The Kenya National Bureau of Statistics (KNBS) served as the implementing agency by providing guidance in the overall survey planning, development of survey tools, training of personnel, data collection, processing, analysis, and dissemination of the results. The 2014 KDHS was conducted as a joint effort by many organisations. Awareness of AIDS is universal in Kenya however, only 56 percent of women and 66 percent of men have comprehensive knowledge about HIV and AIDS prevention and transmission. In malaria endemic areas, 39 percent of women received the recommended dosage of intermittent preventive treatment for malaria during pregnancy. Six in ten households (59 percent) own at least one insecticide-treated net, and 48 percent of Kenyans have access to one. The percentage of children age 12-23 months who have received all basic vaccines increased slightly from the 77 percent observed in the 2008-09 KDHS to 79 percent in 2014. The percentage of births attended by a skilled provider and the percentage of births occurring in health facilities each increased by about 20 percentage points between 20. The proportion of mothers who reported receiving antenatal care from a skilled health provider increased from 88 percent to 96 percent between 20.
The maternal mortality ratio is 362 maternal deaths per 100,000 live births for the seven-year period preceding the survey however, this is not statistically different from the ratios reported in the 20-09 KDHS surveys and does not indicate any decline over time. Total under-5 mortality declined from 115 deaths per 1,000 live births in the 2003 KDHS to 52 deaths per 1,000 live births in the 2014 KDHS.
All early childhood mortality rates have declined between the 20 KDHS surveys. The decline in fertility accompanies a marked decline in infant and child mortality. This is corroborated by the marked increase in the contraceptive prevalence rate (CPR) from 46 percent in 2008-09 to 58 percent in the current survey. Fertility decreased from 4.9 births per woman in 2003 to 4.6 in 2008-09 and further to 3.9 in 2014, a one-child decline over the past 10 years and the lowest TFR ever recorded in Kenya. Results from the 2014 KDHS show a continued decline in the total fertility rate (TFR). HIV prevalence estimates are available from the 2012 Kenya AIDS Indicator Survey (KAIS), completed prior to the 2014 KDHS. Unlike the 20-09 KDHS surveys, this survey did not include HIV and AIDS testing. The 2014 KDHS has specifically collected data to estimate fertility, to assess childhood, maternal, and adult mortality, to measure changes in fertility and contraceptive prevalence, to examine basic indicators of maternal and child health, to estimate nutritional status of women and children, to describe patterns of knowledge and behaviour related to the transmission of HIV and other sexually transmitted infections, and to ascertain the extent and pattern of domestic violence and female genital cutting. Following adoption of a constitution in Kenya in 2010 and devolution of administrative powers to the counties, the new 2014 KDHS data should be valuable to managers and planners. Also, it is the first national survey to provide estimates for demographic and health indicators at the county level. New indicators not collected in previous KDHS surveys, such as noncommunicable diseases, fistula, and men's experience of domestic violence, are included. The survey, which follows up KDHS surveys conducted in 1989, 1993, 1998, 2003, and 2008-09, is of special importance for several reasons. The 2014 Kenya Demographic and Health Survey (KDHS) provides information to help monitor and evaluate population and health status in Kenya.
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