{"type":"survey","study_desc":{"title_statement":{"idno":"TUN_1988_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 1988","alt_title":"EDS 1988 \/ DHS 1988","translated_title":"Demographic and Health Survey 1988"},"authoring_entity":[{"name":"Office National de la Famille et de la Population","affiliation":""}],"oth_id":[{"name":"Institut National de la Statistique","affiliation":"INS","email":"","role":"Technical support for sample"}],"production_statement":{"producers":[{"name":"Institute for Resource Development\/Macro Systems","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","role":"Funding"}],"grant_no":"DPE 3023-C- 00-4083-00"},"distribution_statement":{"contact":[{"name":"General Inquiries","affiliation":"","email":"info@measuredhs.com ","uri":"http:\/\/www.measuredhs.com"},{"name":"Data and Data Related Resources","affiliation":"","email":"archive@measuredhs.com","uri":"http:\/\/www.measuredhs.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS I","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 en Tunisie 1988 est la premi\u00e8re EDS r\u00e9alis\u00e9e en Tunisie"},"study_info":{"abstract":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 (EDS) a \u00e9t\u00e9 r\u00e9alis\u00e9e entre la mi-juin et la mi-octobre 1988 par l'Office National de la Famille et de la Population (ONFP) avec le concours de l'Institute for Resource Development\/ Macro Systems (IRD) pour recueillir des donn\u00e9es statistiques sur la f\u00e9condit\u00e9, la planification familiale et la sant\u00e9 de la m\u00e8re et de l'enfant. L'enqu\u00eate a \u00e9t\u00e9 r\u00e9alis\u00e9e aupr\u00e8s d'un \u00e9chantillon national de 4184 femmes non-c\u00e9libataires en \u00e2ge de reproduction de 15 \u00e0 49 ans. \n\nLe travail sur le terrain de l'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 en Tunisie a \u00e9t\u00e9 entrepris entre juin et octobre 1988 par l'Office National de la Famille et de la Population avec l'assistance technique de l'\"Institute for Resource Development\" (IRD) des Etats-Unis dans le cadre du programme \"Demographic and Health Surveys\" (DHS). L'assistance financi\u00e8re pour l'ex\u00e9cution de cette \u00e9tude nationale a \u00e9t\u00e9 fournie par l'Agence pour le D\u00e9veloppement International des Etats-Unis (USAID). \n\nL'Enqu\u00e9te D\u00e9mographique et de Sant\u00e9 en Tunisie qui entre dans le cadre du programme d'\u00e9tudes et d'\u00e9valuation de l'Office National de la Famille et de la Population vise essentiellement les objectifs suivants: \n1. Recueillir les donn\u00e9es \u00e0 l'\u00e9chelle nationale et r\u00e9gionale qui permettent de calculer les taux d\u00e9mographiques particuli\u00e8rement les taux de f\u00e9condit\u00e9 et de mortalit\u00e9 des enfants. \n2. Analyser les facteurs qui d\u00e9terminent les niveaux et les tendances de la f\u00e9condit\u00e9 et de la mortalit\u00e9 infantile et juv\u00e9nile. Conna\u00eetre \u00e9galement les causes de la mortalit\u00e9 infantile, inconnues jusqu'ici en Tunisie et dont la connaissance est d'une importance cruciale pour une action sanitaire efficace dans ce domaine. Les indicateurs li\u00e9s \u00e0 ces deux ph\u00e9nom\u00e8nes d\u00e9mographiques aideront aussi les planificateurs lors de l'\u00e9laboration des plans de d\u00e9veloppement \u00e9conomique et social. \n3. Mesurer les niveaux de connaissance et d'utilisation des moyens contraceptifs par m\u00e9thode, r\u00e9gion et secteur (public et priv\u00e9), \u00e9valuer la disponibilit\u00e9 des m\u00e9thodes contraceptives, connai'tre les raisons de non-utilisation de la contraception, d\u00e9finir et estimer la pratique potentielle future et comparer l'\u00e9volution des taux d'utilisation contraceptive \u00e0 travers I'ETF (1978), I'ETPC (1983) et I'EDS (1988), et mesurer l'efficacit\u00e9 de la contraception en estimant les taux d'\u00e9chec et les niveaux de la f\u00e9condit\u00e9 non- d\u00e9sir\u00e9e. \n4. Mesurer l'impact du programme de marketing social du projet Planning Familial et D\u00e9veloppement de Population sur l'utilisation de la contraception dans le pays, et particuli\u00e8rement l'\u00e9volution de la pratique contraceptive dans le secteur priv\u00e9. \n5. Recueillir des donn\u00e9es de qualit\u00e9 sur la sant\u00e9 familiale: vaccination, niveau et traitement de la diarrh\u00e9e chez les enfants de moins de cinq ans, visites pr\u00e9natales et assistance \u00e0 l'accouchement, allaitement maternel et mesures anthropom\u00e9triques des enfants de moins de trois ans pour l'\u00e9tude de leur \u00e9tat nutritionnel. \n6. Enfin, d\u00e9velopper \u00e0 I'ONFP les capacit\u00e9s et les ressources n\u00e9cessaires pour la r\u00e9alisation p\u00e9riodique d'enqu\u00eates d\u00e9mographiques et de sant\u00e9. Par ailleurs, l'enqu\u00eate s'ins\u00e8re dans le cadre d'un projet international touchant pr\u00e8s de 35 pays de par le monde. Les donn\u00e9es disponibles se pr\u00eatent facilement aux comparaisons internationales et les chercheurs s'int\u00e9ressant aux \u00e9tudes de population peuvent trouver dans cette enqu\u00eate une mine de donn\u00e9es in\u00e9puisable.","coll_dates":[{"start":"1988-06","end":"1988-10","cycle":""}],"nation":[{"name":"Tunisia","abbreviation":"TUN"}],"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 non-c\u00e9libataire de 15 \u00e0 49 ans (mari\u00e9e, veuve, divorc\u00e9e ou s\u00e9par\u00e9e) ayant pass\u00e9 la nuit pr\u00e9c\u00e9dant le jour de l'interview dans le m\u00e9nage s\u00e9lectionn\u00e9 quel que soit le statut de r\u00e9sidence.","data_kind":"Sample survey data","notes":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 1998 de Tunisie couvre les th\u00e8mes suivants :\n\n- Allaitement au sein\n- Caract\u00e9ristiques du mari et activit\u00e9 professionnelle de la femme \n- Contraception \n- Dur\u00e9e d'am\u00e9norrh\u00e9e\n- F\u00e9condit\u00e9 et mortalit\u00e9 des enfants \n- Fr\u00e9quence et le traitement de la diarrh\u00e9e et la morbidit\u00e9 des enfants \u00e2g\u00e9s de moins de cinq ans\n- M\u00e9thodes de contraception\n- Mesures anthropom\u00e9triques \n- Nuptialit\u00e9 \n- Planification familiale\n- Pr\u00e9f\u00e9rence en mati\u00e8re de f\u00e9condit\u00e9 \n- Sant\u00e9 et allaitement \n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Vaccination des enfants","study_scope":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 1998 de Tunisie couvre les th\u00e8mes suivants :\n\n- Allaitement au sein\n- Caract\u00e9ristiques du mari et activit\u00e9 professionnelle de la femme \n- Contraception \n- Dur\u00e9e d'am\u00e9norrh\u00e9e\n- F\u00e9condit\u00e9 et mortalit\u00e9 des enfants \n- Fr\u00e9quence et le traitement de la diarrh\u00e9e et la morbidit\u00e9 des enfants \u00e2g\u00e9s de moins de cinq ans\n- M\u00e9thodes de contraception\n- Mesures anthropom\u00e9triques \n- Nuptialit\u00e9 \n- Planification familiale\n- Pr\u00e9f\u00e9rence en mati\u00e8re de f\u00e9condit\u00e9 \n- Sant\u00e9 et allaitement \n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Vaccination des enfants"},"method":{"data_collection":{"data_collectors":[{"name":"Office National de la Famille et de la Population Direction de la Population Tunis","abbreviation":"ONFP","affiliation":""}],"sampling_procedure":"La description du projet pr\u00e9voit un \u00e9chantillon de 6.250 m\u00e9nages dans lesquels on doit enqu\u00eater chaque femme non-c\u00e9libataire \u00e2g\u00e9e de 15 \u00e0 49 ans, soit 5.000 femmes au total. En conformit\u00e9 avec les recommandations du projet \"Demographic and Health Surveys\" nous proposons un \u00e9chantillon auto pond\u00e9r\u00e9 et repr\u00e9sentatif de la Tunisie enti\u00e8re. \n\nECHANTILLON MAITRE \n\nL'Institut National de la Statistique (INS) a \u00e9tabli en 1986 un \u00e9chantillon constitu\u00e9 de 1.300 districts de recensement qui devait servir comme \u00e9chantillon ma\u00eetre EM pour toute enqu\u00eate effectu\u00e9e par l'INS jusqu'au prochain recensement. Jusqu'ici il a \u00e9t\u00e9 utilis\u00e9 pour l'Enqu\u00eate Emploi et l'Enqu\u00eate de Consommation. Nous proposons d'emprunter I'EM pour l'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 (EDS) dans le but de profiter des travaux cartographiques d\u00e9j\u00e0 entrepris par I'INS. L'Institut a bien voulu pr\u00eat\u00e9 son accord \u00e0 une telle collaboration sous la seule condition que les interviews organis\u00e9es par I'EDS ne g\u00eanent pas les op\u00e9rations de l'Enqu\u00eate Emploi en cours. \n\nLes 1.300 districts ont \u00e9t\u00e9 tir\u00e9s avec en principe des probabilit\u00e9s proportionnelles au nombre de m\u00e9nages recens\u00e9s dans chaque district (recensement d\u00e9mographique de 1984) mais avec de nombreuses modifications de ce principe que l'on verra plus loin. La base de sondage a \u00e9t\u00e9 d'abord stratifi\u00e9e en fonction du type d'habitat, selon le sch\u00e9ma pr\u00e9cis\u00e9 \u00e0 la page suivante. Ces 8 cat\u00e9gories ont \u00e9t\u00e9 crois\u00e9es avec les 23 gouvernorats pour cr\u00e9er la stratification d\u00e9finitive. Au sens statistique une strate consiste en l'intersection du gouvernorat avec la cat\u00e9gorie type d'habitat. Elle est donc identifi\u00e9e par un code a 4 chiffres, dont les 2 premiers indiquent le gouvernorat et les 2 derniers le type d'habitat. \n\nBeaucoup de ces intersections sont vacantes. Par exemple, les codes 21, 22, 23, 88, 99 n'existent pas dans le gouvernorat 11 (Tunis). D'autres sont constitu\u00e9es d'un nombre minime de districts; dans certains de ces cas I'INS a d\u00e9cid\u00e9 de renforcer l'\u00e9chantillon en augmentant le nombre de districts tir\u00e9s dans la strate concern\u00e9e. Ces modifications font que l'\u00e9chantillon n'est pas tir\u00e9 avec probabilit\u00e9 proportionnelle \u00e0 la taille bien qu'il le soit au sein d'une strate donn\u00e9e. \n\nLe tirage des districts a \u00e9t\u00e9 effectu\u00e9 par sondage syst\u00e9matique. Ce proc\u00e9d\u00e9 a un effet analogue \u00e5 la stratification dans la mesure o\u00f9 la liste des unit\u00e9s (districts) a \u00e9t\u00e9 class\u00e9e selon un ordre significatif avant le tirage, il importe donc de savoir cet ordre. A l'int\u00e9rieur de chaque strate les districts \u00e9taient class\u00e9s selon la circonscription et \u00e5 l'int\u00e9rieur de la circonscription selon leur situation sur la carte. \n\nUne fois l'\u00e9chantillon tir\u00e9, I'INS a s\u00e9lectionn\u00e9 chaque deuxi\u00e8me district de l'\u00e9chantillon pour l'Enqu\u00eate Emploi. En effet c'est seulement ce sous-\u00e9chantillon de 655 districts qui nous int\u00e9resse, et son int\u00e9r\u00eat repose sur le fait que chacun des districts concern\u00e9s a \u00e9t\u00e9, par la suite, divis\u00e9 en 2 ou 4 grappes. Cette op\u00e9ration a \u00e9t\u00e9 effectu\u00e9e par des agents sur le terrain. On a demand\u00e9 \u00e0 l'agent de d\u00e9limiter des grappes de tailles sensiblement \u00e9gaies et d\u00e9finies en fonction de fronti\u00e8res bien claires qu'il devait porter sur une carte. Trois grappes exactement devaient \u00eatre d\u00e9finies dans chaque district, \u00e0 l'exception de ceux dont le type d'habitat \u00e9tait class\u00e9 rural, dispers\u00e9 (code 99), o\u00f9 il fallait en cr\u00e9er deux. Dans l'\u00e9chantillon de 655 districts on a cr\u00e9\u00e9 trois grappes dans 427 districts et deux grappes dans 228 districts, soit 1.737 grappes au total. La taille moyenne de ces grappes est de 36,98 m\u00e9nages recens\u00e9s, moyenne qui varie entre environ 50 pour les grappes de la cat\u00e9gorie rural-dispers\u00e9 et 32 pour les autres. \n\nPour la commodit\u00e9 on donnera l'appellation \"petit \u00e9chantillon ma\u00eetre\" (PEM) au sous-\u00e9chantillon de 655 districts qui a \u00e9t\u00e9 ainsi d\u00e9coup\u00e9 en grappes. \n\nSOUS-ECHANTILLONNAGE DE L'ECHANTILLON MAITRE EN VUE DE I'EDS \n\nD'apr\u00e8s les analyses de variance et de co\u00fbts bas\u00e9es sur plusieurs enqu\u00eates effectu\u00e9es dans le cadre du programme Enqu\u00eate Mondiale sur la F\u00e9condit\u00e9, on a conclu que le nombre optimal de femmes \u00e0 enqu\u00eater par grappe dans une enqu\u00eate de ce genre serait de l'ordre de 40 en milieu rural et 20 en milieu urbain) En tenant compte du rapport femmes par m\u00e9nage de 0,8 enregistr\u00e9 par le recensement tunisien de 1984, ces chiffres se traduisent en termes de nombre de m\u00e9nages \u00e0 50 et 25 m\u00e9nages respectivement. Notons que l'optimum n'est que tr\u00e8s approximatif. \n\nOn remarquera que ces quantit\u00e9s correspondent \u00e0 peu pr\u00e8s \u00e0 la taille de la grappe dans le PEM. Cette observation sugg\u00e8re la possibilit\u00e9 d'utiliser l'ensemble de chaque grappe pour I'EDS, en \u00e9vitant l'\u00e9chantillonnage des m\u00e9nages qui est habituel dans les enqu\u00eates du programme EDS. Une telle strat\u00e9gie devrait simplifier les op\u00e9rations et minimiser les co\u00fbts. Si par contre on adoptait la m\u00e9thode habituelle, en tirant un sous-\u00e9chantillon des grappes du PEM avec une probabilit\u00e9 constante, on serait oblig\u00e9 d'introduire une forte variation des taux d'\u00e9chantillonnage des m\u00e9nages au sein des grappes afin d'obtenir l'auto pond\u00e9ration voulue. Ensuite, pour assumer qu'aucun de ces taux ne d\u00e9passe 100% on serait oblig\u00e9 de fixer un taux moyen relativement faible. Cela impliquerait un \u00e9chantillon relativement important de grappes, ce qui serait cher et inefficace. \n\nEn ce qui concerne la premi\u00e8re solution sugg\u00e9r\u00e9e, cependant, une objection fondamentale apparait \u00e0 premi\u00e8re vue: l'\u00e9chantillon de grappes dans le PEM n'est pas auto pond\u00e9r\u00e9. Dans la solution habituelle nous utilisons l'\u00e9chantillonnage des m\u00e9nages au sein des grappes pour compenser les variations dans les probabilit\u00e9s de sondage relatives aux grappes m\u00eames, de mani\u00e8re \u00e0 assurer l'auto pond\u00e9ration. En \u00e9liminant l'\u00e9chantillonnage des m\u00e9nages on supprimerait cette option. Y en a-t-il une autre? \n\nNotons d'abord que le nombre de grappes qui seraient requises pour I'EDS afin de fournir les 5.000 femmes souhait\u00e9es peut \u00eatre calcul\u00e9 ainsi: \n\nTaille de la grappe moyenne PEM: 36,98 m\u00e9nages recens\u00e9s; Nombre de femmes non-c\u00e9libataires de 15 \u00e5 49 ans dans ces m\u00e9nages: 36,98 x 0,8 --29,584; Extrapolation de 1984 \u00e0 1988 (accroissement annuel de 2%): 29,584 x 1,02' = 32,023 femmes par grappe. Nombre de grappes requises pour englober 5.000 femmes: 5000\/32,023 = 156 grappes. \n\nIl nous faudrait donc un sous-\u00e9chantillon de 156 grappes tir\u00e9es \u00e0 partir des grappes du PEM. Or le PEM englobe au total 1.737 grappes. C'est l'\u00e9cart entre ces deux chiffres qui nous offre la solution. On peut adopter un taux de sous-\u00e9chantillonnage variable par district et choisi de mani\u00e8re \u00e0 compenser la probabilit\u00e9 variable qui a \u00e9t\u00e9 appliqu\u00e9e lors de l'\u00e9chantillonnage des districts.","coll_mode":"Face-to-face","research_instrument":"Le questionnaire de base (mod\u00e8le \"A\" con\u00e7u pour les pays \u00e0 pr\u00e9valence contraceptive \u00e9lev\u00e9e du programme DHS) a servi de document de travail et de charpente pour la pr\u00e9paration du questionnaire de l'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 en Tunisie. Le questionnaire a ~t\u00e9 adapt\u00e9 aux r\u00e9alit\u00e9s socio- \u00e9conomiques et d\u00e9mographiques du pays. Ainsi, quelques modifications de base ont \u00e9t\u00e9 apport\u00e9es au questionnaire initial aussi bien lors de sa pr\u00e9paration qu'apr\u00e9s l'analyse des r\u00e9sultats fournis par la pr\u00e9- enqu\u00eate. Leur but \u00e9tait de faire de ce questionnaire un outil qui puisse mieux correspondre aux r\u00e9alit\u00e9s propres de la Tunisie. \n\nComme il s'agit d'un pays o\u00f9 les diff\u00e9rences linguistiques inter-r\u00e9gionales sont n\u00e9gligeables, la traduction de ce questionnaire en arabe dialectal tunisien n'a pratiquement pos\u00e9 aucun probl\u00e8me quant \u00e0 sa compr\u00e9hension par les personnes interrog\u00e9es. \n\nLe questionnaire a \u00e9t\u00e9 test\u00e9 dans le cadre de la pr\u00e9-enqu\u00eate durant la derni\u00e8re semaine du mois d'avril 1988. Trois \u00e9quipes comprenant 13 personnes ont \u00e9t\u00e9 form\u00e9es pendant deux semaines et ont pris part \u00e0 cette op\u00e9ration. Presqu'une centaine de femmes ont \u00e9t\u00e9 interview\u00e9es \u00e0 Tunis (milieu urbain), au Kef et \u00e0 Zaghouan (milieu rural) au cours de la pr\u00e9-enqu\u00eate. \n\nSCHEMA FINAL DU QUESTIONNAIRE\n\nDeux volets principaux composent le questionnaire de cette enqu\u00eate: \n\na) Le questionnaire m\u00e9nage \n\nQuestionnaire\/Feuille de m\u00e9nage: Le questionnaire m\u00e9nage consiste en un groupe de questions relativement simples qui sont pos\u00e9es \u00e0 chaque r\u00e9sident habituel du m\u00e9nage-\u00e9chantillon et \u00e0 toute autre personne ayant pass\u00e9 la nuit pr\u00e9c\u00e9dant le jour de l'interview dans ce m\u00e9nage: nom et pr\u00e9nom, lien de parent\u00e9 avec le chef de m\u00e9nage, situation de r\u00e9sidence, sexe et \u00e2ge. \n\nCes questions, \u00e0 application g\u00e9n\u00e9rale, sont suivies d'autres qui s'adressent \u00e0 deux sous-populations. La question sur l'\u00e9tat matrimonial est pos\u00e9e aux personnes \u00e2g\u00e9es de 15 ans ou plus, et les questions sur la scolarisation et le niveau d'instruction sont adress\u00e9es aux femmes \u00e2g\u00e9es d'au moins 15 ans.\n\nLe questionnaire m\u00e9nage sert \u00e0 fournir les d\u00e9nominateurs pour le calcul de certains taux et indices comme le taux de f\u00e9condit\u00e9 g\u00e9n\u00e9rale, l'indice synth\u00e9tique de f\u00e9condit\u00e9 et l'\u00e2ge au premier mariage d'une part et \u00e0 identifier les femmes \u00e9ligibles d'autre part. Cette identification a \u00e9t\u00e9 op\u00e9r\u00e9e selon les trois crit\u00e8res suivants: \n\n- \u00eatre femme non-c\u00e9libataire (mari\u00e9e, veuve, divorc\u00e9e ou s\u00e9par\u00e9e); \n- \u00eatre \u00e2g\u00e9e entre 15 et 49 ans r\u00e9volus; \n- enfin, avoir pass\u00e9 la nuit pr\u00e9c\u00e9dant le jour de l'interview dans le m\u00e9nage s\u00e9lectionn\u00e9 quel que soit le statut de r\u00e9sidence. \n\nb) Le questionnaire individuel\n\nLe questionnaire individuel est utilis\u00e9 pour collecter les donn\u00e9es parmi les femmes \u00e9ligibles. Ce questionnaire comprend les huit sections suivantes: \n\n- Section 1: Caract\u00e9ristiques socio-d\u00e9mographiques de la femme. Cette premi\u00e8re section comprend 23 questions qui portent sur: le lieu de r\u00e9sidence, la disponibilit\u00e9 d'un bulletin de naissance ou d'une pi\u00e8ce d'identit\u00e9 portant la date de naissance de la femme, l'\u00e2ge de l'enqu\u00eat\u00e9e, la scolarisation, l'alphab\u00e9tisation, les habitudes m\u00e9diatiques et les conditions d'habitat. \n\n- Section 2: Nuptialit\u00e9. Dans cette deuxi\u00e8me section de 15 questions, nous avons recueilli des informations sur l'\u00e9tat matrimonial de la femme, l'\u00e9tat de survie des parents des deux conjoints, la cohabitation avec ces parents et enfin le lien de parent\u00e9 du couple. \n\n- Section 3: F\u00e9condit\u00e9 et mortalit\u00e9 des enfants. Les 28 questions de cette troisi\u00e8me section portent sur: l'historique des naissances de tous les enfants (encore vivants ou d\u00e9c\u00e9d\u00e9s) de chacune des femmes interview\u00e9es, l'\u00e9tat de grossesse actuelle et les derni\u00e8res r\u00e8gles. \n\n- Section 4: Contraception. Cette section qui comprend 51 questions s'int\u00e9resse \u00e0 la connaissance spontan\u00e9e et non spontan\u00e9e des m\u00e9thodes de planification familiale (modernes, naturelles et traditionnelles), \u00e5 l'utilisation pass\u00e9e, actuelle et future des m\u00e9thodes de contraception, \u00e0 l'identification de l'apport du secteur public et priv\u00e9, et la perception des probl\u00e8mes de contraception et aux raisons de la non utilisation de la planification familiale. Elle comporte \u00e9galement trois questions sur l'information en mati\u00e8re de contraception v\u00e9hicul\u00e9e par la radio et la t\u00e9l\u00e9vision. \n\n- Section 5: Sant\u00e9 et allaitement. Cette cinqui\u00e8me section de 49 questions est consacr\u00e9e \u00e0 la sant\u00e9 de la m\u00e8re et de l'enfant, y compris les visites pr\u00e9natales l'allaitement au sein, la dur\u00e9e d'am\u00e9norrh\u00e9e, la vaccination des enfants, la fr\u00e9quence et le traitement de la diarrh\u00e9e et la morbidit\u00e9 des enfants \u00e2g\u00e9s de moins de cinq ans. \n\n- Section 6: Pr\u00e9f\u00e9rence en mati\u00e8re de f\u00e9condit\u00e9. Cette section contient 9 questions qui permettent d'obtenir des renseignements sur la pr\u00e9f\u00e9rence de la femme enqu\u00eate en mati\u00e8re de f\u00e9condit\u00e9, tel que le d\u00e9sir d'avoir des enfants et le nombre d'enfants suppl\u00e9mentaires d\u00e9sir\u00e9s. \n\n\n- Section 7: Caract\u00e9ristiques du mari et activit\u00e9 professionnelle de la femme. Dans cette section, nous avons pos\u00e9 aux femmes 16 questions portant sur les caract\u00e9ristiques socio-professionnelles du (dernier) mari et sur l'historique de l'activit\u00e9 professionnelle de la femme. \n\n- Section 8: Mesures anthropom\u00e9triques. Cette derni\u00e8re section permet de donner des informations sur l'\u00e9tat nutritionnel des enfants \u00e2g\u00e9s de 3 \u00e0 36 mois et ce, gr\u00e2ce aux mesures du poids, de la taille et du p\u00e9rim\u00e8tre brachial.","coll_situation":"RECRUTEMENT ET FORMATION DU PERSONNEL DE TERRAIN \n\nUne cinquantaine d'agents de terrain ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s pour suivre le stage de formation. Les candidats ont \u00e9t\u00e9 recrut\u00e9s parmi les chercheurs d'emploi ayant d\u00e9pos\u00e9 des demandes de travail, soit \u00e0 I'ONFP, soit \u00e0 l'Office de l'Emploi et de la Formation Professionnelle. Pr\u00e8s d'une dizaine de candidats ont pu \u00eatre recrut\u00e9s parmi les anciens agents de l'Enqu\u00eate Tunisienne sur la Pr\u00e9valence Contraceptive de 1983. \n\nLes \u00e9l\u00e9ments qui ont d\u00e9termin\u00e9 le profil des agents s\u00e9lectionn\u00e9s ont \u00e9t\u00e9 les suivants. \n- niveau minimum d'instruction: baccalaur\u00e9at. \n- privil\u00e9gier les candidats ayant une exp\u00e9rience dans le domaine des enqu\u00eates et recensements \n- enfin, limiter l'\u00e2ge du candidat \u00e5 un minimum de 20 ans. \n\nLa formation pour l'enqu\u00eate proprement dite a dur\u00e9 quatre semaines du 2 au 31 mai 1988 avec la participation de treize contr\u00f4leurs, cinq agents de saisie et vingt-huit candidates pour les postes d'enqu\u00eateuses ou d'assistantes et a port\u00e9 principalement sur les sujets suivants: \n- La politique d\u00e9mographique de la Tunisie; \n- Missions et objectifs de I'ONFP;\n- La reproduction humaine et les m\u00e9thodes de planification familiale;\n- L'\u00e9tude des sujets li\u00e9s \u00e0 la sant\u00e9 familiale; \n- Objectifs et m\u00e9thodologie de I'EDS; \n- Echantillonnage de I'EDS; \n- Les techniques d'enqu\u00eate; \n- Taches du contr\u00f4leur; \n- Taches de l'enqu\u00eateuse; \n- Etude minutieuse du questionnaire; \n- Interviews simul\u00e9es avec utilisation des magn\u00e9tophones et s\u00e9ances pratiques sur le terrain. \n\nAfin d'atteindre l'efficacit\u00e9 maximale du travail sur le terrain, la formation des agents s\u00e9lectionn\u00e9s a ~te assur\u00e9e par des instructeurs de diff\u00e9rentes disciplines (d\u00e9mographe, statisticien, p\u00e9diatre, nutritioniste, etc...). \n\nUn dernier test effectu\u00e9 \u00e0 l'issue du stage de formation a permis de retenir 37 candidats pour le travail de terrain (10 contr\u00f4leurs, 19 enqu\u00eateuses et 8 assistantes charg\u00e9es des mesures anthropom\u00e9triques).\n\nCOLLECTE DES DONNEES \n\nAu total, huit \u00e9quipes ont pris part au travail sur le terrain, comprenant chacune un ou deux contr\u00f41eurs, deux \u00e0 trois enqu\u00eateuses, une assistante et un chauffeur. Dans la plupart des cas, des arrangements ont \u00e9t\u00e9 pris pour garantir l'h\u00e9bergement des \u00e9quipes dans les diff\u00e9rents centres r\u00e9gionaux de I'ONFP. \n\nL'ensemble des documents de l'enqu\u00eate (dossiers techniques, croquis des grappes \u00e9chantillons, questionnaires, manuels, feuilles d'enregistrement et de contr\u00f41e, cartes d'enqu\u00eateuses, lettres d'introduction, etc...) et du mat\u00e9riel n\u00e9cessaire (balances, toises et m\u00e8tres \u00e0 ruban, etc...) ont \u00e9t\u00e9 pr\u00e9par\u00e9s \u00e0 l'avance et mis \u00e0 la disposition des \u00e9quipes. \n\nLes op\u00e9rations pratiques sur le terrain ont dur\u00e9 quatre mois (du 10juin au 18 octobre 1988). Les diff\u00e9rentes \u00e9quipes charg\u00e9es de la collecte \u00e9taient divis\u00e9es en deux groupes encadr\u00e9s et supervis\u00e9s chacun par l'un des co-directeurs techniques durant toute la p\u00e9riode du travail de l'enqu\u00eate. \n\nPlusieurs s\u00e9ances de travail ont \u00e9t\u00e9 tenues avec chaque \u00e9quipe, surtout au cours des premi\u00e8res semaines de travail sur le terrain, dans le but de renforcer la formation re\u00e7ue et de corriger toute erreur d\u00e9tect\u00e9e lors des activit\u00e9s sur le terrain. Cette approche a surement contribu\u00e9 \u00e0 am\u00e9liorer de fa\u00e7on significative les performances des \u00e9quipes et notamment la qualit\u00e9 des donn\u00e9es recueillies.","act_min":"Le contr\u00f4le de qualit\u00e9 des donn\u00e9es a \u00e9t\u00e9 assur\u00e9 en partie par le contr\u00f4leur. Ce contr\u00f4le consiste \u00e0 revoir les questionnaires remplis dans les 24 heures qui suivent les interviews. Par ailleurs, toutes les \u00e9quipes ont b\u00e9n\u00e9fici\u00e9 l\u00e0 o\u00f9 elles ont travaill\u00e9 de l'appui moral et logistique des responsables r\u00e9gionaux et locaux du Minist\u00e8re de l'Int\u00e9rieur, de la Sant\u00e9 Publique et notamment du personnel r\u00e9gional de I'ONFP.","cleaning_operations":"Le traitement des donn\u00e9es de l'EDS-Tunisie a \u00e9t\u00e9 effectu\u00e9 en deux \u00e9tapes \u00e0 I'ONFP. La premi\u00e8re \u00e9tape a \u00e9t\u00e9 consacr\u00e9e \u00e0 l'apurement des donn\u00e9es gr\u00e2ce au logiciel ISSA (Integrated Systems for Survey Analysis) que I'IRD a mis a la disposition de I'EDS. Cette approche jointe au contr\u00f4le manuel des donn\u00e9es \u00e0 partir des marginaux des questionnaires a permis de d\u00e9tecter rapidement plusieurs erreurs d'incoh\u00e9rence. Il a fallu en g\u00e9n\u00e9ral trois passages pour nettoyer le fichier de l'EDS-Tunisie. \n\nApr\u00e8s l'apurement des donn\u00e9es, les dates des \u00e9v\u00e9nements qui n'ont pas \u00e9t\u00e9 enregistr\u00e9es dans le questionnaire (date de naissance de la femme, date de son premier mariage, date de naissance des enfants et \u00e2ges au d\u00e9c\u00e8s des enfants d\u00e9c\u00e9d\u00e9s) ont \u00e9t\u00e9 imput\u00e9es. Toutefois, les proportions de r\u00e9ponses imput\u00e9es sont extr\u00eamement faibles: deux \u00e0 cinq pour cent des cas. \n\nLa premi\u00e8re bande nettoy\u00e9e contenant les donn\u00e9es brutes des questionnaires (m\u00e9nages et individuels) a \u00e9t\u00e9 produite \u00e0 la fin du mois de d\u00e9cembre 1988. A la suite de cette derni\u00e8re version, une s\u00e9rie de v\u00e9rification suppl\u00e9mentaire a \u00e9t\u00e9 appliqu\u00e9e \u00e0 l'Institute for Resource Development pour s'assurer d\u00e9finitivement de la coh\u00e9rence globale des donn\u00e9es. \n\nLa deuxi\u00e8me \u00e9tape a \u00e9t\u00e9 consacr\u00e9e \u00e0 l'ex\u00e9cution du programme de tabulation. Une grande partie des tableaux pr\u00e9liminaires \u00e9tait d\u00e9j\u00e0 disponible fin octobre. La tabulation des r\u00e9sultats d\u00e9finitifs a eu lieu au mois de janvier 1989. Le m\u00eame programme ISSA a \u00e9t\u00e9 utilis\u00e9 pour la sortie des jeux de tableaux qui ont servi soit \u00e0 l'analyse pr\u00e9liminaire, soit \u00e0 la sortie du rapport principal.","method_notes":"RECEPTION ET CLASSEMENT DES QUESTIONNAIRES \n\nTous les questionnaires remplis et contr\u00f4l\u00e9s sur le terrain ont \u00e9t\u00e9 envoy\u00e9s par les contr\u00f4leurs au si\u00e8ge central de I'ONFP (Direction de la Population) \u00e0 Tunis r\u00e9guli\u00e8rement une fois tous les quinze jours o\u00f9, apr\u00e8s contr\u00f4le d'exhaustivit\u00e9, ils \u00e9taient class\u00e9s par gouvernorat dans une salle am\u00e9nag\u00e9e \u00e0 cet effet \nCette premi\u00e8re phase a commenc\u00e9 quinze jours apr\u00e8s le d\u00e9but du travail sur le terrain et a dur\u00e9 environ quatre mois. \n\nVERIFICATION\n\nCette deuxi\u00e8me phase effectu\u00e9e par un groupe de contr\u00f4leurs ayant suivi le stage de formation \u00e9tait consacr\u00e9e \u00e0 une v\u00e9rification manuelle des donn\u00e9es de chaque questionnaire. La v\u00e9rification \u00e9tait ax\u00e9e sur la vraisemblance et la coh\u00e9rence des r\u00e9sultats, les filtres et l'application rigoureuse des instructions. \nCette deuxi\u00e8me \u00e9tape de l'exploitation des donn\u00e9es, men\u00e9e parall\u00e8lement \u00e0 la r\u00e9ception et au classement des questionnaires, a \u00e9t\u00e9 d'une grande efficacit\u00e9 pour am\u00e9liorer encore le contr\u00f4le de qualit\u00e9 des r\u00e9sultats recueillis. \n\nSAISIE DES DONNEES\n\nL'op\u00e9ration de saisie des donn\u00e9es sur diskettes a \u00e9t\u00e9 effectu\u00e9e \u00e0 I'ONFP directement sur les trois micro-ordinateurs (de type IBM-XT) fournis par le programme DHS. La saisie des donn\u00e9es a \u00e9t\u00e9 effectu\u00e9e par une \u00e9quipe de quatre agents. Elle a commenc\u00e9 le 29 juillet et a pris fin le 22 octobre 1988.\n \nDans l'ensemble, le rendement des quatre agents de saisie a \u00e9t\u00e9 satisfaisant et les erreurs de saisie ont \u00e9t\u00e9 tr\u00e8s limit\u00e9es."},"analysis_info":{"response_rate":"Au total 6264 m\u00e9nages ont \u00e9t\u00e9 identifi\u00e9s parmi lesquels 495 ont \u00e9t\u00e9 impossibles \u00e0 contacter soit parce que le logement \u00e9tait inhabit\u00e9, soit parce que le logement \u00e9tait d\u00e9moli. De ce fait, les m\u00e9nages effectivement enqu\u00eat\u00e9s se sont r\u00e9duits \u00e0 5769 dont 5645 ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 97,9 pour cent. \n\nLes interviews de m\u00e9nages compl\u00e9t\u00e9es ont permis d'identifier 4419 femmes \u00e9ligibles \u00e2g\u00e9es de 15- 49 ans et non-c\u00e9libataires (r\u00e9sidentes et visiteuses), dont 4224 ont \u00e9t\u00e9 interview\u00e9es avec succ\u00e8s, ce qui donne un taux de r\u00e9ponse de 95,6 pour cent. Pour les besoins de l'analyse, l'enqu\u00eate s'est limit\u00e9e \u00e0 la population des femmes non-c\u00e9libataires (4184) ayant pass\u00e9 la nuit pr\u00e9c\u00e9dant l'interview dans le m\u00e9nage.","sampling_error_estimates":"Les estimations qui figurent dans le Rapport Final ont \u00e9t\u00e9 obtenues \u00e0 partir d'un \u00e9chantillon nationale auto-pond\u00e9r\u00e9 de 4184 femmes non-c\u00e9libataires \u00e2g\u00e9es de 15 \u00e0 49 ans. Si l'enqu\u00eate avait \u00e9t\u00e9 effectu\u00e9e aupr\u00e8s d'autres r\u00e9pondants, on a tout lieu de penser que les fr\u00e9quences des r\u00e9ponses auraient \u00e9t\u00e9 quelque peu diff\u00e9rentes de celles qu'on a pr\u00e9sent\u00e9es. C'est l'incertitude de cette hypoth\u00e8se que refl\u00e8te l'erreur de sondage; celle-ci permet donc de mesurer le degr\u00e9 de variation des r\u00e9ponses suivant l'\u00e9chantillon. L'erreur-type (ET) est un indice particuli\u00e8rement utile pour mesurer l'erreur de sondage. On l'estime \u00e0 partir de la variance des r\u00e9ponses dans l'\u00e9chantillon m\u00eame. Cet indice a pour propri\u00e9t\u00e9 que: \n\n1) dans 2 \u00e9chantillons sur 3, la valeur vraie d'un param\u00e8tre pour l'ensemble d'une population se trouve \u00e0 l'int\u00e9rieur de l'intervalle + ET de part et d'autre de la moyenne observ\u00e9e. \n2) dans 19 \u00e9chantillons sur 20, la valeur vraie d'un param\u00e8tre pour l'ensemble d'une population se trouve \u00e0 l'int\u00e9rieur de +-2ET. \n\nA titre d'exemple, pour les femmes non-c\u00e9libataires, l'ENPS a donn\u00e9 un nombre moyen d'enfants n\u00e9s vivants de 3,935 auquel correspond une erreur-type de 0,059 enfant. La fourchette dans laquelle se place la moyenne +-2ET est donc de 3,816 \u00e0 4,053. La probabilit\u00e9 que la vraie valeur ne soit pas \u00e0 l'int\u00e9rieur de cet intervalle est de 5 pour cent, si on suppose que les femmes enqu\u00eat\u00e9es ont r\u00e9pondu correctement aux questions dans le tableau des naissances. \n\nIl existe un deuxi\u00e8me indice souvent utile qui s'intitule la racine carr\u00e9e de l'effet du plan de sondage 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 a un sondage al\u00e9atoire simple. Cet indice r\u00e9v\u00e8le dans quelle mesure le plan de sondage qui a \u00e9t\u00e9 choisi (en Tunisie, un \u00e9chantillon \u00e0 degr\u00e9s multiples stratifi\u00e9s) se rapproche d'un \u00e9chantillon al\u00e9atoire simple de la m\u00eame taille. Autrement dit, la REPS mesure la perte de pr\u00e9cision de sondage due au fait qu'on a utilis\u00e9 un plan de sondage complexe. Les deux principaux facteurs qui d\u00e9terminent sa valeur sont le nombre moyen de m\u00e9nages tir\u00e9s dans chaque grappe et l'homog\u00e9n\u00e9it\u00e9 relative des r\u00e9ponses pour une variable donn\u00e9e, \u00e0 l'int\u00e9rieur et entre les grappes. Pour des \u00e9chantillons tir\u00e9s \u00e0 partir de tr\u00e8s petites grappes, pour des tr\u00e8s petits sous-\u00e9chantillons dans des grappes de n'importe quelle mille, et pour des variables relativement homog\u00e8nes, on peut s'attendre \u00e0 ce que l'effet de grappes ne soit pas tr\u00e8s diff\u00e9rent de 1. Ceci veut dire qu'on aura perdu tr\u00e8s peu en mati\u00e8re de pr\u00e9cision d'\u00e9chantillonnage, du fait du tirage d'un \u00e9chantillon en grappes par rapport \u00e0 un sondage al\u00e9atoire simple."}},"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":"F28","file_name":"SEC01","description":"M\u00e9nage\n- Feuille de Menage","case_count":"6264","var_count":"12","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F29","file_name":"SEC02","description":"M\u00e9nage\n- Tableau de Selection","case_count":"32506","var_count":"12","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F30","file_name":"REC01","description":"WOMAN\n- Respondent' s Basic Data","case_count":"4184","var_count":"16","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F31","file_name":"REC11","description":"WOMAN\n- Respondent' s Basic Data (continued)","case_count":"4184","var_count":"39","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F32","file_name":"REC21","description":"WOMAN\n- Reproduction (Birth History)","case_count":"16463","var_count":"16","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F33","file_name":"REC22","description":"WOMAN\n- Reproduction","case_count":"4184","var_count":"25","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F34","file_name":"REC31","description":"WOMAN\n- Contraceptive 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