{"type":"survey","doc_desc":{"title":"PRY_1998_ENSMI_v01_M","idno":"DDI_PRY_1998_ENSMI_v01_M_WBDG","prod_date":"2011-12-23"},"study_desc":{"title_statement":{"idno":"PRY_1998_ENSMI_v01_M","title":"Encuesta Nacional de Salud Materno infantil 1998","alt_title":"ENSMI 1998"},"authoring_entity":[{"name":"Centro Paraguayo de Estudios de Poblaci6n (CEPEP)","affiliation":""}],"production_statement":{"producers":[{"name":"Divisi6n de Salud Reproductiva de Los Centros para el Control y Prevenci6n de Enfermedades","affiliation":"","role":"Asesoria tecnica"}],"prod_date":"2011-12-23","funding_agencies":[{"name":"Agencia de los Estados Unidos para el Desarrollo Internacional","abbreviation":"USAID","role":""}]},"distribution_statement":{"depositor":[{"name":"","abbreviation":"","affiliation":""}]},"series_statement":{"series_name":"Other Household Health Survey [hh\/hea]","series_info":"La Encuesta Nacional de Salud Materno Infantil, ENSMI-98, es la cuarta de una serie de encuestas hechas a nivel nacional por el Centro Paraguayo de Estudios de Poblaci6n, CEPEP, con el fin de estudiar el comportamiento de la fecundidad, la anticoncepci6n y la salud materno - infantil en el Paraguay.\n\nLa ENSMI-98 tuvo objetivos mas modestos que encuestas anteriores, teniendo en cuenta que el tamafio de la muestra fue disefiado para obtener aproximadamente 3.600 entrevistas completas de mujeres en edad fertiI. En la encuesta del afio 90 se entrevist6 a 5.800 mujeres y se investig6 sobre mortalidad infantil, en la del 95 la muestra fue de 6.500 mujeres y ademas de mortalidad infantil, se estudio la mortalidad materna."},"study_info":{"abstract":"El objetivo de la encuesta fue actualizar la informaci6n sobre fecundidad, uso y fuente de obtenci6n de metodos anticonceptivos, preferencias reproductivas, salud materno infantil, acceso a servicios de salud y maltratos fisicos hacia la mujer, indicadores que pueden ser comparados a traves del tiempo con estudios similares.","coll_dates":[{"start":"1998-09-15","end":"1998-11-30","cycle":""}],"nation":[{"name":"Paraguay","abbreviation":"PRY"}],"geog_coverage":"Para los fines de este estudio se ha excluido la regi6n Occidental 0 Chaco (con excepci6n de Villa Hayes), por su baja densidad poblacional y se han conformado dos regiones dentro de la regi6n Oriental: Gran Asunci6n y Resto del Pais:\n- Gran Asuncion, comprende Asunci6n y los siguientes distritos del departamento Central: Fernando de la Mora, Lambare, San Lorenzo, Nemby, Luque, Mariano Roque Alonso, Limpio, San Antonio, Villa Elisa y Villa Hayes (Regi6n Occidental).\n- Resto del Pais comprende todos los otros departamentos de la Regi6n Oriental del Paraguay (Concepci6n, San Pedro, Amambay, Cordillera, Guaira, Caazapa, Misiones, Paraguari, Central (excluyendo Gran Asunci6n), Neembucu, Caaguazu, Itapua, Alto Parana y Canindeyu).\n\nEl disefio fue sobremuestreado para tres departamentos: Central, Cordillera y Misiones, areas prioritarias de USAID en colaboraci6n con el Ministerio de Salud PUblica, para obtener, con excepci6n de la fecundidad, resultados mas precis os de indicadores de salud materno infantil.","analysis_unit":"Mujeres en edad f\u00e9rtil de 15 a 44 a\u00f1os de edad","data_kind":"Sample survey data [ssd]","notes":"El Cuestionario de Hogar recopila informacion sobre el numero de personas que residen habitualmente en la vivienda, induyendo a los nifios, y ellistado de cada mujer de 15 a 44 afios de edad que viven en el hogar.\n\nEl Cuestionario Individual se utilizo para obtener datos detallados de una mujer en edad fertil en cada vivienda que fue seleccionada aleatoriamente, de acuerdo a la lista del Cuestionario de Hogar. El Cuestionario Individual consta de los siguientes capftulos: identificacion, caracteristicas generales de la entrevistada, historia de nacimientos, salud en la nifiez, planificacion familiar, preferencias reproductivas, adultas jovenes, actividad sexual y nupcialidad, vivienda y maltratos psicoffsicos. Condiciones de salud y uso de servicios (para personas de 6 anos 0 mas) y disponibilidad de servicios de salud, estos ultimos dos temas fueron investigados en los 3 departamentos prioritarios (Central, cordillera y Misiones) y seran analizados con mas profundidad en otro informe diferente a este."},"method":{"data_collection":{"sampling_procedure":"Dise\u00f1o de la muestra\n\nLa Encuesta Nacional de Salud Materno Infantil, ENSMI-98, se llev\u00f3 a cabo en la regi\u00f3n Oriental del pa\u00eds y se excluy\u00f3 la regi\u00f3n Occidental o Chaco, por su baja densidad poblacional. La muestra fue dise\u00f1ada para producir alrededor de 3.600 entrevistas completas de mujeres en edad f\u00e9rtil (15 a 44 a\u00f1os de edad), para lo cual fue necesario visitar cerca de 6.000 hogares. Es de tipo probabil\u00edstico, a nivel de dos regiones: Gran Asunci\u00f3n (Asunci\u00f3n y Area Metropolitana) y Resto del Pa\u00eds. Este dise\u00f1o permite obtener tambi\u00e9n estimaciones representativas de las zonas urbana y rural a nivel del pa\u00eds, y como mencionamos antes estimaciones para los tres departamentos sobremuestreados (Central, Cordillera y Misiones).\n\nEl muestreo estad\u00edstico consiste en un dise\u00f1o probabil\u00edstico en tres etapas y de conglomerados. Probabil\u00edstico porque todas las mujeres que conforman el universo tienen una probabilidad conocida, diferente de cero, de ser seleccionadas. La unidad primaria de muestreo (UPM) es el sector censal, la unidad secundaria de muestreo (USM) es la vivienda y la unidad de muestreo de la tercera etapa es la mujer en edad f\u00e9rtil (MEF).\n\nLa selecci\u00f3n de sectores censales (UPM) se realiz\u00f3 en forma sistem\u00e1tica, con arranque aleatorio, en base a probabilidades porporcionales a su tama\u00f1o (PPT), medidas por el n\u00famero de viviendas particulares existentes de acuerdo con la informaci\u00f3n del Censo de Poblaci\u00f3n y Viviendas de 1992, que fue usado como marco muestral.\n\nComo consecuencia de sobremuestrear tres departamentos, la selecci\u00f3n fue independiente para cada departamento, de esta manera, la probabilidad de selecci\u00f3n de las UPM es diferente para cada departamento de la muestra. Por lo tanto, se aplica un factor de ponderaci\u00f3n para cada departamento. \n\nLa segunda etapa de selecci\u00f3n consisti\u00f3 en escoger un n\u00famero fijo de viviendas dentro de cada sector de la muestra, esto se hizo en forma aleatoria con el fin de asegurar que todas las viviendas por sector tuvieran igual probabilidad de ser seleccionadas. Para esta etapa se utilizaron los listados de viviendas producto de la actualizaci\u00f3n cartogr\u00e1fica. Se procedi\u00f3 a seleccionar aleatoriamente una vivienda de partida entre el n\u00famero 1 y la n; siendo n el n\u00famero total de viviendas del sector en la muestra. Las viviendas incluidas en la muestra son la de inicio y las n-1 consecutivas. \n\nPara la tercera etapa de selecci\u00f3n, se incluy\u00f3 en un listado de la vivienda a todas las mujeres en edad f\u00e9rtil de 15 a 44 a\u00f1os de edad, iniciando con la de mayor edad y prosiguiendo en forma descendente. Luego se seleccion\u00f3 en forma aleatoria solamente una MEF por vivienda, utilizando en el cuestionario de hogar un cuadro que permite tal selecci\u00f3n de acuerdo al \u00faltimo d\u00edgito del cuestionario y al n\u00famero de MEF en la vivienda. La probabilidad de selecci\u00f3n de cada entrevistada era inversamente proporcional al n\u00famero de mujeres de 15 a 44 a\u00f1os en la vivienda. Por tanto se aplica como factor de ponderaci\u00f3n el n\u00famero de MEF en la vivienda para compensar esta desigual probabilidad de selecci\u00f3n.\n\nPara mujeres con hijos nacidos vivos que los tuvieron a partir de enero de 1993, hasta la fecha de la entrevista, se pregunt\u00f3 sobre deseo de embarazo, control prenatal y asistencia al parto. Tambi\u00e9n se seleccion\u00f3 aleatoriamente un hijo, para aplicar preguntas sobre el tema de control posparto y en los tres departamentos sobremuestreados preguntas sobre gastos de salud para enfermedades del ni\u00f1o en las \u00faltimas 4 semanas anteriores a la entrevista. Para el an\u00e1lisis de estos temas se aplican factores de ponderaci\u00f3n, con la misma metodolog\u00eda de compensar la probabilidad desigual de selecci\u00f3n de los ni\u00f1os.","coll_mode":"Face-to-face [f2f]","research_instrument":"En la recoleccion de la informacion se utilizaron dos cuestionarios. Un Cuestionario de Hogar y un Cuestionario Individual.\n\nEl Cuestionario de Hogar recopila informacion sobre el numero de personas que residen habitualmente en la vivienda, induyendo a los nifios, y ellistado de cada mujer de 15 a 44 afios de edad que viven en el hogar.\n\nEl Cuestionario Individual se utilizo para obtener datos detallados de una mujer en edad fertil en cada vivienda que fue seleccionada aleatoriamente, de acuerdo a la lista del Cuestionario de Hogar. El Cuestionario Individual consta de los siguientes capftulos: identificacion, caracteristicas generales de la entrevistada, historia de nacimientos, salud en la nifiez, planificacion familiar, preferencias reproductivas, adultas jovenes, actividad sexual y nupcialidad, vivienda y maltratos psicoffsicos. Condiciones de salud y uso de servicios (para personas de 6 anos 0 mas) y disponibilidad de servicios de salud, estos ultimos dos temas fueron investigados en los 3 departamentos prioritarios (Central, cordillera y Misiones) y seran analizados con mas profundidad en otro informe diferente a este.","coll_situation":"La encuesta fue planeada en junio de 1998. Se elaboro el disefio de la muestra, el cuestionario preliminar y luego de la prueba piloto, que se llevo a cabo en julio en sectores urbanos y rurales, se confecciono el cuestionario definitivo. Para la recopilacion de la informacion se utilizo como marco muestral el Censo de Poblacion y Viviendas de 1992.\n\nEl CEPEP, con asistencia de consultores de CDC, realizo un curso de entrenarniento para encuestadoras y supervisoras la primera quincena de setiembre de 1998. La capacitacion estuvo dirigida a 40 mujeres de las cuales fueron seleccionadas 20 encuestadoras y 5 supervisoras. El trabajo de campo se llevo a cabo entre el 15 de setiembre y e1 30 de noviembre de 1998, y se realizo a traves de 5 equipos, conformado cada uno por una supervisora, cuatro encuestadoras y un chofer.","cleaning_operations":"La entrada y procesarniento de datos transcurrio paralelamente al trabajo de campo, esto perrnitio detectar inconsistencias inmediatamente y en los casos necesarios se devolvfa el material al campo para su correccion en el terreno."},"analysis_info":{"response_rate":"Un total de 5.936 viviendas fueron seleccionadas, de las cuales 5.313 estaban ocupadas. Incluyendo las viviendas desocupadas, se complet\u00f3 cuestionarios de hogares en 5.823 viviendas (98.1 por ciento de las viviendas). \n\nUn total de 3.667 mujeres elegibles fueron identificadas a trav\u00e9s del cuestionario de hogar, logr\u00e1ndose completar el cuestionario individua] para 3.598 de ellas (98.1 por ciento). Solamente 1.1 por ciento de las mujeres elegibles rechaz\u00f3 la entrevista, alcanzando 2.3 por ciento en Gran Asunci\u00f3n. La tasa de respuesta vari\u00f3 de 97.0 % en Gran Asunci\u00f3n hasta 98.6 % en el \u00e1rea rural."}},"data_access":{"dataset_use":{"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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