Snapshot of Indicators
º£½Ç»»ÆÞ Snapshot of Indicators (SOIs) provide a summary of key family planning indicators with breakdowns by background characteristics (age, marital status, parity, education, residence, wealth, region). The following is a description of the sample design, questionnaires, data collection, data processing, response rates and sample error estimates.
Survey Design for º£½Ç»»ÆÞ Cote d’Ivoire- Phase 1
Performance Monitoring for Action (º£½Ç»»ÆÞ), formerly º£½Ç»»ÆÞ2020, builds on the previous success of º£½Ç»»ÆÞ2020 surveys in Côte d’Ivoire and focused on collecting routine data on key global indicators in family planning and reproductive health, while expanding content area to address questions of contraceptive decision making and autonomy in order to better understand the determinants and consequences of unique contraceptive use and patterns of use in Côte d’Ivoire. These are measured through three-related data collection activities: Household and Female surveys (HQFQ) producing both cross-sectional and longitudinal data, Service Delivery Point panel surveys (SQ), and a Service Delivery Point Client Exit Interview surveys (CQ).
In Côte d’Ivoire, cross-sectional and panel Household and Female surveys (HQFQ) were conducted annually, with follow-up for the panel occurring at Year 2 and 3. The Service Delivery Point Survey (SQ) panel baseline data was collected at Year 1 and follow-up data, annually. The Service Delivery Point Client Exit Survey (CQ) was conducted biannually with a baseline and a follow-up occurring 6 months after the baseline enrollment each year.
For Household and Female cross-sectional and panel surveys, resident enumerators (RE) conducted a full listing of households within each enumeration area (EA) annually. The annual listing is used to update the baseline weights to generate the cross-sectional estimates. At baseline, 35 households were randomly selected within each EA for interview. RE administered a household questionnaire, including completing a census of household members and guests who slept there the previous night for all selected households who consented to participate. Eligible female aged 15-49, who were usual members, were consented to participate in the female panel survey. Guests who slept at the households were included in the female cross-sectional survey.
º£½Ç»»ÆÞ survey uses a multi-stage cluster design, with stratification at the urban and rural level and/or by region. The enumeration area (EA) is the primary sampling unit, obtained from the national statistics agency of the respective geography. Within each urban/rural or sub regional stratum, EAs are selected using probability proportional to size (PPS) method. In each of the EAs, all households and private health facilities are listed and mapped prior to baseline data collection. Listings of public health facilities that serve the selected EAs at all three levels are obtained from the Ministry of Health.
º£½Ç»»ÆÞ uses an open panel design, enrolling new eligible women at annual follow-ups (Year 2 and Year 3). Households selected at baseline and still residing in the EA were followed up in subsequent rounds. Adolescents in selected households aged 14 years in the previous round were enrolled in the panel as 15-year-olds starting in Year 2. Women aged 49 years at an earlier round were not interviewed in subsequent rounds. Households who moved out of the EA since baseline were considered lost-to-follow-up. New households residing in residential structures of households interviewed at baseline were enumerated and enrolled in the panel in subsequent rounds. New dwelling units were randomly selected from the updated household listing to replace vacant or demolished dwelling units over time.
º£½Ç»»ÆÞ Côte d’Ivoire is led by the L’Ecole Nationale Supérieure de Statistique et d'Economie Appliquée (ENSEA) and the overall direction and support are provided the Bill & Melinda Gates Institute for Population and Reproductive Health at the º£½Ç»»ÆÞ and Jhpiego. The funding is provided by the Bill & Melinda Gates Foundation.
º£½Ç»»ÆÞ Cote D’Ivoire survey target sample size was determined based on the estimate of modern contraceptive prevalence rate (mCPR) among all women, with the 3% margin of error at the national level and 5% margin of error for urban and rural areas.
The Phase 1 survey includes 122 enumeration areas (EAs) selected using a multi-stage stratified cluster design with urban-rural strata. The results are representative at the national level and within urban/rural strata. The final samples include 3,988 (96.0%) households, 4,135 (97.0%) de facto females, 215 (97.7%) SDPs, and 928 (82.7%) family planning service clients who completed the interviews. Data collection was conducted between September 2020 and November 2020.
º£½Ç»»ÆÞ uses standardized questionnaires to gather data about households, individual females, health facilities and family planning service clients that are comparable across program countries and consistent with existing national surveys. These questionnaires were based on model questionnaires designed by º£½Ç»»ÆÞ staff at the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, USA and L’Ecole Nationale Supérieure de Statistique et d'Economie Appliquée (ENSEA).
Four questionnaires were used to collect data in the º£½Ç»»ÆÞ Cote d’Ivoire Phase 1 survey: the household questionnaire, the female questionnaire, the service delivery point questionnaire and the client exit interview questionnaire. Prior to launching the survey in each country, local experts review and modify these questionnaires to ensure all questions are appropriate to each setting. In Cote d’Ivoire, the questionnaire forms were not translated into the local languages, instead language experts were onsite during the trainings to work with the REs in these languages.
º£½Ç»»ÆÞ questionnaires are administered using Open Data Kit (ODK) software and Android smartphones. The questionnaires are in French. The REs could switch to ten local languages (Akye, Abbey, Malinke, Guere, Yacouba, Bete, Dida, Senoufo, Baoulé and Agni). The interviews were conducted in French or the local language, whichever the respondent was more comfortable using.
Female resident enumerators (REs) in each EA administered the household and female questionnaires in the selected households. The household questionnaire gathers basic i