Global Fund Household Health Coverage Survey 2008
Malawi, 2007 - 2008
Identification
MWI_2008_GFHHCS_v01_M
Global Fund Household Health Coverage Survey 2008
Household Health Coverage Survey 2008
| Name | Country code |
|---|---|
| Malawi | MWI |
Other Household Health Survey [hh/hea]
This is the first Household Health Coverage Survey conducted for the Five-Year Global Fund Evaluation, as part of the District Comprihensive Assessment activity.
This survey was conducted in the scope of the Global Fund Five-Year Evaluation.
Purpose
(1) To provide population-based data on knowledge of TB and HIV/AIDS; sexual behavior; utilization of services related to HIV testing and maternal and child health; and coverage of IRS and bednets
(2) To provide basic information on health expenditure
Objective
To provide data to evaluate the following areas:
-Resource tracking [Inputs]
-Access/coverage/use of services [Outcomes]
-Public health impact [Impact]
-Health system strengthening [Impact]
Content
Types of indicators:
- household level demographic and socio-economic indicators such as education, wealth assets, residence
- HIV- Knowledge and Behavior, Prevention, Counseling and Testing, PMTCT
- Tuberculosis- Knowledge and Behavior
- Malaria - ITN, IRS, IPTp, Prompt and effective treatment
- Health system effects
- Financing
Sample survey data [ssd]
- Households
- Children under 5 years
- Women
Scope
The survey covers the follwoing topics:
HOUSEHOLD:
- Household listing
- Demographic information
- Household members
- Bednets
- Health expenditures
- Deaths in the household
WOMEN:
- Respondent's background
- Birth history
- Antenatal and delivery care
- Immunization
- Diarrhea
- Fever and malaria
- Tuberculosis
- Marriage and sexual activity
- HIV/AIDS knowledge
Coverage
National - at district level
The survey covered all de jure household members (usual residents) in the selected households of the selected enumeration areas in the eight sampled districts , all women aged 15-49 years resident in the household, and all children aged 0-59 months (under age 5) resident in the selected household.
Producers and sponsors
| Name | Affiliation |
|---|---|
| National Statistical Office (NSO) | Ministry of Economic Planning and Development |
| Name | Role |
|---|---|
| Macro International | Funding and technical assistance |
Sampling
6625 households were selected from 8 districts and 30 clusters, 25 households per district.
Selection process: 8 districts were purposefully selected based on geographic criteria (one per region), and urban/rural to reflect national urban/rural mix.
Stratification: stratified by district
Stages of sample selection: purposeful selection of 8 districts, clusters selected PPS (probability proportional to size), households in clusters were sampled systematically after household listing was updated.
Design omissions: In 'City district of Lilongwe', the city and rural were separated as two districts. In the city 25 clusters were sampled with 25 households selected in each cluster. In Lilongwe rural 30 clusters were sampled with 25 households in each cluster. That is essentially we had 9 districts.
Level of representation: district level
Strategy for absent respondents: no replacement
Sample frame: Original sample frame of clusters is based on the 1998 Malawi Population and Housing Census; household listing in selected clusters prior to systematically selecting the households.
Household response rate 94% and woman response rate 94%.
The household weight is the inverse of the household selection probability multiplied by the inverse of the household response rate of its household response rate group. The woman's weight is the household weight multiplied by the inverse of the individual response rate of her individual response rate group.
Note the HH weight variable is in the QHSECOVER record, and the woman weight variable is in the QSECOVER. These weights are not merged with respective household and woman records.
Survey instrument
Questionnaire modules were based on the standard DHS, including a HH and a woman questionnaire.
- Household modules include: Household listing of members and demographic information, Household members, Bednets, Health expenditures and Deaths in the household.
- Woman modules include: Respondent's background, Birth history, Antenatal and delivery care, Immunization, Diarrhea, Fever and malaria, Tuberculosis, Marriage and sexual activity, and HIV/AIDS.
Data collection
| Start | End |
|---|---|
| 2007-12-27 | 2008-02-28 |
| Start date | End date |
|---|---|
| 2007-12-27 | 2008-02-28 |
| Name | Affiliation |
|---|---|
| National Statistical Office | Ministry of Economic Planning and Development |
Interviewing was conducted by teams of interviewers. Each interviewing team comprised of 4 female, 2 male interviewers and a team leader, and a driver. Each team used a 4 wheel drive vehicle to travel from cluster to cluster (and where necessary within cluster).
The role of the team leader was to was to coordinator field data collection activities, including management of the field teams, supplies and equipment, maps and listings, coordinate with local authorities concerning the survey plan and make arrangements for accommodation and travel. Additionally, the team leader assigned the work to the interviewers, spot checked work, maintained field control documents, and sent completed questionnaires and progress reports to the central office.
The team leader was also responsible for reviewing each questionnaire at the end of the day, checking for missed questions, skip errors, fields incorrectly completed, and checking for inconsistencies in the data. The team leader also observed interviews and conducted review sessions with interviewers.
Responsibilities of the team leader are described in the Instructions for Supervisors, together with the different field controls that were in place to control the quality of the fieldwork.
Field visits were also made by a team of Senior supervisors on a periodic basis during fieldwork. The Senior supervisors of National Statistical Office also made several visits to field teams to provide support and to review progress.
The trainning of enumerators and team leaders together with data processors was coducted for ten days in mid december 2007. The interviews were conducted in local language. The enumerators were selected from a pool of experianced enumerators who had just finished conducting the Agriculture Census to ensure good quality of the data collected.
Data processing
Data editing took place at a number of stages throughout the processing, including:
a) Office editing and coding, verification of completed questionnaires
b) During data entry (scanned questionnaires also pass through verification process)
c) Structure checking and completeness out files in SPSS format
Data appraisal
- Frequency checks and data cleaning during data colletion, and final data cleaning
Data Access
| Name | |
|---|---|
| The Global Fund | wilson.lo@theglobalfund.org |
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | No personally identifiable information is available in the microdata sets. See informed consent statement in Qs. |
The Global Fund 5-year impact evaluation data is available to outside researchers as licensed data files. These files can be accessed though the public web site and require user registration. There is a two step procedure required to access the files:
- The researcher should register as a user.
- Once registered the researcher will be required to fill out a detailed license request form that will provide the Global Fund with details on how the data will be used.
Certain conditions may apply depending on the data requested (facility or household). General terms and conditions are provided in the licensing form. Specific terms that apply depend on the survey requested (Facility or Household)
Facility:
The names of the facilities have been suppressed. However, some of the files contain geographic references that could be used to re-identify the facility. If your research project will use the district level data to identify the facility, please be sure to specify the reasons for the re-identification In certain instances, country concurrence may be required. For any information required to validate the name of the facility, please contact the appropriate country authority.
Household:
Household data is recoded and no direct identifiers are available. No special conditions apply for access to the recoded data.
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 acronym and year of implementation)
- the survey reference number
- the source and date of download
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 interpretation or inferences based upon such uses.
(c) 2009, National Statistics Office (NSO), Malawi
Metadata production
DDI_MWI_2008_GFHHCS_v01_M
| Name | Role |
|---|---|
| National Statistical Office | Data Documentation |
| International Household Survey Network | Technical Assistance |
2009-05-05
Metadata version
Version 01: Adopted from "MWI-NSO-MHRGF-2008-V0.1_ddi" DDI that was done by metadata producers mentioned in "Metadata Production" section.