Description: This data set contains information on children aged 12 - 14 years; biographical data; media, communication and norms; knowledge and perceptions of HIV/AIDS; home environment; care and protection; sexual debut; condoms; attitudes and knowledge towards sexual roles; health; and violence in the community. The data set contains 394 variables and 1617 cases. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the world. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the second in a series of household surveys conducted by the Human Sciences Research Council (HSRC), that allow for tracking of HIV and associated determinants over time using the same methodology used in the 2002 survey, thus making it the first national-level repeat survey. The interval of three years allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The survey provides the first nationally representative HIV incidence estimates. The study key objectives were to: Determine HIV prevalence and incidence as well as viral load in the population; Gather data to inform modelling of the epidemic; Identify risky behaviours that predispose the South African population to HIV infection; examine social, behavioural and cultural determinants of HIV; explore the reach of HIV/AIDS communication and the relationship of communication to response; assess the relationship between mental health and HIV/AIDS and establish a baseline; assess public perceptions of South Africans with respect to the provision of anti-retroviral (ARV) therapy for prevention of mother-to-child transmission and for treating people living with HIV/AIDS; understand public perceptions regarding aspects of HIV vaccines; and investigate the extent of the use of hormonal contraception and its relationship to HIV infection. In the 10 584 valid visiting points that agreed to participate in the survey, 24 236 individuals were eligible for interviews and 23 275 completed the interview. Of the 24 236 individuals, 15 851 agreed to HIV testing and were anonymously linked to the behavioural interviews. The household response rate was 84.1 % and the overall response rate for HIV testing was 55 %. Clinical measurements Face-to-face interview Focus group Observation South African population, 2 years and older from urban formal, urban informal, rural formal (farms), rural informal (tribal area) settlements. This project used the HSRC's master sample (HSRC 2002). A master sample is defined as a selection, for the purpose of repeated community or household surveys, of a probability sample of census enumeration areas throughout South Africa that are representative of the country's provincial, settlement and racial diversity. The sampling frame that was used in the design of the Master Sample was the 2001 census Enumerator Areas (EAs) from Statistics South Africa (Stats SA). The target population for this study were all people in South Africa, excluding persons in so called 'special institutions' (e.g. hospitals, military camps, old age homes, schools and university hostels). The EAs were used as the Primary Sampling Units (PSUs) and the Secondary Sampling Units (SSUs) were the visiting points (VPs) or households (HHs). The Ultimate Sampling Units (USUs) were the individuals eligible to be selected for the survey. Any member of the household 'who slept here last night', including visitors was an eligible household member for the interview. This sampling approach was used in the 2001 census and is a standard demographic household survey procedure. The sample was designed with two main explicit strata, the provinces and the geography types (geotype) of the EA. In the 2001 census, the four geotypes were urban formal, urban informal, rural formal (including commercial farms) and tribal areas (rural informal) (i.e. the deep rural areas). In the formal urban areas, race was used as a third stratification variable. What this means is that the Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then proceeded with the interview. All people in the households, resident at the visiting point aged 2 years and older were initially listed, after which the eligible individual was randomly selected in each of the following three age groups 2-11, 12-14 and 15 years and older. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a `dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 2-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2005 survey was guided by (1) the requirement for measuring change over time and to be able to detect a change in HIV prevalence of 5 % points in each of the main reporting domains, and (2) the requirement of an acceptable precision of estimates per reporting domain, say a precision less than ?4% with a design effect of 2 units. Overall, a total of 23 275 participants composed of 6 866 children (2-14 years), 5 708 youths (15-24 years) and 10 687 adults (25+ years) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (68.3%) than males (62.2%) were tested for HIV. The 25+ years age group was the most compliant (71.3%), and 2-14 years the least (54.6%). The highest response rates were found in rural formal locality types (74.5%) and the lowest in urban formal locality types (61.7%).

Abstract

The 2005 Guyana HIV/AIDS Indicator Survey (GAIS) is the first household-based, comprehensive survey on HIV/AIDS to be carried out in Guyana. The 2005 GAIS was implemented by the Guyana Responsible Parenthood Association (GRPA) for the Ministry of Health (MoH). ORC Macro of Calverton, Maryland provided technical assistance to the project through its contract with the U.S. Agency for International Development (USAID) under the MEASURE DHS program. Funding to cover technical assistance by ORC Macro and for local costs was provided in their entirety by USAID/Washington and USAID/Guyana.

The 2005 GAIS is a nationally representative sample survey of women and men age 15-49 initiated by MoH with the purpose of obtaining national baseline data for indicators on knowledge/awareness, attitudes, and behavior regarding HIV/AIDS. The survey data can be effectively used to calculate valuable indicators of the President’s Emergency Plan for AIDS Relief (PEPFAR), the Joint United Nations Program on HIV/AIDS (UNAIDS), the United Nations General Assembly Special Session (UNGASS), the United Nations Children Fund (UNICEF) Orphan and Vulnerable Children unit (OVC), and the World Health Organization (WHO), among others. The overall goal of the survey was to provide program managers and policymakers involved in HIV/AIDS programs with information needed to monitor and evaluate existing programs; and to effectively plan and implement future interventions, including resource mobilization and allocation, for combating the HIV/AIDS epidemic in Guyana.

Other objectives of the 2005 GAIS include the support of dissemination and utilization of the results in planning, managing and improving family planning and health services in the country; and enhancing the survey capabilities of the institutions involved in order to facilitate the implementation of surveys of this type in the future.

The 2005 GAIS sampled over 3,000 households and completed interviews with 2,425 eligible women and 1,875 eligible men. In addition to the data on HIV/AIDS indicators, data on the characteristics of households and its members, malaria, infant and child mortality, tuberculosis, fertility, and family planning were also collected.

Geographic coverage

National

Analysis unit

• Individuals;
• Households.

Kind of data

Sample survey data [ssd]

Sampling procedure

The primary objective of the 2005 GAIS is to provide estimates with acceptable precision for important population characteristics such as HIV/AIDS related knowledge, attitudes, and behavior. The population to be covered by the 2005 GAIS was defined as the universe of all women and men age 15-49 in Guyana.

The major domains to be distinguished in the tabulation of important characteristics for the eligible population are: • Guyana as a whole • The urban area and the rural area each as a separate major domain • Georgetown and the remainder urban areas.

Administratively, Guyana is divided into 10 major regions. For census purposes, each region is further subdivided in enumeration districts (EDs). Each ED is classified as either urban or rural. There is a list of EDs that contains the number of households and population for each ED from the 2002 census. The list of EDs is grouped by administrative units as townships. The available demarcated cartographic material for each ED from the last census makes an adequate sample frame for the 2005 GAIS.

The sampling design had two stages with enumeration districts (EDs) as the primary sampling units (PSUs) and households as the secondary sampling units (SSUs). The standard design for the GAIS called for the selection of 120 EDs. Twenty-five households were selected by systematic random sampling from a full list of households from each of the selected enumeration districts for a total of 3,000 households. All women and men 15-49 years of age in the sample households were eligible to be interviewed with the individual questionnaire.

The database for the recently completed 2002 Census was used as a sampling frame to select the sampling units. In the census frame, EDs are grouped by urban-rural location within the ten administrative regions and they are also ordered in each administrative unit in serpentine fashion. Therefore, this stratification and ordering will be also reflected in the 2005 GAIS sample.

Based on response rates from other surveys in Guyana, around 3,000 interviews of women and somewhat fewer of men expected to be completed in the 3,000 households selected.

Several allocation schemes were considered for the sample of clusters for each urban-rural domain. One option was to allocate clusters to urban and rural areas proportionally to the population in the area. According to the census, the urban population represents only 29 percent of the population of the country. In this case, around 35 clusters out of the 120 would have been allocated to the urban area. Options to obtain the best allocation by region were also examined. It should be emphasized that optimality is not guaranteed at the regional level but the power for analysis is increased in the urban area of Georgetown by departing from proportionality. Upon further analysis of the different options, the selection of an equal number of clusters in each major domain (60 urban and 60 rural) was recommended for the 2005 GAIS. As a result of the nonproportionalallocation of the number of EDs for the urban-rural and regional domains, the household sample for the 2005 GAIS is not a self-weighted sample.

The 2005 GAIS sample of households was selected using a stratified two-stage cluster design consisting of 120 clusters. The first stage-units (primary sampling units or PSUs) are the enumeration areas used for the 2002 Population and Housing Census. The number of EDs (clusters) in each domain area was calculated dividing its total allocated number of households by the sample take (25 households for selection per ED). In each major domain, clusters are selected systematically with probability proportional to size.

The sampling procedures are more fully described in "Guyana HIV/AIDS Indicator Survey 2005 - Final Report" pp.135-138.

Mode of data collection

Face-to-face [f2f]

Research instrument

Two types of questionnaires were used in the survey, namely: the Household Questionnaire and the Individual Questionnaire. The contents of these questionnaires were based on model questionnaires developed by the MEASURE DHS program. In consultation with USAID/Guyana, MoH, GRPA, and other government agencies and local organizations, the model questionnaires were modified to reflect issues relevant to HIV/AIDS in Guyana. The questionnaires were finalized around mid-May.

The Household Questionnaire was used to list all the usual members and visitors in the selected households. For each person listed, information was collected on sex, age, education, and relationship to the head of the household. An important purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview.

The Household Questionnaire also collected non-income proxy indicators about the household's dwelling unit, such as the source of water; type of toilet facilities; materials used for the floor, roof and walls of the house; and ownership of various durable goods and land. As part of the Malaria Module, questions were included on ownership and use of mosquito bednets.

The Individual Questionnaire was used to collect information from women and men age 15-49 years and covered the following topics: • Background characteristics (age, education, media exposure, employment, etc.) • Reproductive history (number of births and—for women—a birth history, birth registration, current pregnancy, and current family planning use) • Marriage and sexual activity • Husband’s background • Knowledge about HIV/AIDS and exposure to specific HIV-related mass media programs • Attitudes toward people living with HIV/AIDS • Knowledge and experience with HIV testing • Knowledge and symptoms of other sexually transmitted infections (STIs) • The malaria module and questions on tuberculosis

Cleaning operations

The processing of the GAIS questionnaires began in mid-July 2005, shortly after the beginning of fieldwork and during the first visit of the ORC Macro data processing specialist. Questionnaires for completed clusters (enumeration districts) were periodically submitted to GRPA offices in Georgetown, where they were edited by data processing personnel who had been trained specifically for this task. The concurrent processing of the data—standard for surveys participating in the DHS program—allowed GRPA to produce field-check tables to monitor response rates and other variables, and advise field teams of any problems that were detected during data entry. All data were entered twice, allowing 100 percent verification. Data processing, including data entry, data editing, and tabulations, was done using CSPro, a program developed by ORC Macro, the U.S. Bureau of Census, and SERPRO for processing surveys and censuses. The data entry and editing of the questionnaires was completed during a second visit by the ORC Macro specialist in mid-September. At this time, a clean data set was produced and basic tables with the basic HIV/AIDS indicators were run. The tables included in the current report were completed by the end of November 2005.

Response rate

• From a total of 3,055 households in the sample, 2,800 were occupied. Among these households, interviews were completed in 2,608, for a response rate of 93 percent. • A total of 2,776 eligible women were identified and

Description: The guardian data of the SABSSM 2008 study covers information from the parents or care givers of children 2 - 11 years on matters ranging from biographical information of the child and parent/guardian, the child's home environment, care and protection, sources of information on HIV and AIDS, media impact and the health status of the child. The data set contains 243 variables and 4318 cases. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the World. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the third in a series of household surveys conducted by Human Sciences Research Council (HSRC), that allow for tracking of HIV and associated determinants over time using a slightly same methodology used in 2002 and 2005 survey, making it the third national-level repeat survey. The 2002 and 2005 surveys included individuals aged 2+ years living in South Africa while 2008 survey included individuals of all ages living in South Africa, including infants younger than 2 years of age. The interval of three years since 2002 allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The survey provides the first nationally representative HIV incidence estimates. The study key objectives were to: determine the prevalence of HIV infection in South Africa; examine the incidence of HIV infection in South Africa; assess the relationship between behavioural factors and HIV infection in South Africa; describe trends in HIV prevalence, HIV incidence, and risk behaviour in South Africa over the period 2002-2008; investigate the link between social, values, and cultural determinants and HIV infection in South Africa; assess the type and frequency of exposure to major national behavioural change communication programmes and assess their relationship to HIV prevention, AIDS treatment, care, and support; describe male circumcision practices in South Africa and assess its acceptability as a method of HIV prevention; collect data on the health conditions of South Africans; and contribute to the analysis of the impact of HIV/AIDS on society. In the 13440 valid households or visiting points, 10856 agreed to participate in the survey, 23369 individuals (no more than 4 per household, including infants under 2 years) were eligible to be interviewed, and 20826 individuals completed the interview. Of the 23369 eligible individuals, 15031 agreed to provide a blood specimen for HIV testing and were anonymously linked to the behavioural questionnaires. the household response rate was 80.8%, the individual response rate was 89.1% and the overall response rate for HIV testing was 64.3%. Clinical measurements Face-to-face interview Focus group Observation South African population of all individuals from urban formal, urban informal, rural formal (farms), rural informal (tribal area) settlements. As in previous surveys, a multi-stage disproportionate, stratified sampling approach was used. A total of 1 000 census enumeration areas (EAs) from the 2001 population census were selected from a database of 86 000 EAs and mapped in 2007 using aerial photography to create a new updated Master Sample as a basis for sampling visiting points/households. The selection of EAs was stratified by province and locality type. Locality types were identified as urban formal, urban informal, rural formal (including commercial farms), and rural informal. In the formal urban areas, race was also used as a third stratification variable (based on the predominant race group in the selected EA at the time of the 2001 census). The allocation of EAs to different stratification categories was disproportionate; that means, over-sampling or over-allocation of EAs was done, for example, in areas that were dominated by Indian, coloured or white race groups to ensure that the minimum required sample size in those smaller race groups was obtained. The Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then preceded with the interview. All people in the households, resident at the visiting point were initially listed, after which the eligible individual was randomly selected in each of the following three age groups: under 2 years, 2-14 years, 15-24 years and 25+ years. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a 'dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 0-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2008 survey was guided by the (1) requirement for measuring change over time in order to detect a change in HIV prevalence of 5 percentage points in each of the main reporting domains, namely gender, age-group, race, locality type, and province (5% level of significance, 80% power, two-sided test), and (2) the requirement of an acceptable precision of estimates per reporting domain; that is, to be able to estimate HIV prevalence in each of the main reporting domains with a precision level of less than 4%, which is equivalent to the expected width of the 95% confidence interval (z-score at the 95% level for two-sided test). A design effect of 2 was assumed. Overall, a total of 20826 interviewed participants composed of 4981 children (0-14 years), 5344 youths (15-24 years) and 10501 adults (25+ years) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (68.9%) than males (62.02%) were tested for HIV. The 25+ years age group was the most compliant (68.8%), and 2-14 years the least (58.9%). The highest testing response rate was found in urban informal settlements (72.5%) and the lowest in urban formal areas (62.8%).

Description: This data set contains information on youth aged 15-24 years old: biographical data, media, communication and norms, knowledge and perceptions of HIV/AIDS, male circumcision, sexual debut, partners and partner characteristics, condoms, vulnerability, HIV testing, alcohol and substance use, general perceptions about government, health and violence in the community. The data set contains 549 variables and 5344 cases. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the World. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the third in a series of household surveys conducted by Human Sciences Research Council (HSRC), that allow for tracking of HIV and associated determinants over time using a slightly same methodology used in 2002 and 2005 survey, making it the third national-level repeat survey. The 2002 and 2005 surveys included individuals aged 2+ years living in South Africa while 2008 survey included individuals of all ages living in South Africa, including infants younger than 2 years of age. The interval of three years since 2002 allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The survey provides the first nationally representative HIV incidence estimates. The study key objectives were to: determine the prevalence of HIV infection in South Africa; examine the incidence of HIV infection in South Africa; assess the relationship between behavioural factors and HIV infection in South Africa; describe trends in HIV prevalence, HIV incidence, and risk behaviour in South Africa over the period 2002-2008; investigate the link between social, values, and cultural determinants and HIV infection in South Africa; assess the type and frequency of exposure to major national behavioural change communication programmes and assess their relationship to HIV prevention, AIDS treatment, care, and support; describe male circumcision practices in South Africa and assess its acceptability as a method of HIV prevention; collect data on the health conditions of South Africans; and contribute to the analysis of the impact of HIV/AIDS on society. In the 13440 valid households or visiting points, 10856 agreed to participate in the survey, 23369 individuals (no more than 4 per household, including infants under 2 years) were eligible to be interviewed, and 20826 individuals completed the interview. Of the 23369 eligible individuals, 15031 agreed to provide a blood specimen for HIV testing and were anonymously linked to the behavioural questionnaires. the household response rate was 80.8%, the individual response rate was 89.1% and the overall response rate for HIV testing was 64.3%. Clinical measurements Face-to-face interview Focus group Observation South African population, all ages from urban formal, urban informal, rural formal (farms), rural informal (tribal area) settlements. As in previous surveys, a multi-stage disproportionate, stratified sampling approach was used. A total of 1 000 census enumeration areas (EAs) from the 2001 population census were selected from a database of 86 000 EAs and mapped in 2007 using aerial photography to create a new updated Master Sample as a basis for sampling visiting points/households. The selection of EAs was stratified by province and locality type. Locality types were identified as urban formal, urban informal, rural formal (including commercial farms), and rural informal. In the formal urban areas, race was also used as a third stratification variable (based on the predominant race group in the selected EA at the time of the 2001 census). The allocation of EAs to different stratification categories was disproportionate; that means, over-sampling or over-allocation of EAs was done, for example, in areas that were dominated by Indian, coloured or white race groups to ensure that the minimum required sample size in those smaller race groups was obtained. The Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then preceded with the interview. All people in the households, resident at the visiting point were initially listed, after which the eligible individual was randomly selected in each of the following three age groups: under 2 years, 2-14 years, 15-24 years and 25+ years. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a 'dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 0-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2008 survey was guided by the (1) requirement for measuring change over time in order to detect a change in HIV prevalence of 5 percentage points in each of the main reporting domains, namely gender, age-group, race, locality type, and province (5% level of significance, 80% power, two-sided test), and (2) the requirement of an acceptable precision of estimates per reporting domain; that is, to be able to estimate HIV prevalence in each of the main reporting domains with a precision level of less than 4%, which is equivalent to the expected width of the 95% confidence interval (z-score at the 95% level for two-sided test). A design effect of 2 was assumed. Overall, a total of 20826 interviewed participants composed of 4981 children (0-14 years), 5344 youths (15-24 years) and 10501 adults (25+ years) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (68.9%) than males (62.02%) were tested for HIV. The 25+ years age group was the most compliant (68.8%), and 2-14 years the least (58.9%). The highest testing response rate was found in urban informal settlements (72.5%) and the lowest in urban formal areas (62.8%).

The 2004 Malawi Demographic and Health Survey (MDHS) is a nationally representative survey of 11,698 women age 1549 and 3,261 men age 15-54. The main purpose of the 2004 MDHS is to provide policymakers and programme managers with detailed information on fertility, family planning, childhood and adult mortality, maternal and child health, as well as knowledge of and attitudes related to HIV/AIDS and other sexually transmitted infections (STIs). The 2004 MDHS is designed to provide data to monitor the population and health situation in Malawi as a followup of the 1992 and 2000 MDHS surveys, and the 1996 Malawi Knowledge, Attitudes, and Practices in Health Survey. New features of the 2004 MDHS include the collection of information on use of mosquito nets, domestic violence, anaemia testing of women and children under 5, and HIV testing of adults. The 2004 MDHS survey was implemented by the National Statistical Office (NSO). The Ministry of Health and Population, the National AIDS Commission (NAC), the National Economic Council, and the Ministry of Gender contributed to the development of the questionnaires for the survey. Most of the funds for the local costs of the survey were provided by multiple donors through the NAC. The United States Agency for International Development (USAID) provided additional funds for the technical assistance through ORC Macro. The Department for International Development (DfID) of the British Government, the United Nations Children's Fund (UNICEF), and the United Nations Population Fund (UNFPA) also provided funds for the survey. The Centers of Disease Control and Prevention provided technical assistance in HIV testing. The survey used a two-stage sample based on the 1998 Census of Population and Housing and was designed to produce estimates for key indicators for ten large districts in addition to estimates for national, regional, and urban-rural domains. Fieldwork for the 2004 MDHS was carried out by 22 mobile interviewing teams. Data collection commenced on 4 October 2004 and was completed on 31 January 2005. The principal aim of the 2004 MDHS project was to provide up-to-date information on fertility and childhood mortality levels, nuptiality, fertility preferences, awareness and use of family planning methods, use of maternal and child health services, and knowledge and behaviours related to HIV/AIDS and other sexually transmitted infections. It was designed as a follow-on to the 2000 MDHS survey, a national-level survey of similar scope. The 2004 MDHS survey, unlike the 2000 MDHS, collected blood samples which were later tested for HIV in order to estimate HIV prevalence in Malawi. In broad terms, the 2004 MDHS survey aimed to: Assess trends in Malawi's demographic indicators, principally fertility and mortality Assist in the monitoring and evaluation of Malawi's health, population, and nutrition programmes Advance survey methodology in Malawi and contribute to national and international databases Provide national-level estimates of HIV prevalence for women age 15-49 and men age 15-54. In more specific terms, the 2004 MDHS survey was designed to: Provide data on the family planning and fertility behaviour of the Malawian population and thereby enable policymakers to evaluate and enhance family planning initiatives in the country Measure changes in fertility and contraceptive prevalence and analyse the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and important social and economic factors Examine basic indicators of maternal and child health and welfare in Malawi, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, and use of immunisation services. Particular emphasis was placed on malaria programmes, including malaria prevention activities and treatment of episodes of fever. Provide levels and patterns of knowledge and behaviour related to the prevention of HIV/AIDS and other sexually transmitted infections Provide national estimates of HIV prevalence Measure the level of infant and adult mortality including maternal mortality at the national level Assess the status of women in the country. MAIN FINDINGS Fertility Fertility Levels and Trends. While there has been a significant decline in fertility in the past two decades from 7.6 children in the early 1980s to 6.0 children per woman in the early 2000s, compared with selected countries in Eastern and Southern Africa, such as Zambia, Tanzania, Mozambique, Kenya, and Uganda, the total fertility rate (TFR) in Malawi is high, lower only than Uganda (6.9). Family planning Knowledge of Contraception. Knowledge of family planning is nearly universal, with 97 percent of women age 15-49 and 97 percent of men age 15-54 knowing at least one modern method of family planning. The most widely known modern methods of contraception among all women are injectables (93 percent), the pill and male condom (90 percent each), and female sterilisation (83 percent). Maternal health Antenatal Care. There has been little change in the coverage of antenatal care (ANC) from a medical professional since 2000 (93 percent in 2004 compared with 91 percent in 2000). Most women receive ANC from a nurse or a midwife (82 percent), although 10 percent go to a doctor or a clinical officer. A small proportion (2 percent) receives ANC from a traditional birth attendant, and 5 percent do not receive any ANC. Only 8 percent of women initiated ANC before the fourth month of pregnancy, a marginal increase from 7 percent in the 2000 MDHS. Adult and Maternal Mortality. Comparison of data from the 2000 and 2004 MDHS surveys indicates that mortality for both women and men has remained at the same levels since 1997 (11-12 deaths per 1,000). Child health Childhood Mortality. Data from the 2004 MDHS show that for the 2000-2004 period, the infant mortality rate is 76 per 1,000 live births, child mortality is 62 per 1,000, and the under-five mortality rate is 133 per 1,000 live births. Nutrition Breastfeeding Practices. Breastfeeding is nearly universal in Malawi. Ninety-eight percent of children are breastfed for some period of time. The median duration of breastfeeding in Malawi in 2004 is 23.2 months, one month shorter than in 2000. HIV/AIDS Awareness of AIDS. Knowledge of AIDS among women and men in Malawi is almost universal. This is true across age group, urban-rural residence, marital status, wealth index, and education. Nearly half of women and six in ten men can identify the two most common misconceptions about the transmission of HIV-HIV can be transmitted by mosquito bites, and HIV can be transmitted by supernatural means-and know that a healthy-looking person can have the AIDS virus.

The National Family Health Surveys (NFHS) programme, initiated in the early 1990s, has emerged as a nationally important source of data on population, health, and nutrition for India and its states. The 2005-06 National Family Health Survey (NFHS-3), the third in the series of these national surveys, was preceded by NFHS-1 in 1992-93 and NFHS-2 in 1998-99. Like NFHS-1 and NFHS-2, NFHS-3 was designed to provide estimates of important indicators on family welfare, maternal and child health, and nutrition. In addition, NFHS-3 provides information on several new and emerging issues, including family life education, safe injections, perinatal mortality, adolescent reproductive health, high-risk sexual behaviour, tuberculosis, and malaria. Further, unlike the earlier surveys in which only ever-married women age 15-49 were eligible for individual interviews, NFHS-3 interviewed all women age 15-49 and all men age 15-54. Information on nutritional status, including the prevalence of anaemia, is provided in NFHS3 for women age 15-49, men age 15-54, and young children. A special feature of NFHS-3 is the inclusion of testing of the adult population for HIV. NFHS-3 is the first nationwide community-based survey in India to provide an estimate of HIV prevalence in the general population. Specifically, NFHS-3 provides estimates of HIV prevalence among women age 15-49 and men age 15-54 for all of India, and separately for Uttar Pradesh and for Andhra Pradesh, Karnataka, Maharashtra, Manipur, and Tamil Nadu, five out of the six states classified by the National AIDS Control Organization (NACO) as high HIV prevalence states. No estimate of HIV prevalence is being provided for Nagaland, the sixth high HIV prevalence state, due to strong local opposition to the collection of blood samples. NFHS-3 covered all 29 states in India, which comprise more than 99 percent of India's population. NFHS-3 is designed to provide estimates of key indicators for India as a whole and, with the exception of HIV prevalence, for all 29 states by urban-rural residence. Additionally, NFHS-3 provides estimates for the slum and non-slum populations of eight cities, namely Chennai, Delhi, Hyderabad, Indore, Kolkata, Meerut, Mumbai, and Nagpur. NFHS-3 was conducted under the stewardship of the Ministry of Health and Family Welfare (MOHFW), Government of India, and is the result of the collaborative efforts of a large number of organizations. The International Institute for Population Sciences (IIPS), Mumbai, was designated by MOHFW as the nodal agency for the project. Funding for NFHS-3 was provided by the United States Agency for International Development (USAID), DFID, the Bill and Melinda Gates Foundation, UNICEF, UNFPA, and MOHFW. Macro International, USA, provided technical assistance at all stages of the NFHS-3 project. NACO and the National AIDS Research Institute (NARI) provided technical assistance for the HIV component of NFHS-3. Eighteen Research Organizations, including six Population Research Centres, shouldered the responsibility of conducting the survey in the different states of India and producing electronic data files. The survey used a uniform sample design, questionnaires (translated into 18 Indian languages), field procedures, and procedures for biomarker measurements throughout the country to facilitate comparability across the states and to ensure the highest possible data quality. The contents of the questionnaires were decided through an extensive collaborative process in early 2005. Based on provisional data, two national-level fact sheets and 29 state fact sheets that provide estimates of more than 50 key indicators of population, health, family welfare, and nutrition have already been released. The basic objective of releasing fact sheets within a very short period after the completion of data collection was to provide immediate feedback to planners and programme managers on key process indicators.

The Ukraine Demographic and Health Survey (UDHS) is a nationally representative survey of 6,841 women age 15-49 and 3,178 men age 15-49. Survey fieldwork was conducted during the period July through November 2007. The UDHS was conducted by the Ukrainian Center for Social Reforms in close collaboration with the State Statistical Committee of Ukraine. The MEASURE DHS Project provided technical support for the survey. The U.S. Agency for International Development/Kyiv Regional Mission to Ukraine, Moldova, and Belarus provided funding. The survey is a nationally representative sample survey designed to provide information on population and health issues in Ukraine. The primary goal of the survey was to develop a single integrated set of demographic and health data for the population of the Ukraine. The UDHS was conducted from July to November 2007 by the Ukrainian Center for Social Reforms (UCSR) in close collaboration with the State Statistical Committee (SSC) of Ukraine, which provided organizational and methodological support. Macro International Inc. provided technical assistance for the survey through the MEASURE DHS project. USAID/Kyiv Regional Mission to Ukraine, Moldova and Belarus provided funding for the survey through the MEASURE DHS project. MEASURE DHS is sponsored by the United States Agency for International Development (USAID) to assist countries worldwide in obtaining information on key population and health indicators. The 2007 UDHS collected national- and regional-level data on fertility and contraceptive use, maternal health, adult health and life style, infant and child mortality, tuberculosis, and HIV/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. The results of the 2007 UDHS are intended to provide the information needed to evaluate existing social programs and to design new strategies for improving the health of Ukrainians and health services for the people of Ukraine. The 2007 UDHS also contributes to the growing international database on demographic and health-related variables. MAIN RESULTS Fertility rates. A useful index of the level of fertility is the total fertility rate (TFR), which indicates the number of children a woman would have if she passed through the childbearing ages at the current age-specific fertility rates (ASFR). The TFR, estimated for the three-year period preceding the survey, is 1.2 children per woman. This is below replacement level. Contraception : Knowledge and ever use. Knowledge of contraception is widespread in Ukraine. Among married women, knowledge of at least one method is universal (99 percent). On average, married women reported knowledge of seven methods of contraception. Eighty-nine percent of married women have used a method of contraception at some time. Abortion rates. The use of abortion can be measured by the total abortion rate (TAR), which indicates the number of abortions a woman would have in her lifetime if she passed through her childbearing years at the current age-specific abortion rates. The UDHS estimate of the TAR indicates that a woman in Ukraine will have an average of 0.4 abortions during her lifetime. This rate is considerably lower than the comparable rate in the 1999 Ukraine Reproductive Health Survey (URHS) of 1.6. Despite this decline, among pregnancies ending in the three years preceding the survey, one in four pregnancies (25 percent) ended in an induced abortion. Antenatal care. Ukraine has a well-developed health system with an extensive infrastructure of facilities that provide maternal care services. Overall, the levels of antenatal care and delivery assistance are high. Virtually all mothers receive antenatal care from professional health providers (doctors, nurses, and midwives) with negligible differences between urban and rural areas. Seventy-five percent of pregnant women have six or more antenatal care visits; 27 percent have 15 or more ANC visits. The percentage is slightly higher in rural areas than in urban areas (78 percent compared with 73 percent). However, a smaller proportion of rural women than urban women have 15 or more antenatal care visits (23 percent and 29 percent, respectively). HIV/AIDS and other sexually transmitted infections : The currently low level of HIV infection in Ukraine provides a unique window of opportunity for early targeted interventions to prevent further spread of the disease. However, the increases in the cumulative incidence of HIV infection suggest that this window of opportunity is rapidly closing. Adult Health : The major causes of death in Ukraine are similar to those in industrialized countries (cardiovascular diseases, cancer, and accidents), but there is also a rising incidence of certain infectious diseases, such as multidrug-resistant tuberculosis. Women's status : Sixty-four percent of married women make decisions on their own about their own health care, 33 percent decide jointly with their husband/partner, and 1 percent say that their husband or someone else is the primary decisionmaker about the woman's own health care. Domestic Violence : Overall, 17 percent of women age 15-49 experienced some type of physical violence between age 15 and the time of the survey. Nine percent of all women experienced at least one episode of violence in the 12 months preceding the survey. One percent of the women said they had often been subjected to violent physical acts during the past year. Overall, the data indicate that husbands are the main perpetrators of physical violence against women. Human Trafficking : The UDHS collected information on respondents' awareness of human trafficking in Ukraine and, if applicable, knowledge about any household members who had been the victim of human trafficking during the three years preceding the survey. More than half (52 percent) of respondents to the household questionnaire reported that they had heard of a person experiencing this problem and 10 percent reported that they knew personally someone who had experienced human trafficking.

The 2000 Malawi Demographic and Health Survey (MDHS) is a nationally representative sample survey covering 14,213 households, 13,220 women age 15-49, and 3,092 men age 15-54. The 2000 MDHS is similar, but much expanded in size and scope, to the 1992 MDHS. The survey was designed to provide information on fertility trends, family planning knowledge and use, early childhood mortality, various indicators of maternal and child health and nutrition, HIV/AIDS, adult and maternal mortality, and malaria control programme indicators. Unlike earlier surveys in Malawi, the 2000 MDHS sample was sufficiently large to allow for estimates of certain indicators to be produced for 11 districts in addition to estimates for national, regional, and urban-rural domains. Twenty-two mobile survey teams, trained and supervised by the National Statistical Office, conducted the survey from July to November 2000. The principal aim of the 2000 MDHS project is to provide up-to-date information on fertility and childhood mortality levels, nuptiality, fertility preferences, awareness and use of family planning methods, use of maternal and child health services, and knowledge and behaviours related to HIV/AIDS and other sexually transmitted infections. It was designed as a follow-on to the 1992 MDHS survey, a national-level survey of similar scope. The 2000 MDHS survey also strived to collect data that would be comparable to those collected under the international Multiple Indicator Cluster Survey (MICS), sponsored by UNICEF. In broad terms, the 2000 MDHS survey aimed to : Assess trends in Malawi's demographic indicators-principally, fertility and mortality Assist in the evaluation of Malawi's health, population, and nutrition programmes Advance survey methodology in Malawi and contribute to national and international databases. In more specific terms, the 2000 MDHS survey was designed to provide data on the family planning and fertility behaviour of the Malawian population and to thereby enable policymakers to evaluate and enhance family planning initiatives in the country. Measure changes in fertility and contraceptive prevalence and at the same time, study the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and important social and economic factors. Examine basic indicators of maternal and child health and welfare in Malawi, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, and use of immunisation services. A particular emphasis was placed on the area of malaria programmes, including prevention activities and treatment of episodes of fever. Describe levels and patterns of knowledge and behaviour related to the prevention of HIV/AIDS and other sexually transmitted infections. Measure the level of adult and maternal mortality at the national level. Assess the status of women in the country. SUMMARY OF FINDINGS FERTILITY Fertility Decline. The 2000 MDHS data indicate that there has been a modest decline in fertility since the 1992 MDHS. Large Fertility Differentials. Fertility levels remain high in Malawi, especially in rural parts of the country. The total fertility rate among rural women is 6.7 births per woman compared with 4.5 births in urban areas. Childbearing at Young Ages. One-third of adolescent females (age 15-19) have either already had a child or are currently pregnant. FAMILY PLANNING Increasing Use of Contraception. A principle cause of the fertility decline in Malawi is the steady increase in contraceptive use over the last decade. Changing Method Mix. Currently, the most widely used methods among married women are injectable contraceptives (16 percent), female sterilisation (5 percent), and the pill (3 percent). Source of Family Planning Methods. The survey results show that government-run facilities remain the major source for contraceptives in Malawi-providing family planning methods to 68 percent of the current users. CHILD HEALTH AND SURVIVAL Progress in Reducing Early Childhood Mortality. The 2000 MDHS data indicate that mortality of children under age 5 has declined since the early 1990s. Childhood Vaccination Coverage Declines. The 2000 MDHS results show that 70 percent of children age 12-23 months are fully vaccinated. Improved Breastfeeding Practices. The 2000 MDHS results show that exclusive breast-feeding of children under 4 months of age has increased to 63 percent from only 3 percent in the 1992 MDHS. Nutritional Status of Children. The results show no appreciable change in the nutritional status of children in Malawi since 1992; still, nearly half (49 percent) of the children under age five are chronically malnourished or stunted in their growth. MALARIA CONTROL PROGRAMME INDICATORS Bednets. The use of insecticide-treated bednets (mosquito nets) is a primary health intervention proven to reduce malaria transmission. Treatment of Fever in Children Under Age Five. The survey found that 42 percent of children under age five had a fever in the two weeks preceding the survey. WOMEN'S HEALTH Maternal Health Care. The survey findings indicate that use of antenatal services remains high in Malawi. Constraints to Use of Health Services. Women in the 2000 MDHS were asked whether certain circumstances constrain their access to and use of health services for themselves. Rising Maternal Mortality. The survey collected data allowing measurement of maternal mortality. For the period 1994-2000, the maternal mortality ratio was estimated at 1,120 maternal deaths per 100,000 live births. This represents a rise from 620 maternal deaths per 100,000 estimated from the 1992 MDHS for the period 1986-1992. HIV/AIDS Impact of the Epidemic on Adult Mortality. All-cause mortality has risen by 76 percent among men and 74 percent among women age 15-49 during the 1990s. The age patterns of the increase are consistent with causes related to HIV/AIDS. Improved Knowledge of AIDS Prevention Methods. The 2000 MDHS results indicate that practical AIDS prevention knowledge has improved since the 1996 MKAPH survey. Condom Use. One of the main objectives of the National AIDS Control Programme is to encourage consistent and correct use of condoms, especially in high-risk sexual encounters. The HIV-testing Experience. The 2000 MDHS data show that 9 percent of women and 15 percent of men have been tested for HIV. However, more than 70 percent of both men and women, while not yet tested, said that they would like to be tested.

The 2007 Zambia Demographic and Health Survey (ZDHS) is a national sample survey designed to provide up-to-date information on background characteristics of the respondents, fertility levels, nuptiality, sexual activity, fertility preferences, awareness and use of family planning methods; breastfeeding practices; nutritional status of mothers and young children; early childhood mortality and maternal mortality; maternal and child health; and awareness, behaviour, and prevalence regarding HIV/AIDS and other sexually transmitted infections. The target groups were men age 15-59 and women age 15-49 in randomly selected households across Zambia. Information about children age 0-5 was also collected, including weight and height. The survey collected blood samples for syphilis and HIV testing in order to determine national prevalence rates. While significantly expanded, the 2007 ZDHS is a follow-up to the 1992, 1996, and 2001-2002 ZDHS surveys and provides updated estimates of basic demographic and health indicators covered in the earlier surveys. The 2007 ZDHS is the second DHS that includes the collection of information on violence against women, and syphilis and HIV testing. In addition, data on malaria prevention and treatment were collected. The ZDHS was implemented by the Central Statistical Office (CSO) in partnership with the Ministry of Health, the Tropical Disease Research Centre (TDRC), and the Demography Division at the University of Zambia (UNZA) from April to October 2007. The TDRC provided technical support in the implementation of the syphilis and HIV testing. Macro International provided technical assistance as well as funding to the project through MEASURE DHS, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. The main objective is to provide information on levels and trends in fertility, childhood mortality, use of family planning methods, and maternal and child health indicators including HIV/AIDS. This information is necessary for programme managers, policymakers, and implementers to monitor and evaluate the impact of existing programmes and to design new initiatives for health policies in Zambia. The primary objectives of the 2007 ZDHS project are: To collect up-to-date information on fertility, infant and child mortality, and family planning. To collect information on health-related matters such as breastfeeding, antenatal care, children’s immunisations, and childhood diseases. To assess the nutritional status of mothers and children. To support dissemination and utilization of the results in planning, managing, and improving family planning and health services in the country. To enhance the survey capabilities of the institutions involved in order to facilitate the implementation of surveys of this type in future. To document current epidemics of STIs and HIV/AIDS through use of specialized modules. For HIV/AIDS and syphilis in particular, the testing component of the 2007 Zambia DHS was undertaken to provide information to address the monitoring and evaluation needs of government and non-governmental organization programmes addressing HIV/AIDS and syphilis, and to provide programme managers and policy makers with the information that they need to effectively plan and implement future interventions. The overall objective of the survey was to collect high-quality and representative data on knowledge, attitudes, and behaviours regarding HIV/AIDS and other STIs, and on the prevalence of HIV and syphilis infection among women and men.

The Nyanza Province Multiple Indicator Cluster Survey (MICS) was carried out in 2011 by the Kenya National Bureau of Statistics (KNBS) in collaboration with County and Provincial administration. The survey covered all the 6 constituent counties of Nyanza, namely: Siaya, Kisumu, Homa Bay, Migori, Kisii, and Nyamira. Financial and technical support was provided by the United Nations Children's Fund (UNICEF). The Nyanza Province survey was conducted as part of the fourth global round of MICS surveys (MICS4). MICS is an international household survey program developed by UNICEF, this survey was based on a large part on the needs to monitor progress towards goals and targets emanating from recent international agreements: The Millennium Declaration, adopted by all 191 United Nations Member States in September 2000, and the Plan of Action of A World Fit For Children, adopted by 189 Member States at the United Nations Special Session on Children in May 2002. Both of these commitments build upon promises made by the international community at the 1990 World Summit for Children. Additional information on the global MICS project may be obtained from www. Childinfo.org. The objective of Nyanza MICS 2011 was to provide lower-level estimates relating to children and women residing in the six counties of the region. Particular emphasis was on reproductive health, child health and mortality, nutrition, child protection, childhood development, water and sanitation, hand washing practices, education, disability, HIV/AIDS, and orphan hood. The Nyanza MICS is a nationally representative survey of 17,047 households, comprising 14,408 women in the 15-49 years age group. 7,914 men age 15-54 years and 10,223 children under 5 years of age. The sample allows for the estimation of some key indicators at the national, provincial and urban/rural levels. A two stage, stratified cluster sampling approach was used for the selection of the survey sample. The primary objectives of the 2011 Nyanza Province Multiple Indicator Cluster Survey are: 1. To provide up-to-date information for assessing the situation of children and women in Nyanza Province. 2. To furnish data needed for monitoring progress toward goals established in the Millennium Declaration and other internationally agreed upon goals, as a basis for future action. 3. To contribute to the improvement of data and monitoring systems in Nyanza Province and to strengthen technical expertise in the design, implementation, and analysis of such systems. 4. To generate data on the situation of children and women, including the identification of vulnerable groups and disparities, to inform policies and interventions.

Description: This data set contains responses from individuals who are 12 to 14 years old who self-reported on the indicators related to HIV/AIDS behaviour and testing. The respondents' biographical data, school attendance, questions on media, communication and norms, knowledge and perceptions of HIV and AIDS, home environment, care and protection at school, sexual debut, attitudes and knowledge towards sexual roles, health questions, male circumcision, crime and social norms were included. The data set contains 227 variables and 2273 cases. Refer to the user guide for information regarding guidance relating to data analysis. Subsequent to the dissemination of version 1 of the Child 12-14 data set the skip patterns for the Child data set was corrected, Version 2 of the data set is disseminated as: Human Sciences Research Council. South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey (SABSSM) 2012: Child 12-14 years - All provinces. [Data set]. SABSSM 2012 Child 12-14. Version 2.0. Pretoria South Africa: Human Sciences Research Council [producer] 2012, Human Sciences Research Council [distributor] 2016. http://dx.doi.org/doi:10.14749/1518167762. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the World. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the fourth in a series of household surveys conducted by Human Sciences Research council (HSRC), that allow for tracking of HIV and associated determinants over time using a slightly same methodology used in 2002 and 2008 survey, making it the fourth national-level repeat survey. The 2002 and 2005 surveys included individuals aged 2+ years living in South Africa while 2008 and 2012 survey included individuals of all ages living in South Africa, including infants less than 2 years of age. The 2008 study included only four people per household, while in 2012 all members of the households participated. The interval of three years since 2002 allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The surveys provide the nationally representative HIV incidence estimates showing changes over time. The 2012 study key objectives were: to determine the proportion of PLHIV who are on Antiretroviral treatment (ART) in South Africa; to determine the prevalence and incidence of HIV infection in South Africa in relation to social and behavioural determinants; to determine the proportion of males in South Africa who are circumcised; to investigate the link between social values, and cultural determinants and HIV infection in South Africa; to determine the extent to which mother-child pairs include HIV-negative mothers and HIV-positive infants; to describe trends in HIV prevalence, HIV incidence, and risk behaviour in South Africa over the period 2002 to 2012 collect data on the health conditions of South Africans; and contribute to the analysis of the impact of HIV/AIDS on society. In 2012, of the 15000 selected households or visiting points, 11079 agreed to participate in the survey, 42950 individuals (all household members were included) were eligible to be interviewed, and 38431 individuals completed the interview. Of the 38431 eligible individuals, 28997 agreed to provide a blood specimen for HIV testing and were anonymously linked to the behavioural questionnaires. The household response rate was 87.2% , the individual response rate was 89.5% and the overall response rate for HIV testing was 67.5% Clinical measurements Face-to-face interview Focus group Observation South African population. This project used the updated 2007-2011 HSRC's master sample. Aerial photographs drawn from Google Earth were utilised to ensure that the most up-to-date information was available sample. the master sample is defined as a selection, for the purpose of repeated community or household surveys, of a probability sample of census enumeration areas throughout South Africa that are representative of the country's provincial, settlement and racial diversity. The sampling frame that was used in the design of the Master Sample was the 2001 census Enumerator Areas (EAs) from Statistics South Africa (Stats SA). The target population for this study were all people in South Africa, excluding persons in so-called special institutions (e.g. hospitals, military camps, old age homes, schools and university hostels). The EAs were used as the Primary Sampling Units (PSUs) and the Secondary Sampling Units (SSUs) were the visiting points (VPs) or households (HHs). The Ultimate Sampling Units (USUs) were the individuals eligible to be selected for the survey. Any member of the household "who slept here last night", including visitors was an eligible household member for the interview. This sampling approach was used in the 2001 census and is a standard demographic household survey procedure. The sample was designed with two main explicit strata, the provinces and the geography types (geotype) of the EA. In the 2001 census, the four geotypes were urban formal, urban informal, rural formal (including commercial farms) and tribal areas (rural informal) (i.e. the deep rural areas). In the formal urban areas, race was used as a third stratification variable. What this means is that the Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then preceded with the interview. All people in the households, resident at the visiting point were invited to participate in the study. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a 'dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 0-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2012 survey was guided by the (1) requirement for measuring change over time in order to detect a change in HIV prevalence of 5 percentage points in each of the main reporting domains, namely gender, age-group, race, locality type, and province (5% level of significance, 80% power, two-sided test), and (2) the requirement of an acceptable precision of estimates per reporting domain; that is, to be able to estimate HIV prevalence in each of the main reporting domains with a precision level of less than ± 4%, which is equivalent to the expected width of the 95% confidence interval (z-score at the 95% level for two-sided test). A design effect of 2 was assumed. Overall, a total of 38 431 interviewed participants composed of 29.7% children (0-14 years), 19.3% youths (15-24 years), 35.6% adults (25-49 years), and 15.4% adults (50+ years ) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (70.3%) than males (64.2%) were tested for HIV. The 15-24 year's age group was the most compliant (71.6%), and less than 2 years the least (51.6%). The highest testing response rate was found in rural formal settlements (80.8%) and the least in urban formal areas (59.7%).

The survey was conducted by the Bureau of Statistics (BOS) and the Ministry of Health (MOH) of Guyana. ICF Macro of Calverton, Maryland, provided technical assistance to the project through its contract with the U.S. Agency for International Development (USAID). Funding to cover technical assistance by ICF Macro and local costs was provided in its entirety by the USAID Mission in Georgetown, Guyana. The primary objective of the 2009 GDHS was to collect information on characteristics of the households and their members, including exposure to malaria and tuberculosis; infant and child mortality; fertility and family planning; pregnancy and postnatal care; childhood immunization, health, and nutrition; marriage and sexual activity; and HIV/AIDS indicators. Other objectives of the 2009 GDHS included (1) supporting the dissemination and utilization of the results in planning, managing, and improving family planning and health services in the country and (2) enhancing the survey capabilities of the institutions involved to facilitate surveys of this type in the future. The 2009 GDHS sampled 5,632 households and completed interviews with 4,996 women age 15-49 and 3,522 men age 15-49. Three questionnaires were used for the 2009 GDHS: the Household Questionnaire, the Women's Questionnaire, and the Men's Questionnaire. The content of these questionnaires was based on the model questionnaires developed by the MEASURE DHS program of ICF Macro. The primary objective of the 2009 GDHS was to collect information on the following topics: Characteristics of households and household members Fertility and reproductive preferences, infant and child mortality, and family planning Health-related matters, such as breastfeeding, antenatal care, children's immunizations, and childhood diseases Marriage, sexual activity, and awareness and behavior regarding HIV and other sexually transmitted infections (STIs) The nutritional status of mothers and children, including anthropometry measurements and anemia testing Other complementary objectives of the 2009 GDHS were: To support dissemination and utilization of the results in planning, managing, and improving family planning and health services in the country To enhance the survey capabilities of the institutions involved to facilitate their use of surveys of this type in the future MAIN RESULTS FERTILITY Fertility Levels and Differentials If fertility were to remain constant in Guyana, women would bear, on average, 2.8 children by the end of their reproductive lifespan. The total fertility rate (TFR) is close to replacement level in urban areas (2.1 children per woman), and higher in the rural areas (3.0 children per woman). The TFR in the Interior area (6.0 children) is more than twice as high as the TFR in the Coastal area (2.4 children per woman) and is three times the fertility in the Georgetown (urban) area (2.0 children). The TFRs for women in the Interior area are significantly higher for all age groups. Fertility Preferences Fifty-six percent of currently married women reported that they don't want to have a/another child, and five percent are already sterilized. The figures for men are 51 and 1 percent, respectively. The desire to stop childbearing increases rapidly as the number of children increases. Among respondents with one child, around one in five wants no more children. Among those with three children, about eight in ten women and seven in ten men want no more children. FAMILY PLANNING Use of Contraception Forty-three percent of women who are currently married or in union are currently using a contraceptive method, mainly a modern method (40 percent). The methods most commonly used by currently married women are the male condom (13 percent), the pill (9 percent), and the IUD (7 percent). Female sterilization and injectables are each used by 5 percent of women. The 2009 GDHS prevalence rate of 43 percent represents an increase of 8 percentage points since the 2005 GAIS (35 percent). Most of the increase was in condom use, injectables, and female sterilization. Unmet Need for Family Planning Twenty-nine percent of currently married women have an unmet need for family planning, mostly for limiting births (19 percent) compared with spacing (10 percent). Because 43 percent of married women are currently using a contraceptive method (met need), the total demand for family planning is estimated at 71 percent of married women (22 percent for spacing, 49 percent for limiting). As a result, only 60 percent of the total demand for family planning is met. MATERNAL HEALTH Antenatal Care Among women who had a birth in the five years preceding the survey, 92 percent received antenatal care (ANC) from a skilled health provider for their most recent birth (51 percent from a nurse/midwife and 35 percent from a doctor). Older mothers (35-49 years) are less likely to receive antenatal care by a skilled health provider than younger mothers. Eighty-six percent of women with no education received ANC from a skilled health provider compared with 95 percent of women with more than secondary education. Delivery Care Overall, 92 percent of births in the five years preceding the survey were assisted by a skilled birth provider, mainly by a nurse or midwife (56 percent), followed by a doctor (31 percent). Births to mothers under age 35 and lower order births are more likely to have assistance at delivery by a skilled provider than births to older mothers and higher order births. By residence, births in Urban areas are more likely than those in Rural areas, and births in the Coastal area are more likely than births in the Interior area, to be assisted by a skilled health provider. The percentage of births assisted by a skilled provider ranges from a low of 57 percent in Region 9 to a high of 98 percent in Region 4. Births to mothers who have more education and births in the higher wealth quintiles are more likely to be assisted by a skilled provider than other births. Almost all births to mothers with more than secondary education (98 percent) are assisted by a skilled provider compared with 71 percent of births to mothers with no education. Caesarean section One in eight births (13 percent) in the five years preceding the survey was delivered by caesarean section. The prevalence of C-section delivery increases steadily with mother's age and decreases with birth order. Regions 1, 6, 7, and 9 have the lowest levels of deliveries by C-section (2-5 percent) and Region 3 has the highest level (23 percent). The percentage of births delivered by C-section increases with a mother's education and generally increases with her wealth. CHILD HEALTH Infant and Child Mortality Childhood mortality rates in Guyana are relatively low. For every 1,000 live births, 38 children die during the first year of life (infant mortality), and 40 children die during the first five years (under-age 5 mortality). Almost two-thirds of deaths in the first five years (25 deaths per 1,000 live births) take place during the neonatal period (the first month of life). The mortality rate after the first year of life up to age 5 (child mortality) is also very low at 3 deaths per 1,000 live births. The 2009 GDHS mortality data do not show any clear trends over time. However, mortality data have to be interpreted with caution because sampling errors associated with mortality estimates are large. Vaccination Coverage Overall, 63 percent of Guyanese children age 18-29 months are fully immunized, and only 5 percent of the children received no vaccinations at all. Looking at coverage for specific vaccines, 94 percent of children received the BCG vaccination, 92 percent received the first dose of pentavalent vaccine, and 78 percent received the first polio dose (Polio 1). Coverage for the pentavalent and polio vaccinations declines with subsequent doses; 85 percent of children received the recommended three doses of pentavalent vaccine, and 70 percent received three doses of polio. These figures reflect dropout rates of 8 percent for the pentavalent vaccine and 11 percent for polio; the dropout rate represents the proportion of children who received the first dose of a vaccine but who did not get the third dose. Eighty-two percent of children are vaccinated against measles, and 79 percent of children have been vaccinated against yellow fever. Illnesses and Treatment Acute Respiratory Infections (ARI) Five percent of children under age 5 had symptoms of acute respiratory infection (ARI) in the two weeks preceding the survey. Among children with symptoms of ARI, advice or treatment was sought from a health facility or provider for 65 percent, and antibiotics were prescribed as treatment for 18 percent (data not shown). Fever Fever was found to be moderately frequent in children under age 5 in Guyana (20 percent), ranging from 17 percent in children under 6 months to about 26 percent in children 12-17 months.. Most of the children under age 5 with fever (59 percent) were taken to a health facility or a health provider for their most recent episode of fever. Overall, about one in five children with fever (21 percent) received antibiotics, and 6 percent received antimalarial drugs. Diarrhea Overall, about 10 percent of children were reported to have diarrhea in the two weeks immediately before the survey, with just 1 percent reporting bloody diarrhea. Overall, about six in ten children under age 5 with diarrhea (59 percent) were taken to a health facility or health provider for advice or treatment. Male children (55 percent) are less likely than female children (63 percent) to be taken for treatment or advice to a health facility or provider. Additionally, children living in the Coastal area are much less likely to be taken for treatment or advice (50 percent) than children in the Interior area (79 percent). NUTRITION OF CHILDREN Height and Weight Almost one in five children (18 percent) under age 5 is short for age or stunted, and one in twenty (5

The principal objective of the 2006 Nepal Demographic and Health Survey (NDHS) is to provide current and reliable data on fertility and family planning behavior, child mortality, adult and maternal mortality, children’s nutritional status, the utilization of maternal and child health services, and knowledge of HIV/AIDS. For the first time, the 2006 NDHS conducted anemia testing at the household level for the country as a whole to provide information on the prevalence of anemia at the population level. The specific objectives of the survey are to: collect data at the national level which will allow the calculation of key demographic rates; analyze the direct and indirect factors which determine the level and trends of fertility; measure the level of contraceptive knowledge and practice among women and men by method, urban-rural residence and region, collect high-quality data on family health including immunization coverage among children, prevalence and treatment of diarrhea and other diseases among children under five, and maternity care indicators including antenatal visits, assistance at delivery, and postnatal care; collect data on infant and child mortality, and maternal and adult mortality; obtain data on child feeding practices including breastfeeding, and collect anthropometric measures to use in assessing the nutritional status of women and children; collect data on knowledge and attitudes of women and men about sexually transmitted infections and HIV/AIDS and evaluate patterns of recent behavior regarding condom use; conduct hemoglobin testing on women age 15-49 and children age 6-59 months in the households selected for the survey to provide information on the prevalence of anemia among women in the reproductive ages and young children. This information is essential for informed policy decisions, planning, monitoring, and evaluation of programs on health in general and reproductive health in particular at both the national and regional levels. A long-term objective of the survey is to strengthen the technical capacity of government organizations to plan, conduct, process, and analyze data from complex national population and health surveys. Moreover, the 2006 NDHS provides national, regional and subregional estimates on population and health that are comparable to data collected in similar surveys in other developing countries. The first Demographic and Health Survey (DHS) in Nepal was the 1996 Nepal Family Health Survey (NFHS) conducted as part of the worldwide DHS program, and was followed five years later by the 2001 Nepal Demographic and Health Survey (NDHS). Data from the 2006 NDHS survey, the third such survey, allow for comparison of information gathered over a longer period of time and add to the vast and growing international database on demographic and health variables. Wherever possible, the 2006 NDHS data are compared with data from the two earlier DHS surveys—the 2001 NDHS and the 1996 NFHS—which also sampled women age 15-49. Additionally, men age 15-59 were interviewed in the 2001 NDHS and the 2006 NDHS to provide comparable data for men over the last five years.

The principal objective of the Ethiopia Demographic and Health Survey (DHS) is to provide current and reliable data on fertility and family planning behavior, child mortality, children’s nutritional status, the utilization of maternal and child health services, and knowledge of HIV/AIDS. This information is essential for informed policy decisions, planning, monitoring, and evaluation of programs on health in general and reproductive health in particular at both the national and regional levels. A long-term objective of the survey is to strengthen the technical capacity of the Central Statistical Authority to plan, conduct, process, and analyze data from complex national population and health surveys. Moreover, the 2000 Ethiopia DHS is the first survey of its kind in the country to provide national and regional estimates on population and health that are comparable to data collected in similar surveys in other developing countries. As part of the worldwide DHS project, the Ethiopia DHS data add to the vast and growing international database on demographic and health variables. The Ethiopia DHS collected demographic and health information from a nationally representative sample of women and men in the reproductive age groups 15-49 and 15-59, respectively. The Ethiopia DHS was carried out under the aegis of the Ministry of Health and was implemented by the Central Statistical Authority. ORC Macro provided technical assistance through its MEASURE DHS+ project. The survey was principally funded by the Essential Services for Health in Ethiopia (ESHE) project through a bilateral agreement between the United States Agency for International Development (USAID) and the Federal Democratic Republic of Ethiopia. Funding was also provided by the United Nations Population Fund (UNFPA).

The Pakistan Demographic and Health Survey PDHS 2017-18 was the fourth of its kind in Pakistan, following the 1990-91, 2006-07, and 2012-13 PDHS surveys. The primary objective of the 2017-18 PDHS is to provide up-to-date estimates of basic demographic and health indicators. The PDHS provides a comprehensive overview of population, maternal, and child health issues in Pakistan. Specifically, the 2017-18 PDHS collected information on: Key demographic indicators, particularly fertility and under-5 mortality rates, at the national level, for urban and rural areas, and within the country’s eight regions Direct and indirect factors that determine levels and trends of fertility and child mortality Contraceptive knowledge and practice Maternal health and care including antenatal, perinatal, and postnatal care Child feeding practices, including breastfeeding, and anthropometric measures to assess the nutritional status of children under age 5 and women age 15-49 Key aspects of family health, including vaccination coverage and prevalence of diseases among infants and children under age 5 Knowledge and attitudes of women and men about sexually transmitted infections (STIs), including HIV/AIDS, and potential exposure to risk Women's empowerment and its relationship to reproductive health and family planning Disability level Extent of gender-based violence Migration patterns The information collected through the 2017-18 PDHS is intended to assist policymakers and program managers at the federal and provincial government levels, in the private sector, and at international organisations in evaluating and designing programs and strategies for improving the health of the country’s population. The data also provides information on indicators relevant to the Sustainable Development Goals.

Abstract

The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The current round of MICS is focused on providing a monitoring tool for the Millennium Development Goals (MDGs), the World Fit for Children (WFFC), as well as for other major international commitments, such as the United Nations General Assembly Special Session (UNGASS) on HIV/AIDS and the Abuja targets for malaria.

Survey Objectives The 2006 Palestinian Refugee Camps, Lebanon Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Generic - To furnish data needed for monitoring progress toward goals established in the Millennium Declaration, the goals of A World Fit For Children (WFFC), and other internationally agreed upon goals, as a basis for future action; - To contribute to the improvement of data and monitoring systems in Generic and to strengthen technical expertise in the design, implementation, and analysis of such systems.

Survey Content

MICS questionnaires are designed in a modular fashion that can be easily customized to the needs of a country. They consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Other than a set of core modules, countries can select which modules they want to include in each questionnaire.

Survey Implementation

The surveys are typically carried out by government organizations, with the support and assistance of UNICEF and other partners. Technical assistance and training for the surveys is provided through a series of regional workshops, covering questionnaire content, sampling and survey implementation; data processing; data quality and data analysis; report writing and dissemination.

Survey results

Results from the surveys, including national reports, standard sets of tabulations and micro level datasets will all be made widely available after completion of the surveys. Results from the surveys will also be made available in DevInfo format. DevInfo v5.0 is a powerful database system which has been adapted from UNICEF's ChildInfo technology to specifically monitor progress towards the Millennium Development Goals. MICS Results will also be available through UNICEF's web site dedicated to monitoring the situation of children and women at www.childinfo.org. Results of the prior round of MICS can already be found at this site.

Geographic coverage

The survey is representative and covers the whole of Palestinian refugee camps and gatherings in Lebanon.

Analysis unit

Households (defined as a group of persons who usually live and eat together)

De jure household members (defined as memers of the household who usually live in the household, which may include people who did not sleep in the household the previous night, but does not include visitors who slept in the household the previous night but do not usually live in the household)

Women aged 15-49

Children aged 0-4

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample for the Multiple Indicator Cluster Survey (MICS) in Palestinian Refugee Camps and Gatherings in Lebanon was designed to provide estimates on a large number of indicators on the situation of children and women at the geographical area and camp/gathering level, for urban and rural areas, and for 12 camps and 12 gatherings in 5 geographical areas. With this design we could monitor a large number of women and children indicators at the geographical area and camp level for urban and rural areas.

The sample population (based on the Palestinian Refugee Camps and Gatherings in Lebanon Census of 1999) was divided into equal clusters each containing 20 households (totaling 1300 clusters). Sample clusters (310 clusters, i.e. 6200 households) were drawn with uniformity, random start and a sampling fraction of 0.25.

Sampling deviation

No major deviations from the original sample design were made. All sample enumeration areas were accessed and successfully interviewed with good response rates.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three sets of questionnaires were used in the survey: 1) a household questionnaire was used to collect information on all household members, the household, and the dwelling; 2) a women’s questionnaire administered in each household to all women aged 15-49 years; 3) an under-5 questionnaire, administered to mothers or caretakers of all children under 5 living in the household.

The questionnaires included the following modules: Household Questionnaire, Household Listing, Education, Water and Sanitation Facilities, Household Background Characteristics, Child Labour, and Salt Iodization.

Questionnaire for Individual Women: Child Mortality, Tetanus Toxoid, Maternal and Newborn Health, Contraception, and - HIV/AIDS.

Questionnaire for Children Under Five: Birth Registration and Early Learning, Vitamin A, Breastfeeding, Care of Illness, Immunization, and Anthropometry.

The questionnaires are based on the MICS3 model questionnaire. Changes in format were made to the UNICEF MICS3 model Arabic version questionnaires that were pre-tested during March 2006.

Cleaning operations

Data were processed in clusters, with each cluster being processed as a complete unit through each stage of data processing. Each cluster goes through the following steps: 1) Questionnaire reception 2) Office editing and coding 3) Data entry 4) Structure and completeness checking 5) Verification entry 6) Comparison of verification data 7) Back up of raw data 8) Secondary editing 9) Edited data back up After all clusters are processed, all data is concatenated together and then the following steps are completed for all data files: 10) Export to SPSS in 4 files (hh - household, hl - household members, wm - women, ch - children under 5) 11) Recoding of variables needed for analysis 12) Adding of sample weights 13) Calculation of wealth quintiles and merging into data 14) Structural checking of SPSS files 15) Data quality tabulations 16) Production of analysis tabulations

Details of each of these steps can be found in the data processing documentation, data editing guidelines, data processing programs in CSPro and SPSS, and tabulation guidelines.

Data entry was conducted by 12 data entry operators in tow shifts, supervised by 2 data entry supervisors, using a total of 7 computers (6 data entry computers plus one supervisors computer). All data entry was conducted at the GenCenStat head office using manual data entry. For data entry, CSPro version 2.6.007 was used with a highly structured data entry program, using system controlled approach, that controlled entry of each variable. All range checks and skips were controlled by the program and operators could not override these. A limited set of consistency checks were also included inthe data entry program. In addition, the calculation of anthropometric Z-scores was also included in the data entry programs for use during analysis. Open-ended responses ("Other" answers) were not entered or coded, except in rare circumstances where the response matched an existing code in the questionnaire.

Structure and completeness checking ensured that all questionnaires for the cluster had been entered, were structurally sound, and that women's and children's questionnaires existed for each eligible woman and child.

100% verification of all variables was performed using independent verification, i.e. double entry of data, with separate comparison of data followed by modification of one or both datasets to correct keying errors by original operators who first keyed the files.

After completion of all processing in CSPro, all individual cluster files were backed up before concatenating data together using the CSPro file concatenate utility.

Data editing took place at a number of stages throughout the processing (see Other processing), including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files

Detailed documentation of the editing of data can be found in the data processing guidelines in the MICS Manual (http://www.childinfo.org/mics/mics3/manual.php)

Response rate

The response rate of households, mothers and children was remarkably high. Of the 6200 households selected for the sample, only 33 households could not be interviewed thus making the household response rate 99.5 percent.

In the interviewed households, 4001 ever married women (age 15-49) were identified. Of these, 3955 were successfully interviewed, yielding a response rate of 98.9 percent. In addition, 2431 children under age five were listed in the household questionnaire. Questionnaires were completed for 2381 of these children, which corresponds to a response rate of 97.9 percent.

Sampling error estimates

Estimates from a sample survey are affected by two types of errors: 1) non-sampling errors and 2) sampling

The 2011 Ethiopia Demographic and Health Survey (EDHS) was conducted by the Central Statistical Agency (CSA) under the auspices of the Ministry of Health. The principal objective of the 2011 Ethiopia Demographic and Health Survey (EDHS) is to provide current and reliable data on fertility and family planning behaviour, child mortality, adult and maternal mortality, children’s nutritional status, use of maternal and child health services, knowledge of HIV/AIDS, and prevalence of HIV/AIDS and anaemia. The specific objectives are these: Collect data at the national level that will allow the calculation of key demographic rates; Analyse the direct and indirect factors that determine fertility levels and trends; Measure the levels of contraceptive knowledge and practice of women and men by family planning method, urban-rural residence, and region of the country; Collect high-quality data on family health, including immunisation coverage among children, prevalence and treatment of diarrhoea and other diseases among children under ge five, and maternity care indicators, including antenatal visits and assistance at delivery; Collect data on infant and child mortality and maternal mortality; Obtain data on child feeding practices, including breastfeeding, and collect anthropometric measures to assess the nutritional status of women and children; Collect data on knowledge and attitudes of women and men about sexually transmitted diseases and HIV/AIDS and evaluate patterns of recent behaviour regarding condom use; Conduct haemoglobin testing on women age 15-49 and children 6-59 months to provide information on the prevalence of anaemia among these groups; Carry out anonymous HIV testing on women and men of reproductive age to provide information on the prevalence of HIV. This information is essential for informed policy decisions, planning, monitoring, and evaluation of programmes on health in general and reproductive health in particular at both the national and regional levels. A long-term objective of the survey is to strengthen the technical capacity of the Central Statistical Agency to plan, conduct, process, and analyse data from complex national population and health surveys. Moreover, the 2011 EDHS provides national and regional estimates on population and health that are comparable to data collected in similar surveys in other developing countries and to Ethiopia’s two previous DHS surveys, conducted in 2000 and 2005. Data collected in the 2011 EDHS add to the large and growing international database of demographic and health indicators. The survey was intentionally planned to be fielded at the beginning of the last term of the MDG reporting period to provide data for the assessment of the Millennium Development Goals (MDGs). The survey interviewed a nationally representative population in about 18,500 households, and all women age 15-49 and all men age 15-59 in these households. In this report key indicators relating to family planning, fertility levels and determinants, fertility preferences, infant, child, adult and maternal mortality, maternal and child health, nutrition, women’s empowerment, and knowledge of HIV/AIDS are provided for the nine regional states and two city administrations. In addition, this report also provides data by urban and rural residence at the country level. Major stakeholders from various government, non-government, and UN organizations have been involved and have contributed in the technical, managerial, and operational aspects of the survey.

Abstract

The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The current round of MICS is focused on providing a monitoring tool for the Millennium Development Goals (MDGs), the World Fit for Children (WFFC), as well as for other major international commitments, such as the United Nations General Assembly Special Session (UNGASS) on HIV/AIDS and the Abuja targets for malaria.

The 2006 Iraq Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Iraq; - To furnish data needed for monitoring progress toward goals established by the Millennium Development Goals and the goals of A World Fit For Children (WFFC) as a basis for future action; - To contribute to the improvement of data and monitoring systems in Iraq and to strengthen technical expertise in the design, implementation and analysis of such systems.

Survey Content MICS questionnaires are designed in a modular fashion that was customized to the needs of the country. They consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Other than a set of core modules, countries can select which modules they want to include in each questionnaire.

Survey Implementation The survey was implemented by the Central Organization for Statistics and Information Technology (COSIT), the Kurdistan Region Statistics Office (KRSO) and Suleimaniya Statistical Directorate (SSD), in partnership with the Ministry of Health (MOH). The survey also received support and assistance of UNICEF and other partners. Technical assistance and training for the surveys was provided through a series of regional workshops, covering questionnaire content, sampling and survey implementation; data processing; data quality and data analysis; report writing and dissemination.

Geographic coverage

The survey is nationally representative and covers the whole of Iraq.

Analysis unit

Households (defined as a group of persons who usually live and eat together)

De jure household members (defined as memers of the household who usually live in the household, which may include people who did not sleep in the household the previous night, but does not include visitors who slept in the household the previous night but do not usually live in the household)

Women aged 15-49

Children aged 0-4

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household. The survey also includes a full birth history listing all chuldren ever born to ever-married women age 15-49 years.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample for the Iraq Multiple Indicator Cluster Survey was designed to provide estimates on a large number of indicators on the situation of children and women at the national level; for areas of residence of Iraq represented by rural and urban (metropolitan and other urban) areas; for the18 governorates of Iraq; and also for metropolitan, other urban, and rural areas for each governorate. Thus, in total, the sample consists of 56 different sampling domains, that includes 3 sampling domains in each of the 17 governorates outside the capital city Baghdad (namely, a metropolitan area domain representing the governorate city centre, an other urban area domain representing the urban area outside the governorate city centre, and a rural area domain) and 5 sampling domains in Baghdad (namely, 3 metropolitan areas representing Sadir City, Resafa side, and Kurkh side, an other urban area sampling domain representing the urban area outside the three Baghdad governorate city centres, and a sampling domain comprising the rural area of Baghdad).

The sample was selected in two stages. Within each of the 56 sampling domains, 54 PSUs were selected with linear systematic probability proportional to size (PPS).

\After mapping and listing of households were carried out within the selected PSU or segment of the PSU, linear systematic samples of six households were drawn. Cluster sizes of 6 households were selected to accommodate the current security conditions in the country to allow the surveys team to complete a full cluster in a minimal time. The total sample size for the survey is 18144 households. The sample is not self-weighting. For reporting national level results, sample weights are used.

The sampling procedures are more fully described in the sampling appendix of the final report and can also be found in the list of technical documents within this archive.

(Extracted from the final report: Central Organisation for Statistics & Information Technology and Kurdistan Statistics Office. 2007. Iraq Multiple Indicator Cluster Survey 2006, Final Report. Iraq.)

Sampling deviation

No major deviations from the original sample design were made. One cluster of the 3024 clusters selected was not completed all othe clusters were accessed.

Mode of data collection

Face-to-face [f2f]

Research instrument

The questionnaires were based on the third round of the Multiple Indicator Cluster survey model questionnaires. From the MICS-3 model English version, the questionnaires were revised and customized to suit local conditions and translated into Arabic and Kurdish languages. The Arabic language version of the questionnaire was pre-tested during January 2006 while the Kurdish language version was pre-tested during March 2006. Based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires.

In addition to the administration of questionnaires, fieldwork teams tested the salt used for cooking in the households for iodine content, and measured the weights and heights of children age under-5 years.

Cleaning operations

Data were processed in clusters, with each cluster being processed as a complete unit through each stage of data processing. Each cluster goes through the following steps: 1) Questionnaire reception 2) Office editing and coding 3) Data entry 4) Structure and completeness checking 5) Verification entry 6) Comparison of verification data 7) Back up of raw data 8) Secondary editing 9) Edited data back up

After all clusters are processed, all data is concatenated together and then the following steps are completed for all data files: 10) Export to SPSS in 5 files (hh - household, hl - household members, wm - women age 15-49, ch - children under 5 bh - women age 15-49) 11) Recoding of variables needed for analysis 12) Adding of sample weights 13) Calculation of wealth quintiles and merging into data 14) Structural checking of SPSS files 15) Data quality tabulations 16) Production of analysis tabulations

Detailed documentation of the editing of data can be found in the data processing guidelines in the MICS Manual (http://www.childinfo.org/mics/mics3/manual.php)

Data entry was conducted by 12 data entry operators in tow shifts, supervised by 2 data entry supervisors, using a total of 7 computers (6 data entry computers plus one supervisors computer). All data entry was conducted at the GenCenStat head office using manual data entry. For data entry, CSPro version 2.6.007 was used with a highly structured data entry program, using system controlled approach, that controlled entry of each variable. All range checks and skips were controlled by the program and operators could not override these. A limited set of consistency checks were also included inthe data entry program. In addition, the calculation of anthropometric Z-scores was also included in the data entry programs for use during analysis. Open-ended responses ("Other" answers) were not entered or coded, except in rare circumstances where the response matched an existing code in the questionnaire.

Structure and completeness checking ensured that all questionnaires for the cluster had been entered, were structurally sound, and that women's and children's questionnaires existed for each eligible woman and child.

100% verification of all variables was performed using independent verification, i.e. double entry of data, with separate comparison of data followed by modification of one or both datasets to correct keying errors by original operators who first keyed the files.

After completion of all processing in CSPro, all individual cluster files were backed up before concatenating data together using the CSPro file concatenate utility.

Data editing took place at a number of stages throughout the processing (see Other processing), including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files

Detailed documentation of the editing of data can be found in the data processing guidelines in the MICS Manual (http://www.childinfo.org/mics/mics3/manual.php)

Response rate

Of the 18144 households selected for the sample, 18123 were found to be occupied. Of these, 17873 were successfully interviewed for a household response rate of 98.6 percent. In the interviewed households, 27564 women (age 15-49 years) were identified. Of these, 27186 were successfully interviewed, yielding a

Description: The data set contains the data of the parents or guardians of children aged 0 to 11 years. Some of the questions included were the child's biographical data, health status and health questions, male circumcision, education of the child on life issues, infant and child feeding practices as well as school attendance and immunisation records. The data set contains 275 variables and 9667 cases. Refer to the user guide for information regarding guidance relating to data analysis. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the World. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the fourth in a series of household surveys conducted by Human Sciences Research council (HSRC), that allow for tracking of HIV and associated determinants over time using a slightly same methodology used in 2002 and 2008 survey, making it the fourth national-level repeat survey. The 2002 and 2005 surveys included individuals aged 2+ years living in South Africa while 2008 and 2012 survey included individuals of all ages living in South Africa, including infants less than 2 years of age. The 2008 study included only four people per household, while in 2012 all members of the households participated. The interval of three years since 2002 allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The surveys provide the nationally representative HIV incidence estimates showing changes over time. The 2012 study key objectives were: to determine the proportion of PLHIV who are on Antiretroviral treatment (ART) in South Africa; to determine the prevalence and incidence of HIV infection in South Africa in relation to social and behavioural determinants; to determine the proportion of males in South Africa who are circumcised; to investigate the link between social values, and cultural determinants and HIV infection in South Africa; to determine the extent to which mother-child pairs include HIV-negative mothers and HIV-positive infants; to describe trends in HIV prevalence, HIV incidence, and risk behaviour in South Africa over the period 2002 to 2012 collect data on the health conditions of South Africans; and contribute to the analysis of the impact of HIV/AIDS on society. In 2012, of the 15000 selected households or visiting points, 11079 agreed to participate in the survey, 42950 individuals (all household members were included) were eligible to be interviewed, and 38431 individuals completed the interview. Of the 38431 eligible individuals, 28997 agreed to provide a blood specimen for HIV testing and were anonymously linked to the behavioural questionnaires. The household response rate was 87.2% , the individual response rate was 89.5% and the overall response rate for HIV testing was 67.5% From the total of 38431 (89.5%) individuals who completed the interview, 2295 (5.3%) refused to be interviewed, 2224(5.2%) were absent from the household and 2224 (5.2%) were classified as missing/other. Clinical measurements Face-to-face interview Focus group Observation South African population. This project used the updated 2007-2011 HSRC's master sample. Aerial photographs drawn from Google Earth were utilised to ensure that the most up-to-date information was available sample. the master sample is defined as a selection, for the purpose of repeated community or household surveys, of a probability sample of census enumeration areas throughout South Africa that are representative of the country's provincial, settlement and racial diversity. The sampling frame that was used in the design of the Master Sample was the 2001 census Enumerator Areas (EAs) from Statistics South Africa (Stats SA). The target population for this study were all people in South Africa, excluding persons in so-called special institutions (e.g. hospitals, military camps, old age homes, schools and university hostels). The EAs were used as the Primary Sampling Units (PSUs) and the Secondary Sampling Units (SSUs) were the visiting points (VPs) or households (HHs). The Ultimate Sampling Units (USUs) were the individuals eligible to be selected for the survey. Any member of the household "who slept here last night", including visitors was an eligible household member for the interview. This sampling approach was used in the 2001 census and is a standard demographic household survey procedure. The sample was designed with two main explicit strata, the provinces and the geography types (geotype) of the EA. In the 2001 census, the four geotypes were urban formal, urban informal, rural formal (including commercial farms) and tribal areas (rural informal) (i.e. the deep rural areas). In the formal urban areas, race was used as a third stratification variable. What this means is that the Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then preceded with the interview. All people in the households, resident at the visiting point were invited to participate in the study. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a 'dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 0-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2012 survey was guided by the (1) requirement for measuring change over time in order to detect a change in HIV prevalence of 5 percentage points in each of the main reporting domains, namely gender, age-group, race, locality type, and province (5% level of significance, 80% power, two-sided test), and (2) the requirement of an acceptable precision of estimates per reporting domain; that is, to be able to estimate HIV prevalence in each of the main reporting domains with a precision level of less than ± 4%, which is equivalent to the expected width of the 95% confidence interval (z-score at the 95% level for two-sided test). A design effect of 2 was assumed. Overall, a total of 38 431 interviewed participants composed of 29.7% children (0-14 years), 19.3% youths (15-24 years), 35.6% adults (25-49 years), and 15.4% adults (50+ years ) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (70.3%) than males (64.2%) were tested for HIV. The 15-24 year's age group was the most compliant (71.6%), and less than 2 years the least (51.6%). The highest testing response rate was found in rural formal settlements (80.8%) and the least in urban formal areas (59.7%).

Description: This data set contains information on adults aged 25 years and older: biographical data, media, communication and norms, knowledge and perceptions of HIV/AIDS, male circumcision, sexual debut, partners and partner characteristics, condoms, vulnerability, HIV testing, alcohol and substance use, general perceptions about government, health and violence in the community. The data set contains 516 variables and 10501 cases. Abstract: South Africa continues to have the largest number of people living with HIV/AIDS in the World. This study intends to understand the determinants that lead South Africans to be vulnerable and susceptible to HIV. This is the third in a series of household surveys conducted by Human Sciences Research Council (HSRC), that allow for tracking of HIV and associated determinants over time using a slightly same methodology used in 2002 and 2005 survey, making it the third national-level repeat survey. The 2002 and 2005 surveys included individuals aged 2+ years living in South Africa while 2008 survey included individuals of all ages living in South Africa, including infants younger than 2 years of age. The interval of three years since 2002 allows for an exploration of shifts over time against a complex of demographic and other variables, as well as allowing for investigation of the new areas. The survey provides the first nationally representative HIV incidence estimates. The study key objectives were to: determine the prevalence of HIV infection in South Africa; examine the incidence of HIV infection in South Africa; assess the relationship between behavioural factors and HIV infection in South Africa; describe trends in HIV prevalence, HIV incidence, and risk behaviour in South Africa over the period 2002-2008; investigate the link between social, values, and cultural determinants and HIV infection in South Africa; assess the type and frequency of exposure to major national behavioural change communication programmes and assess their relationship to HIV prevention, AIDS treatment, care, and support; describe male circumcision practices in South Africa and assess its acceptability as a method of HIV prevention; collect data on the health conditions of South Africans; and contribute to the analysis of the impact of HIV/AIDS on society. In the 13440 valid households or visiting points, 10856 agreed to participate in the survey, 23369 individuals (no more than 4 per household, including infants under 2 years) were eligible to be interviewed, and 20826 individuals completed the interview. Of the 23369 eligible individuals, 15031 agreed to provide a blood specimen for HIV testing and were anonymously linked to the behavioural questionnaires. the household response rate was 80.8%, the individual response rate was 89.1% and the overall response rate for HIV testing was 64.3%. Clinical measurements Face-to-face interview Focus group Observation South African population, all ages from urban formal, urban informal, rural formal (farms), rural informal (tribal area) settlements. As in previous surveys, a multi-stage disproportionate, stratified sampling approach was used. A total of 1 000 census enumeration areas (EAs) from the 2001 population census were selected from a database of 86 000 EAs and mapped in 2007 using aerial photography to create a new updated Master Sample as a basis for sampling visiting points/households. The selection of EAs was stratified by province and locality type. Locality types were identified as urban formal, urban informal, rural formal (including commercial farms), and rural informal. In the formal urban areas, race was also used as a third stratification variable (based on the predominant race group in the selected EA at the time of the 2001 census). The allocation of EAs to different stratification categories was disproportionate; that means, over-sampling or over-allocation of EAs was done, for example, in areas that were dominated by Indian, coloured or white race groups to ensure that the minimum required sample size in those smaller race groups was obtained. The Master Sample was designed to allow reporting of results (i.e. reporting domain) at a provincial, geotype and race level. A reporting domain is defined as that domain at which estimates of a population characteristic or variable should be of an acceptable precision for the presentation of survey results. A visiting point is defined as a separate (non-vacant) residential stand, address, structure, and flat in a block of flats or homestead. The 2001 estimate of visiting points was used as the Measure of Size (MOS) in the drawing of the sample. A maximum of four visits were made to each VP to optimise response. Fieldworkers enumerated household members, using a random number generator to select the respondent and then preceded with the interview. All people in the households, resident at the visiting point were initially listed, after which the eligible individual was randomly selected in each of the following three age groups: under 2 years, 2-14 years, 15-24 years and 25+ years. These individuals constituted the USUs of this study. Having completed the sample design, the sample was drawn with 1 000 PSUs or EAs being selected throughout South Africa. These PSUs were allocated to each of the explicit strata. With a view to obtaining an approximately self-weighting sample of visiting points (i.e. SSUs), (a) the EAs were drawn with probability proportional to the size of the EA using the 2001 estimate of the number of visiting points in the EA database as a measure of size (MOS) and (b) to draw an equal number of visiting points (i.e. SSUs) from each drawn EA. An acceptable precision of estimates per reporting domain requires that a sample of sufficient size be drawn from each of the reporting domains. Consequently, a cluster of 15 VP was systematically selected on the aerial photography produced for each of the EAs in the master sample. Since it is not possible to determine on an aerial photograph whether a 'dwelling unit' is indeed a residential structure or whether it was occupied (i.e. people sleeping there), it was decided to form clusters of 15 dwelling units per PSU, allowing on average for one invalid dwelling unit in the cluster of 15 dwelling units. Previous experience at Statistics SA indicated a sample size of 10 households per PSU to be very efficient, balancing cost and efficiency. The VP questionnaire was administered by the fieldworker, and in follow-up, participant selection was made by the supervisor. Participants aged 12 years and older who consented were all interviewed and also asked to provide dried blood spots (DBS) specimens for HIV testing. In case of 0-11 years, parents/guardians were interviewed but DBS specimens were obtained from the children. The sample size estimate for the 2008 survey was guided by the (1) requirement for measuring change over time in order to detect a change in HIV prevalence of 5 percentage points in each of the main reporting domains, namely gender, age-group, race, locality type, and province (5% level of significance, 80% power, two-sided test), and (2) the requirement of an acceptable precision of estimates per reporting domain; that is, to be able to estimate HIV prevalence in each of the main reporting domains with a precision level of less than 4%, which is equivalent to the expected width of the 95% confidence interval (z-score at the 95% level for two-sided test). A design effect of 2 was assumed. Overall, a total of 20826 interviewed participants composed of 4981 children (0-14 years), 5344 youths (15-24 years) and 10501 adults (25+ years) were interviewed. The sample was designed with the view to enable reporting of the results on province level, on geography type area and on race of the respondent. The total sample size was limited by financial constraints, but based on other HSRC experience in sample surveys it was decided to aim at obtaining a minimum of 1 200 households per race group. The number of respondents per household for the study was expected to vary between one and three (one respondent in each of the three age groups). More females (68.9%) than males (62.02%) were tested for HIV. The 25+ years age group was the most compliant (68.8%), and 2-14 years the least (58.9%). The highest testing response rate was found in urban informal settlements (72.5%) and the lowest in urban formal areas (62.8%).