{"type":"survey","doc_desc":{"title":"DOM_1991_DHS_v01_M","idno":"DDI_DOM_1991_DHS_v01_M","producers":[{"name":"World Bank, Development Economics Data Group","abbreviation":"DECDG","affiliation":"","role":"Generation of DDI documentation"}],"prod_date":"2012-03-16"},"study_desc":{"title_statement":{"idno":"DOM_1991_DHS_v01_M","title":"Encuesta Demogr\u00e1fica y de Salud 1991","alt_title":"EDS 1991 \/ DHS 1991","translated_title":"Demographic and Health Survey 1991"},"authoring_entity":[{"name":"Instituto de Estudios de Poblaci\u00f3n y Desarrollo (IEPD)","affiliation":"PROFAMILIA"},{"name":"Oficina Nacional de Planificacion (ONAPLAN)","affiliation":""}],"oth_id":[{"name":"Oficina Regional en Santo Domingo de Development Associates Inc.","affiliation":"","email":"","role":""}],"production_statement":{"producers":[{"name":"IRD\/Macro Intemational Inc.","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","role":"Funding"}],"grant_no":"DP-3023-Z-00-8074-00"},"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":"Instituto de Estudios de Poblaci\u00f3n y Desarrollo (IEPD)","affiliation":"PROFAMILIA","email":"info@profamilia.org.do","uri":"http:\/\/www.profamilia.org.do\/index.html"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS II","series_info":"La  Encuesta Demogr\u00e1fica y de Salud DHS -1991  es la secunda encuesta de este tipo llevado a cabo en Rep\u00fablica Dominicana."},"study_info":{"abstract":"La ENDESA-91 tiene como objetivos proveer informaci\u00f3n sobre los niveles actuales de fecundidad y mortalidad, el conocimiento y uso de planificaci\u00f3n familiar, los indicadores de salud materno-infantil, entre otros temas. Se pretende igualmente, con esta informaci\u00f3n, apoyar a los encargados de los programas de salud y planificaci\u00f3n familiar, y aquellos que trabajan en diversas \u00e1reas de poblaci6n y desarrollo, en la evaluacion efectiva de nuevos programas. Otro de los objetivos de esta investigaci\u00f3n es el de proporcionar informaci\u00f3n comparable a nivel internacional en los t\u00f3picos de fecundidad, mortalidad, regulaci\u00f3n de la fecundidad y salud. \n\nLa ENDESA-91 tiene como primer objetivo proveer informaci\u00f3n sobre los niveles actuales de fecundidad y mortalidad; el conocimiento y uso de planificaci\u00f3n familiar;, los indicadores de salud materno- infantil; la migraci6n interna e internacional; y los niveles de empleo, ingresos, educaci\u00f3n y vivienda en la Rep\u00fablica Dominicana. Se pretende igualmente, con esta informaci\u00f3n, apoyar a los encargados de los programas de salud y planificaci6n familiar, y a aquellos que trabajan en las diversas \u00e1reas de poblaci\u00f3n y desarrollo, en la evaluaci\u00f3n y formulaci6n efectiva de nuevos programas. La informaci\u00f3n obtenida en la ENDESA-91 puede compararse con la informaci\u00f3n de otras encuestas (Encuesta Nacional de Fecundidad, 1975, 1980; Encuesta Nacional de Prevalencia, EPA-83; Encuesta Demogr\u00e1fica y de Salud, DHS-86, etc.) para examinar tendencias en la fecundidad, mortalidad y el uso de anticoneepci\u00f3n. Otro objetivo de las Encuestas Demogr\u00e1ficas y de Salud es el de proporcionar informaci\u00f3n comparable a nivel internacional en los t\u00f3picos de fecundidad, mortalidad, regulaci\u00f3n de la fecundidad, y salud. \n\nPara la ENDESA-91 se us\u00e9 una combinaci\u00f3n del marco muestral para la ciudad de Santo Domingo (basado en una pre-actualizaci\u00f3n de edificaciones realizada por la Ofcina Nacional de Estad\u00edstica (ONE) en 1989 y 1990) y la muestra de la DHS-86 para el reste del pa\u00eds. La muestra fue disefiada con el objetivo de tener informaci\u00f3n para 8,000 entrevistas completas de mujeres entre 15 y 49 aros, seleccionadas de aproximadamente 8,000 hogares. Esta muestra fue implementada para tener representatividad a nivel de las ocho regiones de salud. Un total de 8,975 viviendas fueron seleccionadas para la aplicaci\u00f3n del cuestionario de hogar abreviado, de las cuales 8,032 estaban ocupadas. Se complet\u00f3 el cuestionario de hogar en 7,144 viviendas (89 por ciento de las viviendas ocupadas). El total de mujeres elegibles fue 8,200, logr\u00e1ndose completar el cuestionario individual para 7,320 de ellas (89 por ciento). Adicionaimente se obtuvo informaci\u00f3n sobre salud, a trav\u00e9s de las entrevistas de las madres, para 3,820 niflos nacidos en los \u00faltimos cinco afios. Asimismo se midieron el peso, la talla y el perimetro braquial (brazo) de 2,346 mujeres entrevistadas y el peso y la talla de 2,884 niflos menores de cinco aros. Las entrevistas se iniciaron el 19 de julio y se completaron el 18 de noviembre de 1991.","coll_dates":[{"start":"1991-07","end":"1991-11","cycle":""}],"nation":[{"name":"Dominican Republic","abbreviation":"DOM"}],"geog_coverage":"National","analysis_unit":"- Household\n- Women age 15-49\n- Men age not specified","universe":"El universo de la encuesta es a toda la poblaci\u00f3n de la Rep\u00fablica Dominicana y en particular las mujeres  en edad f\u00e9rtil (15 a 49 a\u00f1os de edad).","data_kind":"Sample survey data","notes":"La  Encuesta Demogr\u00e1fica y de Salud DHS -1991  abarca los siguientes temas:\n- Anticoncepci\u00f3n\n- Antropometr\u00eda\n- Disponibilidad de servicios\n- Esterilizacion:\n- Enfermedades respiratorlas\n- Fecundidad\n- Lactancia y nuiricion\n- Mortalidad infantil y de la ni\u00f1ez\n- Nupcialidad  y Exposici\u00f3n al Riesgo de Embarazo\n- Preferencias Reproductivas\n- Planificaci\u00f3n familiar\n- Prevalencia y tratamiento de fiebre\n- Prevalencia y tratamiento de diarrea\n- Salud materno-infantil\n- Vacunaciones","study_scope":"La  Encuesta Demogr\u00e1fica y de Salud DHS -1991  abarca los siguientes temas:\n- Anticoncepci\u00f3n\n- Antropometr\u00eda\n- Disponibilidad de servicios\n- Esterilizacion:\n- Enfermedades respiratorlas\n- Fecundidad\n- Lactancia y nuiricion\n- Mortalidad infantil y de la ni\u00f1ez\n- Nupcialidad  y Exposici\u00f3n al Riesgo de Embarazo\n- Preferencias Reproductivas\n- Planificaci\u00f3n familiar\n- Prevalencia y tratamiento de fiebre\n- Prevalencia y tratamiento de diarrea\n- Salud materno-infantil\n- Vacunaciones"},"method":{"data_collection":{"sampling_procedure":"DISENO DE LA MUESTRA \n\nLa ENDESA 1991 fue dise\u00f1ada para permitir una diversidad de an\u00e1lisis a varios niveles de desagregaci\u00f3n geogr\u00e1fica y\/o dominio de estudio. Los mayores dominios a ser distinguidos en las muestra fueron: La Rep\u00fablica Dominicana como un todo Las \u00e1reas urbana y rural del pafs Las ocho regiones de salud \n\nEl objetivo primordial de la ENDESA-91 es dar estimaciones con un nivel de precisi\u00f3n aceptable para las principales caracteristicas como fecundidad, morbi-mortalidad materna e infantil, prevalencia anticonceptiva, e indicadores de la atenci\u00f3n en salud materno-infantil. La cobertura de la poblaci\u00f3n para la ENDESA-91 fue definida como el universo de todas las mujeres entre 15 y 49 a\u00f1os residentes en la Rep\u00fablica Dominicana. La poblaci\u00f3n objeto de estudio fue contactada a trav\u00e9s de entrevistas directas de mujeres elegibles en una muestra de viviendas particulares. \n\nAdem\u00e1s del cuestionario de hogar para la ENDESA-91, se implement6 un cuestionario de hogar ampliado a un n\u00famero igual de viviendas particulares. 1 Por lo tanto, el tamaflo de la muestra de viviendas particulares fue duplicado, es decir, en la mitad de ellas se aplic\u00f3 el cuestionario de la ENDESA-91 y en la otra mitad se implement\u00f3 el cuestionario de hogar ampliado. \n\nEn los \u00faltimos aflos anteriores a la ENDESA-91, la Oficina Nacional de Estad\u00edstica (ONE) implemento actividades de pre-actualizaci\u00f3n de manzanas para la ciudad de Santo Domingo y de un n\u00famero limitado de otros centros urbanos. Al inicio de la ENDESA-91 no se contaba con este tipo de material pre- actualizado completo para el resto urbano y el \u00e1rea rural del pa\u00eds. \n\nEsta situaci\u00f3n llev\u00f3 a una re-evaluaci\u00f3n del uso de este material para la ENDESA-91. Alternativamente, una soluci\u00f3n para el resto urbano era la de usar el material censal de 1981, el cual podria estar disponible pero no en su totalidad. Adem\u00e1s, se contaba con la muestra para la encuesta DHS- 1986 que utiliz\u00f3 una muestra de 609 Unidades Primarias de Muestreo (UPMs), actualizada en d allo de 1986. La decisi\u00f3n final fue la de usar: \n\n- el material pre-actualizado de estructuras para Santo Domingo el cual constituye el marco de muestreo para esa ciudad, y \n- el material de la muestra del DHS-I para el marco de muestreo para el resto del pa\u00eds. \n\nLa primera parte de la decision fue influenciada por la necesidad de incorporar el crecimiento y cambio poblacional ocurrido en Santo Domingo desde el censo de 1981. La segunda parte, a su vez, fue influenciada por la disponibilidad de material actualizado al aflo 1986.  Fijado el tamafio de muestra total en un m\u00e1ximo de 8,000 entrevistas completas de mujeres, en la ENDESA, la tarea m\u00e5s importante en el disefio de la muestra fue la de asegurar un mfnimo de entrevistas en cada dominio para el an\u00e1lisis de las principales caracter\u00edsticas con suficiente precisi6n. \n\nLas caracter\u00edsticas esenciales del disefio de la muestra para la ENDESA-91 son: estratificado, por conglomerados, y seleccionada en dos etapas. El error muestral para un diseflo de dos etapas tiene dos componentes: una que corresponde a la variabilidad entre las unidades primadas de muestreo (UPMs) y la otra que considera la variabilidad de las unidades, viviendas, dentro de las UPMs. La primera componente depende del m\u00edmero de UPMs en la muestra y es la componente fundamental en el valor del error muestral. De all\u00ed, que un factor importante en el control del error muestral sea el nt~mero de UPMs en la muestra. \n\nUna recomendaci\u00f3n del programa de encuestas DHS es la de establecer un m\u00ednimo de 40 UPMs por dominio para un adecuado anisis de la informaci\u00f3n. A\u00fan cuando es obvio que el incremento en el n\u00famero de UPMs reduce el error relativo, esta reducci\u00f3n no es directamente proporcional. En la pr\u00e1ctica a un incremento de 100 por ciento en el numero de UPMs, le corresponde una reducci\u00f3n en el error relativo de so1o 30 por ciento aproximadamente. \n\nPara evitar un innecesario sobremuestreo el cual redundarfa en un alto costo de la encuesta, asf como problemas de log\u00edstica y supervisi6n, se consider6 que la recomendaci6n de las 40 UPMs fuese tambi6n un requerimiento para la ENDESA-91. \n\nDebido a que los dominios combinados de la Regi\u00f3n 0 y de la Regi\u00f3n I representan casi un 47 por ciento del total poblacional del pa\u00eds, una repartici\u00f3n proporcional de la muestra, de acuerdo al \u00faltimo censo, llevar\u00eda a una alta concentraci\u00f3n de ella en ambas regiones. Por lo tanto, se hizo necesario una reasignaci6n de la muestra de un dominio mayor a un dominio menor en la forma m\u00e5s eficiente posible. \n\nCon la estratificaci\u00f3n de 8 regionesde salud, existen dos reparticionesextremas posibles; una que minimiza el error relativo de las caracteffsticas al nivel nacional, pero no necesariamente a nivel de cada regi6n, conla posibilidad de tener errores bastante apreciables; y la otra que controla el error relativo de cada una de las regiones, pero no necesariamente el error relativo a nivel nacional, que puede llegar a ser mucho mayor de lo esperado en una repartici\u00f3n proporcional. Entre estos dos tipos de reparticiones extremas existen un sin mirnere de combinaciones posibles. La basqueda de una repartici\u00f3n que minimice los errores relativos en ambas direcciones, se obtuvo minimizando la funcion de los errores relativos de las regiones, cada uno ponderado por la magnitud de tama\u00f1o de la region. \n\nLa selecci\u00f3n final de viviendas residenciales particulares dentro de cada UPM fue un n\u00famero fijo, de 20 selecciones por UPM para Santo Domingo y las regiones I, II, y IV; y de 25 selecciones por UPM en el resto del pa\u00eds. El incremento de 20 a 25 selecciones en algunas regiones se debi\u00f3 al reajuste efectuado al tamafio inicial esperado de muestra, este valor m\u00e1s reallstico est\u00e1 basado en la informaci\u00f3n actualizada para la ENDESA-91. \n\nDado que la repartici\u00f3n de la muestra entre las diferentes regiones de salud no fue proporcional a la distribuci\u00fan real de ellas, se hace necesario establecer factores de ajuste para el an\u00e1lisis. Tambi\u00e9n se implement\u00f3 un ajuste por UPM debido al nUmero fijo de selecciones en cada una de ellas. Una tercera componente en los factores de ajuste fue la magnitud de la no respuesta al nivel de hogares y al nivel individual en cada regi\u00f3n. \n\nDe las 8,975 viviendas particulares muestreadas se encontr6 un total de 8,032, y de este n\u00famero se obtuvieron 7,144 hogares con entrevista completa. As\u00ed mismo, de 8,200 mujeres elegibles encontradas en los hogares, se completaron cuestionarios para 7,320 de ellas.","coll_mode":"Face-to-face","research_instrument":"Tres cuestionarios en Espafiol fueron usados en la ENDESA-91: el Cuestionario de Hogar Abreviado, el Cuestionario Individual y el Cuestionario de Hogar Ampliado. Los primeros dos cuestionarios, que se aplican en un mismo hogar, son versiones adaptadas a la Rep\u00fablica Dominicana de los cuestionarios modelo del programa DHS de IRD\/Macro Intemational Inc.: DHS Modelo \"A\", para ser usado en pa\u00edses con niveles altos en la prevaleneia de anticoncepci6n. El tercer cuestionario fue diseflado completamente en el pa\u00eds para ser empleado en hogares diferentes a donde se aplicaran los dos primeros. Adicionalmente, en las mismas \u00e1reas muestrales se aplied un cuestionario de dispohibilidad de servicios a establecimientos \u2022 instituciones de salud y planificaci\u00f3n familiar. \n\nc) El Cuestionario de Hogar Abreviado se us6 para listar miembros del hogar con residencia habitual y personas de visita, que pasaron la noche anterior a la entrevista en la vivienda. Para todas aquellas personas listadas, se recolect\u00f3 informaci\u00f3n sobre la relaci\u00f3n con el jefe del hogar, sexo, edad; para personas de 6 o m\u00e9 aros de edad se recolect\u00f3 informaci\u00f3n sobre asistencia escolar, nivel y grado de instrucci\u00f3n; para personas menores de 15 aflos de edad se pregunt6 sobre la convivencia con los padres. El objetivo principal de este cuestionario fue identificar mujeres elegibles para aplicafles el Cuestionario Individual. \n\nb) El Cuestionario Individual se us~ para recolectar informaci\u00f3n de todas las mujeres en edad f\u00e9rtil (MEF), 15-49 afios de edad, que durmieron la noche anterior al d\u00eda de la entrevista en la vivienda seleccionada (poblaci\u00f3n de facto o de hecho). El Cuestionario Individual recelect6 informaci\u00f3n en los t\u00f3picos siguientes: \n- Antecedentes de la entrevistada \n- Reproducci\u00f3n e historia de nacimicntos \n- Conocimiento, uso y fuente de obtenci6n de m\u00e9todos anticonceptivos \n- Salud materno-infant'fl y lactancia \n- Nupcialidad \n- Preferencias de fecundidad \n- Antecedentes del marido, residencia y trabajo de la mujer \n- Antropometr\u00eda: talla, peso (madre e hijos) y per\u00edmetro braquial (madres) \n\nc) Este cuestionario Incluy\u00f3, adem\u00e1s, un calendario mediante el cual se recoge informaci\u00f3n detallada sobre eventos importantes en la vida de la mujer, registrados mes a mes, desde enero de 1986: nacimientos, embarazos, terminaciones de embarazos y uso de anticonceptivos (Columna 1 ); raz6n de descontinuaci\u00f3n de m\u00e9todos (Columna 2); meses de amenorrea, abstinencia y lactancia (Columnas 3, 4 y 5, respeetivamenle); historia de uniones (Columna 6); tipo de localidad donde ha vivido (Columna 7); y tipo de trabajo desempefiado (Columna 8).","coll_situation":"El entrenamiento al personal de campo se realiz6 en dos etapas. En la primera se adiestraron 20 candidatas a supervisoras mediante un curso de dos semanas, las cuales realizaron una prueba piloto (del 15 al 18 de mayo) entrevistando en el terreno a 200 mujeres elegibles. Algunos ajustes y modificaciones fueron incluidos en el cuestionario final basadns en la experiencia de la prueha piloto. \n\nEn una segunda etapa se adiestraron 40 candidatas a entrcvistadoras en un curso de cuatro semanas de duraci\u00f3n. En este curso se enfatizo la importancia de cada pregunta del cuestionario, los procedimientos de entrevista, se realizaron entrevistas de prueba en oficina y en el terreno. Al final del entrenamiento se seleccionaron 30 entrevistadoras, 5 antropometristas, 10 supervisoras, 3 efftico-codificadoras y 6 digitadoras. Personal de IEPD\/PROFAMILIA, ONAPLAN, Development Associates e IRD\/IVlacro International Inc. trabaj\u00f3 conjuntamente en la conducci\u00f3n del entrenamiento. Durante la cuarta semana se capacit6 en antropometrIa (talla, peso y per\u00edmetro braquial) a aquellas personas seleccionadas para este fin. Esta \u00faltima capacitaci6n estuvo a cargo de personal del Centro Nacional de Investigaciones en Salud Materno-infantil (CNISMD). \n\nEl cuestionario de disponibilidad de servicios recogi\u00f3 informaci6n sobre caracteffsticas de la comunidad, disponibilidad de servicios en educaci\u00f3n, salud y planificacidn familiar en la comunidad, caracteffsticas de los establecimientos de salud y planificaci\u00f3n familiar (equipos, disponibilidad de medicamentos, distancia y tiempo a las comunidades en estudio, entre otros). \n\nEl trabajo de campo empez\u00f3 el 19 de Julio en Santo Domingo con cinco equipos y se completd el 18 de Noviembre de 1991. Cada equipo estuvo conformado por dos supervisoras, una antropometrista, seis entmvistadoras y un chofer, de los cuales participaron en la aplicaci\u00f3n del Cuestionario de Hogar Ampliado una supervisora y dos entrevistadoras. Para el estudio de disponibilidad de servicios se utilizaron cuatro entrcvistadorcs y una supcrvisora que trabajaron durante tres meses (febrero-abril, 1992).","cleaning_operations":"La primera etapa del procesamiento de la informaci6n se implemento en el terreno, donde las supervisoras verificaban la consistencia de los cuestionarios. Una vez en la ofcina central los cuestionarios pasaron por codificaci\u00f3n y cfftica manual, siendo luego digitados para proceder con la cfftica mediante microcomputadoras. Estas actividades de oficina fueron desempefladas por 3 critieo-codificadoras y o digitadoras. \n\nEl ingreso y procesamiento de los datos de la ENDESA-91 se implemento con el programa ISSA (Sistema Integrado para An\u00eddisis de Encuestas). Este es un programa avanzado para micro-computadoras disertado por el IRD\/Macro International Inc., que permite agilizar el proceso de ingreso de informaci\u00f3n y de elaboraci\u00f3n de tabulaciones, lo que hace posible la presentaci\u00f3n de resultados al poco tiempo del t\u00e9nnino del trabajo de campo. Debido a la celeridad con que produce resultados, este programa ha permitido hacer evaluaciones de la calidad de la informacion a partir de los primeros d\u00edas de trabajo de campo."},"analysis_info":{"response_rate":"Un total de 8,975 viviendas fueron seleccionadas, de las cuales 8,032 estaban ocupadas. Se complet\u00f3 Cuestionario de Hogar Abreviado en 7,144 viviendas (89 por ciento de las viviendas ocupadas). \n\nUn total de 8,200 mujeres elegibles fueron identificadas a trav\u00e9s del Cuestionario de Hogar, logr\u00bfndose completar el Cuestionario Individual para 7,320 de ellas (89 por ciento). A nivel de residencia urbano-rural no se observan variaciones importantes en las tasas de respuesta. A nivel de regi6n de salud las tasas de respuesta fueron menores en el Distrito Nacional (regi\u00f3n 0) debido principalmente al frecuente rechazo que se observa en los sectores m\u00e9 favorecidos de la capital. Una descripci6n por zona y regi\u00f3n de residencia segtin resultado de la encuesta se presenta en el Ap\u00e9ndice A del Informe Final.","sampling_error_estimates":"En general, los errores est\u00e1ndar son peque\u00f1os y que por ello la muestra puede calificarse como bastante precisa; esto es especialmente claro en la antepen\u00faltima columna donde aparecen los errores relativos. N\u00f3tese la situaci\u00f3n que se observa para algunas variables con igual n\u00famero de casos pero con error relativo mayor que 10 por ciento para una de las variables. Esta situaci\u00f3n se debe al n\u00famero de casos con la caracter\u00edstica del valor estimado. \n\nPara ilustrar el uso de las cifras en este cuadre consid\u00e9rese la variable \"Residencia Urbana\", que tiene un valor de 0.684 con un error est\u00e1ndar de 0.021. Si se desea un intervalo de confianza del 95 por ciento, lo que se hace es sumarle y restarle al promedio dos veces el error est\u00e5ndar: 0.684 + (2 x 0.021), lo que produce el intervalo de 0.726 a 0.642. Esto significa que se tiene una confianza de 95 por ciento de que el valor de la proporci\u00f3n de la poblaci\u00f3n con residencia urbana en la poblaci\u00f3n total se encuentra entre esos valores que arroja la muestra. \n\nLos resultados b\u00e5sicos por zona y regi\u00f3n de residencia, y grandes grupos de edad de las mujeres se presentan a continuaci\u00f3n de los resultados para la poblaci\u00f3n total."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}],"cit_req":"Rep\u00fablica Dominicana  Encuesta Demogr\u00e1fica y de Salud 1991 - Instituto de Estudios de Poblaci\u00f3n y Desarrollo (IEPD), una entidad de PROFAMILIA - Oficina Nacional de Planificacion (ONAPLAN) Santo Domingo, Republica Dominicana y IRD\/Macro Intemational Inc. Golumbia, Maryland USA - Septiembre 1992  Ref. 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