national health politics.

The sample is randomly drawn from the Statistics Sweden's population register and includes 20 000 people aged 16-84 years. The personal data is confidential and protected by law and those working with this survey are obliged to practice professional secrecy. Individual answers can not be identified in the results.

The study participants are since 2007 given the opportunity to answer the survey on the web. Since 2012, the web survey is also in English, and since 2014 also in Finnish.

The questionnaire includes about 85 questions. Each county council has its own introduction letter and the questions has been prepared in collaboration with representatives from a number of different community medicine units. The origin and quality of the questions are described in the report "Objective and background of the questions in the national public health survey". Most questions recur each year, but questions can in particular cases be replaced by other questions of good quality and national relevance.

The questions in the national public health survey cover physical and mental health, consumption of pharmaceuticals, contact with healthcare services, dental health, living habits, financial conditions, work and occupation, work environment, safety and social relationships. Data regarding education is collected from the education register, and data of income, economic support, sickness benefits and pensions from the income an taxation register.

Purpose:

The aim is to investigate the health in the population and to show changes in the population's health over time as a follow up of the national health politics.

Abstract

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.

The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.

The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.

The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

Geographic coverage

The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.

There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.

Analysis unit

Households and individuals

Universe

The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.

If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.

The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

SAMPLING GUIDELINES FOR WHS

Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.

The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.

The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.

All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO

STRATIFICATION

Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.

Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).

Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.

MULTI-STAGE CLUSTER SELECTION

A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.

In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.

In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.

It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

The National Health Survey of Spain 2017 (ENSE 2017), carried out by the Ministry of Health, Consumption and Social Welfare with the collaboration of the National Institute of Statistics, collects health information related to the population residing in Spain in 23,860 households. It is a five-yearly survey that allows knowing numerous aspects of the health of citizens at a national and regional level, and planning and evaluating actions in health matters. It consists of 3 questionnaires, household, adult and minor, which address 4 large areas: sociodemographic, health status, use of health services and health determinants.

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.
The aims of the HSE series are:

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

For the fifth edition (August 2017), a new version of the individual data file was deposited. A Government Office Region variable has been added, and some previous health authority and socio-economic variables removed.


Main Topics:

The survey had two separate elements: an interviewer visit and a nurse visit. At the first visit all respondents aged 13 and over were asked to give a CAPI (computed assisted) interview, which included a self-completion element, on a range of health related topics. Parents/Guardians of 2-12 year olds were interviewed about the child. The interview collected information relating to respondents' history of respiratory and atopic conditions, non-fatal accidents, general health and disability. Adults were questioned about smoking and drinking behaviour. All respondents aged 8 and over were also asked to complete a booklet. For adults and young adults (from the age of 13) these self-completion documents contained the General Health Questionnaire, designed to measure psychosocial well-being. 8-17 year olds completed questions on smoking and drinking experiences. Adults aged 16 and over were asked about incontinence and prescription contraceptives. All respondents were then asked to have their height and weight measured. A limited amount of proxy information was obtained, where possible, about those unwilling or unable to take part in the survey.

Those who agreed to the second visit, made later by a nurse, were then surveyed about their use of prescribed medications. Then, if the respondent was willing, further anthropometric measurements (i.e. demi-span, mid-upper arm circumference) were taken, their blood pressure was measured and they provided a blood sample (which was analysed for IgE, house dust mite IgE, and for children, ferritin, and haemoglobin). For a part of the year, blood was also analysed for lead content. ...

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.
The aims of the HSE series are:

• to provide annual data about the nation's health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL version of the dataset contains variables with a higher disclosure risk or are more sensitive than those included in the EUL version and is subject to more restrictive access conditions (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The EUL version of the HSE 2018 is held under SN 8961.

Main Topics:

Core topics:

• General health
• Longstanding illness
• Smoking
• Average weekly alcohol consumption
• Drinking (heaviest day in last week)
• Consent to data linkage (NHS central register, HES)
• Socio-economic information: sex, age, income, education, employment etc
• Prescribed medications (nurse)

Additional topics:

• Social care receipt
• Asthma
• Gambling

Measurements:

• Height and weight
• Blood pressure (nurse)
• Waist and hip circumference (nurse)
• Blood sample for cholesterol, glycated haemoglobin (nurse)
• Saliva sample (nurse)