The Kenya National Bureau of Statistics (KNBS), Tuesday released the Kenya Demographic and Health Survey (KDHS) 2022.
The 2022 survey aims to provide up-to-date estimates of demographic, health, and nutrition indicators to help with population and health-related program planning, implementation, monitoring, and evaluation at the national and county levels.
The goals include estimating fertility rates, determining the country’s prevalence of contraception, reducing childhood mortality, improving children’s nutrition, and examining the dietary diversity of women.
Other pertinent issues are to obtain information on knowledge and behavior related to the transmission of HIV and other Sexually Transmitted Infections (STIs) and ascertain the extent and patterns of domestic violence and female genital mutilation/cutting.
The sample for the 2022 KDHS was drawn from the Kenya Household Master Sample Frame (K-HMSF), which is the frame that KNBS currently operates to conduct household-based sample surveys in Kenya.
The 2022 KDHS was designed to provide estimates at the national level, for rural and urban areas, and, for some indicators, at the county level.
The sample was designed to include 42,300 households, with 25 households chosen for each cluster, for a total of 1,692 clusters spread across the country, with 1,026 clusters in rural areas and 666 in urban areas.
Findings.
Progress over the last eight years (Last DHS of 2014) Health insurance
▪ One in four persons in Kenya (26% of females and 27% of males) have some form of health insurance. This is an increase from 19% in 2018
▪ The National Hospital Insurance Fund is the most common type of health insurance (24% each of females and males).
Reproductive and Maternal Health
• The Total Fertility Rate has declined markedly in Kenya over time. Between 1989 and 2022, the TFR declined by 3.3 children (from 6.7 to 3.4).
• Teenage pregnancy – 15% of women aged 15–19 have ever been pregnant (40% among uneducated versus 5% among those with at least secondary education)
• 66% of married women were on a contraceptive
• Unmet need for FP has declined from 35% to 14%
• 98% of women received ANC from a skilled provider
• 66% of women had at least 4 ANC visits
• Skilled birth attendance has increased significantly from 66% in 2014 to 89% (lowest in Turkana (53%), Mandera (55%), Wajir (57%), Samburu (57%), and Tana River (59%)
Child health
• The prevalence of stunting has decreased markedly to 18%, highest in West Pokot, Samburu, and Kilifi
• Exclusive breastfeeding remained largely unchanged between 2014 and 2022 at 60% Childhood mortality declined steadily
• under-5 mortality declined from 52 to 41 deaths per 1,000 live births
• infant mortality has declined from 39 to 32 deaths per 1,000 live births
• neonatal mortality remained largely unchanged from 22 to 21 deaths per 1,000 births. Child vaccination
• 80% of children (12- 23) are fully vaccinated
• 2% of children had received no vaccinations Case management of malaria, diarrhea, and Acute respiratory illnesses
• Care seeking for children with fever was 70%, 84% of them were treated with antimalarial
• Care seeking for ARI was 82%
• Care seeking for diarrhea was 57% and only 26% received standard treatment(ORS and Zinc) Early Childhood Development – 83% of children aged 24–35 months are developmentally on track
SGBV – Gender-based violence has been acknowledged worldwide as a violation of basic human rights.
• 34% of women and 27% of men have experienced physical violence
• 13% of women and 7% of men reported that they had experienced sexual violence at some point in their lives
HIV testing
• 85% of women and 73%of men have ever been tested for HIV
• Knowledge of HIV prevention is lowest among respondents aged 15–17 Female Genital Mutilation
• Prevalence of FGM has declined from 21% to 15%.
