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Behavioural Surveillance Surveys - The Wisdom of Whores

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Finally, the discussion <strong>of</strong> sample size<br />

requirements below does not distinguish<br />

between surveys to be undertaken using<br />

probability sampling methods and those using<br />

non-probability methods. It bears repeating<br />

that conventional tests <strong>of</strong> statistical significance<br />

and other statistical methods should not,<br />

strictly speaking, be used in the analysis <strong>of</strong><br />

non-probability surveys. However, given that<br />

the use <strong>of</strong> non-probability sampling methods<br />

may be unavoidable in some settings, as a<br />

practical matter the best that can be done in<br />

such situations is to take steps to minimize<br />

bias in the survey data. This implies assuming<br />

that the data have distributional characteristics<br />

similar to data gathered using probability<br />

sampling methods. It may be possible to<br />

ascertain how likely this is to be true by<br />

examining basic socio-demographic variables<br />

collected from respondents to non-probability<br />

samples for any marked deviations from<br />

expected distributions.<br />

<strong>The</strong> formula for calculating sample sizes<br />

<strong>The</strong> sample size required per survey round<br />

for the measurement <strong>of</strong> change on a given<br />

indicator is a function <strong>of</strong> five factors:<br />

• the initial or starting level <strong>of</strong> the indicator;<br />

• the magnitude <strong>of</strong> change you want to be<br />

able to detect reliably;<br />

• how sure you want to be that a change <strong>of</strong><br />

that magnitude would not have occurred by<br />

chance (that is, the level <strong>of</strong> significance);<br />

• how sure you want to be that you will<br />

observe a change <strong>of</strong> that magnitude if it did<br />

in fact occur (that is, the power);<br />

• the percent <strong>of</strong> the population <strong>of</strong> interest<br />

that - is eligible to be considered for the<br />

indicator 1<br />

An expression for the required sample size<br />

for a given sub-population for each survey<br />

round (n) is given by:<br />

[Z 1-α<br />

√2P (1-P)+Z 1-β<br />

√P 1<br />

1-P 1<br />

) + P 2<br />

(1-P 2<br />

)] 2<br />

n = D<br />

(P 2<br />

-P 1<br />

) 2<br />

Where:<br />

D = design effect (see page 53);<br />

P 1<br />

P 2<br />

= the estimated proportion at the time <strong>of</strong><br />

the first survey;<br />

= the target proportion at some future<br />

date, so that (P2 - P1) is the magnitude<br />

<strong>of</strong> change you want to be able to<br />

detect;<br />

P = (P 1<br />

+ P 2<br />

)/2;<br />

Z 1-α<br />

Z 1-β<br />

= the z-score corresponding to desired<br />

level <strong>of</strong> significance<br />

= the z-score corresponding to the<br />

desired level <strong>of</strong> power<br />

Standard values <strong>of</strong> Z 1-α<br />

and Z 1-β<br />

are provided<br />

in Table 5, and the use <strong>of</strong> the above formula is<br />

illustrated in Figure 4.<br />

1<br />

While it may appear that this fifth factor is similar<br />

to the first, it is not so. Take one common indicator: the<br />

proportion <strong>of</strong> respondents with non-regular partners in<br />

the last year who used a condom with their last nonregular<br />

partner. <strong>The</strong> starting level <strong>of</strong> the indicator may be<br />

quite high. But the proportion <strong>of</strong> all respondents who had<br />

non-regular partners in the last year might be quite low.<br />

Both <strong>of</strong> these factors must be taken into account in<br />

calculating the sample size necessary to measure a<br />

significant change in the indicator.<br />

B EHAV I OR A L S U R V EI L L A NC E SURV EY S CHAPTER 4<br />

47

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