The Ministry of Health and Social Welfare (MOHSW) conducted the 2009 Lesotho Demographic and Health Survey (LDHS) to collect population-based data to inform the Health Sector Reform Programme (2000-2009), evaluate the strides made since the first LDHS was conducted in 2004, set a baseline for new programmes, and provide information for policy and strategic planning.
The 2009 LDHS was conducted using a representative sample of women and men of reproductive age.
The objectives were to:
- Provide national data on key demographic indicators, particularly fertility and child and adult mortality rates
- Analyze the direct and indirect factors that determine the level of and trends in fertility
- Measure the level of contraceptive knowledge and practice of women and men by method, urban-rural residence, and region
- Provide data on family health, including immunization coverage among children, prevalence and treatment of diarrhoea and other diseases among children under age 5, maternity care indicators including antenatal visits, and assistance at delivery
- Provide data on child feeding practices, including breastfeeding, the nutritional status of women and children, and the prevalence of anaemia among children under age 5, women age 15-49, and men age 15-59
- Provide 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
- Provide information on the prevalence of HIV among women age 15-49 and men age 15-59
- Provide biomarker data on blood pressure among women age 15-49 and men age 15-59
Kind of Data
Sample survey data
Unit of Analysis
- Women age 15-49
- Men age 15-59
The 2009 LDHS was designed to provide estimates of health and demographic indicators at the national level, for urban-rural areas, and for each of the ten districts of Butha-Buthe, Leribe, Berea, Maseru, Mafeteng, Mohale's Hoek, Quthing, Qacha's Nek, Mokhotlong, and Thaba-Tseka.
Unit of Analysis
- Women age 15-49
- Men age 15-59
Producers and sponsors
Authoring entity/Primary investigators
Ministry of Health and Social Welfare (MOHSW)
Bureau of Statistics
Government of Lesotho
United States Agency for Intemational Development
Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund)
Millennium Challenge Account
President's Emergency Plan for AIDS Relief
National AIDS Commission
United Nations Population Fund
United Nations Children's Fund
World Health Organisation
The 2009 LDHS was designed to provide estimates of health and demographic indicators at the national level, for urban-rural areas, and for each of the ten districts of Butha-Buthe, Leribe, Berea, Maseru, Mafeteng, Mohale's Hoek, Quthing, Qacha's Nek, Mokhotlong, and Thaba-Tseka. The 2009 LDHS sample points (clusters) were selected from a list of enumeration areas (EAs) defined for the 2006 Lesotho Population and Housing Census. A total of 400 clusters were drawn from the census sample frame, 94 in the urban areas and 306 in the rural areas. The clusters were selected with probability proportional to size (PPS).
Bureau of Statistics (BOS) staff conducted an exhaustive listing of households in each of the LDHS clusters from July through December 2009. From these lists, a systematic sample of households was drawn for a total of 10,000 households, about 25 households on average per cluster. All women age 15-49 identified in the entire sample of households were eligible for individual interview. In addition, half of these households (5,000 households) were selected randomly, and in these households, all men age 15-59 were eligible for individual interview. In the LDHS households where men were interviewed, all children under age 6 were eligible for height, weight, and mid-upper arm circumference measurements as well as anaemia testing. In the same households, women and men who were eligible for individual interview were also eligible for height, weight, and blood pressure measurements in addition to anaemia and HIV testing.
Note: See detailed sample design information in the APPENDIX A of the final 2009 Lesotho Demographic and Health Survey Final Report.
A total of 9,994 households were selected for the sample, of which 9,619 were found occupied during data collection. Of the existing households, 9,391 were successfully interviewed, yielding a household response rate of 98 percent.
In these households, 7,786 women were identified as eligible for the individual interview. Interviews were completed with 98 percent of these women. Of the 3,493 eligible men identified in the sub-sample of households selected, 95 percent were successfully interviewed. Overall, response rates were higher in rural areas than in urban areas.
See summarized response rates in Table 1.2 which is presented in the Final Report.
Dates of Data Collection (YYYY/MM/DD)
Mode of data collection
Type of Research Instrument
Three types of questionnaires were used for the LDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire. The contents of the questionnaires were based on questionnaires developed for the MEASURE DHS programme. The LDHS questionnaires were developed in collaboration with a wide range of stakeholders. After the LDHS survey instruments were drafted, they were translated into and printed in the local language, Sesotho, for pre-testing.
The Household Questionnaire was used to list all the usual members and visitors to the selected households. Basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. The Household Questionnaire was also used to identify persons eligible for the individual interview. In addition, information was collected about the dwelling, such as the source of water, type of toilet facilities, materials used to construct the house, and ownership of various consumer goods. The results of anthropometric measurement and anaemia testing were recorded in the Household Questionnaire, as was the information on the consent of eligible household members for the HIV testing.
The Woman’s Questionnaire was used to collect information on the following topics:
- Background characteristics (age, education, employment, religion, etc.)
- Birth history and childhood mortality
- Knowledge and use of family planning methods
- Antenatal, delivery, and postnatal care
- Infant feeding practices, including patterns of breastfeeding
- Childhood vaccinations
- Episodes of childhood illness and responses to illness
- Marriage and sexual activity
- Fertility preferences
- Husband’s background and the woman’s work status
- Adult mortality, including maternal mortality
- HIV/AIDS-related knowledge, attitudes, and behaviour
- Knowledge, attitudes, and behaviour related to other health issues
The Man’s Questionnaire was shorter than the Woman’s Questionnaire but covered many of the same topics, excluding the reproductive history and sections dealing with maternal and child health and maternal mortality.
In this survey, instead of paper questionnaires, personal data assistants (PDAs) were used to record responses during interviews. Bluetooth wireless technology was used for electronic transfer of files, such as transfer of the assignment sheet from the team supervisor to the interviewers, transfer of household questionnaires among survey team members, and transfer of completed questionnaires to team and central office supervisors. The PDA interview applications were implemented using the mobile version of CSPro, which was developed by the MEASURE DHS project in collaboration with the U.S. Census Bureau.
All data files for the LDHS were stored in a computer at the MOHSW Headquarters. The data processing operation included secondary editing, which involved checking for inconsistencies. The LDHS data entry and editing programmes used CSPro, a computer software package specifically designed for processing survey data such as that produced by DHS surveys. Data processing commenced in November 2009 and was completed in February 2010.
Data Quality Tables
- Household age distribution
- Age distribution of eligible and interviewed women
- Completeness of reporting
- Birth by calendar years
- Reporting of age at death in days
- Reporting of age at death in months
- Nutritional status of children
Note: See these data quality tables in APPENDIX C of the Final Report.
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 interpretations or inferences based upon such uses.