Scribd Logo
Upload

Welcome to Scribd!

  • 28 views

    Gambian DHS 2019-20

    Uploaded by

    josetelhado
    The Gambia Demographic and Health Survey (GDHS) is conducted every five years to assess health status, accessibility, and utilization in the country. The 2019-20 GDHS collected data on fertility, contraceptive use, maternal and child health, mortality rates, nutrition, and other health issues. Questionnaires were administered to households, women, and men to gather information. Anthropometric tests for anemia, malaria, height, and weight were also conducted. Key findings included a total fertility rate of 4.4 children per woman, 19% contraceptive use among married women, and under-5 mortality rates rising between 2013 and 2019-20. Limitations of the GDHS include recall bias, sampling errors, and

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Gambian DHS 2019-20

    Uploaded by

    josetelhado
    28 views4 pages
    The Gambia Demographic and Health Survey (GDHS) is conducted every five years to assess health status, accessibility, and utilization in the country. The 2019-20 GDHS collected data on fertility, contraceptive use, maternal and child health, mortality rates, nutrition, and other health issues. Questionnaires were administered to households, women, and men to gather information. Anthropometric tests for anemia, malaria, height, and weight were also conducted. Key findings included a total fertility rate of 4.4 children per woman, 19% contraceptive use among married women, and under-5 mortality rates rising between 2013 and 2019-20. Limitations of the GDHS include recall bias, sampling errors, and

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The Gambia Demographic and Health Survey (GDHS) is conducted every five years to assess health status, accessibility, and utilization in the country. The 2019-20 GDHS collected data on fertility, contraceptive use, maternal and child health, mortality rates, nutrition, and other health issues. Questionnaires were administered to households, women, and men to gather information. Anthropometric tests for anemia, malaria, height, and weight were also conducted. Key findings included a total fertility rate of 4.4 children per woman, 19% contraceptive use among married women, and under-5 mortality rates rising between 2013 and 2019-20. Limitations of the GDHS include recall bias, sampling errors, and

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    28 views4 pages

    Gambian DHS 2019-20

    Uploaded by

    josetelhado
    The Gambia Demographic and Health Survey (GDHS) is conducted every five years to assess health status, accessibility, and utilization in the country. The 2019-20 GDHS collected data on fertility, contraceptive use, maternal and child health, mortality rates, nutrition, and other health issues. Questionnaires were administered to households, women, and men to gather information. Anthropometric tests for anemia, malaria, height, and weight were also conducted. Key findings included a total fertility rate of 4.4 children per woman, 19% contraceptive use among married women, and under-5 mortality rates rising between 2013 and 2019-20. Limitations of the GDHS include recall bias, sampling errors, and

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Introduction

    In the Gambia, the demographic and health survey (DHS) has been conducted every five years

    with the collaboration of the Gambia Bureau of Statistics and the ministry of health (MOH) to

    assess health status, accessibility, and health service utilization in a given period. The primary

    objective of the GDHS is to provide up-to-date estimates of basic demographic and health

    indicators. Demographic and Health Surveys (DHS) are nationally-representative household

    surveys that provide data for a wide range of monitoring and impact evaluation indicators in the

    areas of population, public health, and nutrition.

    Objectives of the 2019-20 Gambian DHS: 

    GDHS aimed that, to collect data on fertility levels and preferences such as contraceptive use;

    maternal and child health; infant, and child. To determine the mortality levels such as maternal

    mortality, infant and child mortality. And also gender, nutrition, awareness about HIV/AIDS,

    self-reported sexually transmitted infections (STIs), and other health issues that are relevant to

    the achievement of the Sustainable Development Goals (SDGs) are surveyed. 

    The Malaria Control Programme information on the availability of access and use of mosquito

    nets as part of the National are obtained. Malaria testing of children aged 6-59 months The

    information collected through the 2019-20 GDHS is intended to assist policymakers and program

    managers in evaluating and designing programs and strategies for improving the health of the

    country’s population The information on other health issues such as injections, tobacco use,

    hypertension, diabetes, and health insurance also gathered. In addition, obtained data on child
    feeding practices, including breastfeeding, and conducted anthropometric measurements to

    assess the nutritional status of children under age 5 and women aged 15-49. 

    Methodology 

    The sampling frame used for the 2019-20 GDHS was based on an updated version of the 2013

    Gambia Population and Housing Census (2013 GPHC) conducted by GBoS. Five questionnaires

    were used for the 2019-20 GDHS: the Household Questionnaire, the Woman’s Questionnaire,

    Man’s Questionnaire, the Biomarker Questionnaire, and the Fieldworker Questionnaire. These

    questionnaires, based on The DHS Program’s standard questionnaires, were adapted to reflect

    the population and health issues relevant to the Gambia (GBoS and ICF., 2021).

    Anthropometry tests, malaria testing, and anemia testing are obtained to check observant status.

    The results of which were recorded in the Biomarker Questionnaire. For anemia and malaria

    testing, In households selected for biomarker collection, height and weight measurements were

    recorded for children aged 0-59 months and women aged 15-49. Weight measurements were

    obtained using lightweight, and child functions. Height measurements were carried out with

    measuring boards made by Weigh and Measure

    Key Findings ▪ 

    In GDHS various socio-demographic data are described in detail. For example, safe and clean

    water accessibility, hygiene and sanitation status, infrastructures like electricity and housing,

    literacy status, employment status, and others are described in detail. 

    According to the GDHS report, the total fertility rate (TFR) in The Gambia is 4.4 children per

    woman. Urban areas have a lower TFR (3.9) than rural areas (5.9). The median birth interval in
    the Gambia is 35.3 months. Overall, 14% of adolescents have begun childbearing. The

    percentage of teenagers who have begun childbearing is higher in rural areas (20%) than in urban

    areas (11%) (GBoS and ICF., 2021).

    About 19% of currently married women use a method of contraception. The most commonly

    used methods are Injectable and implants, and 6% respectively. In the 5 years preceding the

    survey, 42% of episodes of contraceptive use were discontinued within 12 months. The most

    common reason for discontinuation wanted to become pregnant (37%). The total demand for

    family planning among currently married women increased from 34% in 2013 to 43% in 2019-

    20; 40% of the total demand is satisfied by modern methods (GBoS and ICF., 2021). 

    The neonatal, infant and under-5 mortality rates were 29, 42, and 56 deaths per 1,000 live births,

    respectively. From 2013 to 2019-20, under-5 mortality increased from 54 to 56 deaths per 1,000

    live births, infant mortality increased from 34 to 42 deaths per 1,000 live births, and neonatal

    mortality rose from 22 to 29 deaths per 1,000 live births. The perinatal mortality rate for the 5

    years before the survey was 41 deaths per 1,000 pregnancies of 7 or more months’ duration.

    Error or bias of Gambian demographic and health survey (GDHS) 2019-20.

    The surveys were useful in providing a wide variety of health indicators and health service

    status. The major limitation of demographic and health surveys is recall bias and sampling errors

    (Boerma, & Sommerfect, 1993). Just like a cross-sectional study, during the survey both

    exposure and outcome are measured simultaneously. Often it uses retrospective data. In most

    cases, healthy people may difficult to recall their history. Another error/limitation of Gambian’s

    demographic and health survey is, that the authors used the quota sampling method to determine
    the sample, but they did not use the group variability adjustment analysis method. The variability

    between and within the group might affect the precision of the result. 

    References 

    Boerma J. T., and Sommerfect A. E., (1993). Demographic and health surveys (DHS):

    contribution and limitations. World health stat. 46(4). 222-6. PMID: 8017881. Retrieved

    from: - https://pubmed.ncbi.nlm.nih.gov/8017081/

    Gambia Bureau of Statistics (GBoS) and ICF. (2021). The Gambia Demographic and Health

    Survey 2019- 20. Banjul, The Gambia, and Rockville, Maryland, USA: GBoS and ICF. 

    You might also like