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

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.

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.

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.

Total population in Nairobi Kenya, 2021

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.

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.

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.

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.

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

Abstract

The 2022 Kenya Demographic and Health Survey (2022 KDHS) was implemented by the Kenya National Bureau of Statistics (KNBS) in collaboration with the Ministry of Health (MoH) and other stakeholders. The survey is the 7th KDHS implemented in the country.

The primary objective of the 2022 KDHS is to provide up-to-date estimates of basic sociodemographic, nutrition and health indicators. Specifically, the 2022 KDHS collected information on: • Fertility levels and contraceptive prevalence • Childhood mortality • Maternal and child health • Early Childhood Development Index (ECDI) • Anthropometric measures for children, women, and men • Children’s nutrition • Woman’s dietary diversity • Knowledge and behaviour related to the transmission of HIV and other sexually transmitted diseases • Noncommunicable diseases and other health issues • Extent and pattern of gender-based violence • Female genital mutilation.

The information collected in the 2022 KDHS will assist policymakers and programme managers in monitoring, evaluating, and designing programmes and strategies for improving the health of Kenya’s population. The 2022 KDHS also provides indicators relevant to monitoring the Sustainable Development Goals (SDGs) for Kenya, as well as indicators relevant for monitoring national and subnational development agendas such as the Kenya Vision 2030, Medium Term Plans (MTPs), and County Integrated Development Plans (CIDPs).

Geographic coverage

National coverage

Analysis unit

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

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, men ageed 15-54, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

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 uses to conduct household-based sample surveys in Kenya. The frame is based on the 2019 Kenya Population and Housing Census (KPHC) data, in which 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 randomised into four equal subsamples. A survey can utilise a subsample or a combination of subsamples based on the sample size requirements. The 2022 KDHS sample was drawn from subsample one of the K-HMSF. The EAs were developed into clusters through a process of household listing and geo-referencing. The Constitution of Kenya 2010 established a devolved system of government in which Kenya is divided into 47 counties. To design the frame, each of the 47 counties in Kenya was stratified into rural and urban strata, which resulted 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 separately, and, for some indicators, at the county level. The sample size was computed at 42,300 households, with 25 households selected per cluster, which resulted in 1,692 clusters spread across the country, 1,026 clusters in rural areas, and 666 in urban areas. The sample was allocated to the different sampling strata using power allocation to enable comparability of county estimates.

The 2022 KDHS employed a two-stage stratified sample design where in the first stage, 1,692 clusters were selected from the K-HMSF using the Equal Probability Selection Method (EPSEM). The clusters were selected independently in each sampling stratum. Household listing was carried out in all the selected clusters, and the resulting list of households served as a sampling frame for the second stage of selection, where 25 households were selected from each cluster. However, after the household listing procedure, it was found that some clusters had fewer than 25 households; therefore, all households from these clusters were selected into the sample. This resulted in 42,022 households being sampled for the 2022 KDHS. Interviews were conducted only in the pre-selected households and clusters; no replacement of the preselected units was allowed during the survey data collection stages.

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

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

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

Cleaning operations

CAPI was used during data collection. The devices used for CAPI were Android-based computer tablets programmed with a mobile version of CSPro. The CSPro software was developed jointly by the U.S. Census Bureau, Serpro S.A., and The DHS Program. Programming of questionnaires into the Android application was done by ICF, while configuration of tablets was completed by KNBS in collaboration with ICF. All fieldwork personnel were assigned usernames, and devices were password protected to ensure the integrity of the data.

Work was assigned by supervisors and shared via Bluetooth® to interviewers’ tablets. After completion, assigned work was shared with supervisors, who conducted initial data consistency checks and edits and then submitted data to the central servers hosted at KNBS via SyncCloud. 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 identify any errors, which were communicated back to the field teams for correction.

Secondary editing was done by members of the KNBS and ICF 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 survey, 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. Of these, 32,156 women were interviewed, yielding a response rate of 95%. The response rates among women selected for the full and short questionnaires were similar (95%). In the households selected for the men’s 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%.

Sampling error estimates

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

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 KDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

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

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

Data

Kenya had over 12 million households according to the last census done in 2019. The majority, some 7.4 million, lived in urban areas, while 4.7 million dwelled in rural zones. Nairobi City was the county with more households, approximately 1.5 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

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

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

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.

Sensitivity analysis; varying time frames in the interrupted time series analyses of median monthly time to cancer treatment initiation of 2010–2019 Nairobi Cancer Registry data; Healthcare workers strike (2018) for Nairobi County - Forecasting counterfactual from March 2015.

Kenya recorded 102.2 male births per 100 female births in 2021. The country's gender ratio kept stable since 2011, after increasing from 101.9 in 2000.

Revised dataset used for analysis

https://doi.org/10.5061/dryad.kh18932fs

Attached is a CSV coma delimitted excel template with biodata (sociodemographic information) and the results on the responses

Description of the data and file structure

The responses are as responded by the participiants during data collection and no variations were done, the questionnaire used was an interviewer administered questionnaire so there were claridfications were done for grey areas, and response rate was excellent with no missing data/responses,

The abbreviation STI means sexually transmitted infection

The data collected was purely for the purposes of the study and only guided by the research questions

NA in the dataset denotes not applicable

All the blank cells were worked on (no blank cells)

Identifiers were minimsed to three and ages were grouped