{"type":"survey","study_desc":{"title_statement":{"idno":"GTM_2014_DHS_v01_M","title":"Encuesta Nacional de Salud Materno Infantil 2014-2015","alt_title":"DHS 2014-15 \/ ENSMI 2014-15"},"authoring_entity":[{"name":"Ministerio de Salud P\u00fablica y Asistencia Social (MSPAS)","affiliation":"Gobierno de Guatemala"},{"name":"Instituto Nacional de Estad\u00edstica (INE)","affiliation":"Gobierno de Guatemala"}],"production_statement":{"producers":[{"name":"ICF International","affiliation":"","role":"Proporcion\u00f3 asistencia t\u00e9cnica"}],"funding_agencies":[{"name":"Gobierno de Guatemala","abbreviation":"GovGTM","role":"Financiaci\u00f3n"},{"name":"Instituto de Nutrici\u00f3n de Centroam\u00e9rica y Panam\u00e1","abbreviation":"INCAP","role":"Financiaci\u00f3n"},{"name":"Fondo de Naciones Unidas para la Infancia","abbreviation":"UNICEF","role":"Financiaci\u00f3n"},{"name":"Estados Unidos para el Desarrollo Internacional","abbreviation":"USAID","role":"Financiaci\u00f3n"},{"name":"Embajada de Suecia","abbreviation":"GovSWE","role":"Financiaci\u00f3n"},{"name":"Embajada de Canad\u00e1","abbreviation":"GovCAN","role":"Financiaci\u00f3n"},{"name":"Agencia Espa\u00f1ola de Cooperaci\u00f3n Internacional para el Desarrollo","abbreviation":"AECID","role":"Financiaci\u00f3n"}]},"distribution_statement":{"contact":[{"name":"Information about The DHS Program","affiliation":"The DHS Program","email":"reports@DHSprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"General Inquiries","affiliation":"The DHS Program","email":"info@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"Data and Data Related Resources","affiliation":"The DHS Program","email":"archive@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (Standard) - DHS VII","series_info":"Las Encuestas de Demograf\u00eda y Salud (DHS) son un programa multinacional de encuestas de hogares que provee estimaciones de los principales indicadores de salud materna e infantil, con la asistencia t\u00e9cnica de ICF Internacional bajo el Programa DHS de USAID. El MSPAS condujo previamente la ENSMI 2008-2009, para lo cual utiliz\u00f3 la metodolog\u00eda de las Encuestas de Salud Reproductiva (Reproductive Health Surveys, RHS) con la asistencia t\u00e9cnica del Centro de Control y Prevenci\u00f3n de Enfermedades (Center of Disease Control and Prevention, CDC). Los objetivos e indicadores de la DHS y RHS son consistentes, aunque hay algunas peque\u00f1as diferencias en la metodolog\u00eda de muestreo de los dos programas de encuestas. Similar a la ENSMI 2008-2009, la ENSMI 2014-2015 fue dise\u00f1ada para proveer resultados confiables de los principales indicadores a nivel departamental."},"study_info":{"abstract":"Las Encuestas de Demograf\u00eda y Salud (DHS) son un programa multinacional de encuestas de hogares que provee estimaciones de los principales indicadores de salud materna e infantil, con la asistencia t\u00e9cnica de ICF Internacional bajo el Programa DHS de USAID.\n\nObjetivos de Encuesta Nacional de Salud Materno Infantil 2014-2015\n1) Generales\n- Proporcionar a las autoridades gubernamentales y no gubernamentales nacionales y locales y de instituciones internacionales, la informaci\u00f3n demogr\u00e1fica y los an\u00e1lisis necesarios para tomar deci\u00adsiones informadas en el campo de la salud infantil, sexual y reproductiva de la poblaci\u00f3n guatemal\u00adteca.\n- Incrementar la informaci\u00f3n nacional e internacional disponible acerca de las caracter\u00edsticas demo\u00adgr\u00e1ficas del pa\u00eds y poder efectuar estudios comparativos de salud y poblaci\u00f3n a nivel regional y global con otros pa\u00edses participantes.\n- Consolidar y fortalecer la informaci\u00f3n sobre temas relacionados con la salud sexual reproductiva de mujeres y hombres en edad reproductiva y en la salud infantil.\n\n2) Espec\u00edficos \n- Proporcionar informaci\u00f3n de la situaci\u00f3n de salud materno infantil a nivel nacional, urbano y rural, regional y departamental. \n- Suministrar informaci\u00f3n sobre los niveles y tendencias de fecundidad en Guatemala y los factores que influyen en el nivel de fecundidad en la poblaci\u00f3n guatemalteca, que permitan efectuar compa\u00adraciones a nivel internacional. \n- Contribuir con informaci\u00f3n actualizada en las \u00e1reas de la salud de grupos vulnerables, tales como mujeres de 15 a 49 a\u00f1os, ni\u00f1as y ni\u00f1os menores de cinco a\u00f1os. \n- Proporcionar informaci\u00f3n sobre la salud reproductiva de hombres de 15 a 59 a\u00f1os para poder anali\u00adzar la tendencia y los cambios sucedidos en este segmento de la poblaci\u00f3n.","coll_dates":[{"start":"2014-09","end":"2015-06","cycle":""}],"nation":[{"name":"Guatemala","abbreviation":"GTM"}],"geog_coverage":"La cobertura nacional","analysis_unit":"- El hogar\n- Mujeres de 15-49 a\u00f1os\n- Hombres de 15-59 a\u00f1os","data_kind":"Sample survey data [ssd]","notes":"La encuesta abarc\u00f3 los siguientes temas:\n\nHOGAR\n\u2022 Residencia habitual\n\u2022 Relaci\u00f3n de parentesco con el jefe del hogar\n\u2022 Sexo, edad y residencia de cada miembro del hogar\n\u2022 Educaci\u00f3n y asistencia escolar de los miembros del hogar de seis a\u00f1os o m\u00e1s de edad\n\u2022 Caracter\u00edsticas del hogar y la vivienda\n\u2022 Inseguridad alimentaria\n\u2022 Peso y longitud\/talla de ni\u00f1as y ni\u00f1os\n\u2022 Peso y talla de mujeres de 15 a 49 a\u00f1os \n\u2022 Anemia en ni\u00f1as y ni\u00f1os de seis a 59 meses y mujeres de 15 a 49 a\u00f1os (a trav\u00e9s de una prueba r\u00e1pi\u00adda de hemoglobina)\n\nMUJERES\n\u2022 Antecedentes de la persona entrevistada\n\u2022 Reproducci\u00f3n (historia de nacimientos)\n\u2022 Anticoncepci\u00f3n\n\u2022 Embarazo y cuidado posnatal\n\u2022 Inmunizaci\u00f3n, salud y nutrici\u00f3n infantil\n\u2022 Matrimonio y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Antecedentes del esposo o compa\u00f1ero y trabajo de la mujer\n\u2022 VIH\/Sida e ITS\n\u2022 Otros asuntos de salud\n\u2022 Mortalidad materna\n\u2022 M\u00f3dulo de violencia (aplicado a una mujer por hogar, en hogares no seleccionados en la submuestra de hogares que incluye hombres)\n\nHOMBRES\n\u2022 Antecedentes del entrevistado\n\u2022 Reproducci\u00f3n (Historia de nacimientos)\n\u2022 Anticoncepci\u00f3n\n\u2022 Matrimonio y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Empleo y roles de g\u00e9nero\n\u2022 VIH\/Sida e ITS\n\u2022 Otros asuntos de salud\n\u2022 M\u00f3dulo de Violencia (aplicado a s\u00f3lo un hombre por hogar, en hogares seleccionados en la submuestra de hogares que incluye hombres)","study_scope":"La encuesta abarc\u00f3 los siguientes temas:\n\nHOGAR\n\u2022 Residencia habitual\n\u2022 Relaci\u00f3n de parentesco con el jefe del hogar\n\u2022 Sexo, edad y residencia de cada miembro del hogar\n\u2022 Educaci\u00f3n y asistencia escolar de los miembros del hogar de seis a\u00f1os o m\u00e1s de edad\n\u2022 Caracter\u00edsticas del hogar y la vivienda\n\u2022 Inseguridad alimentaria\n\u2022 Peso y longitud\/talla de ni\u00f1as y ni\u00f1os\n\u2022 Peso y talla de mujeres de 15 a 49 a\u00f1os \n\u2022 Anemia en ni\u00f1as y ni\u00f1os de seis a 59 meses y mujeres de 15 a 49 a\u00f1os (a trav\u00e9s de una prueba r\u00e1pi\u00adda de hemoglobina)\n\nMUJERES\n\u2022 Antecedentes de la persona entrevistada\n\u2022 Reproducci\u00f3n (historia de nacimientos)\n\u2022 Anticoncepci\u00f3n\n\u2022 Embarazo y cuidado posnatal\n\u2022 Inmunizaci\u00f3n, salud y nutrici\u00f3n infantil\n\u2022 Matrimonio y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Antecedentes del esposo o compa\u00f1ero y trabajo de la mujer\n\u2022 VIH\/Sida e ITS\n\u2022 Otros asuntos de salud\n\u2022 Mortalidad materna\n\u2022 M\u00f3dulo de violencia (aplicado a una mujer por hogar, en hogares no seleccionados en la submuestra de hogares que incluye hombres)\n\nHOMBRES\n\u2022 Antecedentes del entrevistado\n\u2022 Reproducci\u00f3n (Historia de nacimientos)\n\u2022 Anticoncepci\u00f3n\n\u2022 Matrimonio y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Empleo y roles de g\u00e9nero\n\u2022 VIH\/Sida e ITS\n\u2022 Otros asuntos de salud\n\u2022 M\u00f3dulo de Violencia (aplicado a s\u00f3lo un hombre por hogar, en hogares seleccionados en la submuestra de hogares que incluye hombres)"},"method":{"data_collection":{"sampling_procedure":"Guatemala est\u00e1 dividida en 22 departamentos que constituyen los principales dominios de estudio y an\u00e1li\u00adsis de la encuesta. Cada departamento est\u00e1 dividido en estratos rural y urbano, aunque estos son considerados como dominios de an\u00e1lisis solamente a nivel nacional. El marco de muestreo de la encuesta se basa en la muestra maestra del INE, elaborada a partir de los datos y material cartogr\u00e1fico del censo del 2002, el m\u00e1s reciente.\n\nDado que los objetivos de la encuesta son similares a los de la ENSMI 2008-2009, el presupuesto inicial fue basado en la selecci\u00f3n de una muestra de alrededor 22,000 hogares. Como los resultados de la encuesta ser\u00edan tabulados a nivel departamental, se decidi\u00f3 seleccionar un m\u00ednimo de 900 hogares en cada departamento. En la ENSMI 2008-2009 se seleccionaron 30 hogares en cada sector de la muestra, pero en la presente encuesta se redujo el n\u00famero a 26 hogares y se increment\u00f3 el n\u00famero de sectores de la muestra de cada departamento para hacer m\u00e1s eficiente la muestra.\n\nPara cada departamento, excepto Guatemala, se increment\u00f3 el n\u00famero de sectores de la muestra a 36, distribuidos proporcionalmente en los estratos urbano y rural del departamento. Con la selecci\u00f3n de 26 hogares por cada sector de la muestra result\u00f3 una muestra de 936 hogares para la mayor\u00eda de departamentos, que es poco mayor a la muestra de la ENSMI 2008-2009 (900 hogares). Para el departamento de Guatemala el n\u00famero de sectores fue aumentado a 48 para el municipio de Guatemala y 60 para el resto del departamento, con un corres\u00adpondiente incremento en el n\u00famero de hogares de la muestra a 1,248 y 1,560 respectivamente.\n\nSe utiliz\u00f3 un procedimiento de selecci\u00f3n estratificado, multi-et\u00e1pico con los sectores como unidades primarias. En la primera etapa, el INE seleccion\u00f3 los sectores de la muestra maestra en forma sistem\u00e1tica y con probabilidades proporcionales a su tama\u00f1o dentro de cada departamento, \u00e1rea rural y urbana, y nivel socioecon\u00f3\u00admico (NSE). Para la segunda etapa, los 4,020 sectores de la muestra maestra del INE fueron estratificados expl\u00ed\u00adcitamente por departamento y \u00e1rea rural y urbana, y se utiliz\u00f3 una estratificaci\u00f3n impl\u00edcita por el nivel socioeco\u00adn\u00f3mico. Dado el tama\u00f1o de la muestra de la ENSMI 2014-2015 (864 sectores), no fue posible considerar estas tres variables de estratificaci\u00f3n y solamente se consideraron las dos primeras variables (\u00e1rea y departamento). Para incluir de alg\u00fan modo la estratificaci\u00f3n por estrato socioecon\u00f3mico (NSE), antes de hacer la selecci\u00f3n de los sectores de la muestra, dentro de cada \u00e1rea y departamento se ordenaron los sectores de acuerdo a esta variable por NSE, y luego se aplic\u00f3 un procedimiento de muestreo sistem\u00e1tico con igual probabilidad de selecci\u00f3n.\n\nEn cada uno de los 864 sectores seleccionados se actualiz\u00f3 el listado de sus hogares y el material carto\u00adgr\u00e1fico que los ubican. Luego, en la \u00faltima etapa del muestreo, se us\u00f3 esta informaci\u00f3n para seleccionar, en forma sistem\u00e1tica y con igual probabilidad, 26 hogares del listado actualizado de hogares para las entrevistas de las mujeres de 15 a 49 a\u00f1os. Por \u00faltimo, de estos hogares se seleccionaron aleatoriamente y en forma sistem\u00e1ti\u00adca, uno de cada dos hogares (13 hogares), donde se realizaron las entrevistas de hombres de 15 a 59 a\u00f1os. Estos constituyen entonces una submuestra de hogares de la mitad del total de hogares seleccionados.","coll_mode":"Face-to-face [f2f]","research_instrument":"En la ENSMI 2014-2015 se utilizaron tres cuestionarios. El primero que se aplic\u00f3 fue el de hogar, el cual permiti\u00f3 la identificaci\u00f3n de todas las personas que resid\u00edan en el hogar seleccionado y las personas a entrevistar. El segundo fue dirigido a las mujeres elegibles (de 15 a 49 a\u00f1os) con los que se recolect\u00f3 la informaci\u00f3n sobre varios temas relacionados con la salud materno infantil, el comportamiento reproductivo de cada mujer entrevistada y otros temas relacionados con su salud que se mencionan m\u00e1s adelante. El tercero fue aplicado a los hombres de 15 a 59 a\u00f1os en una submuestra de uno de cada dos hogares. La elegibilidad de mujeres y hombres se determin\u00f3 a partir de la edad al momento de completar el cuestionario de hogar y en funci\u00f3n de cumplir con la condici\u00f3n de residir o haber pasado la noche anterior en el hogar.","coll_situation":"El trabajo de campo para la recolecci\u00f3n de los datos se efectu\u00f3 del 1 de octubre de 2014 al 10 de julio de 2015. Esta actividad la ejecutaron 13 grupos que inclu\u00edan personal biling\u00fce en los idiomas Q\u00b4eqchi, Mam, Kaqchikel y K\u00b4iche\u00b4. Se realizaron siete comisiones de trabajo de campo, en diferentes per\u00edodos del trabajo de campo cuyo recorrido se estableci\u00f3 de acuerdo a las aprobaciones de las autoridades locales para el ingreso a los sectores cartogr\u00e1ficos en cada municipio, adem\u00e1s la viabilidad de ingreso de acuerdo a las condiciones clim\u00e1ticas de las diferentes \u00e1reas del pa\u00eds.\n\nCada grupo de trabajo estuvo integrado por un supervisor o una supervisora de grupo, una editora de campo, una antropometrista, cinco encuestadoras y cuatro encuestadores. Cada uno de los grupos ten\u00eda a su cargo tres veh\u00edculos para la movilizaci\u00f3n en los sectores de la muestra, balanza digital, tall\u00edmetro\/infant\u00f3metro, GPS, HemoCue y tel\u00e9fono celular. Por la cantidad de grupos, cada comisi\u00f3n de campo requiri\u00f3 un alto nivel de organizaci\u00f3n y log\u00edstica para la salida y retorno de todos los grupos.","weight":"Para que las estimaciones de la encuesta fueran representativas de toda la poblaci\u00f3n y sus diferentes estratos, fue necesario realizar una ponderaci\u00f3n de los datos. Se calcularon pesos para el total de los hogares encuestados, los que fueron ajustados de acuerdo a la tasa de respuesta. Tambi\u00e9n se calcularon pesos espec\u00edficos para la submuestra de hogares en que se hicieron las entrevistas de hombres. Para los datos recolectados en el cuestionario de mujeres se calcularon pesos espec\u00edficos basados en los pesos de los hogares, de acuerdo a la tasa de respuesta de mujeres. En el caso de los hombres, se calcularon pesos espec\u00edficos que consideran los pesos del total de los hogares, los pesos de los hogares de la submuestra y la tasa de respuesta de hombres. Adicional\u00admente, dado que se agreg\u00f3 un m\u00f3dulo de violencia dom\u00e9stica que se aplic\u00f3 a un s\u00f3lo hombre en cada uno de los hogares de la submuestra, y a una sola mujer en el resto de los hogares, tambi\u00e9n se calcularon pesos espec\u00edficos para mujeres y hombres separadamente, los que deben aplicarse cuando se calculan indicadores sobre violencia dom\u00e9stica.","cleaning_operations":"El procesamiento de datos de la ENSMI 2014-2015, espec\u00edficamente para la recolecci\u00f3n de los datos comprendi\u00f3 las etapas de recepci\u00f3n central, edici\u00f3n, digitaci\u00f3n y verificaci\u00f3n (para todos los cuestionarios), edici\u00f3n cr\u00edtica y correcci\u00f3n de inconsistencias. Estas tareas fueron realizadas por 24 digitadoras y digitadores, y 12 editoras y editores centrales.\n\nDurante todo el procesamiento de la informaci\u00f3n se aplicaron los procedimientos que se han utilizado como est\u00e1ndares de las DHS anteriores. Los programas y aplicaciones se elaboraron mediante el paquete interac\u00adtivo Census and Survey Process (CSPro) versi\u00f3n 4.0. Los controles de calidad durante el proceso de digitaci\u00f3n, iniciaban desde la recepci\u00f3n f\u00edsica del paquete y segu\u00edan con el ingreso en el programa del administrador de la cantidad de hogares, mujeres y hombres entrevistados. Al terminar la recepci\u00f3n los paquetes eran asignados a los respectivos digitadores para su ingreso a la base de datos. Todos los paquetes fueron digitados dos veces.\n\nLa verificaci\u00f3n consist\u00eda en la revisi\u00f3n de aquellas diferencias que se detectaban al comparar la primera contra la segunda digitaci\u00f3n del mismo paquete. Este listado de diferencias era generado constantemente hasta corregirlas. Como \u00faltimo proceso se realiz\u00f3 la edici\u00f3n cr\u00edtica. De igual manera que en la digitaci\u00f3n se realiz\u00f3 en el 100 por ciento de los paquetes trabajados."},"analysis_info":{"response_rate":"De un total de 22,308 hogares seleccionados, 21,662 estaban ocupados y de estos 21,383 fueron entrevistados con \u00e9xito, lo que da una tasa de respuesta de 99 por ciento.\n\nEn este conjunto de hogares entrevistados se encontraron 26,767 mujeres elegibles, de las cuales se entrevist\u00f3 al 97 por ciento. En el caso de los hombres, las entrevistas se realizaron en uno de cada dos hogares, se encontraron 11,930 elegibles, se logr\u00f3 entrevistar al 93 por ciento de los mismos. Las tasas de respuesta son ligeramente superiores en \u00e1reas rurales que en las urbanas, 98 y 96 por ciento respectivamente en el caso de las mujeres y 95 y 92 por ciento, respectivamente en el caso de los hombres.","sampling_error_estimates":"El error est\u00e1ndar, o la ra\u00edz cuadrada de la varianza, es usado para medir el error de muestreo. El estimador de la varianza debe tomar en cuenta los diferentes aspectos del dise\u00f1o de la muestra, tal como la estratificaci\u00f3n y los conglomerados. Los programas disponibles para calcular la varianza de datos de encuestas con dise\u00f1os de muestreo estratificado y multi-et\u00e1pico como el de la ENSMI incluyen Stata y el m\u00f3dulo de Muestras Complejas del SPSS.\n\nV\u00e9ase Ap\u00e9ndice B para m\u00e1s detalles","data_appraisal":"Las tablas fueron producidos para revisar la calidad de los datos:\n- Distribuci\u00f3n por edad en los hogares\n- Distribuci\u00f3n por edad de las mujeres elegibles y entrevistadas\n- Distribuci\u00f3n por edad de los hombres elegibles y entrevistados\n- Cobertura de la informaci\u00f3n\n- Nacimientos por a\u00f1os calendario\n- Informaci\u00f3n de la edad al morir en d\u00edas\n- Informaci\u00f3n sobre de la edad al morir en meses\n- Estado nutricional de las ni\u00f1as y ni\u00f1os basado en la Poblaci\u00f3n Internacional de Referencia de NCHS\/CDC\/OMS\n\nNota: Las tablas se presentan en el Ap\u00e9ndice C del informe final."}},"data_access":{"dataset_availability":{"access_place":"The DHS Program","access_place_uri":"http:\/\/dhsprogram.com\/data\/available-datasets.cfm","original_archive":"The DHS Program\nhttp:\/\/dhsprogram.com\/data\/available-datasets.cfm\nCost: None"}}},"data_files":[{"file_id":"F1","file_name":"RECH0","description":"HOUSEHOLD \n- Household's basic data","case_count":"22308","var_count":"38","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F2","file_name":"RECH1","description":"HOUSEHOLD \n- Household Schedule","case_count":"102510","var_count":"31","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F3","file_name":"RECH2","description":"HOUSEHOLD \n- Household Characteristics","case_count":"21383","var_count":"92","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F4","file_name":"RECH3","description":"HOUSEHOLD \n- Survey specific Household variables","case_count":"22308","var_count":"35","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F5","file_name":"RECH4","description":"HOUSEHOLD \n- Survey specific Household Schedule variables","case_count":"102510","var_count":"40","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F6","file_name":"RECH5","description":"HOUSEHOLD \n- Women Height\/Weight\/Hemoglobin","case_count":"27115","var_count":"38","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F7","file_name":"RECH6","description":"HOUSEHOLD \n- Children Height\/Weight\/Hemoglobin","case_count":"12753","var_count":"42","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F8","file_name":"REC01","description":"WOMAN\n - Respondent's basic 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