Greater Eldoret Health and Development Survey, Wave 1, 2004 - Kenya

Abstract
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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).

Geographic coverage
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Regional

Analysis unit
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Households

Kind of data
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Sample survey data [ssd]

Sampling procedure
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(a) 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 are 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.

(b) 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:

(i) 512 households chosen randomly from a household census of Kosirai Division (the random sample)
(ii) 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")
(iii) 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).

Mode of data collection
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Face-to-face [f2f]

该数据集揭示了由莫索里奥卫生中心服务的居民的健康及社会经济特征。莫索里奥乡村卫生培训中心位于埃尔多雷特镇南部约25公里处，是科西赖分区的主要卫生保健提供者。该卫生中心提供初级卫生保健服务，主要作为门诊设施。此外，印第安纳大学与莫伊大学健康科学学院之间的合作在莫索里奥建立了电子病历系统（MMRS），其中包含所有到访卫生中心的患者的各类临床信息（Hannan等，2000年）。2001年，同样的合作还创立了预防和治疗艾滋病/艾滋病病毒（AMPATH）的学术模型。AMPATH的第一个农村HIV诊所于2001年11月在莫索里奥开业（Cohen，2004年）。从2003年底开始，莫索里奥的HIV诊所经历了显著增长，患者人数从2003年的不到100人增至2004年10月的多于800人（AMPATH数据）。

地理覆盖范围
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区域

分析单元
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家庭

数据类型
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样本调查数据 [ssd]

抽样程序
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(a) 调查区域
家庭调查在科西赖分区进行，该分区位于肯尼亚西部纳迪北区的一个农村地区。科西赖分区面积为195平方公里（76平方英里），人口为35,383人，家庭为6,643户（中央统计局，1999年）。调查家庭分布在超过100个村庄，动物和农作物养殖是主要的经济活动。调查的随机样本512户家庭（如下所述）旨在代表科西赖分区的家庭。因此，这些家庭的资料为理解莫索里奥卫生中心服务的居民的健康和社会经济特征提供了机会。
(b) 样本选择
在设计和调查中的家庭样本时考虑了多种因素。为提供调查区域的疾病负担和社会经济问题的代表性信息，在科西赖分区创建了一个家庭的随机样本。为了进一步研究与艾滋病/艾滋病病毒（如疾病影响和治疗）相关的问题，选择了一个单独的AMPATH HIV诊所的HIV阳性患者的样本。最后，选择了一个小规模的VCT客户样本（测试结果为HIV阳性或阴性），以研究与HIV检测相关的问题。值得注意的是，随机样本也作为HIV和VCT样本的比较组。因此，调查家庭的样本由三个不同的群体组成：
(i) 从科西赖分区的家庭普查中随机选择的512户家庭（随机样本）
(ii) 至少有一名HIV阳性个体在莫索里奥卫生中心的HIV诊所接受医疗护理的250户家庭（HIV样本，或“HIV家庭”）
(iii) 最近访问过MRHTC的VCT诊所的个体所属的61户家庭（VCT样本）
在250户HIV样本中，有167户家庭中的HIV阳性个体正在莫索里奥HIV诊所接受抗逆转录病毒（ARV）治疗。在随机样本中，受访者的HIV状况通常未知，除非受访者报告已进行HIV检测并检测结果为阳性或阴性。最后，在VCT样本中，大多数受访者已检测为HIV阴性。莫索里奥乡村卫生培训中心。该卫生中心位于埃尔多雷特镇南部约25公里处，是科西赖分区的主要卫生保健提供者。该卫生中心提供初级卫生保健服务，主要作为门诊设施。此外，印第安纳大学与莫伊大学健康科学学院之间的合作在莫索里奥建立了电子病历系统（MMRS），其中包含所有到访卫生中心的患者的各类临床信息（Hannan等，2000年）。2001年，同样的合作还创立了预防和治疗艾滋病/艾滋病病毒（AMPATH）的学术模型。AMPATH的第一个农村HIV诊所于2001年11月在莫索里奥开业（Cohen，2004年）。从2003年底开始，莫索里奥的HIV诊所经历了显著增长，患者人数从2003年的不到100人增至2004年10月的多于800人（AMPATH数据）。

数据收集方式
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面对面 [f2f]