{"type":"survey","study_desc":{"title_statement":{"idno":"MDG_1992_DHS_v01_M","title":"Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 1992","alt_title":"ENDS 1992 \/ DHS 1992","translated_title":"Demographic and Health Survey 1992"},"authoring_entity":[{"name":"Centre National de Recherches sur l\u2019Environment","affiliation":"Minist\u00e8re de la Recherche Appliqu\u00e9e au D\u00e9veloppement"}],"oth_id":[{"name":"Banque des Donn\u00e9es de l'Etat","affiliation":"","email":"","role":"Technical assistance Mapping"},{"name":"Minist\u00e8re de la Sant\u00e9","affiliation":"","email":"","role":"Technical Committee"},{"name":"Minist\u00e8re du Plan et de l'Economie","affiliation":"","email":"","role":"Technical Committee"},{"name":"Minist\u00e8re de la Population","affiliation":"","email":"","role":"Technical Committee"}],"production_statement":{"producers":[{"name":"MACRO International Inc.","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Agence Am\u00e9ricaine pour le D\u00e9veloppement International","abbreviation":"USAID","role":"Funding"},{"name":"Fonds des Nations Unies pour la Population","abbreviation":"UNFPA","role":"Funding"}]},"distribution_statement":{"contact":[{"name":"General Inquiries","affiliation":"","email":"info@measuredhs.com ","uri":"www.measuredhs.com"},{"name":"Data and Data Related Resources","affiliation":"","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS II","series_info":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 1992 est la premi\u00e8re EDS r\u00e9alis\u00e9e \u00e0 Madagascar."},"study_info":{"abstract":"L'ENDS est une enqu\u00eate par sondage, r\u00e9alis\u00e9e au niveau national, dont l'objectif est de fournir des informations d\u00e9taill\u00e9es sur la f\u00e9condit\u00e9, la planification familiale, la mortalit\u00e9 des enfants et la sant\u00e9 de la m\u00e8re et de l'enfant. Au cours de sa r\u00e9alisation, de mai \u00e0 novembre 1992, 5944 m\u00e9nages et 6260 femmes en \u00e2ge de procr\u00e9er (15-49 ans) ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s. \n\nL'ENDS r\u00e9pond \u00e0 l'aspiration du programme de la Politique Nationale de Population peur le d\u00e9veloppement \u00e9conomique, social et sanitaire du pays. L'objectif de l'ENDS est de: \n- Recueillir les donn\u00e9es au niveau national permettant de calculer les taux de f\u00e9condit\u00e9 et de mortalit\u00e9 infantile et juv\u00e9nile. \n- Analyser les facteurs associ\u00e9s aux niveaux et tendances de la f\u00e9condit\u00e9 et de la mortalit\u00e9 infantile et juv\u00e9nile. Les indicateurs obtenus aideront les planificateurs et autres responsables \u00e0 \u00e9laborer des plans et une strat\u00e9gie de d\u00e9veloppement \u00e9conomique et social. \n- Evaluer les niveaux de connaissance et d'utilisation des moyens contraceptifs et estimer la pratique potentielle future, ainsi que les attitudes vis-\u00e5-vis de la planification familiale. \n- Evaluer la sant\u00e9 de la m\u00e8re et de l'enfant : couverture vaccinale, pr\u00e9valence et traitement de la fi\u00e8vre, des maladies respiratoires et de la diarrh\u00e9e, soins pr\u00e9natals et assistance \u00e0 l'accouchement, allaitement et \u00e9tat nutritionnel des enfants. \n- Recueillir des donn\u00e9es sur les services sanitaires ainsi que leur prestation. \n- Contribuer au d\u00e9veloppement des capacit\u00e9s et ressources n\u00e9cessaires \u00e0 la r\u00e9alisation p\u00e9riodique d'enqu\u00eates d\u00e9mographiques et de sant\u00e9. Par la suite faisant partie d'un vaste programme international, les donn\u00e9es seront ins\u00e9r\u00e9es dans une base de donn\u00e9es utilisable par les organismes et les chercheurs qui s'int\u00e9ressent aux probl\u00e8mes de population et de sant\u00e9 dans le monde entier. \n\nRESULTATS\n\nLes r\u00e9sultats de l'ENDS montrent, qu'au niveau national, la f\u00e9condit\u00e9 est forte : \u00e0 la fin de sa vie f\u00e9conde, une femme malgache aura en moyenne 6,1 enfants. Les femmes les plus f\u00e9condes r\u00e9sident dans les zones rurales ou sont sans instruction. Les femmes de la capitale (3,2 enfants par femme) ont pr\u00e8s de deux fois moins d'enfants que celles du milieu rural (6,7 enfants), il en est de m\u00eame pour les femmes de niveau d'instruction secondaire II ou plus (3,2 enfants) en comparaison des femmes sans niveau d'instruction (6,5 enfants). L'une des principales caract\u00e9ristiques de cette f\u00e9condit\u00e9 \u00e9lev\u00e9e est sa pr\u00e9cocit\u00e9. Plus d'une femme sur six a son premier enfant avant l'\u00e2ge de 19 ans. \n\nLe mariage est quasi universel et l'entr\u00e9e en union est tr\u00e8s pr\u00e9coce : l'\u00e2ge m\u00e9dian \u00e0 la premi\u00e8re union est estim\u00e9 \u00e0 18,3 ans. Les g\u00e9n\u00e9rations les plus r\u00e9centes semblent, toutefois, entrer en union moins pr\u00e9cocement que les plus anciennes : l'\u00e2ge m\u00e9dian \u00e0 la premi\u00e8re union est de 19,5 ans pour les femmes de 20-24 ans contre 17, I pour celles de 45-49 ans. Malgr\u00e9 ce recul de 1'\u00e2ge d'entr\u00e9e en premi\u00e8re union, l'activit\u00e9 sexuelle d\u00e9bute toujours tr\u00e8s t6t : plus d'une femme sur deux a eu ses premiers rapports sexuels avant l'\u00e2ge de 17 ans, \n\nPresque les deux tiers des femmes connaissent des m\u00e9thodes contraceptives (62 pour cent) et, en particulier des m\u00e9thodes modernes (57 pour cent). Mais le nombre d'utilisatrices est encore faible dans le pays; si 24 pour cent des enqu\u00eat\u00e9es ont d\u00e9clar\u00e9 avoir d\u00e9j\u00e0 utilis\u00e9 une m\u00e9thode de contraception, seulement 13 pour cent en utilisaient au moment de l'enqu\u00eate, dont 4 pour cent une m\u00e9thode moderne. Il faut toutefois souligner qu'\u00e0 Madagascar, peu d'informations sont diffus\u00e9es sur la planification familiale : en effet, 93 pour cent des femmes ont d\u00e9clar\u00e9 n'avoir rien entendu \u00e0 la radio ou \u00e0 la t\u00e9l\u00e9vision, ni rien lu dans des journaux ou affiches \u00e5 propos de la planification familiale, durant le mois qui a pr\u00e9c\u00e9d\u00e9 l'enqu\u00eate. \n\nLa pr\u00e9valence contraceptive est plus \u00e9lev\u00e9e chez les femmes r\u00e9sidant en milieu urbain ou ayant un niveau d'instruction : 51 pour cent des femmes en union r\u00e9sidant dans la capitale et 57 pour cent de celles ayant un niveau d'instruction secondaire 1I ou plus utilisaient des m\u00e9thodes modernes de contraception au moment de l'enqu\u00eate, contre 12 pour cent en milieu rural et 3 pour cent seulement parmi les femmes sans niveau d'instruction. \n\nToutefois, les besoins non satisfaits en mati\u00e8re de planification familiale sont relativement importants. En effet 35 pour cent des femmes en union non-utilisatrices de la contraception, d\u00e9sirent espacer ou limiter les naissances (respectivement 16 pour cent et 19 pour cent). La demande potentielle est, enfin, estim\u00e9e \u00e0 51 pour cent (22 pour cent pour l'espacement des naissances et 29 pour cent pour la limitation des naissances). \n\nParmi les femmes non-utilisatrices de la contraception au moment de l'enqu\u00eate, 42 pour cent ont l'intention de l'utiliser dans le futur, dont 36 pour cent dans un avenir tr\u00e8s proche (dans les 12 mois suivant l'interview). La majorit\u00e9 de ces femmes utiliseraient les m\u00e9thodes modernes de contraception (59 pour cent), notamment les injections (26 pour cent) et la pilule (21 pour cent). En fait 40 pour cent des femmes malgaches ne d\u00e9sirent plus avoir d'enfants. Si les femmes malgaches avaient le nombre d'enfants qu'elles d\u00e9sirent, elles auraient, en moyenne, 5,2 enfants \u00e0 la fin de leur vie f\u00e9conde, au lieu de 6,1 enfants comme cela a \u00e9t\u00e9 estim\u00e9 au moment de l'enqu\u00eate. \n\nLa mortalit\u00e9 des enfants demeure toujours \u00e9lev\u00e9e : sur 1000 naissances, 93 d\u00e9c\u00e8dent avant d'atteindre l'Age d'un an, et sur 1000 atteignant leur premier anniversaire, 77 d\u00e9c\u00e8dent avant l'\u00e2ge de cinq ans. La mortalit\u00e9 infantile est plus faible en milieu urbain qu'en milieu rural (75 pour mille contre 107 pour mille). Mais, apr\u00e8s le premier anniversaire, les diff\u00e9rences de mortalit\u00e9 sont consid\u00e9rablement r\u00e9duites (73 pour mille contre 86 pour mille). L'am\u00e9lioration des conditions sanitaires et l'accessibilit\u00e9 aux services de sant\u00e9 dans les milieux urbains expliqueraient ces diff\u00e9rences de mortalit\u00e9. \n\nPour plus de la majorit\u00e9 des naissances (56 pour cent), la m\u00e8re a effectue la premi\u00e8re visite pr\u00e9natale avant le sixi\u00e8me mois de grossesse, et pour plus de 30 pour cent, apr\u00e8s le sixi\u00e8me mois. Moins de 43 pour cent des femmes suivent les recommandations de l'OMS qui consid\u00e8rent qu'une femme devrait effectuer au moins quatre visites pr\u00e9natales, espac\u00e9es r\u00e9guli\u00e8rement tout au long de sa grossesse. Pour 41 pour cent des naissances, la m\u00e8re n'a re\u00e7u aucune injection antit\u00e9tanique. \n\nEn milieu urbain, pour pratiquement les trois quarts des naissances, les m\u00e8res ont \u00e9t\u00e9 vaccin\u00e9es contre le t\u00e9tanos (70 pour cent) alors qu'en milieu rural, cette proportion n'atteint que 57 pour cent. Selon le niveau d'instruction de la m\u00e8re, les diff\u00e9rences observ\u00e9es sont encore plus importantes : 75 pour cent des m\u00e8res ayant au moins un niveau d'instruction secondaire ont re\u00e7u au moins une dose de vaccin antit\u00e9tanique contre 46 pour cent des m\u00e8res sans instruction. \n\nLa majorit\u00e9 des accouchements (54 pour cent) ont eu lieu \u00e0 la maison contre seulement 45 pour cent dans des \u00e9tablissements sanitaires. L'assistance m\u00e9dicale lors de l'accouchement n'est assur\u00e9e par les infirmi\u00e8res et sages-femmes que pour 49 pour cent des naissances. L'utilisation des services de sant\u00e9 pour les accouchements n'est pas uniforme dans le pays : dans la capitale, pour 59 pour cent des naissances, l'accouchement a eu lieu dans une formation sanitaire, contre 44 pour cent en milieu rural. \n\nLes trois quarts des enfants ont re\u00e7u une injection de BCG et la moiti\u00e9 des enfants (54 pour cent) sont compl\u00e8tement vaccin\u00e9s contre la polio. La vaccination contre la rougeole est moins fr\u00e9quente que celle contre le BCG : elle ne concerne que 54 pour cent des enfants. Globalement, moins d'un tiers des enfants (32 pour cent) ont re\u00e7u tous les vaccins avant le premier anniversaire et pr\u00e8s d'un enfant sur quatre n'en a re\u00e7u aucun avant cet \u00e2ge. La couverture vaccinale demeure plus importante en milieu urbain (58 pour cent des enfants ont re\u00e7u toutes les vaccinations) qu'en milieu rural (41 pour cent). Les diff\u00e9rences sont encore plus prononc\u00e9es selon le niveau d'instruction de la m\u00e8re : 69 pour cent des enfants dont la m\u00e8re a au moins un niveau d'instruction secondaire II ont re\u00e7u tous les vaccins contre seulement 29 pour cent de ceux dont la m\u00e8re n'a aucun niveau d'instruction. \n\nDans l'ensemble, 16 pour cent des enfants auraient souffert simultan\u00e9ment de toux et de probl\u00e8mes respiratoires durant les deux derni\u00e8res semaines ayant pr\u00e9c\u00e9d\u00e9 l'interview. Ces sympt\u00f4mes sont particuli\u00e8rement fr\u00e9quents chez les enfants de moins d'un an, en particulier chez les 6-11 mois (24 pour cent). La fi\u00e8vre a touch\u00e9 27 pour cent des enfants de moins de 5 ans et plus fr\u00e9quemment les 6-23 mois (34 pour cent). Plus d'un enfant sur I0 de moins de 5 ans (12 pour cent) avait eu, au moins, un \u00e9pisode diarrh\u00e9ique au cours des deux derni\u00e8res semaines. Durant les Episodes diarrh6iques, seulement 55 pour cent des enfants ont re\u00e7u un suppl\u00e9ment liquide, 15 pour cent une solution d'eau, de sel et de sucre pr\u00e9par\u00e9e \u00e0 la maison, et 14 pour cent ont eu un sachet SRO. \n\nD'une mani\u00e8re g\u00e9n\u00e9rale, les r\u00e9sultats de l'enqu\u00eate, les enfants dont la m\u00e8re est sans instruction et\/ou r\u00e9side en milieu rural sont plus fr\u00e9quemment atteints de maladies infantiles et b\u00e9n\u00e9ficient le moins de soins m\u00e9dicaux. \n\nLa presque totalit\u00e9 des enfants malgaches (97 pour cent) ont \u00e9t\u00e9 allait\u00e9s. Malgr\u00e9 cette pratique quasi- universelle de l'allaitement, dans leur majorit\u00e9, les m\u00e8res ne dorment pas le sein le premier jour. Concernant les seuls enfants derniers-n\u00e9s, seulement 45 pour cent ont \u00e9t\u00e9 mis au sein pour la premi\u00e8re fois durant leur premier jour d'existence, dont 6 pour cent durant la premi\u00e8re heure suivant la naissance. \n\nLa majorit\u00e9 des enfants (51 pour cent) souffrent d'un retard de croissance, dont presque la moiti\u00e9 (24 pour cent) sous une forme s\u00e9v\u00e8re. Ces niveaux sont respectivement 22 et 24 fois plus \u00e9lev\u00e9s que ceux que l'on s'attend \u00e0 trouver dans une population o\u00f9 les enfants sont en bonne sant\u00e9. Dans l'ensemble 5 pour cent des enfants sont \u00e9maci\u00e9s, dont 0,3 pour cent sous une forme s\u00e9v\u00e8re : ces proportions sont respectivement 2 fois et 3 fois plus \u00e9lev\u00e9es que celles attendues dans une population en bonne sant\u00e9 et bien nourrie. Il apparait ici que 39 pour cent des enfants malgaches de moins de cinq ans souffrent d'insuffisance pond\u00e9rale, dont 9 pour cent sous une forme s\u00e9v\u00e8re.","coll_dates":[{"start":"1992-05","end":"1992-11","cycle":""}],"nation":[{"name":"Madagascar","abbreviation":"MDG"}],"geog_coverage":"National","analysis_unit":"- Household\n- Women age 15-49","universe":"L'univers de l'enqu\u00eate est l'ensemble de la population et au niveau des sous-populations des femmes de 15 \u00e0 49 ans (r\u00e9sidentes habituelles ou visiteuses) qui se trouvaient dans les m\u00e9nages la nuit pr\u00e9c\u00e9dent l'enqu\u00eate.","data_kind":"Sample survey data","notes":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 1992 couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de complement\n- Anthropometrie\n- Caracteristiques socio-demographiques des enquet\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- Etat nutritionnel des enfants\n- Fecondite\n- Grossesse\n- Mariage et activit\u00e9 sexuelle\n- Mortalite maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Nuptialite et exposition au risque de grossesse\n- Plannification familiale\n- Reproduction\n- Sante et nutrition des femme\n- Services communautaires\n- soins postnatals et nutrition des enfants\n- vaccination","study_scope":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 1992 couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de complement\n- Anthropometrie\n- Caracteristiques socio-demographiques des enquet\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- Etat nutritionnel des enfants\n- Fecondite\n- Grossesse\n- Mariage et activit\u00e9 sexuelle\n- Mortalite maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Nuptialite et exposition au risque de grossesse\n- Plannification familiale\n- Reproduction\n- Sante et nutrition des femme\n- Services communautaires\n- soins postnatals et nutrition des enfants\n- vaccination"},"method":{"data_collection":{"data_collectors":[{"name":"Centre National de Recherches sur l\u2019Environment","abbreviation":"","affiliation":"Minist\u00e8re de la Recherche Appliqu\u00e9e au D\u00e9veloppement"}],"sampling_procedure":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire (ENDS) \u00e0 Madagascar a pr\u00e9vu un \u00e9chantillon national de 6 000 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans, destin\u00e9 \u00e0 fournir des r\u00e9sultats fiables au niveau des milieux urbain et rural s\u00e9par\u00e9ment. Les travaux cartographiques pr\u00e9par\u00e9s pour le Recensement G\u00e9n\u00e9ral de la Population (RGP), qui devait \u00eatre r\u00e9alis\u00e9 \u00e0 Madagascar en 1991, ont servi de base de sondage. Cette op\u00e9ration cartographique a fourni non seulement des cartes mises \u00e0 jour desfokontany mais aussi des estimations de la population de chaque zone. \n\nL'\u00e9chantillon de l'ENDS est bas\u00e9 sur un sondage ar\u00e9olaire stratifi\u00e9 et tir~ \u00e5 deux degr\u00e9s. Au premier degr\u00e9, 215fokontany ont 6t6 tir\u00e9s \u00e0 partir de l'ensemble desfokontany avec des probabilit\u00e9s proportionn\u00e9es \u00e0 leur taille. Un degr\u00e9 de sondage interm\u00e9diaire a \u00e9t\u00e9 introduit dans lesfokontany ruraux, notamment tous les fokontany ruraux qui d\u00e9passaient 2 000 habitants ont \u00e9t\u00e9 divis\u00e9s en zones plus petites; une seule zone, appel\u00e9e aire d'enqu\u00eate (AE) a \u00e9t\u00e9 tir\u00e9e et retenue pour l'enqu\u00eate. Ce degr\u00e9 de sondage interm\u00e9diaire a pour but de limiter le travail de d\u00e9nombrement des m\u00e9nages. On appelle donc grappe l'unit~ finale de sondage qui correspond soit \u00e0 unfokontany entier soit \u00e0 une partie dufokontany. Un d\u00e9nombrement exhaustif des m\u00e9nages r\u00e9sidant dans chaque grappe a fourni une liste de m\u00e9nages \u00e0 partir de laquelle on a tir\u00e9, au deuxi\u00e8me degr\u00e9, un \u00e9chantillon de m\u00e9nages. \n\nD'apr\u00e8s les r\u00e9sultats cartographiques du RGP, la population urbaine \u00e9tait de 2.121.063 habitants, dont 17 pour cent de la population totale de Madagascar qui \u00e9tait de 12.289.690 en 1990. Un \u00e9chantillon de 6000 femmes tir\u00e9 avec une probabilit\u00e9 \u00e9gale sur l'ensemble du pays n'aurait qu'un peu plus de 1000 femmes r\u00e9sidant dans le secteur urbain, dont moins de 500 femmes dans la capitale. Ces effectifs assez faibles des sous-\u00e9chantillons n'auraient pas permis des analyses approfondies au niveau de ces deux domaines. On a donc doubl\u00e9 le taux de sondage du milieu urbain par rapport \u00e0 celui du rural. \n\nD'apr\u00e8s le recensement de 1975, 25 pour cent de la population urbaine \u00e9tait constitu\u00e9e de femmes de 15 \u00e0 49 ans; cette proportion \u00e9tait de 22 pour cent dans la population rurale. En appliquant ces pourcentages aux effectifs de population, on a estim\u00e9 qu'il y a actuellement : 526024 femmes de 15 \u00e5 49 ans en milieu urbain et 2247267 femmes de 15 \u00e0 49 ans en milieu rural.","coll_mode":"Face-to-face","research_instrument":"L'ENDS comporte trois types de questionnaires : \n- un questionnaire-m\u00e9nage \n- un questionnaire individuel \n- un questionnaire sur la disponibilit\u00e9 des services. \n\na) Le questionnaire-m\u00e9nage comporte en page de garde la localisation du m\u00e9nage, le nombre de visites effectu\u00e9es par l'agent enqu\u00eatrice, le r\u00e9sultat de l'interview, et une partie pour le contr\u00f4le sur le terrain et au bureau. Sur les autres pages, doivent \u00eatre port\u00e9s les renseignements sur les personnes composant le m\u00e9nage et toute autre personne ayant pass\u00e9 la nuit pr\u00e9c\u00e9dant l'enqu\u00eate dans ce m\u00e9nage ; lien de parent\u00e9, situation de r\u00e9sidence, sexe, \u00e2ge. D'autres questions sont pos\u00e9es sur les personnes de cinq ans et plus telles que la fr\u00e9quentation scolaire, le niveau d'instruction. Et enfin des questions sur la survie des parents pour les personnes de moins de 15 ans. Ce questionnaire permet \u00e9galement d'identifier les femmes \u00e9ligibles pour l'enqu\u00eate individuelle. \n\nb) Le questionnaire individuel doit \u00eatre rempli peur toutes les femmes \u00e2g\u00e9es de 15-49 ans, recens\u00e9es dans le m\u00e9nage, quel que soit leu r statut de r\u00e9sidence et leur \u00e9tat matrimonial. Ce questionnaire comporte neuf sections. Il permet de recueillir les informations sur : \n- les caract\u00e9ristiques socio-d\u00e9mographiques de la femme telles que l'fige, la situation matrimoniale, la religion, l'\u00e9ducation, le lieu de r\u00e9sidence ; \n- la reproduction : plusieurs questions sont pos\u00e9es sur le nombre d'enfants n\u00e9s-vivants de la femme, les caract6ristiques de chaque naissance vivante (date de naissance, \u00e2ge de la m\u00e8re, sexe de l'enfant,...) ; \n- la connaissance et l'utilisation de la contraception : les questions relatives \u00e0 cette section permettent de mesurer le degr\u00e9 de connaissance et le taux de pr\u00e9valence sur les m\u00e9thodes contraceptives ; \n- la grossesse, l'allaitement, la vaccination et la sant\u00e9. Les diff\u00e9rentes questions reposent sur les soins pr\u00e9natals, la vaccination et les maladies r\u00e9centes des jeunes enfants (diarrh\u00e9e, toux,...); \n- la nuptialit\u00e9 : en plus des questions sur l'\u00e9tat matrimonial, d'autres renseignements pourront \u00eatre recueillis sur l'activit\u00e9 sexuelle de la femme ; \n- la pr\u00e9f\u00e9rence en mati\u00e8re de f\u00e9condit\u00e9 ; \n- les caract\u00e9ristiques du conjoint et des femmes enqu\u00eat\u00e9es; \n- la mortalit\u00e9 maternelle ; \n- la taille et le poids des enfants de moins de cinq ans. \n\nc) Le questionnaire sur la disponibilit\u00e9 de services a \u00e9t\u00e9 rempli pour chaque grappe s\u00e9lectionn\u00e9e dans l'\u00e9chantillon. Avec ce questionnaire on a recueilli des informations concernant la disponibilit\u00e9 de services scolaires, de sant\u00e9 et de planification familiale dans ces grappes.","coll_situation":"D\u00e9roulement des activit\u00e9s:\n\n1) Travaux pr\u00e9paratoires - \n- Finalisation des questionnaires\n- Elaboration du plan de sondage\n- Pr\u00e9paration des documents : (les diff\u00e9rentes fiches)\n\n2) Pr\u00e9-test\n- Recrutement et formation des agents\n- Travaux sur terrain\n- Mise \u00e0 jour des questionnaires\n\n3) Enqu\u00eate communautaire et listing\n- Formation des agents\n- Travaux sur terrain\n\n4) Enqu\u00eate principale\n- Recrutement et formation des agents\n- Travaux sur terrain\n\n5) Exploitation et rapports\n- Saisie et apurement des donn\u00e9es\n- Pr\u00e9paration du rapport pr\u00e9liminaire\n- Tabulation-Analyse et pr\u00e9paration du rapport principal\n- Lecture, r\u00e9vision et impression du rapport principal\n- Pr\u00e9paration du rapport r\u00e9sume\n- Organisation du s\u00e9minaire national"},"analysis_info":{"response_rate":"Au total, sur les 6500 m\u00e9nages s\u00e9lectionnes, 6252 ont \u00e9t\u00e9 identifi\u00e9s, dont 5944 ont \u00e9t\u00e9 enqu\u00eat\u00e9s enti\u00e8rement, donnant un taux de r\u00e9ponse de 95 pour cent. L'enqu\u00eate m\u00e9nage a permis d'identifier 6520 femmes \u00e9ligibles dont 6260 ont \u00e9t\u00e9 interview\u00e9es avec succ\u00e8s pendant l'enqu\u00eate individuelle, soit un taux de r\u00e9ponse de 96 pour cent.","sampling_error_estimates":"Les erreurs de sondage peuvent \u00eatre \u00e9valu\u00e9es statistiquement. Les estimations qui figurent dans le Rapport Final ont \u00e9t\u00e9 obtenues \u00e0 partir d'un \u00e9chantillon de 6260 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans. Si l'enqu\u00eate avait \u00e9t\u00e9 effectu\u00e9e aupr\u00e8s d'autres enqu\u00eat\u00e9es, on a tout lieu de penser que les fr\u00e9quences des r\u00e9ponses auraient \u00e9t\u00e9 tr\u00e8s peu diff\u00e9rentes de celles que l'on a pr\u00e9sent\u00e9es. C'est l'incertitude de cette assomption que refl\u00e8te l'erreur de sondage; celle-ci permet donc de mesurer le degr6 de variation des r\u00e9ponses suivant l'\u00e9chantillon. \n\nL'erreur-type (ET) est un indice particuli\u00e8rement utile pour mesurer l'erreur de sondage d'un param\u00e8tre (moyenne ou proportion). On l'estime .\u00e0 partir de la variance des r\u00e9ponses dans l'\u00e9chantillon m\u00eame: l'erreur-type est la racine carr\u00e9e de la variance. Cet indice a pour propri\u00e9t\u00e9 que dans 95 pour cent des \u00e9chantillons de taille et de caract\u00e9ristique identique, la valeur vraie d'an param\u00e8tre pour l'ensemble d'une population se trouve b. l'int\u00e9rieur de l'intervalle de + 2 ET. \n\nSi l'\u00e9chantillon des femmes avait \u00e9t\u00e9 tir\u00e9 d'apr\u00e8s un plan de sondage al\u00e9atoire simple, il aurait \u00e9t\u00e9 possible d'utiliser des formules simples pour calculer les erreurs de sondage. Cependant, l'\u00e9chantillon de l'ENDS est un \u00e9chantillon stratifi\u00e9 \u00e0 deux degr6s. Par cons\u00e9quent, on a besoin d'utiliser des formules plus complexes. Le logiciel CLUSTERS, d\u00e9velopp\u00e9 par l'International Statistical Institute pour l'Enqu\u00eate Mondiale de F\u00e9condit\u00e9, a \u00e9t\u00e9 utilis\u00e9 pour calculer les erreurs de sondage suivant la m\u00e9thodologie statistique appropri\u00e9e. \n\nIl existe un deuxi\u00e8me indice tr\u00e8s utile qui est la racine carr\u00e9e de l'effet du plan de sondage (REPS) ou effet de grappe : c'est le rapport de l'erreur-type observ\u00e9e sur l'erreur-type qu'on aurait obtenue si on avait eu recours \u00e0 1 un sondage al\u00e9atoire simple. Cet indice r\u00e9v\u00e8le dans quelle mesure le plan de sondage qui a \u00e9t\u00e9 choisi se rapproche d'un \u00e9chantillon al\u00e9atoire simple de la m\u00eame taille : la valeur 1 de la REPS indique que le plan de sondage est aussi efficace qu'un \u00e9chantillon al\u00e9atoire simple, alors qu'une valeur sup\u00e9rieure \u00e0 1 indique un accroissement de l'erreur de sondage da \u00e0 un plan de sondage plus complexe et moins efficace au point de vue statistique. Le logiciel CLUSTERS calcule aussi l'erreur relative et l'intervalle de confiance pour chaque estimation. \n\nLes erreurs de sondage pour l'ENDS ont \u00e9t\u00e9 calcul\u00e9es pour certaines variables les plus int\u00e9ressantes. Les r\u00e9sultats sont pr\u00e9sent\u00e9sen annexe du Rapport Final pour le pays en entier, le milieu rural, la capitale Antananarivo, les autres villes et l'ensemble du milieu urbain. En plus, on a les erreurs de sondage des six grandes r\u00e9gions du pays. En g\u00e9n\u00e9ral, chaque r\u00e9gion correspond \u00e0 une province (faritany), sauf Mahajanga et Antsiranana qui doivent \u00eatre regroup\u00e9es pour que les r\u00e9sultats soient plus fiables statistiquement. \n\nPour chaque variable, le type de statistique (moyenne ou proportion) et la population de base sont pr\u00e9sent\u00e9s dans le Tableau D.1 du Rapport Final. Les Tableaux D.2 \u00e0 D. 11 pr\u00e9sentent la valeur de la statistique (M), l'erreur- type (ET), le nombre de cas non-pond\u00e9r\u00e9s (N) et pond\u00e9r\u00e9s (N'), la racine carr\u00e9e de l'effet du plan de sondage (REPS), l'erreur relative (ET\/M), et l'intervalle de confiance \u00e0 95% (M\u00b12ET) pour chaque variable. \n\nEn g\u00e9n\u00e9ral, les erreurs relatives de la plupart des estimations pour l'ensemble du pays sont faibles, sauf dans le cas de tr\u00e8s faibles proportions. On remarque certaines diff\u00e9rences dans les erreurs relatives au niveau des sous-\u00e9chantillons : par exemple, pour la variable \"Enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 15 \u00e0 49 ans\", l'erreur relative en tant qu'un pourcentage de la moyenne estim\u00e9e est, respectivement, de 1,4 %, 2,6% et 5,8% pour l'ensemble des femmes du pays, pour la province d'Antananarivo et pour la capitale Antananarivo. \n\nPour la m\u00eame variable, l'ENDS a donn\u00e9 un nombre moyen d'enfants n\u00e9s vivants de 3,201 pour l'ensemble des femmes, auquel correspond une erreur-type de 0,044 enfant. La fourchette dans laquelle se place la moyenne + 2 ET est donc 3,113 et 3,288. La probabilit\u00e9 que la vraie valeur du nombre moyen d'enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 15 \u00e0 49 ans soit \u00e0 l'int\u00e9rieur de cet intervalle est de 95%.","data_appraisal":"On appelle erreurs de mesure les biais imputables \u00e0 la mise en oeuvre de la collecte et de l'exploitation des donn\u00e9es tels que l'omission de m\u00e9nages s\u00e9lectionn\u00e9s, la mauvaise interpr6tation des questions, soit de la part de l'enqu\u00eatrice, soit de la part de l'enqu\u00eate, ou encore tels que les erreurs de saisie des donn\u00e9es. Bien que tout ait \u00e9t\u00e9 fait pour minimiser ce type d'erreur pendant la mise en oeuvre de l'ENDS, il est difficile d'\u00e9viter et d'\u00e9valuer toutes les erreurs de mesure."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS, ICF Macro","affiliation":"","email":"archive@measuredhs.com","uri":"http:\/\/www.measuredhs.com"}],"cit_req":"L'utilisation des donn\u00e9es doit \u00eatre mentionn\u00e9e par l'inclusion d'une r\u00e9f\u00e9rence bibliographique contenant au minimum:\n- l'identification de l'enqu\u00eateur principal (agence ou personne ayant assur\u00e9 la responsabiit\u00e9 de la production des donn\u00e9es)\n- le titre exact de l'enqu\u00eate (y compris le pays, l'ann\u00e9e de l'enqu\u00eate et l'abbr\u00e9viation du titre de l'enqu\u00eate lorsque disponible)\n- le num\u00e9ro de r\u00e9f\u00e9rence de l'enqu\u00eate tel qu'indiqu\u00e9 dans notre catalogue\n- la source et la date du t\u00e9l\u00e9chargement des fichiers de donn\u00e9es pour les donn\u00e9es obtenues en ligne","disclaimer":"L'utilisateur des donn\u00e9es reconnait que le producteur des donn\u00e9es, le distributeur agr\u00e9\u00e9, ainsi que les bailleurs de fonds ayant contribu\u00e9 au financement de la production de ces donn\u00e9es, ne sont nullement responsables de l'utilisation qui sera faite de ces donn\u00e9es, ni des interpr\u00e9tations et conclusions d\u00e9riv\u00e9es de leur analyse et utilisation."}}},"data_files":[{"file_id":"F1","file_name":"RECH0","description":"HOUSEHOLD\n- Household's Basic Data","case_count":"6500","var_count":"30","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F2","file_name":"RECH1","description":"HOUSEHOLD\n- Household Schedule","case_count":"31423","var_count":"20","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F3","file_name":"RECH2","description":"HOUSEHOLD\n- Household 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