2015 TANZANIA DEMOGRAPHIC AND HEALTH SURVEY (TDHS)

Scope and Funding Status 3rd December, 2014

INTRODUCTION• TDHS is a nationally representative household-based

survey designed to provide data for measuring measure levels, patterns, and trends in demographic and health indicators.

• It is designed to provide estimates for the entire country, for urban and rural areas in the Mainland, and for Zanzibar.

• For specific indicators such as contraceptive use, the sample design allows the estimation of indicators for each of the 30 regions.

• The 2015 TDHS will be the sixth survey of its kind following those implemented in 1991-92 (TDHS), 1996 (TDHS), 1999 (TRCHS), 2004-05 (TDHS) and 2009-10 (TDHS).

UPDATES OF THE 2014/15 TDHS/MIS PREPARATORY ACTIVITIES

• Sample Design is in place• Draft Questionnaires in place• Mobilization of Funds continues: Embassy of

Ireland, DFATD have joined

SAMPLE DESIGN

• 608 Clusters from the New Sampling Frame (2012 Population and Housing Census)• Sample Size: 13,400 Households• Eligible Women (age 15-49): 12,989• Eligible Men (age 15-49): 3,231

QUESTIONNAIRES

• Questionnaire – (The 2015 Questionnaires is expected to have same features like the 2010 DHS)– Household Questionnaire• Household Schedule• Household Characteristics• Anthropometric Measurement (Children and Women)• Malaria testing

QUESTIONNAIRES (2)

– Individual (Women) Questionnaire• Respondent’s Background• Reproduction• Household Characteristics• Contraception• Pregnancy and Postnatal Care• Child Immunization and Health and Child’s and Woman’s Nutrition• Marriage and Sexual Activity• Fertility Preference• Husband’s Background and Woman’s Work• Domestic Violence• Maternal Mortality• Other Health Issues

PROPOSED (MAJOR) CHANGES FROM THE 2010 DHS

• Inclusion of Malaria Testing for children of 6-59 months

• Dropping of Questions Related to HIV/AIDS

• Micronutrients Testing??

MICRONUTRIENTS TESTING

• Carried out in the last TDHS (2010)• Involved measuring of:• Iron deficiency (for both children and women), • Vitamin A deficiency (for both children and women) , and• Iodine testing (using a sample of urine from interviewed

women)

• Funds for the micronutrients were provided by UNICEF, WFP, USAID, WB

• The Government of Tanzania paid the laboratory technicians

ADVANTAGE OF REPEATING MICRONUTRIENTS TESTING

• Will obtain micronutrients data for comparison with the 2010 DHS (Trend in micronutrients)

• Availability of data for further studies on micronutrients in Tanzania

CHALLENGES• No commitments received for funding laboratory supplies and

the related field supplies for micronutrients

– In the 2010 DHS ICF spent more than $700,000 for equipment, supplies and test. This did not include additional support from the DHS biomarker staff during the testing

• Fieldwork challenges – inclusion of Malaria, anemia testing and Micronutrients

– May need more than one finger prick in order to get enough blood sample for all the tests (ethical clearance maybe difficult to obtain)

– May jeopordize the quality of data due to a number of samples to be collected

• Procurement and shipping all of the materials to Tanzania may need up to 3-4 months

LOCAL BUDGET ESTIMATES FOR THE 2015 TDHS

PLEDGES AND FUNDING GAP  Sources of Funding

(Donor)

Local Budget Technical Assistance / Field and Medical Supplies

TZS USD USD

1 UNFPA 324,000,000 200,000

2Tanzania Statistical Master Plan (TSMP) Basket

200,975,000 124,059

3GoT (Ministry of Health and Social Welfare

300,000,000 185,185

4 DFATD 1,886,571,000 1,164,550

5 Embassy of Ireland 115,000,000 65,714

6 USAID     1,150,000

  Total Pledge 2,826,546,000 1,739,508

  Total Budget 4,298,564,440 2,653,435

  Funding Gap 1,472,018,440 913,927 65.76%

WAY FORWARD

• Revising the survey timetable; once about 80% of the survey budget is committed

• Convene a Stakeholders’ Meeting on Questionnaire Adaptation

• Continue with effort for mobilizing funds