Abstract

The 2002 Vietnam Demographic and Health Survey (VNDHS 2002) is a nationally representative sample survey of 5,665 ever-married women age 15-49 selected from 205 sample points (clusters) throughout Vietnam. It provides information on levels of fertility, family planning knowledge and use, infant and child mortality, and indicators of maternal and child health. The survey included a Community/ Health Facility Questionnaire that was implemented in each of the sample clusters.

The survey was designed to measure change in reproductive health indicators over the five years since the VNDHS 1997, especially in the 18 provinces that were targeted in the Population and Family Health Project of the Committee for Population, Family and Children. Consequently, all provinces were separated into “project” and “nonproject” groups to permit separate estimates for each. Data collection for the survey took place from 1 October to 21 December 2002.

The Vietnam Demographic and Health Survey 2002 (VNDHS 2002) was the third DHS in Vietnam, with prior surveys implemented in 1988 and 1997. The VNDHS 2002 was carried out in the framework of the activities of the Population and Family Health Project of the Committee for Population, Family and Children (previously the National Committee for Population and Family Planning).

The main objectives of the VNDHS 2002 were to collect up-to-date information on family planning, childhood mortality, and health issues such as breastfeeding practices, pregnancy care, vaccination of children, treatment of common childhood illnesses, and HIV/AIDS, as well as utilization of health and family planning services. The primary objectives of the survey were to estimate changes in family planning use in comparison with the results of the VNDHS 1997, especially on issues in the scope of the project of the Committee for Population, Family and Children.

VNDHS 2002 data confirm the pattern of rapidly declining fertility that was observed in the VNDHS 1997. It also shows a sharp decline in child mortality, as well as a modest increase in contraceptive use. Differences between project and non-project provinces are generally small.

Geographic coverage

The 2002 Vietnam Demographic and Health Survey (VNDHS 2002) is a nationally representative sample survey. The VNDHS 1997 was designed to provide separate estimates for the whole country, urban and rural areas, for 18 project provinces and the remaining nonproject provinces as well. Project provinces refer to 18 focus provinces targeted for the strengthening of their primary health care systems by the Government's Population and Family Health Project to be implemented over a period of seven years, from 1996 to 2002 (At the outset of this project there were 15 focus provinces, which became 18 by the creation of 3 new provinces from the initial set of 15). These provinces were selected according to criteria based on relatively low health and family planning status, no substantial family planning donor presence, and regional spread. These criteria resulted in the selection of the country's poorer provinces. Nine of these provinces have significant proportions of ethnic minorities among their population.

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 2002 VNDHS is defined as the universe of all women age 15-49 in Vietnam.

Kind of data

Sample survey data

Sampling procedure

The sample for the VNDHS 2002 was based on that used in the VNDHS 1997, which in turn was a subsample of the 1996 Multi-Round Demographic Survey (MRS), a semi-annual survey of about 243,000 households undertaken regularly by GSO. The MRS sample consisted of 1,590 sample areas known as enumeration areas (EAs) spread throughout the 53 provinces/cities of Vietnam, with 30 EAs in each province. On average, an EA comprises about 150 households. For the VNDHS 1997, a subsample of 205 EAs was selected, with 26 households in each urban EA and 39 households for each rural EA. A total of 7,150 households was selected for the survey. The VNDHS 1997 was designed to provide separate estimates for the whole country, urban and rural areas, for 18 project provinces and the remaining nonproject provinces as well. Because the main objective of the VNDHS 2002 was to measure change in reproductive health indicators over the five years since the VNDHS 1997, the sample design for the VNDHS 2002 was as similar as possible to that of the VNDHS 1997.

Although it would have been ideal to have returned to the same households or at least the same sample points as were selected for the VNDHS 1997, several factors made this undesirable. Revisiting the same households would have held the sample artificially rigid over time and would not allow for newly formed households. This would have conflicted with the other major survey objective, which was to provide up-to-date, representative data for the whole of Vietnam. Revisiting the same sample points that were covered in 1997 was complicated by the fact that the country had conducted a population census in 1999, which allowed for a more representative sample frame.

In order to balance the two main objectives of measuring change and providing representative data, it was decided to select enumeration areas from the 1999 Population Census, but to cover the same communes that were sampled in the VNDHS 1997 and attempt to obtain a sample point as close as possible to that selected in 1997. Consequently, the VNDHS 2002 sample also consisted of 205 sample points and reflects the oversampling in the 20 provinces that fall in the World Bank-supported Population and Family Health Project. The sample was designed to produce about 7,000 completed household interviews and 5,600 completed interviews with ever-married women age 15-49.

Mode of data collection

Face-to-face

Research instrument

As in the VNDHS 1997, three types of questionnaires were used in the 2002 survey: the Household Questionnaire, the Individual Woman's Questionnaire, and the Community/Health Facility Questionnaire. The first two questionnaires were based on the DHS Model A Questionnaire, with additions and modifications made during an ORC Macro staff visit in July 2002. The questionnaires were pretested in two clusters in Hanoi (one in a rural area and another in an urban area). After the pretest and consultation with ORC Macro, the drafts were revised for use in the main survey.

a) The Household Questionnaire was used to enumerate all usual members and visitors in selected households and to collect information on age, sex, education, marital status, and relationship to the head of household. The main purpose of the Household Questionnaire was to identify persons who were eligible for individual interview (i.e. ever-married women age 15-49). In addition, the Household Questionnaire collected information on characteristics of the household such as water source, type of toilet facilities, material used for the floor and roof, and ownership of various durable goods.

b) The Individual Questionnaire was used to collect information on ever-married women aged 15-49 in surveyed households. These women were interviewed on the following topics:
- Respondent's background characteristics (education, residential history, etc.); - Reproductive history; - Contraceptive knowledge and use;
- Antenatal and delivery care; - Infant feeding practices; - Child immunization; - Fertility preferences and attitudes about family planning; - Husband's background characteristics; - Women's work information; and - Knowledge of AIDS.

c) The Community/Health Facility Questionnaire was used to collect information on all communes in which the interviewed women lived and on services offered at the nearest health stations. The Community/Health Facility Questionnaire consisted of four sections. The first two sections collected information from community informants on some characteristics such as the major economic activities of residents, distance from people's residence to civic services and the location of the nearest sources of health care. The last two sections involved visiting the nearest commune health centers and intercommune health centers, if these centers were located within 30 kilometers from the surveyed cluster. For each visited health center, information was collected on the type of health services offered and the number of days services were offered per week; the number of assigned staff and their training; medical equipment and medicines available at the time of the visit.

Cleaning operations

The first stage of data editing was implemented by the field editors soon after each interview. Field editors and team leaders checked the completeness and consistency of all items in the questionnaires. The completed questionnaires were sent to the GSO headquarters in Hanoi by post for data processing. The editing staff of the GSO first checked the questionnaires for completeness. The data were then entered into microcomputers and edited using a software program specially developed for the DHS program, the Census and Survey Processing System, or CSPro. Data were verified on a 100 percent basis, i.e., the data were entered separately twice and the two results were compared and corrected. The data processing and editing staff of the GSO were trained and supervised for two weeks by a data processing specialist from ORC Macro. Office editing and processing activities were initiated immediately after the beginning of the fieldwork and were completed in late December 2002.

Response rate

The results of the household and individual

Abstract

The Bangladesh Demographic and Health Survey (BDHS) is the first of this kind of study conducted in Bangladesh. It provides rapid feedback on key demographic and programmatic indicators to monitor the strength and weaknesses of the national family planning/MCH program. The wealth of information collected through the 1993-94 BDHS will be of immense value to the policymakers and program managers in order to strengthen future program policies and strategies.

The BDHS is intended to serve as a source of population and health data for policymakers and the research community. In general, the objectives of the BDHS are to: - asses the overall demographic situation in Bangladesh, - assist in the evaluation of the population and health programs in Bangladesh, and - advance survey methodology.

More specifically, the BDHS was designed to: - provide data on the family planning and fertility behavior of the Bangladesh population to evaluate the national family planning programs, - measure changes in fertility and contraceptive prevalence and, at the same time, study the factors which affect these changes, such as marriage patterns, urban/rural residence, availability of contraception, breastfeeding patterns, and other socioeconomic factors, and - examine the basic indicators of maternal and child health in Bangladesh.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 10-49
• Men

Kind of data

Sample survey data

Sampling procedure

Bangladesh is divided into five administrative divisions, 64 districts (zillas), and 489 thanas. In rural areas, thanas are divided into unions and then mauzas, an administrative land unit. Urban areas are divided into wards and then mahallas. The 1993-94 BDHS employed a nationally-representative, two-stage sample. It was selected from the Integrated Multi-Purpose Master Sample (IMPS), newly created by the Bangladesh Bureau of Statistics. The IMPS is based on 1991 census data. Each of the five divisions was stratified into three groups: 1) statistical metropolitan areas (SMAs) 2) municipalities (other urban areas), and 3) rural areas. In rural areas, the primary sampling unit was the mauza, while in urban areas, it was the mahalla. Because the primary sampling units in the IMPS were selected with probability proportional to size from the 1991 census frame, the units for the BDHS were sub-selected from the IMPS with equal probability to make the BDHS selection equivalent to selection with probability proportional to size. A total of 304 primary sampling units were selected for the BDHS (30 in SMAs, 40 in municipalities, and 234 in rural areas), out of the 372 in the IMPS. Fieldwork in three sample points was not possible, so a total of 301 points were covered in the survey.

Since one objective of the BDHS is to provide separate survey estimates for each division as well as for urban and rural areas separately, it was necessary to increase the sampling rate for Barisal Division und for municipalities relative to the other divisions, SMAs, and rural areas. Thus, the BDHS sample is not self-weighting and weighting factors have been applied to the data in this report.

After the selection of the BDHS sample points, field staffs were trained by Mitra and Associates and conducted a household listing operation in September and October 1993. A systematic sample of households was then selected from these lists, with an average "take" of 25 households in the urban clusters and 37 households in rural clusters. Every second household was identified as selected for the husband's survey, meaning that, in addition to interviewing all ever-married women age 10-49, interviewers also interviewed the husband of any woman who was successfully interviewed. It was expected that the sample would yield interviews with approximately 10,000 ever-married women age 10-49 and 4,200 of their husbands.

Note: See detailed in APPENDIX A of the survey final report.

Sampling deviation

Data collected for women 10-49, indicators calculated for women 15-49. A total of 304 primary sampling units were selected, but fieldwork in 3 sample points was not possible.

Mode of data collection

Face-to-face

Research instrument

Four types of questionnaires were used for the BDHS: a Household Questionnaire, a Women's Questionnaire, a Husbands' Questionnaire, and a Service Availability Questionnaire. The contents of these questionnaires were based on the DHS Model A Questionnaire, which is designed for use in countries with relatively high levels of contraceptive use. Additions and modifications to the model questionnaires were made during a series of meetings with representatives of various organizations, including the Asia Foundation, the Bangladesh Bureau of Statistics, the Cambridge Consulting Corporation, the Family Planning Association of Bangladesh, GTZ, the International Centre for Diarrhoeal Disease Research (ICDDR,B), Pathfinder International, Population Communications Services, the Population Council, the Social Marketing Company, UNFPA, UNICEF, University Research Corporation/Bangladesh, and the World Bank. The questionnaires were developed in English and then translated into and printed in Bangla.

The Household Questionnaire was used to list all the usual members and visitors of selected households. Some basic information was collected on the characteristics of each person listed, including his/her age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for individual interview. In addition, information was collected about the dwelling itself, such as the source of water, type of toilet facilities, materials used to construct the house, and ownership of various consumer goods.

The Women's Questionnaire was used to collect information from ever-married women age 10-49. These women were asked questions on the following topics: - Background characteristics (age, education, religion, etc.), - Reproductive history, - Knowledge and use of family planning methods, - Antenatal and delivery care, - Breastfeeding and weaning practices, - Vaccinations and health of children under age three, - Marriage, - Fertility preferences, and - Husband's background and respondent's work.

The Husbands' Questionnaire was used to interview the husbands of a subsample of women who were interviewed. The questionnaire included many of the same questions as the Women's Questionnaire, except that it omitted the detailed birth history, as well as the sections on maternal care, breastfeeding and child health.

The Service Availability Questionnaire was used to collect information on the family planning and health services available in and near the sampled areas. It consisted of a set of three questionnaires: one to collect data on characteristics of the community, one for interviewing family welfare visitors and one for interviewing family planning field workers, whether government or non-governent supported. One set of service availability questionnaires was to be completed in each cluster (sample point).

Cleaning operations

All questionnaires for the BDHS were returned to Dhaka for data processing at Mitra and Associates. The processing operation consisted of office editing, coding of open-ended questions, data entry, and editing inconsistencies found by the computer programs. One senior staff member, 1 data processing supervisor, questionnaire administrator, 2 office editors, and 5 data entry operators were responsible for the data processing operation. The data were processed on five microcomputers. The DHS data entry and editing programs were written in ISSA (Integrated System for Survey Analysis). Data processing commenced in early February and was completed by late April 1994.

Response rate

A total of 9,681 households were selected for the sample, of which 9,174 were successfully interviewed. The shortfall is primarily due to dwellings that were vacant, or in which the inhabitants had left for an extended period at the time they were visited by the interviewing teams. Of the 9,255 households that were occupied, 99 percent were successfully interviewed. In these households, 9,900 women were identified as eligible for the individual interview and interviews were completed for 9,640 or 97 percent of these. In one-half of the households that were selected for inclusion in the husbands' survey, 3,874 eligible husbands were identified, of which 3,284 or 85 percent were interviewed.

The principal reason for non-response among eligible women and men was failure to find them at home despite repeated visits to the household. The refusal rate was very low (less than one-tenth of one percent among women and husbands). Since the main reason for interviewing husbands was to match the information with that from their wives, survey procedures called for interviewers not to interview husbands of women who were not interviewed. Such cases account for about one-third of the non-response among husbands. Where husbands and wives were both interviewed, they were interviewed simultaneously but separately.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the survey final report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: non-sampling errors and 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

Abstract

The Bangladesh Demographic and Health Survey (BDHS) is part of the worldwide Demographic and Health Surveys program, which is designed to collect data on fertility, family planning, and maternal and child health.

The BDHS is intended to serve as a source of population and health data for policymakers and the research community. In general, the objectives of the BDHS are to: - assess the overall demographic situation in Bangladesh, - assist in the evaluation of the population and health programs in Bangladesh, and - advance survey methodology.

More specifically, the objective of the BDHS is to provide up-to-date information on fertility and childhood mortality levels; nuptiality; fertility preferences; awareness, approval, and use of family planning methods; breastfeeding practices; nutrition levels; and maternal and child health. This information is intended to assist policymakers and administrators in evaluating and designing programs and strategies for improving health and family planning services in the country.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 10-49
• Men age 15-59

Kind of data

Sample survey data

Sampling procedure

Bangladesh is divided into six administrative divisions, 64 districts (zillas), and 490 thanas. In rural areas, thanas are divided into unions and then mauzas, a land administrative unit. Urban areas are divided into wards and then mahallas. The 1996-97 BDHS employed a nationally-representative, two-stage sample that was selected from the Integrated Multi-Purpose Master Sample (IMPS) maintained by the Bangladesh Bureau of Statistics. Each division was stratified into three groups: 1 ) statistical metropolitan areas (SMAs), 2) municipalities (other urban areas), and 3) rural areas. 3 In the rural areas, the primary sampling unit was the mauza, while in urban areas, it was the mahalla. Because the primary sampling units in the IMPS were selected with probability proportional to size from the 1991 Census frame, the units for the BDHS were sub-selected from the IMPS with equal probability so as to retain the overall probability proportional to size. A total of 316 primary sampling units were utilized for the BDHS (30 in SMAs, 42 in municipalities, and 244 in rural areas). In order to highlight changes in survey indicators over time, the 1996-97 BDHS utilized the same sample points (though not necessarily the same households) that were selected for the 1993-94 BDHS, except for 12 additional sample points in the new division of Sylhet. Fieldwork in three sample points was not possible (one in Dhaka Cantonment and two in the Chittagong Hill Tracts), so a total of 313 points were covered.

Since one objective of the BDHS is to provide separate estimates for each division as well as for urban and rural areas separately, it was necessary to increase the sampling rate for Barisal and Sylhet Divisions and for municipalities relative to the other divisions, SMAs and rural areas. Thus, the BDHS sample is not self-weighting and weighting factors have been applied to the data in this report.

Mitra and Associates conducted a household listing operation in all the sample points from 15 September to 15 December 1996. A systematic sample of 9,099 households was then selected from these lists. Every second household was selected for the men's survey, meaning that, in addition to interviewing all ever-married women age 10-49, interviewers also interviewed all currently married men age 15-59. It was expected that the sample would yield interviews with approximately 10,000 ever-married women age 10-49 and 3,000 currently married men age 15-59.

Note: See detailed in APPENDIX A of the survey report.

Mode of data collection

Face-to-face

Research instrument

Four types of questionnaires were used for the BDHS: a Household Questionnaire, a Women's Questionnaire, a Men' s Questionnaire and a Community Questionnaire. The contents of these questionnaires were based on the DHS Model A Questionnaire, which is designed for use in countries with relatively high levels of contraceptive use. These model questionnaires were adapted for use in Bangladesh during a series of meetings with a small Technical Task Force that consisted of representatives from NIPORT, Mitra and Associates, USAID/Bangladesh, the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Population Council/Dhaka, and Macro International Inc (see Appendix D for a list of members). Draft questionnaires were then circulated to other interested groups and were reviewed by the BDHS Technical Review Committee (see Appendix D for list of members). The questionnaires were developed in English and then translated into and printed in Bangla (see Appendix E for final version in English).

The Household Questionnaire was used to list all the usual members and visitors in the selected households. Some basic information was collected on the characteristics of each person listed, including his/her age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview. In addition, information was collected about the dwelling itself, such as the source of water, type of toilet facilities, materials used to construct the house, and ownership of various consumer goods.

The Women's Questionnaire was used to collect information from ever-married women age 10-49. These women were asked questions on the following topics: - Background characteristics (age, education, religion, etc.), - Reproductive history, - Knowledge and use of family planning methods, - Antenatal and delivery care, - Breastfeeding and weaning practices, - Vaccinations and health of children under age five, - Marriage, - Fertility preferences, - Husband's background and respondent's work, - Knowledge of AIDS, - Height and weight of children under age five and their mothers.

The Men's Questionnaire was used to interview currently married men age 15-59. It was similar to that for women except that it omitted the sections on reproductive history, antenatal and delivery care, breastfeeding, vaccinations, and height and weight. The Community Questionnaire was completed for each sample point and included questions about the existence in the community of income-generating activities and other development organizations and the availability of health and family planning services.

Response rate

A total of 9,099 households were selected for the sample, of which 8,682 were successfully interviewed. The shortfall is primarily due to dwellings that were vacant or in which the inhabitants had left for an extended period at the time they were visited by the interviewing teams. Of the 8,762 households occupied, 99 percent were successfully interviewed. In these households, 9,335 women were identified as eligible for the individual interview (i.e., ever-married and age 10-49) and interviews were completed for 9,127 or 98 percent of them. In the half of the households that were selected for inclusion in the men's survey, 3,611 eligible ever-married men age 15-59 were identified, of whom 3,346 or 93 percent were interviewed.

The principal reason for non-response among eligible women and men was the failure to find them at home despite repeated visits to the household. The refusal rate was low.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the survey report.

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 BDHS to minimize 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 BDHS is only one of many samples that could have been selected from the same population, using the same design and expected 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 BDHS sample is the result of a two-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the BDHS is the ISSA Sampling Error Module. This module used the Taylor

Abstract

The Thai Demographic and Health Survey (TDHS) was a nationally representative sample survey conducted from March through June 1988 to collect data on fertility, family planning, and child and maternal health. A total of 9,045 households and 6,775 ever-married women aged 15 to 49 were interviewed. Thai Demographic and Health Survey (TDHS) is carried out by the Institute of Population Studies (IPS) of Chulalongkorn University with the financial support from USAID through the Institute for Resource Development (IRD) at Westinghouse. The Institute of Population Studies was responsible for the overall implementation of the survey including sample design, preparation of field work, data collection and processing, and analysis of data. IPS has made available its personnel and office facilities to the project throughout the project duration. It serves as the headquarters for the survey.

The Thai Demographic and Health Survey (TDHS) was undertaken for the main purpose of providing data concerning fertility, family planning and maternal and child health to program managers and policy makers to facilitate their evaluation and planning of programs, and to population and health researchers to assist in their efforts to document and analyze the demographic and health situation. It is intended to provide information both on topics for which comparable data is not available from previous nationally representative surveys as well as to update trends with respect to a number of indicators available from previous surveys, in particular the Longitudinal Study of Social Economic and Demographic Change in 1969-73, the Survey of Fertility in Thailand in 1975, the National Survey of Family Planning Practices, Fertility and Mortality in 1979, and the three Contraceptive Prevalence Surveys in 1978/79, 1981 and 1984.

Geographic coverage

National

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 1987 THADHS is defined as the universe of all women Ever-married women in the reproductive ages (i.e., women 15-49). This covered women in private households on the basis of a de facto coverage definition. Visitors and usual residents who were in the household the night before the first visit or before any subsequent visit during the few days the interviewing team was in the area were eligible. Excluded were the small number of married women aged under 15 and women not present in private households.

Kind of data

Sample survey data

Sampling procedure

SAMPLE SIZE AND ALLOCATION

The objective of the survey was to provide reliable estimates for major domains of the country. This consisted of two overlapping sets of reporting domains: (a) Five regions of the country namely Bangkok, north, northeast, central region (excluding Bangkok), and south; (b) Bangkok versus all provincial urban and all rural areas of the country. These requirements could be met by defining six non-overlapping sampling domains (Bangkok, provincial urban, and rural areas of each of the remaining 4 regions), and allocating approximately equal sample sizes to them. On the basis of past experience, available budget and overall reporting requirement, the target sample size was fixed at 7,000 interviews of ever-married women aged 15-49, expected to be found in around 9,000 households. Table A.I shows the actual number of households as well as eligible women selected and interviewed, by sampling domain (see Table i.I for reporting domains).

THE FRAME AND SAMPLE SELECTION

The frame for selecting the sample for urban areas, was provided by the National Statistical Office of Thailand and by the Ministry of the Interior for rural areas. It consisted of information on population size of various levels of administrative and census units, down to blocks in urban areas and villages in rural areas. The frame also included adequate maps and descriptions to identify these units. The extent to which the data were up-to-date as well as the quality of the data varied somewhat in different parts of the frame. Basically, the multi-stage stratified sampling design involved the following procedure. A specified number of sample areas were selected systematically from geographically/administratively ordered lists with probabilities proportional to the best available measure of size (PPS). Within selected areas (blocks or villages) new lists of households were prepared and systematic samples of households were selected. In principle, the sampling interval for the selection of households from lists was determined so as to yield a self weighting sample of households within each domain. However, in the absence of good measures of population size for all areas, these sampling intervals often required adjustments in the interest of controlling the size of the resulting sample. Variations in selection probabilities introduced due to such adjustment, where required, were compensated for by appropriate weighting of sample cases at the tabulation stage.

SAMPLE OUTCOME

The final sample of households was selected from lists prepared in the sample areas. The time interval between household listing and enumeration was generally very short, except to some extent in Bangkok where the listing itself took more time. In principle, the units of listing were the same as the ultimate units of sampling, namely households. However in a small proportion of cases, the former differed from the latter in several respects, identified at the stage of final enumeration: a) Some units listed actually contained more than one household each b) Some units were "blanks", that is, were demolished or not found to contain any eligible households at the time of enumeration. c) Some units were doubtful cases in as much as the household was reported as "not found" by the interviewer, but may in fact have existed.

Mode of data collection

Face-to-face

Research instrument

The DHS core questionnaires (Household, Eligible Women Respondent, and Community) were translated into Thai. A number of modifications were made largely to adapt them for use with an ever- married woman sample and to add a number of questions in areas that are of special interest to the Thai investigators but which were not covered in the standard core. Examples of such modifications included adding marital status and educational attainment to the household schedule, elaboration on questions in the individual questionnaire on educational attainment to take account of changes in the educational system during recent years, elaboration on questions on postnuptial residence, and adaptation of the questionnaire to take into account that only ever-married women are being interviewed rather than all women. More generally, attention was given to the wording of questions in Thai to ensure that the intent of the original English-language version was preserved.

a) Household questionnaire

The household questionnaire was used to list every member of the household who usually lives in the household and as well as visitors who slept in the household the night before the interviewer's visit. Information contained in the household questionnaire are age, sex, marital status, and education for each member (the last two items were asked only to members aged 13 and over). The head of the household or the spouse of the head of the household was the preferred respondent for the household questionnaire. However, if neither was available for interview, any adult member of the household was accepted as the respondent. Information from the household questionnaire was used to identify eligible women for the individual interview. To be eligible, a respondent had to be an ever-married woman aged 15-49 years old who had slept in the household 'the previous night'.

Prior evidence has indicated that when asked about current age, Thais are as likely to report age at next birthday as age at last birthday (the usual demographic definition of age). Since the birth date of each household number was not asked in the household questionnaire, it was not possible to calculate age at last birthday from the birthdate. Therefore a special procedure was followed to ensure that eligible women just under the higher boundary for eligible ages (i.e. 49 years old) were not mistakenly excluded from the eligible woman sample because of an overstated age. Ever-married women whose reported age was between 50-52 years old and who slept in the household the night before birthdate of the woman, it was discovered that these women (or any others being interviewed) were not actually within the eligible age range of 15-49, the interview was terminated and the case disqualified. This attempt recovered 69 eligible women who otherwise would have been missed because their reported age was over 50 years old or over.

b) Individual questionnaire

The questionnaire administered to eligible women was based on the DHS Model A Questionnaire for high contraceptive prevalence countries. The individual questionnaire has 8 sections: - Respondent's background - Reproduction - Contraception - Health and breastfeeding - Marriage - Fertility preference - Husband's background and woman's work - Heights and weights of children and mothers

The questionnaire was modified to suit the Thai context. As noted above, several questions were added to the standard DHS core questionnaire not only to meet the interest of IPS researchers hut also because of their relevance to the current demographic situation in Thailand. The supplemental questions are marked with an asterisk in the individual questionnaire. Questions concerning the following items were added in the individual questionnaire: - Did the respondent ever

Abstract

The Armenia Demographic and Health Survey (ADHS) was a nationally representative sample survey designed to provide information on population and health issues in Armenia. The primary goal of the survey was to develop a single integrated set of demographic and health data, the first such data set pertaining to the population of the Republic of Armenia. In addition to integrating measures of reproductive, child, and adult health, another feature of the DHS survey is that the majority of data are presented at the marz level.

The ADHS was conducted by the National Statistical Service and the Ministry of Health of the Republic of Armenia during October through December 2000. ORC Macro provided technical support for the survey through the MEASURE DHS+ project. MEASURE DHS+ is a worldwide project, sponsored by the USAID, with a mandate to assist countries in obtaining information on key population and health indicators. USAID/Armenia provided funding for the survey. The United Nations Children’s Fund (UNICEF)/Armenia provided support through the donation of equipment.

The ADHS collected national- and regional-level data on fertility and contraceptive use, maternal and child health, adult health, and AIDS and other sexually transmitted diseases. The survey obtained detailed information on these issues from women of reproductive age and, on certain topics, from men as well. Data are presented by marz wherever sample size permits.

The ADHS results are intended to provide the information needed to evaluate existing social programs and to design new strategies for improving the health of and health services for the people of Armenia. The ADHS also contributes to the growing international database on demographic and health-related variables.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 15-49
• Men age 15-54

Kind of data

Sample survey data

Sampling procedure

The sample was designed to provide estimates of most survey indicators (including fertility, abortion, and contraceptive prevalence) for Yerevan and each of the other ten administrative regions (marzes). The design also called for estimates of infant and child mortality at the national level for Yerevan and other urban areas and rural areas.

The target sample size of 6,500 completed interviews with women age 15-49 was allocated as follows: 1,500 to Yerevan and 500 to each of the ten marzes. Within each marz, the sample was allocated between urban and rural areas in proportion to the population size. This gave a target sample of approximately 2,300 completed interviews for urban areas exclusive of Yerevan and 2,700 completed interviews for the rural sector. Interviews were completed with 6,430 women. Men age 15-54 were interviewed in every third household; this yielded 1,719 completed interviews.

A two-stage sample was used. In the first stage, 260 areas or primary sampling units (PSUs) were selected with probability proportional to population size (PPS) by systematic selection from a list of areas. The list of areas was the 1996 Data Base of Addresses and Households constructed by the National Statistical Service. Because most selected areas were too large to be directly listed, a separate segmentation operation was conducted prior to household listing. Large selected areas were divided into segments of which two segments were included in the sample. A complete listing of households was then carried out in selected segments as well as selected areas that were not segmented.

The listing of households served as the sampling frame for the selection of households in the second stage of sampling. Within each area, households were selected systematically so as to yield an average of 25 completed interviews with eligible women per area. All women 15-49 who stayed in the sampled households on the night before the interview were eligible for the survey. In each segment, a subsample of one-third of all households was selected for the men's component of the survey. In these households, all men 15-54 who stayed in the household on the previous night were eligible for the survey.

Note: See detailed description of sample design in APPENDIX A of the survey report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the ADHS: a Household Questionnaire, a Women’s Questionnaire, and a Men’s Questionnaire. The questionnaires were based on the model survey instruments developed for the MEASURE DHS+ program. The model questionnaires were adapted for use during a series of expert meetings hosted by the Center of Perinatology, Obstetrics, and Gynecology. The questionnaires were developed in English and translated into Armenian and Russian. The questionnaires were pretested in July 2000.

The Household Questionnaire was used to list all usual members of and visitors to a household and to collect information on the physical characteristics of the dwelling unit. The first part of the household questionnaire collected information on the age, sex, residence, educational attainment, and relationship to the household head of each household member or visitor. This information provided basic demographic data for Armenian households. It also was used to identify the women and men who were eligible for the individual interview (i.e., women 15-49 and men 15-54). The second part of the Household Questionnaire consisted of questions on housing characteristics (e.g., the flooring material, the source of water, and the type of toilet facilities) and on ownership of a variety of consumer goods.

The Women’s Questionnaire obtained information on the following topics: - Background characteristics - Pregnancy history - Antenatal, delivery, and postnatal care - Knowledge and use of contraception - Attitudes toward contraception and abortion - Reproductive and adult health - Vaccinations, birth registration, and health of children under age five - Episodes of diarrhea and respiratory illness of children under age five - Breastfeeding and weaning practices - Height and weight of women and children under age five - Hemoglobin measurement of women and children under age five - Marriage and recent sexual activity - Fertility preferences - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

The Men’s Questionnaire focused on the following topics: - Background characteristics - Health - Marriage and recent sexual activity - Attitudes toward and use of condoms - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

Cleaning operations

After a team had completed interviewing in a cluster, questionnaires were returned promptly to the National Statistical Service in Yerevan for data processing. The office editing staff first checked that questionnaires for all selected households and eligible respondents had been received from the field staff. In addition, a few questions that had not been precoded (e.g., occupation) were coded at this time. Using the ISSA (Integrated System for Survey Analysis) software, a specially trained team of data processing staff entered the questionnaires and edited the resulting data set on microcomputers. The process of office editing and data processing was initiated soon after the beginning of fieldwork and was completed by the end of January 2001.

Response rate

A total of 6,524 households were selected for the sample, of which 6,150 were occupied at the time of fieldwork. The main reason for the difference is that some of the dwelling units that were occupied during the household listing operation were either vacant or the household was away for an extended period at the time of interviewing. Of the occupied households, 97 percent were successfully interviewed.

In these households, 6,685 women were identified as eligible for the individual interview (i.e., age 15-49). Interviews were completed with 96 percent of them. Of the 1,913 eligible men identified, 90 percent were successfully interviewed. The principal reason for non-response among eligible women and men was the failure to find them at home despite repeated visits to the household. The refusal rate was low.

The overall response rates, the product of the household and the individual response rates, were 94 percent for women and 87 percent for men.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the survey report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling 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 2000 Armenia Demographic and Health Survey (ADHS) to minimize this type of error, nonsampling 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 ADHS is only one of many samples that could have been selected from the same population, using the same design and expected 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

Abstract

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

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

Geographic coverage

National coverage

Analysis unit

Household, individuals, county and national level

Universe

The survey covered sampled households

Sampling procedure

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

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

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

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

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

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

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

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

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

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

Cleaning operations

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

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

Response rate

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

Abstract

The primary objective of the 2017 Indonesia Dmographic and Health Survey (IDHS) is to provide up-to-date estimates of basic demographic and health indicators. The IDHS provides a comprehensive overview of population and maternal and child health issues in Indonesia. More specifically, the IDHS was designed to: - provide data on fertility, family planning, maternal and child health, and awareness of HIV/AIDS and sexually transmitted infections (STIs) to help program managers, policy makers, and researchers to evaluate and improve existing programs; - measure trends in fertility and contraceptive prevalence rates, and analyze factors that affect such changes, such as residence, education, breastfeeding practices, and knowledge, use, and availability of contraceptive methods; - evaluate the achievement of goals previously set by national health programs, with special focus on maternal and child health; - assess married men’s knowledge of utilization of health services for their family’s health and participation in the health care of their families; - participate in creating an international database to allow cross-country comparisons in the areas of fertility, family planning, and health.

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 age 15-49 years resident in the household, and all men age 15-54 years resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The 2017 IDHS sample covered 1,970 census blocks in urban and rural areas and was expected to obtain responses from 49,250 households. The sampled households were expected to identify about 59,100 women age 15-49 and 24,625 never-married men age 15-24 eligible for individual interview. Eight households were selected in each selected census block to yield 14,193 married men age 15-54 to be interviewed with the Married Man's Questionnaire. The sample frame of the 2017 IDHS is the Master Sample of Census Blocks from the 2010 Population Census. The frame for the household sample selection is the updated list of ordinary households in the selected census blocks. This list does not include institutional households, such as orphanages, police/military barracks, and prisons, or special households (boarding houses with a minimum of 10 people).

The sampling design of the 2017 IDHS used two-stage stratified sampling: Stage 1: Several census blocks were selected with systematic sampling proportional to size, where size is the number of households listed in the 2010 Population Census. In the implicit stratification, the census blocks were stratified by urban and rural areas and ordered by wealth index category.

Stage 2: In each selected census block, 25 ordinary households were selected with systematic sampling from the updated household listing. Eight households were selected systematically to obtain a sample of married men.

For further details on sample design, see Appendix B of the final report.

Mode of data collection

Face-to-face [f2f]

Research instrument

The 2017 IDHS used four questionnaires: the Household Questionnaire, Woman’s Questionnaire, Married Man’s Questionnaire, and Never Married Man’s Questionnaire. Because of the change in survey coverage from ever-married women age 15-49 in the 2007 IDHS to all women age 15-49, the Woman’s Questionnaire had questions added for never married women age 15-24. These questions were part of the 2007 Indonesia Young Adult Reproductive Survey Questionnaire. The Household Questionnaire and the Woman’s Questionnaire are largely based on standard DHS phase 7 questionnaires (2015 version). The model questionnaires were adapted for use in Indonesia. Not all questions in the DHS model were included in the IDHS. Response categories were modified to reflect the local situation.

Cleaning operations

All completed questionnaires, along with the control forms, were returned to the BPS central office in Jakarta for data processing. The questionnaires were logged and edited, and all open-ended questions were coded. Responses were entered in the computer twice for verification, and they were corrected for computer-identified errors. Data processing activities were carried out by a team of 34 editors, 112 data entry operators, 33 compare officers, 19 secondary data editors, and 2 data entry supervisors. The questionnaires were entered twice and the entries were compared to detect and correct keying errors. A computer package program called Census and Survey Processing System (CSPro), which was specifically designed to process DHS-type survey data, was used in the processing of the 2017 IDHS.

Response rate

Of the 49,261 eligible households, 48,216 households were found by the interviewer teams. Among these households, 47,963 households were successfully interviewed, a response rate of almost 100%.

In the interviewed households, 50,730 women were identified as eligible for individual interview and, from these, completed interviews were conducted with 49,627 women, yielding a response rate of 98%. From the selected household sample of married men, 10,440 married men were identified as eligible for interview, of which 10,009 were successfully interviewed, yielding a response rate of 96%. The lower response rate for men was due to the more frequent and longer absence of men from the household. In general, response rates in rural areas were higher than those in urban areas.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors result from mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding 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 2017 Indonesia Demographic and Health Survey (2017 IDHS) to minimize this type of error, nonsampling 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 2017 IDHS 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 error is a measure of the variability among 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 2017 IDHS sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the 2017 IDHS is a STATA program. This program used the Taylor linearization method for variance estimation for survey estimates that are means or proportions. 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 C of the survey final report.

Data appraisal

Data Quality Tables - Household age distribution - Age distribution of eligible and interviewed women - Age distribution of eligible and interviewed men - Completeness of reporting - Births by calendar year - Reporting of age at death in days - Reporting of age at death in months

See details of the data quality tables in Appendix D of the survey final report.

Abstract

The main purpose of a Household Income and Expenditure Survey (HIES) was to present high quality and representative national household data on income and expenditure in order to update Consumer Price Index (CPI), improve statistics on National Accounts and measure poverty within the country.

The main objectives of this survey - update the weight of each expenditure item (from COICOP) and obtain weights for the revision of the Consumer Price Index (CPI) for Funafuti - provide data on the household sectors contribution to the National Accounts - design the structure of consumption for food secutiry - To provide information on the nature and distribution of household income, expenditure and food consumption patterns household living standard useful for planning purposes - To provide information on economic activity of men and women to study gender issues - To generate the income distribution for poverty analysis

The 2010 Household Income and Expenditure Survey (HIES) is the third HIES that was conducted by the Central Statistics Division since Tuvalu gained political independence in 1978.

This survey deals mostly with expenditure and income on the cash side and non cash side (gift, home production). Moreover, a lot of information are collected:

at a household level: - goods possession - description of the dwelling - water tank capacity - fruits and vegetables in the garden - livestock

at an individual level: - education level - employment - health

Geographic coverage

National Coverage: Funafuti and /Outer islands.

Analysis unit

• Household level
• Individual level

Universe

The scope of the 2010 Household Income and Expenditure Survey (HIES) was all occupied households in Tuvalu. Households are the sampling unit, defined as a group of people (related or not) who pool their money, and cook and eat together. It is not the physical structure (dwelling) in which people live. HIES covered all persons who were considered to be usual residents of private dwellings (must have been living in Tuvalu for a period of 12-months, or have intention to live in Tuvalu for a period of 12-months in order to be included in the survey). Usual residents who are temporary away are included as well (e.g., for work or a holiday).

All the private household are included in the sampling frame. In each household selected, the current resident are surveyed, and people who are usual resident but are currently away (work, health, holydays reasons, or border student for example. If the household had been residing in Tuvalu for less than one year: - but intend to reside more than 12 months => he is included - do not intend to reside more than 12 months => out of scope.

Kind of data

Sample survey data [ssd]

Sampling procedure

The Tuvalu 2010 Household Income and Expenditure Survey (HIES) outputs breakdowns at the domain level which is Funafuti and Outer Islands. To achieve this, and to match the budget constraint, a third of the households were selected in both domains. It was decided that 33% (one third) sample was sufficient to achieve suitable levels of accuracy for key estimates in the survey. So the sample selection was spread proportionally across all the islands except Niulakita as it was considered too small. The selection method used is the simple random survey, meaning that within each domain households were directly selected from the population frame (which was the updated 2009 household listing). All islands were included in the selection except Niulakita that was excluded due to its remoteness, and size.

For selection purposes, in the outer island domain, each island was treated as a separate strata and independent samples were selected from each (one third). The strategy used was to list each dwelling on the island by their geographical position and run a systematic skip through the list to achieve the 33% sample. This approach assured that the sample would be spread out across each island as much as possible and thus more representative.

Population and sample counts of dwellings by islands for 2010 HIES Islands: -Nanumea: Population: 123; sample: 41 -Nanumaga: Population: 117; sample: 39 -Niutao: Population: 138; sample: 46 -Nui: Population: 141; sample: 47 -Vaitupu: Population: 298; sample: 100 -Nukufetau: Population: 141; sample: 47 -Nukulaelae: Population: 78; sample: 26 -Funafuti: Population: 791; sample: 254 -TOTAL: Population: 1827; sample: 600.

Mode of data collection

Face-to-face [f2f]

Research instrument

3 forms were used. Each question is writen in English and translated in Tuvaluan on the same version of the questionnaire. The questionnaire was highly based on the previous one (2004 survey).

Household Schedule This questionnaire, to be completed by interviewers, is used to collect information about the household composition, living conditions and is also the main form for collecting expenditure on goods and services purchased infrequently.

• composition of the household and demographic profile of each members
• dwelling information
• dwelling expenditure
• transport expenditure
• education expenditure
• health expenditure
• land and property expenditure
• household furnishing
• home appliances
• cultural and social payments
• holydays/travel costs
• Loans and saving
• clothing
• other major expenditure items

Individual Schedule There will be two individual schedules: - health and education - labor force (individual aged 15 and above) - employment activity and income (individual aged 15 and above): wages and salaries working own business agriculture and livestock fishing income from handicraft income from gambling small scale activies jobs in the last 12 months other income childreen income tobacco and alcohol use other activities seafarer

Diary (one diary per week, on a 2 weeks period, 2 diaries per household were required) The diaries are used to record all household expenditure and consumption over the two week diary keeping period. The diaries are to be filled in by the household members, with the assistance from interviewers when necessary. - All kind of expenses - Home production - food and drink (eaten by the household, given away, sold) - Goods taken from own business (consumed, given away) - Monetary gift (given away, received, winning from gambling) - Non monetary gift (given away, received, winning from gambling).

Cleaning operations

Consistency of the data: - each questionnaire was checked by the supervisor during and after the collection - before data entry, all the questionnaire were coded - the CSPRo data entry system included inconsistency checks which allow the National Statistics Office staff to point some errors and to correct them with imputation estimation from their own knowledge (no time for double entry), 4 data entry operators. 1. presence of all the form for each household 2. consistency of data within the questionnaire

at this stage, all the errors were corrected on the questionnaire and on the data entry system in the meantime.

• after data entry, the extreme amount of each questionnaire where selected in order to check their consistency. at this stage, all the inconsistency were corrected by imputation on CSPRO editing.

Response rate

The final response rates for the survey was very pleasing with an average rate of 97 per cent across all islands selected. The response rates were derived by dividing the number of fully responding households by the number of selected households in scope of the survey which weren't vacant.

Response rates for Tuvalu 2010 Household Income and Expenditure Survey (HIES): - Nanumea 100% - Nanumaga 100% - Niutao 98% - Nui 100% - Vaitupu 99% - Nukufetau 89% - Nukulaelae 100% - Funafuti 96%

As can be seen in the table, four of the islands managed a 100 per cent response, whereas only Nukufetau had a response rate of less than 90 per cent.

Further explanation of response rates can be located in the external resource entitled Tuvalu 2010 HIES Report Table 1.2.

Sampling error estimates

The quality of the results can be found in the report provided in this documentation.

Abstract

The 2008-09 Kenya Demographic and Health Survey (KDHS) is a population and health survey that Kenya conducts every five years. It was designed to provide data to monitor the population and health situation in Kenya and also to be used as a follow-up to the previous KDHS surveys in 1989, 1993, 1998, and 2003.

From the current survey, information was collected on fertility levels; marriage; sexual activity; fertility preferences; awareness and use of family planning methods; breastfeeding practices; nutritional status of women and young children; childhood and maternal mortality; maternal and child health; and awareness and behaviour regarding HIV/AIDS and other sexually transmitted infections. The 2008-09 KDHS is the second survey to collect data on malaria and the use of mosquito nets, domestic violence, and HIV testing of adults.

The specific objectives of the 2008-09 KDHS were to: - Provide data, at the national and provincial levels, that allow the derivation of demographic rates, particularly fertility and childhood mortality rates, to be used to evaluate the achievements of the current national population policy for sustainable development - Measure changes in fertility and contraceptive prevalence use and study the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and other important social and economic factors - Examine the basic indicators of maternal and child health in Kenya, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, use of immunisation services, use of mosquito nets, and treatment of children and pregnant women for malaria - Describe the patterns of knowledge and behaviour related to the transmission of HIV/AIDS and other sexually transmitted infections - Estimate adult and maternal mortality ratios at the national level - Ascertain the extent and pattern of domestic violence and female genital cutting in the country - Estimate the prevalence of HIV infection at the national and provincial levels and by urban-rural residence, and use the data to corroborate the rates from the sentinel surveillance system

The 2008-09 KDHS information provides data to assist policymakers and programme implementers as they monitor and evaluate existing programmes and design new strategies for demographic, social, and health policies in Kenya. The data will be useful in many ways, including the monitoring of the country’s achievement of the Millennium Development Goals.

As in 2003, the 2008-09 KDHS survey was designed to cover the entire country, including the arid and semi-arid districts, and especially those areas in the northern part of the country that were not covered in the earlier KDHS surveys. The survey collected information on demographic and health issues from a sample of women at the reproductive age of 15-49 and from a sample of men age 15-54 years in a one-in-two subsample of households.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 15-49
• Men age 15-54

Kind of data

Sample survey data

Sampling procedure

The survey is household-based, and therefore the sample was drawn from the population residing in households in the country. A representative sample of 10,000 households was drawn for the 2008-09 KDHS. This sample was constructed to allow for separate estimates for key indicators for each of the eight provinces in Kenya, as well as for urban and rural areas separately. Compared with the other provinces, fewer households and clusters were surveyed in North Eastern province because of its sparse population. A deliberate attempt was made to oversample urban areas to get enough cases for analysis. As a result of these differing sample proportions, the KDHS sample is not self-weighting at the national level; consequently, all tables except those concerning response rates are based on weighted data.

The KNBS maintains master sampling frames for household-based surveys. The current one is the fourth National Sample Survey and Evaluation Programme (NASSEP IV), which was developed on the platform of a two-stage sample design. The 2008-09 KDHS adopted the same design, and the first stage involved selecting data collection points ('clusters') from the national master sample frame. A total of 400 clusters-133 urban and 267 rural-were selected from the master frame. The second stage of selection involved the systematic sampling of households from an updated list of households. The Bureau developed the NASSEP frame in 2002 from a list of enumeration areas covered in the 1999 population and housing census. A number of clusters were updated for various surveys to provide a more accurate selection of households. Included were some of the 2008-09 KDHS clusters that were updated prior to selection of households for the data collection.

All women age 15-49 years who were either usual residents or visitors present in sampled households on the night before the survey were eligible to be interviewed in the survey. In addition, in every second household selected for the survey, all men age 15-54 years were also eligible to be interviewed. All women and men living in the households selected for the Men's Questionnaire and eligible for the individual interview were asked to voluntarily give a few drops of blood for HIV testing.

Note: See detailed description of the sample design in Appendix A of the survey final report.

Mode of data collection

Face-to-face

Research instrument

Three questionnaires were used to collect the survey data: the Household, Women’s, and Men’s Questionnaires. The contents of these questionnaires were based on model questionnaires developed by the MEASURE DHS programme that underwent only slight adjustments to reflect relevant issues in Kenya. Adjustment was done through a consultative process with all the relevant technical institutions, government agencies, and local and international organisations. The three questionnaires were then translated from English into Kiswahili and 10 other local languages (Kalenjin, Kamba, Kikuyu, Kisii, Luhya, Luo, Maasai, Meru, Mijikenda, and Somali). The questionnaires were further refined after the pretest and training of the field staff.

In each of the sampled households, the Household Questionnaire was the first to be administered and was used to list all the usual members and visitors. Basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women age 15-49 and men age 15-54 who were eligible for the individual interviews. The questionnaire also collected information on characteristics of the household’s dwelling unit, such as the source of water, type of toilet facilities, materials used for the floor, walls, and roof of the house, ownership of various durable goods, ownership of agricultural land, ownership of domestic animals, and ownership and use of mosquito nets. In addition, this questionnaire was used to capture information on height and weight measurements of women age 15-49 years and children age five years and below, and, in households eligible for collection of blood samples, to record the respondents’ consent to voluntarily give blood samples. A detailed description of HIV testing procedures is given in Section 1.10 below.

The Women’s Questionnaire was used to capture information from all women age 15-49 years and covered the following topics: - Respondent’s background characteristics (e.g., education, residential history, media exposure) - Reproductive history - Knowledge and use of family planning methods - Antenatal, delivery, and postnatal care - Breastfeeding - Immunisation, nutrition, and childhood illnesses - Fertility preferences - Husband’s background characteristics and woman’s work - Marriage and sexual activity - Infant and child feeding practices - Childhood mortality - Awareness and behaviour about HIV/AIDS and other sexually transmitted diseases - Knowledge of tuberculosis - Health insurance - Adult and maternal mortality - Domestic violence - Female genital cutting

The set of questions on domestic violence sought to obtain information on women’s experience of violence. The questions were administered to one woman per household. In households with more eligible women, special procedures (use of a ‘Kish grid’) were followed to ensure that the woman interviewed about domestic violence was randomly selected.

The Men’s Questionnaire was administered to all men age 15-54 years living in every second household in the sample. The Men’s Questionnaire collected information similar to that collected in the Women’s Questionnaire, but it was shorter because it did not contain questions on reproductive history, maternal and child health, nutrition, maternal mortality, and domestic violence.

Two pilot projects were conducted in 12 districts for the KDHS, the first from July 1-7, 2008, and the second from October 13-17, 2008, to test the questionnaires, which were written in English and then translated into eleven other languages. The pilot was repeated because the first pilot did not include the HIV blood testing component. Twelve teams (one for each language) were formed, each with one female interviewer, one male interviewer, and one health worker. A total of 260 households were covered in the pilots. The lessons learnt from the pilot surveys were used to finalise the survey instruments and set up strong, logistical arrangements to ensure the success of the survey.

Response

Abstract

The Liberia Demographic and Health Survey (LDHS) was conducted as part of the worldwide Demographic and Health Surveys (DHS) program, in which surveys are being carried out in countries in Africa, Asia, Latin America, and the Middle East. Liberia was the second country to conduct a DHS and the first country in Africa to do so. THe LDHS was a national-level survey conducted from February to July 1986, covering a sample of 5,239 women aged 15 to 49.

The major objective of the LDHS was to provide data on fertility, family planning and maternal and child health to planners and policymakers in Liberia for use in designing and evaluating programs. Although a fair amount of demographic data was available from censuses and surveys, almost no information existed concerning family planning, health, or the determinants of fertility, and the data that did exist were drawn from small-scale, sub-national studies. Thus, there was a need for data to make informed policy choices for family planning and health projects.

A more specific objective was to provide baseline data for the Southeast Region Primary Health Care Project. In order to effectively plan strategies and to eventually evaluate the progress of the project in meeting its goals, there was need for data to indicate the health situation in the two target counties prior to the implementation of the project. Many of the desired topics, such as immunizations, family planning use, and prenatal care, were already incorporated into the model DHS questionnaire; nevertheless, the LDHS was able to better accommodate the needs of this project by adding several questions and by oversampling women living in Sinoe and Grand Gedeh Counties.

Another important goal of the LDHS was to enhance tile skills of those participating in the project for conducting high-quality surveys in the future. Finally, the contribution of Liberian data to an expanding international dataset was also an objective of the LDHS.

Geographic coverage

National

Analysis unit

• Households
• Children age 0-5
• Women age 15 to 49
• Men

Kind of data

Sample survey data

Sampling procedure

The sample for the Liberia Demographic and Health Survey was based on the sampling frame of about 4,500 censal enumeration areas (EAs) that were created for the 1984 Population Census. It was decided to eliminate very remote EAs prior to selecting the sample. The definition of remoteness used was "any EA in which the largest village was estimated to be more than 3-4 hours' walk from a road." According to the 1984 census, the excluded areas represent less than 3 percent of the total number of households in the country. Since the major analytic objective of the LDHS was to adequately estimate basic demographic and health indicators including fertility, mortality, and contraceptive prevalence for the whole country and the two sub-universes (Since and Grand Gedeh Counties), it was decided to oversample these two counties. Consequently, three explicit sub-universes of EAs were created: (1) Since County, (2) Grand Gedeh County, and (3) the rest of the country.

The design provided a self-weighted sample within each sub-universe, but, because of the oversampling in Sinoe and Grand Gedeh Counties, the sample is not self-weighting at the national level. Eligible respondents for the survey were women aged 15-49 years who were present the night before the interview in any of the households included in the sample selected for the LDHS.

The total sample size was expected to be about 6,000 women aged 15-49 with a target by sub-universe of 1,000 each in Sinoe and Grand Gedeh Counties and 4,000 in the rest of the country. It was decided that a sample of approximately 5,500 households selected through a two-stage procedure would be appropriate to reach those objectives. Sampling was carried out independently in each sub-universe. In the rest of the country sub-universe, counties were arranged for selection in serpentine order from the northwest (Cape Mount County) to the southeast (Maryland County). In the first stage EAs were selected systematically with probability proportional to size (size = number of households in 1984). Twenty-four EAs were selected in each of Sinoe and Grand Gedeh Counties and 108 EAs in the rest of the country.

See full sample procedure in the survey final report.

Mode of data collection

Face-to-face

Research instrument

The Liberia Demographic and Health Survey (LDHS) utilized two questionnaires: One to list members of the selected households (Household Questionnaire) and the other to record information from all women aged 15-49 who were present in the selected households the night before the interview (Individual Questionnaire).

Both questionnaires were produced in Liberian English and were pretested in September 1985. The Individual Questionnaire was an early version of the DHS model questionnaire. It covered three main topics: (1) fertility, including a birth history and questions concerning desires for future childbearing, (2) family planning knowledge and use, and (3) family health, including prevalence of childhood diseases, immunizations for children under age five, and breasffeeding and weaning practices.

Cleaning operations

Data from the questionnaires were entered onto microcomputers at the Bureau of Statistics office in Monrovia. The data were then subjected to extensive checks for consistency and accuracy.

Errors detected during this operation were resolved either by referring to the original questionnaire, or, in some cases, by logical inference from other information given in the record. Finally, dates were imputed for the small number of cases where complete dates of important events were not given.

Response rate

Out of the total of 6,1306 households selected, 14.5 percent were found not to be valid households in the field, either because the dwelling had been vacated or destroyed, or the household could not be located or did not exist. Of the 5,609 households that were found to exist, 90 percent were successfully interviewed. In the households that were interviewed, a total of 5,340 women were identified as being eligible for individual interview (that is, they were aged 15-49 and had spent the night before the interview in the selected household). This represents an average of slightly over one eligible woman per household.

The response rate for eligible women was 98 percent. The main reason for nonresponse was the absence of the woman. Similar data are presented by sample subuniverse.

Sampling error estimates

The results from sample surveys are affected by two types of errors: (1) nonsampling error and (2) sampling error. Nonsampling error is due to mistakes made in carrying out field activities, such as failure to locate and interview the correct household, errors in the way questions are asked, misunderstanding of the questions on the part of either the interviewer or the respondent, data entry errors, etc. Although efforts were made during the design and implementation of the Liberia Demographic and Health Survey to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

The sample of women selected in the LDHS is only one of many samples of the same size that could have been selected from the same population, using the same design. Each one would have yielded results that differed somewhat from the actual sample selected. The variability observed between all possible samples constitutes sampling error, which, although it is not known exactly, can be estimated from the survey results. Sampling error is usually measured in terms of the "standard error" of a particular statistic (mean, percentage, etc.), which is the square root of the variance of the statistic across all possible samples of equal size and design.

The standard error can be used to calculate confidence intervals within which one can be reasonably assured the true value of the variable for the whole population falls. For example, for any given statistic calculated from a sample survey, the value of that same statistic as measured in 95 percent of all possible samples of identical size and design will fall within a range of plus or minus two times the standard error of that statistic.

If the sample of women had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the LDHS sample design depended on stratification, stages, and clusters and consequently, it was necessary to utilize more complex formulas. The computer package CLUSTERS was used to assist in computing the sampling errors with the proper statistical methodology.

Data appraisal

Information on the completeness of date reporting is of interest in assessing data quality. With regard to dates of birth of individual women, 42 percent of respondents reported both a month and year of birth, 21 percent gave a year of birth in addition to current age, and 37 percent gave only their ages. With regard to children's dates of birth in the birth history, 85 percent of births had both month and year reported, 12 percent had year and age reported, 1 percent had only age reported, and 2 percent had no date information.

Abstract

The Trinidad and Tobago DHS survey--a national-level self-weighting random sample survey--was funded by the United States Agency for International Development (US/AID) and executed by the Family Planning Association of Trinidad and Tobago (FPATT). Technical assisstance was provided by the Demographic and Health Surveys Program at the Institute for Resource Development (IRD), a subsidiary of Westinghouse located in Columbia, Maryland.

The sampling frame for the TTDHS was the Continuous Sample Survey of Population (CSSP), an ongoing survey conducted by the Central Statistical Office based on the 1980 Population and Housing Census.

The TTDHS used a household schedule to collect information on residents of selected households, and to identify women eligible for the individual questionnaire. The individual questionnaire was based on DHS's Model "A" Questionnaire for High Contraceptive Prevalence countries, which was modified for use in Trinidad and Tobago. It covered four main areas: (1) background information on the respondent, her partner and marital status, (2) fertility and fertility preferences, (3) contraception, and (4) the health of children.

The short term objective of the Trinidad and Tobago Demographic and Health Survey (TTDHS) is to collect and analyse data on the demographic characteristics of women in the reproductive years, and the health status of their young children. Policymakers and programme managers in public and private agencies will be able to utilize the data in designing and administering programmes.

The long term objective of the project is to enhance the ability of organisations involved in the TTDHS to undertake surveys of excellent technical quality.

Geographic coverage

National

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 1988 TTDHS is defined as the universe of all women age 15-49.

Kind of data

Sample survey data

Sampling procedure

The sample for the TTDHS was based on the Continuous Sample Survey of Population (CSSP), used by the Central Statistical Office since 1968, and redesigned on the basis of the 1980 Population and Housing Census. The country is divided into 14 domains of study, comprising a total of 1,638 enumeration districts (EDs). Results from the 1980 Census indicated that some EDs were too large (more than 300 households) and some too small (fewer than 30 households) to be appropriate primary sampling units (PSUs) for the TFDHS. Therefore, the largest units were further subdivided, and the smaller units combined with contiguous ones for the CSSP sample.

The CSSP sample is selected in two stages. In the first, PSUs are systematically selected, with probability proportional to size (size equals the number of households in the PSU). Following an operation to list all households in each selected PSU, individual households are selected, with probability of selection inversely proportional to the PSU's size.

The CSSP grand sample, which provides an overall sampling fraction of one household in forty (1/40) has been divided into 9 sub-samples, each with an overall sampling fraction of one in three-hundred sixty (1/360). Each CSSP survey round, conducted quarterly, uses three of the nine sub-samples, with an overall sampling fraction of one in one-hundred twenty (1/120).

The DHS sample was taken from the CSSP sample selected for the January-March 1987 quarter. The main objectives of the DHS sample were: - a self-weighting sample of households, - a sample take in each selected PSU of about 25 women aged 15-49, and - a total of 4,000 completed interviews with women aged 15-49.

To achieve this sample size, 5,000 households were selected. This figure assumes an average of one eligible woman per household, and 294,400 eligible women nationwide, giving an overall sampling fraction of one in sixty (1/60). It also allows for 10 percent non-response at both the household and the individual interview level, commensurate with CSO experience in similar recent surveys. In total, 178 PSUs were selected throughout Trinidad and Tobago.

Mode of data collection

Face-to-face

Research instrument

The individual questionnaire was based on DHS's Model "A" Questionnaire for High Contraceptive Prevalence countries, which was modified for use in Trinidad and Tobago. It covered four main areas: (1) background information on the respondent, her partner and marital status, (2) fertility and fertility preferences, (3) contraception, and (4) the health of children.

The DHS model "A" questionnaire was adapted for use in Trinidad and Tobago, and pretested during February 1987. Thirteen pretest interviewers were trained for two weeks by FPATI', CSO, and IRD staff, and carded out two days of interviews. The questionnaire was further modified based on pretest results and interviewer comments.

Cleaning operations

The data processing staff consisted of a chief editor, 3 data entry clerks, and a control clerk who logged in questionnaires when they reached the office. All data entry staff completed the main interviewer training, in addition to data processing instruction by IRD staff. Data entry, editing, and tabulations were performed on microcomputers using the Integrated System for Survey Analysis (ISSA) programme, developed by IRD. The system performed range, skip, and consistency checks upon data entry, so that relatively little machine or manual editing was required. The chief editor was responsible for supervising data entry, and for resolving inconsistencies in the questionnaires detected during secondary machine editing.

Response rate

4,122 households were successfully interviewed, out of the 4,799 selected for the sample. The household response rate was 94 percent. This represents households for which the interview was successfully completed out of 4,371 households for which an interview could have been conducted. This latter group includes households not interviewed due to the absence of a competent respondent, refusal, or the interviewer not finding the selected household. Among the 677 selected households which were not interviewed, 604 were missed because of contact difficulties: addresses not found, houses vacant, or those in which the occupants were not at home during repeated visits. Fewer than one percent of households refused to be interviewed.

The household questionnaires identified 4,196 women eligible for the individual questionnaire. This figure represents a yield of one eligible woman per household, which was the average expected. Questionnaires were completed for 3,806 women. The response rate at the individual level was 92 percent, which represents the proportion of interviews successfully completed out of the total number of women identified by the household schedule. The overall response rate, the product of response rates at the household and individual levels is 87 percent.

Contact was not made with 199 eligible women, either because the respondent was not at home during any of three visits by the interviewer, or was temporarily away from the household. Sixty-eight cases were missed due to "Other" reasons, and 83 women refused to be interviewed.

The response rates for the urban and rural areas were similar. In the urban areas, the overall response rate was 86 percent, compared with 88 percent for the rural areas.

Sampling error estimates

Sampling errors, on the other hand, can be evaluated statistically. The sample of women selected in the 'IIDHS is only one of many samples of the same size that could have been drawn from the population using the same design. Each sample would have yielded slightly different results from the sample actually selected. The variability observed among all possible samples constitutes sampling error, which can be estimated from survey results (though not measured exact/y).

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

If simple random sampling had been used to select women for the TTDHS, it would have been possible to use straightforward formulas for calculating sampling errors. However, the TTDHS sample design used two stages and clusters of households, and it was necessary to use more complex formulas. Therefore, the computer package CLUSTERS, developed for the World Fertility Survey, was used to compute sampling errors.

In addition to the standard errors, CLUSTERS computes the design effect (DEFT) for each estimate, which is defined as the ratio between the standard error using the given sample design, and the standard error that would result if a simple random sample had been used. A DEFT value of 1 indicates that the sample design is as efficient as a simple random sample; a value greater than 1 indicates that the increase in the sampling error is due to the use of a more complex and less statistically efficient design.

Sampling errors are presented in Table B.1 of the Final Report for 35 variables considered to be of primary interest. Results are presented for the whole

To provide estimates of employment, unemployment, and other characteristics of the general labor force, of the population as a whole, and of various subgroups of the population. Monthly labor force data for the country are used by the Bureau of Labor Statistics (BLS) to determine the distribution of funds under the Job Training Partnership Act. These data are collected through combined computer-assisted personal interviewing (CAPI) and computer-assisted telephone interviewing (CATI). In addition to the labor force data, the CPS basic funding provides annual data on work experience, income, and migration from the March Annual Demographic Supplement and on school enrollment of the population from the October Supplement. Other supplements, some of which are sponsored by other agencies, are conducted biennially or intermittently.

Users can download data or view data tables on topics related to the labor force of the United States. Background Current Population Survey is a joint effort between the Bureau of Labor Statistics and the Census Bureau. It provides information and data on the labor force of the United States, such as: employment, unemployment, earnings, hours of work, school enrollment, health, employee benefits and income. The CPS is conducted monthly and has a sample of approximately 50,000 households. It is representative of the non-institutionalized US population. The sample provides estimates for the nation as a whole and serves as part of model-based estimates for individual states and other geographic areas. User Functionality Users can download data sets or view data tables on their topic of interest. Data can be organized by a variety of demographic variables, including: sex, age, race, marital status and educational attainment. Data is available on a national or state level. Data Notes The CPS is conducted monthly and has a sample of approximately 50,000 households. It is representative of the non-institutionalized US population. The sample provides estimates for th e nation as a whole and serves as part of model-based estimates for individual states and other geographic areas.

Abstract

The 2013 Liberia Demographic and Health Survey (LDHS) is designed to provide data for monitoring the population and health situation in Liberia. The 2013 LDHS is the fourth Demographic and Health Survey conducted in Liberia since 1986. The primary objective of the 2013 LDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the 2013 LDHS collected information on fertility levels, marriage, sexual activity, fertility preferences, family planning methods, breastfeeding practices, nutrition, childhood and maternal mortality, maternal and child health, and HIV/AIDS and other sexually transmitted infections (STIs). In addition, the 2013 LDHS provides estimates on HIV prevalence among adult Liberians.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual/ person
• Children age 0-5 years
• Woman age 15 to 49 years
• Man age 15 to 49 years

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample Design The sampling frame for the 2013 LDHS was developed by the Liberia Institute of Statistics and Geo-Information Services (LISGIS) after the 2008 National Population and Housing Census (NPHC). The sampling frame is similar to that used for the 2009 and 2011 Liberia Malaria Indicator Surveys (LMIS), except that the classification of localities as urban or rural was updated through the application of standardized definitions. The sampling frame excluded nomadic and institutional populations such as residents of hotels, barracks, and prisons. Notably, the sampling frame for the 2013 LDHS differs markedly from that used for the 2007 LDHS, which was based on the 1984 NPHC. Taken together, these differences may complicate data comparisons between surveys.

The 2013 LDHS followed a two-stage sample design that allowed estimates of key indicators for the country as a whole, for urban and rural areas separately, for Greater Monrovia and other urban areas separately, and for each of 15 counties. To facilitate estimates of geographical differentials for certain demographic indicators, the 15 counties were collapsed into five regions as follows: North Western: Bomi, Grand Cape Mount, and Gbarpolu South Central: Montserrado, Margibi, and Grand Bassa South Eastern A: River Cess, Sinoe, and Grand Gedeh South Eastern B: River Gee, Grand Kru, and Maryland North Central: Bong, Nimba, and Lofa

Regional data were presented in the 2007 LDHS, the 2009 LMIS, and the 2011 LMIS. However, in contrast with these past surveys, the South Central region now includes Monrovia. Thus, data presented for the South Central region in this report is not directly comparable to that presented in the 2007 LDHS, the 2009 LMIS, or the 2011 LMIS.

The first stage of sample selection involved selecting sample points (clusters) consisting of enumeration areas (EAs) delineated for the 2008 NPHC. Overall, the sample included 322 sample points, 119 in urban areas and 203 in rural areas. To allow for separate estimates of Greater Monrovia and Montserrado as a whole, 44 sample points were selected in Montserrado; 16 to 26 sample points were selected in each of the other 14 counties.

The second stage of selection involved the systemic sampling of households. A household listing operation was undertaken in all the selected EAs from mid-September to mid-October 2012. From these lists, households to be included in the survey were selected. Approximately 30 households were selected from each sample point for a total sample size of 9,677 households. During the listing, geographic coordinates (latitude and longitude) were taken in the center of the populated area of each EA using global positioning system (GPS) units.

Because of the approximately equal sample sizes in each region, the sample is not self-weighting at the national level, and weighting factors have been added to the data file so that the results will be proportional at the national level.

All women age 15-49 who were either permanent residents of the selected households or visitors who stayed in the household the night before the survey were eligible to be interviewed. In half of the households, all men age 15-49 who were either permanent residents of the selected households or visitors who stayed in the household the night before the survey were eligible to be interviewed. In the subsample of households selected for the male survey, blood samples were collected for laboratory testing to detect HIV from eligible women and men who consented; in this same subsample of households, height and weight information was collected from eligible women, men, and children 0-59 months.

Further details on the sample design and implementation are given in Appendix A of the final report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used for the 2013 LDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire. These questionnaires are based on MEASURE DHS standard survey questionnaires and were adapted to reflect the population and health issues relevant to Liberia. Input was solicited from various stakeholders representing government ministries and agencies, nongovernmental organizations, and international donors.

Given that there are dozens of local languages in Liberia, most of which have no accepted written script and are not taught in the schools, and given that English is widely spoken, it was decided not to attempt to translate the questionnaires into vernaculars. However, many of the questions were broken down into a simpler form of Liberian English that interviewers could use with respondents.

The Household Questionnaire was used to list all the usual members of and visitors to selected households. Some basic demographic information was collected on the characteristics of each person listed, including his or her age, sex, education, and relationship to the head of the household. For children under age 18, survival status of the parents was determined. The data on age and sex of household members obtained in the Household Questionnaire were used to identify women and men who were eligible for individual interview and HIV testing. The Household Questionnaire also collected information on characteristics of the household’s dwelling unit, such as the source of water, type of toilet facility, materials used for the floor of the house, ownership of various durable goods, ownership and use of mosquito nets, and information on household out-of-pocket health-related expenditures. The Household Questionnaire was also used to record height and weight measurements of children 0-59 months and eligible adults. Also recorded was whether or not eligible adults consented to HIV testing.

The Woman’s Questionnaire was used to collect information from all eligible women age 15-49.

The Man’s Questionnaire was administered to all men age 15-49 in the subsample of households selected for the male survey in the 2013 LDHS sample. The Man’s Questionnaire collected much of the same information as the Woman’s Questionnaire, but was shorter because it did not contain a detailed reproductive history or questions on maternal and child health.

Cleaning operations

All questionnaires were returned to the LISGIS central office in Monrovia for data processing, which consisted of office editing, coding of open-ended questions, data entry, and editing computer-identified errors. The data were processed by a team of 12 data entry clerks, two data editors, one data entry supervisor, and two administrators of questionnaires; the latter checked that the clusters were completed according to the sample selection and that all members of the household eligible for individual interview were identified. Secondary editing was led by an LDHS coordinator. Several LISGIS staff took on the responsibility of receiving the blood samples from the field and checking them before sending them to the Montserrado Regional Blood Bank for storage. Data entry and editing using CSPro software was initiated in April 2013 and completed in late August 2013.

Response rate

A total of 9,677 households were selected for the sample, of which 9,386 were occupied. Of the occupied households, 9,333 were successfully interviewed, yielding a response rate of 99 percent.

In the interviewed households, 9,462 eligible women were identified for individual interview; of these, complete interviews were conducted with 9,239 women, yielding a response rate of 98 percent. In the subsample of households selected for the male survey, 4,318 eligible men were identified and 4,118 were successfully interviewed, yielding a response rate of 95 percent. The lower response rate for men was likely due to their more frequent and longer absences from the household.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: nonsampling errors and sampling errors. Nonsampling 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 2013 Liberia Demographic and Health Survey to minimize this type of error, nonsampling 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 2013 LDHS is only one of many samples that could have been selected from the same population,

Abstract

The 2009 Samoa Demographic and Health Survey (SDHS) is a national survey covering all four regions of the country. The survey was designed to collect, analyze, and disseminate information on housing and household characteristics, education, maternal and child health, nutrition, fertility and family planning, gender, and knowledge and behaviour related to HIV/AIDS and sexually transmitted infections (STI).

The 2009 SDHS is the first DHS survey to be undertaken in Samoa both by the health sector and for an improved health system. The planning and implementation of the survey was carried out jointly by the Samoa Bureau of Statistics (SBS) and the Ministry of Health (MOH) with the technical assistance and guidance of ICF Macro. The Ministry of Women, Community and Social Development assisted by facilitating community support for the survey through villages and mayors.

The Samoa DHS is part of a worldwide survey program. The international MEASURE DHS program is designed to:

• Assist countries in conducting household sample surveys to periodically monitor changes in population, health, and nutrition. • Provide an international database that can be used by researchers investigating topics related to population, health, and nutrition.

As part of the international DHS program, surveys are being carried out in countries in Africa, Latin America and the Caribbean, Asia, Eastern Europe and the Middle East. Data from these surveys are used to better understand the population, health, and nutrition situation in Samoa.

Geographic coverage

National Regional Urban and Rural

Analysis unit

individual (woman aged 15-49, man aged 15-54), household

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49 and men aged 15-54 years

Kind of data

Sample survey data [ssd]

Sampling procedure

The Survey used a two-stage sample based on the 2006 Population and Housing Census (PHC) to allow reliable estimation of key demographic and health indicators such as fertility, contraceptive prevalence, and infant and child mortality for each of the four geographic regions in Samoa.

The population covered in the 2009 SDHS is the universe of all women age 15-49 in Samoa in a sample of 2,247 selected households. Every other household selected for the women's samplev was also eligible for the men's sample (men age 15-54).

The primary sampling unit (PSU) for the 2009 SDHS was the cluster. The first stage involved selecting clusters from the master sample frame (the 2006 Population and Housing Census). In the second stage, all the households in each selected cluster were listed. Households were then systematically selected from each cluster for participation in the survey. The design did not allow for replacement of clusters or households.

The sample was designed to include10 percent of the households in rural areas and 12 percent of the households in the urban areas. The sample was designed to permit detailed analysis of most indicators for the national level, for urban and rural areas separately, and for each of the four regions (Apia Urban Area, North West Upolu, Rest of Upolu, and Savaii). Overall, a total of 296 primary sampling units or clusters were selected, 104 in urban areas and 196 in the rural areas. Because Samoan household do not move frequently, a fresh household listing was not deemed to be necessary. Instead, a list from the November was used. In the urban clusters, 5 households were selected per cluster, whereas in the rural clusters, 10 households were selected per cluster. The number of clusters in each of the four geographical regions was calculated by diving the total allocated number of households by the sample taken of 5 for Apia Urban Area (the number of households of households in the urban EAs) and 10 for other regions (the number of households for rural EAs). In each region EAs were stratified by urban location first and then by rural location. Clusters were selected systematically, with propability proportional to size.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the SDHS: a Household Questionnaire, a Women's Questionnaire, and a Men's Questionnaire. The household and individual questionnaires were based on model survey instruments developed in the MEASURE DHS program. The model questionnaires were adapted to meet the current needs of Samoa. Each household selected for the SDHS was eligible for interview with the Household Questionnaire.

The Household Questionnaire was used to list all usual members of and visitors to the selected households and to collect information on the socio-economic status of the household. It was also used to identify the women and men who were eligible for the individual interview (i.e., women age 15-49 and men age 15-54).

The Women's Questionnaire was used to collect information from all women age 15-49 years and covered the following topics: - background characteristics (education, residential history, media exposure, etc.) - birth history - antenatal, delivery, and postnatal care - knowledge, attitudes, and use of family planning methods - fertility preferences; marriage, woman's work, and husband's background characteristics - breastfeeding and infant feeding practices; vaccinations and childhood illnesses - childhood mortality - knowledge of and attitudes toward aids and other sexually transmitted diseases - knowledge of and attitudes toward tuberculosis - other health issues.

The Men's Questionnaire, administered to all men age 15-54 years living in every other Household (i.e. half of the sample households), collected information similar to that on the Women's Questionnaire but was shorter because it did not contain questions on reproductive history, maternal and child health, and nutrition.

After finalization of the questionnaires in English, they were translated into Samoan.

Cleaning operations

The processing of the SDHS results began shortly after the fieldwork started. Data editing was first done in the field by the field editors and supervisors. Completed and edited questionnaires for each cluster were packed and delivered to the SDHS centre at Motootua where they were entered and edited by data processing personnel. The data processing team was composed of 15 data entry operators, 1 data entry supervisor with 2 assistants and 7 office editors working in two shifts. Data operators and supervisors went through a one-week training programme with the technical assistance of ICF Macro. Data were entered using CSPro, a programme specially developed for use in household based surveys and censuses. All data were entered twice (100 percent verification). The concurrent processing of the data was an advantage because the survey technical staff were able to advise field teams of problems detected during the data entry using tables generated to check various data quality parameters. As a result, specific feedback was given to the teams to improve their performances. The data entry and editing phase of the survey was completed in February 2010.

Response rate

The Samoa DHS 2009 selected 2,247 households for the sample, of which 2,066 were found occupied at the time of the fieldwork. Of these 1947 households were successfully interviewed yielding a household response rate of 94 percent.

In the households interviewed, a total of 3,033 eligible women aged 15-49 were identified, of whom 2657 were interviewed (respond rate of 88 percent). For eligible men aged 15-54 were identified in the sub-sample a total of 1,689 but only 1,307 were successfully interviewed (respond rate of 77 percent).

By area, response rates for households and women are slightly lower in urban (82 and 86 percent, respectively) than in rural areas (95 and 86 percent, respectively). For men on the other hand, response rate is higher in urban areas, 81 percent, than in rural areas, 76 percent.

The principal reason for non-response for eligible women and men was the failure to find them at home despite repeated visits to the households. The substantially lower response rates for men reflect the more frequent and longer absences of men from the home.

Response rates by region and the details on the calculation of the response rates can be found in Appendix A of the 2009 SDHS report.

Sampling error estimates

Sampling errors for the 2009 SDHS were calculated using a Macro SAS procedure. This procedure used the Taylor linearization method of variance estimation for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics, such as fertility and mortality rates.

Sampling errors for the 2009 SDHS are calculated for selected variables considered to be of primary interest. The results are presented in Appendix B of the 2009 SDHS report for the country as a whole, for urban and rural areas, and for the four geographical regions. Standard errors, design effect, relative standard errors and 95 percent confidence limits for each statistic of a variable are presented in the tables of the Appendix. Details on sampling error calculation are also provided.

In summary, for the total sample, the value of the DEFT, averaged over all variables, is 1.05. This means that, due to multi-stage clustering of the sample, the average standard error is increased by a factor of 1.05 over that in an equivalent simple random sample.

Data appraisal

Data quality tables and were generated to assess the quality and reliability of the 2009 SDHS data.

Abstract copyright UK Data Service and data collection copyright owner. The Online Time Use Survey (OTUS) was developed by the Office for National Statistics to help improve the measurement of unpaid household production and caring activities that are not captured within traditional economic measures, and to understand better time use from a well-being and quality of life perspective. The survey collects information from adults aged 18 years and over who are randomly sampled from the NatCen Opinion Panel, which is representative of the UK population. Data collected between March 2020 and March 2021 covers Great Britain and data collected from March 2022 onwards covers the United Kingdom. Participants were issued with two pre-allocated diary days (one on a weekday and one on a weekend day). They were asked to record their main activities (in 10-minute intervals) and up to five secondary activities (in five-minute intervals) in every 24 hours within an online diary tool. Respondents were able to select activities from a pre-defined list. They were also asked to rate how much they enjoyed different activities. In addition, respondents were asked to complete a demographic questionnaire which records personal and household characteristics.Latest edition informationFor the third edition (August 2024), data and documentation for Wave 8 (9 to 17 March 2024) were added to the study. Main Topics: The annual data files include the following variables:main activities (in 10-minute periods) up to five secondary activities (in five-minute periods)count of all 5-minute primary activities total in minutes of all primary activitiescount of all 5-minute secondary activitiestotal in minutes of all secondary activitiesenjoyment level (scale 1-7) for all primary activities (in 10-minute periods) enjoyment level (scale 1-7) for all secondary activities (in five-minute periods)basic demographics, including personal well-being rating variables.

Abstract

The 1993 Kenya Demographic and Health Survey (KDHS) was a nationally representative survey of 7,540 women age 15-49 and 2,336 men age 20-54. The KDHS was designed to provide information on levels and trends of fertility, infant and child mortality, family planning knowledge and use, maternal and child health, and knowledge of AIDS. In addition, the male survey obtained data on men's knowledge and attitudes towards family planning and awareness of AIDS. The data are intended for use by programme managers and policymakers to evaluate and improve family planning and matemal and child health programmes. Fieldwork for the KDHS took place from mid-February until mid-August 1993. All areas of Kenya were covered by the survey, except for seven northem districts which together contain less than four percent of the country's population.

The KDHS was conducted by the National Council for Population and Development (NCPD) and the Central Bureau of Statistics of the Government of Kenya. Macro International Inc. provided financial and technical assistance to the project through the intemational Demographic and Health Surveys (DHS) contract with the U.S. Agency for International Development.

OBJECTIVES

The KDHS is intended to serve as a source of population and health data for policymakers and the research community. It was designed as a follow-on to the 1989 KDHS, a national-level survey of similar size that was implemented by the same organisations. In general, the objectives of KDHS are to: - assess the overall demographic situation in Kenya, - assist in the evaluation of the population and health programmes in Kenya, - advance survey methodology, and - assist the NCPD to strengthen and improve its technical skills to conduct demographic and health surveys.

The KDHS was specifically designed to: - provide data on the family planning and fertility behaviour of the Kenyan population to enable the NCPD to evaluate and enhance the National Family Planning Programme, - measure changes in fertility and contraceptive prevalence and at the same time study the factors which affect these changes, such as marriage patterns, urban/rural residence, availability of contraception, breastfeeding habits and other socioeconomic factors, and - examine the basic indicators of maternal and child health in Kenya.

KEY FINDINGS

The 1993 KDHS reinforces evidence of a major decline in fertility which was first revealed by the findings of the 1989 KDHS. Fertility continues to decline and family planning use has increased. However, the disparity between knowledge and use of family planning remains quite wide. There are indications that infant and under five child mortality rates are increasing, which in part might be attributed to the increase in AIDS prevalence.

Geographic coverage

The 1993 KDHS sample is national in scope, with the exclusion of all three districts in North Eastern Province and four other northern districts (Samburu and Turkana in Rift Valley Province and Isiolo and 4 Marsabit in Eastern Province). Together the excluded areas account for less than 4 percent of Kenya's population.

Analysis unit

• Household
• Women age 15-49
• Men age 20-54
• Children under five

Universe

The population covered by the 1993 KDHS is defined as the universe of all women age 15-49 in Kenya and all husband age 20-54 living in the household.

Kind of data

Sample survey data

Sampling procedure

The sample for the 1993 KDHS was national in scope, with the exclusion of all three districts in Northeastern Province and four other northern districts (Isiolo and Marsabit from Eastern Province and Samburu and Turkana from Rift Valley Province). Together the excluded areas account for less than four percent of Kenya's population. The KDHS sample points were selected from a national master sample maintained by the Central Bureau of Statistics, the third National Sample Survey and Evaluation Programme (NASSEP-3), which is an improved version of NASSEP2 used in the 1989 survey. This master sample follows a two-stage design, stratified by urban-rural residence, and within the rural stratum, by individual district. In the first stage, 1989 census enumeration areas (EAs) were selected with probability proportional to size. The selected EAs were segmented into the expected number of standard-sized clusters to form NASSEP clusters. The entire master sample consists of 1,048 rural and 325 urban ~ sample points ("clusters"). A total of 536 clusters---92 urban and 444 rural--were selected for coverage in the KDHS. Of these, 520 were successfully covered. Sixteen clusters were inaccessible for various reasons.

As in the 1989 KDHS, selected districts were oversampled in the 1993 survey in order to produce more reliable estimates for certain variables at the district level. Fifteen districts were thus targetted in the 1993 KDHS: Bungoma, Kakamega, Kericho, Kilifi, Kisii, Machakos, Meru, Murang'a, Nakuru, Nandi, Nyeri, Siaya, South Nyanza, Taita-Taveta, and Uasin Gishu; in addition, Nairobi and Mombasa were also targetted. Although six of these districts were subdivided shortly before the sample design was finalised) the previous boundaries of these districts were used for the KDHS in order to maintain comparability with the 1989 survey. About 400 rural households were selected in each of these 15 districts, just over 1000 rural households in other districts, and about 18130 households in urban areas, for a total of almost 9,000 households. Due to this oversampling, the KDHS sample is not self-weighting at the national level.

After the selection of the KDHS sample points, fieldstaff from the Central Bureau of Statistics conducted a household listing operation in January and early February 1993, immediately prior to the launching of the fieldwork. A systematic sample of households was then selected from these lists, with an average "take" of 20 households in the urban clusters and 16 households in rural clusters, for a total of 8,864 households selected. Every other household was identified as selected for the male survey, meaning that, in addition to interviewing all women age 15-49, interviewers were to also interview all men age 20-54. It was expected that the sample would yield interviews with approximately 8,000 women age 15-49 and 2,500 men age 20-54.

Mode of data collection

Face-to-face

Research instrument

Four types of questionnaires were used for the KDHS: a Household Questionnaire, a Woman's Questionnaire, a Man's Questionnaire and a Services Availability Questionnaire. The contents of these questionnaires were based on the DHS Model B Questionnaire, which is designed for use in countries with low levels of contraceptive use. Additions and modifications to the model questionnaires were made during a series of meetings organised around specific topics or sections of the questionnaires (e.g., fertility, family planning). The NCPD invited staff from a variety of organisations to attend these meetings, including the Population Studies Research Institute and other departments of the University of Nairobi, the Woman's Bureau, and various units of the Ministry of Health. The questionnaires were developed in English and then translated into and printed in Kiswahili and eight of the most widely spoken local languages in Kenya (Kalenjin, Kamba, Kikuyu, Kisii, Luhya, Luo, Meru, and Mijikenda).

a) The Household Questionnaire was used to list all the usual members and visitors of selected households. Some basic information was collected on the characteristics of each person listed, including his/her age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for individual interview. In addition, information was collected about the dwelling itself, such as the source of water, type of toilet facilities, materials used to construct the house, and ownership of various consumer goods.

b) The Woman's Questionnaire was used to collect information from women aged 15-49. These women were asked questions on the following topics: Background characteristics (age, education, religion, etc.), Reproductive history, Knowledge and use of family planning methods, Antenatal and delivery care, Breastfeeding and weaning practices, Vaccinations and health of children under age five, Marriage, Fertility preferences, Husband's background and respondent's work, Awareness of AIDS. In addition, interviewing teams measured the height and weight of children under age five (identified through the birth histories) and their mothers.

c) Information from a subsample of men aged 20-54 was collected using a Man's Questionnaire. Men were asked about their background characteristics, knowledge and use of family planning methods, marriage, fertility preferences, and awareness of AIDS.

d) The Services Availability Questionnaire was used to collect information on the health and family planning services obtained within the cluster areas. One service availability questionnaire was to be completed in each cluster.

Cleaning operations

All questionnaires for the KDHS were returned to the NCPD headquarters for data processing. The processing operation consisted of office editing, coding of open-ended questions, data entry, and editing errors found by the computer programs. One NCPD officer, one data processing supervisor, one questionnaire administrator, two office editors, and initially four data entry operators were responsible for the data processing operation. Due to attrition and the need to speed up data processing, another four data entry operators were later hired

Abstract

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

Geographic coverage

County, Urban, Rural and National

Analysis unit

Households

Kind of data

Sample survey data [ssd]

Sampling procedure

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

Sampling deviation

Not available

Mode of data collection

Face-to-face [f2f]

Research instrument

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

Abstract

The 2023-24 Lesotho Demographic and Health Survey (2023-24 LDHS) is designed to provide data for monitoring the population and health situation in Lesotho. The 2023-24 LDHS is the 4th Demographic and Health Survey conducted in Lesotho since 2004.

The primary objective of the 2023–24 LDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the LDHS collected information on fertility levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutrition, childhood and maternal mortality, maternal and child health, awareness and behaviour regarding HIV and AIDS and other sexually transmitted infections (STIs), other health issues (including tuberculosis) and chronic diseases, adult mortality (including maternal mortality), mental health and well-being, and gender-based violence. In addition, the 2023–24 LDHS provides estimates of anaemia prevalence among children age 6–59 months and adults as well as estimates of hypertension and diabetes among adults.

The information collected through the 2023–24 LDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of Lesotho’s population. The survey also provides indicators relevant to the Sustainable Development Goals (SDGs) for Lesotho.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-59

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, all men aged 15-59, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame used for the 2023–24 LDHS is based on the 2016 Population and Housing Census (2016 PHC), provided by the Lesotho Bureau of Statistics (BoS). The frame file is a complete list of all census enumeration areas (EAs) within Lesotho. An EA is a geographic area, usually a city block in an urban area or a village in a rural area, consisting of approximately 100 households. In rural areas, it may consist of one or more villages. Each EA serves as a counting unit for the population census and has a satellite map delineating its boundaries, with identification information and a measure of size, which is the number of residential households enumerated in the 2016 PHC. Lesotho is administratively divided into 10 districts; each district is subdivided into constituencies and each constituency into community councils.

The 2023–24 LDHS sample of households was stratified and selected independently in two stages. Each district was stratified into urban, peri-urban, and rural areas; this yielded 29 sampling strata because there are no peri-urban areas in Butha-Buthe. In the first sampling stage, 400 EAs were selected with probability proportional to EA size and with independent selection in each sampling stratum. A household listing operation was carried out in all of the selected sample EAs, and the resulting lists of households served as the sampling frame for the selection of households in the next stage.

In the second stage of selection, a fixed number of 25 households per cluster (EA) were selected with an equal probability systematic selection from the newly created household listing. All women age 15–49 who were usual members of the selected households or who spent the night before the survey in the selected households were eligible for the Woman’s Questionnaire. In every other household, all men age 15–59 who were usual members of the selected households or who spent the night before the survey in the selected households were eligible for the Man’s Questionnaire. All households in the men’s subsample were eligible for the Biomarker Questionnaire.

Fifteen listing teams, each consisting of three listers/mappers and a supervisor, were deployed in the field to complete the listing operation. Training of the household listers/mappers took place from 28 to 30 June 2024. The household listing operation was carried out in all of the selected EAs from 5 to 26 July 2024. For each household, Global Positioning System (GPS) data were collected at the time of listing and during interviews.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four questionnaires were used for the 2023–24 LDHS: the Household Questionnaire, the Woman’s Questionnaire, the 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 Lesotho and were translated into Sesotho. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

Cleaning operations

The survey data were collected using tablet computers running the Android operating system and Census and Survey Processing System (CSPro) software, jointly developed by the United States Census Bureau, ICF, and Serpro S.A. English and Sesotho questionnaires were used for collecting data via CAPI. The CAPI programmes accepted only valid responses, automatically performed checks on ranges of values, skipped to the appropriate question based on the responses given, and checked the consistency of the data collected. Answers to the survey questions were entered into the tablets by each interviewer. Supervisors downloaded interview data to their tablet, checked the data for completeness, and monitored fieldwork progress.

Each day, after completion of interviews, field supervisors submitted data to the central server. Data were sent to the central office via secure internet data transfer. The data processing managers monitored the quality of the data received and downloaded completed data files for completed clusters into the system. ICF provided the CSPro software for data processing and technical assistance in the preparation of the data capture, data management, and data editing programmes. Secondary editing was conducted simultaneously with data collection. All technical support for data processing and use of the tablets was provided by ICF.

Description: The questions contained in the core modules of the two SASAS questionnaires for 2003 (demographics and core thematic issues) were asked of 7000 respondents, while the remaining rotating modules were asked of a half sample of approximately 3500 respondents each. The data set contains 2483 records and 356 variables. Topics included in the questionnaires are: democracy, identity, public services-education,health status, HIV/AIDS, health behaviour,moral issues, crime, voting, demographics and other classificatory variables, nature of families and family authority. Rotating modules are: health status, HIV/AIDS and health behaviour, communication, International Social Surveys Programme (ISSP) module: national identity, democracy part 2, poverty, generational and gender attitudes and domestic violence, interpersonal violence. Abstract: The primary objective of the South African Social Attitudes Survey (SASAS) is to design, develop and implement a conceptually and methodologically robust study of changing social attitudes and values in South Africa. In meeting this objective, the HSRC is carefully and consistently monitoring and providing insight into changes in attitudes among various socio-demographic groupings. SASAS is intended to provide a unique long-term account of the social fabric of modern South Africa, and of how its changing political and institutional structures interact over time with changing social attitudes and values. The survey has been designed to yield a national representative sample of adults aged 16 and older, using the Human Sciences Research Council's (HSRC) Master Sample, which was designed in 2002 and consists of 1000 primary sampling units (PSUs). These PSUs were drawn, with probability proportional to size from a pre-census 2001 list of 80780 enumerator areas (EAs). As the basis of the 2003 SASAS round of interviewing, a sub-sample of 500 EAs (PSUs) was drawn from the master sample. Three explicit stratification variables were used, namely province, geographic type and majority population group. The survey is conducted annually and the 2003 survey is the first wave in the series. To accommodate the wide variety of topics included in the survey, two questionnaires are administered simultaneously. Apart from the standard set of demographic and background variables, each version of the questionnaire contained a harmonised core module. The questions contained in the core modules of the two SASAS questionnaires (demographics and core thematic issues) were asked of 7000 respondents, while the remaining rotating modules were asked of a half sample of approximately 3500 respondents each. The core module remains constant for with the aim of monitoring change and continuity in a variety of socio-economic and socio-political variables. In addition, a number of themes are accommodated in rotation. The rotating element of the survey consists of two or more topic-specific modules in each round of interviewing and is directed at measuring a range of policy and academic concerns and issues that require more detailed examination at a specific point in time than the multi-topic core module would permit. Topics included in the questionnaires are: democracy, Identity, public services, health status, HIV/AIDS, health behaviour, moral issues, crime, voting, demographics and other classificatory variables, nature of families and family authority. Rotating modules are: communication, national identity, democracy part 2, poverty, generational and gender attitudes and family/household violence. International Social Survey Programme. (ISSP web page: www.issp.org/) The International Social Survey Programme (ISSP) is run by a group of research organisations, each of which undertakes to field annually an agreed module of questions on a chosen topic area. SASAS 2003 represents the formalisation of South Africa's inclusion in the ISSP, the intention being to include the module in one of the SASAS questionnaires in each round of interviewing. Each module is chosen for repetition at intervals to allow comparisons both between countries (membership currently stands at 48) and over time.