{"type":"survey","doc_desc":{"title":"PHL_2003_DHS_v01_M","idno":"DDI_PHL_2003_DHS_v01_M","producers":[{"name":"World Bank, Development Economics Data Group","abbreviation":"DECDG","affiliation":"","role":"Generation of DDI documentation"}],"prod_date":"2012-05-02"},"study_desc":{"title_statement":{"idno":"PHL_2003_DHS_v01_M","title":"National Demographic and Health Survey 2003","alt_title":"NDHS 2003 \/ DHS 2003"},"authoring_entity":[{"name":"Philippines National Statistics Office (NSO)","affiliation":""}],"oth_id":[{"name":"Department of Health (DOH)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"University of the Philippines Population Institute (UPPI)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"Population Com\u00acmission (POPCOM)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"Food and Nutrition Research Institute (FNRI)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"United Nations Children\u2019s Fund (UNICEF)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"National Economic and Development Authority (NEDA)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"National Statistical Coordination Board (NSCB)","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "},{"name":"PhilHealth","affiliation":"","email":"","role":"Provider of technical inputs during the preparatory phase "}],"production_statement":{"producers":[{"name":"ORC Macro","affiliation":"","role":"Technical assistance"},{"name":"Department of Health (DOH)","affiliation":"","role":"Support for training of trainers and regional supervisors for the survey, and for writing this report"},{"name":"University of the Philippines Population Institute (UPPI)","affiliation":"","role":"Support for training of trainers and regional supervisors for the survey, and for writing this report"}],"funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","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"},{"name":"National Statistics Office","affiliation":"","email":"info@mail.census.gov.ph","uri":"http:\/\/www.census.gov.ph\/"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS IV","series_info":"The 2003 Philippines Demographic and Health Survey (PDHS) is the eighth DHS survey carried out  every five years since 1968 in order to measure trends in demographic and family planning indicators  in Philippines. But the 2003 NDHS is the third national sample survey undertaken in Philippines under the aus\u00adpices of the worldwide Demographic and Health Surveys program."},"study_info":{"abstract":"The 2003 National Demographic and Health Survey (NDHS) is a nationally representative sur\u00advey of 13,945 women age 15-49 and 5,009 men age 15-54. The main purpose of the 2003 NDHS is to provide policymakers and program managers with detailed information on fertility, family plan\u00adning, childhood and adult mortality, maternal and child health, and knowledge and attitudes related to HIV\/AIDS and other sexually transmitted in\u00adfections. The 2003 NDHS also collects high qual\u00adity data on family health: immunizations, preva\u00adlence and treatment of diarrhea and other diseases among children under five, antenatal visits, assis\u00adtance at delivery and breastfeeding. \n\nThe 2003 NDHS is the third national sample survey undertaken in Philippines under the aus\u00adpices of the worldwide Demographic and Health Surveys program. \n\nThe 2003 Philippines National Demographic and Health Survey (NDHS) is designed to provide up\u00adto-date information on population, family planning, and health to assist policymakers and program managers in evaluating and designing strategies for improving health and family planning services in the country.  In particular, the 2003 NDHS has the following objectives: \n- Collect data at the national level, which will allow the calculation of demographic rates and, particularly, fertility and under-five mortality rates. \n- Analyze the direct and indirect factors that determine the level and trends of fertility. Indicators related to fertility will serve to inform plans for social and economic development. \n- Measure the level of contraceptive knowledge and practice by method, urban-rural residence, and region. \n- Collect data on knowledge and attitudes of women and men about sexually transmitted infections and HIV\/AIDS and evaluate patterns of recent behavior regarding condom use. \n- Collect high-quality data on family health, including immunizations, prevalence and treatment of diarrhea and other diseases among children under five, antenatal visits, assistance at delivery, and breastfeeding.","coll_dates":[{"start":"2003-06","end":"2003-09","cycle":""}],"nation":[{"name":"Philippines","abbreviation":"PHL"}],"geog_coverage":"National","analysis_unit":"- Household\n- Women age 15-49\n- Men age 15-54","universe":"The population covered by the 1998 Phillipines NDS is defined as the universe of all females age 15-49 years, who are members of the sample household or visitors present at the time of interview and had slept in the sample households the night prior to the time of interview, regardless of marital status and all men age 15-54 living in the household.","data_kind":"Sample survey data","notes":"The 2003 Philippines Demographic and Health Survey covers the following topics:\n\n- Antenatal, delivery, and postnatal care \n- Availability of family planning \n- Awareness and behavior regarding AIDS and other sexually transmitted infections \n- Awareness and behavior regarding tuberculosis\n- Background characteristics (education, religion, etc.) \n- Breastfeeding and infant feeding practices \n- Childhood mortality \n- Fertility preferences \n- Full Pregnancy History\n- Health\n- Infant's and children's feeding practices \n- Knowledge and use of family planning methods \n- Knowledge and use of contraception \n- Marriage and sexual activity \n- Maternal Mortality\n- Reproductive history\n- Supplies and services \n- Vaccinations and childhood illnesses \n- Woman's work and husband's background characteristics","study_scope":"The 2003 Philippines Demographic and Health Survey covers the following topics:\n\n- Antenatal, delivery, and postnatal care \n- Availability of family planning \n- Awareness and behavior regarding AIDS and other sexually transmitted infections \n- Awareness and behavior regarding tuberculosis\n- Background characteristics (education, religion, etc.) \n- Breastfeeding and infant feeding practices \n- Childhood mortality \n- Fertility preferences \n- Full Pregnancy History\n- Health\n- Infant's and children's feeding practices \n- Knowledge and use of family planning methods \n- Knowledge and use of contraception \n- Marriage and sexual activity \n- Maternal Mortality\n- Reproductive history\n- Supplies and services \n- Vaccinations and childhood illnesses \n- Woman's work and husband's background characteristics"},"method":{"data_collection":{"data_collectors":[{"name":"Philippines National Statistics Office (NSO)","abbreviation":"","affiliation":""}],"sampling_procedure":"The 2003 NDHS is the first survey that used the new master sample created for household surveys on the basis of the 2000 Census of Population and Housing. The 2003 NDHS used one of the four replicates of the master sample. The sample was designed to represent the country as a whole, urban and rural areas, and each of the 17 administrative regions. In each region, a stratified, three-stage cluster sampling design was employed. In the first stage, 819 primary sampling units (PSUs) were selected with probability proportional to the number of households in the 2000 census. PSUs consisted of a barangay or a group of contiguous barangays. In the second stage, in each PSU, enumeration areas (EAs) were selected with probability proportional to the number of EAs. An EA is defined as an area with discernable boundaries consisting of about 150 contiguous households. All households in the selected EAs were listed in a separate field operation conducted May 7 through 21, 2003.  In the third stage, from each EA, an average of 17 households was selected using systematic sampling.","coll_mode":"Face-to-face","research_instrument":"The 2003 NDHS used four questionnaires: a) Household Questionnaire, b) Health Module, c) Women's Questionnaire, and d) Men's Questionnaire. The content of the Women's Questionnaire was based on the MEASURE DHS+ Model \u201cA\u201d Questionnaire, which was developed for use in countries with high levels of contraceptive use. To modify the questionnaire to reflect relevant family planning and health issues in the Philippines, program input was solicited from Department of Health (DOH), Commission on Population (POPCOM), the University of the Philippines Population Institute (UPPI), the Food and Nutrition Research Institute (FNRI), the Philippine Health Insurance Corporation (PhilHealth), USAID, the National Statistics Coordination Board (NSCB), the National Economic and Development Authority (NEDA), the United Nations Children's Fund (UNICEF), and Dr. Mercedes B. Concepcion, professor emeritus at the University of the Philippines, as well as managers of USAID-sponsored projects in the Philippines. The questionnaires were translated from English into six major languages:  Tagalog, Cebuano, Ilocano, Bicol, Hiligaynon, and Waray. \n\na) The Household Questionnaire was used to list all of the usual members and visitors in the selected households. Basic information collected for each person listed includes age, sex, education, and relationship to the head of the household. The main purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview. Information on characteristics of the household's dwelling unit, such as the source of water, type of toilet facilities, materials used for the floor of the house, and ownership of various durable goods, was also recorded in the Household Questionnaire. These items are indicators of the household's socioeconomic status. \n\nb) The Health Module was aimed at apprising concerned agencies on the health status, practices, and attitude of the population.  The module included the following topics:  \n- Health facility utilization\n- Noncommunicable diseases \n- Infectious diseases \n-Traditional medicines, healing practices, and alternative health care modalities \n- Health care financing -Environmental health. \n\nc) The Women's Questionnaire was used to collect information from all women age 15-49.  These women were asked questions on the following topics: \n- Background characteristics (e.g., education, media exposure)\n- Reproductive history \n- Knowledge and use of family planning methods \n- Fertility preferences \n- Antenatal, delivery, and postnatal care \n- Breastfeeding and infant feeding practices \n- Vaccinations and childhood illnesses \n- Marriage and sexual activity \n- Woman's work and husband's background characteristics \n- Infant's and children's feeding practices \n- Childhood mortality \n- Awareness and behavior regarding AIDS and other sexually transmitted infections \n- Awareness and behavior regarding tuberculosis\n\nd) The Men's Questionnaire was administered to all men age 15-54 living in every third household in the NDHS sample.  The Men's Questionnaire collected much of the same information found in the Women's Questionnaire but was shorter because it did not contain questions on reproductive history, maternal and child health, and nutrition.  Instead, men were asked about their knowledge and participation in health-seeking practices for their children.","coll_situation":"PRETEST \n\nThree pretests were conducted prior to finalizing the survey instruments. The first pretest was conducted on January 6 through 10, 2003, in Caloocan City and Marikina City, both located in the National Capital Region (NCR). It was aimed at checking the flow of questions and the practicability of administering the Men's Questionnaire, which was used for the first time in the Philippines NDHS.  The second pretest was carried out in Bulacan Province. The aim was to test the Tagalog translation of the questionnaires and also the field operation procedures.  Training for the pretest field staff took place in the NSO Central Office in Manila from February 24 through March 7, 2003, with fieldwork on March 10 through 22, 2003. \n\nThe NDHS questionnaires were later translated into other dialects-Cebuano, Ilocano, Bicol, Hiligaynon, and Waray-with assistance from staff of the Regional Statistics Offices (RSOs).  The third pretest was mainly carried out to check the translation of the questionnaires.  It was conducted on April 2 through 9, 2003, in the NSO Central Office, with personnel assigned at the Household Statistics Department and the NSO NCR office who spoke any of the five dialects acting as the interviewers. Selected male and female employees from different departments of NSO who spoke the dialects were interviewed with the translated questionnaires. Some of the third pretest interviewers administered the translated questionnaires to their neighbors and relatives who spoke the dialects.  \n\nTRAINING AND FIELDWORK \n\nTraining of the field staff was conducted in two phases.  The first was the Task Force training (instructors and regional coordinators), followed by training of the interviewing teams. The Task Force training was conducted in Manila from April 28 through May 17, 2003.  Thirty-six persons participated as trainees: 17 from RSOs and 19 from the NSO Central Office. The trainers were staff of the Demographic and Social Statistics Division (DSSD) at NSO and professors from UPPI.  Staff from DOH and PhilHealth served as resource persons in the training.  \n\nThe second-level training took place from May 21 through June 6, 2003, in eight training centers: Antipolo, Rizal; San Fernando, La Union; Legazpi City; Iloilo City; Cebu City; Zamboanga City; Cagayan de Oro City; and Davao City. Instructors in this training were members of the Task Force who were trained in the first-level training. \n\nData collection was carried out from June 16 to September 3, 2003, by 44 interviewing teams. Each team consisted of a team supervisor, a field editor, three or four female interviewers, and one male interviewer.","cleaning_operations":"All completed questionnaires and the control forms were returned to the NSO Central Office in Manila for data processing, which consisted of manual editing, data entry and verification, and editing of computer-identified errors.  An ad hoc group of seven regular employees of DSSD was created to work full time in the NDHS Data Processing Center. This group was responsible for the different aspects of NDHS data processing. There were 10 manual processors and 25 data encoders hired to process the data. \n\nManual editing started on July 15, 2003, and data entry started on July 21, 2003. The computer package program called CSPro (Census and Survey Processing System) was used for data entry, editing, and tabulation. To prepare the data entry programs, two NSO staff members spent three weeks in ORC Macro offices in Calverton, Maryland, in April and May 2003.  Data processing was completed in October 29, 2003."},"analysis_info":{"response_rate":"For the 2003 NDHS sample, 13,914 households were selected, of which 12,694 were occupied (Table). Of these households, 12,586 were successfully interviewed, yielding a household response rate of 99 percent. Household response rates are similar in rural areas and in urban areas (99 percent).  \n\nAmong the households interviewed, 13,945 women were identified as eligible respondents, and interviews were completed for 13,633 women, yielding a response rate of 98 percent.  In a subsample of every third household, 5,009 men were identified to be eligible for individual interview. Of these, 4,766 were successfully interviewed, yielding a response rate of 95 percent.","sampling_error_estimates":"Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents se\u00adlected in the 2003 NDHS is only one of many samples that could have been selected from the same popu\u00adlation, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.  \n\nA sampling error is usually measured in terms of the standard error for a particular statistic (e.g., mean, percentage), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design. \n\nIf the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2003 NDHS sam\u00adple is the result of a multistage stratified design, and consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the 2003 NDHS is the Integrated System for Survey Analysis (ISSA) Sampling Error Module. This module used the Taylor linearization method of variance estimation for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics, such as fertility and mortal\u00adity rates. \n\nThe Jackknife repeated replication method derives estimates of complex rates from each of sev\u00aderal replications of the parent sample and calculates standard errors for these estimates using simple for\u00admulas. Each replication considers all but one cluster in the calculation of the estimates. Pseudo-independent replications are thus created.  In the 2003 NDHS, there were 819 non-empty clusters; hence, 818 replications were created. \n\nIn addition to the standard error, ISSA computes the design effect (DEFT) for each estimate, which is defined as the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used. A DEFT value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a value greater than 1.0 indicates that the increase in the sampling errors is due to the use of a more complex and less statistically efficient design. ISSA also computes the relative error and confidence limits for the estimates. \n\nSampling errors for the 2003 NDHS were calculated for selected variables considered to be of primary interest for the women's survey and for the men's survey. The results are presented in an ap\u00adpendix to the Final Report for the country as a whole, for urban and rural areas, and for each of the 17 regions. For each vari\u00adable, the type of statistic (mean, proportion, or rate) and the base population are given in Table B.1 of the Final Report. Ta\u00adbles B.2 to B.21 present the value of the statistic (R), its standard error (SE), the number of unweighted cases (N) and weighted cases (WN), the design effect (DEFT), the relative standard error (SE\/R), and the 95 percent confidence limits (R\u00b12SE) for each variable. The DEFT is considered undefined when the standard error considering the simple random sample is zero (when the estimate is close to 0 or 1). In the case of the total fertility rate, the number of unweighted cases is not relevant, as there is no known un\u00adweighted value for woman-years of exposure to childbearing. \n\nThe confidence interval (e.g., as calculated for children ever born to women age 40-49) can be in\u00adterpreted as follows: the overall average from the national sample is 4.321, and its standard error is 0.065. Therefore, to obtain the 95 percent confidence limits, one adds and subtracts twice the standard error to the sample estimate (i.e., 4.32 \u00b1 2 \u00d7 0.065). There is a high probability (95 percent) that the true average number of children ever born to all women age 40 to 49 is between 4.192 and 4.451.\n\n\nSampling errors were analyzed for the national sample of women and for two separate groups of estimates: 1) means and proportions and 2) complex demographic rates. The relative standard errors (SE\/R) for the means and proportions range between 0.1 and 29.1 percent, with an average of 3.27 per\u00adcent; the highest relative standard errors are for estimates of very low values (e.g., currently using male sterilization). If estimates of very low values (less than 10 percent) are removed, then the average drops to \n1.81 percent. So in general, the relative standard error for most estimates for the country as a whole is small, except for estimates of very small proportions. The relative standard error for the total fertility rate is small (1.9 percent). However, for the mortality rates, the average relative standard error is much higher \n(8.95 percent). \n\nThere are differentials in the relative standard error for the estimates of subpopulations. For ex\u00adample, for the variable \u201cwant no more children,\u201d the relative standard errors as a percent of the estimated mean for the whole country and for the urban areas are 0.9 and 1.4 percent, respectively. \n\nFor the total sample, the value of the DEFT, averaged over all variables, is 1.167, which means that, because of multistage clustering of the sample, the average standard error is increased by a factor of \n1.167 over that in an equivalent simple random sample.","data_appraisal":"Nonsampling errors are the results of mistakes made in implementing data collec\u00adtion and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2003 National Demographic and Health Survey (NDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}],"cit_req":"Use of the dataset must be acknowledged using a citation which would include:\n- the Identification of the Primary Investigator\n- the title of the survey (including country, acronym and year of implementation)\n- the survey reference number\n- the source and date of download","disclaimer":"The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such 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