KENYA HOUSEHOLD AND HEALTH EXPENDITURE AND UTILIZATION SURVEY (KHHEUS) 2018 - Kenya

Abstract
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The 2018 Kenya Household Health Expenditure and Utilization Survey (KHHEUS) is the fourth in a series of similar national surveys undertaken in 2003, 2007 and 2013 that explores the health seeking behavior, utilization of health services, health spending and health insurance penetration amongst the population. The survey will provide necessary information for monitoring progress in achieving the UHC agenda the progress of Universal Health Care (UHC) which is one of the government’s big four agenda.

Geographic coverage
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The Entire Country

Analysis unit
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Household and individuals

Universe
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All Sampled Households in Kenya

Sampling procedure
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The 2018 Kenya Household Health Expenditure and Utilization Survey (2018 KHHEUS) was household-based survey designed to provide estimates for various indicators at the national level, each of the 47 Counties, and residence (rural and urban areas).The survey used the fifth National Sample Survey and Evaluation Programme (NASSEP V) household sampling frame. This is the frame that the Bureau currently operates to conduct household-based surveys in Kenya. The primary sampling unit for NASSEP V master sampling frame is a cluster, which constitutes one or more EAs, with an average of 100 households per cluster. The frame consists of 5,360 clusters and is stratified into urban and rural areas within each of 47 counties resulting
into 92 sampling strata with Nairobi and Mombasa counties being wholly urban.

The sample was designed to have 37,500 households selected from 1,500 clusters (577 in urban and 923 in rural areas) spread across the country. Selection of the sample followed a two-stage stratified cluster sampling design in which 1,500 clusters were sampled from NASSEP V in the first stage. The second stage involved random selection of a uniform sample of 25 households in each cluster from a roster of households in the cluster using systematic random sampling method. Due to the nonproportional allocation of the sample, the survey was not self-weighting. The resulting data has, therefore been weighted to be representative at the national level as well as at county level.

Mode of data collection
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Face to Face using CAPI

2018年肯尼亚家庭健康支出与利用调查（KHHEUS）是自2003年、2007年和2013年开展的系列同类国家调查中的第四次，旨在探究人群的健康寻求行为、医疗服务利用、健康支出及健康保险渗透情况。该调查将为监测实现全民健康覆盖（UHC）议程的进展提供必要信息，全民健康覆盖（UHC）是政府四大议程之一。地理覆盖范围：全国。分析单元：家庭和个人。调查范围：肯尼亚所有抽样家庭。抽样方法：2018年肯尼亚家庭健康支出与利用调查（2018 KHHEUS）是一项基于家庭的调查，旨在为国家层面、47个县以及居住地（农村和城市地区）提供各种指标的估计值。调查采用了第五次全国抽样调查与评估计划（NASSEP V）的家庭抽样框架。这是目前该局在肯尼亚开展基于家庭调查所使用的框架。NASSEP V主抽样框架的初级抽样单元是聚类，每个聚类由一个或多个选举区（EA）组成，平均每个聚类有100户家庭。该框架由5,360个聚类组成，并在每个47个县内按城乡地区进行分层，从而形成了92个抽样层，内罗毕和蒙巴萨县完全为城市地区。样本设计为从全国范围内的1,500个聚类（城市地区577个，农村地区923个）中选取37,500户家庭。样本选择遵循了双阶段分层聚类抽样设计，第一阶段从NASSEP V中抽取1,500个聚类。第二阶段涉及从每个聚类中的家庭名单中，使用系统随机抽样方法随机选择25户家庭。由于样本的非比例分配，该调查未进行自我加权。因此，所获得的数据已被加权，以在全国层面以及县层面都具有代表性。数据收集方式：面对面使用计算机辅助个人访谈（CAPI）。