Greater Eldoret Health and Development Survey (Round 1) 2004 - Research Use Files
Other Household Health Survey [hh/hea]
The data collected in the first round of the survey and summarized in this report are primarily intended to describe the socio-economic characteristics of survey households. The cross-sectional data alone do not enable us to properly evaluate the dynamic impacts of antiretroviral treatment. The data collected in the second and third rounds of the survey (2005 and 2006) provide the longitudinal information necessary for examining changes in socio-economic status resulting from treatment. Subsequent analysis will therefore address the topic of treatment impacts more extensively. Future work will also examine other diseases in the survey area as well.
Information from these households thus presents an opportunity to understand the health and socio-economic characteristics of the population served by the Mosoriot health centre. The Mosoriot Rural Health Training Centre is located approximately 25 kilometers south of Eldoret town and is the main health care provider in Kosirai Division. The health centre provides primary care services and is mainly an outpatient facility. In addition, a collaboration between Indiana University and the Moi University Faculty of Health Sciences has established an electronic medical record system (MMRS) at Mosoriot which contains a range of clinical information on all patients who visit the health centre (Hannan, et al. 2000). In 2001, this same collaboration also created the Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH). AMPATH's first rural HIV clinic was opened in Mosoriot in November 2001 (Cohen, 2004). Beginning in late-2003, the HIV clinic at Mosoriot has experienced tremendous growth, with the number of patients rising from less than 100 in 2003 to over 800 as of October 2004 (AMPATH data).
Kind of Data
Sample survey data [ssd]
Unit of Analysis
v1.0 of the Research Use Files (RUF), generated based on version 1.0 of the Master File.
The RUF version corresponds closely to the Master (original) dataset. Direct identifiers were removed, household IDs and detailed geographic codes were replaced with random numbers, and various fixes were done (to correct relationship between files, destring variable Relationship to the head, etc. A Stata program named KEN_2004_GEHDS__fix_ruf.do was used to generate the PUF version (this program requires lookup files named _CONFIDENTIAL_Lookup_RandomHIDs.dta and _CONFIDENTIAL_Lookup_RandomXIDs.dta, not available to the public.
The scope of the Greater Eldoret Health and Development Survey includes: HOUSEHOLD: Current household members, children residing elsewhere, permanent individual roster, education, education expenditures, health and health services use, food consumption and expenditures, other household expenses, assets, income and activities, agricultural activities, enterprises, unexpected events, transfers and credit, time allocation, knowledge and behavior, anthropometrics and polygamous household identification YOUTH: Background characteristics, education, marriage, knowledge of HIV/AIDS, HIV testing, sexual behavior, and job training, income and expenditures
consumption/consumer behaviour [1.1]
income, property and investment/saving [1.5]
basic skills education [6.1]
compulsory and pre-school education [6.2]
accidents and injuries [8.1]
general health [8.4]
health care and medical treatment [8.5]
specific diseases and medical conditions [8.9]
The household survey was conducted in Kosirai Division, a rural area located in the Nandi North District of western Kenya.
Producers and sponsors
Markus Goldstein and Harsha Thirumurthy
The World Bank
Survey area. The household survey was conducted in Kosirai Division, a rural area located in the Nandi North District of western Kenya. Kosirai division has an area of 195 square kilometers (76 square miles) and a population of 35,383 individuals and 6,643 households (Central Bureau of Statistics, 1999). The survey households are scattered across more than 100 villages where animal and crop farming is the primary economic activity. The survey's random sample of 512 households (described below) is intended to be representative of households in Kosirai Division. Information from these households thus presents an opportunity to understand the health and socio-economic characteristics of the population served by the Mosoriot health centre.
Sample Selection. A range of factors were considered when designing the sample of households in the survey. A random sample of households in Kosirai Division was created to provide representative information on the disease burden and socio-economic issues in the survey area. To further examine specific issues relating to HIV/AIDS (such as impacts of the disease and treatment), a separate sample of HIV-positive patients in AMPATH's HIV clinic was chosen. Finally, a small sample of VCT clients (who tested HIV-positive or HIV-negative) was chosen to examine issues relating to HIV testing. It should be noted that the random sample also serves as a comparison group to the HIV and VCT samples.
The sample of survey households is thus comprised of three different groups: (a) 512 households chosen randomly from a household census of Kosirai Division (the random sample), (b) 250 households with at least one HIV-positive individual who receives medical care at the HIV clinic in the Mosoriot health centre (the HIV sample, or “HIV households”), and (c) 61 households with an individual who has recently visited the VCT clinic in MRHTC (the VCT sample). Of the 250 households in the HIV sample, 167 are households in which the HIV-positive individual is receiving antiretroviral (ARV) treatment at the Mosoriot HIV clinic. In the random sample, the HIV status of respondents is usually unknown, unless the respondent reported having gone for an HIV test and testing HIV-positive or negative. Finally, in the VCT sample, most respondents have tested HIV-negative.
Mosoriot Rural Health Training Centre. The health centre is located approximately 25 kilometers south of Eldoret town and is the main health care provider in Kosirai Division. The health centre provides primary care services and is mainly an outpatient facility. In addition, a collaboration between Indiana University and the Moi University Faculty of Health Sciences has established an electronic medical record system (MMRS) at Mosoriot which contains a range of clinical information on all patients who visit the health centre (Hannan, et al. 2000). In 2001, this same collaboration also created the Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH). AMPATH's first rural HIV clinic was opened in Mosoriot in November 2001 (Cohen, 2004). Beginning in late-2003, the HIV clinic at Mosoriot has experienced tremendous growth, with the number of patients rising from less than 100 in 2003 to over 800 as of October 2004 (AMPATH data).
Multiple questionnaires were used in the survey, each one focusing on different issues such as health, education, agriculture, and income/employment. Each interview began with a listing of all household members. Information on characteristics of each member was collected - age, sex, relationship to household head, education, health status, and participation in income-earning activities. For children under the age of 5 years, height and weight measurements were also taken. In addition, the household and individual questionnaires also addressed the following additional topics:
· Ownership and purchases/sales of assets such as land, livestock, and durable goods
· Agricultural production and investment
· Allocation of time to income-earning and other activities
· Food consumption and expenditures
· Financial and non-financial transfers to and from the respondent
· Knowledge about diseases such as malaria and HIV/AIDS
· Health-related behavioral practices (including sexual behavior and HIV testing)
Dates of Data Collection
Data Collection Notes
Most interviews were conducted at the homes of the survey respondents. Teams of male and female survey enumerators interviewed the household head and spouse (if both were present) as well as a youth in the household. Some survey respondents were interviewed at the HIV clinic in Mosoriot or the HAART and Harvest Initiative (HHI) farm in Mosoriot. These respondents came to the HIV clinic from areas well outside the survey area of Kosirai Division, hence requiring a clinic/farm interview. 81 percent of the households in the entire sample were visited at home. In all cases, interviews were conducted after respondents were informed about the purposes of the survey and agreed to participate in the survey.
Markus Goldstein and Harsha Thirumurthy. Greater Eldoret Health and Development Survey (GEHDS) Round 1, 2004. Ref. KEN_2004_GEHDS_v01_M_v01_A_RUF. Dataset downloaded from http://microdata.worldbank.org on [date].
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.