Afghanistan Mortality Survey 2010 - Measure DHS

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A.3 STRUCTURE OF THE SAMPLE AND THE SAMPLING PROCEDUREThe sample for the AMS 2010 was a stratified sample selected in two stages from the samplingframe. Stratification was achieved by separating each domain into urban and rural areas. Because of thelow urban proportion for most of the provinces, the urban areas all together of each domain form a singlesampling stratum, which is the urban stratum of the domain. On the other hand, the rural area of eachdomain is further split into strata according to province, that is, the rural area of each province forms asampling stratum. In total, 34 sampling strata were created after excluding the rural areas of Kandahar,Hilmand and Zabul from the domain of the South. Among the 34 sampling strata, 3 of them are urbanstrata; the remaining 31 strata are rural strata which correspond to the total number of provinces with theirrural areas included in sample selection. Samples were selected independently in each sampling stratum,by a two-stage selection. Implicit stratification and proportional allocation has been achieved at each ofthe lower administrative levels within a sampling stratum, by sorting the sampling frame according toadministrative units at different levels within each stratum and by using a probability proportional to sizeselection at the first stage of sampling.The 24,000 sample households were equally allocated to each sample domain, that is, 8,000households per domain which is the minimum number of households needed in order to get an adequateprecision for the maternal mortality ratios (MMR) estimation at each domain. The 8,000 households werethen allocated to each sampling stratum within the survey domain. Ideally households should be allocatedto the sampling stratum proportionally to the stratum size, but this would result in a very small urbansample for the country as a whole because of the small proportion of the country that is urban. In orderthat the minimum requirement of sample size be guaranteed for both urban and rural areas, because urbanand rural areas are two different study domains, the urban area in each survey domain was oversampled.After fixing the urban sample size of each domain, the remaining sample was allocated to the rural strataof the domain with sample sizes proportional to their size. A fixed number of 32 households were selectedfrom each EA in the second stage; the household allocation for each sampling stratum was then convertedto the number of EAs. As a result of rounding, the total number of EAs selected was 751. Table A.3shows the sample distribution of households and EAs. The total number of households selected for theAMS 2010 was 24,032 of which 7,584 are in urban areas and 16,448 are in rural areas. Among the 751EAs selected, 237 are in urban areas and 514 in rural areas.In the first stage, 751 EAs were selected with probability proportional to the EA size and withindependent selection in each sampling stratum with the sample allocation as given in Table A.3. Beforefieldwork, a household listing operation was carried out in all of the selected EAs. The household listingoperation consists of visiting each of the 751 selected EAs; drawing a location map and a detailed sketchmap; and recording on the household listing forms all structures found in the EA, and all householdsresiding in the structure with the address and the name of the head of the households. The resulting list ofhouseholds served as the sampling frame for the selection of households at the second stage of sampling.The sample households for the AMS 2010 were selected randomly with equal probability from the newlycreated household listings for every cluster. Interviewers were asked to interview only the pre-selectedhouseholds; no replacement of non-respondent households was allowed in the field during surveyimplementation. This was aimed at preventing the introduction of any bias by interviewers should theyattempt to replace households which are easier to reach. Interviewers were trained to make every effort tointerview all pre-selected households thereby reducing the non-response bias to a minimum. Excelprograms were prepared to facilitate the household selection in the central office.148 | Appendix A
Some of the selected EAs were too large. In order to minimize the task of listing all thehouseholds in a large EA, the selected EAs with an estimated number of households greater than 200were segmented. Only one segment was selected for the survey with probability proportional to thesegment size. The methodology and the detailed household listing procedure were addressed in theHousehold Listing Manual.Table A.3 Sample allocation of households and EAsDomain Stratum nameStratumnumberHouseholdsallocatedEAsallocatedRural of Baghlan 9 672 21Rural of Badakhshan 17 896 28Rural of Takhar 18 832 26Rural of Kunduz 19 576 18Rural of Samangan 20 320 10Rural of Balkh 21 800 25Rural of Sari Pul 22 480 15Rural of Jawzjan 28 352 11Rural of Faryab 29 800 25Urban of North 35 2,304 72Total North 8,032 251Rural of Kabul 1 384 12Rural of Kapisa 2 224 7Rural of Parwan 3 288 9Rural of Maydan Wardak 4 352 11Rural of Logar 5 192 6Rural of Panjsher 8 96 3Rural of Bamyan 10 224 7Rural of Ghor 23 480 15Rural of Daykundi 24 352 11Rural of Badghis 31 352 11Rural of Hirat 32 960 30Rural of Farah 33 352 11Urban of Central 36 3,744 117Total Central 8,000 250Rural of Nangarhar 6 1,408 44Rural of Laghman 7 448 14Rural of Ghazni 11 1,248 39Rural of Paktika 12 864 27Rural of Paktya 13 512 16Rural of Khost 14 640 20Rural of Kunar 15 672 21Rural of Nuristan 16 224 7Rural of Uruzgan 25 320 10Rural of Nimroz 34 128 4Urban of South 37 1,536 48Total South 8,000 250Afghanistan 24,032 751NorthCentralSouthNote: The rural areas of Kandahar, Hilmand, and Zabul provinces are excluded forsample selection due to security concerns.A.4 SELECTION PROBABILITY AND SAMPLING WEIGHTBecause of the non-proportional allocation of the sample to the different survey domains and to theirurban and rural areas, sampling weights are required for any analysis using AMS 2010 data to ensure theactual representativeness of the survey results at the national level and as well as at the domain level.Since the AMS 2010 sample was a two-stage stratified cluster sample, sampling weights were calculatedAppendix A | 149
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AfghanistanMortality Survey 2010
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CONTENTSTABLES AND FIGURES ........
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4.3 Postnatal Care.................
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TABLES AND FIGURESCHAPTER 1INTRODUC
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Table 5.2 Early childhood mortality
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APPENDIX CDATA QUALITY TABLESTable
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AMS 2010 TECHNICAL ADVISORY GROUP M
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AMS 2010 CONTRIBUTORS TO THE REPORT
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INTRODUCTION 11.1 GEOGRAPHY, HISTOR
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After the fall of the communist reg
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Afghanistan, in cooperation with th
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workload of the BHC, up to two addi
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complete list of names of persons i
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1.7 QUESTIONNAIRESFour questionnair
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survey, a detailed review of the qu
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1.10 RESPONSE RATESTable 1.2 shows
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72 percent of the rural population
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Figure 2.1 Population Pyramid80 +75
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Table 2.3 Children’s orphanhood s
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Table 2.5 presents information on h
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Table 2.7 Household possessionsPerc
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emoteness, and the scores were summ
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The analysis also suggests that amo
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Central zone (56 percent) has the h
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The data also show that more than h
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2.10 CONCLUSIONThe AMS 2010 enumera
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3.1.2 Data Quality AssessmentThe pr
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more problematic for the estimates
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Table 3.2 Fertility by background c
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Another frequently used approach to
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3.2.6 Birth IntervalsA birth interv
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3.2.7 Age at First BirthThe onset o
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Table 3.9 Teenage pregnancy and mot
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Table 3.11 Age at first marriagePer
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the community level by utilizing al
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difference may be due to difference
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There are substantial differences i
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Table 3.17 Total fertility rate and
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MATERNAL HEALTH 4Afghanistan is com
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Table 4.1 Antenatal carePercent dis
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Figure 4.2 Trends in Antenatal Care
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4.1.3 Problems with Pregnancy at Fi
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4.1.4 Number and Timing of Antenata
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About one-third (32 percent) of mot
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As with other maternal health indic
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Table 4.8 Reasons for not deliverin
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Table 4.9 Assistance during deliver
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4.2.4 Procedures Performed at Deliv
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Figure 4.6 Reasons for Not Seeking
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Table 4.12 presents information on
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Table 4.13 Problems in accessing he
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INFANT AND CHILD MORTALITY 5Early c
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first seven days of life, to estima
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In considering the mortality trends
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data was found in Afghanistan exclu
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Page 121 and 122: Table 5.4 Early childhood mortality
Page 123 and 124: The patterns of perinatal mortality
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Page 130 and 131: fallen from 118 deaths to 71 deaths
Page 132 and 133: Table 6.4 shows adult mortality rat
Page 134 and 135: mortality levels. The procedures us
Page 136 and 137: Table 6.6 Female and male life tabl
Page 138 and 139: Table 6.7 Mean sibship size and sex
Page 140 and 141: 6.4.2 Household ReportingIn the Hou
Page 142 and 143: The unexpectedly low crude death ra
Page 144 and 145: Figure 6.8.2 Estimates of Female Ad
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Page 158 and 159: The VA interview started by checkin
Page 160 and 161: Figure 8.1 Causes of Female and Mal
Page 162 and 163: Table 8.4 Causes of deaths among ch
Page 164 and 165: Global Agricultural Information Net
Page 166 and 167: Streatfield, P.K., S.E. Arifeen, A.
Page 168 and 169: • The Cluster Level Questionnaire
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Page 175 and 176: ESTIMATES OF SAMPLING ERRORSAppendi
Page 177 and 178: For the total sample, the value of
Page 179 and 180: Table B.3 Sampling errors for Urban
Page 181 and 182: Table B.5 Sampling errors for North
Page 183 and 184: Table B.7 Sampling errors for South
Page 185 and 186: Table B.9 Sampling errors for North
Page 187 and 188: Table B.11 Sampling errors for Cent
Page 189 and 190: Table B.13 Sampling errors for East
Page 191: Table B.15 Sampling errors for Sout
Page 194 and 195: Table C.2 Myers’ Blended IndexPre
Page 196 and 197: Table C.5 Births by calendar years
Page 198 and 199: Table C.6 Reporting of age at death
Page 200 and 201: Table C.9 Sex ratio of live birthsS
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Page 214 and 215: Figure D.6 Neonatal and Postneonata
Page 217 and 218: PERSONS INVOLVED IN AMS 2010Appendi
Page 219 and 220: Office EditorsMaleMohammad NaseemFe
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AshiqullahAssadullah JavedAtiqullah
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QUESTIONNAIRESAppendix FAppendix F
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Introduction and ConsentHello. My n
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SECTION 2. MIGRATION FROM HOUSEHOLD
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SECTION 4. INPATIENT HEALTH EXPENDI
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SECTION 5. OUTPATIENT HEALTH EXPEND
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SECTION 6. HOUSEHOLD CHARACTERISTIC
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NO. QUESTIONS AND FILTERS CODING CA
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SECTION 2. MARITAL STATUSNO.201QUES
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Now I would like to record the name
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SECTION 4. ANTENATAL, DELIVERY AND
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SECTION 6. MATERNAL MORTALITYNO. QU
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COMMENTS ABOUT RESPONDENT:INTERVIEW
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DEATH OF A CHILD AGED 0-28 DAYSSECT
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SECTION 6. DELIVERY HISTORYNO. QUES
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AFGHANISTAN MORTALITY SURVEYVERBAL
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DEATH OF A CHILD AGED 29 DAYS TO 11
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401 Could you tell me about the ill
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DEATH OF A PERSON AGED 12 YEARS AND
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