{"type":"survey","doc_desc":{"title":"SLV_1998_FESAL_v01_M","idno":"DDI_SLV_1998_FESAL_v01_M_WBCD","prod_date":"2011-12-23"},"study_desc":{"title_statement":{"idno":"SLV_1998_FESAL_v01_M","title":"Encuesta Nacional de Salud Familiar 1998","alt_title":"FESAL 1998"},"authoring_entity":[{"name":"Asociaci\u00f3n Demogr\u00e1fica Salvadore\u00f1a (ADS)","affiliation":""}],"production_statement":{"producers":[{"name":"Division of Reproductive Health\nof the Centers for Disease Control and Prevention","affiliation":"","role":"Asistencia t\u00e9cnica"}],"prod_date":"2011-12-23","funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","role":"Principal organismo donante"},{"name":"United Nations Children Fund","abbreviation":"UNICEF","role":"Evaluaci\u00f3n del nivel de anemia y de Retinol en sangre"},{"name":"Pan American Health Organization","abbreviation":"PAHO-INCAP","role":"Evaluaci\u00f3n del nivel de anemia y de Retinol en sangre"}]},"distribution_statement":{"depositor":[{"name":"","abbreviation":"","affiliation":""}]},"series_statement":{"series_name":"Other Household Health Survey [hh\/hea]","series_info":"La Encuesta Nacional de Salud Familiar de 1998 (FESAL-98), es la s\u00e9ptima de una serie de encuestas que desde 1973 ha venido realizando la Asociaci\u00f3n Demogr\u00e1fica Salvadore\u00f1a (ADS), para estudiar los diferenciales y las tendencias de la fecundidad y la prevalencia del uso de anticonceptivos en El Salvador, incorporando a partir de 1985, importantes temas relacionados con la salud materna e infantil. Los resultados de esta serie de encuestas permiten mantener una evaluaci\u00f3n peri\u00f3dica del proceso de adopci\u00f3n de los servicios de salud reproductiva.\n\nAl poner a disposici\u00f3n el presente informe final de FESAL-98, las instituciones participantes en su ejecuci\u00f3n, mantenemos como principal prop\u00f3sito, satisfacer las necesidades de informaci\u00f3n de las instituciones y personas que dedican esfuerzos para implantar pol\u00edticas, estrategias, programas y proyectos que contribuyan a mejorar la calidad de vida y particularmente la salud de los(las) salvadore\u00f1os(as).\n\n-------------\n\nThe 1998 National Family Health Survey (FESAL-98) is the seventh in a series of surveys conducted by the Salvadoran Demographic Association since 1973 to study trends and differentials in fertility and contraceptive use prevalence in El Salvador. Beginning in 1985, major topics related to maternal and child health were incorporated into the survey. The results of this series of surveys make it possible to periodically evaluate the utilization of reproductive health services.\n\nThe principal goal of the institutions participating in FESAL-98, is to satisfy the information needs of the institutions and individuals who strive to implement policies, strategies, programs, and projects aimed at improving the quality of life and particularly the health of the Salvadoran population."},"study_info":{"abstract":"La Encuesta Nacional de Salud Familiar de 1998 (FESAL-98), es la s\u00e9ptima y la de mayor trascendencia de la serie de encuestas que desde el a\u00f1o 1973 ha venido realizando la Asociaci\u00f3n Demogr\u00e1fica Salvadore\u00f1a (ADS), para estudiar los diferenciales y las tendencias de la fecundidad y el uso de m\u00e9todos anticonceptivos en El Salvador, incorporando a partir de 1985, importantes temas relacionados con la salud materna e infantil, con el prop\u00f3sito de mantener una evaluaci\u00f3n peri\u00f3dica del proceso de adopci\u00f3n de servicios de salud, constituy\u00e9ndose as\u00ed en la principal fuente directa de informaci\u00f3n demogr\u00e1fica y de salud en El Salvador, despu\u00e9s de la publicada por la Direcci\u00f3n General de Estad\u00edstica y Censos (DIGESTYC).\n\nSe considera la de mayor trascendencia por cuanto en esta oportunidad su dise\u00f1o permite, para los indicadores centrales investigados, ofrecer resultados a nivel departamental, que es la divisi\u00f3n administrativa y program\u00e1tica vigente en el MSPAS. Adem\u00e1s, incorpora entre otros, nuevos indicadores sobre la situaci\u00f3n nutricional de la poblaci\u00f3n materna e infantil, de la conducta sexual y reproductiva de las mujeres de 15 a 24 a\u00f1os de edad y un m\u00f3dulo especial sobre la situaci\u00f3n escolar de la poblaci\u00f3n de 7 a 14 a\u00f1os de edad.\n\nLos objetivos que guiaron el desarrollo de FESAL-98, son los siguientes:\n\nObjetivos generales:\n\n- Obtener informaci\u00f3n sobre la situaci\u00f3n de salud del binomio madre-ni\u00f1o(a) con \u00e9nfasis en la salud sexual y reproductiva.\n- Dotar de informaci\u00f3n completa, confiable y oportuna al sector salud y a las agencias de cooperaci\u00f3n internacional, con el prop\u00f3sito de coordinar esfuerzos y desarrollar estrategias, programas y proyectos tendientes a satisfacer las necesidades de salud de la poblaci\u00f3n salvadore\u00f1a.\n\nObjetivos espec\u00edficos:\n- Establecer los niveles y tendencias de la fecundidad.\n- Determinar la prevalencia y tendencias del uso de m\u00e9todos anticonceptivos y su fuente de obtenci\u00f3n.\n- Obtener indicadores sobre la conducta sexual y reproductiva de las mujeres de 15 a 24 a\u00f1os de edad.\n- Obtener indicadores sobre el uso de los servicios de salud materna e infantil.\n- Estimar la prevalencia de las morbilidades maternas.\n- Estimar los niveles de conocimiento, actitudes y pr\u00e1cticas ante las ITS\/VIH\/SIDA.\n- Establecer los niveles y tendencias de la mortalidad infantil y en la ni\u00f1ez salvadore\u00f1a.\n- Evaluar las pr\u00e1cticas de lactancia materna y la situaci\u00f3n del estado nutricional de la poblaci\u00f3n materna e infantil.\n- Establecer la prevalencia de las infecciones respiratorias y la diarrea, y los niveles de inmunizaci\u00f3n en ni\u00f1os(as) menores de 5 a\u00f1os.\n- Obtener indicadores de la situaci\u00f3n escolar de la poblaci\u00f3n de 7 a 14 a\u00f1os de edad.\n\n------\n\nThe National Family Health Survey of 1998 (FESAL-98) is the seventh in a series that the Salvadoran Demographic Association (ADS) has carried out since 1973 with the purpose of studying trends in fertility and contraceptive use in El Salvador. Since 1985, important topics related to maternal and child health have been incorporated into the surveys with the purpose of maintaining a periodic evaluation of the adoption of reproductive health services. It constitutes the principal direct source of demographic and health information for El Salvador, after that published by the Central Office of Statistics and Censuses (DIGESTYC).\n\nThe major new feature of this survey is that it presents results for principal indicators investigated at the level of departments, which is the administrative and programmatic division used by the Ministry of Public Health and Social Assistance (MSPAS). Among new topics included in the survey are new indicators of nutritional status for mothers and children, sexual and reproductive health behavior of women 15 - 24 years of age, and a special module dealing with school attendance of children 7 - 14 years of age.\n\nThe guiding objectives for FESAL-98 have been:\n\nGeneral Objectives:\n\n- Obtain information on the health status of women and children, with an emphasis on sexual and reproductive health.\n- Provide complete, reliable, and timely information to the health sector and international assistance agencies with the goal of coordinating activities and developing strategies, programs and projects that satisfy the health needs of the Salvadoran population.\n\nSpecific Objectives:\n\n- Establish levels and trends in fertility.\n- Determine the prevalence and trends in contraceptive use and sources of supply.\n- Obtain indicators on the sexual and reproductive health of women aged 15 - 24 years.\n- Obtain indicators on the use of maternal and child health services.\n- Estimate the prevalence of maternal morbidities.\n- Estimate levels of knowledge, attitudes and practices regarding STI\u2019s\/HIV\/AIDS.\n- Establish levels and trends of infant and child mortality in El Salvador.\n- Evaluate breastfeeding practices and the nutritional status of mothers and children.\n- Establish the prevalence of respiratory infections and diarrhea and immunization levels in children under 5 years of age.\n- Obtain indicators of the education situation for children aged 7 - 14 years.","coll_dates":[{"start":"1998-04-27","end":"1998-11-22","cycle":""}],"nation":[{"name":"El Salvador","abbreviation":"SLV"}],"geog_coverage":"Para la realizaci\u00f3n de la encuesta FESAL-98, se seleccion\u00f3 una muestra probabil\u00edstica, aleatoria y representativa al nivel de departamento, que es la divisi\u00f3n administrativa primaria de la Rep\u00fablica de El Salvador.","data_kind":"Sample survey data [ssd]"},"method":{"data_collection":{"sampling_procedure":"Dise\u00f1o y selecci\u00f3n de la muestra\n\nPara la realizaci\u00f3n de la encuesta FESAL-98 se dise\u00f1\u00f3 una muestra probabil\u00edstica, aleatoria y representativa al nivel de departamento. Debido a que el MSPAS mantiene una divisi\u00f3n administrativa y program\u00e1tica del departamento de San Salvador en 5 zonas identificadas como \"Departamentales\", la muestra para este departamento se dise\u00f1\u00f3 buscando representatividad por zona. Adicionalmente, a solicitud de USAID\/El Salvador se sobremuestrearon 4 municipios, asign\u00e1ndoles un n\u00famero de segmentos y viviendas similar al promedio por departamento. Para mantener la representatividad por departamento y compensar la desigualdad de la probabilidad de selecci\u00f3n de las viviendas dentro de cada estrato, en el an\u00e1lisis se establecen pesos que normalizan la participaci\u00f3n de cada uno de ellos. \n\nLa selecci\u00f3n de la muestra se realiz\u00f3 en tres etapas. La primera, consisti\u00f3 en tomar al azar los segmentos urbanos y rurales dentro de cada departamento, zona del departamento de San Salvador y de los 4 municipios anteriormente mencionados, aplicando sistem\u00e1ticamente un intervalo de muestreo a partir de un arranque aleatorio, con una probabilidad de selecci\u00f3n proporcional al n\u00famero de viviendas existentes en cada segmento. Para este prop\u00f3sito la DIGESTYC elabor\u00f3 el listado de viviendas por segmento, con base en los resultados de los censos nacionales V de Poblaci\u00f3n y IV de Vivienda levantados en 1992. De esta manera, fueron seleccionados 692 segmentos censales. \n\nLa segunda etapa consisti\u00f3 en seleccionar 30 viviendas dentro de cada segmento censal en forma aleatoria, con el fin de asegurar que todas las viviendas en cada segmento tuvieran igual probabilidad de ser seleccionadas. Previo al proceso de selecci\u00f3n de las 30 viviendas, se actualiz\u00f3 la cartograf\u00eda censal proporcionada tambi\u00e9n por la DIGESTYC. Los criterios t\u00e9cnicos para realizar la selecci\u00f3n de las viviendas fueron b\u00e1sicamente los siguientes: En primer lugar, se procedi\u00f3 a enumerar en orden correlativo todas las viviendas dentro del plano, comenzando por regal general en el punto noroeste y siguiendo el curso de las agujas del reloj. Para muchos segmentos del area urbana, especialmente de las grandes ciudades, esta enumeraci\u00f3n se hizo en el mismo sentido, pero de manzana en manzana. Posteriormente, se seleccion\u00f3 al azar una vivienda de partida entre la n\u00famero 1 y la \"n\", siendo \"n\" el n\u00famero total de viviendas del segmento, para iniciar las visitas para entrevista hasta completar las 30 viviendas. Tanto en el \u00e1rea urbana como en la rural, las viviendas deshabitadas fueron consideradas elegibles para visita, no as\u00ed las que estuvieran destruidas o en construcci\u00f3n.\n\nPara los prop\u00f3sitos de la presente encuesta se defini\u00f3 como vivienda aquella edificaci\u00f3n o inmueble que tuviera acceso independiente y, cuando eran habitadas por m\u00e1s de una persona, que \u00e9stas compartieran la misma alimentaci\u00f3n, ya sea que las familias fueran nucleares o extensas. Por lo tanto, no fueron enumeradas las edificaciones o inmuebles utilizados exclusivamente para fines productivos, comerciales o para oficina, o las viviendas colectivas como conventos, internados, guarniciones militares y hoteles, entre otras. Para la tercera etapa de selecci\u00f3n, que consisti\u00f3 en tomar en forma aleatoria solamente una mujer en edad f\u00e9rtil (MEF) de 15 a 49 a\u00f1os de edad por cada vivienda, primero se registr\u00f3 la informaci\u00f3n referente al n\u00famero total de personas (hombres y mujeres) que resid\u00edan habitualmente en la vivienda. Inmediatamente despu\u00e9s se listaron todas las mujeres de 15 a 49 a\u00f1os cumplidos, comenzando con la de mayor edad y prosiguiendo en orden descendente. La probabilidad de selecci\u00f3n de cada entrevistada fue inversamente proporcional al n\u00famero de MEF's en la vivienda, raz\u00f3n por la cual para el an\u00e1lisis de los resultados se aplica como factor de ponderaci\u00f3n, el n\u00famero de MEF's en la vivienda, para compensar dicha probabilidad desigual de selecci\u00f3n. Para las mujeres que ten\u00edan hijos(as) vivos(as) que nacieron a partir de enero de 1993, se seleccion\u00f3 aleatoriamente un(a) hijo(a) para administrar las preguntas sobre los temas de control postparto, control del crecimiento y desarrollo, prevalencia y tratamiento de la diarrea e infecciones respiratorias, as\u00ed como el de niveles de inmunizaci\u00f3n en los(las) menores de 5 a\u00f1os.","coll_mode":"Face-to-face [f2f]","research_instrument":"Para la recolecci\u00f3n de los datos se utilizaron dos cuestionarios: El cuestionario del hogar, que contiene informaci\u00f3n administrativa y una secci\u00f3n para la selecci\u00f3n de la mujer elegible para entrevista, y el cuestionario individual que fue aplicado a las mujeres seleccionadas. Con el prop\u00f3sito de garantizar la validez, pertinencia, comprensi\u00f3n y secuencia l\u00f3gica de las preguntas, as\u00ed como un tiempo aceptable para la aplicaci\u00f3n de los 2 cuestionarios, en enero de 1998 se llev\u00f3 a cabo la respectiva prueba piloto. En ese mismo per\u00edodo se crearon los formularios para registrar la informaci\u00f3n relacionada con la toma de muestras de sangre, particularmente para el an\u00e1lisis de Retinol.","coll_situation":"Se capacit\u00f3 al personal de campo en un taller de 15 d\u00edas de duraci\u00f3n, con el prop\u00f3sito de estandarizar los criterios y procedimientos.\n\nEl trabajo de campo se realiz\u00f3 del 27 de abril al 22 de noviembre de 1998. La generalidad del trabajo se realiz\u00f3 con 7 equipos constituidos cada uno por 3 entrevistadoras, una enfermera o nutricionista, una supervisora de equipo y un motorista. Tambi\u00e9n laboraron cuatro supervisores(as) de campo (dos para la encuesta en general y dos para el m\u00f3dulo de nutrici\u00f3n), cuyas funciones principales fueron apoyar la log\u00edstica y supervisi\u00f3n t\u00e9cnica de la recolecci\u00f3n de datos. En la misma fase de recolecci\u00f3n de datos trabajaron dos laboratoristas para el an\u00e1lisis de Retinol en sangre, as\u00ed como tres digitadores(as) que introdujeron la informaci\u00f3n en una red de computadoras, utilizando el programa SURVEY. La digitaci\u00f3n de los datos se realiz\u00f3 paralelamente a la recolecci\u00f3n de los mismos, lo que permiti\u00f3 que en el campo se pudieran realizar en forma inmediata las correcciones necesarias, apoyando de esta forma el trabajo del personal de supervisi\u00f3n.\n\nPara cubrir el total de la muestra se programaron jornadas de trabajo que duraron entre una y tres semanas, de acuerdo a las rutas establecidas. Para los casos en que los(las) moradores(as) de las viviendas o las mujeres seleccionadas para entrevista estaban ausentes al momento de la visita, o cuando hubo un rechazo a la visita o a la entrevista, se programaron revisitas, llegando a realizar hasta 5 visitas a una misma vivienda. Tambi\u00e9n se programaron revisitas para corregir errores de consistencia encontrados durante la digitaci\u00f3n o en la supervisi\u00f3n directa de la aplicaci\u00f3n de los cuestionarios.\n\nEn el desarrollo de la entrevista individual con la mujer seleccionada, cada entrevistadora aplic\u00f3 las t\u00e9cnicas generalmente aceptadas, buscando en la medida de lo posible, mantener la privacidad de la entrevista y garantizando la confidencialidad de la informaci\u00f3n.\n\nPara obtener los indicadores antropom\u00e9tricos que permiten evaluar el estado nutricional de la ni\u00f1ez salvadore\u00f1a, a los(las) hijos(as) de la entrevistada comprendidos(as) en el rango de 3 a 59 meses cumplidos, se les tom\u00f3 una medida de peso y una de talla en su lugar de residencia, y para medir la prevalencia de anemia y el nivel de Retinol en la poblaci\u00f3n materno-infantil, se tom\u00f3 una muestra de sangre capilar tanto de los(las) ni\u00f1os(as) de 12 a 59 meses, como de las madres de ni\u00f1os(as) de 3 a 59 meses, previa autorizaci\u00f3n de ellas mediante la firma del respectivo documento de \u201cconsentimiento informado\u201d. A diferencia de las muestras de sangre capilar para evaluar la prevalencia de anemia, que fueron analizadas en el mismo lugar de la entrevista, las muestras para medir el nivel de Retinol se transportaron a un laboratorio instalado en las oficinas centrales de la encuesta, exclusivamente para este prop\u00f3sito.","weight":"Para los an\u00e1lisis de estos temas, se aplican factores de ponderaci\u00f3n para compensar la probabilidad desigual de selecci\u00f3n de los(las) ni\u00f1os(as). Este factor de ponderaci\u00f3n es el n\u00famero de ni\u00f1os(as) que cada mujer seleccionada tuvo a partir de enero de 1993, multiplicado por el n\u00famero de MEF's en la vivienda.","method_notes":"Toda la informaci\u00f3n recopilada durante el trabajo de campo fue procesada electr\u00f3nicamente por medio del programa \"Sistema de An\u00e1lisis Estad\u00edstico (SAS)\", versi\u00f3n 6.12 para Windows."},"analysis_info":{"response_rate":"De las 20,760 viviendas seleccionadas para la muestra, en el 64.7 por ciento hab\u00eda al menos una mujer de 15 a 49 a\u00f1os de edad elegible para ser entrevistada, en cambio en alrededor del 20 por ciento no hab\u00edan elegibles. El restante 15.4 por ciento lo constituyen el 10.3 por ciento de viviendas que estaban desocupadas, el 2.2 por ciento que estaban ocupadas pero sus moradores ausentes en la visita inicial y las revisitas, el 2.5 por ciento fue un rechazo a la misma visita y en el 0.4 por ciento no fue posible realizar la visita, especialmente porque no se localizaron las viviendas o por razones de inseguridad para el personal de campo, a ra\u00edz de la delincuencia prevaleciente, tanto en el \u00e1rea suburbana como la rural del pa\u00eds.\n\nSe realizaron entrevistas completas en el 94.1 por ciento de las viviendas que ten\u00edan al menos una mujer elegible, lo que en t\u00e9rminos absolutos representa un total de 12,634 entrevistas completas. Al relacionar esta cifra con el total de viviendas se encuentra que el rendimiento efectivo de la muestra fue del 60.9 por ciento. En la primera columna de esta segunda parte de la tabla se aprecia que la m\u00e1xima variaci\u00f3n de la tasa de entrevistas completas se da entre alrededor del 98 por ciento en el departamento de Chalatenango a alrededor del 91 por ciento en los departamentos de La Libertad y San Salvador, y en este \u00faltimo a su vez, la mayor variaci\u00f3n se da entre la zona Norte (95.1 por ciento) y la zona Occidente (88.9 por ciento)."}},"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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