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 1 UNFPA 324,000,000 200,000 2 Tanzania Statistical Master Plan (TSMP) Basket 200,975,000 124,059 3 GoT (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