Burkina Faso Hauts Baussins Phase 1 Indicators

PMA Burkina Faso survey target sample size was determined based on modern contraceptive prevalence rate (mCPR) among all women, with the 5% margin of error at the subnational level.

In Hauts-Bassins, the Phase 1 survey includes 42 enumeration areas (EAs) selected using a multi-stage stratified cluster design with urban-rural strata. Hauts-Bassins results are representative of the region and the urban/rural areas. The final samples included 1,449 (99.5%) households, 1,627 (95.9%) de facto females, 47 (95.9%) facilities, and 252 (99.2%) family planning service clients who completed the interviews. Data collection was conducted between December 2019 and February 2020.

PMA 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 PMA 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 the l'Institut National de la Statistique et de la Démographie (INSD).

Four questionnaires were used to collect data in the PMA Burkina Faso 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. All questionnaires were translated into at least seven of the local languages, using available translations from similar population surveys and the experts in translation.

PMA questionnaires are administered using Open Data Kit (ODK) software and Android smartphones. The questionnaires are in English and could be switched into at least seven local languages (Dioula, Mooré, Fulfudé, Gourmantchema, Gouronsi, Daagara, and Bissa) on the phone. The interviews were conducted in the local language, or French in a few cases when the respondent was not comfortable with the local language.

Female resident enumerators (REs) in each EA administered the household and female questionnaires in the selected households. The household questionnaire gathers basic information about the household, such as ownership of livestock and durable goods, as well as characteristics of the dwelling unit, including wall, floor and roof materials, water sources, and sanitation facilities. This information is used to construct a wealth quintile index. The first section of the household questionnaire, the household roster, lists basic demographic information about all usual members of the household and visitors who stayed with the household the night before the interview. This roster is used to identify eligible respondents for the female questionnaire.

The female questionnaire is used to collect information from all women aged 15 to 49 who were listed on the household roster at selected households. The female questionnaire gathers specific information on education; fertility and fertility preferences; family planning access, choice, and use; quality of family planning services; and exposure to family planning messaging in the media, migration, empowerment, and the impact of the Covid-19 pandemic on household and family planning access.

The Service Delivery Point (SDP) questionnaire collects information about the provision and quality of reproductive health services and products, integration of health services, and water and sanitation within the SDP. The Client Exit Interview collects information about family planning services and contraceptive counseling, user experience with the current method, as well as contraceptive use, discontinuation, and future use. 

Training

Training for the PMA Burkina Faso (Hauts-Bassins) Phase 1 (BFP1) survey was held in November 2019 and was led by Institut Supérieur des Sciences de la Population, Université Joseph Ki-Zerbo (ISSP) with remote support from PMA staff at the Johns Hopkins Bloomberg School of Public Health. Resident enumerators (REs) were recruited from the selected enumeration areas included in the sample design. REs new to PMA were trained in general smartphone use, the PMA data collection platform called Open Data Kit (ODK) Collect, the art of asking questions, the ethics of survey research, and informed consent procedures. All REs were trained on the questionnaire content using a mix of lecture, paired practice including role plays, videos, and small group discussions. Throughout the training, REs and supervisors were evaluated based on their performance on several written and phone-based assessments as well as class participation. The RE trainings were conducted primarily in French, some small group sessions were conducted in local languages in which the survey may be conducted.

Data Collection & Processing

PMA Burkina Faso (Hauts-Bassins) Phase 1 (BFP1) data collection was conducted between December 2019 and February 2020. PMA using Open Data Kit (ODK) Collect, an open-source software application, to collect data using mobile phones. All the questionnaires were programmed using this software and installed onto project smartphones. The ODK questionnaires contain automatic skip-patterns and built-in response constraints to reduce data entry errors.

The ODK application enables resident enumerators (REs) and supervisors to collect and transfer survey data to a central ODK Aggregate cloud server. This instantaneous aggregation of data also allows for concurrent data processing and course corrections while still in the field. Throughout data collection, central staff at ISSP in Burkina Faso and the Gates Institute at Johns Hopkins in Baltimore, Maryland routinely monitored the incoming data and notified field staff of any potential errors, missing data, or problems found with form submissions on the central server. Once all data were on the server, data analysts cleaned and de-identified the data, applied survey weights and prepared the final data set for analysis using Stata® version 16 software.

A total of 1,469 households were selected for the survey; 1,457 households were found to be occupied at the time of the fieldwork. Of the occupied households, 1,449 (99.5%) consented to and completed a household-level interview. The response rate for the household interview was higher in the rural (99.9%) relative to the urban (99.1%) enumeration areas (EAs).

In the occupied dwelling units that completed a household interview, a total of 1,697 eligible women age 15 to 49 years old were identified. Overall, 95.9% of the eligible women were completed the female cross-section interview. The female response rate was higher in the urban (96.5%) relative to the rural (95.1%) EAs. Only de facto females were included in the PMA analyses; the final completed de facto female sample size was 1,627.

All SOI indicator estimates are weighted. Weights are generated to account for non-response at the household and the individual level.

Sample errors and confidence intervals for selected indicators are generated using Wilson method. Click here more information about the indicators, including estimate type and base population.