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Global School-based Student Health Survey 2003

Uganda, 2003
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Reference ID
UGA_2003_GSHS_v01_M
Producer(s)
Ministry of Health, Ministry of Education and Sports, World Health Organization, Centers for Disease Control and Prevention
Metadata
DDI/XML JSON
Created on
Dec 12, 2013
Last modified
Mar 29, 2019
Page views
19520
Downloads
291
  • Study Description
  • Data Dictionary
  • Downloads
  • Get Microdata
  • Related Publications
  • Identification
  • Version
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Survey instrument
  • Data collection
  • Data processing
  • Data Access
  • Disclaimer and copyrights
  • Contacts
  • Metadata production
  • Identification

    Survey ID number

    UGA_2003_GSHS_v01_M

    Title

    Global School-based Student Health Survey 2003

    Country
    Name Country code
    Uganda UGA
    Study type

    World Health Survey [hh/whs]

    Series Information

    The GSHS is a collaborative surveillance project designed to help countries measure and assess the behavioural risk factors and protective factors in 10 key areas among young people aged 13 to 17 years. The GSHS is a relatively low-cost school-based survey which uses a self-administered questionnaire to obtain data on young people's health behaviour and protective factors related to the leading causes of morbidity and mortality among children and adults worldwide. The GSHS was developed by the World Health Organization (WHO) in collaboration with United Nations' UNICEF, UNESCO, and UNAIDS; and with technical assistance from CDC.

    As of December 2011, representatives from more than 107 countries have been trained and 73 countries have completed a GSHS. Twenty-nine countries have been trained but have not conducted their surveys because of insufficient funds, staff turnover, or other in-country barriers. More than 420,000 students have participated in a GSHS survey.

    Abstract

    The 2003 Uganda GSHS is a health behaviour study involving secondary school children aged 13-15 years. The study measured behaviours and protective factors related to causes of mortality and morbidity among youth and adults in Uganda. Its purpose was to provide data for planning, measuring trends, evaluation, making national and international comparisons of health behaviours of school children. The structure of the study included demographics, alcohol and other drug use, dietary behaviours, hygiene, mental health, physical activity, protective factors, sexual behaviours, tobacco use, violence and unintentional injury. The survey was conducted in July-August 2003.

    Kind of Data

    Sample survey data [ssd]

    Unit of Analysis

    Students aged 13-15 years

    Version

    Version Description
    • v01: Edited, anonymous datasets for public distribution.

    Scope

    Notes

    The 2003 Uganda GSHS measured alcohol and other drug use; sexual behaviours that contribute to HIV infections, other STIs, and unintended pregnancies; unintentional injuries and violence; hygiene; dietary behaviours and overweight; physical activity; tobacco use; mental health; and protective factors.

    Coverage

    Geographic Coverage

    National coverage

    Producers and sponsors

    Primary investigators
    Name
    Ministry of Health
    Ministry of Education and Sports
    World Health Organization
    Centers for Disease Control and Prevention
    Producers
    Name
    United Nations Children's Fund
    United Nations Educational, Scientific and Cultural Organization
    Joint United Nations Programme on HIV/AIDS
    Funding Agency/Sponsor
    Name
    World Health Organization

    Sampling

    Sampling Procedure

    The 2003 Uganda GSHS employed a two-stage cluster sample design to produce a representative sample of students aged 13-15 years attending Senior 1 -3 in government and private secondary schools in Uganda. The first-stage sampling frame consisted of all secondary schools (government and private schools containing any of S1, S2, S3 grades. The Ministry of Education and Sports provided an up to date list of all the secondary schools in Uganda including the enrollment. The electronic copy of this list of schools was sent to CDC where the schools were selected with probability proportional to school enrollment size. A total of 50 schools were selected using a software specially designed for school based surveys of health behaviours to participate in the Uganda GSHS 2003 survey. Of these schools 25 were urban and 25 rural. Using the list of the selected 50 schools the selection proceeded to the second stage whose sampling frame consisted of all classrooms in each selected school. Intact classrooms were randomly selected using a random numbers provided for each school to participate by CDC. All classrooms in each selected school were included in the sampling frame. All students in the sampled classrooms were eligible to participate in the GSHS. A total of 1878 ( 880 boys and 963 girls) age 13-15 years participated in the survey.

    A total of 3,215 students participated in the Uganda GSHS.
    A total of 1,709 students participated in the Uganda (Urban) GSHS.
    A total of 1,506 students participated in the Uganda (Rural) GSHS.

    Response Rate

    National: The school response rate was 90%, the student response rate was 76%, and the overall response rate was 69%.
    Urban: The school response rate was 88%, the student response rate was 80%, and the overall response rate was 70%.
    Rural: The school response rate was 92%, the student response rate was 72%, and the overall response rate was 67%.

    Weighting

    A weighting factor was applied to each student record to adjust for non-response and for the varying probabilities of selection.: W = W1 W2 f1 f2 f3 whereby:

    • W1 = the inverse of the probability of selecting the school
    • W2 = the inverse of the probability of selecting the school
    • F1 = a school level non-response adjustment factor
    • F2 = a student level non-response adjustment factor calculated by classroom.
    • F3 = a post stratification adjustment factor calculated by sex within grade.

    W1 and W2 constitute the base weight or probability for selecting the school and classroom, while f1 and f2 are cater for the non-response adjustment.

    Survey instrument

    Questionnaires

    Each student completed a self administered questionnaire using a generic anonymous answer sheet. For the 2003 Uganda GSHS, a total of 3215 questionnaires were completed in 45 schools, of which 1878 were completed by students aged 13 to 15 years.

    The Uganda GSHS questionnaire contained 93 questions addressing the following topics: Demographics, Alcohol and other drug use, Dietary behaviours, Hygiene, Mental health, Physical activity, Protective factors, Sexual behaviours that contribute to HIV infection, other STI, and unintended pregnancy, Tobacco use, Violence and unintentional injury.

    The questionnaire was developed by officials drawn from Ministry of Health, Ministry of Education, and WHO. The final questionnaire had 54 core questions provided by WHO/CDC, 36 questions selected from the expanded core questions, and 3 country specific questions. The process was done through meetings and consultation with WHO/CDC. The questionnaire and methodology were pre-tested in one of the districts. The core questions were developed by a team of experts drawn from WHO, CDC, UNICEF, UNESCO, UNAIDS and others. For national and international comparisons the core questions must be used as they are without modification. Core-expanded questions collect some more additional information on selected module topics. They are also used without modification. On the other hand each country is free to add questions about topics of unique interest and importance. The country specific questions should have characteristics consistent with the characteristics of the core questions namely: the question requests only one response, the question and response options match, the question must have no more than 8 response options, the question must be written as a question not as a statement, the question must have a specific time frame, response options within each question share consistent format and structure, the "0" or "most negative" response option is listed first, and the question must include an appropriate response option for every student.

    Once the questionnaire of 93 questions had been assembled it was pilot tested in one of the districts. Meanings of some words and phrases which were found hard to understand were simplified without changing the original meaning of the question. Both questions and generic answer sheets were finally printed by CDC and shipped to the survey coordinator in Uganda. After collecting the data and verifying consistence of the answer sheets the response sheets were shipped back to CDC for analysis. Once analysis had been done, the data was sent back to the survey coordinator to further analyze, interpret the findings and write a report.

    Data collection

    Dates of Data Collection
    Start End
    2003-07-30 2003-08-18
    Data Collectors
    Name
    Ministry of Health
    Ministry of Education and Sports
    Supervision

    Twenty (20) young survey administrators were specially trained to conduct the GSHS. The survey administrators were supervised by the survey coordinator(s).

    Data Collection Notes

    Data was collected from school children from 30th July 2003 to 18th August 2003. To ensure quality and student participation survey procedures were standardized and designed to protect student privacy by allowing for anonymous and voluntary participation. The Ministry of Education and Sports, and the District Education Offices gave letters supporting the study, and head teachers consented for children to participate. Students completed the self-administered questionnaire during one classroom period and recorded their responses directly on a computer scannable answer sheet.

    Data processing

    Data Editing

    The data set was cleaned and edited for inconsistencies. Missing data were not statistically imputed. Software that takes into consideration of the complex sample design was used to compute prevalence estimates and 95% confidence intervals. GSHS data are representative of all students attending S1, S2, S3 in Uganda.

    Data Access

    Access authority
    Name Affiliation URL Email
    Department of Chronic Diseases and Health Promotion World Health Organization http://www.who.int/chp/gshs/en/ chronicdiseases@who.int
    Access conditions

    GSHS data release and publication policies and procedures are based on the following guiding principles:

    • GSHS data are owned by the official country-level agency (ex. Ministry of Health) conducting or sponsoring the survey.
    • Public health and scientific advancement are best served by an open and timely exchange of data and data analyses.
    • The privacy of participating schools and students must be protected.
    • Data quality must be maintained.
    Citation requirements

    Use of the dataset must be acknowledged using a citation which would include:

    • the Identification of the Primary Investigator
    • the title of the survey (including country, acronym and year of implementation)
    • the survey reference number
    • the source and date of download

    Example:

    Ministry of Health and Ministry of Education and Sports of Uganda, World Health Organization and Centers for Disease Control and Prevention. Uganda Global School-based Student Health Survey (GSHS) 2003, Ref. UGA_2003_GSHS_v01_M. Dataset downloaded from [url] on [date].

    Disclaimer and copyrights

    Disclaimer

    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

    Contacts
    Name Affiliation Email URL
    Department of Chronic Diseases and Health Promotion World Health Organization chronicdiseases@who.int http://www.who.int/chp/gshs/en/
    The World Bank Microdata Library The World Bank microdata@worldbank.org http://microdata.worldbank.org

    Metadata production

    DDI Document ID

    DDI_UGA_2003_GSHS_v01_M_WB

    Producers
    Name Affiliation Role
    Development Data Group The World Bank Documentation of the DDI
    Date of Metadata Production

    2013-09-30

    Metadata version

    DDI Document version

    Version 01 (September 2013)

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