THA_1987_DHS_v01_M
Demographic and Health Survey 1987
Name | Country code |
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Thailand | THA |
Demographic and Health Survey (standard) - DHS I
The Thailand DHS 1987 is the first national survey of Demographic and health survey in Thailand.
The Thai Demographic and Health Survey (TDHS) was a nationally representative sample survey conducted from March through June 1988 to collect data on fertility, family planning, and child and maternal health. A total of 9,045 households and 6,775 ever-married women aged 15 to 49 were interviewed. Thai Demographic and Health Survey (TDHS) is carried out by the Institute of Population Studies (IPS) of Chulalongkorn University with the financial support from USAID through the Institute for Resource Development (IRD) at Westinghouse. The Institute of Population Studies was responsible for the overall implementation of the survey including sample design, preparation of field work, data collection and processing, and analysis of data. IPS has made available its personnel and office facilities to the project throughout the project duration. It serves as the headquarters for the survey.
The Thai Demographic and Health Survey (TDHS) was undertaken for the main purpose of providing data concerning fertility, family planning and maternal and child health to program managers and policy makers to facilitate their evaluation and planning of programs, and to population and health researchers to assist in their efforts to document and analyze the demographic and health situation. It is intended to provide information both on topics for which comparable data is not available from previous nationally representative surveys as well as to update trends with respect to a number of indicators available from previous surveys, in particular the Longitudinal Study of Social Economic and Demographic Change in 1969-73, the Survey of Fertility in Thailand in 1975, the National Survey of Family Planning Practices, Fertility and Mortality in 1979, and the three Contraceptive Prevalence Surveys in 1978/79, 1981 and 1984.
Sample survey data
The Thailand Demographic And Health Survey 1987 covers the following topics:
National
The population covered by the 1987 THADHS is defined as the universe of all women Ever-married women in the reproductive ages (i.e., women 15-49). This covered women in private households on the basis of a de facto coverage definition. Visitors and usual residents who were in the household the night before the first visit or before any subsequent visit during the few days the interviewing team was in the area were eligible. Excluded were the small number of married women aged under 15 and women not present in private households.
Name | Affiliation |
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Institute of Population Studies (IPS) | Chulalongkorn University |
Name | Affiliation | Role |
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Institute for Resource Development (IRD) | Westinghouse | Technical assistance |
Name |
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U.S. Agency for International Development |
Name | Affiliation | Role |
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Division of Nutrition | Ministry of Public Health | Logistical support |
United Nations Economic and Social Commission for Asia and the Pacific | ESCAP | Technical assistance |
SAMPLE SIZE AND ALLOCATION
The objective of the survey was to provide reliable estimates for major domains of the country. This consisted of two overlapping sets of reporting domains: (a) Five regions of the country namely Bangkok, north, northeast, central region (excluding Bangkok), and south; (b) Bangkok versus all provincial urban and all rural areas of the country. These requirements could be met by defining six non-overlapping sampling domains (Bangkok, provincial urban, and rural areas of each of the remaining 4 regions), and allocating approximately equal sample sizes to them. On the basis of past experience, available budget and overall reporting requirement, the target sample size was fixed at 7,000 interviews of ever-married women aged 15-49, expected to be found in around 9,000 households. Table A.I shows the actual number of households as well as eligible women selected and interviewed, by sampling domain (see Table i.I for reporting domains).
THE FRAME AND SAMPLE SELECTION
The frame for selecting the sample for urban areas, was provided by the National Statistical Office of Thailand and by the Ministry of the Interior for rural areas. It consisted of information on population size of various levels of administrative and census units, down to blocks in urban areas and villages in rural areas. The frame also included adequate maps and descriptions to identify these units. The extent to which the data were up-to-date as well as the quality of the data varied somewhat in different parts of the frame. Basically, the multi-stage stratified sampling design involved the following procedure. A specified number of sample areas were selected systematically from geographically/administratively ordered lists with probabilities proportional to the best available measure of size (PPS). Within selected areas (blocks or villages) new lists of households were prepared and systematic samples of households were selected. In principle, the sampling interval for the selection of households from lists was determined so as to yield a self weighting sample of households within each domain. However, in the absence of good measures of population size for all areas, these sampling intervals often required adjustments in the interest of controlling the size of the resulting sample. Variations in selection probabilities introduced due to such adjustment, where required, were compensated for by appropriate weighting of sample cases at the tabulation stage.
SAMPLE OUTCOME
The final sample of households was selected from lists prepared in the sample areas. The time interval between household listing and enumeration was generally very short, except to some extent in Bangkok where the listing itself took more time. In principle, the units of listing were the same as the ultimate units of sampling, namely households. However in a small proportion of cases, the former differed from the latter in several respects, identified at the stage of final enumeration:
a) Some units listed actually contained more than one household each
b) Some units were "blanks", that is, were demolished or not found to contain any eligible households at the time of enumeration.
c) Some units were doubtful cases in as much as the household was reported as "not found" by the interviewer, but may in fact have existed.
Equal sample sizes for each domain were originally intended, due to population growth, particularly in urban areas, the number of households selected varied slightly by region. The total number of target households is highest in the central region followed by Bangkok, the north, south and northeast.
In general the response rates of both household and individual interviews in the TDHS were relatively high. For the country as a whole, 96 percent of the selected households were successfully interviewed. The main reason for non-response in the household survey is that either no one at all or no adult was at home. The household response rates vary by region being highest in the northeast (99 percent) and lowest in Bangkok (92 percent). However the total number of households interviewed was greatest in the central region and lowest in the south.
The overall TDHS response rate is 90 percent. As expected Bangkok yielded the lowest success rate while the north and northeast had the highest success rate. The response rate for the eligible woman sample is lower than the household response rate. About 94 percent of eligible women identified were successfully interviewed. The main reasons for non-response in the eligible women survey were that the targeted respondent was not at home and/or refused to be interviewed. Regional differences in the response rates of the individual interviews were similar to the household interviews. The highest response rate for eligible women was in the north (98 percent) and the lowest in Bangkok (87 percent).
The generally high response rates for both household and women interviews were due mainly to the strict enforcement of the rule to revisit the originally selected household if no one was at home initially. No substitution of the originally selected households was allowed. Interviewers were instructed to make at least 3 call-backs if contact with the household or eligible woman had not been made or the interview was incomplete. In many instances revisits were made until the team had moved out of the province.
The survey indicates a low ratio of the number of eligible women per household. On the average there are about 80 eligible women per I00 households interviewed. This is much lower than found in SOFT, conducted in 1975, where the ratio was 96 per 100 households. At least in part this could be attributable to the increasing age at marriage. There is some regional variation in terms of number of eligible women per household. The ratio is highest in the northeast (83 per i00) and lowest in the south (75 per lO0). This lower ratio of number of eligible women per i00 households explains why the total number of eligible women interviewed was lower than the number targeted (6,775 versus 7,000).
Sample cases are weighted for the following reasons:
Each of these is described below in turn.
Design weights. These refer to the weights which compensate for differences in selection probability. They are inversely proportional to design probabilities of selection, but can be scaled arbitrarily such that the average weight is 1.0 per case for the sample as a whole. Firstly, these weights differ by sampling domain since domains were sampled at different rates to yield nearly constant sample sizes despite differences in domain size. Secondly, to a lesser extent, sampling rates differed among blocks and villages in cases where it was necessary to introduce this variation to improve control over sample takes, given the inaccuracies in the available measures of size.* Design weights are applied at the level of the block or village identically to all households and individual women in the area.
Weights due to differential non-response. Because of generally high response rates, with the exception of Bangkok to some extent, the application of weights to compensate for non-response was in itself not very important. However, since it was already necessary to apply design weights at the level of the block/village, these latter could be easily modified to take into account non-response as well. The adjustment consisted of multiplying the design weights by the inverse of the response rate in the block/village. The final weights were scaled so that the average weight was, again, 1.0 per case.
Since the overall response rate for individual interviews was lower than that for household interviews in the same area, the weights were not exactly the same for the two types of units.
Both for the total population and for ever-married women aged 15-49, the joint distribution by region and urban-rural status consists of nine mutually exclusive and exhaustive categories: one for Bangkok (which is treated as entirely urban) and one each for the urban and rural sectors of the four remaining regions. Table A.3 of the Final Report compares the distribution of the entire population and of ever-married women aged 15-49 as enumerated in the TDHS sample both before any weighting and after being weighted for sample design and non-response with the corresponding standard distribution. Tables A.4a and A.4b in the Final Report illustrate the derivation of the standard distributions for the total population and the population of ever-married women aged 15-49 respectively. The ratio of the proportion in each of the nine categories in the appropriate standard distribution to the corresponding proportion in the distribution of the sample population after weighting for sample design and non-response represents the multiplication factors to be applied to obtain the final weights. Adjusting the weights in this manner ensures that the regional and urban-rural distribution of the weighted sample agrees with the external standard. This adjustment has no effect on the survey results for the individual sampling domains when taken separately except in the case of the provincial urban domain, in which case it ensures that the regional distribution of the weighted provincial urban sample agrees with the external standard. Moreover, when results are presented by region, it ensures that the urban-rural distribution of the weighted results within a region corresponds to the external standard.
There is a substantial difference both in the cases of the total sample population and the eligible women population between the unweighted distribution and the distribution after weighting for design and non-response. This is as expected based on the nature of the sample design. There are also some differences, however, between the latter substantially larger than official estimates and projections indicate. However, no firm conclusion can be drawn concerning this based on a sample of the scale of the TDHS. Therefore it is appropriate to accept the standard estimates as a basis for adjusting the sample weights.
The DHS core questionnaires (Household, Eligible Women Respondent, and Community) were translated into Thai. A number of modifications were made largely to adapt them for use with an ever- married woman sample and to add a number of questions in areas that are of special interest to the Thai investigators but which were not covered in the standard core. Examples of such modifications included adding marital status and educational attainment to the household schedule, elaboration on questions in the individual questionnaire on educational attainment to take account of changes in the educational system during recent years, elaboration on questions on postnuptial residence, and adaptation of the questionnaire to take into account that only ever-married women are being interviewed rather than all women. More generally, attention was given to the wording of questions in Thai to ensure that the intent of the original English-language version was preserved.
a) Household questionnaire
The household questionnaire was used to list every member of the household who usually lives in the household and as well as visitors who slept in the household the night before the interviewer's visit. Information contained in the household questionnaire are age, sex, marital status, and education for each member (the last two items were asked only to members aged 13 and over). The head of the household or the spouse of the head of the household was the preferred respondent for the household questionnaire. However, if neither was available for interview, any adult member of the household was accepted as the respondent. Information from the household questionnaire was used to identify eligible women for the individual interview. To be eligible, a respondent had to be an ever-married woman aged 15-49 years old who had slept in the household 'the previous night'.
Prior evidence has indicated that when asked about current age, Thais are as likely to report age at next birthday as age at last birthday (the usual demographic definition of age). Since the birth date of each household number was not asked in the household questionnaire, it was not possible to calculate age at last birthday from the birthdate. Therefore a special procedure was followed to ensure that eligible women just under the higher boundary for eligible ages (i.e. 49 years old) were not mistakenly excluded from the eligible woman sample because of an overstated age. Ever-married women whose reported age was between 50-52 years old and who slept in the household the night before birthdate of the woman, it was discovered that these women (or any others being interviewed) were not actually within the eligible age range of 15-49, the interview was terminated and the case disqualified. This attempt recovered 69 eligible women who otherwise would have been missed because their reported age was over 50 years old or over.
b) Individual questionnaire
The questionnaire administered to eligible women was based on the DHS Model A Questionnaire for high contraceptive prevalence countries.
The individual questionnaire has 8 sections:
The questionnaire was modified to suit the Thai context. As noted above, several questions were added to the standard DHS core questionnaire not only to meet the interest of IPS researchers hut also because of their relevance to the current demographic situation in Thailand. The supplemental questions are marked with an asterisk in the individual questionnaire. Questions concerning the following items were added in the individual questionnaire:
c) Community questionnaire
TDHS community questionnaire was based on the model DHS community questionnaire. Again it was modified to suit the situation in Thailand. The community survey was conducted in all 192 sample clusters (villages) of rural areas but not in urban areas. The community questionnaire focuses on information on village characteristics, accessibility to health and family planning services, and availability to public services nearest to the cluster.
The community was defined according to official administrative boundaries. A group interview was used as the mode of data collection for the community survey. The interview was conducted by the team supervisor. The respondents were a group of community leaders (typically 3-5 persons). Persons qualifying as respondents included current or former village headmen, or their assistants, village health volunteers, village health communicators, members of existing associations (groups) in the village, and other village leaders who have been residing in the community for five years or more. Visits were also made to all government health and family planning service outlets within a 30 kilometer radius from the cluster to collect information from the personnel about services.
Start | End |
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1987-03 | 1987-06 |
Name | Affiliation |
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Institute of Population Studies | Chulalongkorn University |
All supervisors and assistants were instructed to closely observe and supervise the interviewers particularly during the first few days of the fieldwork. This procedure was enforced strictly so that any misunderstanding in the questionnaires and errors made could be detected and corrected at an early stage. The field director also visited the teams to help with any problems each team had as well as to deliver any supplies each team needed and bring back completed questionnaires.
Completed questionnaires were submitted to the supervisor or assistant immediately following interview. The questionnaires were edited in the field to the extent feasible. If possible, inconsistencies and errors were clarified and corrected and re-interviews on the questions for which answers were omitted or inconsistent were made.
The task load of supervisors and assistants was very heavy in the fieldwork. They were responsible not only for the overall management of the team, which included making all contacts, assigning the households to the interviewers, editing the questionnaires, and planning daily work, but they were also assigned to do the anthropometric measurements and the community survey including the visits to the health and family planning service outlets. In retrospect, this workload was excessive. To improve fieldwork quality, it would have been advisable to have had a separate team carry out the time consuming community survey component. One result of the this excessive workload was that it became impossible for the supervisor and assistants to fully edit all the completed questionnaires in a timely manner in the field.
SUPERVISORS' TRAINING
Most team supervisors of TDHS fieldwork were IPS research associates with extensive fieldwork experience. Training of supervisors and assistants was conducted by the field director and project technical staff. The training of supervisor and assistants was divided into 2 phases. The first phase started with a two day briefing which focused on the content of the household and individual questionnaire. Since it was essential for the supervisors and assistants to understand the questionnaires thoroughly, given their role as field editors, after the initial briefing sessions, the supervisors conducted interviews in the field as part of the questionnaire pretest. This was then followed one week later by a special one-day seminar to "discuss lessons from the first pretest and by an additional day of practice interviews in a slum area of Bangkok.
The second phase of the training took place from February 23 to March 6, 1987 and included five days on anthropometric measurement. The anthropometric training was conducted by a specialist provided by DHS headquarters. The second phase also included a week of additional training concerning the household and individual questionnaires. At the same time the supervisors were also trained to administer the community questionnaire. Further training of supervisors and assistants concerned fieldwork procedures such as the updating of lists of households, selection of sample households, and visits to health and family planning service outlets.
PRETESTS
The draft questionnaires were pretested in both rural and urban areas of Kanchanaburi province, about 100 kilometers from Bangkok, and in a slum area in Bangkok. The pretest was carried out by five supervisors and their assistants. Results from the pretests were used as basis for revising the questionnaires.
As part of the questionnaire pretest, a separate short questionnaire was administered which was designed to illuminate the nature of age and birth date reporting by mothers for young children. Based on the results, it was decided to instruct interviewers to request to see documentation of birth dates of all live born children, either in the form of birth registration certificates or household registration forms. The pretest indicated that substantial numbers of mothers would be able to do this and that it would eliminate most of the ambiguities associated with age and date reporting that otherwise arise.
PRETEST RESULTS
Based on the pretest, it was found that there were difficulties with questions 304 and 305. These questions deal with knowledge of sources and potential problems of methods known to the respondent in the core questionnaire. Women who were currently using a contraceptive method (the majority of eligible respondents in Thailand) had particular difficulty answering the questions. These two questions took a long time to ask given that most respondents knew all modern methods and therefore had to be asked about each one. Some respondents showed impatience with being repeatedly asked a question that made little sense to her. It was also obvious from the pretest that question 227 on knowledge of the period of risk of conception during the menstrual cycle was problematic. Nevertheless, on advice from DHS headquarters, these questions were retained.
The pretest also made it evident that the weight and height measurement component demanded both great effort and well organized implementation. Pretest results generally indicated that supervisors and assistants would have to make considerable effort and be very efficient in order to complete all the tasks assigned to them.
INTERVIEWER RECRUITMENT
Announcements of positions for interviewers for TDHS were made and over I00 applicants from the student body of Chulalongkorn University were screened. Ability to speak local dialects and fieldwork experience were the two main criteria for selecting the interviewers. A total of 35 interviewers were hired.
INTERVIEWER'S TRAINING
The training of interviewers took place during March 7-18. The training consisted of a detailed, item by item explanation of the household and individual questionnaires, role playing, mock interviews, field interview practice and a seminar to discuss experiences and problems. The field interview practice was done in both rural and urban areas. Five villages in Pathum Than/ Province and non-sample blocks of Bangkok were selected for field interview practice. The training went well. Most interviewers showed enthusiasm and competence in their work.
FIELDWORK
A total of 5 teams were formed for data collection, each consisting of one supervisor, one or two assistant supervisors, seven female interviewers and one driver. The teams were formed according to regions, namely north, northeast, central, south, and the Bangkok Metropolis. Interviewers in each regional team were able to speak the major regional dialect.
In urban areas, sample blocks were updated by the supervisor and assistants before selecting the sample households using maps provided by the National Statistical Office (NSO). In rural areas, household lists of the sample villages were obtained at the district office. The lists were later updated through consultation with the village headman. In the updating process, supervisors were instructed to probe for structures without a registered number and vacant households. For both urban and rural areas fixed number of sample households for each cluster was systematically selected.
The fieldwork was largely carried out between March and June 1987. The data collection was divided into two main phases. The first phase was from March 17 - April i0 and the second phase from April 17 - June 6, 1987. All teams returned to Bangkok after the completion of the first phase of fieldwork. A two-day seminar was held to discuss problems that arose during the fieldwork and solutions were advised. Extension of data collection to the end of June was required for some sampling clusters in the central region and Bangkok Metropolis. At the end of the originally scheduled second phase of the fieldwork a concluding seminar was held to give feedback to the investigators and the IPS technical staff both for improving future surveys and for interpreting results of the TDHS.
The interviews usually took place between 7 am. and 7 pm. The average duration of interviews for household and individual questionnaires was 4.5 minutes and 30.9 minutes respectively.
The interviewers were instructed to make their best attempt to visit and interview the sample households. Usually three call-backs were made for households with no adult or with no one at all at home. To ensure high response rates, sometimes more than three call-backs were made.
All completed questionnaires have been sent to IPS for office editing. It was originally planned that the team supervisors and some assistants would be retained as office editors and keyers. Unfortunately, most of the temporary team supervisors and assistants left the project at the end of the fieldwork. Therefore, five new editors and keyers had to be hired. These new editors and keyers are graduates from various universities in Thailand with a bachelor degree in social science or a related field. They received intensive training on the content and logic of the questionnaire. To further improve their ability to edit the questionnaires, they conducted interviews with households of the sample clusters that required revisits in Bangkok and the central region.
Office editing of questionnaires was supervised by the field director and two IPS research associates who had also been TDHS team supervisors. The editing was done by the five new editors/keyers, two project assistants, and two permanent research assistants who had also served as team assistants. All the questionnaires were given numbers and sorted by sample cluster number.
The data entry of TDHS started in early July, 1988. The data were directly transferred from the questionnaires to micro-computers, using the ISSA program developed by DHS. Two programmers from DHS were sent to IPS to help set up the ISSA program and train IPS data processing staff on how to work with the program. Office editing and data entry were completed by the first week of January 1988. The tabulations for the preliminary and country report were then prepared with the assistance of the DHS programmer.
The sample of women selected in the TDHS is only one of many samples of the same size that could have been selected from the same population, using the same design. Each one would have yielded results that differed somewhat from the actual sample selected. The variability observed between all possible samples constitutes sampling error, which, although it is not known exactly, can be estimated from the survey results. Sampling error is usually measured in terms of the "standard error" of a particular statistic (mean, percentage, etc.), which is the square root of the variance of the statistic across all possible samples of equal size and design. The standard error can be used to calculate confidence intervals within which one can be reasonably assured the true value of the variable for the whole population falls. For example, for any given statistic calculated from a sample survey, the value of that same statistic as measured in 95 percent of all possible samples of identical size and design will fall within a range of plus or minus two times the standard error of that statistic.
If the sample of women had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the TDHS sample design depended on stratification, stages, and clusters and consequently, it is necessary to utilize more complex formulas. The computer package CLUSTERS was used to assist in computing the sampling errors with the proper statistical methodology.
In addition to the standard errors, CLUSTERS 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 one indicates that the sample design is as efficient as a simple random sample and a value greater than one indicates the increase in the sampling error due to the use of a more complex and less statistically efficient design.
On the survey data file, sample blocks/villages have been given sequential numbers reflecting the order in which they were selected. For the two stage sample in Bangkok, clusters (241-288) form the primary sampling units. Because of systematic selection in the specified order, these can be taken as pairs to form 24 "implicit" strata for variance computation. (Alternatively, they can be paired successively, number 241 with 242, 242 with 243, etc., to form 47 successive pairs for more stable variance estimates). In each of the remaining sampling domains, with three sampling stages, each pair of successive blocks/villages forms a single primary sampling unit {PSU), e.g., 001 and 002 003 and 004 together, etc. This gives 24 PSUs per domain. These pair results PSU can be paired into 12 implicit strata.
Practical methods of variance computation require certain weighted aggregates only at the PSU level, separated into implicit strata. Sample weights have been coded on to the record of each individual sample case in the survey data file. Variances can therefore he estimated on the basis of the above information reflecting the structure of the sample.
In general, the sampling errors for the country as a whole are small, which means that the TDHS results are reliable. For example, for the variable children ever born, the overall mean from the sample is 2.747 and its standard error is 0.042. Therefore, to obtain the 95 percent confidence limits, one adds and subtracts twice the standard error to the sample estimate, i.e., which means there is a high probability (95 percent) that the true average number of children born for all thai women within the interval of 2.664 to 2.830.
Nonsampling error is due to mistakes made in carrying out field activities, such as failure to locate and interview the correct household, errors in the way questions are asked, misunderstanding of the questions on the part of either the interviewer or the respondent, data entry errors, etc. Although efforts were made during the design and implementation of the TDHS to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.
Name | Affiliation | URL | |
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MEASURE DHS | ICF International | www.measuredhs.com | archive@measuredhs.com |
Use of the dataset must be acknowledged using a citation which would include:
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 uses.
Name | URL | |
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General Inquiries | info@measuredhs.com | www.measuredhs.com |
Data and Data Related Resources | archive@measuredhs.com | www.measuredhs.com |
DDI_THA_1987_DHS_v01_M
Name | Role |
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World Bank, Development Economics Data Group | Generation of DDI documentation |
2012-04-18