Chart and table of population level and growth rate for the Nairobi, Kenya metro area from 1950 to 2025.

Nairobi is the most populated county in Kenya. The area formed by the country's capital and its surroundings has a population of over 4.3 million inhabitants. Of the 47 counties in Kenya, 18 have a population of more than one million people.

Abstract

IPUMS-International is an effort to inventory, preserve, harmonize, and disseminate census microdata from around the world. The project has collected the world's largest archive of publicly available census samples. The data are coded and documented consistently across countries and over time to facillitate comparative research. IPUMS-International makes these data available to qualified researchers free of charge through a web dissemination system.

The IPUMS project is a collaboration of the Minnesota Population Center, National Statistical Offices, and international data archives. Major funding is provided by the U.S. National Science Foundation and the Demographic and Behavioral Sciences Branch of the National Institute of Child Health and Human Development. Additional support is provided by the University of Minnesota Office of the Vice President for Research, the Minnesota Population Center, and Sun Microsystems.

Geographic coverage

National coverage

Analysis unit

Household

UNITS IDENTIFIED: - Dwellings: No - Households: Yes

Universe

All persons who were in Kenya at midnight on Census Night.

Kind of data

Census/enumeration data [cen]

Sampling procedure

MICRODATA SOURCE: Constructed by census agency.

SAMPLE DESIGN: Unknown sample design includes oversample of Nairobi. Data are weighted by age and district of residence.

SAMPLE FRACTION: 6%

SAMPLE UNIVERSE: Unknown.

SAMPLE SIZE (person records): 659,310

Mode of data collection

Face-to-face [f2f]

Research instrument

Single enumeration form that requested information on individuals.

This statistic shows the total population of Kenya from 2013 to 2023 by gender. In 2023, Kenya's female population amounted to approximately 27.82 million, while the male population amounted to approximately 27.52 million inhabitants.

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.

While the East African region, including Kenya, is one of first regions believed to have modern humans inhabit it, population growth in the region remained slow to non-existent throughout the 19th century; in the past hundred years, however, Kenya’s population has seen an exponential increase in size, going from 2.65 million in 1920, to an estimated 53.77 million in 2020.

Along with this population growth, Kenya has seen rapid urbanization and industrialization, particularly in recent decades. The metropolitan area of Kenya’s capital, Nairobi, with an estimated population of 9.35 million in 2020, now contains on its own over three and a half times the population of the entire country just a century earlier.

Comprehensive socio-economic dataset for Kenya including population demographics, economic indicators, geographic data, and social statistics. This dataset covers key metrics such as GDP, population density, area, capital city, and regional classifications.

Abstract

The World Bank in collaboration with the Joint Data Center on Forced Displacement, Kenya National Bureau of Statistics (KNBS) and the United Nations High Commissioner for Refugees (UNHCR) conducted a cross-sectional survey on refugee and host populations living in Nairobi. The survey was based on the Kenya Continuous Household Survey (KCHS) and targets both host populations and refugees living in Nairobi. Through a participatory training format, enumerators learned how to collect quality data specific for refugees as well as nationals. Daily data quality monitoring dashboards were produced during the data collection periods to provide feedback to the field team and correct possible errors. The data was collected with CAPI technique through the World Bank developed Survey Solutions software; this ensured high standards of data storage, protection and pre-processing.

The sample is representative of refugees and other residents living in Nairobi. The refugee sample was drawn from UNHCR’s database of refugees and asylum seekers (proGres) using implicit stratification by sub-county and country of origin. The host community sampling frame was drawn using a two-stage cluster design. In the first stage, eligible enumeration areas (EAs) based on the 2019 Population and Housing Census were selected. In the second stage 12 households were sampled from each EA. The survey differentiates between two types of host communities: ‘core’ host communities were drawn from EAs located within the three areas with the largest number of refugee families: Kasarani, Eastleigh North and Kayole. At least 10 percent of the Nairobi refugee families reside in each of these areas. ‘Wider’ host communities cover the rest of the Nairobi population and were drawn from EAs which do not cover the three areas in which many refugees live.

For a subset of households, a women empowerment module was administered by a trained female enumerator to one randomly selected woman in each household aged 15 to 49.

The data set contains two files. hh.dta contains household level information. The ‘hhid’ variable uniquely identifies all households. hhm.dta contains data at the level of the individual for all household members. Each household member is uniquely identified by the variable ‘hhm_id’.

This cross-sectional survey was conducted between May 22 to July 27, 2021. It comprises a sample of 4,853 households in total, 2,420 of which are refugees and 2,433 are hosts.

Geographic coverage

Nairobi county, Kenya

Analysis unit

Household, Individual

Sampling procedure

The survey has two primary samples contained in the ‘sample’ variable: the refugee sample and the host community sample. The refugee sample used the UNHCR database of refugees and asylum seekers in Kenya (proGres) as the sampling frame. ProGres holds information on all registered refugees and asylum seekers in Kenya including their contact information and data on nationality and approximate location of living. We considered only refugees living in Nairobi and implicitly stratified by nationality and location. In total, the sample comprises 2,420 refugee families.

The host community sample differentiates between two types of communities. We consider ‘core’ host communities as residents who live in Eastleigh North, Kayole or Kasarani – at least 10 percent of the Nairobi refugee families reside in each of these areas. Nationals living outside these areas are considered part of the ‘wider’ host community in Nairobi. The samples for both host communities were drawn using a 2-stage cluster design. In the first stage, eligible enumeration areas (EA) were drawn from the list of EAs covering Nairobi taken from the 2019 Population and Housing Census. In the second stage a listing of all host community households was established through a household census within all selected EAs, ensuring that refugee households were excluded to prevent overlap with the refugee sampling frame. 12 households and 6 replacements were drawn per EA. Our total sample consists of 2,433 host community households, 1,221 core hosts and 1,212 wider hosts.

The three sub-samples – refugees, core hosts, and wider hosts – are reflected in the ‘strata’ variable. The EAs which form the primary sampling units for the two host samples are anonymized and included in the ‘psu’ variable. Please note that the ‘psu’ variable clusters refugees under one numeric code (888).

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

The Questionnaire is provided as external resources in pdf format. Questionnaires were produced through the World Bank developed Survey Solutions software. The survey was implemented in English,Swahili and Somali.

Abstract

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

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

Geographic coverage

National coverage

Analysis unit

Household, individuals, county and national level

Universe

The survey covered sampled households

Sampling procedure

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

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

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

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

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

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

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

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

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

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

Cleaning operations

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

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

Response rate

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

Kenya had over ** million households according to the last census done in 2019. The majority, some *** million, lived in urban areas, while *** million dwelled in rural zones. Nairobi City was the county with more households, approximately *** million.

Abstract

In 2016, UNHCR became aware of a group of stateless persons living in or near Nairobi, Kenya. Most of them were Shona, descendants of missionaries who arrived from Zimbabwe and Zambia in the 1960s and remained in Kenya. The total number of Shona living in Kenya is estimated to be between 3,000 and 3,500 people. On their first arrival, the Shona were issued certificates of registration, but a change in the Registration of Persons Act of 1978 did not make provision for people of non-Kenyan descent, consequently denying the Shona citizenship. Zimbabwe and Zambia did not consider them nationals either, rendering them stateless. Besides the Shona, there are other groups of stateless persons of different origins and ethnicities, with the total number of stateless persons in Kenya estimated at 18,500. UNHCR and the Government of Kenya are taking steps to address statelessness in the country, among them is the registration of selected groups for nationalization. In April 2019, the Government of Kenya pledged to recognize qualifying members of the Shona community as Kenyan citizens. However, the lack of detailed information on the stateless population in Kenya hinders advocacy for the regularization of their nationality status. Together with the Kenyan Government through the Department of Immigration Services (DIS) and the Kenya National Bureau of Statistics (KNBS), UNHCR Kenya conducted registration and socioeconomic survey for the Shona community from May to July 2019. While the primary objective of the registration was to document migration, residence and family history with the aim of preparing their registration as citizens, this survey was conducted to provide a baseline on the socio-economic situation of the stateless Shona population for comparison with non-stateless populations of Kenya.

Geographic coverage

Githurai, Nairobi, Kiambaa and Kinoo

Analysis unit

Household and individual

Universe

All Shona living in Nairobi and Kiambu counties, Kenya

Kind of data

Census/enumeration data [cen]

Sampling procedure

The objective of the socio-economic survey was to cover the entire Shona population living in areas of the Nairobi and Kiambu counties. This included Shona living in Githurai, Kiambaa, Kinoo and other urban areas in and around Nairobi. Data collection for the socioeconomic survey took place concurrently with a registration verification. The registration verification was to collect information on the Shona's migration history, residence in Kenya and legal documentation to prepare their registration as citizens. The registration activity including questions on basic demographics also covered some enumeration areas outside the ones of the socio-economic survey, such as institutional households in Hurlingham belonging to a religious order who maintain significantly different living conditions than the average population. The total number of households for which socio-economic data was collected for is 350 with 1,692 individuals living in them. A listing of Shona households using key informant lists and respondent-driven referral to identify further households was conducted by KNBS and UNHCR before the start of enumeration for the registration verification and socio-economic survey.

Sampling deviation

None

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

The following sections are included: household roster, education, employment, household characteristics, consumption and expenditure.

Cleaning operations

The dataset presented here has undergone light checking, cleaning and restructuring (data may still contain errors) as well as anonymization (includes removal of direct identifiers and sensitive variables, recoding and local suppression).

Response rate

Overall reponse rate was 99 percent, mainly due to refusal to participate.

Abstract

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

Geographic coverage

County, Urban, Rural and National

Analysis unit

Households

Kind of data

Sample survey data [ssd]

Sampling procedure

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

Sampling deviation

Not available

Mode of data collection

Face-to-face [f2f]

Research instrument

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

Abstract

The Turkana County Multiple Indicator Cluster Survey (MICS5) was conducted in collaboration with the Population Studies and Research Institute (PSRI) of the University of Nairobi, the Kenya National Bureau of Statistics (KNBS) and the United Nations Children's Fund (UNICEF).The Kenya National Bureau of Statistics implemented (MICS5) in 2013-2014 in the three counties of Bungoma, Kakamega and Turkana as part of Global MICS round five.

MICS is an international household survey program that was developed by UNICEF in the 1990s as an international household survey program to support countries in the collection of internationally comparable data on a wide range of indicators on the situation of children and women. MICS provides up-to-date information on the situation of children and women and measures key indicators that allow countries to monitor progress towards the Millennium Development Goals (MDGs) and other internationally agreed upon commitments. In Kenya, this information is important to guide the planning and implementation of new development plans targeting the new administrative county levels of governance. Technical and financial support were provided by the United Nations Children's Fund.

The results of this survey provided requisite baseline information that can be used to facilitate evidence-based planning, budgeting and programming by policymakers and stakeholders at the county levels. The survey will go a long way in encouraging increased demand for use of statistics by policy makers at devolved levels and will ensure that resources at both county and national levels are used most effectively through well-planned projects/programs that will benefit especially the women and children of the three counties. The MICS5 results were critical in gauging milestones achieved in the field of education, nutrition, child development, health for women and children in the three counties and in evaluating the various health based policies that the government has formulated over the years towards achieving the national welfare objectives.

The 2013-14 MICS5 data was critical in informing the future planning for the three counties, especially in view of the new constitutional dispensation and Vision 2030. It was anticipated that MICS5 would supplement the data collected during the 2014 Kenya Demographic and Health Survey (KDHS). In addition the information collected would inform strategic communication for social and behavior change interventions by government and partners including UNICEF. Furthermore the data contributed to the improvement of data and monitoring systems in the three counties. The primary objectives of the Turkana County survey are: 1. To provide up-to-date information for assessing the situation of children and women in Turkana County. 2. To generate data for the critical assessment of the progress made in various areas, and to put additional efforts in those areas that require more attention. 3. To furnish data needed for monitoring progress toward goals established in the Millennium Declaration, and other internationally agreed upon goals, as a basis for future action. 4. To collect disaggregated data for the identification of disparities, to allow for evidence based policy-making aimed at social inclusion of the most vulnerable. 5. To contribute to the generation of baseline data for the post-2015 agenda. 6. To validate data from other sources and the results of focused interventions. 7. To contribute to the improvement of data and monitoring systems in Kenya and to strengthen technical expertise in the design, implementation, and analysis of such systems.

Geographic coverage

National

Analysis unit

• Individuals
• Households

Universe

The survey covered all de jure household members (usual residents), all women aged between 15-49 years and all children under 5 living in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The primary objective of the sample design for the Turkana County MICS was to produce statistically reliable estimates of indicators, at county level. The urban and rural areas in Turkana County were the sampling strata. A multi-stage, stratified cluster sampling approach was used for the selection of the survey sample. MICS5 utilized the recently created fifth National Sample Survey and Evaluation Programe (NASSEP V) frame which is a household based master sampling frame developed and maintained by KNBS. The frame was implemented using a multi-tiered structure, in which a set of 4 sub-samples (C1, C2, C3, C4) were developed. It is based on the list of enumeration areas (EAs) from the 2009 Kenya Population and Housing Census. The frame is stratified according to County and further into rural and urban. Each of the sub-samples is representative at county level and at national (i.e. Urban/rural) level and contains 1,340 clusters.

The Primary Sampling Units (PSUs) for the survey were clusters drawn from the NASSEP V sampling frame, so the first component of the probabilities and weights are based on that master sample. Within each stratum the PSUs for the MICS were selected independently from one of the subsamples of the master sample using Equal Probability Selection Method (EPSEM). A total of 58 clusters were selected from the master sample in this way.

Out of the 58 clusters selected for Turkana County, it was established that 30 had been listed more than six months prior to the start of the survey. These listing for these clusters was updated prior to selection of households. For this purpose, listing teams visited each cluster, and listed all occupied households. For the remaining 28 sample clusters a more recent listing was available, so it was used for selecting the sample households.

Mode of data collection

Face-to-face [f2f]

Research instrument

A set of three questionnaires was used in the survey: 1. A household questionnaire which was administered to the household head or any other responsible member of the household. 2. A questionnaire for individual women administered in each household to all women age 15-49 years. 3. An under-5 questionnaire administered to mothers (or caretakers) for all children under-5 years living in the household

Cleaning operations

Data were entered into the computers using the Census and Surveys Processing System (CSPro) software package, Version 5.0. Data entry was done by a trained team of 14 data entry operators, one archivist/system administrator and one data entry supervisor. For quality assurance purposes, all questionnaires were double-entered and internal consistency checks performed.

Procedures and standard programs developed under the global MICS program and adapted to the Turkana County MICS questionnaire were used throughout. Data processing began simultaneously with data collection in November 2013 and was completed in February 2014. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software, Version 21. Model syntax and tabulation plans developed by UNICEF were customized and used for this purpose.

Response rate

Information was collected from a total of 1,277 households representing 93 percent response rate. The composition of these households was 6,594 household members comprising 3,274 males and 3,321 females. The mean household size was 5.2 persons. About 49 percent of the sampled households population is below 15 years, 48 percent are age 15-64 years and three percent are age 65 years and above.

Due to data quality issues, data relating to mortality and anthropometric measures were not analyzed and reported. Anthropometric data suffered from digit preference for both weight and height, while for mortality, deaths especially among under-5 years old were under reported. KDHS 2014 had similar shortcomings.

Sampling error estimates

The sample of respondents selected in the Turkana County MICS is only one of the samples that could have been selected from the same population, using the same design and size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between the estimates from all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey data. The following sampling error measures are presented in this appendix for each of the selected indicators: - Standard error (se): Standard error is the square root of the variance of the estimate. For survey indicators those are means, proportions or ratios, the Taylor series linearization method is used for the estimation of standard errors. For more complex statistics, such as fertility and mortality rates, the Jackknife repeated replication method is used for standard error estimation. - Coefficient of variation (se/r) is the ratio of the standard error to the value (r) of the indicator, and is a measure of the relative sampling error. - 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 based on the same sample size. The square root of the design effect (deft) is used to show the efficiency of the sample design in relation to the precision. A deft value of 1.0 indicates that the sample design of the survey is as efficient as a simple random sample for a particular indicator, while a deft value above 1.0 indicates an increase in the standard error due to the use of a more complex sample design. - Confidence limits are calculated to

Abstract

The places we live affect our health status and the choices and opportunities we have (or do not have) to lead fulfilling lives. Over the past ten years, the African Population & Health Research Centre (APHRC) has led pioneering work in highlighting some of the major health and livelihood challenges associated with rapid urbanization in sub-Saharan Africa (SSA). In 2002, the Centre established the first longitudinal platform in urban Africa in the city of Nairobi in Kenya. The platform known as the Nairobi Urban Health and Demographic Surveillance System collects data on two informal settlements - Korogocho and Viwandani - in Nairobi City every four months on issues ranging from household dynamics to fertility and mortality, migration and livelihood as well as on causes of death, using a verbal autopsy technique. The dataset provided here contains key demographic and health indicators extracted from the longitudinal database. Researchers interested in accessing the micro-data can look at our data access policy and contact us.

Geographic coverage

The Demographic Surveillance Area (combining Viwandani and Korogocho slum settlements) covers a land area of about 0.97 km2, with the two informal settlements located about 7 km from each other. Korogocho is located 12 km from the Nairobi city center; in Kasarani division (now Kasarani district), while Viwandani is about 7 km from Nairobi city center in Makadara division (now Madaraka district). The DSA covers about seven villages each in Korogocho and Viwandani.

Analysis unit

Individual

Universe

Between 1st January and 31st December,2015 the Nairobi HDSS covered 86,304 individualis living in 30,219 households distributed across two informal settlements(Korogocho and Viwandani) were observed. All persons who sleep in the household prior to the day of the survey are included in the survey, while non-resident household members are excluded from the survey.

The present universe started out through an initial census carried out on 1st August,2002 of the population living in the two Informal settlements (Korogocho and Viwandani). Regular visits have since then been made (3 times a year) to update information on births, deaths and migration that have occurred in the households observed at the initial census. New members join the population through a birth to a registered member, or an in-migration, while existing members leave through a death or out-migration. The DSS adopts the concept of an open cohort that allows new members to join and regular members to leave and return to the system.

Kind of data

Event history data

Frequency of data collection

Three rounds in a year

Sampling procedure

This dataset is related to the whole demographic surveillance area population. The number of respondents has varied over the last 13 years (2002-2015), with variations being observed at both household level and at Individual level. As at 31st December 2015, 66,848 were being observed under the Nairobi HDSS living in 25,812 households distributed across two informal settlements(Korogocho and Viwandani). The variable IndividualId uniquely identifies every respondent observed while the variable LocationId uniquely identifies the room in which the individual was living at any point in time. To identify individuals who were living together at any one point in time (a household) the data can be split on location and observation dates.

Sampling deviation

None

Mode of data collection

Proxy Respondent [proxy]

Research instrument

Questionnaires are printed and administered in Swahili, the country's national language.

The questionnaires for the Nairobi HDSS were structured questionnaires based on the INDEPTH Model Questionnaire and were translated into Swahili with some modifications and additions.After an initial review the questionnaires were translated back into English by an independent translator with no prior knowledge of the survey. The back translation from the Swahili version was independently reviewed and compared to the English original. Differences in translation were reviewed and resolved in collaboration with the original translators. The English and Swahili questionnaires were both piloted as part of the survey pretest.

At baseline, a household questionnaire was administered in each household, which collected various information on household members including sex, age, relationship, and orphanhood status. In later rounds questionnaires to track the migration of the population observed at baseline, and additonal questionnaires to capture demographic and health events happening to the population have been introduced.

Cleaning operations

Data editing took place at a number of stages throughout the processing, including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of STATA data files

Where changes were made by the program, a cold deck imputation is preferred; where incorrect values were imputed using existing data from another dataset. If cold deck imputation was found to be insufficient, hot deck imputation was used, In this case, a missing value was imputed from a randomly selected similar record in the same dataset.

Some corrections are made automatically by the program(80%) and the rest by visual control of the questionnaires (20%).

1. 100% forms filled in by FRAs are rechecked for completeness, ensured that all the necessary event forms are filled in.
2. Spot checks are done on field over data collection by FRAs for reliability of data.
3. FRS instructs revisits wherever required.
4. Forms are checked on sample basis
5. Checks if all the necessary event forms are filled in.
6. Forms with inconsistencies identified at the time of entry are sent back to the field.
7. Creating and managing data entry checks for picking up inconsistencies
8. Monitoring field work: balancing work target and quality.
9. Dealing with data inconsistencies at data level and giving feedbacks to field staff.
10. Conducting training and refresher training wherever required.
11. Data cleaning

Response rate

Over the years the response rate at household level has varied between 95% and 97% with response rate at Individual Level varying between 92% and 95%. Challenges to acheiving a 100% response rate have included: - high population mobility within the study area - high population attrition - respondent fatigue - security in some areas

Sampling error estimates

Not applicable for surveillance data

Data appraisal

CentreId MetricTable QMetric Illegal Legal Total Metric RunDate KE031 MicroDataCleaned Starts 219285 2017-05-16 18:25
KE031 MicroDataCleaned Transitions 825036 825036 0 2017-05-16 18:25
KE031 MicroDataCleaned Ends 219285 2017-05-16 18:25
KE031 MicroDataCleaned SexValues 825036 2017-05-16 18:25
KE031 MicroDataCleaned DoBValues 42 824994 825036 0 2017-05-16 18:25

Kenya had a Protestant population of nearly 15.8 million people, according to the last country census conducted in 2019. Around 1.36 million Protestants lived in the capital Nairobi, the largest amount among all Kenyan counties. Nearly 882,800 people living in Kiambu adhered to Protestantism, while 715,700 Protestants dwelled in Bungoma. The religion had the highest number of followers in the country.

Abstract

The 1998 Kenya Demographic and Health Survey (KDHS) is a nationally representative survey of 7,881 wo 881 women age 15-49 and 3,407 men age 15-54. The KDHS was implemented by the National Council for Population and Development (NCPD) and the Central Bureau of Statistics (CBS), with significant technical and logistical support provided by the Ministry of Health and various other governmental and nongovernmental organizations in Kenya. Macro International Inc. of Calverton, Maryland (U.S.A.) provided technical assistance throughout the course of the project in the context of the worldwide Demographic and Health Surveys (DHS) programme, while financial assistance was provided by the U.S. Agency for International Development (USAID/Nairobi) and the Department for International Development (DFID/U.K.). Data collection for the KDHS was conducted from February to July 1998. Like the previous KDHS surveys conducted in 1989 and 1993, the 1998 KDHS was designed to provide information on levels and trends in fertility, family planning knowledge and use, infant and child mortality, and other maternal and child health indicators. However, the 1998 KDHS went further to collect more in-depth data on knowledge and behaviours related to AIDS and other sexually transmitted diseases (STDs), detailed “calendar” data that allows estimation of contraceptive discontinuation rates, and information related to the practice of female circumcision. Further, unlike earlier surveys, the 1998 KDHS provides a national estimate of the level of maternal mortality (i.e. related to pregnancy and childbearing).The KDHS data are intended for use by programme managers and policymakers to evaluate and improve health and family planning programmes in Kenya. Fertility. The survey results demonstrate a continuation of the fertility transition in Kenya. At current fertility levels, a Kenyan women will bear 4.7 children in her life, down 30 percent from the 1989 KDHS when the total fertility rate (TFR) was 6.7 children, and 42 percent since the 1977/78 Kenya Fertility Survey (KFS) when the TFR was 8.1 children per woman. A rural woman can expect to have 5.2 children, around two children more than an urban women (3.1 children). Fertility differentials by women's education level are even more remarkable; women with no education will bear an average of 5.8 children, compared to 3.5 children for women with secondary school education. Marriage. The age at which women and men first marry has risen slowly over the past 20 years. Currently, women marry for the first time at an average age of 20 years, compared with 25 years for men. Women with a secondary education marry five years later (22) than women with no education (17).The KDHS data indicate that the practice of polygyny continues to decline in Kenya. Sixteen percent of currently married women are in a polygynous union (i.e., their husband has at least one other wife), compared with 19 percent of women in the 1993 KDHS, 23 percent in the 1989 KDHS, and 30 percent in the 1977/78 KFS. While men first marry an average of 5 years later than women, men become sexual active about onehalf of a year earlier than women; in the youngest age cohort for which estimates are available (age 20-24), first sex occurs at age 16.8 for women and 16.2 for men. Fertility Preferences. Fifty-three percent of women and 46 percent of men in Kenya do not want to have any more children. Another 25 percent of women and 27 percent of men would like to delay their next child for two years or longer. Thus, about three-quarters of women and men either want to limit or to space their births. The survey results show that, of all births in the last three years, 1 in 10 was unwanted and 1 in 3 was mistimed. If all unwanted births were avoided, the fertility rate in Kenya would fall from 4.7 to 3.5 children per woman. Family Planning. Knowledge and use of family planning in Kenya has continued to rise over the last several years. The 1998 KDHS shows that virtually all married women (98 percent) and men (99 percent) were able to cite at least one modern method of contraception. The pill, condoms, injectables, and female sterlisation are the most widely known methods. Overall, 39 percent of currently married women are using a method of contraception. Use of modern methods has increased from 27 in the 1993 KDHS to 32 percent in the 1998 KDHS. Currently, the most widely used methods are contraceptive injectables (12 percent of married women), the pill (9 percent), female sterilisation (6 percent), and periodic abstinence (6 percent). Three percent of married women are using the IUD, while over 1 percent report using the condom and 1 percent use of contraceptive implants (Norplant). The rapid increase in use of injectables (from 7 to 12 percent between 1993 and 1998) to become the predominant method, plus small rises in the use of implants, condoms and female sterilisation have more than offset small decreases in pill and IUD use. Thus, both new acceptance of contraception and method switching have characterised the 1993-1998 intersurvey period. Contraceptive use varies widely among geographic and socioeconomic subgroups. More than half of currently married women in Central Province (61 percent) and Nairobi Province (56 percent) are currently using a method, compared with 28 percent in Nyanza Province and 22 percent in Coast Province. Just 23 percent of women with no education use contraception versus 57 percent of women with at least some secondary education. Government facilities provide contraceptives to 58 percent of users, while 33 percent are supplied by private medical sources, 5 percent through other private sources, and 3 percent through community-based distribution (CBD) agents. This represents a significant shift in sourcing away from public outlets, a decline from 68 percent estimated in the 1993 KDHS. While the government continues to provide about two-thirds of IUD insertions and female sterilisations, the percentage of pills and injectables supplied out of government facilities has dropped from over 70 percent in 1993 to 53 percent for pills and 64 percent for injectables in 1998. Supply of condoms through public sector facilities has also declined: from 37 to 21 percent between 1993 and 1998. The survey results indicate that 24 percent of married women have an unmet need for family planning (either for spacing or limiting births). This group comprises married women who are not using a method of family planning but either want to wait two year or more for their next birth (14 percent) or do not want any more children (10 percent). While encouraging that unmet need at the national level has declined (from 34 to 24 percent) since 1993, there are parts of the country where the need for contraception remains high. For example, the level of unmet need is higher in Western Province (32 percent) and Coast Province (30 province) than elsewhere in Kenya. Early Childhood Mortality. One of the main objectives of the KDHS was to document current levels and trends in mortality among children under age 5. Results from the 1998 KDHS data make clear that childhood mortality conditions have worsened in the early-mid 1990s; this after a period of steadily improving child survival prospects through the mid-to-late 1980s. Under-five mortality, the probability of dying before the fifth birthday, stands at 112 deaths per 1000 live births which represents a 24 percent increase over the last decade. Survival chances during age 1-4 years suffered disproportionately: rising 38 percent over the same period. Survey results show that childhood mortality is especially high when associated with two factors: a short preceding birth interval and a low level of maternal education. The risk of dying in the first year of life is more than doubled when the child is born after an interval of less than 24 months. Children of women with no education experience an under-five mortality rate that is two times higher than children of women who attended secondary school or higher. Provincial differentials in childhood mortality are striking; under-five mortality ranges from a low of 34 deaths per 1000 live births in Central Province to a high of 199 per 1000 in Nyanza Province. Maternal Health. Utilisation of antenatal services is high in Kenya; in the three years before the survey, mothers received antenatal care for 92 percent of births (Note: These data do not speak to the quality of those antenatal services). The median number of antenatal visits per pregnancy was 3.7. Most antenatal care is provided by nurses and trained midwives (64 percent), but the percentage provided by doctors (28 percent) has risen in recent years. Still, over one-third of women who do receive care, start during the third trimester of pregnancy-too late to receive the optimum benefits of antenatal care. Mothers reported receiving at least one tetanus toxoid injection during pregnancy for 90 percent of births in the three years before the survey. Tetanus toxoid is a powerful weapon in the fight against neonatal tetanus, a deadly disease that attacks young infants. Forty-two percent of births take place in health facilities; however, this figure varies from around three-quarters of births in Nairobi to around one-quarter of births in Western Province. It is important for the health of both the mother and child that trained medical personnel are available in cases of prolonged labour or obstructed delivery, which are major causes of maternal morbidity and mortality. The 1998 KDHS collected information that allows estimation of mortality related to pregnancy and childbearing. For the 10-year period before the survey, the maternal mortality ratio was estimated to be 590 deaths per 100,000 live births. Bearing on average 4.7 children, a Kenyan woman has a 1 in 36 chance of dying from maternal causes during her lifetime. Childhood Immunisation. The KDHS

Demographics, clinical characteristics and number of cases by year of diagnosis for incident cancer cases in Nairobi Kenya (2010–2019) of the cleaned dataset (n = 7584).

Abstract

This report documents demographic characteristics and health conditions of Nairobi City's slum residents based on a representative sample survey of urban informal settlement residents carried out from February to June 2000. The aims of the "Nairobi Cross-sectional Slums Survey (NCSS)" were to determine the magnitude of the general and health problems facing slum residents, and to compare the demographic and health profiles of slum residents to those of residents of other urban and rural areas as depicted in the 1998 Kenya Demographic and Health Survey (KDHS). The NCSS is probably the first comprehensive survey explicitly designed to provide demographic and health indicators for sub-Saharan city slum residents.

Geographic coverage

Informal settlements in Nairobi county, Kenya: Central, Makadara, Kasarani, Embakasi, Pumwani, Westlands, Dagoretti and Kibera

Analysis unit

Individuals and Households

Universe

The survey covered all women aged 15-49 years and adolescent boys and girls aged 12-24 years resident in the househol

Sampling procedure

Based on census enumeration areas used in the 1999 Kenya National Census, a weighted cross-sectional sample was designed that is representative of households in all slum clusters of Nairobi. A two-stage stratified sample design was used. Sample points or enumeration areas (EAs) were selected at the first stage of sampling while households were selected from sampled EAs at the second stage. To generate a sampling frame, the NCSS used all the household listings for Nairobi province from the 1999 census. This listing contains the name of the division, location, sub-location, enumeration area as well as structure number, structure owner, number of dwelling units and use of structure (dwelling, business, dwelling/business). Processing of listing forms and identification of slum EAs were conducted in close collaboration with Central Bureau of Statistics (CBS) staff from both the headquarters and the different locations throughout Nairobi.

Before processing the data to generate a sampling frame, two important activities were undertaken. First, two of the EAs were selected and CBS maps were used to identify structures that were indicated and the name of the structure owner, and to assess the number of dwelling units in the structure. The objective of this exercise was to determine if field teams would be able to find selected structures and dwelling units using the CBS enumeration lists. The second activity sought to validate the completeness of the sampling frame. In this second activity, a random sample of one percent of the slum EAs were selected and a fresh listing of structures and dwelling units in each was conducted. A comparison of these structures and dwelling units with the original listing provided by the CBS showed a difference of only 0.7 percent.

Once the sampling frame was validated for completeness, a database of structures was generated from the listing forms and then expanded using the numbers of dwelling units in a given structure to create a sampling frame based on dwelling units. The frame consisted of 31 locations, with at least one slum enumeration area (EA), 48 sub-locations, 1,364 EAs, 29,895 structures, and 250,620 dwelling units.

The first stage of the sampling procedure yielded 98 EAs, while the second stage produced 5463 households. Since dwelling units were neither numbered nor was information collected on household headship during the listing exercise, a method was devised for identifying selected dwelling units within structures. After identifying the right structure (using the map, the name of the owner, the number of dwelling units, and any other physical landmarks noted on the map), fieldworkers identified the selected dwelling unit by first identifying all dwelling units and then counting from the left until they reach the selected number. A dwelling unit generally refers to one or more rooms occupied by the same household within one structure. Although this often corresponds to a room, a household may reside in more than one room. Interviewers were instructed to identify households occupying more than one room and then to count these as one dwelling unit before numbering and identifying the selected dwelling unit.

In each selected dwelling unit, a household questionnaire schedule was completed to identify household members and visitors who would be eligible for individual interviews. All female household members and visitors who slept in the house the previous night and are aged 12 to 49 years were eligible for individual female interviews while all male members and visitors aged 12 to 24 years old were eligible for male interviews. A full census of all sampled households was also carried out. In total, the NCSS administered interviews to 4564 households, 3256 women of reproductive age (15-49), and 1683 adolescent boys (Table 1.2). The 1,934 adolecent girls (whose results are compared with those for boys) comprise 316 aged 12-14 and 1,1618 aged 15-24. Details of the sample design are given in Appendix A.

• The household response rate is computed as the number of completed household interviews divided by the number of eligible households. For the NCSS, 90% of the sampled households (4856) were eligible (i.e. sampled households minus households that were vacant, destroyed, and where all members were absent).

Sampling deviation

None

Mode of data collection

Face-to-face [f2f]

Research instrument

The NCSS instruments were modified from KDHS instruments. Core sections of the 1998 KDHS were replicated without revision, but the service delivery exposure questions were modified so that questions were more relevant to the urban context. The similarity with the DHS questionnaires permitted direct comparison to national, urban, rural, and Nairobi-city results derived from the 1998 KDHS. The fact that the NCSS was carried out less than two years following the DHS ensured that findings were timely enough for useful comparison.

Three instruments were used in this survey: The first one was the household schedule, which enabled us to conduct a full household census from which all eligible respondents were identified. This instrument solicited information on background characteristics of households. The second instrument was for individual women age 12-49, and it had modules on their background and mobility, reproduction, contraception, pregnancy, ante-natal and post-natal care, child immunization and health, marriage, fertility preferences, husband's background and the woman's work and livelihood activities. Information on AIDS and other sexually transmitted infections was also sought, as was information on general and health matters.

The third instrument was the adolescent questionnaire for young women and men age 12-24. The adolescent questionnaire was designed to investigate health, livelihood, and social issues pertaining to adolescents in the slum communities.

NB: All questionnaires and modules are provided as external resources.

Cleaning operations

A total of 49 interviewers (37 women and 12 men), 3 office editors and 4 data-entry clerks were trained for two weeks, from February 17 through March 3, 2000. On the last day of training, the instruments were pre-tested and revised before finalizing them for fieldwork. Fieldwork started on March 5, 2000 and ended on June 4, 2000. Fieldworkers were sent to the field in six teams -each with at least one male interviewer, three or four female interviewers, one supervisor, and a field editor. Three trainees were retained as office editors to edit all questionnaires coming from the field before the questionnaires were sent for data entry.

Response rate

Households : 94.0%

Women (15-49) : 97.0%

Adolescents Girls (12-24): 88.1%

Adolescents Boys (12-24): 91.3%

Abstract

As part of a partnership led by the London School of Hygiene and Tropical Medicine, the African Population and Health Research Center (APHRC) aims to evaluate the impact of the DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women) Initiative in two urban informal settlements (Korogocho and Viwandani), where the Center has been running the Nairobi Urban and Health Demographic Surveillance System (NUHDSS) since 2002. The overall goal of the DREAMS Initiative is to reduce new HIV infections among the most vulnerable adolescent girls and young women (AGYW) aged 10-24 years in 10 subSaharan African countries including Kenya.

The specific objectives of the evaluation were to: measure whether HIV-related outcomes change due to DREAMS interventions at a population level; to explore the pathways of protection by which DREAMS interventions influence the lives of young women and ultimately their risk for HIV; and to assess the extent to which the DREAMS interventions were delivered as intended. The non-experimental impact evaluation, which was conducted over 3 years, adopted a mixed methods approach. used data from the NUHDSS and a new DREAMS module administered to all women and men aged 15 to 49 years to assess some of the key outcomes, including timing of first sex, number of sexual partners and condom use. The information collected from other age groups in the NUHDSS served to place findings from AGYW in context.

To explore the pathways of protection by which DREAMS interventions influence the lives of young women and ultimately their HIV status, we recruited a closed cohort of approximately 1500 AGYW aged 10-22 years evenly split by age group (10-14 years, 15-17 years, 18-22 years). The cohort was a random sample drawn from the NUHDSS database and stratified by age, area of residence, and schooling status. These young people completed a DREAMS survey at three time points—in 2017, 2018 and 2019—to assess changes in the key outcomes as well as key mediators such as empowerment, self-efficacy and social support.

Finally, we conducted in-depth interviews with a purposively selected group of AGYW and focus group discussions with a range of parents and young people to explore experiences with and perceived effects of the DREAMS initiative. We also conducted key informant interviews with DREAMS implementers within the study and observations of various DREAMS activities in order to assess: 1) whether components of the DREAMS intervention are implemented as scheduled and planned; 2) the barriers and facilitators to implementation; and 3) staff members’ and beneficiaries’ perceptions and value of the interventions. Quantitative data was collected on Android-based tablets using Survey-CTO software. Qualitative interviews were audio-recorded and directly transcribed.

Geographic coverage

Nairobi County

Analysis unit

Individuals.

Universe

The survey covered a random sample of women and men aged 15 to 49 years, and young girls aged 10-14 years.

Sampling procedure

We recruited a closed cohort of approixmately1200 AGYW aged 10-22 years (400 aged 10-14 years, 400 aged 15-17 years, and 400 aged 18-22 years). Within each age cohort, we sampled an additional 100 AGYW to account for attrition, meaning that the initial sample comprised 1500 AGYW. The cohort was a random sample of AGYW drawn from the Nairobi Urban Health and Demographic Surveillance Sites (NUHDSS) database stratified by age, area of residence (Viwandani and Korogocho), and schooling status for 15-22 year olds (in and out of school). These young people completed a DREAMS Cohort Survey at three time points: baseline, 12 months and 24 months, at time points closest aligned with periods before, during and after DREAMS implementation (specific timelines were determined by the NUHDSS activities planned within each site). Detailed contact information was collected at baseline to enhance follow-up of young people who migrate from the original households in the NUHDSS during the follow-up period.

For the GPC, a census approach was adopted with an aim of reaching all men and women aged 15-49 who were residents in the NUHDSS.

Sampling deviation

n/a

Mode of data collection

Face-to-face [f2f]

Research instrument

General Population Component (GPC) and closed cohort of AGYW aged 15-22 years This survey was administered to all women and men aged 15-49 years who were considered eligible, competent and willing to participate in the study. Eligible respondents were determined by the pattern of their residency i. e if they were usual members of the households, if they had lived in the study area and qualified as permanent NUHDSS residents. The tool was made up of 5 sections; · Socio-demographic data · Measuring exposure to dreams · Questions to measure mediating variables · Questions on sexual behavior outcomes · Measuring biological pathways of protection

Global Early Adolescent Survey (GEAS) - Borrowed modules This survey was administered to adolescent girls aged 10-14 years. It sought to explore healthy sexuality in early adolescents and understand normative expressions of masculinity and femininity. It was made up of 6 sections: · Socio-demographic data · DREAMS exposure matrix · Vignettes · Gender norms
· Health literacy · Sexual behavior · Empowerment

Cleaning operations

Weekly meetings were held by the team to check and revise inconsistencies with the data. Data cleaning was conucted which included duplicates checks, consistency checks, missingness etc Variables were recoded during analysis.

Response rate

GEAS(10-14 years): At enrolment, we targeted a minimum sample of 500 girls aged 10-14 years. A random list of 1017 potentially eligible girls was generated from the most recent NUHDSS survey, and attempts were made to reach all girls in the list. Out of the random list of 1017 EAG, 333 (32.7%) were no longer eligible at the time of visit, due to reasons like out-migrations and age ineligibility. Of the remaining 684, 46 (6.7%) were absent from their residence for extended periods of time, 23 (3.4%) had their structures located but respondents' whereabouts were unknown, and 9 (1.5%) refused to participate either by self or their parents/guardians, leaving 606 (88.6%) who consented and completed the interviews in round 1 (2017).

At baseline we targeted a minimum sample of 1000 AGYW aged 15-22 years. A random list of 2599 AGYW was generated. Of these, 829 (31.9%) were no longer eligible at the time of visit. Of the remaining 1770, 6 (0.34%) had incomplete interviews, 241 (13.62%) were absent from their residence for extended period of time, 283 (16%) refused to participate either by self or their parents/guardians, and 159 (9%) had their structures located but respondents' whereabouts were unkown, leaving 1081 (61.1%) with successful interviews.

Sampling error estimates

n/a

Key information about Kenya Monthly Earnings

• Kenya Monthly Earnings stood at 590 USD in Jun 2023, compared with the previous figure of 639 USD in Jun 2022
• Kenya Monthly Earnings data is updated yearly, available from Jun 1997 to Jun 2023, with an average number of 420 USD
• The data reached the an all-time high of 651 USD in Jun 2020 and a record low of 157 USD in Jun 1997

CEIC calculates Monthly Earnings from annual Average Wage Earnings divided by 12 and converts it into USD. The Kenya National Bureau of Statistics provides Average Wage Earnings in local currency. The Central Bank of Kenya average market exchange rate is used for currency conversions. Monthly Earnings are in annual frequency, ending in June of each year. Monthly Earnings prior to 2008 are based on ISIC Rev. 2.


Further information about Kenya Monthly Earnings

• In the latest reports, Kenya Population reached 49 million people in Dec 2021
• Unemployment Rate of Kenya increased to 3 % in Dec 2020
• The country's Labour Force Participation Rate increased to 74 % in Dec 2023