Doctors Revision

Probability and Non-Probability Sampling Techniques

Probability and Non-Probability Sampling Techniques

Sampling selects units from a population so evidence can be collected efficiently. The method determines selection probabilities, representativeness, feasible inference and vulnerability to bias.

Learning objectives

  • Differentiate probability from non-probability sampling.
  • Apply simple random, systematic, stratified, cluster and multistage procedures.
  • Explain consecutive, convenience, purposive, quota and snowball sampling.
  • Select and justify a method for realistic health scenarios.

Probability sampling

MethodProcedureBest use
Simple randomSelect unique numbers from a complete frameRelatively small, well-listed population
SystematicRandom start, then every kth unitOrdered clinic or household list without harmful periodicity
StratifiedSample separately within important subgroupsEnsuring sex, cadre or facility representation
ClusterSelect natural groups, then study all or a sample within themGeographically dispersed populations
MultistageSample through successive levelsNational or district community surveys

Systematic sampling example

A clinic expects 1,200 eligible patients and needs 200. The interval k = 1,200/200 = 6. Randomly choose a start from 1–6, for example 4, then select records 4, 10, 16 and so forth. Check whether list order creates periodic bias.

Stratified versus cluster sampling

Stratification

All strata are represented; sampling occurs within each. It can improve precision when strata are internally similar.

Clustering

Only selected clusters are studied. It reduces travel but observations within clusters tend to resemble one another, increasing design effect.

Non-probability sampling

  • Convenience: recruit the easiest available participants; quick but highly bias-prone.
  • Consecutive: include every eligible participant presenting until the sample is reached.
  • Purposive: select information-rich participants with relevant characteristics.
  • Quota: recruit until predefined category numbers are filled, without random selection.
  • Snowball: initial participants refer others; useful for hidden populations but network-dependent.
  • Theoretical sampling: qualitative recruitment evolves to develop an emerging theory.

Scenario-based choices

QuestionDefensible methodReason
District household immunisation coverageMultistage cluster samplingNo complete individual list and wide geography
Experiences of rare-disease caregiversPurposive plus snowballSmall specialised network
All eligible surgical patients over three monthsConsecutive samplingPractical facility recruitment
Ensure each health-worker cadre is representedStratified random samplingExplicit subgroup representation

Sampling bias and non-response

A large sample does not repair biased selection. Document the frame, randomisation method, replacements, refusals and differences between respondents and non-respondents. Avoid replacing absent selected participants with convenient neighbours unless the protocol defines a probability-based procedure.

Common errors

  • Calling consecutive clinic recruitment simple random sampling.
  • Using purposive sampling and making population prevalence claims.
  • Failing to describe random-number generation or sampling interval.
  • Ignoring unequal selection probabilities in analysis.
  • Confusing cluster selection with stratification.
Exam tip: define the method, list exact selection steps, justify it for the population and frame, then state its major advantage and bias risk.

Review questions

  1. Calculate a systematic interval for N = 900 and n = 150.
  2. Compare stratified and cluster sampling.
  3. Select methods for a hidden population and a district household survey.
  4. Why does sample size not eliminate selection bias?

Return to the curriculum

References

  • WHO. Health Research Methodology.
  • Kothari CR, Garg G. Research Methodology.

Educational content only; complex survey designs require appropriate statistical analysis.

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