II.        Sample and Survey Methodology

Sample Design

The sample for the 2014 Kyrgyzstan Multiple Indicator Cluster Survey was designed to provide estimates for a large number of indicators on the situation of children and women at the national level, for urban and rural areas, and for seven oblasts: Batken, Djalal-Abad, Issyk-Kul, Naryn, Osh, Talas and Chui as well as Bishkek and Osh cities.

The sampling frame was based on the data and cartographic materials from the 2009 Kyrgyzstan Population Census.  The primary sampling units (PSUs) were the enumeration areas (EAs) defined for the census.  The urban and rural areas within each region were identified as the main sampling strata and the sample was selected in two stages. Within each stratum, a specified number of census enumeration areas were selected systematically with probability proportional to size. After a household listing was carried out within the selected enumeration areas, a systematic sample of 18 households was drawn in each sample enumeration area.

All selected enumeration areas were visited during the fieldwork period. The sample was stratified by region, urban and rural areas, and is not self-weighting. For reporting national level findings, sample weights are used. A more detailed description can be found in Appendix A on sample design.

Questionnaires

Threesets of questionnaires were used in the survey: 1) a household questionnaire which was used to collect basic demographic information on all de jure household members (usual residents), the household, and the dwelling; 2) a questionnaire for individual women administered in each household to all women age 15-49 years; 3) an under-5 questionnaire, administered to mothers (or caretakers) for all children under 5 living in the household, as well as a form for collecting vaccination records at Health Facilities for children under 3.

The Household Questionnaire included the following modules:

  • List of Household Members
  • Education
  • Child Labour
  • Child Discipline
  • Household Characteristics
  • Water and Sanitation
  • Handwashing
  • Salt Iodization

The Questionnaire for Individual Women was administered to all women age 15-49 years living in the households, and included the following modules:

  • Woman’s Background
  • Access to Mass Media and Use of Information/Communication Technology
  • Fertility/Birth History
  • Desire for Last Birth
  • Maternal and Newborn Health
  • Post-natal Health Checks
  • Illness Symptoms
  • Contraception
  • Unmet Need
  • Attitudes Toward Domestic Violence
  • Marriage/Union
  • HIV/AIDS
  • Tobacco and Alcohol Use
  • Life Satisfaction

The Questionnaire for Children Under Five was administered to mothers (or caretakers) of children under 5 years of age[1] living in the households. Normally, the questionnaire was administered to mothers of under-5 children; in cases when the mother was not listed in the household roster, a primary caretaker for the child was identified and interviewed. The questionnaire included the following modules:

  • Age
  • Birth Registration
  • Early Childhood Development
  • Breastfeeding and Dietary Intake
  • Immunization
  • Care of Illness
  • Anthropometry

For all children age 0-2 years with a completed Questionnaire for Children Under Five an additional form, the Questionnaire Form For Vaccination Records At Health Facility, was used to record vaccinations from the registers at health facilities.

The questionnaires are based on the MICS5 model questionnaire[2]. From the MICS5 model English version, the questionnaires were customised and translated into Kyrgyz and Russian and were pre-tested in Bishkek city and the Chui oblast  during February-March of 2014. Based on the findings of the pre-test, modifications were made to the wording and translation of the questionnaires. A copy of the questionnaires is provided in Appendix F.

In addition to the administration of questionnaires, fieldwork teams tested the salt used for cooking in the households for iodine content, observed the place for handwashing, and measured the weights and heights of children age under 5 years. Details and findings of these observations and measurements are provided in the respective sections of the report.

Training and Fieldwork

Training for the fieldwork was conducted for 13 days on 7-19 April 2014.  Training included lectures on interviewing techniques and the contents of the questionnaires, role games and mock interviews between trainees to gain practice in asking questions and regular oral and written quizzes. Towards the end of the training period, trainees spent three days in practice interviewing in the Issyk-Kul oblast.

The data were collected by 9 teams; each was comprised of 4 interviewers, one driver, one editor, one measurer and a supervisor. Fieldwork began on 24 April 2014 and concluded in late June of 2014.

Data Processing

Data were entered using the CSPro software, version 5.0, under supervision of the data entry supervisor. The data were entered on 14 desktop computers and carried out by 14 data entry operators and 2 data entry editors. For quality assurance purposes, all questionnaires were double-entered and internal consistency checks were performed. Procedures and standard programs developed under the global MICS programme and adapted to the Kyrgyzstan questionnaires were used throughout. Data processing began simultaneously with data collection on 6 May and concluded early in July 2014. Data were analysed using the Statistical Package for Social Sciences (SPSS) software, Version 20. Model syntax and tabulation plans developed by UNICEF were customized and used for this purpose.

How to Read Tables

The tables of this report present data collected through this survey in standard way, intuitively easy to understand.  However, the reader should be aware of the following remarks.

Values in parenthesis indicate that the percentage or proportion is based on only 25–49 unweighted cases and should be treated with caution.  An asterisk in tables indicates that the percentage or proportion has been suppressed because it is based on fewer than 25 unweighted cases while dash denotes 0 unweighted cases.    

Age groups presented in this report also include those persons that had reached the full age indicated by the upper limit for an age group; for instance, respondents age 15–49 include persons who had fully reached 49 years of age. Similarly, the age group of children age 20–23 months includes those who had fully reached 23 months.

The education categories “None” and “Primary” are based on fewer than 25 unweighted cases and therefore too small to be reported separately; these categories are combined into “None/Primary”.  The categories “Professional primary” and “Professional middle” are combined “Professional primary/middle”.  The categories “None” and “Primary” and “Professional primary” and “Professional middle” are shown as individual categories in tables that describe the background characteristics of households and respondents (Section III).

Also, in the tables and throughout the report, mother's education refers to educational attainment of mothers as well as caretakers of children under 5, who are the respondents to the under-5 questionnaire if the mother is deceased or is living elsewhere.


[1] The terms “children under 5”, “children age 0-4 years”, and “children age 0-59 months” are used interchangeably in this report.

[2] The model MICS5 questionnaires can be found at http://mics.unicef.org/tools