PSLM_Report_2024-25-Social-2.pdf

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HIES 2024-25 (SOCIAL REPORT) XXV

STRUCTURE OF REPORT

Chapter 4 provides information on key Health Indicators including Immunization, Diarrhoea, Child Mortality Rates and Pre & Post-Natal Consultations. It also offers informative insights into the Prevalence of Major Diseases such as Malaria, Tuberculosis, Dengue, Hepatitis etc. Seven SDG indicators related to Health have been included in this Chapter.

Chapter 5 gives an overview of the Population Welfare Indicators such as Marriages & Fertility, Awareness & Use of Family Planning Method s. It also covers two SDG indicators related to Population Welfare.

Chapter 6 explains the Housing and Water supply, Sanitation & Hygiene (WASH) related indicators such as Housing Characteristics and WASH indicators such as Source of Drinking Water; Type of Sanitation System & Hygiene. It also covers eight SDG indicators related to Housing & WASH.

Chapter 7 informs about the Food Insecurity Experience S cale (FIES) indicators such as moderate and severe food insecurity among the population. It also covers one SDG indicators related to FIES.

Chapter 4

Health
Chapter 7

Food Insecurity Experience Scale (FIES)
Chapter 5

Population Welfare Chapter 6

Housing and WASH
Annexures & Appendices Annexure-A: Concepts & Definitions
Annexure-B: Reconstituted Technical Committee on PSLM & HIES Annexure-C: Auto-Replacement Strategy for Field Operation of HIES (2024-25) Annexure-D: Standard Operating Procedures (SOPs) for Enumeration of HIES (2024-25) Annexure-E: Methodology for Computing Consumption Quintiles Annexure-F: List of 33 SDG Indicators being Reported through PSLM (District) & HIES (Provincial) Survey Series Appendix -I: Estimation Formulae Appendix -II: Questionnaires (Male &Female)- HIES (2024-25)

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INTRODUCTION 1 INTRODUCTION Background

PSLM Survey was initiated in 2004 as PSDP funded project and continued till 2015. Afterwards, PSLM has become regular activity of PBS. The PSLM Surveys were designed to provide Social & Economic indicators at Provincial level and Social Indicators at District level on the alternate years’ frequency. So far 15 Rounds of PSLM (District) and HIES (P rovincial) have been completed with last round PSLM (District) in 2019-20. Thereafter, all surveys undertaken by Pakistan Bureau of Statistics (PBS) including HIES & PSLM surveys, could not be launched due to engagement of PBS staff in the activities of the 7th Population &Housing Census, 2023. Wit h alternate years’ frequency, now 9th Round of Household Integrated Economic Survey (HIES - Provincial), has been launched digitally for the first time during 2024 -25. HIES provides information on Income and Consumption through Economic Modules as well as updated data for Social Indicators through Social Modules of the Questionnaire at National and Provincial level with Urban / Rural Breakdown and by Consumption Quintiles. S eries of past Surveys in the PSLM(District) & HIES(Provincial) Survey series are: Seven Rounds of PSLM (District) Surveys have been completed -2004-05, 2006-07, 2008- 09, 2010-11, 2012-13, 2014-15 & 2019-20 Eight Rounds of HIES (Provincial) Surveys have been completed - 2004-05, 2005 -06, 2007-08, 2010-11, 2011-12, 2013-14, 2015-161 and 2018-19. Objectives of HIES:

HIES (Provincial) series is a tool for providing up to date data in respect of various socio-economic indicators, as referred in Table 1.1 with regional & gender disaggregation and also by consumption quintiles for some indicators. This updated data is used for the following objectives: Planning & Monitoring of Development Plans at National & Provincial level Monitoring & Tracking the progress of 31 Sustainable Development Goals

1 In 2015-16, special survey namely Household Integrated Income and Consumption Survey (HIICS) was conducted to derive weights for Price Indices. This survey has also provided all information related to HIES

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INTRODUCTION Estimation of Consumption-Based Poverty from HIES (Provincial)Survey series Used by Planners, Policy Makers, Researchers, Statisticians and National / International Organizations. Table 1.1: KEY SOCIO-ECONOMIC INDICATORS COVERED IN HIES (2024-25) Sr. No Sectors Covered in HIES 2024-25 Key Socio-Economic Indicators

Demographic Characteristics Structure of the Population – By Region & Age Category Average Household Size-By Province & Region 2 Education Literacy Rates (10 Years & Older) Out of School Children (Aged 5-16 Years) GER (Primary, Middle & Matric) NER (Primary, Middle & Matric) Drop-out Rates (%) 3 Information & Communication Technology (ICT) Percentage of Households with Computers, Mobile/Smartphones & Internet Percentage of the Population (10 Years & Older) with Mobile /Smart Phone Ownership Percentage of the Population (10 Years & Older) Used the Internet in the Last Three Months Percentage of the Population (10 Years & Older) with ICT Skills 4 Health Full Immunization (12-23 Months) Based on Record Full Immunization (12-23 Months) Based on Recall & Record Diarrhoea during the Last 15 Days for Children (Under 5 Years) Diarrhoea Cases where ORS Given to Children (Under 5 Years) Infant Mortality (Per 1,000 Live Births) 5 Population Welfare Percentage of Women Ever Married (Aged 15-49) Mean Number of Children Ever Born (For Women Aged 15-49 Years) Contraceptive Prevalence Rate (For Women Aged 15-49 Years) Total Fertility Rate (TFR) 6 Water Sanitation & Hygiene (WASH) Main Source of Drinking Water (% Households) Type of Toilets (% Households) Type of Sanitation System (% Households) 7 Housing Characteristic Main Fuel /Clean Fuel used for Cooking, Lighting & Heating Households with Own Dwelling Units
8 Food Insecurity Experience Scale Prevalence Rates of Food Insecurity 9 Household Income, Consumption & Expenditure Average Monthly Household Income by Region/Province & By Quintiles
Average Monthly Household Consumption by Region/Province & By Quintiles 10 Household Asset, Household Amenities 11 Saving & Liabilities Important concepts & definitions, in this regard, are at Annexure-A.

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INTRODUCTION Survey Methodology:

Comprehensive Survey Methodology was adopted to ensure the collection of quality data, having representativeness at National and Provincial level with Urban and Rural breakdown. This included Well-Designed Sampling Plan and Well - Planned Preparatory Activities for the successful launching of Field Operation of HIES (2024-25) including the Finalization of thoroughly reviewed HIES Q uestionnaires, Development of Tablet-Based Enumeration Application, Hand-on Practice Training Sessions, Quality Data Collection Digitally with Multi- Tiered Monitoring Strategies, Data Verification Processes and Analytical Techniques, to ensure accurate and reliable results . Detail of these processes is given in the subsequent sectio ns of this Chapter. Sampling Plan for HIES (2024-25) 1.4.1 Universe & Sampling Frame for HIES (2024-25) Universe

The Universe for Provincial Survey-HIES (2024-25) consists of all urban and rural areas of the four provinces of Pakistan by including Islamabad (ICT) in Punjab, AJK & GB and by excluding military restricted areas. However, results for the AJK and G.B have not been given in this report. Sampling Frame: Sampling Frame comprising 185,489 Enumeration B locks in respect of four provinces of Pakistan including Islamabad (ICT) in Punjab and for AJK & GB, updated through 7th Population & Housing Census 2023, has been used for sample selection of Provincial Survey -HIES (2024- 25). Each enumeration block is comprised of 200-250 houses on the average with well-defined boundaries and maps. In urban areas, each enumeration block has been treated as PSU while in rural areas, villages have been divided into blocks with well-defined boundaries & maps and each separate block within village is considered as PSU.
Details regarding number of enumeration blocks in urban and rural areas of four provinces of the country by including Islamabad (ICT) in Punjab and in AJK &GB, are given in the following Table 1.2.

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INTRODUCTION 1.4.2 Sample Design for HIES (2024-25):
Stratified Two-Stage Sample Design with following Stratification Plan in Urban & Rural domains of the country has been adopted for the HIES (2024-25). Urban Domain: For Urban Domain, each Administrative Division for all four provinces has been considered as an Independent Stratum.
Rural Domain:
For Rural Domain, each Administrative District in Punjab, Sindh and Khyber Pakhtunkhwa and each Administrative Division in Balochistan, has been considered as an Independent Stratum. Selection of Primary Sampling Units (PSUs):
Enumeration Blocks in both Urban and Rural domains have been taken as Primary Sampling Units (PSUs). Sample PSUs from each ultimate stratum/sub-stratum have been selected with Probability Proportional to Size (PPS) method of sampling scheme. In both Urban and Rural domains, the number of households in an enumeration block has been taken as Measure of Size (MOS). Selection of Secondary Sampling Units (SSUs):
The Households of Sample PSUs have been taken as Secondary Sampling Units (SSUs). For the selection of SSUs, fresh listing has not been carried out for the HIES (2024-25) because the 7th Population & Housing Census 2023 was recently conducted digitally with geotagging of each household. Therefore, for efficient resource management, the same listing has been used for the Table 1.2: NO. OF ENUMERATION BLOCKS (AS PER SAMPLING FRAME -2023) (Updated through 7th Population and Housing Census -2023)
Province /Region Urban Rural Total Punjab 35295 60188 95483 Sindh 24252 19561 43813 Khyber Pakhtunkhwa 3885 24988 28873 Balochistan 2596 9261 11857 Total 66028 113998 180026 AJK 693 3431 4124 Gilgit Baltistan (GB) 174 1165 1339 Grand Total 66895 118594 185489

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INTRODUCTION digital selection of 12 Households in the case of Urban and 16 Households in case of Rural Blocks, using the Systematic Random Sampling technique by designing an algorithm for selection.
1.4.3 Sample Size and its Allocation:
Keeping in view the objectives of the survey, the sample size in respect of HIES (2024-25) for the four provinces by including Islamabad (ICT) in Punjab, AJK & Gilgit Baltistan has been fixed at 2500 sample blocks (PSUs) comprising 1052 Urban and 1448 Rural Blocks comprising 35792 households (SSUs), which is expected to produce reliable results at provincial level with urban and rural break down. For HIES (2024-25), the distribution plan of PSUs and SSUs by province and region (fixed and covered along with the number of dropped blocks) is given in Table 1.3, followed by the comparison of sample size profile with previous three Rounds of Provincial Surveys – HIES (2018-19, 2015-16 &2013-14), in Table 1.4.
Table 1.3: SAMPLE SIZE PROFILE OF THE HIES (2024-25) Province /Region Fixed for Survey Dropped Blocks Covered During Survey Urba Rur l Total Urban Rural Total PSUs/Blocks Punjab 404 556 960 0 404 556 960 Sindh 272 324 596 1 271 324 595 Khyber Pakhtunkhwa 184 252 436 29 184 223 407 Balochistan 100 160 260 69 82 109 191 Total 960 129 2252 99 941 1212 2153 AJK 40 68 108 03 40 65 105 Gilgit Baltistan(GB) 52 88 140 55 34 51 85 Total 92 156 248 58 74 116 190 Grand Total 1052 144 2500 157 1015 1328 2343 SSUs/Households Punjab 4848 889 13744

4703 8780 13483 Sindh 3264 518 8448

3174 5153 8327 Khyber Pakhtunkhwa 2208 403 6240

2110 3497 5607 Balochistan 1200 256 3760

973 1733 2706 Total 11520 206 32192

10960 19163 30123 AJK 480 108 1568

463 1019 1482 Gilgit Baltistan(GB) 624 140 8 2032

401 808 1209 Total 1104 249 3600

864 1827 2691 Grand Total 12624 231 68 35792

11824 20990 32814 Note: Out of 2343 PSUs of all four provinces including Islamabad (ICT) in Punjab and Regions AJK & GB, 157 PSUs were dropped due
to administrative reason. Further,561 Non- Contacted / Refusal Households have been excluded from the covered SSUs/Households.

For the Estimation Formulae used for the computation of Sample Size, Sampling Weights and for the formulae of Totals, their Variances & Ratio Estimates,
Appendix -I is referred.

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INTRODUCTION Table 1.4::COMPARISON OF SAMPLE SIZE PROFILE WITH PREVIOUS (03) ROUNDS OF HIES (PROVINCIAL SURVEY) SERIES Provinces HIES (2013-14)
HIES (2015-16)
HIES (2018-19)
Urban Rural Total Urban Rural Total Urban Rural Total PSUs Punjab 282 287 569 482 215 697 350 500 850 Sindh 123 241 364 267 143 410 248 220 468 Khyber Pakhtunkhwa 115 144 259 224 122 346 125 194 319 Balochistan 36 79 115 114 38 152 66 99 165 Total 556 751 1307 1087 518 1605 789 1013 1802 SSUs/HOUSEHOLDS Punjab 3150 4447 7597 7181 3327 10508 3945 7836 11781 Sindh 1374 3837 5211 3912 2264 6176 2719 3497 6216 Khyber Pakhtunkhwa 1301 2221 3522 3322 1887 5209 1450 3035 4485 Balochistan 409 1250 1659 1740 605 2345 759 1568 2327 Total 6234 11755 17989 16155 8083 24238 8873 15936 24809 Preparatory Activities for Launching HIES (2024-25): For smooth launching of the field operation of HIES(2024-25), preparatory activities were started at the end of calendar year 2023 that included Reconstitution of Technical Committee on PSLM /HIES; Review of HIES (2024-25) Questionnaire internally by the technical experts of PBS and externally by the members of technical committee; Finalization of HIES (2024-25) Questionnaire, Development of Manual of Instructions & Edit Checks, Development & Testing of Tablet based Android Application; Organizing Trainings of Field Staff at Seven Training Venues, for imparting hands-on practice training to the field staff, for digital data collection of HIES(2024- 25);Preparation of Data Collection Plan in coordination with the Field Services Teams of PBS and ensuring quality data collection through the Development of Multi-Tiered Monitoring Strategies. Details in respect of these processes have been mentioned below. Field Operation of Provincial Survey- HIES (2024-25) was planned from July 2024, however trainings were conducted in August 2024. Field work of HIES (2024-25) was started in September, 2024 and concluded in June 2025, by conducting data collection on quarterly basis. Fieldwork Constraints and Data Limitations During the field operations of HIES (2024-25), certain administrative and operational constraints were encountered in some areas, including Bahawalpur,