{"type":"survey","study_desc":{"title_statement":{"idno":"BOL_2008_DHS_v01_M","title":"Encuesta Nacional de Demograf\u00eda y Salud 2008","alt_title":"DHS 2008 \/  ENDSA 2008","translated_title":"Demographic and Health Survey 2008"},"authoring_entity":[{"name":"Ministerio de Salud y Deportes","affiliation":""},{"name":"Instituto Nacional de Estad\u00edstica","affiliation":""}],"production_statement":{"producers":[{"name":"Macro International Inc","affiliation":"","role":"Technical Assistance"}],"funding_agencies":[{"name":"Tesoro General de la Naci\u00f3n","abbreviation":"TGN","role":""},{"name":"Agencia de Estados Unidos para el Desarrollo Internacional","abbreviation":"USAID","role":""},{"name":"Banco Mundial","abbreviation":"BM","role":""},{"name":"Fondo de Poblaci\u00f3n de las Naciones Unidas","abbreviation":"UNFPA","role":""},{"name":"Programa de Naciones Unidas para el Desarrollo","abbreviation":"PNUD","role":""},{"name":"Programa de Apoyo al Sector de la Higiene y Salud de Base","abbreviation":"PROHISABA","role":""},{"name":"Fondo de Naciones Unidas para la Infancia","abbreviation":"UNICEF","role":""},{"name":"Agencia Espa\u00f1ola de Cooperaci\u00f3n Internacional","abbreviation":"AECI","role":""},{"name":"Organizaci\u00f3n Panamericana de la Salud","abbreviation":"OPS\/OMS","role":""},{"name":"Agencia Canadiense para el Desarrollo Internacional","abbreviation":"CIDA","role":""}]},"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"},{"name":"INE de Bolivia","affiliation":"","email":"ceninf@ine.gob.bo","uri":"http:\/\/www.ine.gob.bo\/"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS V","series_info":"La Bolivia 2008 Encuesta Nacional de Demograf\u00eda y Salud (ENDSA) es la cinco encuesta de este tipo llevado a cabo en Bolivia (la primera en 1989)"},"study_info":{"abstract":"Las ENDSAs en Bolivia se han constituido en la principal fuente de informaci\u00f3n del pa\u00eds en materia de salud y nutrici\u00f3n y, por ende, en la principal fuente para dise\u00f1ar y evaluar pol\u00edticas p\u00fablicas en el sector. El objetivo de la ENDSA 2008 es producir estimaciones de los diversos indicadores de salud y nutrici\u00f3n, con niveles de confianza aceptables. Entre los temas investigados en la ENDSA 2008, para los que se genera una gama de indicadores, est\u00e1n la salud materna-infantil incluida la vacunaci\u00f3n y el nivel de anemia en mujeres y ni\u00f1os y ni\u00f1as, mortalidad infantil y en la ni\u00f1ez, nutrici\u00f3n incluida lactancia materna, planificaci\u00f3n familiar, fecundidad, ITS\/VIH\/SIDA, violencia contra la mujer y contra el hombre, empoderamiento de la mujer y caracter\u00edsticas socioecon\u00f3micas de la poblaci\u00f3n entrevistada. La informaci\u00f3n obtenida en la ENDSA 2008 tambi\u00e9n permite estimar el nivel de mortalidad materna, si bien su estimaci\u00f3n es bastante imprecisa por tratarse de un evento muy raro.\n\nUn segundo objetivo de la ENDSA 2008 es el de permitir un an\u00e1lisis de tendencia. Esto es, los niveles de los diferentes indicadores obtenidos con la ENDSA 2008 pueden compararse con los niveles de los mismos indicadores estimados a partir de las ENDSAs de 1989, 1994, 1998 y 2003. Tambi\u00e9n es posible, en muchos casos, efectuar comparaciones con los niveles de indicadores obtenidos a partir de la informaci\u00f3n censal.\n\nUn tercer objetivo es proporcionar informaci\u00f3n comparable a nivel internacional en los temas de salud, nutrici\u00f3n, mortalidad, fecundidad, regulaci\u00f3n de la fecundidad, violencia, ITS y VIH\/SIDA, entre otros temas.\n\nA este documento le seguir\u00e1n los informes departamentales que presentar\u00e1n los resultados de manera espec\u00edfica y desagregada, adem\u00e1s de otros an\u00e1lisis con mayor profundidad sobre temas espec\u00edficos.","coll_dates":[{"start":"2008-02","end":"2008-06","cycle":""}],"nation":[{"name":"Bolivia","abbreviation":"BOL"}],"geog_coverage":"La muestra de la ENDSA 2008 fue dise\u00f1ada para obtener estimaciones de los diversos indicadores con niveles de confianza aceptables a diferentes niveles de desagregaci\u00f3n geogr\u00e1fica. Estos niveles son:\n- Total del pa\u00eds\n- Total para cada una de las dos \u00e1reas de residencia: urbana y rural\n- Total para cada una de las tres regiones geogr\u00e1ficas: Altiplano, Valle y Llano\n- Total para cada uno de los nueve departamentos","analysis_unit":"- Household\n- Children under five years\n- Women age 15-49\n- Men age 15-64","universe":"Las universe de an\u00e1lisis son las mujeres en edad f\u00e9rtil y sus correspondientes ni\u00f1os menores a cinco a\u00f1os localizados en los hogares seleccionados; adem\u00e1s de los hombres de 15 a 64 a\u00f1os encontrados en una submuestra de estos mismos hogares.","data_kind":"Sample survey data","notes":"La Encuesta Demogr\u00e1fica y de Salud de 2008 en Bolivia abarca los siguientes temas:\n- Acceso a los Medios de Comunicaci\u00f3n\n- Anemia\n- Anticoncepci\u00f3n\n- CaracterIsticas de las Mujeres y Hombres Entrevistados\n- Educaci\u00f3n y asistencia escolar de los miembros del hogar de 6 a\u00f1os o m\u00e1s de edad\n- Fecundidad\n- Infertilidad \n- Infecciones Respiratorias Agudas (IRA)\n- Preferencias Reproductivas\n- Planificaci\u00f3n Familiar\n- Lactancia y Nutrici\u00f3n\n- Mortalidad Materno-Infantil\n- Mortalidad Materna\n- Nupcialidad y Exposici\u00f3n al Riesgo de Embarazo\n- Salud Materno-Infantil\n- Servicios B\u00e1sicos\n- Trabajo Femenino\n- Vacunaci\u00f3n\n- Violencia contra la mujer y los ni\u00f1os\n- Violencia contra el hombre","study_scope":"La Encuesta Demogr\u00e1fica y de Salud de 2008 en Bolivia abarca los siguientes temas:\n- Acceso a los Medios de Comunicaci\u00f3n\n- Anemia\n- Anticoncepci\u00f3n\n- CaracterIsticas de las Mujeres y Hombres Entrevistados\n- Educaci\u00f3n y asistencia escolar de los miembros del hogar de 6 a\u00f1os o m\u00e1s de edad\n- Fecundidad\n- Infertilidad \n- Infecciones Respiratorias Agudas (IRA)\n- Preferencias Reproductivas\n- Planificaci\u00f3n Familiar\n- Lactancia y Nutrici\u00f3n\n- Mortalidad Materno-Infantil\n- Mortalidad Materna\n- Nupcialidad y Exposici\u00f3n al Riesgo de Embarazo\n- Salud Materno-Infantil\n- Servicios B\u00e1sicos\n- Trabajo Femenino\n- Vacunaci\u00f3n\n- Violencia contra la mujer y los ni\u00f1os\n- Violencia contra el hombre"},"method":{"data_collection":{"data_collectors":[{"name":"Instituto Nacional de Estad\u00edstica","abbreviation":"INE","affiliation":""}],"sampling_procedure":"INTRODUCCI\u00d3N\n\nPara la aplicaci\u00f3n del cuestionario de hogar en la ENDSA 2008 se decidi\u00f3 seleccionar una muestra de 20,000 hogares y dentro de cada uno de ellos aplicar el cuestionario individual a la poblaci\u00f3n de mujeres elegibles (15-49 a\u00f1os). Por otro lado, uno de cada tres de esos hogares se seleccion\u00f3 para implementar el cuestionario individual de hombres (15-64 a\u00f1os).\n\nOBJETIVOS DEL DISE\u00d1O MUESTRAL\n\nAl igual que para encuestas anteriores, el principal objetivo de la ENDSA 2008 es de producir estimaciones de los diversos indicadores con niveles de confianza aceptables, tales como la fecundidad, la mortalidad infantil, la planificaci\u00f3n familiar y la salud para los diversos dominios de inter\u00e9s. Los principales dominios de an\u00e1lisis son cada departamento (nueve en total), cada una de las 3 regiones naturales (El Altiplano, El Valle y El Llano), las 2 \u00e1reas de residencia (urbana y rural), y finalmente para el total del pa\u00eds. Con relaci\u00f3n a la mortalidad materna, la estimaci\u00f3n con el tama\u00f1o asignado de 20,000 hogares s\u00f3lo se presenta para el total del pa\u00eds y a\u00fan en este caso se considera relativamente imprecisa.\n\nMARCO MUESTRAL\n\nBolivia est\u00e1 dividida en 9 departamentos. Cada departamento est\u00e1 dividido en provincias y cada provincia en secciones municipales. Durante el \u00faltimo censo de poblaci\u00f3n y vivienda (2001) el pa\u00eds fue dividido en segmentos censales respet\u00e1ndose los l\u00edmites de las diversas unidades jer\u00e1rquicoadministrativas.\n\nCon la informaci\u00f3n censal se cre\u00f3 un archivo con 16,790 unidades denominadas Unidades Primarias de Muestreo (UPM), con un promedio de 80 a 150 viviendas en \u00e1reas amanzanadas y entre 150 y 350 viviendas en \u00e1reas dispersas. Este archivo de UPMs fue estratificado dentro de cada departamento en categor\u00edas de tama\u00f1os de poblados: ciudad capital, poblados grandes (10,000 y m\u00e1s habitantes), poblados menores (entre 2,000 y 10,000), poblados peque\u00f1os (250 a 2,000) y \u00e1rea dispersa (menos de 250). Este archivo se utiliz\u00f3 como el marco de muestreo de la ENDSA 2008, del cual se seleccion\u00f3 aleatoriamente 1,000 UPMs. Cada UPM tiene una completa identificaci\u00f3n mediante un n\u00famero que contiene c\u00f3digos de departamento, provincia, secci\u00f3n y de divisiones menores donde se encuentra localizada. Cada UPM posee adem\u00e1s un mapa cartogr\u00e1fico perfectamente delimitado.\n\nESTRATIFICACI\u00d3N\n\nEn cada departamento, las UPMs del marco muestral fueron estratificadas de acuerdo a la categorizaci\u00f3n de los tama\u00f1os de los poblados. El \u00e1rea de residencia urbana est\u00e1 definida como todos los poblados de 2,000 habitantes y m\u00e1s y el \u00e1rea de residencia rural se define como todo poblado menor de 2,000 habitantes. La estratificaci\u00f3n definida en el marco muestral tambi\u00e9n se aplica impl\u00edcitamente a la ENDSA 2008.\n\nM\u00cdNIMO TAMA\u00d1O DE MUESTRA PARA CADA DOMINIO\n\nEn general, el dise\u00f1o de la muestra para una encuesta del tipo de la ENDSA 2008 es estratificado, por conglomerado y en dos etapas. El error muestral para este dise\u00f1o tiene dos componentes: el primero corresponde a la variaci\u00f3n entre las UPMs y el segundo a la variaci\u00f3n de los hogares dentro de las UPMs. La variabilidad entre UPMs es mucho mayor para las \u00e1reas urbanas que para las \u00e1reas rurales, pero en general la variabilidad dentro de las UPMs seleccionadas es menor en lo urbano que en lo rural. Por lo tanto, un importante factor para controlar el error muestral es la reducci\u00f3n del mayor componente de variabilidad (que es la variaci\u00f3n entre UPMs) y el cual es inversamente proporcional al n\u00famero de UPMs (especialmente en el \u00e1rea urbana). La pol\u00edtica del proyecto de encuestas DHS es la de recomendar seleccionar un m\u00ednimo de alrededor de 35 UPMs por dominio de estudio para el an\u00e1lisis adecuado de la informaci\u00f3n. Tambi\u00e9n es bien conocido que un aumento del n\u00famero de UPMs en la muestra reduce el error muestral pero no en raz\u00f3n proporcional al incremento de ese n\u00famero. Espec\u00edficamente, si se doblara el n\u00famero de UPMs el error muestral no se reduce a la mitad, sino s\u00f3lo a un 30 por ciento del valor original.\n\nASIGNACI\u00d3N DE LA MUESTRA\n\nSe consider\u00f3 un total de 20,000 hogares a seleccionar y se utiliz\u00f3 informaci\u00f3n de la encuesta ENDSA 2003 como un instrumento de ayuda para estimar el n\u00famero esperado de entrevistas completas para la ENDSA 2008. En la ENDSA 2003 se seleccionaron 19,942 hogares para conseguir un total aproximado de 17,654 entrevistas completas de mujeres. Se esperar\u00eda entonces obtener un total aproximado de 17,705 entrevistas completas en la ENDSA 2008. El total de viviendas seleccionadas fue distribuido por departamento pero no proporcionalmente a su tama\u00f1o poblacional sino de tal modo de poder cumplir con los objetivos requeridos de la encuesta de tener un tama\u00f1o adecuado para cada departamento. Por esta raz\u00f3n la muestra no es autoponderada. El n\u00famero asignado de hogares y de unidades primarias de muestreo (UPM) se detalla en el Cuadro A.1 por departamento y tama\u00f1o de la localidad. Las localidades de menos de 2,000 habitantes constituyen el \u00e1rea rural (poblados de 250 a 2,000 y poblados de menos de 250 habitantes).\n\nSELECCI\u00d3N DE LA MUESTRA\n\nLa selecci\u00f3n de la muestra para la ENDSA 2008 se implement\u00f3 en cada grupo de tipo de poblado dentro de cada departamento, en dos etapas: la primera etapa consiste de una selecci\u00f3n sistem\u00e1tica de UPMs con probabilidad proporcional a su tama\u00f1o, siendo el tama\u00f1o el n\u00famero de hogares. En una segunda etapa, un n\u00famero fijo de 20 hogares fueron seleccionados dentro de cada UPM. A\u00fan cuando para muchos indicadores el n\u00famero \u00f3ptimo es alrededor de 10 hogares por UPM, por razones de implementaci\u00f3n en el campo y de costo, el programa de las Encuestas Demogr\u00e1ficas y de Salud recomienda una muestra de 15 a 30 hogares por UPM. La p\u00e9rdida en la precisi\u00f3n de los indicadores es m\u00ednima, no mayor del 10 por ciento dependiendo del indicador.","sampling_deviation":"Para la ENDSA 2008 un total de 20,003 hogares fueron seleccionados. De este total, 19,795 fueron encontrados y en 19,564 se logr\u00f3 realizar la entrevista completa. Esta cantidad de hogares entrevistados representa una tasa de respuesta de 99 por ciento, luego de excluir del c\u00e1lculo las viviendas desocupadas, destruidas y no encontradas.\n\nDe un total de 17,655 mujeres elegibles, es decir mujeres de 15 a 49 a\u00f1os, se logr\u00f3 entrevistar 16,939, obteni\u00e9ndose una tasa de respuesta de 96 por ciento. Ambas tasas de respuesta, la de hogares y la de mujeres, son bastante satisfactorias para este tipo de encuestas, considerando las dif\u00edciles condiciones que presenta Bolivia para el trabajo de campo.\n\nPara la muestra de hombres se encontraron 6,684 hombres elegibles y se entrevistaron 6,054, de donde resulta una tasa de respuesta de 91 por ciento.","coll_mode":"Face-to-face","research_instrument":"Para la recolecci\u00f3n de informaci\u00f3n en la ENDSA 2008 se utilizaron tres cuestionarios, basados en los cuestionarios modelos dise\u00f1ados para la quinta ronda por el Programa MEASURE DHS, pero muy similares a los utilizados en la ENDSA 2003:\na) Un cuestionario de hogar aplicado en la muestra total de hogares.\nb) Un cuestionario individual para mujeres de 15 a 49 a\u00f1os de edad en esos hogares.\nc) Un cuestionario individual para hombres de 15 a 64 a\u00f1os de edad en una submuestra de esos hogares.\n\na) Cuestionario de hogar\n\nEl cuestionario de hogar fue completado en 19,564 hogares y comprende los siguientes temas:\n- Residentes habituales y visitantes del hogar\n- Relaci\u00f3n de parentesco, sexo y edad de cada miembro del hogar\n- Supervivencia de los padres de los miembros menores de 18 a\u00f1os\n- Asistencia a establecimientos preescolares o de aprendizaje temprano (ni\u00f1os de 3 a 5 a\u00f1os)\n- Educaci\u00f3n de la poblaci\u00f3n de 6 y m\u00e1s a\u00f1os\n- Problemas de salud de la poblaci\u00f3n de 5 a 19 a\u00f1os\n- Seguro de salud para la poblaci\u00f3n de 60 a\u00f1os y m\u00e1s (SSPAM)\n- Caracter\u00edsticas de la vivienda y del hogar\n- Caracter\u00edsticas demogr\u00e1ficas de la poblaci\u00f3n de 5 a\u00f1os y m\u00e1s\n- Peso y talla de los ni\u00f1os y mujeres\n- Prueba de anemia en ni\u00f1os y mujeres.\n\nb) Cuestionario Individual de Mujeres\n\nEl cuestionario individual de mujeres fue aplicado de manera completa en 16,939 mujeres y comprende los siguientes grandes temas:\n- Antecedentes de la mujer entrevistada\n- Reproducci\u00f3n e historia de nacimientos\n- Anticoncepci\u00f3n\n- Embarazo y lactancia para los hijos menores de 5 a\u00f1os\n- Vacunaci\u00f3n y salud para los hijos menores de 5 a\u00f1os\n- Seguro de salud (SUMI)\n- Nupcialidad y actividad sexual\n- Preferencias de fecundidad\n- Antecedentes del marido y trabajo de la mujer\n- VIH\/SIDA e Infecciones de Transmisi\u00f3n Sexual\n- Violencia contra la mujer y los ni\u00f1os\n- Mortalidad materna\n- Calendario de Eventos (nacimientos, terminaciones, uso de m\u00e9todos).\n\nc) Cuestionario Individual de Hombres\n\nEl cuestionario individual de hombres fue aplicado de manera completa a 6,054 hombres y comprende los siguientes temas:\n- Antecedentes de los entrevistados\n- Reproducci\u00f3n\n- Anticoncepci\u00f3n\n- Nupcialidad y actividad sexual\n- Preferencias de fecundidad\n- Participaci\u00f3n en el cuidado de la salud de los hijos\n- VIH\/SIDA e Infecciones de Transmisi\u00f3n Sexual\n- Violencia contra el hombre.","coll_situation":"ENTRENAMIENTO DEL PERSONAL DE CAMPO\n\nEl curso de capacitaci\u00f3n al personal de campo -encuestadoras y encuestadores- tuvo una duraci\u00f3n de cuatro semanas, del 7 de enero al 2 de febrero de 2008, tiempo suficiente para garantizar el dominio total de los cuestionarios y proporcionar elementos complementarios requeridos para un \u00f3ptimo desempe\u00f1o.\n\nA la convocatoria a nivel nacional de requerimiento de personal de campo se presentaron 339 candidatas y 206 candidatos, de los que se preseleccionaron un total de 360 candidatas y candidatos para participar en el curso de capacitaci\u00f3n realizado en la ciudad de La Paz. Debido al gran n\u00famero de participantes fue necesario organizar el curso en cinco sesiones simult\u00e1neas. El curso fue conducido por el equipo t\u00e9cnico de la ENDSA con el apoyo del INE y de MEASURE DHS. Tambi\u00e9n se cont\u00f3 con la participaci\u00f3n de profesionales de las diferentes Unidades del Ministerio de Salud y Deportes. Para el entrenamiento, previamente se adaptaron al contexto nacional los cuestionarios y manuales preparados por el Programa MEASURE DHS. Tambi\u00e9n se dise\u00f1\u00f3 un juego de formularios de control para la entrega y recepci\u00f3n de asignaciones de trabajo y para el monitoreo diario de rendimiento del personal capacitado.\n\nEn el entrenamiento se incluyeron disertaciones sobre salud infantil y adolescente, interculturalidad en salud, anticoncepci\u00f3n, embarazo, parto y puerperio, nutrici\u00f3n, seguro universal materno-infantil, VIH\/SIDA e infecciones transmitidas sexualmente, salud y mortalidad materna y violencia intrafamiliar, disertaciones que estuvieron a cargo de profesionales especializados en estas tem\u00e1ticas del Ministerio de Salud y Deportes. Tambi\u00e9n se incluy\u00f3 la capacitaci\u00f3n en el an\u00e1lisis de nivel de hemoglobina en una muestra de sangre y en la medici\u00f3n de peso y talla en mujeres y ni\u00f1os menores de cinco a\u00f1os a encuestadores que desempe\u00f1ar\u00edan estas funciones. La estandarizaci\u00f3n de los encuestadores en las mediciones de peso y talla se llev\u00f3 a cabo en diferentes centros de atenci\u00f3n a la ni\u00f1ez. Concluida la parte te\u00f3rica de la capacitaci\u00f3n se hicieron ejercicios pr\u00e1cticos en aula, para lo cual se invitaron a mujeres en edad f\u00e9rtil con al menos un hijo menor de cinco a\u00f1os. En cada aula se nombr\u00f3 una entrevistadora con buen desempe\u00f1o para que hiciera la entrevista y todos los participantes hicieran el registro en sus respectivos cuestionarios. Una vez finalizadas las entrevistas, se procedi\u00f3 a hacer discusiones sobre los problemas observados, tales como: mala formulaci\u00f3n de preguntas, errores en la interpretaci\u00f3n de algunas respuestas, falta de sondeo, registro de respuestas y manejo del Calendario. Al finalizar la capacitaci\u00f3n se realiz\u00f3 una prueba piloto con el prop\u00f3sito de evaluar el desempe\u00f1o pr\u00e1ctico del personal. La evaluaci\u00f3n en el \u00e1rea rural fue realizada en distintas comunidades del departamento de La Paz (Laja, Guaqui, Patamanta, Palcoco, Villa Remedios, Huajchilla, Valencia y Mecapaca) el d\u00eda 25 de enero de 2008 y en el \u00e1rea urbana en barrios de las zonas de Achachicala, Matadero y Kamirpata de la ciudad de La Paz el d\u00eda 26 de enero.\n\nLuego de la evaluaci\u00f3n se conformaron 40 grupos o brigadas de encuestadores. Cada brigada estaba constituida por un supervisor(a), un editor(a), tres entrevistadoras a mujeres en edad f\u00e9rtil, un entrevistador a hombres de 15 a 64 a\u00f1os que tambi\u00e9n realizaba la prueba de anemia y una entrevistadora para medici\u00f3n de peso y talla. Antes del inicio del trabajo de campo se realiz\u00f3 una jornada de entrenamiento adicional con las editoras y supervisoras para reforzar sus habilidades de cr\u00edtica e instruirles en el manejo de los formularios de control.\n\nTRABAJO DE CAMPO\n\nEl trabajo de campo de la ENDSA 2008 se inici\u00f3 el 13 de febrero en siete departamentos, en los otros dos departamentos comenz\u00f3 el 25 de febrero (en Pando) y el 28 de febrero (en Beni), y se extendi\u00f3 hasta el d\u00eda 15 de junio del mismo a\u00f1o. Una etapa de revisitas a hogares para incremento de coberturas y algunos casos de revisi\u00f3n de respuestas sobre indicadores clave como mortalidad infantil, mortalidad materna y vacunas se realiz\u00f3 entre el 15 y el 25 de junio de 2008. Cada uno de los 40 grupos de encuestadores conformados para la ejecuci\u00f3n del trabajo de campo cont\u00f3 con un veh\u00edculo de uso exclusivo y un chofer. Tambi\u00e9n se designaron como coordinadores en cada departamento a los jefes departamentales del Programa Reforma de Salud, quienes apoyaron fundamentalmente en el seguimiento y supervisi\u00f3n del trabajo de campo. Durante todo el operativo de campo se supervis\u00f3 el trabajo de los 40 grupos de encuestadores. Frecuentemente se realizaron reuniones de retroalimentaci\u00f3n con los grupos de trabajo, en terreno, para compartir las observaciones resultantes de las constantes supervisiones realizadas por el equipo t\u00e9cnico, el cual estuvo conformado por los t\u00e9cnicos de la ENDSA, consultores de MEASURE DHS, personal del Proyecto Reforma de Salud dedicado exclusivamente a apoyar la ENDSA y profesionales de diferentes Unidades del Ministerio de Salud y Deportes.","act_min":"se designaron como coordinadores en cada departamento a los jefes departamentales del Programa Reforma de Salud, quienes apoyaron fundamentalmente en el seguimiento y supervisi\u00f3n del trabajo de campo. Durante todo el operativo de campo se supervis\u00f3 el trabajo de los 40 grupos de encuestadores. Frecuentemente se realizaron reuniones de retroalimentaci\u00f3n con los grupos de trabajo, en terreno, para compartir las observaciones resultantes de las constantes supervisiones realizadas por el equipo t\u00e9cnico, el cual estuvo conformado por los t\u00e9cnicos de la ENDSA, consultores de MEASURE DHS, personal del Proyecto Reforma de Salud dedicado exclusivamente a apoyar la ENDSA y profesionales de diferentes Unidades del Ministerio de Salud y Deportes.","cleaning_operations":"DIGITACION, CRITICA Y TABULACION\n\nLa primera etapa del procesamiento de la informaci\u00f3n se implement\u00f3 en terreno, donde las(os) supervisoras(es) y editoras(es) verificaron la consistencia de los cuestionarios. Una vez recibidos los cuestionarios en oficina central \u00e9stos fueron codificados, digitados y verificados para proceder con la cr\u00edtica mediante microcomputadoras. Para este procesamiento se utiliz\u00f3 el programa interactivo CSPro, versi\u00f3n para Windows del original programa ISSA (Sistema Integrado para An\u00e1lisis de Encuestas).\n\nCSPro es un programa avanzado para microcomputadoras dise\u00f1ado por Macro Internacional, la Oficina de Censos de Estados Unidos y la compa\u00f1\u00eda SERPRO de Chile, espec\u00edficamente para encuestas complejas como la ENDSA 2008, que permite agilizar el ingreso de informaci\u00f3n, cr\u00edtica, correcci\u00f3n y elaboraci\u00f3n de tabulaciones, lo que hace posible la presentaci\u00f3n de resultados al poco tiempo de t\u00e9rmino del trabajo de campo. El programa tambi\u00e9n se utiliza para preparar peri\u00f3dicamente, durante el trabajo de campo, tabulaciones especiales con el objeto de realizar evaluaciones de la calidad de la informaci\u00f3n a partir de los primeros d\u00edas de trabajo de campo, con retroalimentaci\u00f3n a las(os) supervisoras(es) y editoras(es). Las tabulaciones permiten igualmente hacer seguimiento al rendimiento de las(os) entrevistadoras(es) y mejorar las tasas de respuesta si fuese necesario. El ingreso de datos se realiz\u00f3 mediante una red bajo el sistema operativo Windows XP para el almacenamiento interactivo de datos y se efectu\u00f3 doble digitaci\u00f3n en el 100 por ciento de los cuestionarios. La digitaci\u00f3n y verificaci\u00f3n computarizada fue realizada por 31 digitadores agrupados en dos turnos de ocho horas bajo la supervisi\u00f3n de 1 persona por turno, con el apoyo de 26 codificadores tambi\u00e9n agrupados en dos turnos y un supervisor por turno. El trabajo de digitaci\u00f3n se inici\u00f3 el 10 de marzo y concluy\u00f3 el 15 de julio de 2008. La etapa de generaci\u00f3n de la base de datos se complet\u00f3 el 31 de julio."},"analysis_info":{"response_rate":"De los 20,003 hogares que fueron seleccionados para la entrevista individual de mujeres (Cuadro A.2), 19,795 fueron encontrados y en 19,564 se logr\u00f3 realizar la entrevista completa, para una tasa de respuesta del 99 por ciento al excluir del c\u00e1lculo los hogares ausentes, las viviendas desocupadas o destruidas y las no encontradas. De un total de 17,655 mujeres elegibles se logr\u00f3 entrevistar 16,939 obteni\u00e9ndose una tasa de respuesta de 96 por ciento. La tasa de respuesta combinada fue del 95 por ciento, bastante satisfactoria para este tipo de encuesta, sobre todo tomando en cuenta las dif\u00edciles condiciones que presentan ciertas \u00e1reas de Bolivia para el trabajo de campo. A nivel departamental, la menor tasa de respuesta se obtuvo en Cochabamba (94 por ciento), mientras las mayores se registran en los departamentos de Potos\u00ed, Beni y Pando (98 por ciento, en los tres casos). Para la muestra de hombres se seleccionaron 6,977 hogares de los mismos 20,003 de la muestra b\u00e1sica para mujeres. Fueron encontrados 6,684 hogares y en 6,054 se pudo realizar entrevistas, logrando una tasa de respuesta del 91 por ciento. La tasa de respuesta combinada de hogares entrevistados y hombres con entrevista completa fue del 90 por ciento.","sampling_error_estimates":"El primer tipo de error incluye la falta de cobertura de todas las mujeres seleccionadas, errores en la formulaci\u00f3n de las preguntas y en el registro de las respuestas, confusi\u00f3n o incapacidad de las mujeres para dar la informaci\u00f3n y errores de codificaci\u00f3n o de procesamiento. Al igual que para las encuestas anteriores de 1989, 1994, 1998 y 2003, para la ENDSA 2008 se trat\u00f3 de reducir a un m\u00ednimo este tipo de errores a trav\u00e9s de una serie de procedimientos que se emplean en toda encuesta bien dise\u00f1ada y ejecutada, como son: el dise\u00f1o cuidadoso y numerosas pruebas del cuestionario, intensa capacitaci\u00f3n de las entrevistadoras, supervisi\u00f3n intensa y permanente del trabajo de campo, revisi\u00f3n de los cuestionarios en el campo por parte de las editoras\/los editores, supervisi\u00f3n apropiada en la etapa de codificaci\u00f3n, y procesamiento de los datos y limpieza cuidadosa del archivo con retroalimentaci\u00f3n a las supervisoras, cr\u00edticas y entrevistadoras a partir de los cuadros de control de calidad. Los elementos de juicio disponibles se\u00f1alan que este tipo de errores se mantuvo dentro de m\u00e1rgenes razonables en la ENDSA 2008. En lo que sigue no se har\u00e1 m\u00e1s referencia a los errores ajenos al muestreo sino \u00fanicamente a los llamados errores de muestreo.\n\nLa muestra de hogares visitados para la ENDSA 2008 no es sino una de la gran cantidad de muestras del mismo tama\u00f1o que ser\u00eda posible seleccionar de la poblaci\u00f3n de inter\u00e9s utilizando el dise\u00f1o empleado. Cada una de ellas habr\u00eda dado resultados en alguna medida diferentes de los arrojados por la muestra usada. La variabilidad que se observar\u00eda entre todas las muestras posibles constituye el error de muestreo, el cual no se conoce pero puede ser estimado a partir de los datos suministrados por la muestra realmente seleccionada. El error de muestreo se mide por medio del error est\u00e1ndar. El error est\u00e1ndar de un promedio, porcentaje, diferencia o cualquier otra estad\u00edstica calculada con los datos de la muestra se define como la ra\u00edz cuadrada de la varianza de la estad\u00edstica y es una medida de su variaci\u00f3n en todas las muestras posibles. En consecuencia, el error est\u00e1ndar mide el grado de precisi\u00f3n con que el promedio, porcentaje, o estad\u00edstica basado en la muestra, se aproxima al resultado que se habr\u00eda obtenido si se hubiera entrevistado a todas las mujeres de la poblaci\u00f3n bajo las mismas condiciones.\n\nEl error est\u00e1ndar puede ser usado para calcular intervalos dentro de los cuales hay una determinada confianza de que se encuentra el valor poblacional. As\u00ed, si se toma cierta estad\u00edstica calculada de la muestra (un porcentaje, por ejemplo) y se le suma y resta dos veces su error est\u00e1ndar, se obtiene un intervalo al cual se le asigna una confianza de 95 por ciento de que contiene, en este caso, el porcentaje poblacional.\n\nSi las personas entrevistadas en la ENDSA 2008 hubieran sido seleccionadas en forma simple al azar, podr\u00edan utilizarse directamente las f\u00f3rmulas muy conocidas que aparecen en los textos de estad\u00edstica para el c\u00e1lculo del error est\u00e1ndar y de los l\u00edmites de confianza y para la realizaci\u00f3n de pruebas de hip\u00f3tesis. Sin embargo, como se ha se\u00f1alado, el dise\u00f1o empleado es complejo, por lo cual se requiere utilizar f\u00f3rmulas especiales que consideran los efectos de la estratificaci\u00f3n y la conglomeraci\u00f3n.\n\nEl programa DHS ha incorporado en sus programas computarizados la metodolog\u00eda apropiada para el an\u00e1lisis estad\u00edstico de muestras complejas como la de la ENDSA 2008. Este subprograma maneja el porcentaje o promedio de inter\u00e9s como una raz\u00f3n estad\u00edstica r = y\/x, en donde el numerador (y) representa el valor total en la muestra de la variable Y, mientras el denominador (x) representa el n\u00famero total de casos en el grupo o subgrupo bajo consideraci\u00f3n.\n\nV\u00e9ase el informe para m\u00e1s detalles.","data_appraisal":"Los cuadros en Ap\u00e9ndice C del Informe Final est\u00e1n referidos m\u00e1s bien a posibles errores no muestrales: preferencia de d\u00edgitos y redondeo en la declaraci\u00f3n de edades o fechas; olvido de acontecimientos en el pasado; el esfuerzo deliberado de algunas entrevistadoras de distorsionar algunos datos con el objeto de aligerar la carga de trabajo; la falta de colaboraci\u00f3n de algunas mujeres en facilitar ciertos datos o su rechazo a la medici\u00f3n antropom\u00e9trica, etc. En este ap\u00e9ndice se incluyen los cuadros b\u00e1sicos con el detalle de la magnitud de estos errores no muestrales."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}],"cit_req":"Citation : \n\nEncuesta Nacional de Demograf\u00eda y Salud 2008, Bolivia, Ministerio de Salud y Deportes, Instituto Nacional de Estad\u00edstica, La Paz, Bolivia and Macro International Inc. Calverton, Maryland, USA. Ref.OL_2008_DHS_v01_M. Dataset downloaded from http:\/\/www.measuredhs.com","disclaimer":"El usuario reconoce que los datos de producci\u00f3n de datos, distribuidor autorizado, y los donantes que ayudaron a financiar la producci\u00f3n de estos datos, no son en absoluto responsables de la utilizaci\u00f3n de estos datos, ni interpretaciones y conclusiones derivadas de su an\u00e1lisis y uso."}}},"data_files":[{"file_id":"F58","file_name":"RECH0","description":"HOUSEHOLD\n- Household basic data","case_count":"20003","var_count":"40","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F59","file_name":"RECH1","description":"HOUSEHOLD\n- Household Schedule","case_count":"77757","var_count":"41","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F60","file_name":"RECH2","description":"HOUSEHOLD\n- Household 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