The world's population first reached one billion people in 1803, and reach eight billion in 2023, and will peak at almost 11 billion by the end of the century. Although it took thousands of years to reach one billion people, it did so at the beginning of a phenomenon known as the demographic transition; from this point onwards, population growth has skyrocketed, and since the 1960s the population has increased by one billion people every 12 to 15 years. The demographic transition sees a sharp drop in mortality due to factors such as vaccination, sanitation, and improved food supply; the population boom that follows is due to increased survival rates among children and higher life expectancy among the general population; and fertility then drops in response to this population growth. Regional differences The demographic transition is a global phenomenon, but it has taken place at different times across the world. The industrialized countries of Europe and North America were the first to go through this process, followed by some states in the Western Pacific. Latin America's population then began growing at the turn of the 20th century, but the most significant period of global population growth occurred as Asia progressed in the late-1900s. As of the early 21st century, almost two thirds of the world's population live in Asia, although this is set to change significantly in the coming decades. Future growth The growth of Africa's population, particularly in Sub-Saharan Africa, will have the largest impact on global demographics in this century. From 2000 to 2100, it is expected that Africa's population will have increased by a factor of almost five. It overtook Europe in size in the late 1990s, and overtook the Americas a decade later. In contrast to Africa, Europe's population is now in decline, as birth rates are consistently below death rates in many countries, especially in the south and east, resulting in natural population decline. Similarly, the population of the Americas and Asia are expected to go into decline in the second half of this century, and only Oceania's population will still be growing alongside Africa. By 2100, the world's population will have over three billion more than today, with the vast majority of this concentrated in Africa. Demographers predict that climate change is exacerbating many of the challenges that currently hinder progress in Africa, such as political and food instability; if Africa's transition is prolonged, then it may result in further population growth that would place a strain on the region's resources, however, curbing this growth earlier would alleviate some of the pressure created by climate change.

Issues related to devices connected to the Internet for private reasons, by demographic characteristics. National.

Existing studies show how population growth and rising incomes will cause a massive increase in the future global demand for food. We add to the literature by estimating the potential effect of increases in human weight, caused by rising BMI and height, on future calorie requirements. Instead of using a market based approach, the estimations are solely based on human energy requirements for maintenance of weight. We develop four different scenarios to show the effect of increases in human height and BMI. In a world where the weight per age-sex group would stay stable, we project calorie requirements to increases by 61.05 percent between 2010 and 2100. Increases in BMI and height could add another 18.73 percentage points to this. This additional increase amounts to more than the combined calorie requirements of India and Nigeria in 2010. These increases would particularly affect Sub-Saharan African countries, which will already face massively rising calorie requirements due to the high population growth. The stark regional differences call for policies that increase food access in currently economically weak regions. Such policies should shift consumption away from energy dense foods that promote overweight and obesity, to avoid the direct burden associated with these conditions and reduce the increases in required calories. Supplying insufficient calories would not solve the problem but cause malnutrition in populations with weak access to food. As malnutrition is not reducing but promoting rises in BMI levels, this might even aggravate the situation.

Problems with purchase or order of goods or services over the Internet in the last 3 months by socioeconomic characteristics. National.

As of June 2024, over 40 percent of the surveyed population in Ecuador stated the main problem in the country was crime, drug trafficking or the situation with cartels. Corruption and unemployment followed with 22.37 percent and 15.39 percent respectively.

Persons living with housing problems, by select housing-vulnerable populations and affordability, suitability, adequacy and core housing need indicators, Canada. Vulnerable population refers to persons belonging, or perceived as belonging, to groups that are in a disadvantaged position or marginalized.

Population by limitations of everyday activities due to health problems, sex, age group, main source of subsistence and place of residence, 31 december 2011.

Problems in the dwelling, by sex, nationality and age group. Population aged 0 years old and over. National.

Political attitudes and behaviors with regard to demographic change.

Topics: Assessment of the national economic situation (retrospective, current, prospective); concern regarding demographic change; anticipated problems caused by an aging society; perceived age limit of older and younger people; knowledge test: Proportion of the country´s population over 65; perception of commonalities in own age group; perceived frequency of media reports on generational conflicts; political interest; assessment of one´s own economic situation (retrospective, current, prospective); voter turnout (Sunday question); party preference (voters and non-voters); perceptions of social conflicts between selected social groups (people with and without children, politically left and right, young and old, poor and rich, employed and retired, Germans and foreigners, East Germans and West Germans); most important political goals (post-materialism, Inglehart indicators); opinion on selected statements about old and young (frequent abuse of social benefits in Germany, assessment of representation of younger people´s interests in politics, assessment of representation of older people in political positions, older people should organize their own party, older people should support younger people and younger people should support older people); perceived strength of general intergenerational support; financial support of a family member of another generation resp. frequency of self-received financial support (intergenerational transfers); frequency of support from a person in everyday life who belongs to another generation or frequency of self-received support; satisfaction with democracy; political trust (Bundestag, politicians, Federal Constitutional Court, federal government, media); opinion on selected statements about young and old (importance of contact with significantly younger persons, evaluation of the representation of the interests of older persons in politics, older persons live at the expense of the following generations, older persons have built up what the younger persons live on today, importance of contact with significantly older persons, evaluation of the representation of younger persons in political positions; political efficacy; electoral norm (voter turnout as a civic duty); sympathy scalometer of political parties (CDU/CSU, SPD, FDP, Greens, Die Linke); satisfaction with selected policy areas (reduction of unemployment, health, education, financial security for the elderly, family, care in old age); preferred level of government spending in the aforementioned areas; preferred government responsibility in the aforementioned areas; most competent party to solve the problems in the aforementioned areas (problem-solving competence); salience of the aforementioned policy areas; self-ranking on a left-right continuum; assessment of the representation of older people´s interests by political parties (CDU/CSU, SPD, FDP, Greens, Die Linke); assessment of the representation of younger people´s interests by political parties (CDU/CSU, SPD, FDP, Greens, Die Linke); recall Bundestag elections 2013 (voter turnout, voting decision); expected occurrence of various future scenarios (conflicts between older and younger people, refusal of younger people to pay for the pensions of older people, older people more likely to assert their political interests than younger people, increasing old-age poverty, refusal of younger people to pay for the medical care of older people, Germany will no longer be able to afford current pension levels, Elderly will no longer receive all available medical benefits); reliance most likely on state, family or self for own retirement; knowledge test: Year of phased introduction of retirement at 67; civic engagement; hours per week of volunteering; perception of social justice; general life satisfaction; party affiliation and strength of party identification; concerns regarding own retirement security (financial/medical) or feared unemployment; religious affiliation; religiosity; salience of selected life domains (family and friends, health, leisure, politics, income, education, work, and occupation); self-assessment of class affiliation; residence description.

Demography: age (grouped) and year of birth; sex; household size; number of persons under 18 in household; household composition (one, two, or three generations); number of children and grandchildren; regrets about own childlessness; partnership; living with partner; married to partner; German citizenship; German citizenship since birth or year of acquiring German citizenship; country of birth (in the old federal states (West Germany, in the new federal states (East Germany or former GDR) or abroad); highest school degree; university degree; current and former employment; current and former occupation.

Additionally coded were: Federal state; area; region West East; weighting factors; interview date.

In 2022, the state with the highest median age of its population was Maine at 45.1 years. Utah had the lowest median age at 32.1 years. View the distribution of the U.S. population by ethnicity here.

Additional information on the aging population in the United States

High birth rates during the so-called baby boom years that followed World War II followed by lower fertility and morality rates have left the United States with a serious challenge in the 21st Century. However, the issue of an aging population is certainly not an issue unique to the United States. The age distribution of the global population shows that other parts of the world face a similar issue.

Within the United States, the uneven distribution of populations aged 65 years and over among states offers both major challenges and potential solutions. On the one hand, federal action over the issue may be contentious as other states are set to harbor the costs of elderly care in states such as California and Florida. That said, domestic migration from comparably younger states may help to fill gaps in the workforce left by retirees in others.

Nonetheless, aging population issues are set to gain further prominence in the political and economic decisions made by policymakers regardless of the eventual distribution of America’s elderly. Analysis of the financial concerns of Americans by age shows many young people still decades from retirement hold strong concern over their eventual financial position.

Population by sex, age, disability status and having a longstanding health problem

This table contains 24 series, with data for years 2001 - 2001 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (1 items: Canada ...), Time of day, needed immediate care for a minor health problem (3 items: Needed immediate care for a minor health problem during regular hours; Needed immediate care for a minor health problem during the middle of the night; Needed immediate care for a minor health problem during evenings and weekends ...), Characteristics (8 items: Number of persons; Coefficient of variation; number of persons; Low 95% confidence interval; number of persons; High 95% confidence interval; number of persons ...).

In 2022, over 50 percent of residents in Spain whose education level was primary education or lower and first stage secondary education had difficulties making ends meet. Moreover, in both cases nearly 12 percent of such individuals made ends meet with a great deal of difficulty. On the flip side, those with higher education had a much lower difficulty covering their necessary expenses.

Population by limitations of everyday activities due to health problems, sex, age group, educational attainment, and place of residence (county), 31 december 2021.

Snapshot img

US Population Health Management Market Size 2025-2029

The US population health management (PHM) market size is forecast to increase by USD 6.04 billion, at a CAGR of 7.4% between 2024 and 2029.

Population Health Management (PHM) is a critical aspect of healthcare delivery In the modern era, focusing on improving the health outcomes of large populations. The market is experiencing significant growth, driven by several key trends. One of the primary factors fueling this growth is the increasing adoption of healthcare IT solutions. These technologies enable healthcare providers to collect, manage, and analyze large amounts of patient data, facilitating personalized care and population health improvement. Another trend is the growing adoption of analytics in PHM. Analytics tools help identify patterns and insights from data, enabling early intervention and prevention of diseases. However, the high perceived costs associated with PHM solutions remain a challenge for market growth. Despite this, the benefits of PHM, including improved patient outcomes and reduced healthcare costs, make it a worthwhile investment for healthcare organizations.

What will be the Size of the market During the Forecast Period?

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Population Health Management (PHM) is a proactive healthcare approach focusing on improving the wider determinants of health and addressing health inequalities in various physical, economic, and social contexts. The market reflects the growing recognition of the importance of system-wide outcome focus, local intelligence, and data-driven decision-making in addressing ill health and managing chronic conditions such as cardiovascular disease. PHM integrates qualitative and quantitative data to identify and address the unique needs of populations, enabling personalized interventions and care models. Infrastructure, leadership, and information governance are crucial elements in implementing effective PHM strategies. 
Payment reform and incentives are driving the transformation of healthcare systems towards a more integrated care model, reducing hospitalization and improving overall population health. The market is experiencing significant growth due to the increasing awareness of the importance of addressing the root causes of ill health and the need for a more holistic approach to healthcare. This shift towards PHM is influenced by the economic, social, and demographic changes In the global population, emphasizing the need for a more resource-efficient and sustainable healthcare system.

How is this market segmented and which is the largest segment?

The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Product

  Software
  Services


Deployment

  Cloud
  On-premises


End-user

  Healthcare providers
  Healthcare payers
  Employers and government bodies


Geography

  US

By Product Insights

The software segment is estimated to witness significant growth during the forecast period.

Population Health Management (PHM) software is a crucial tool In the US healthcare sector, collecting and analyzing patient data from various healthcare systems to predict health conditions and improve overall patient care. Advanced data analytics, including data visualizations and business intelligence, enable PHM software to identify health risks within communities and promote value-based care. The adoption of PHM software is on the rise due to the increasing prevalence of chronic conditions and the demand for efficient, cost-effective healthcare. PHM software also facilitates system-wide outcome focus, integrating qualitative and quantitative data, local intelligence, and decision-making to redesign care services for at-risk groups.

The US healthcare transformation prioritizes PHM, with NHS England, NHS trusts, Public health, VCSE organizations, and Integrated Care Systems (ICSs) utilizing PHM software to address health inequalities and improve health outcomes. PHM software's infrastructure, leadership, information governance, and digital infrastructure support the integration of interventions, care models, hospitalization incentives, payment reforms, and integrated care systems. PHM software plays a vital role in addressing health issues such as cardiovascular disease (CVD) and improving overall population health.

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Market Dynamics

Our US Population Health Management (PHM) Market researchers analyzed the data with 2024 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.

What are the key market drivers leading to the rise in adopti

The American Samoa Summary File contains data on population and housing subjects compiled from questions on the 2010 American Samoa Census questionnaire. Population subjects include age, sex, children ever born, citizenship status, foreign-born status, disability status, educational attainment, ethnic origin or race, family type, grandparents as caregivers, group quarters population, health insurance coverage status, household type and relationship, employment status and subsistence activity, work experience, class of worker, industry, occupation, place of work, journey to work, travel time to work, language spoken at home and frequency of language usage, marital status, nativity, year of entry, place of birth, parents' place of birth, earnings, income, remittances sent abroad, poverty status, residence in 2009, reason for moving, school enrollment, vocational training, military dependents and veteran status. Housing subjects include air conditioning, battery-operated radio ownership, computer ownership, gross rent, internet service, kitchen facilities, cooking facilities, mortgage status, number of rooms, number of bedrooms, occupancy status, occupants per room, plumbing facilities, condominium fee, selected monthly owner costs, sewage disposal, water supply, source of water, telephone service available, tenure, type of building materials, units in structure, vacancy status, value of home, vehicles available, year householder moved into unit and year structure built. The data are organized in 405 tables, one variable per table cell, which are presented at up to 19 levels of observation, including American Samoa as a whole, districts (including two separate atolls), counties, villages, census tracts, block groups, blocks and 5-digit ZIP Code Tabulation Areas. Fifty tables are presented at the block level and higher, 250 at the block group level and higher and 105 at the census tract level and higher. Additionally, the tables are iterated for the urban and rural geographic components of districts/atolls and 21 geographic components of American Samoa as a whole: 15 urban components (total urban, urbanized areas, urban clusters, and urbanized areas and urban clusters of various population sizes) and 6 rural components (total rural, rural areas outside places, rural areas inside places and inside places of various population sizes). Due to problems in the initial version, the Census Bureau ultimately issued the tables as three data products. The first or main release comprises 32 data files with all the tables except PBG7 (Nativity by Citizen Status by Year of Entry), PBG9 (Year of Entry for the Foreign-born Population) and ten tables on selected monthly owner costs, the tables HBG72, HBG73, HBG74, HBG75, HBG76, HBG77, HBG78, HCT17, HCT18, and HCT19. The second, called the American Samoa Year of Entry Summary File, consists of two data files with the tables PBG7 and PBG9. The third is a document file with the ten tables on selected monthly owner costs. This data collection comprises a codebook and three ZIP archives. The first archive contains the 32 data files in the main release, the second the two Year of Entry data files and the third contains the document file with the ten selected monthly owner costs tables and additional technical documentation.

Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, the decennial census is the official source of population totals for April 1st of each decennial year. In between censuses, the Census Bureau's Population Estimates Program produces and disseminates the official estimates of the population for the nation, states, counties, cities, and towns and estimates of housing units and the group quarters population for states and counties..Information about the American Community Survey (ACS) can be found on the ACS website. Supporting documentation including code lists, subject definitions, data accuracy, and statistical testing, and a full list of ACS tables and table shells (without estimates) can be found on the Technical Documentation section of the ACS website.Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section..Source: U.S. Census Bureau, 2019-2023 American Community Survey 5-Year Estimates.ACS data generally reflect the geographic boundaries of legal and statistical areas as of January 1 of the estimate year. For more information, see Geography Boundaries by Year..Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estimates are subject to nonsampling error (for a discussion of nonsampling variability, see ACS Technical Documentation). The effect of nonsampling error is not represented in these tables..Users must consider potential differences in geographic boundaries, questionnaire content or coding, or other methodological issues when comparing ACS data from different years. Statistically significant differences shown in ACS Comparison Profiles, or in data users' own analysis, may be the result of these differences and thus might not necessarily reflect changes to the social, economic, housing, or demographic characteristics being compared. For more information, see Comparing ACS Data..The 60 years and over column of data refers to the age of the householder for the estimates of households, occupied housing units, owner-occupied housing units, and renter-occupied housing units lines..The age specified on the population 15 years and over, population 25 years and over, population 30 years and over, civilian population 18 years and over, civilian population 5 years and over, population 1 years and over, population 5 years and over, and population 16 years and over lines refer to the data shown in the "Total" column while the second column is limited to the population 60 years and over..Telephone service data are not available for certain geographic areas due to problems with data collection of this question that occurred in 2019. Both ACS 1-year and ACS 5-year files were affected. It may take several years in the ACS 5-year files until the estimates are available for the geographic areas affected..Estimates of urban and rural populations, housing units, and characteristics reflect boundaries of urban areas defined based on 2020 Census data. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..Explanation of Symbols:- The estimate could not be computed because there were an insufficient number of sample observations. For a ratio of medians estimate, one or both of the median estimates falls in the lowest interval or highest interval of an open-ended distribution. For a 5-year median estimate, the margin of error associated with a median was larger than the median itself.N The estimate or margin of error cannot be displayed because there were an insufficient number of sample cases in the selected geographic area. (X) The estimate or margin of error is not applicable or not available.median- The median falls in the lowest interval of an open-ended distribution (for example "2,500-")median+ The median falls in the highest interval of an open-ended distribution (for example "250,000+").** The margin of error could not be computed because there were an insufficient number of sample observations.*** The margin of error could not be computed because the median falls in the lowest interval or highest interval of an open-ended distribution.***** A margin of error is not appropriate because the corresponding estimate is controlled to an independent population or housing estimate. Effectively, the corresponding estimate has no sampling error and the margin of error may be...

Abstract

The 1993 Turkish Demographic and Health Survey (TDHS) is a nationally representative survey of ever-married women less than 50 years old. The survey was designed to provide information on fertility levels and trends, infant and child mortality, family planning, and maternal and child health. The TDHS was conducted by the Hacettepe University Institute of Population Studies under a subcontract through an agreement between the General Directorate of Mother and Child Health and Family Planning, Ministry of Health and Macro International Inc. of Calverton, Maryland. Fieldwork was conducted from August to October 1993. Interviews were carried out in 8,619 households and with 6,519 women.

The Turkish Demographic and Health Survey (TDHS) is a national sample survey of ever-married women of reproductive ages, designed to collect data on fertility, marriage patterns, family planning, early age mortality, socioeconomic characteristics, breastfeeding, immunisation of children, treatment of children during episodes of illness, and nutritional status of women and children. The TDHS, as part of the international DHS project, is also the latest survey in a series of national-level population and health surveys in Turkey, which have been conducted by the Institute of Population Studies, Haeettepe University (HIPS).

More specifically, the objectives of the TDHS are to:

Collect data at the national level that will allow the calculation of demographic rates, particularly fertility and childhood mortality rates; Analyse the direct and indirect factors that determine levels and trends in fertility and childhood mortality; Measure the level of contraceptive knowledge and practice by method, region, and urban- rural residence; Collect data on mother and child health, including immunisations, prevalence and treatment of diarrhoea, acute respiratory infections among children under five, antenatal care, assistance at delivery, and breastfeeding; Measure the nutritional status of children under five and of their mothers using anthropometric measurements.

The TDHS information is intended to assist policy makers and administrators in evaluating existing programs and in designing new strategies for improving family planning and health services in Turkey.

MAIN RESULTS

Fertility in Turkey is continuing to decline. If Turkish women maintain current fertility rates during their reproductive years, they can expect to have all average of 2.7 children by the end of their reproductive years. The highest fertility rate is observed for the age group 20-24. There are marked regional differences in fertility rates, ranging from 4.4 children per woman in the East to 2.0 children per woman in the West. Fertility also varies widely by urban-rural residence and by education level. A woman living in rural areas will have almost one child more than a woman living in an urban area. Women who have no education have almost one child more than women who have a primary-level education and 2.5 children more than women with secondary-level education.

The first requirement of success ill family planning is the knowledge of family planning methods. Knowledge of any method is almost universal among Turkish women and almost all those who know a method also know the source of the method. Eighty percent of currently married women have used a method sometime in their life. One third of currently married women report ever using the IUD. Overall, 63 percent of currently married women are currently using a method. The majority of these women are modern method users (35 percent), but a very substantial proportion use traditional methods (28 percent). the IUD is the most commonly used modern method (I 9 percent), allowed by the condom (7 percent) and the pill (5 percent). Regional differences are substantial. The level of current use is 42 percent in tile East, 72 percent in tile West and more than 60 percent in tile other three regions. "File common complaints about tile methods are side effects and health concerns; these are especially prevalent for the pill and IUD.

One of the major child health indicators is immunisation coverage. Among children age 12-23 months, the coverage rates for BCG and the first two doses of DPT and polio were about 90 percent, with most of the children receiving those vaccines before age one. The results indicate that 65 percent of the children had received all vaccinations at some time before the survey. On a regional basis, coverage is significantly lower in the Eastern region (41 percent), followed by the Northern and Central regions (61 percent and 65 percent, respectively). Acute respiratory infections (ARI) and diarrhea are the two most prevalent diseases of children under age five in Turkey. In the two weeks preceding the survey, the prevalence of ARI was 12 percent and the prevalence of diarrhea was 25 percent for children under age five. Among children with diarrhea 56 percent were given more fluids than usual.

Breastfeeding in Turkey is widespread. Almost all Turkish children (95 percent) are breastfed for some period of time. The median duration of breastfeeding is 12 months, but supplementary foods and liquids are introduced at an early age. One-third of children are being given supplementary food as early as one month of age and by the age of 2-3 months, half of the children are already being given supplementary foods or liquids.

By age five, almost one-filth of children arc stunted (short for their age), compared to an international reference population. Stunting is more prevalent in rural areas, in the East, among children of mothers with little or no education, among children who are of higher birth order, and among those born less than 24 months after a prior birth. Overall, wasting is not a problem. Two percent of children are wasted (thin for their height), and I I percent of children under five are underweight for their age. The survey results show that obesity is d problem among mothers. According to Body Mass Index (BMI) calculations, 51 percent of mothers are overweight, of which 19 percent are obese.

Geographic coverage

The Turkish Demographic and Health Survey (TDHS) is a national sample survey.

Analysis unit

• Household
• Women age 12-49
• Children under five

Universe

The population covered by the 1993 DHS is defined as the universe of all ever-married women age 12-49 who were present in the household on the night before the interview were eligible for the survey.

Kind of data

Sample survey data

Sampling procedure

The sample for the TDHS was designed to provide estimates of population and health indicators, including fertility and mortality rates for the nation as a whole, fOr urban and rural areas, and for the five major regions of the country. A weighted, multistage, stratified cluster sampling approach was used in the selection of the TDHS sample.

Sample selection was undertaken in three stages. The sampling units at the first stage were settlements that differed in population size. The frame for the selection of the primary sampling units (PSUs) was prepared using the results of the 1990 Population Census. The urban frame included provinces and district centres and settlements with populations of more than 10,000; the rural frame included subdistricts and villages with populations of less than 10,000. Adjustments were made to consider the growth in some areas right up to survey time. In addition to the rural-urban and regional stratifications, settlements were classified in seven groups according to population size.

The second stage of selection involved the list of quarters (administrative divisions of varying size) for each urban settlement, provided by the State Institute of Statistics (SIS). Every selected quarter was subdivided according tothe number of divisions(approximately 100 households)assigned to it. In rural areas, a selected village was taken as a single quarter, and wherever necessary, it was divided into subdivisions of approximately 100 households. In cases where the number of households in a selected village was less than 100 households, the nearest village was selected to complete the 100 households during the listing activity, which is described below.

After the selection of the secondary sampling units (SSUs), a household listing was obtained for each by the TDHS listing teams. The listing activity was carried out in May and June. From the household lists, a systematic random sample of households was chosen for the TDHS. All ever-married women age 12-49 who were present in the household on the night before the interview were eligible for the survey.

Mode of data collection

Face-to-face

Research instrument

Two questionnaires were used in the main fieldwork for the TDHS: the Household Questionnaire and the Individual Questionnaire for ever-married women of reproductive age. The questionnaires were based on the model survey instruments developed in the DHS program and on the questionnaires that had been employed in previous Turkish population and health surveys. The questionnaires were adapted to obtain data needed for program planning in Turkey during consultations with population and health agencies. Both questionnaires were developed in English and translated into Turkish.

a) The Household Questionnaire was used to enumerate all usual members of and visitors to the selected households and to collect information relating to the socioeconomic position of the households. In the first part of the Household Questionnaire, basic information was collected on the age, sex, educational attainment, marital status and relationship to the head of household for each person listed as a household member

Abstract

The Census is the official count of population and dwellings in Tonga, providing a ‘snapshot’ of the society and its most precious resource, its people, at a point in time. The official reference period of the census was midnight, the 30th of November, 2006.

The census provides a unique source of detailed demographic, social and economic data relating the entire population at a single point in time. Census information is used for policy setting and implementation, research, planning and other decision-making. The census is often the primary source of information used for the allocation of public funding, especially in areas such as health, education and social policy. The main users of this information are the government, local authorities, education facilities (such as schools and tertiary organizations), businesses, community organizations and the public in general.

The 2006 Census was taken under the authority of Section 8 of Statistical Act Chap. 53 of 1978 which empowers the Minister of Finance to make regulations necessary to conduct the population Census. This regulation was approved by the Cabinet and cited as Census Regulation 2006. The Census regulations also indicate that the Government Statistician would be responsible for the administration and completion of the Census. In addition, the regulations enabled the Statistics Department to carry out the necessary activities required to plan, manage and implement all the necessary Census activities.

Census planning and management

From a planning and management perspective, the Census had two main objectives. Firstly, it was to ensure that the process of collecting, compiling, evaluating, analyzing and disseminating of demographic, economic and social data was conducted in a timely and accurate manner. The development of procedures and processes for the 2006 Census of Population and Housing made use of the lessons learned in previous censuses, and built upon recommendations for improvements.

Secondly, it was a valuable opportunity for building the capacities of employees of the Statistics Department (SD), thus resulting in enhancing the image, credibility and reputation of the Department and at the same time, strengthening its infrastructure. Emphasis was placed on having a senior staff with a wide perspective and leadership qualities. Through the use of vision, planning, coordination, delegation of responsibility and a strong team spirit, the census work was conducted in an effective and efficient manner. Staffs at all levels were encouraged to have an innovative mindset in addressing issues. Incentives for other parties to participate, both within Statistics Department Tonga Tonga 2006 Census of Population and Housing viii and outside the government, were encouraged. As a result, the wider community including donors such as AusAID, the Secretariat of the Pacific Community (SPC) in Noumea, that provided the technical assistance and the general public, were able to support the census project.

Extensive and detailed planning is needed to conduct a successful census. Areas that required planning include: enumeration procedures and fieldwork, public communication, data processing and output systems, mapping and the design of census block boundaries, dissemination procedures, content determination and questionnaire development and training. These aspects, and how they interacted with each other, played a crucial role in determining the quality of all of the census outputs. Each phase therefore required careful, methodical planning and testing. The details of such activities, and their implementation and responsibilities were assigned to 5 subcommittees composed of staff members of the SD.

Organizational structure of the Census

A census organizational structure is designed to implement a number of interrelated activities. Each of these activities was assigned to a specific sub-committee. The census manuals provided guidelines on processes, organizational structures, controls for quality assurance and problem solving. The challenge for managers was developing a work environment that enabled census personnel to perform all these tasks with a common goal in mind. Each sub-committee was responsible for its own outputs, and specific decisions for specific situations were delegated to the lowest level possible. Problem situations beyond the scope of the sub-committee were escalated to the next higher level.

The organizational structure of the census was as follows: a) The Steering Committee (consisting of the Head of both Government and nongovernment organizations), chaired by Secretary for Finance with the Government Statistician (GS) as secretary. b) The Census Committee (consisted of all sub-committee leaders plus the GS, and chaired by the Assistant Government Statistician (AGS) who was the officer in charge of all management and planning of the Census 2006 operations. c) There were five Sub-committees (each sub-committee consisted of about 5 members and were chaired by their Sub-committee leader). These committees included: Mapping, Publicity, Fieldwork, Training and Data Processing. In this way, every staff member of the SD was involved with the census operation through their participation on these committees.

The census steering committee was a high level committee that approved and endorsed the plans and activities of the census. Policy issues that needed to be addressed were submitted to the steering committee for approval prior to the census team and sub-committees designation of the activities necessary to address the tasks.

Part of the initial planning of the 2006 Census involved the establishment of a work-plan with specific time frames. This charted all activities that were to be undertaken and, their impact and dependencies on other activities. These time frames were an essential part of the overall exercise, as they provided specific guides to the progress of each area, and alerted subcommittees’ team leaders (TL) to areas where problems existed and needed to be addressed. These also provided the SD staff with a clear indication of where and how their roles impacted the overall Census process.

Monitoring of the timeframe was an essential part of the management of the Census program. Initially, weekly meetings were held which involved the GS, AGS and team leaders (TL) of the Census committee. As the Census projects progressed, the AGS and TL’s met regularly with their sub-committees to report on the progress of each area. Decisions were made on necessary actions in order to meet the designated dates. Potential risks that could negatively affect the deadlines and actions were also considered at these meetings.

For the 5 sub-committees, one of their first tasks was to verify and amend their terms of reference using the “Strengths, Weaknesses, Opportunities and Threats” (SWOT) analysis methodology, as it applied to past censuses. Each committee then prepared a work-plan and listed all activities for which that particular sub-committee was responsible. This listing included the assignment of a responsible person, together with the timeline indicating the start and end dates required to complete that particular activity. These work-plans, set up by all the 5 sub-committees, were then used by the AGS to develop a detailed operational plan for all phases of the census, the activities required to complete these phases, start and end dates, the person responsible and the dependencies, - all in a Ghant chart format. These combined work-plans were further discussed and amended in the Census team and reported to the Steering committee on regular basis as required.

Geographic coverage

National coverage, which includes the 5 Divisions and both Urban and Rural Areas of Tonga.

Analysis unit

Individual and Households.

Universe

All individuals in private and institutional households.

Kind of data

Census/enumeration data [cen]

Sampling procedure

The National Population Census was a complete enumeration census, hence no sampling procedure was employed. A Mapping Sub-committee was formed to ensure complete coverage of the country.

The Mapping Sub-committee

Led by Mr. Winston Fainga'anuku, this committee's mandate was to ensure that good quality maps were produced. The objective was to ensure that the maps provided complete coverage of the country, were designed to accommodate a reasonable workload of one census enumerator and, that geographic identifiers could be used for dissemination purposes by the PopGIS system. Collaborations with the Ministry of Land, Survey and Natural Resources (MLSNR) began in 2004 to ensure that digitized maps for Tonga could be used for 2006 Census. Mr. Fainga'anuku was attached to the MLSNR in April 2005 to assist 'Atelea Kautoke, Samuela Mailau, Lilika and others to complete the task of digitizing the maps for Tonga. In addition, frequent visits by Mr. Scott Pontifex from the Secretariat of the Pacific Community (SPC) in Noumea, assisted to ensure that quality digitized maps were prepared. SPC also assisted by lending its digitizer which was used in this mapping project. The staff of the Statistics Department (SD) visited household sites throughout Tongatapu and the main outer islands. This exercise was to redesign the Census Block boundaries by amalgamating or splitting existing census blocks to achieve an average of 50 households per census block. Various updates within the census block maps were made. These included the names of the head of household; roads and other landmarks to ensure that current and accurate information was provided to the enumerators. Reliable maps, both for enumerators and supervisors are necessary ingredients to assist in avoiding any under or over - counting during

Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, it is the Census Bureau's Population Estimates Program that produces and disseminates the official estimates of the population for the nation, states, counties, cities, and towns and estimates of housing units for states and counties..Supporting documentation on code lists, subject definitions, data accuracy, and statistical testing can be found on the American Community Survey website in the Technical Documentation section.Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section..Source: U.S. Census Bureau, 2017-2021 American Community Survey 5-Year Estimates.Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estimates are subject to nonsampling error (for a discussion of nonsampling variability, see ACS Technical Documentation). The effect of nonsampling error is not represented in these tables..Households not paying cash rent are excluded from the calculation of median gross rent..Telephone service data are not available for certain geographic areas due to problems with data collection of this question that occurred in 2019. Both ACS 1-year and ACS 5-year files were affected. It may take several years in the ACS 5-year files until the estimates are available for the geographic areas affected..The 2017-2021 American Community Survey (ACS) data generally reflect the March 2020 Office of Management and Budget (OMB) delineations of metropolitan and micropolitan statistical areas. In certain instances, the names, codes, and boundaries of the principal cities shown in ACS tables may differ from the OMB delineation lists due to differences in the effective dates of the geographic entities..Estimates of urban and rural populations, housing units, and characteristics reflect boundaries of urban areas defined based on Census 2010 data. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..Explanation of Symbols:- The estimate could not be computed because there were an insufficient number of sample observations. For a ratio of medians estimate, one or both of the median estimates falls in the lowest interval or highest interval of an open-ended distribution. For a 5-year median estimate, the margin of error associated with a median was larger than the median itself.N The estimate or margin of error cannot be displayed because there were an insufficient number of sample cases in the selected geographic area. (X) The estimate or margin of error is not applicable or not available.median- The median falls in the lowest interval of an open-ended distribution (for example "2,500-")median+ The median falls in the highest interval of an open-ended distribution (for example "250,000+").** The margin of error could not be computed because there were an insufficient number of sample observations.*** The margin of error could not be computed because the median falls in the lowest interval or highest interval of an open-ended distribution.***** A margin of error is not appropriate because the corresponding estimate is controlled to an independent population or housing estimate. Effectively, the corresponding estimate has no sampling error and the margin of error may be treated as zero.