Survey ID Number
SOM-SNBS-SHDS-2020-v01
Title
Somali Health and Demographic Survey 2020
Sampling Procedure
Sample Design The sample for the SHDS was designed to provide estimates of key indicators for the country as a whole, for each of the eighteen pre-war geographical regions, which are the country's first-level administrative divisions, as well as separately for urban, rural and nomadic areas. With the exception of Banadir region, which is considered fully urban, each region was stratified into urban, rural and nomadic areas, yielding a total of 55 sampling strata. All three strata of Lower Shabelle and Middle Juba regions, as well as the rural and nomadic strata of Bay region, were completely excluded from the survey due to security reasons. A final total of 47 sampling strata formed the sampling frame. Through the use of up-to-date, high-resolution satellite imagery, as well as on-the-ground knowledge of staff from the respective ministries of planning, all dwelling structures were digitized in urban and rural areas. Enumeration Areas (EAs) were formed onscreen through a spatial count of dwelling structures in a Geographic Information System (GIS) software. Thereafter, a sample ground verification of the digitized structures was carried out for large urban and rural areas and necessary adjustments made to the frame.
Each EA created had a minimum of 50 and a maximum of 149 dwelling structures. A total of 10,525 EAs were digitized: 7,488 in urban areas and 3,037 in rural areas. However, because of security and accessibility constraints, not all digitized areas were included in the final sampling frame-9,136 EAs (7,308 in urban and 1,828 in rural) formed the final frame. The nomadic frame comprised an updated list of temporary nomadic settlements (TNS) obtained from the nomadic link workers who are tied to these settlements. A total of 2,521 TNS formed the SHDS nomadic sampling frame. The SHDS followed a three-stage stratified cluster sample design in urban and rural strata with a probability proportional to size, for the sampling of Primary Sampling Units (PSU) and Secondary Sampling Units (SSU) (respectively at the first and second stage), and systematic sampling of households at the third stage. For the nomadic stratum, a two-stage stratified cluster sample design was applied with a probability proportional to size for sampling of PSUs at the first stage and systematic sampling of households at the second stage. To ensure that the survey precision is comparable across regions, PSUs were allocated equally to all regions with slight adjustments in two regions. Within each stratum, a sample of 35 EAs was selected independently, with probability proportional to the number of digitized dwelling structures. In this first stage, a total of 1,433 EAs were allocated (to urban - 770 EAs, rural - 488 EAs, and nomadic - 175 EAs) representing about 16 percent of the total frame of EAs. In the urban and rural selected EAs, all households were listed and information on births and deaths was recorded through the maternal mortality questionnaire.
The data collected in this first phase was cleaned and a summary of households listed per EA formed the sampling frames for the second phase. In the second stage, 10 EAs were sampled out of the possible 35 that were listed, using probability proportional to the number of households. All households in each of these 10 EAs were serialized based on their location in the EA and 30 of these households sampled for the survey. The serialization was done to ensure distribution of the households interviewed for the survey in the EA sampled. A total of 220 EAs and 150 EAs were allocated to urban and rural strata respectively, while in the third stage, an average of 30 households were selected from the listed households in every EA to yield a total of 16,360 households from 538 EAs covered (220 EAs in urban, 147 EAs in rural and 171 EAs in nomadic) out of the sampled 545 EAs.
In nomadic areas, a sample of 10 EAs (in this case TNS) were selected from each nomadic stratum, with probability proportional to the number of estimated households. A complete listing of households was carried out in the selected TNS followed by the selection of 30 households for the main survey interview. In those TNS with less than 30 households, all households were interviewed for the main survey. All eligible ever-married women aged 12 to 49 and never-married women aged 15 to 49 were interviewed in the selected households, while the household questionnaire was administered to all households selected. The maternal mortality questionnaire was administered to all households in each sampled TNS.