Urban Reproductive Health Initiative 2010
Kenya, 2010
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KEN_2010_KURHI_v01_M
Urban Reproductive Health Initiative 2010
Baseline Survey
| Name | Country code |
|---|---|
| Kenya | KEN |
Other Household Health Survey [hh/hea]
This survey is the first of three that are planned and provides a baseline for follow-on assessments and information that will inform program (MLE-Tupange) design.
The Bill & Melinda Gates Foundation’s reproductive health strategy aims to reduce maternal and infant mortality and unintended pregnancy in the developing world by increasing access to high-quality, voluntary FP services. The reproductive health strategy is being implemented at the country level through the Urban Reproductive Health Initiative (URHI) being implemented in Kenya, Nigeria, India and Senegal.
In Kenya, the URHI, hereinafter referred to as Tupange. The main objective of the project is to increase modern contraceptive use in Nairobi, Mombasa and Kisumu by 20 percentage points over the five-year life of the project. The urban centers of Machakos and Kakamega are additional “delayed” interventions sites that are included in the baseline data collection presented here although data in these delayed sites were collected only from women.
Key elements of the Tupange include:
• Integrating high-quality FP services with maternal and newborn health services, especially post-abortion, postpartum, antenatal care and HIV/AIDS services;
• Improving the overall quality of FP services, particularly in high-volume settings;
• Increasing access to FP services for the urban poor through public-private partnerships and other private sector approaches;
• Creating sustained demand for FP services among the urban poor; and
• Creating a supportive policy environment for ensuring access to FP supplies and services, particularly for the urban poor.
Sample survey data [ssd]
Household, woman age 15-49 years, man 15-59 years
Version
Version 01
Scope
Respondents were asked about demographic characteristics, for information on current and past FP method use, fertility desires and intentions, health-seeking behaviors for themselves and their children, how they pay for health care services, exposure to FP messages, and migration patterns, using a structured questionnaire.
| Topic | Vocabulary |
|---|---|
| Health | World Bank |
| Population & Reproductive Health | World Bank |
Coverage
Urban areas (five cities in Kenya - Nairobi, Mombasa, Kisumu, Machakos, and Kakamega)
All women aged 15-49 years who were either usual residents or visitors present in the sampled households on the night prior to the survey were eligible for a detailed interview. In addition, in half of the sampled households in Nairobi, Mombasa and Kisumu, all men aged 15-59 years were asked to participate in a detailed interview.
Producers and sponsors
| Name | Affiliation |
|---|---|
| Kenya National Bureau of Statistics | Ministry of Planning and National Development |
| Name | Role |
|---|---|
| Measurement, Learning & Evaluation | Designed the project |
| Jhpiego | Project partners |
| Center for Communication Programs | Project partners |
| Marie Stopes International | Project partners |
| National Coordinating Agency for Population and Development | Project partners |
| Pharm Access Africa Limited | Project partners |
| Name | Role |
|---|---|
| Bill & Melinda Gates Foundation | Funded the project |
Sampling
The household survey sample was drawn from the population residing in the five cities/urban centers. The most recent Population and Housing Census (2009) was used to identify clusters from which a representative sample of households for each city/urban center was drawn. A total of 13,140 households were selected for interviewing, ensuring that the sample was sufficient to allow analysis of the findings by each of the five intervention sites. Nairobi was intentionally oversampled (4,260 vs. 2,220 households) due its significantly larger size. With the exception of Machakos and Kakamega, the sample in each urban area was apportioned equally between formal and informal localities.
A two-stage cluster sampling design was used for each urban area. Stage one involved selecting a random sample of clusters in each urban area. In Nairobi, 71 clusters were randomly selected in each of the formal and informal areas (domains), for a total of 142. In Mombasa and Kisumu, 37 clusters were randomly drawn from each domain, for a total 74 per urban area. In Machakos and Kakamega, 74 clusters were randomly selected per urban area. In the second stage, a random sample of 30 households was selected within each selected cluster. Interviews with women took place in all households selected. In Nairobi, Mombasa and Kisumu, half of the households (15) in each of the selected clusters were also selected to interview men.
Nairobi was intentionally oversampled (4,260 vs. 2,220 households) due its significantly larger size. With the exception of Machakos and Kakamega, the sample in each urban area was apportioned equally between formal and informal localities.
Of the 13,140 households selected for inclusion in the sample, 12,565 were occupied and eligible for interviews. Of these, 10,992 households were interviewed successfully (197 declined), a response rate of 84 percent. There were a total of 10,502 eligible women, of whom 8,932 consented and participated in an interview, yielding a response rate of 85.1 percent. There were 3,815 eligible men, of whom 2,503 consented and participated in an interview, a response rate of 65.6 percent.
For the household survey, non -response was primarily due to the absence of a suitable member of the household during each of three visits (37 percent; not displayed). Non-responses during the male and female interviews were due mainly to the subject's absence at the time of the household interview (76 percent and 78 percent respectively) or at any of the three follow-up visits.
Survey instrument
Three questionnaires were used to collect baseline information-one for each of the households, one for women and one for men. In Machakos and Kakamega, only women were interviewed. Questionnaires were based on the questionnaires used by the Demographic and Health Survey program in Kenya but were modified and expanded by all in-country partners to reflect MLE and Tupange objectives.
Questionnaires were translated from English into Kiswahili, Luhya, Kamba and Dholuo-the four most commonly spoken languages in the five cities. Final revisions were made to the questionnaires following extensive pre-testing and training of field staff. The household questionnaire was administered prior to the women's and men's questionnaires to facilitate the identification of eligible household members. The methodology and questionnaires were tested in Kisumu and Nairobi August 5-8, 2010, in clusters outside the planned intervention areas to minimize chances of contamination. Survey instruments were finalized based on feedback from and lessons learned during the pre-test.
Data collection
| Start | End | Cycle |
|---|---|---|
| 2010-09 | 2010-11 | Baseline |
| Name | Affiliation |
|---|---|
| Kenya National Bureau of Statistics | Ministry of Planning and National Development |
Supervisors were given supplementary training on the identification of clusters and households for the survey, distribution of assignments to the research assistants, accounting for the completed questionnaires, and what to look out for when carrying out the initial editing of the questionnaires while in the field. All trainees were taken for practice interviews in households in selected clusters in the town of Nakuru. Each trainee was tasked with collecting data for two of each of the questionnaires depending on the availability of the eligible respondents at the household level. During the last day of the training, the final field teams were formed and supervisors, research assistants and field editors were identified.
Data processing
A data processing team was selected and trained at the KNBS offices in Nairobi. Most of the data processing staff were selected from the reserve members from the field survey teams. Staff from MLE and APHRC conducted the five-day training between October 26 and November 1, followed by on-the-job training for an additional four days. Fifteen data entry clerks, four office editors, one system administrator, one supervisor and one manager participated in the training. Data processing began in November 2010 and was finalized in March 2011.
To ensure that all questionnaires were processed, a “data audit” was conducted and completed at the end of March 2011. The tabulation of the survey results, particularly the program tables, was done in May 2011. Data analysts from the University of North Carolina and APHRC produced the tables and preliminary results that were shared with program teams on June 2-3, 2011.
To ensure that all questionnaires were processed, a "data audit" was conducted and completed at the end of March 2011. The tabulation of the survey results, particularly the program tables, was done in May 2011. Data analysts from the University of North Carolina and APHRC produced the tables and preliminary results that were shared with program teams on June 2-3, 2011. Further analysis of the data that allowed inclusion of results regarding additional indicators was completed by July 2011 and an initial draft baseline report was prepared by mid-September 2011.
Data Access
"MLE, Tupange and KNBS. 2011. Report of the Baseline Household Survey for the Kenya Urban Reproductive Health Initiative (Tupange). Measurement, Learning & Evaluation of the Urban Reproductive Health Initiative (MLE) [UNC, USA]; Kenya Urban Reproductive Health Initiative (Tupange) [Nairobi, Kenya]; and Kenya National Bureau of Statistics (KNBS) [Nairobi, Kenya]. Version 01, provided by the Kenya National Data Archive. http://statistics.knbs.or.ke/nada/index.php/catalog"
Disclaimer and copyrights
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Director General | KNBS | directorgeneral@knbs.or.ke | http://www.knbs.or.ke |
Metadata production
DDI_KEN_2010_KURHI_v02_M
| Name | Affiliation | Role |
|---|---|---|
| Kenya National Bureau of Statistics | Ministry of Planning and National Development | Metadata producer |
| Accelerated Data Program | International Household Survey Network | Review of the metadata |
2013-05-31
Metadata version
Version 02 (October 2013). Edited version based on Version 01 (July 2012) DDI that was done by Kenya National Bureau of Statistics and reviewed by Accelerated Data Program, International Household Survey Network.