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Knowledge and perception on HIV premarital counseling and testing among unmarried young people of Kintampo town in the republic of Ghana,

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par Dr Jean Pierre Kasereka Makelele, MD.MPH
SPH University of Ghana, Accra  - MD.MPH 2005
  

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3.4. SAMPLING

4.1.9. 3.4.1. SAMPLE SIZE CALCULATION

We calculated the sample size using EPI_INFO version 3.3 based on the following:

1. Population size of unmarried young adults in the age group 15-30 years old in the 3 sub-districts under study: 16.944 (data source: KDSS, see Table 2 ).

2. Expected frequency on level of perceived need towards HIV premarital examination and of willingness to undergo HIV PCT: 16%. This expected frequency was drawn from the previous study on VCT establishment where findings showed that 15.7% of respondents mentioned when one wants to get married as the main raison for going for VCT 32.

3. Worst acceptable frequency on level of perceived need towards HIV premarital examination and of willingness to undergo HIV PCT: 10% (meaning an acceptable margin error of 6%)

4. Confidence level: 95%

5. Computed sample size: 142

Thus a sample size of 142 individuals was targeted. This was rounded up to 150 unmarried young adult respondents. However in prevision of eventual drop out from interviews or questionnaire disqualification due to incompleteness or inconsistency, an extra 20 more interviews was conducted so that the sample size is fully met.

4.1.10. 3.4.2. SAMPLING METHOD

Non-probability sampling was used. In order to obtain complete and balanced insight in how knowledge and perceptions towards HIV premarital examination were distributed in different cultures in males and females, in rural and urban areas, in educated and illiterate ones, in different religious and ethnic groups and in different professional categories, all these different background groups were included in the sample as much as possible in order to capture a holistic picture.

The main steps in sampling process included the following:

· Purposeful choice of 3 study sub-districts (Kintampo, Jema Health and New Longoro) and proportionate attribution of quota sample based on population density of each sub-district.

· Purposeful sampling of key-informants and participants in IDIs and FGDs.

· Purposive selection of Twelve settlements (towns and villages) from the 3 sub-districts ( 4 in Kintampo, 4 in Jema Health and 4 in New Longoro) based on population density, geographic location (urban /rural) and mix of high HIV/AIDS risk (proximity to the highway and prevalence of stop-over) so that the sample is as much heterogeneous as possible.

· Deduction of proportionate quota sample per settlement.

· Random selection of 210 compounds out of 3973 (from the whole total of 19167 in the 3 sub-districts) compounds identified with eligible respondents from selected settlements, using the computer based data of Kintampo Demographic Surveillance Survey (KDSS) used in KHRC with STATA command «draw random sample». Note that the computer ballot system was done by the KHRC agent, head of field workers in charge of KDSS.

· Selection of respondents: One respondent was selected per targeted compound.

Any unmarried young adult between 15-30 years old found in any selected compound was interviewed. In case two or more eligible respondents were found in the same compound, priority was made on one volunteer who consented to participate in the interview; otherwise a drawing lot was carried out to choose only one of respondents who all consented to participate. In case no respondent was found in a compound, the next selected compounds were targeted until the full quota sample required was covered.

In order to purposefully equilibrate the sex distribution of respondents or get a less skewed sex distribution, systematic random selection of compounds was made from two sex (female and male) sub-sampling computer based frames drawn from the KDSS which contains data on all the characteristic of people per registered compound. Thus to each selected compound was assigned automatically the sex of the respondent to be interviewed.

Table 2 describes the selected settlements and their assigned quota samples. The district map below also describes the geographical situation of the selected settlements.

Table 2: Sampling characteristics of selected towns and villages per sub-district

Selected Towns and villages per Sub-District

Town & Village Code

Pop. Density

Category of settlement

HIV Risk Level

Number

of RA

Population of 15 - 30 years

Sample Size*

Number

of

Cpd**

I. KINTAMPO SUB DISTRICT

1.Kintampo

Town

X

High

Urban

High

5

11066

70 (80)

100

2. Agyegye-

makunu

AG

Low

Rural

Low

1

178

1 (1)

2

3. Babator City

BB

High

Urban

High

2

1386

9 (10)

12

4. Punpuatifi

PF

Low

Rural

Low

-

109

1 (1)

2

TOTAL

8

12739

81 (92)

116

II. JEMA SUB DISTRICT

5. Jema Town

JM

High

Urban

High

2

1542

19 (22)

26

6. Nante

NN

High

Rural

High

1

791

11 (12)

14

7. Kokuma

KK

Low

Rural

Low

1

312

4 (5)

6

8. Ampoma

NP

Low

Rural

Low

1

517

7 (8)

9

TOTAL

5

3162

41 (46)

53

III. NEW LONGORO SUB DISTRICT

9. New Longoro

Town

LL

High

Urban

High

1

402

10 (12)

14

10. Asantekwa

AS

Low

Rural

Low

1

283

8 (9)

11

11. Busuama

BS

Low

Rural

Low

1

315

9 (10)

12

12. Sogliboi

SL

Low

Rural

Low

-

43

1 (1)

2

TOTAL

3

1043

28 (32)

39

 
 
 
 
 

OVERALL TOTAL

16

16944

150

(170)

210

Source : Kintampo Health Research Centre (KHRC) demographic surveillance survey sampling frame and our Field survey, Kintampo (June 2005).

RA= Research assistants (Interviewers)

* The number in bracket corresponds to the total sample size including extra sample units needed for replacement of eventual opt out or questionnaire disqualification so that an overall sample units of 150 with consistent and complete questionnaires is met.

** Number of Compounds selected per town/village in each sub-District.

Figure 0: Map of Kintampo District showing Centroids of study

(villages/Towns) and roads network (Source: KHRC, June 2005)

 

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