Survey ID Number
KEN_2020_MIS_v01_M
Title
Malaria Indicator Survey 2020
Sampling Procedure
The 2020 KMIS followed a two-stage stratified cluster sample design and was intended to provide estimates of key malaria indicators for the country as a whole, for urban and rural areas, and for the five malaria-endemic zones (Highland epidemic prone, Lake endemic, Coast endemic, Seasonal, and Low risk).
The five malaria-endemic zones fully cover the country, and each of the 47 counties in the country falls into one or two of the five zones as follows:
1. Highland epidemic prone: Kisii, Nyamira, West Pokot, Trans-Nzoia, Uasin Gishu, Nandi, Narok, Kericho, Bomet, Bungoma, Kakamega, and Elgeyo Marakwet
2. Lake endemic: Siaya, Kisumu, Migori, Homa Bay, Kakamega, Vihiga, Bungoma, and Busia
3. Coast endemic: Mombasa, Kwale, Kilifi, Lamu, and Taita Taveta
4. Seasonal: Tana River, Marsabit, Isiolo, Meru, Tharaka-Nithi, Embu, Kitui, Garissa, Wajir, Mandera, Turkana, Samburu, Baringo, Elgeyo Marakwet, Kajiado, and West Pokot
5. Low risk: Nairobi, Nyandarua, Nyeri, Kirinyaga, Murang’a, Kiambu, Machakos, Makueni, Laikipia, Nakuru, Meru, Tharaka-Nithi, and Embu.
The survey utilised the fifth National Sample Survey and Evaluation Programme (NASSEP V) household master sample frame, the same frame used for the 2015 KMIS. The frame was used by KNBS from 2012 to 2020 to conduct household-based sample surveys in Kenya. It was based on the 2009 Kenya Population and Housing Census, and the primary sampling units were clusters developed from enumeration areas (EAs). EAs are the smallest geographical areas created for purposes of census enumeration; a cluster can be an EA or part of an EA. The frame had a total of 5,360 clusters and was stratified into urban and rural areas within each of 47 counties, resulting into 92 sampling strata with Nairobi and Mombasa counties being wholly urban.
The survey employed a two-stage stratified cluster sampling design in which, in the first stage of selection, 301 clusters (134 urban and 167 rural) were randomly selected from the NASSEP V master sample frame using an equal probability selection method with independent selection in each sampling stratum. The second stage involved random selection of a fixed number of 30 households per cluster from a roster of households in the sampled clusters using systematic random sampling.
For further details on sample design, see Appendix A of the final report.