Reproductive Health Survey 1999
Ukraine, 1999
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UKR_1999_RHS_v01_M
Reproductive Health Survey 1999
| Name | Country code |
|---|---|
| Ukraine | UKR |
Other Household Health Survey [hh/hea]
The URHS was performed in conjunction with the Ukraine Women=s Reproductive Health Initiative (UWRHI), a project sponsored by the United States Agency for International Development (USAID). This project consisted of a variety of components, designed to help to reduce maternal morbidity and mortality and improve reproductive health generally in Ukraine. The stated goals of this initiative were to improve the quality of reproductive health services, as well as access to those services, to increase the rate of modern contraceptive use, and to reduce abortion rates in service sites. It was anticipated that improved access to and quality of reproductive health services for women, expanded and improved use of effective contraception, and reduced reliance on abortion as a means of birth prevention would result in reductions in maternal morbidity and mortality.
There were two major reasons for carrying out the 1999 URHS. First, it was intended to fill a substantial need for data regarding the current status of reproductive health of Ukrainian women. Besides providing data on the current situation overall, it also adds to what is known about reproductive health trends and differentials within the population and allows more accurate determinations to be made about the needs of the population. Secondly, the URHS was designed to provide programmatically useful results. The data collected on reproductive health can be used to help direct, modify, or develop interventions, as well as to provide information to policy makers and health care program officials and providers.
Sample survey data [ssd]
Scope
- ocial and demographic characteristics of respondents
- Fertility, pregnancy, and abortion- includes a complete pregnancy history, detailed information on abortions and live births in the preceding five years, use of maternal child health services, and infertility problems and treatment.
- Contraception- includes knowledge and use of specific methods, a month-by-month calendar of contraceptive use in the preceding five years, contraceptive counseling, and detailed information on many aspects of family planning.
- Information, education, and communication (IEC) and attitudes and beliefs concerning family planning
- Women's health- includes information on sexual behavior and sexually transmitted infection knowledge and history
- Socioeconomic characteristics of respondents
- Intimate partner violence.
Coverage
The survey was designed to obtain interviews with a nationally representative sample of about 7,000 women.
The 1999 Ukraine Reproductive Health Survey was designed to collect information from a representative sample of all women between the ages of 15 and 44 living in households throughout Ukraine. Although some pregnancy, childbearing, and abortion occurs outside of ages 15 to 44, the relative rarity of these events at those ages in Ukraine suggested that it would be most efficient to limit the sample to women in this age range.
Producers and sponsors
| Name |
|---|
| Kiev International Institute of Sociology (KIIS) |
| Name | Role |
|---|---|
| United States Centers for Disease Control and Prevention’s Division of Reproductive Health | Technical assistance |
| Name |
|---|
| United States Agency for International Development |
| Name |
|---|
| Ukraine Ministry of Health |
| Johns Hopkins University/Population Communications Services |
Sampling
The survey was designed to obtain interviews with a nationally representative sample of about 7,000 women between the ages of 15 and 44 years of age living throughout Ukraine. The survey was intended to be large enough to provide stable estimates regarding the main topics of interest at the regional level (there are five regions: the North, East, Central, South, and West) and for the urban and rural sectors of Ukraine. The sample was geographically self-weighting, with the exception of substantial over-sampling of two sites--the oblasts of Donetsk and Odessa.
The two oversampled oblasts were the sites for USAID-funded reproductive health activities. Donetsk was a site of activities sponsored by the Women’s Reproductive Health Initiative that started in 1996. Odessa was the focus of USAID-sponsored activities implemented by The Policy Project (coordinated by The Futures Group International) that are designed to improve support for family planning activities. Oversampling of these areas was designed to allow local estimates to be made in regard to many of the topics addressed in the URHS.
Three-stage cluster sampling was used to select survey respondents. Potential respondents consisted of all women between the ages of 15 and 44 years who lived in households anywhere in Ukraine. The first stage of sampling consisted of the selection of primary sampling units (PSU). Approximately 550 primary sampling units were selected across Ukraine. The sample was selected proportional to population size (PPS) of each of the country’s 26 oblasts and autonomous regions (with the exception of Odessa and Donetsk). Within each oblast the sample was split proportionally into five size-of-place categories, ranging from large cities to rural areas, using software that listed the estimated population of all locations. Population estimates were based on yearly updates made to census counts. Unfortunately, the most recent census in Ukraine took place when it was still part of the Soviet Union, in 1989. Within each size of place/oblast category, PSU (census enumeration districts) were selected with probability proportionate to size. Within rural areas, post offices were selected instead of places, under the assumption that all post offices cover roughly the same population. This process guarantees a selection of households approximately proportional to the entire population according to oblast and size of place.
The second stage of sampling consisted of the selection of dwelling units and respondents from the selected PSU. Within each selected PSU a random starting point was chosen, followed by selection of contiguous dwelling units, selected in a predetermined order. The number of dwellings visited per PSU varied from 23 to 30, depending on the size of place, since the average number of women of childbearing age per household varies according to size of place. Selection of women for interview was accomplished in the third stage by listing women in each visited household by descending age and selecting every second woman listed regardless of the household in which she was found. However, this procedure was slightly modified to ensure that no more than one woman per household was interviewed
At least one 15-44 year-old woman was identified as living in 55% of sampled households. In most of the remaining households, there were no resident females eligible for interview. Residents refused to provide interviewers with information concerning the household or its residents in fewer than 1% of the households visited. The difference between urban and rural areas was small, with urban households slightly less likely than rural ones to contain women eligible for interview.
Of those 15-44 year-old women who were identified as living in visited households and selected as potential respondents, 85% were interviewed. The figure was somewhat higher in rural areas (89%) than in urban areas (84%). Eight percent of women selected for interview were never found at home and 6% refused to be interviewed. Individual refusal rates were about twice as high in urban areas as in rural areas.
Survey instrument
The 1999 URHS consisted of two questionnaires: a short household instrument and a much longer individual questionnaire. The household questionnaire was two pages long and was administered to any adult living in visited households. It consisted primarily of information regarding the individuals who lived in the household and the location of the residence.
The individual form was completed by selected women 15 to 44 years of age who agreed to be interviewed. This questionnaire covered a wide range of topics related to reproductive health status and needs in Ukraine.
The sections of the questionnaire were:
I. Social and demographic characteristics of respondents
II. Fertility, pregnancy, and abortion– includes a complete pregnancy history, detailed information on abortions and live births in the preceding five years, use of maternal child health services, and infertility problems and treatment.
III. Contraception– includes knowledge and use of specific methods, a month-by-month calendar of contraceptive use in the preceding five years, contraceptive counseling, and detailed information on many aspects of family planning.
IV. Information, education, and communication (IEC) and attitudes and beliefs concerning family planning
V. Women’s health– includes information on sexual behavior and sexually transmitted infection knowledge and history
VI. Socioeconomic characteristics of respondents
VII. Intimate partner violence.
Data collection
| Start | End |
|---|---|
| 1999-06 | 1999-10 |
The questionnaires were pretested in November 1998. Eight interviewers conducted pretest interviews with a total of about 50 women in Kiev and a nearby rural area. Based on these interviews, the survey questionnaires were modified. Data collection for the 1999 URHS was carried out by about 150 female interviewers living throughout Ukraine, most of whom were highly experienced in conducting interviews. Staff from KIIS, assisted by Dr. Petr Velebil, a Russianspeaking obstetrician-gynecologist and epidemiologist from the Czech Republic, conducted interviewer training sessions. Five such sessions were held, two in Kiev, one in Donetsk, one in
Odessa, and one in L’viv. Each session had about 25-30 interviewers attending. Interviewer training sessions consisted of intensive training in field procedures and administration of the questionnaire.
Field work lasted from June through October of 1999. Each interviewer was assigned to visit a small number of PSU in the part of the country in which she lived. Interviews took place at respondents’homes and typically lasted from 60 to 75 minutes. Each interviewer forwarded her completed questionnaires to her regional supervisor, who reviewed each questionnaire and, if satisfactorily completed, sent it to the KIIS office in Kiev for data entry and final editing.
Disclaimer and copyrights
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Metadata production
DDI_UKR_1999_RHS_v01_M_WBDG
2011-12-23