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MULTIPLE INDICATOR CLUSTER SURVEY(MICS 2006). MAIN RESULTS Presented by Faustina frempong-ainguah. Survey implementation. The 2006 MICS is the second round in a series of national level population and health survey conducted in Ghana.
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MULTIPLE INDICATOR CLUSTER SURVEY(MICS 2006) MAIN RESULTS Presented by Faustina frempong-ainguah
Survey implementation • The 2006 MICS is the second round in a series of national level population and health survey conducted in Ghana. • The survey was conducted by the GSS in collaboration with the Ministry of health, UNICEF and Macro International. • The 2006 MICS was designed to provide estimates on a large number of key indicators aimed at improving the health conditions for women, men and children.
Sample design • A sample of 6,302 households was selected for Ghana as a whole, representing urban and rural areas, as well as the 10 administrative regions. • The list of EAs from the GLSS V served as a frame for the MICS sample. • 660 EAs {-281 urban and 379 rural} • MICS 2006 used a two-staged stratified sample design • Stage one: • 300 EAs( 124 urban, 176 rural) • Distribution of EAs not proportional to the 2000PHC - over sampling for Northern, Upper East and Upper West regions.
Sample design • Listing of structures and households in all EAs • Second stage • Systematic sampling of households from the listed EAs after eliminating from the list households previously selected for GLSS (20 per EA). - Avoid respondent fatigue -Possible high rates of refusal -Conducted concurrently • Twenty households per EA were selected • 25 per EA for rural EAs in Northern, Upper East and Upper West. • All women aged 15-49 and children less than 60 months in these selected households were eligible for interview. • Males in every selected third household aged 15-49 were also eligible for interview. • This is different from DHS whereby males aged 15-59 are eligible for interview.
Questionnaires • 4 questionnaires were used for the 2006 MICS: • household, • women’s, • men’s and • under- five. • The adapted questionnaires were modified to suit the Ghanaian context and pretested in June 2006.
Training and Fieldwork • 90 people participated in the survey training, to serve as supervisors, editors, interviewers, and data entry clerks. • All trainees participated in comprehensive interviewer training, including taking measurements of height and weight. • Towards the end of training period, participants spent 3 days conducting interviews in 16 EAs ( 8 urban, 8 rural). • Nine teams were formed for data collection, each consisting of a supervisor, editor, four interviewers and a driver. • Fieldwork took place over three months between August and November 2006.
Data Processing • Processing of data began soon after fieldwork (3 weeks) commenced, as completed questionnaires were sent to MICS secretariat at GSS, Accra. • Specially trained GSS personnel, including 10 data entry clerks, entered in the data twice, and monitored the quality of the data collected.4 secondary editing personnel to perform internal consistency checks. • Data captured using CSPro software. • Early data processing allowed for feedback to teams to prevent problems.
Results of the household and individual interviews • Households Selected • Households Occupied • Households interviewed • Response rate (%) • Eligible Women • Women interviewed • Response rate (%) • Eligible Men • Men interviewed • Response rate (%) • Eligible children under five • Mother/ Caretaker interviewed • Child response rate (%) • 6,302 • 6,264 • 5,939 • 94.8 • 6,240 • 5,891 • 94.4 • 1,909 • 1,743 • 91.3 • 3,545 • 3,466 • 97.8
Households and Respondents Characteristics • Background characteristics of households and respondents
Women head 29% of Ghanaian households. Consistent with the results from the 2003 CWIQ survey, which puts women at 29.0% This low percentage may be influenced by our prevailing kinship and inheritance system. Head of household
Educational Attainment by sex Males Females
Adult Literacy • Measure: #women or men aged 15-24 that are able to read short simple sentence /all women or men aged 15-24 surveyed. • Women are less likely to be able to read (68% compared to 75%) than men . • Strong relationship between one’s socio-economic status and literacy level. • 2W7 Wealth percent
Adult Literacy • Percentage of women and men aged 15-49 years that are literate. • 73% of men 15-49 are literate as compared to 55% of females of the same age group.
Type of toilet facility • Availability of toilet facilities in households ensures more hygienic means of human waste disposal. • Inadequate disposal of human excreta and personal hygiene can affect the health of the population especially children under five years. • The survey results show that 61 percent of the population have access to improved sanitary facilities. • Sanitary differentials at the regional level are significant. • Majority of the population in the three northern regions have no toilet facilities.
Percentage distribution of household population using improved sanitary means of excreta disposal
Iodized salt consumption • Micronutrients are essential for the metabolic processes in the body and plays a major role in the nutrition and health of an individual. • Disorders caused by dietary iodine deficiency include goitre, impaired mental function, retarded mental and physical development. • The results show that only one-third of households in Ghana consume adequately iodized salt.