The Vatican City, often called the Holy See, has the smallest population worldwide, with only *** inhabitants. It is also the smallest country in the world by size. The islands Niue, Tuvalu, and Nauru followed in the next three positions. On the other hand, India is the most populous country in the world, with over *** billion inhabitants.

This is a Dataset of the World Population Consisting of Each and Every Country. I have attempted to analyze the same data to bring some insights out of it. The dataset consists of 234 rows and 17 columns. I will analyze the same data and bring the below pieces of information regarding the same.

1. Continent Population Characteristics Analysis.
2. Analysis of Countries.
   • Top 10 Most Populated and Least Populated Countries
   • Top 10 Largest and Smallest Countries as per Area
   • Population Growth From 1970 to 2020 (50 Years)
3. Countries Represent % Of World Population.
   • Countries that represent below 0.1% of the World Population.
   • Countries that represent above 2% of the world Population
   • Top 10 Over Populated Countries based on Density Per Sq KM.
   • Top 10 Least Populated Countries based on Density Per Sq KM.

The average for 2023 based on 196 countries was 0.51 percent. The highest value was in India: 17.94 percent and the lowest value was in Andorra: 0 percent. The indicator is available from 1960 to 2023. Below is a chart for all countries where data are available.

The smallest country in the world is Vatican City, with a landmass of just **** square kilometers (0.19 square miles). Vatican City is an independent state surrounded by Rome. Vatican City is not the only small country located inside Italy. San Marino is another microstate, with a land area of ** square kilometers, making it the fifth-smallest country in the world. Many of these small nations have equally small populations, typically less than ************** inhabitants. However, the population of Singapore is almost *** million, and it is the twentieth smallest country in the world with a land area of *** square kilometers. In comparison, Jamaica is almost eight times larger than Singapore, but has half the population.

• The current US Census Bureau world population estimate in June 2019 shows that the current global population is 7,577,130,400 people on Earth, which far exceeds the world population of 7.2 billion in 2015. Our estimate based on UN data shows the world's population surpassing 7.7 billion.
• China is the most populous country in the world with a population exceeding 1.4 billion. It is one of just two countries with a population of more than 1 billion, with India being the second. As of 2018, India has a population of over 1.355 billion people, and its population growth is expected to continue through at least 2050. By the year 2030, India is expected to become the most populous country in the world. This is because India’s population will grow, while China is projected to see a loss in population.
• The following 11 countries that are the most populous in the world each have populations exceeding 100 million. These include the United States, Indonesia, Brazil, Pakistan, Nigeria, Bangladesh, Russia, Mexico, Japan, Ethiopia, and the Philippines. Of these nations, all are expected to continue to grow except Russia and Japan, which will see their populations drop by 2030 before falling again significantly by 2050.
• Many other nations have populations of at least one million, while there are also countries that have just thousands. The smallest population in the world can be found in Vatican City, where only 801 people reside.
• In 2018, the world’s population growth rate was 1.12%. Every five years since the 1970s, the population growth rate has continued to fall. The world’s population is expected to continue to grow larger but at a much slower pace. By 2030, the population will exceed 8 billion. In 2040, this number will grow to more than 9 billion. In 2055, the number will rise to over 10 billion, and another billion people won’t be added until near the end of the century. The current annual population growth estimates from the United Nations are in the millions - estimating that over 80 million new lives are added yearly.
• This population growth will be significantly impacted by nine specific countries which are situated to contribute to the population growth more quickly than other nations. These nations include the Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, Uganda, the United Republic of Tanzania, and the United States of America. Particularly of interest, India is on track to overtake China's position as the most populous country by 2030. Additionally, multiple nations within Africa are expected to double their populations before fertility rates begin to slow entirely.

Content

• In this Dataset, we have Historical Population data for every Country/Territory in the world by different parameters like Area Size of the Country/Territory, Name of the Continent, Name of the Capital, Density, Population Growth Rate, Ranking based on Population, World Population Percentage, etc. >Dataset Glossary (Column-Wise):
• Rank: Rank by Population.
• CCA3: 3 Digit Country/Territories Code.
• Country/Territories: Name of the Country/Territories.
• Capital: Name of the Capital.
• Continent: Name of the Continent.
• 2022 Population: Population of the Country/Territories in the year 2022.
• 2020 Population: Population of the Country/Territories in the year 2020.
• 2015 Population: Population of the Country/Territories in the year 2015.
• 2010 Population: Population of the Country/Territories in the year 2010.
• 2000 Population: Population of the Country/Territories in the year 2000.
• 1990 Population: Population of the Country/Territories in the year 1990.
• 1980 Population: Population of the Country/Territories in the year 1980.
• 1970 Population: Population of the Country/Territories in the year 1970.
• Area (km²): Area size of the Country/Territories in square kilometers.
• Density (per km²): Population Density per square kilometer.
• Growth Rate: Population Growth Rate by Country/Territories.
• World Population Percentage: The population percentage by each Country/Territories.

Whereas the population is expected to decrease somewhat until 2100 in Asia, Europe, and South America, it is predicted to grow significantly in Africa. While there were 1.55 billion inhabitants on the continent at the beginning of 2025, the number of inhabitants is expected to reach 3.81 billion by 2100. In total, the global population is expected to reach nearly 10.18 billion by 2100. Worldwide population In the United States, the total population is expected to steadily increase over the next couple of years. In 2024, Asia held over half of the global population and is expected to have the highest number of people living in urban areas in 2050. Asia is home to the two most populous countries, India and China, both with a population of over one billion people. However, the small country of Monaco had the highest population density worldwide in 2024. Effects of overpopulation Alongside the growing worldwide population, there are negative effects of overpopulation. The increasing population puts a higher pressure on existing resources and contributes to pollution. As the population grows, the demand for food grows, which requires more water, which in turn takes away from the freshwater available. Concurrently, food needs to be transported through different mechanisms, which contributes to air pollution. Not every resource is renewable, meaning the world is using up limited resources that will eventually run out. Furthermore, more species will become extinct which harms the ecosystem and food chain. Overpopulation was considered to be one of the most important environmental issues worldwide in 2020.

Graph and download economic data for Refugee Population by Country or Territory of Asylum for Small States (SMPOPREFGSST) from 1990 to 2023 about refugee, small, World, and population.

Monaco led the ranking for countries with the highest population density in 2024, with nearly 26,000 residents per square kilometer. The Special Administrative Region of Macao came in second, followed by Singapore. The world’s second smallest country Monaco is the world’s second-smallest country, with an area of about two square kilometers and a population of only around 40,000. It is a constitutional monarchy located by the Mediterranean Sea, and while Monaco is not part of the European Union, it does participate in some EU policies. The country is perhaps most famous for the Monte Carlo casino and for hosting the Monaco Grand Prix, the world's most prestigious Formula One race. The global population Globally, the population density per square kilometer is about 60 inhabitants, and Asia is the most densely populated region in the world. The global population is increasing rapidly, so population density is only expected to increase. In 1950, for example, the global population stood at about 2.54 billion people, and it reached over eight billion during 2023.

There are approximately 8.16 billion people living in the world today, a figure that shows a dramatic increase since the beginning of the Common Era. Since the 1970s, the global population has also more than doubled in size. It is estimated that the world's population will reach and surpass 10 billion people by 2060 and plateau at around 10.3 billion in the 2080s, before it then begins to fall. Asia When it comes to number of inhabitants per continent, Asia is the most populous continent in the world by a significant margin, with roughly 60 percent of the world's population living there. Similar to other global regions, a quarter of inhabitants in Asia are under 15 years of age. The most populous nations in the world are India and China respectively; each inhabit more than three times the amount of people than the third-ranked United States. 10 of the 20 most populous countries in the world are found in Asia. Africa Interestingly, the top 20 countries with highest population growth rate are mainly countries in Africa. This is due to the present stage of Sub-Saharan Africa's demographic transition, where mortality rates are falling significantly, although fertility rates are yet to drop and match this. As much of Asia is nearing the end of its demographic transition, population growth is predicted to be much slower in this century than in the previous; in contrast, Africa's population is expected to reach almost four billion by the year 2100. Unlike demographic transitions in other continents, Africa's population development is being influenced by climate change on a scale unseen by most other global regions. Rising temperatures are exacerbating challenges such as poor sanitation, lack of infrastructure, and political instability, which have historically hindered societal progress. It remains to be seen how Africa and the world at large adapts to this crisis as it continues to cause drought, desertification, natural disasters, and climate migration across the region.

Among the 19 G20 countries, India had the largest population in October 2024, overtaking China as the most populous country in the world in 2023. Both countries had an estimated population of *** billion people. The number of inhabitants in India is expected to be over *** billion people in 2029, higher than in China at *** billion.

Graph and download economic data for Refugee Population by Country or Territory of Asylum for Pacific Island Small States (SMPOPREFGPSS) from 1995 to 2023 about refugee, Pacific Islands, small, World, and population.

Monaco is the country with the highest median age in the world. The population has a median age of around 57 years, which is around six years more than in Japan and Saint Pierre and Miquelon – the other countries that make up the top three. Southern European countries make up a large part of the top 20, with Italy, Slovenia, Greece, San Marino, Andorra, and Croatia all making the list. Low infant mortality means higher life expectancy Monaco and Japan also have the lowest infant mortality rates in the world, which contributes to the calculation of a higher life expectancy because fewer people are dying in the first years of life. Indeed, many of the nations with a high median age also feature on the list of countries with the highest average life expectancy, such as San Marino, Japan, Italy, and Lichtenstein. Demographics of islands and small countries Many smaller countries and island nations have populations with a high median age, such as Guernsey and the Isle of Man, which are both island territories within the British Isles. An explanation for this could be that younger people leave to seek work or education opportunities, while others choose to relocate there for retirement.

SP.URB.TOTL. Urban population refers to people living in urban areas as defined by national statistical offices. It is calculated using World Bank population estimates and urban ratios from the United Nations World Urbanization Prospects. Aggregation of urban and rural population may not add up to total population because of different country coverages. The World Development Indicators (WDI) is the primary World Bank collection of development indicators, compiled from officially-recognized international sources. It presents the most current and accurate global development data available, and includes national, regional and global estimates.

Abstract

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.

The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.

The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.

The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

Geographic coverage

The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.

There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.

Analysis unit

Households and individuals

Universe

The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.

If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.

The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

SAMPLING GUIDELINES FOR WHS

Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.

The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.

The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.

All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO

STRATIFICATION

Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.

Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).

Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.

MULTI-STAGE CLUSTER SELECTION

A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.

In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.

In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.

It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which

EN.POP.DNST. Population density is midyear population divided by land area in square kilometers. Population is based on the de facto definition of population, which counts all residents regardless of legal status or citizenship--except for refugees not permanently settled in the country of asylum, who are generally considered part of the population of their country of origin. Land area is a country's total area, excluding area under inland water bodies, national claims to continental shelf, and exclusive economic zones. In most cases the definition of inland water bodies includes major rivers and lakes. The World Bank’s ESG Data Draft dataset provides information on 17 key sustainability themes spanning environmental, social, and governance categories.

Abstract

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.

The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.

The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.

The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

Geographic coverage

The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.

There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.

Analysis unit

Households and individuals

Universe

The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.

If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.

The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

SAMPLING GUIDELINES FOR WHS

Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.

The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.

The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.

All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO

STRATIFICATION

Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.

Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).

Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.

MULTI-STAGE CLUSTER SELECTION

A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.

In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.

In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.

It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which

Abstract

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.

The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.

The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.

The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

Geographic coverage

The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.

There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.

Analysis unit

Households and individuals

Universe

The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.

If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.

The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

SAMPLING GUIDELINES FOR WHS

Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.

The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.

The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.

All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO

STRATIFICATION

Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.

Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).

Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.

MULTI-STAGE CLUSTER SELECTION

A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.

In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.

In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.

It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which

SETTLEMENT EXTENTS:The Mozambique Settlement Extents Version 01.01. database are polygons representing areas where there is likely a human settlement based on the presence of buildings detected in satellite imagery. Settlement extents are not meant to represent the boundaries of an administrative unit or locality. A single settlement extent may be made up of multiple localities, especially in urban areas. Each settlement extent has an associated population estimate. Provided is information on the common operational boundary that the extent fully resides within along with their associated place codes (PCodes)The data are in geodatabase format and consist of a single-feature class combining built-up areas (BUA), small settlement areas (SSA), and hamlets (hamlets). A built-up area (BUA) is generally an area of urbanization with moderately-to-densely-spaced buildings and a visible grid of streets and blocks. Built up areas are characterized as polygons containing 13 or more buildings across an area greater than or equal to 400,000 square meters. A small settlement (SSA) is a settled area of permanently inhabited structures and compounds of roughly a few hundred to a few thousand inhabitants. The housing pattern in SSAs is an assemblage of family compounds adjoining other similar habitations. Small settlement areas are characterized as polygons containing 50 or more buildings across an area less than 400,000 square meters. A hamlet is a collection of several compounds or sleeping houses in isolation from small settlements or urban areas. Hamlets are characterized as polygons containing between 1 and 49 buildings across an area less than 400,000 square meters. Extent: The country's Admin Level 0 Boundaries. The overall extent of the layer is limited to the overall extent of the building footprint data set and may not reflect the extent of official administrative boundaries. Coordinate system: GCS WGS 1984.For full methodological details please explore data release statement available for download here. POPULATION ATTRIBUTES:The associated population estimates for the Settlement Extents datasets are derived from two WorldPop high resolution data sources. (1) The WorldPop Top-down constrained population estimates 2020 (Population) uses, for each country, the highest admin level official population totals of the 2000 and 2010 census rounds, that are publicly available and can be mapped to associated boundaries, and projects them to 2020. These projected values then disaggregated statistically to 100x100m resolution using a set of detailed geospatial datasets to disaggregate them to grid cell-based counts. The estimates are constrained to settlements based on the satellite-derived building footprint data from Maxar/ecopia for the 51 African countries, and based on a built settlement growth model of WorldPop for the remaining countries.(2) The Population Counts / Constrained Individual countries 2020 UN adjusted (100m resolution) population estimates (Pop_UN_adj) recognises that the United Nations produce their own estimates of national population totals. WorldPop, in order to provide flexibility to users, adjusted the number of people per pixel of its top-down constrained population estimates nationally to match the corresponding official United Nations population estimates (i.e. 2019 Revision of World Population Prospects).For more information about WorldPop’s methods, see: https://www.worldpop.org/methods/populations and https://www.worldpop.org/methods/top_down_constrained_vs_unconstrained"Population Counts / Constrained Individual countries 2020 (100m resolution)" & "Population Counts / Constrained Individual countries 2020 UN adjusted (100m resolution)" derived from WorldPop.org(3) The GRID3 population estimates (pop_wp1_2) are based on the most recent and best available data of that country and were calculated using the random forest-based dasymetric mapping approach, using the random forest algorithm, to produce a gridded population density data set. This weighting layer was subsequently used to dasymetrically disaggregate population counts from district level totals into grid cells, based on those grid cells which were deemed “settled”. District level population totals from the 2017 Census were downloaded from INE’s website (https://www.ine.gov.mz/iv-rgph-2017). Please, read the relevant data documentation on the WorldPop open Data Repository (https://wopr.worldpop.org/?MOZ/Population).

SETTLEMENT EXTENTS:The Madagascar Settlement Extents Version 01.01. database are polygons representing areas where there is likely a human settlement based on the presence of buildings detected in satellite imagery. Settlement extents are not meant to represent the boundaries of an administrative unit or locality. A single settlement extent may be made up of multiple localities, especially in urban areas. Each settlement extent has an associated population estimate. Provided is information on the common operational boundary that the extent fully resides within along with their associated place codes (PCodes)The data are in geodatabase format and consist of a single-feature class combining built-up areas (BUA), small settlement areas (SSA), and hamlets (hamlets). A built-up area (BUA) is generally an area of urbanization with moderately-to-densely-spaced buildings and a visible grid of streets and blocks. Built up areas are characterized as polygons containing 13 or more buildings across an area greater than or equal to 400,000 square meters. A small settlement (SSA) is a settled area of permanently inhabited structures and compounds of roughly a few hundred to a few thousand inhabitants. The housing pattern in SSAs is an assemblage of family compounds adjoining other similar habitations. Small settlement areas are characterized as polygons containing 50 or more buildings across an area less than 400,000 square meters. A hamlet is a collection of several compounds or sleeping houses in isolation from small settlements or urban areas. Hamlets are characterized as polygons containing between 1 and 49 buildings across an area less than 400,000 square meters. Extent: The country's Admin Level 0 Boundaries. The overall extent of the layer is limited to the overall extent of the building footprint data set and may not reflect the extent of official administrative boundaries. Coordinate system: GCS WGS 1984.For full methodological details please explore data release statement available for download here. POPULATION ATTRIBUTES:The associated population estimates for the Settlement Extents datasets are derived from two WorldPop high resolution data sources. (1) The WorldPop Top-down constrained population estimates 2020 (Population) uses, for each country, the highest admin level official population totals of the 2000 and 2010 census rounds, that are publicly available and can be mapped to associated boundaries, and projects them to 2020. These projected values then disaggregated statistically to 100x100m resolution using a set of detailed geospatial datasets to disaggregate them to grid cell-based counts. The estimates are constrained to settlements based on the satellite-derived building footprint data from Maxar/ecopia for the 51 African countries, and based on a built settlement growth model of WorldPop for the remaining countries.(2) The Population Counts / Constrained Individual countries 2020 UN adjusted (100m resolution) population estimates (Pop_UN_adj) recognises that the United Nations produce their own estimates of national population totals. WorldPop, in order to provide flexibility to users, adjusted the number of people per pixel of its top-down constrained population estimates nationally to match the corresponding official United Nations population estimates (i.e. 2019 Revision of World Population Prospects).For more information about WorldPop’s methods, see: https://www.worldpop.org/methods/populations and https://www.worldpop.org/methods/top_down_constrained_vs_unconstrained"Population Counts / Constrained Individual countries 2020 (100m resolution)" & "Population Counts / Constrained Individual countries 2020 UN adjusted (100m resolution)" derived from WorldPop.org.

Abstract

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.

The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.

The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.

The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

Geographic coverage

The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.

There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.

Analysis unit

Households and individuals

Universe

The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.

If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.

The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

SAMPLING GUIDELINES FOR WHS

Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.

The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.

The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.

All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO

STRATIFICATION

Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.

Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).

Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.

MULTI-STAGE CLUSTER SELECTION

A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.

In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.

In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.

It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which