Abstract

The survey is designed to collect, analyze and disseminate demographic and health data pertaining to the Palestinian population living in the Palestinian territory, with a focus on demography, fertility, family planning and maternal and child health.

Geographic coverage

The data are representative at region level (West Bank, Gaza Strip), locality type (urban, rural, camp)

Analysis unit

Household Individual

Universe

The survey covered all the Palestinian households who are a usual residence in the Palestinian Territory.

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample frame and sample design: The list of all Palestinian households has been constructed by updating some identification variables from the data collected through the Population Census of 1997. The master sample was drawn up to be used for different sample surveys. It consists of 481 enumeration areas (EA) (the average size of about 150 households). The master sample was the sample frame for the current Demographic and Heath Survey of 2004. The selected EA were divided into small units called cells (with an average size of 25 households). One cell per EA was selected.

The sample type was a stratified two-stage random sample: First stage: 260 EAs were selected from all Palestinian territory. Second stage: A systematic random sample of 25 households was selected from each EA in the West Bank and the Gaza Strip. For the part of Jerusalem that was annexed by Israel after the 1967 war, 30 households were selected from each EA.

Sample size: The number of households in the sample was 6,574 households: 4,456 in the West Bank and 2,118 in the Gaza Strip.

Mode of data collection

Face-to-face [f2f]

Research instrument

The questionnaire was consisted of the following parts:

• Household part: consisted household roster including demographic variables such as age, sex, date of birth, smoking, health insurance,disability, child labor for children aged 10 years and over and education section for persons aged 5-17 years.
• Dwelling part: including questions on housing conditions such as main drinking water source, iodized salt and other socio-economic indicators. -Women (15-54 years) questionnaire
• Women part: this part was designed to collect data from all ever-married women 15-54 years old. It consists of seven sections: Reproduction, Contraception, Pregnancy and Breast Feeding, Tetanus Toxoid (TT), Health Awareness and Public Health, Awareness of AIDS, Fertility Preference.
• Child part: this part was designed to collect data from all children aged less than 5 years, it consists Child Education, Child health and Immunization, and Anthropometry.

Cleaning operations

Data editing took place at a number of stages through the processing including:

1. office editing and coding
2. during data entry
3. structure checking and completeness
4. structural checking of SPSS data files

Response rate

The survey sample consists of about 6,574 households of which 5,799 households completed the interview; whereas 3,746 households from the West Bank and 2,053 households in Gaza Strip. Weights were modified to account for non-response rate. The response rate in the West Bank reached 84.1% while in the Gaza Strip it reached 96.9%. The response rate in the Palestinian Territory reached 88.2%.

Sampling error estimates

Detailed information on the sampling Error is available in the Survey Report downloadable under the "Documentation" tab.

Data appraisal

Detailed information on the data appraisal is available in the Survey Report downloadable under the "Documentation" tab.

Abstract

The surveys is designed to collect, analyze and disseminate demographic and health data pertaining to the Palestinian population living in the Palestinian Territory, with a focus on demography, fertility, family planning and maternal and child health.

Geographic coverage

The Data are representative at region level (West Bank, Gaza Strip), locality type (urban, rural, camp)

Analysis unit

Household, individual

Universe

The survey covered all the Palestinian households who are a usual residence in the Palestinian Territory.

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample frame and sample design: The list of all Palestinian households has been constructed by updating some identification variables from the data collected through the Population Census of 1997. The master sample was drawn up to be used for different sample surveys. It consists of 481 enumeration areas (EA) (the average size of about 150 households). The master sample was the sample frame for the current Demographic and Heath Survey of 2004. The selected EA were divided into small units called cells (with an average size of 25 households). One cell per EA was selected.

The sample type was a stratified two-stage random sample: First stage: 260 EAs were selected from all Palestinian territory. Second stage: A systematic random sample of 25 households was selected from each EA in the West Bank and the Gaza Strip. For the part of Jerusalem that was annexed by Israel after the 1967 war, 30 households were selected from each EA.

Sample size: The number of households in the sample was 6,574 households: 4,456 in the West Bank and 2,118 in the Gaza Strip.

Mode of data collection

Face-to-face [f2f]

Research instrument

The questionnaire was consisted of the following parts:

• Household part: consisted household roster including demographic variables such as age, sex, date of birth, smoking, health insurance,disability, child labor for children aged 10 years and over and education section for persons aged 5-17 years.
• Dwelling part: including questions on housing conditions such as main drinking water source, iodized salt and other socio-economic indicators. -Women (15-54 years) questionnaire
• Women part: this part was designed to collect data from all ever-married women 15-54 years old. It consists of seven sections: Reproduction, Contraception, Pregnancy and Breast Feeding, Tetanus Toxoid (TT), Health Awareness and Public Health, Awareness of AIDS, Fertility Preference.
• Child part: this part was designed to collect data from all children aged less than 5 years, it consists Child Education, Child health and Immunization, and Anthropometry.

Cleaning operations

Data editing took place at a number of stages through the processing including:

1. office editing and coding
2. during data entry
3. structure checking and completeness
4. structural checking of SPSS data files

Response rate

The survey sample consists of about 6,574 households of which 5,799 households completed the interview; whereas 3,746 households from the West Bank and 2,053 households in Gaza Strip. Weights were modified to account for non-response rate. The response rate in the West Bank reached 84.1% while in the Gaza Strip it reached 96.9%. The response rate in the Palestinian Territory reached 88.2%.

Sampling error estimates

Detailed information on the sampling Error is available in the Survey Report.

Data appraisal

Detailed information on the data appraisal is available in the Survey Report.

Abstract

The surveys is designed to collect, analyze and disseminate demographic and health data pertaining to the Palestinian population living in the Palestinian Territory, with a focus on demography, fertility, family planning and maternal and child health, in addition to youth and elderly. The 2006 survey also includes new sections and elements, such as basic health and socio-economic information on different groups within the population, and children less than five years, and children aged 2-14 years, children aged 5-17 years in addition to un-married youth aged 15-29 years and elderly people aged 60 years and over. It is hoped that by gradually introducing new sections into the Palestinian Family Health Survey, it can be transformed into a survey of all of the population.

Geographic coverage

The Data are representative at region level (West Bank, Gaza Strip), locality type (urban, rural, camp) and governorates

Analysis unit

Household, individual

Universe

The survey covered all the Palestinian households who are a usual residence in the Palestinian Territory.

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample frame and sample design: The list of all Palestinian households has been constructed from the updated frame in 2003. The master sample was drawn to be used for different surveys.

The sample type was a stratified two-stage random sample: First stage: 325 EAs were selected from all Palestinian Territory. Second stage: A systematic random sample of 40 households was selected from each enumeration Area (EA) in the West Bank and Gaza Strip.

Due to the privacy of this survey, each EA was divided into two cells, the first one with 21 households while the other with 19 households. The first cell was prepared to collect the PAPFAM and MICS indicators, while the second was prepared to collect the MICS indicators only. It is worth to mention that there is no crosscutting between the two groups.

In this survey all un-married youth aged 15-29 years and elder persons aged 60 years and over were enumerated, in addition, one child out of all children aged 2-14 years in each household was selected for child discipline part using Kish Table.

Sample size: The number of the households in the sample was 13,238 households: 8,781 in the West Bank and 4,457 in Gaza Strip.

Mode of data collection

Face-to-face [f2f]

Research instrument

In this survey four questionnaires were used:

The first questionnaire: This questionnaire was designed to collect PAPFAM and MICS indicators together, and it was collected from about 7,056 households. The questionnaire was consisted of the following parts:

• Household part: consisted household roster including demographic variables such as age, sex, date of birth, smoking, labor force status, education variables, disability, chronic diseases and others. In addition to child discipline section for children aged 2-14 years, child labor for children aged 5-17 years and education section for persons aged 5-24 years.
• Dwelling part: including questions on housing conditions such as main drinking water source, iodized salt and other socio-economic indicators.
• Women part: this part was designed to collect data from all ever-married women 15-54 years old. It consists of seven sections: Women general characteristics, Reproduction, Maternal care, Family planning and Desire for reproduction, Tetanus toxoid vaccination, Knowledge of STDs, Chronic disease and disease due to reproduction.
• Child part: this part was designed to collect data from all children aged less than 5 years, it consists of four sections: Child health and vaccinations, Early education, Birth registration, and Anthropometric measurements.

The second questionnaire: This questionnaire was designed to collect MICS indicators only; it is part of the first one. It was collected from about 6,182 households. The questionnaire was consisted of all the parts mentioned above except: Chronic diseases in household part, and Knowledge of STDs in women part. This methodology was used in order to disseminate the data on these indicators at the governorate level.

The third questionnaire: This questionnaire was designed to collect data from all un- married youth aged 15-29 years.

The fourth questionnaire: This questionnaire was designed to collect data from all elderly persons aged 60 years and over.

Cleaning operations

Data editing took place at a number of stages through the processing including:

1. office editing and coding
2. during data entry
3. structure checking and completeness
4. structural checking of SPSS data files

Response rate

The survey sample consists of about 13,238 households of which 11,661 households completed the interview; whereas 7,700 households from the West Bank and 3,961 households in Gaza Strip. Weights were modified to account for non-response rate. The response rate in the West Bank reached 85.5% while in the Gaza Strip it reached 93.1%. The response rate in the Palestinian Territory reached 88.0%.

Sampling error estimates

Detailed information on the sampling Error is available in the Survey Report.

Data appraisal

Detailed information on the data appraisal is available in the Survey Report.

Abstract

The survey is designed to collect, analyze, and disseminate demographic and health data pertaining to the Palestinian population living in the Palestinian Territory, with a focus on demography, fertility, infertility, family planning, unmet needs, and maternal and child health, in addition to youth and the elderly. The 2010 survey includes new sections and elements, such as basic health and socio-economic information on different groups within the population: ever married woman less than 55 years and children aged less than five years, child labor in the age 5-14 years, child discipline 2-14 years, person education 5-24 years, youth aged 15-29 years, and elderly people over the age of 60.

Geographic coverage

The Data are representative at region level (West Bank, Gaza Strip), locality type (urban, rural, camp) and governorates

Analysis unit

Household, individual

Universe

The survey covered all the Palestinian households who are a usual residence in the Palestine.

Kind of data

Sample survey data [ssd]

Sampling procedure

Target Population The target population of the survey consists of all the following groups: 1- All Palestinian households normally residing in the Palestinian Territory. 2- Females aged 15 - 54 years. 3- Elderly people aged 60 or over. 4- Children aged 0 - 14 years and divided into the following categories: 0-5 years, 2-14 years, 5-14 years, with parts of the questionnaire customized for each group. 5- Youth aged 15 - 29 years and divided into the following categories: 15-24 years, 25-29 years, with parts of the questionnaire customized for youth.

Sampling Frame We relied on sampling frames established in PCBS and basically comprising the list of enumeration areas. (The enumeration area is a geographical area containing a number of buildings and housing units of about 120 housing units on average.)

The total frame consists of the following two parts:

1- West Bank and Gaza Sampling Frame: containing enumeration areas drawn up in 2007. In the West Bank: each enumeration area consists of a list of households with identification data to ascertain the address of individual households. In Gaza: each enumeration area contains a list of housing units with addresses to ascertain the address of individual households, plus identification data of the housing units.

2- Jerusalem Sampling Frame (inside checkpoints): contains enumeration areas only, geographically divided with information about the total number of households in these areas. However, there is no detailed information about addresses inside enumeration areas and the size of the enumeration area can be ascertained without the ability to identify the addresses.

Design Strata In the survey, two variables were chosen to divide the population into strata, depending on the homogeneity of parts of the population. Previous studies have shown that Palestinian households may be divided as follows: 1- Governorates: there are 16 governorates in the Palestinian Territory: 11 governorates in the West Bank and 5 in the Gaza Strip. 2- Locality Types: there are three types : urban, rural and refugee camps. All the available frames contain the strata variables. Sample Size We use the following formula to estimate the sample size:

    n  =  [(1.15) f(1-r) (r)4]  
  [(nh) p2(r0.07)]  

Where: - n: sample size requested for the main indicator or main estimate - 4: is a factor to achieve a 95 percent level of confidence - r is the predicted or anticipated prevalence (coverage rate) for the indicator - being estimated - 1.15 is the factor necessary to raise the sample size by 20 percent for non-response - f is the design effect - 0.07r is the margin of error to be tolerated at the 95 percent level of confidence, defined as 7 percent of r (7 percent represents the relative sampling error of r) - p is the proportion of the total population upon which the indicator, r, is based - nh is the average household size

To estimate the sample size of the survey we rely on the percentage of children under 5 years who suffer from stunting. We consider it as the main indicator for the survey (r) and it equals 10.2% (from MICS3 data -2006). Also, by returning to census data in 2007 we find the percentage of children aged 0 - 4 years =14.1%. Finally, the sample size = 15,355

Sample Design and Type After determining the sample size, which equals 15456 households, we selected a probability sample - a multi-stage stratified cluster sample as follows: 1- First stage: selecting a sample of clusters (enumeration areas) using PPS without replacement method to obtain 644 enumeration areas from the total enumeration area frame. 2- Second stage: selecting 24 households from each selected enumeration area of the first stage and using the systematic sample method. When reaching households, we enumerate all the targeted individuals from the groups: women (15-54) years, elderly aged 60 and more, children aged 0-5 years. 3- Third stage: selecting one child of age group 2-14 years for part of the questionnaire and one young person from the 15-29 age group to answer the youth attachment in the questionnaire. We use the Kish table to select one person at random.

Mode of data collection

Face-to-face [f2f]

Research instrument

The design of the survey complied with the standard specifications of health surveys previously implemented by PCBS. In addition, the survey included indicators of MICS4 to meet the needs of all partners.

    1.  Main questionnaire with the following parts:
     · Household questionnaire: Covers demographic and educational characteristics, chronic disease, smoking, discipline of children (2-14 years), child labor (5-14 years), education of children (5-24 years) and housing characteristics.

     · Health of women (15-54 years) regardless of marital status, awareness about AIDS, anemia in women (15-49 years).

     · Ever married women (15-54 years): Covers general characteristics of qualified women, reproduction, child mortality, maternal care, reproductive morbidity, family planning, and attitudes towards reproduction.

     · Children under age of 5: Covers children's health, vaccination against childhood diseases, early childhood development, chronic disease, and anemia.


 2. Attached questionnaires
    ·  Youth questionnaire (15-29 years): Covers general characteristics, awareness and perception of family planning, health status, awareness about sexually transmitted diseases and reproduction.

    ·  Elderly questionnaire (60 years and over): Covers general characteristics, social relations, activities, time-use, health status, and use of mass media.

Cleaning operations

Data editing took place at a number of stages through the processing including:

1. office editing and coding
2. during data entry
3. structure checking and completeness
4. structural checking of SPSS data files

Response rate

The survey sample consists of about 15,355 households of which 13,629 households completed the interview; whereas 8,740 households from the West Bank and 4,889 households in Gaza Strip. Weights were modified to account for non-response rate. The response rate in the West Bank reached 90.5% while in the Gaza Strip it reached 94.8%. The response rate in the Palestinian Territory reached 92.0%.

Sampling error estimates

Detailed information on the sampling Error is available in the Survey Report.

Data appraisal

Different methods were applied in the assessment of the survey data, including: 1. Occurrences of missing values and answers like "other" and "do not know". 2. Examining inconsistencies between the various sections of the questionnaire, including within record and cross-record consistencies. 3. Comparability of data with previous surveys 2000, 2006 and showed logical homogeneity in the results. The results of these assessment procedures show that the data are of high quality and consistency.