As of 2043, Nairobi was the most populated city in Kenya, with more than 2.7 million people living in the capital. The city is also the only one in the country with a population exceeding one million. For instance, Mombasa, the second most populated, has nearly 800 thousand inhabitants. As of 2020, Kenya's population was estimated at over 53.7 million people.
This statistic shows the biggest cities in Kenya as of 2019. In 2019, approximately 4.4 million people lived in Nairobi, making it the biggest city in Kenya.
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Population in largest city in Kenya was reported at 5541172 in 2024, according to the World Bank collection of development indicators, compiled from officially recognized sources. Kenya - Population in largest city - actual values, historical data, forecasts and projections were sourced from the World Bank on June of 2025.
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Population in the largest city (% of urban population) in Kenya was reported at 32.68 % in 2024, according to the World Bank collection of development indicators, compiled from officially recognized sources. Kenya - Population in the largest city - actual values, historical data, forecasts and projections were sourced from the World Bank on June of 2025.
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Kenya KE: Population in Largest City: as % of Urban Population data was reported at 31.985 % in 2017. This records a decrease from the previous number of 32.132 % for 2016. Kenya KE: Population in Largest City: as % of Urban Population data is updated yearly, averaging 35.120 % from Dec 1960 (Median) to 2017, with 58 observations. The data reached an all-time high of 50.731 % in 1962 and a record low of 31.985 % in 2017. Kenya KE: Population in Largest City: as % of Urban Population data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Kenya – Table KE.World Bank.WDI: Population and Urbanization Statistics. Population in largest city is the percentage of a country's urban population living in that country's largest metropolitan area.; ; United Nations, World Urbanization Prospects.; Weighted average;
Major Towns by PopulationTowns in Kenya: Kenya’s capital city is Nairobi. It is the largest city in East Africa and the region’s Financial, Communication and Diplomatic Capital. In Kenya there are only three incorporated cities but there are numerous municipalities and towns with significant urban populations. Two of the cities, Nairobi and Mombasa are cities whose county borders run the same as their city limits, so in a way they could be thought of as City-CountiesNairobi is the only city in the world with a game park. Nairobi National Park is a preserved ecosystem where you can view wildlife in its natural habitat. Hotels, airlines and numerous tour firms and agencies offer tour packages for both domestic and foreign tourists visiting Nairobi and the park. The tourism industry provides direct employment to thousands of Nairobi residents.
The dataset represents an estimated cumulative travel time/cost (raster grid) accessibility map, for Kenya's major cities . The map is an output of the sub-Saharan African Corridor, Mobile Warehouse Location pilot project. Modeled cities are: Nairobi (7,626,752); Mombasa (1,535,899); Nakuru (610,637); Kisumu (567,963) The calculation of cost/time distance surfaces is based on some assumptions: A. Road travel time/cost is computed for large trucks, it is assumed accessibility for large cargo freight vehicles, tertiary and local traffic roads are not included; B. Lake and river navigation are treated as a surface (polygons) not taking into consideration navigation infrastructure (points). The production of the travel time surfaces followed the steps: rasterization of transportation network vector layers and surfaces; production of cost/time layer; computation of a cumulative cost/time layer from cities (Major Cities Accessibility Map).
The objective of the survey was to produce baselines for 15 large urban centers in Kenya. The urban centers covered Nairobi, Mombasa, Naivasha, Nakuru, Malindi, Eldoret, Garissa, Embu, Kitui, Kericho, Thika, Kakamega, Kisumu, Machakos, and Nyeri. The survey covered the following issues: (a) household characteristics; (b) household economic profile; (c) housing, tenure, and rents; and (d) infrastructure services. The survey was undertaken to deepen understanding of the cities’ growth dynamics, and to identify specific challenges to quality of life for residents. The survey pays special attention to living conditions for residents of formal versus informal settlements, poor versus non-poor, and male and female headed households.
Household Urban center
Sample survey data [ssd]
The Kenya State of the Cities Baseline Survey is aimed to produce reliable estimates of key indicators related to demographic profile, infrastructure access and economic profile for each of the 15 towns and cities based on representative samples, including representative samples of households (HHs) residing in slum and non-slum areas. For this baseline household survey, NORC used a two- or three-stage stratified cluster sampling design within each of the 15 urban centers. Our first-stage sampling frame was based on the 2009 census frame of enumeration areas. For each of the 15 towns and cities, NORC received the sampling frame of EAs from the Kenya National Bureau of Statistics (KNBS). In the first stage, NORC selected a sample of enumeration areas (PSUs). The second stage involved a random selection of households (SSUs) from each selected EA. In order to manage the field interviewing efficiently, we drew a fixed number of HHs from each selected EA, irrespective of EA size. The third stage arose in instances of very large EAs (EAs containing more than 200 households) in which EAs were divided into 2, 3 or 4 segments, from which one segment was selected randomly for household selection.
Stratification of Enumeration Areas: A few stratification factors were available for stratifying the EAs to help to achieve the survey objectives. As mentioned earlier, for this baseline survey we wanted to draw representative samples from slum and non-slum areas and also to include poor/non-poor households (HHs). For the 2009 census, depending on the location, KNBS divided the EAs into three categories: rural, urban, and peri-urban.
Although there is a clear distinction of EAs into slum and non-slum areas, it is hard to classify EAs into poor and non-poor categories. To guarantee enough representation of HHs living in slum and non-slum areas (also referred to as formal and informal areas) as well as HHs living below and above the poverty line, NORC stratified the first-stage sampling units (EAs) into strata, based on EA type (3 types) and settlement type (2 types). Given the resources available, we believe this stratification would serve our purpose as HHs living in slum and in rural areas tend to be poor. Table 1 in Appendix C of final Overview Report (provided under the Related Materials tab) presents the allocation of sampled EAs across the strata for each of the 15 cities in the baseline survey.
Sampling households is not as straightforward as the first-stage sampling of EAs, since the 2009 census frame of HHs does not exist. In the absence of a household sampling frame, NORC carried out a listing of HHs within each EA selected in the first stage. Trained listers, accompanied by local cluster guides (local residents with some form of authority in the EA), systematically listed all households in each selected EA, gathering the address, names of head of household and spouse, household description, latitude and longitude. To ensure completeness of listing data, avoid duplication and improve ease of locating households that were eventually selected for interview, listers enumerated households by chalking household identification number above the household doorway (an accepted practice for national surveys). The sampling frame of HHs produced from the listing activity was, therefore, up-to-date and included new formal and informal settlements that appeared after the 2009 census.
For adequate representativeness and to manage the interviewing task efficiently, NORC planned seven completed household interviews per EA. The final recommended sample size for the Kenya State of the Cities baseline survey is found in Table 2 in Appendix C of the final Overview Report.
Because the expected response rate was unknown prior to the start of the field period, the sampling team randomly selected ten households per enumeration area and distributed them to the interviewers working within the EA. Interviewing teams were instructed to complete at least seven interviews per EA from among the ten selected households. Interviewers were instructed to attempt at least three contacts with each selected household, approaching potential respondents on different days of the week and different times of day. Table 2 presents the final number of EAs listed per city and the final number of completed interviews per city. The table also presents the percent of planned EAs and interviews that were completed vs. planned. Please note that in several cities more interviews were completed than planned. As part of NORC's data quality plan, data collection teams were instructed to overshoot slightly the target of seven interviews per EA, if feasible, to mitigate any potential loss of cases due to poor quality or uncooperative respondents. Few cases were lost due to poor quality, therefore the target number of interviews remains over 100 percent in ten of the fifteen cities.
Face-to-face [f2f]
The questionnaire was developed by World Bank staff with input from stakeholders in the Kenya Municipal Program and NORC researchers and survey methodologists. The base questionnaire for the project was a 2004 World Bank survey of Nairobi slums. However, an extended iterative review process led to many changes in the questionnaire. The final version that was used for programming provided under the Related Materials tab, and in Volume II of the Overview.
The questionnaire’s topical coverage is indicated by the titles of its nine modules: 1. Demographics and household composition 2. Security of housing, land and tenure 3. Housing and settlement profile 4. Economic profile 5. Infrastructure services 6. Health 7. Household enterprises7 8. Civil participation and respondent tracking
The completion rate is reported as the number of households that successfully completed an interview over the total number of households selected for the EA. These are shown by city in Table 5 in Appendix C of the final Overview Report, and have an average rate of 68.66 percent, with variation from 66 to 74 percent (aside from Nairobi at 61.47 percent and Machakos at 56 percent). As described earlier, ten households were selected per EA if the EA contained more than 10 households. For EAs where fewer than ten households were selected for interviews, all households were selected. In some EAs, more than ten households were selected due to a central office error.
Lagos, in Nigeria, ranked as the most populated city in Africa as of 2024, with an estimated population of roughly nine million inhabitants living in the city proper. Kinshasa, in Congo, and Cairo, in Egypt, followed with some 7.8 million and 7.7 million dwellers. Among the 15 largest cities in the continent, another two, Kano, and Ibadan, were located in Nigeria, the most populated country in Africa. Population density trends in Africa As of 2022, Africa exhibited a population density of 48.3 individuals per square kilometer. At the beginning of 2000, the population density across the continent has experienced a consistent annual increment. Projections indicated that the average population residing within each square kilometer would rise to approximately 54 by the year 2027. Moreover, Mauritius stood out as the African nation with the most elevated population density, exceeding 640 individuals per square kilometre. Mauritius possesses one of the most compact territories on the continent, a factor that significantly influences its high population density. Urbanization dynamics in Africa The urbanization rate in Africa was anticipated to reach close to 44 percent in 2021. Urbanization across the continent has consistently risen since 2000, with urban areas accommodating 35 percent of the total population. This trajectory is projected to continue its ascent in the years ahead. Nevertheless, the distribution between rural and urban populations shows remarkable diversity throughout the continent. In 2021, Gabon and Libya stood out as Africa’s most urbanized nations, each surpassing 80 percent urbanization. In 2023, Africa's population was estimated to expand by 2.35 percent compared to the preceding year. Since 2000, the population growth rate across the continent has consistently exceeded 2.45 percent, reaching its pinnacle at 2.59 percent between 2012 and 2013. Although the growth rate has experienced a deceleration, Africa's population will persistently grow significantly in the forthcoming years.
African Population and Health Research Center (APHRC) had from 2005 to 2010, conducted a longitudinal survey in two formal settlements (Harambee and Jericho) and two informal (slum) settlements (Korogocho and Viwandani) in Nairobi to understand the uptake and patterns of school enrolment after the introduction of the Free Primary Education (FPE) in Kenya. The results of the study showed increased utilization of private informal schools among slum households as compared to the formal settlements.
That is, by 2010, almost two thirds of pupils in the slum settlements were enrolled in private informal schools while in Harambee and Jericho, more than three quarters of the pupils were enrolled in government primary schools with the remaining portion attending high-end private schools.
In 2012, ERP conducted a cross-sectional survey across six major urban centers to investigate, within the context of FPE, if the pattern of school enrolment observed in Korogocho and Viwandani slums could also be observed in other urban slums in Kenya. Below are some key facts from this study. Data is manly disaggregated by school type - government schools (FPE schools), and non-government schools, specifically the formal private schools and low-cost schools.
The study tried to answer four broad questions: What is the impact of free primary education (FPE) on schooling patterns among poor households in urban slums in Kenya? What are the qualitative and quantitative explanations of the observed patterns? Is there a difference in achievement measured by performance in a standardized test on literacy and numeracy administered to pupils in government schools under FPE and non-government schools?
Kenya - in six urban slums of Nairobi spread across 6 towns - Nairobi, Mombasa, Nyeri, Eldoret, Nakuru and Kisumu. In total 5854 households and 230 schools were covered.
A cross-sectional survey focusing on households with individuals aged between 5 and 19, as well as schools and pupils in grades 3 and 6. Data therefore exits at household, individuals, schools and student levels.
This is a cross sectional study that was conducted in seven slum sites spread across six towns namely Nairobi, Mombasa, Kisumu, Eldoret, Nakuru and Nyeri and targetted hoseholds with individuals aged between 5 and 19 years and schools located within the study site or within a 1KM radius. For the schools to be included in the study they had to have both grade 3 and 6, which were target grades for this study.
This was a cross-sectional study involving schools and households. The study covered six purposively selected major towns (Eldoret, Kisumu, Mombasa, Nairobi, Nakuru and Nyeri) in different parts of Kenya (see Map 1) to provide case studies that could lead to a broader understanding of what is happening in urban informal settlements. The selection of a town was informed by presence of informal settlements and its administrative importance, that is, provincial headquarter or regional business hub. A three-stage cluster sampling procedure was used to select households in all towns with an exception of Nairobi. At the first stage, major informal settlement locations were identified in each of the six towns. The informal settlement sites were identified based on enumeration areas (EAs) designated as slums in the 2009 National Population and Housing Census conducted by the Kenya National Bureau of Statistics (KNBS). After identifying all slum EAs in each of the study towns, the location with the highest number of EAs designated as slum settlements was selected for the study. At the second stage of sampling, 20% of EAs within each major slum location were randomly selected. However, in Nakuru we randomly selected 67% (10) EAs while in Nyeri all available 9 EAs were included in the sample. This is because these two towns had fewer EAs and therefore the need to oversample to have a representative number of EAs. In total, 101 EAs were sampled from the major slum locations across the five towns. At the third stage, all households in the sampled EAs were listed using the 2009 census' EA maps prepared by KNBS. During the listing, 10,388 households were listed in all sampled EAs. Excluding Nairobi, 4,042 (57%) households which met the criteria of having at least one school-going child aged 5-20 years were selected for the survey. In Nairobi, 50% of all households which had at least one school-going child aged between 5 and 20 years were randomly sampled from all EAs existing in APHRC schooling data collected in 2010. A total of 3,060 households which met the criteria were selected. The need to select a large sample of households in Nairobi was to enable us link data from the current study with previous ones that covered over 6000 households in Korogocho and Viwandani. By so doing, we were able to get a representative sample of households in Nairobi to continue observing the schooling patterns longitudinally. In all, there were 7,102 eligible households in all six towns. A total of 14,084 individuals within the target age bracket living in 5,854 (82% of all eligible households) participated in the study. The remaining 18% of eligible households were not available for the interview as most of them had either left the study areas, declined the interview, or lacked credible respondents in the household at the time of the data collection visit or call back.
For the school-based survey, schools in each town were listed and classified into three groups based on their location: (i) within the selected slum location; (ii) within the catchment area of the selected slum area - about 1 km radius from the border of the study locations; and (iii) away from a selected slum. In Nairobi, schools were selected from existing APHRC data. During the listing exercise, lists of schools were also obtained from Municipality/City Education Departments in selected towns. The lists were used to counter-check the information obtained during listing. All schools located within the selected slum areas and those situated within the catchment area (1 km radius from the border of the slum) were included in the sample as long as they had a grade 6 class or intended to have one in 2012. The selection of schools within an informal settlement and those located within 1 km radius was because they were more likely to be accessed by children from the target informal settlement. Two hundred and forty-five (245) schools met the selection criteria and were included in the sample. Two hundred and thirty (230) primary schools (89 government schools, 94 formal private, and 47 low-cost schools) eventually participated in the survey. A total of 7,711 grade 3, 7,319 grade 6 pupils and 671 teachers of the same grades were reached and interviewed. All 230 head teachers (or their deputies) were interviewed on school characteristics.
Face-to-face [f2f]; Focus groups; Assessment; Filming (classroom observation).
Five survey questionnaires were administered at household level:
(i). An individual schooling history questionnaire was administered to individuals aged 5 - 20. The questionnaire was directly administered to individuals aged 12 - 20 and administered to a proxy for children younger than 12 years. Ideally, the proxy was the child's parent or guardian, or an adult familiar with the individual's schooling history and who usually resides in the same household. The questionnaire had two main sections: school participation for the current year (year of interview), and school participation for the five years preceding the year of interview (i.e. 2007 to 2011). The section on schooling participation on the current year collected information on the schooling status of the individual, the type, name and location of the school that the individual was attending, grade, and whether the individual had changed schools or dropped out of school in the current year. Respondents also provided information on the reasons for changing schools and dropping out of school, where applicable. The section on school participation for previous years also collected similar information. The questionnaire also collected information on the individual's year of birth and when they joined grade one.
(ii). A household schedule questionnaire was administered to the household head or the spouse. It sought information on the members of the household, their relationship to the household head, their gender, age, education and parental survivorship.
(iii). A parental/guardian perception questionnaire was administered to the household head or the parent/guardian of the child. It collected information on the parents/guardians' perceptions on Free Primary Education since its implementation, household support to school where child(ren) attends and household schooling decision.
(iv). A parental/guardian involvement questionnaire was strictly administered to a parent or guardian who usually lives in the household and who was equipped with adequate knowledge of the individual's schooling information (i.e. credible respondent). The questionnaire was completed for each individual of the targeted age bracket (5-20 years). The information on the child comprised questions on the gender of the child, parental/guardian aspirations for the child's educational attainment, and parental beliefs about the child's ability in school and their chances of achieving the aspired level.
(v). A household amenities and livelihood questionnaire was administered to the household head or the spouse or a member of the household who could give reliable information. The questionnaire collected information on duration of stay in the
Kenya had a Muslim population of roughly 5.6 million people, according to the last country census conducted in 2019. Nearly 50 percent of individuals adhering to Islam lived in the Northern-East counties of Mandera (856.5 thousand people), Garissa (815.8 thousand people), and Wajir (767.3 thousand people). Overall, around 10 percent of Kenya's population identified as Muslim.
The STEP (Skills Toward Employment and Productivity) Measurement program is the first ever initiative to generate internationally comparable data on skills available in developing countries. The program implements standardized surveys to gather information on the supply and distribution of skills and the demand for skills in labor market of low-income countries.
The uniquely-designed Household Survey includes modules that measure the cognitive skills (reading, writing and numeracy), socio-emotional skills (personality, behavior and preferences) and job-specific skills (subset of transversal skills with direct job relevance) of a representative sample of adults aged 15 to 64 living in urban areas, whether they work or not. The cognitive skills module also incorporates a direct assessment of reading literacy based on the Survey of Adults Skills instruments. Modules also gather information about family, health and language.
The units of analysis are the individual respondents and households. A household roster is undertaken at the start of the survey and the individual respondent is randomly selected among all household members aged 15 to 64 included. The random selection process was designed by the STEP team and compliance with the procedure is carefully monitored during fieldwork.
The target population is defined as all non-institutionalized persons aged 15 to 64 (inclusive) living in private dwellings in the urban areas of the country at the time of the data collection. This includes all residents, except foreign diplomats and non-nationals working for international organizations
The following are considered "institutionalized" and excluded from the STEP survey:
- Residents of institutions (prisons, hospitals, etc)
- Residents of senior homes and hospices
- Residents of other group dwellings such as college dormitories, halfway homes, workers' quarters, etc
Other acceptable exclusions are:
- Persons living outside the country at the time of data collection, e.g., students at foreign universities
Deviation Requested from the Standard: The statistical population is composed of core urban households and excludes the categories identified here, as well as itinerants (as classified in the Population Census 2009 in Kenya).
Sample survey data [ssd]
The sample size was 3894 households. The Kenya sample design is a stratified 3 stage sample design. The sample was stratified by 4 geographic areas: 1-Nairobi, 2-Other Large Cities (over 100,000 households), 3- Medium cities (60,000 to 100,000 HHs), and 4-Other Urban Areas. For detailed description of the sample design and sampling methodologies, refer to Part 3 of the National Survey Design Planning Report (NSDPR) as well as the STEP Survey Weighting Procedures Summary. Both documents are provided as external resources.
War marred and unstable regions of Kenya were excluded from the survey. Itinerants (as classified in the Population Census 2009 in Kenya) were also excluded.
Face-to-face [f2f]
The STEP survey instruments include: (i) A Background Questionnaire developed by the WB STEP team. (ii) A Reading Literacy Assessment developed by Educational Testing Services (ETS).
All countries adapted and translated both instruments following the STEP Technical Standards: 2 independent translators adapted and translated the Background Questionnaire and Reading Literacy Assessment, while reconciliation was carried out by a third translator. In Kenya the section of the questionnaire assessing behavior and personality traits (Module 6) was translated into Swahili to adapt to respondents' language preferences, so that the respondent could choose to answer in either English or Swahili.
- The survey instruments were both piloted as part of the survey pretest.
- The adapted Background Questionnaires are provided in English as external resources. The Reading Literacy Assessment is protected by copyright and will not be published.
EEC Canada Inc. was responsible for data entry and processing.
The STEP Data management process is as follows:
An overall response rate of 91.8% was achieved in the Kenya STEP Survey. Table 21 of the STEP Survey Weighting Procedures Summary provides the detailed percentage distribution by final status code.
The Mombasa Informal Settlement Survey 2009 is a representative sample survey drawn using the informal settlement classification of 1999 Census Enumeration Areas (EAs) as the sample frame. The classification of 1999 Census EAs was carried out in major cities of Kenya by the Kenya National Bureau of Statistics (KNBS) under a project funded by United Nations Environment Program (UNEP) in 2003. The 45 EAs were sampled using the probability proportional to size sampling methodology, and information from a total of 1,080 households were collected using structured questionnaires. The Mombasa informal settlement survey is one of the largest household sample surveys ever conducted exclusively for the informal settlements in Mombasa district.
The survey used a two-stage design. In the first stage, EAs were selected and in the second stage households were selected circular systematically using a random start from the list of households. The data was collected by three teams comprising of six members each (one supervisor, one editor, one measurer and three investigators).
The objective of the Mombasa Informal Settlement Survey 2009 is to provide estimates relating to the wellbeing of children and women living in the informal settlements of Mombasa, to create baseline information and to enable policymakers, planners, researchers, and program managers to take actions based on credible evidence. In Mombasa Informal Settlement Survey 2009, information on specific areas such as reproductive health, child mortality, child health, nutrition, child protection, childhood development, water and sanitation, hand washing practices, education, and HIV/AIDS and orphans were collected. The results indicate that the conditions of people living in the informal settlements are very poor and need immediate attention.
Mombasa district
The survey covered all de jure household members (usual residents), all women aged between 15-49 years, all children under 5 living in the household.
Sample survey data [ssd]
The primary objective of the sample design for the Mombasa Informal Settlement Survey, Kenya (MICS4) was to produce statistically reliable estimates of development indicators related to children and women living in the informal settlements of Mombasa. A two-stage cluster sampling approach was used for the selection of the survey sample.
The target sample size for the Mombasa Informal Settlement Survey was calculated as 1,080 households. For the calculation of the sample size, the key indicator used was proportion of institutional deliveries.
The resulting number of households from this exercise was 1,074 households which is the sample size needed, however, it was decided to cover 1,080 households. The average cluster size was determined as 24 households, based on a number of considerations, including the budget available, and the time that would be needed per team to complete one cluster. This implies a total of 45 clusters for the Mombasa informal settlement survey.
The sampling procedures are more fully described in "Kenya Mombasa Informal Settlements Multiple Indicator Cluster Survey 2009 - Report" pp.95-96.
Face-to-face [f2f]
The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered to a knowledgeable adult living in the household. The household questionnaire includes Household Listing, Education, Water and Sanitation, Indoor Residual Spraying, Insecticide Treated Mosquito Nets (ITN), Children Orphaned & Made Vulnerable By HIV/AIDS, Child Labour, Child Discipline, Disability, Handwashing Facility, and Salt Iodization.
In addition to a household questionnaire, the Questionnaire for Individual Women was administered to all women aged 15-49 years living in the households. The women's questionnaire includes Child Mortality, Birth history, Tetanus Toxoid, Maternal and Newborn Health, Marriage/Union, Contraception, Attitude towards Domestic Violence, Female Genital Mutilation/Cutting, Sexual Behaviour and HIV/AIDS.
The Questionnaire for Children Under-Five was administered to mothers or caretakers of children under 5 years of age living in the households. The children's questionnaire includes Birth Registration and Early Learning, Childhood Development, Vitamin A, Breastfeeding, Care of Illness, Malaria, Immunization, and Anthropometry.
Data were entered using the CSPro software. In order to ensure quality control, all questionnaires were double entered and internal consistency checks were performed, and the whole process was monitored initially by the MICS Global data processing specialist, followed by KNBS data processing expert. Procedures and standard programs developed under the global MICS project and adapted to the modified questionnaire were used throughout. Data entry began simultaneously with data collection in February 2009 and was completed at the end of March 2009. Data were analysed using the Statistical Package for Social Sciences (SPSS) software program, and the model syntax and tabulation plans developed by UNICEF were customized for this purpose.
Of the 1,080 households selected for the sample, 1,076 were found occupied. Of these, 1,016 were successfully interviewed yielding a household response rate of 94.4 percent. In the interviewed households, 878 women (age 15-49) were identified and information collected from 821 women in these households, yielding a response rate of 93.5 percent. In addition, 464 children under age five were listed in the household questionnaire, and information on 454 children were obtained, which corresponds to a response rate of 97.8 percent. Overall response rates of 88.3 and 92.4 are calculated for the women's and under-5's interviews respectively.
Sampling errors are a measure of the variability between all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey results.
The following sampling error measures are presented in this appendix for each of the selected indicators: - Standard error (se): Sampling errors are usually measured in terms of standard errors for particular indicators (means, proportions etc). Standard error is the square root of the variance. The Taylor linearization method is used for the estimation of standard errors. - Coefficient of variation (se/r) is the ratio of the standard error to the value of the indicator. - Design effect (deff) is the ratio of the actual variance of an indicator, under the sampling method used in the survey, to the variance calculated under the assumption of simple random sampling. The square root of the design effect (deft) is used to show the efficiency of the sample design. A deft value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a deft value above 1.0 indicates the increase in the standard error due to the use of a more complex sample design. - Confidence limits are calculated to show the interval within which the true value for the population can be reasonably assumed to fall. For any given statistic calculated from the survey, the value of that statistics will fall within a range of plus or minus two times the standard error (p + 2.se or p - 2.se) of the statistic in 95 percent of all possible samples of identical size and design.
For the calculation of sampling errors from the survey data, SPSS Version 17 Complex Samples module has been used. The results are shown in the tables that follow. In addition to the sampling error measures described above, the tables also include weighted and un-weighted counts of denominators for each indicator.
Sampling errors are calculated for indicators of primary interest. Three of the selected indicators are based on households, 10 are based on household members, 14 are based on women, and 14 are based on children under 5. All indicators presented here are in the form of proportions.
A series of data quality tables are available to review the quality of the data and include the following:
The results of each of these data quality tables are shown in appendix D in document "Kenya Mombasa Informal Settlements Multiple Indicator Cluster Survey 2009 - Report" pp.102-109.
The share of urban population in Kenya increased by 0.5 percentage points (+1.72 percent) in 2023 in comparison to the previous year. With 29.52 percent, the share thereby reached its highest value in the observed period. Notably, the share continuously increased over the last years.The urban population refers to the share of the total population living in urban centers. Each country has their own definition of what constitutes an urban center (based on population size, area, or space between dwellings, among others), therefore international comparisons may be inconsistent.Find more key insights for the share of urban population in countries like Zambia and Madagascar.
Nairobi has been the Kenyan county most affected by the coronavirus (COVID-19) pandemic. As of March 31, 2022, the capital registered most of the confirmed COVID-19 cases in the country, around 129 thousand. The amount corresponded to nearly 40 percent of the total cases in Kenya. In Kiambu, within the Nairobi Metropolitan Region, 19,778 infected people were registered, whereas Mombasa, Kenya's oldest and second largest city, had 17,794 cases. As of March 2021, Kenya started the vaccination campaign against the coronavirus with doses received through the COVAX initiative.
Kenya's economy rebounds amid vaccination campaign
The coronavirus outbreak had a significant negative impact on Kenya's economy. In the second quarter of 2020, the quarterly country’s GDP decreased by 5.5 percent, the first contraction in recent years. Around one year later, in the third quarter of 2021, Kenya already registered an improved economic performance, with the quarterly GDP growth rate measured at 9.9 percent. The educational sector pushed the result, with an expansion of 65 percent. Mining and quarrying, and accommodation and food services followed, each with a 25 percent growth rate.
Signs of recovery in the tourism sector
Extensively known for its rich nature and wildlife, Kenya felt dramatically the impacts of the COVID-19 pandemic in the tourism industry. The sector's contribution to the country’s GDP roughly halved in 2020, compared to 2019. By the end of 2021, however, signals of recovery were already spotted. The monthly number of arrivals in both Jomo Kenyatta and Moi international airports in December that year corresponded to roughly 70 percent of that registered in December 2019. Additionally, as of March 2022, the bed occupancy rate in Kenyan hotels amounted to 57 percent, against 23 percent in March 2021.
Nakuru is a city in the Rift Valley region of Kenya. It is the capital of Nakuru County, and is the third largest city in Kenya.
Handwashing with soap is necessary for promoting the public health of communities as it contributes to the prevention of adverse health outcomes such as diarrhoeal disease and acute respiratory infections. The availability of handwashing facilities, which are necessary for handwashing to happen, is notably low in sub-Saharan Africa. In Kenya, available literature shows disparities in access to handwashing facilities in urban and rural areas, but scanty and inconsistent data is available on access to handwashing facilities within low income urban settlements in Kenyan cities. In addition to handwashing facilities that are nonexistent, residents of low-income urban settlements also face challenges of access to water and sanitation facilities within their compounds. This study aims to evaluate the status of handwashing practices in Kenya, and design handwashing facilities that will be managed and maintained by community members in low-income urban settlements within Nairobi, Kisumu, and Nakuru. This will be a multi-stage study where a mixed-methods approach will be applied. The first phase of the study will entail a cross-sectional survey, in-depth interviews, and focus group discussions to assess and explore handwashing practices and their determinants in the lowincome urban settlements. A second co-design phase will build from the first phase and will entail designing and testing compound-led initiatives for improving hand hygiene within the settlements. This second phase will be a participatory phase that will entail co-designing appropriate handwashing facilities and the accompanying messaging to encourage handwashing with soap with selected residents in the low-income urban settlements. Results from these two phases will inform a subsequent trial to evaluate the effectiveness of these interventions. The study will be conducted in three cities in Kenya; i.e. Nairobi, Nakuru and Kisumu. The three cities have been selected because they reflect urban cities in Africa; Nairobi represents a capital city, Kisumu a mid-size secondary city, and Nakuru represents a rapidly urbanizing and expanding secondary city. The three cities will provide a reflection of different urban environments in Africa, and a comparison of hand hygiene practices in three different contexts. Results from this study will provide evidence on hygiene facilities and their determinants in poor settings in urban Kenya, evidence that is useful for decision making, planning, and practice. At the global level, the evidence will provide data on global monitoring and reporting of hygiene, in urban areas of Sub-Saharan Africa.
Low and Middle income settlements in Kenyan cities
families/households
Household members residing in Low and Middle income settlements in Kenyan cities
Household Survey Prevalence of handwashing facilities in low income urban settlements in the four cities was used to estimate the sample size, i.e 66% in Kisumu (ResilienceThink, 2021), 18.6% in Nakuru (County Government of Nakuru, 2018), 27% in Mombasa (Jason Cardosi & Rufus, 2007), and 21.1% in Nairobi (Kamau & Njiru, 2018). The sample size determination formula for finite population was used ?? = ( (??) 2 × ??(??) (??) 2 ) Where, n = Desired sample size Z = Critical value and standard value for the corresponding level of confidence (At 95% CI of 1.96 P = Expected prevalence based on previous research q = 1-p d = Margin of error or precision (at 5%) The estimated sample sizes was adjusted upwards by 10% to cater for refusals and/or drop outs. Based on the formula, the final estimated sample size in each of the three cities was be 379 respondents in Kisumu, 260 respondents in Nakuru, 333 respondents in Mombasa, and 280 respondents in Nairobi.
In-Depth Interviews (IDI) Households were selected randomly if they live within the selected settlements in Nairobi, Mombasa, Nakuru and Kisumu cities. Participants comprised adult male and female household heads, including landlords, who consented to participate in the study. Field staff randomly selected respondents who were residents within the study sites, and purposively select landlords who provided insights on barriers and opportunities for handwashing interventions.
Key Informant Interviews Eligible stakeholders werel identified and purposively sampled from already existing listing of Key stakeholders (at national and county levels) involved in handwashing interventions, and they comprised individuals from the Ministry of Health (MoH), Ministry of Water, Sanitation and Irrigation (MoWSI), and development and implementing organizations such as the United Nations Children’s Fund (UNICEF)
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Face-to-face [f2f]
Household questionnaire A cross sectional household survey was conducted to assess the availability of handwashing facilities at the household level in the low income urban settlements. The surveyl also provide information on the availability of hygiene and handwashing facilities, hygiene commodities such as soap, availability of water, and challenges in practicing hand hygiene or handwashing with soap.
KII tool guide Key Informant interviews (KIIs) wiere conducted with stakeholders at the policy level at national and county levels and stakeholders from organizations involved in handwashing interventions. The aim of the KIIs was to understand barriers and opportunities related to handwashing in low income urban settlements, including handwashing interventions that have been implemented within low income urban settlements, policies on handwashing with soap, coordination mechanisms, sources of funding, and monitoring and evaluation approaches.
IDI tool guide IDIs were conducted with households from each of the four study sites to get deeper understanding of existing handwashing infrastructure and hygiene practices; including where handwashing facilities are located, how and when handwashing is done, why handwashing is done the way it is done, barriers for handwashing, and opportunities for improvement.
Data was collected using the Ipsos iField application on android tablets
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The 2003 Kenya Demographic and Health Survey (2003 KDHS) is a nationally representative sample survey of 8,195 women age 15 to 49 and 3,578 men age 15 to 54 selected from 400 sample points (clusters) throughout Kenya. It is designed to provide data to monitor the population and health situation in Kenya as a follow-up of the 1989, 1993 and 1998 KDHS surveys. The survey utilised a two-stage sample based on the 1999 Population and Housing Census and was designed to produce separate estimates for key indicators for each of the eight provinces in Kenya. Unlike prior KDHS surveys, the 2003 KDHS covered the northern half of Kenya. Data collection took place over a five-month period, from 18 April to 15 September 2003.
OBJECTIVES
The 2003 Kenya Demographic and Health Survey (KDHS) is the latest in a series of national level population and health surveys to be carried out in Kenya in the last three decades. The 2003 KDHS is designed to provide data to monitor the population and health situation in Kenya and to be a follow-up to the 1989, 1993, and 1998 KDHS surveys.
The survey obtained detailed 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 and maternal mortality; maternal and child health; and awareness and behaviour regarding HIV/AIDS and other sexually transmitted infections. New features of the 2003 KDHS include the collection of information on malaria and the use of mosquito nets, domestic violence, and HIV testing of adults.
More specifically, the objectives of the 2003 KDHS were to: - At the national and provincial level, provide data that allow the derivation of demographic rates, particularly fertility and childhood mortality rates, which can be used to evaluate the achievements of the current national population policy for sustainable development; - Measure changes in fertility and contraceptive prevalence use 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 the basic indicators of maternal and child health in Kenya, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, use of immunisation services, use of mosquito nets, and treatment of children and pregnant women for malaria; - Describe the patterns of knowledge and behaviour related to the transmission of HIV/AIDS and other sexually transmitted infections; - Estimate adult and maternal mortality ratios at the national level; - Ascertain the extent and pattern of domestic violence and female genital cutting in the country; - Estimate the prevalence of HIV in the country at the national and provincial level and use the data to corroborate the rates from the sentinel surveillance system.
The 2003 KDHS was the first survey in the Demographic and Health Surveys (DHS) programme to cover the entire country, including North Eastern Province and other northern districts that had been excluded from the prior surveys (Turkana and Samburu in Rift Valley Province and Isiolo, Marsabit, and Moyale in Eastern Province).
All women age 15-49 years who were either usual residents of the households in the sample or visitors present in the household on the night before the survey were eligible to be interviewed in the survey. The survey collected information on demographic and health issues from a sample of women in the reproductive ages (15-49) and from men age 15-54 years in the one-in-two sub-sample of households selected for the male survey.
Sample survey data
The sample for the 2003 KDHS covered the population residing in households in the country. A representative probability sample of almost 10,000 households was selected for the KDHS sample. This sample was constructed to allow for separate estimates for key indicators for each of the eight provinces in Kenya, as well as for urban and rural areas separately. Given the difficulties in traveling and interviewing in the sparsely populated and largely nomadic areas in the North Eastern Province, a smaller number of households was selected in this province. Urban areas were oversampled. As a result of these differing sample proportions, the KDHS sample is not self-weighting at the national level; consequently, all tables except those concerning response rates are based on weighted data.
The survey utilised a two-stage sample design. The first stage involved selecting sample points (“clusters”) from a national master sample maintained by CBS (the fourth National Sample Survey and Evaluation Programme [NASSEP IV]). The list of enumeration areas covered in the 1999 population census constituted the frame for the NASSEP IV sample selection and thus for the KDHS sample as well. A total of 400 clusters, 129 urban and 271 rural, were selected from the master frame. The second stage of selection involved the systematic sampling of households from a list of all households that had been prepared for NASSEP IV in 2002. The household listing was updated in May and June 2003 in 50 selected clusters in the largest cities because of the high rate of change in structures and household occupancy in the urban areas.
All women age 15-49 years who were either usual residents of the households in the sample or visitors present in the household on the night before the survey were eligible to be interviewed in the survey. In addition, in every second household selected for the survey, all men age 15-54 years were eligible to be interviewed if they were either permanent residents or visitors present in the household on the night before the survey. All women and men living in the households selected for the Men's Questionnaire and eligible for the individual interview were asked to voluntarily give a few drops of blood for HIV testing.
Face-to-face
Three questionnaires were used in the survey:a) the Household Questionnaire, b) the Women's Questionnaire and c) the Men's Questionnaire. The contents of these questionnaires were based on model questionnaires developed by the MEASURE DHS+ programme.
In consultation with a broad spectrum of technical institutions, government agencies, and local and international organisations, CBS modified the DHS model questionnaires to reflect relevant issues in population, family planning, HIV/AIDS, and other health issues in Kenya. A number of thematic questionnaire design committees were organised by CBS. Periodic meetings of each of the thematic committees, as well as the final meeting, were also arranged by CBS. The inputs generated in these meetings were used to finalise survey questionnaires. These questionnaires were then translated from English into Kiswahili and 11 other local languages (Embu, Kalenjin, Kamba, Kikuyu, Kisii, Luhya, Luo, Maasai, Meru, Mijikenda, and Somali). The questionnaires were further refined after the pretest and training of the field staff.
a) The Household Questionnaire was used to list all of 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 also 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. In addition, this questionnaire was used to record height and weight measurements of women age 15-49 years and children under the age of 5 years, households eligible for collection of blood samples, and the respondents' consent to voluntarily give blood samples. The HIV testing procedures are described in detail in the next section.
b) The Women's Questionnaire was used to collect information from all women age 15-49 years and covered the following topics:
- Background characteristics (e.g., education, residential history, media exposure)
- Reproductive history
- Knowledge and use of family planning methods
- Fertility preferences
- Antenatal and delivery care
- Breastfeeding
Vaccinations and childhood illnesses
- Marriage and sexual activity
- Woman's work and husband's background characteristics
- Infant and child feeding practices
- Childhood mortality
- Awareness and behaviour about AIDS and other sexually transmitted diseases
- Adult mortality including maternal mortality.
The Women's Questionnaire also included a series of questions to obtain information on women's experience of domestic violence. These questions were administered to one woman per household. In households with two or more eligible women, special procedures were followed, which ensured that there was random selection of the woman to be interviewed.
c) The Men's Questionnaire was administered to all men age 15-54 years living in every second household in the sample. The Men's Questionnaire collected similar information contained in the Women's Questionnaire, but was shorter because it did not contain questions on reproductive history, maternal and child
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KE:最大城市人口在12-01-2017达4,222,389.000人,相较于12-01-2016的4,065,018.000人有所增长。KE:最大城市人口数据按年更新,12-01-1960至12-01-2017期间平均值为1,285,227.500人,共58份观测结果。该数据的历史最高值出现于12-01-2017,达4,222,389.000人,而历史最低值则出现于12-01-1960,为292,622.000人。CEIC提供的KE:最大城市人口数据处于定期更新的状态,数据来源于World Bank,数据归类于Global Database的肯尼亚 – 表 KE.世界银行:人口和城市化进程统计。
The Bill & Melinda Gates Foundation’s reproductive health strategy aims to reduce maternal and infant mortality and unintended pregnancy in the developing world by increasing access to high-quality, voluntary FP services. The reproductive health strategy is being implemented at the country level through the Urban Reproductive Health Initiative (URHI) being implemented in Kenya, Nigeria, India and Senegal.
In Kenya, the URHI, hereinafter referred to as Tupange. The main objective of the project is to increase modern contraceptive use in Nairobi, Mombasa and Kisumu by 20 percentage points over the five-year life of the project. The urban centers of Machakos and Kakamega are additional “delayed” interventions sites that are included in the baseline data collection presented here although data in these delayed sites were collected only from women.
Key elements of the Tupange include: • Integrating high-quality FP services with maternal and newborn health services, especially post-abortion, postpartum, antenatal care and HIV/AIDS services; • Improving the overall quality of FP services, particularly in high-volume settings; • Increasing access to FP services for the urban poor through public-private partnerships and other private sector approaches; • Creating sustained demand for FP services among the urban poor; and • Creating a supportive policy environment for ensuring access to FP supplies and services, particularly for the urban poor.
Urban areas (five cities in Kenya - Nairobi, Mombasa, Kisumu, Machakos, and Kakamega)
Household, woman age 15-49 years, man 15-59 years
All women aged 15-49 years who were either usual residents or visitors present in the sampled households on the night prior to the survey were eligible for a detailed interview. In addition, in half of the sampled households in Nairobi, Mombasa and Kisumu, all men aged 15-59 years were asked to participate in a detailed interview.
Sample survey data [ssd]
The household survey sample was drawn from the population residing in the five cities/urban centers. The most recent Population and Housing Census (2009) was used to identify clusters from which a representative sample of households for each city/urban center was drawn. A total of 13,140 households were selected for interviewing, ensuring that the sample was sufficient to allow analysis of the findings by each of the five intervention sites. Nairobi was intentionally oversampled (4,260 vs. 2,220 households) due its significantly larger size. With the exception of Machakos and Kakamega, the sample in each urban area was apportioned equally between formal and informal localities.
A two-stage cluster sampling design was used for each urban area. Stage one involved selecting a random sample of clusters in each urban area. In Nairobi, 71 clusters were randomly selected in each of the formal and informal areas (domains), for a total of 142. In Mombasa and Kisumu, 37 clusters were randomly drawn from each domain, for a total 74 per urban area. In Machakos and Kakamega, 74 clusters were randomly selected per urban area. In the second stage, a random sample of 30 households was selected within each selected cluster. Interviews with women took place in all households selected. In Nairobi, Mombasa and Kisumu, half of the households (15) in each of the selected clusters were also selected to interview men.
Nairobi was intentionally oversampled (4,260 vs. 2,220 households) due its significantly larger size. With the exception of Machakos and Kakamega, the sample in each urban area was apportioned equally between formal and informal localities.
Face-to-face [f2f]
Three questionnaires were used to collect baseline information-one for each of the households, one for women and one for men. In Machakos and Kakamega, only women were interviewed. Questionnaires were based on the questionnaires used by the Demographic and Health Survey program in Kenya but were modified and expanded by all in-country partners to reflect MLE and Tupange objectives.
Questionnaires were translated from English into Kiswahili, Luhya, Kamba and Dholuo-the four most commonly spoken languages in the five cities. Final revisions were made to the questionnaires following extensive pre-testing and training of field staff. The household questionnaire was administered prior to the women's and men's questionnaires to facilitate the identification of eligible household members. The methodology and questionnaires were tested in Kisumu and Nairobi August 5-8, 2010, in clusters outside the planned intervention areas to minimize chances of contamination. Survey instruments were finalized based on feedback from and lessons learned during the pre-test.
A data processing team was selected and trained at the KNBS offices in Nairobi. Most of the data processing staff were selected from the reserve members from the field survey teams. Staff from MLE and APHRC conducted the five-day training between October 26 and November 1, followed by on-the-job training for an additional four days. Fifteen data entry clerks, four office editors, one system administrator, one supervisor and one manager participated in the training. Data processing began in November 2010 and was finalized in March 2011.
To ensure that all questionnaires were processed, a “data audit” was conducted and completed at the end of March 2011. The tabulation of the survey results, particularly the program tables, was done in May 2011. Data analysts from the University of North Carolina and APHRC produced the tables and preliminary results that were shared with program teams on June 2-3, 2011.
To ensure that all questionnaires were processed, a "data audit" was conducted and completed at the end of March 2011. The tabulation of the survey results, particularly the program tables, was done in May 2011. Data analysts from the University of North Carolina and APHRC produced the tables and preliminary results that were shared with program teams on June 2-3, 2011. Further analysis of the data that allowed inclusion of results regarding additional indicators was completed by July 2011 and an initial draft baseline report was prepared by mid-September 2011.
Of the 13,140 households selected for inclusion in the sample, 12,565 were occupied and eligible for interviews. Of these, 10,992 households were interviewed successfully (197 declined), a response rate of 84 percent. There were a total of 10,502 eligible women, of whom 8,932 consented and participated in an interview, yielding a response rate of 85.1 percent. There were 3,815 eligible men, of whom 2,503 consented and participated in an interview, a response rate of 65.6 percent.
For the household survey, non -response was primarily due to the absence of a suitable member of the household during each of three visits (37 percent; not displayed). Non-responses during the male and female interviews were due mainly to the subject's absence at the time of the household interview (76 percent and 78 percent respectively) or at any of the three follow-up visits.
As of 2043, Nairobi was the most populated city in Kenya, with more than 2.7 million people living in the capital. The city is also the only one in the country with a population exceeding one million. For instance, Mombasa, the second most populated, has nearly 800 thousand inhabitants. As of 2020, Kenya's population was estimated at over 53.7 million people.