Health Survey 2000
West Bank and Gaza, 2000
Identification
WBG_2000_MICS_v01_M
Health Survey 2000
| Name | Country code |
|---|---|
| West Bank and Gaza | WBG |
Multiple Indicator Cluster Survey - Round 2 [hh/mics-2]
UNICEF assists countries in collecting and analyzing data in order to fill data gaps for monitoring the situation of children and women through its international household survey initiative the Multiple Indicator Cluster Surveys (MICS).
MICS surveys are typically carried out by government organizations, with the support and assistance of UNICEF and other partners. Technical assistance and training for the surveys is provided through a series of regional workshops where experts from developing countries are trained on various aspects of MICS (questionnaire content, sampling and survey implementation, data processing, data quality and data analysis, and report writing and dissemination).
Since the mid-1990s, the MICS has enabled many countries to produce statistically sound and internationally comparable estimates of a range of indicators in the areas of health, education, child protection and HIV/AIDS. MICS findings have been used extensively as a basis for policy decisions and programme interventions, and for the purpose of influencing public opinion on the situation of children and women around the world.
MICS1 (1995) - The MICS was originally developed in response to the World Summit for Children to measure progress towards an internationally agreed set of mid-decade goals. The first round of MICS was conducted around 1995 in more than 60 countries.
MICS2 (2000) - A second round of surveys was conducted in 2000 (around 65 surveys), and resulted in an increasing wealth of data to monitor the situation of children and women. For the first time it was possible to monitor trends in many indicators and set baselines for other indicators.
The 2000 Health Survey in the West Bank and Gaza Strip (MICS2) provides reliable estimates for several indicators, which were suggested to Palestinian Central Bureau of Statistics (PCBS) by decision makers, planners, and researchers in the field of health through a series of "User-Producer Dialogue"workshops. The survey includes also the indicators of the "End of Decade Goals Survey, MICS2" which were developed in cooperation with UNICEF, and the indicators of the "Baseline Health Survey" which were developed in cooperation with UNFPA.
The 2000 Health Survey in the West Bank and Gaza Strip was implemented on the eve of the INTIFADA in Palestine. The release of this report comes after less than three months since the beginning of the uprising. There is documented evidence that up to this time in the life of the INTIFADA, more than 100 Palestinian children have been killed and more than 3,500 are injured by the Israeli army and the Israeli settlers. International as well as local specialized agencies have indicated that hundreds of thousands of Palestinian children have been deeply affected psychologically by the events. The Israeli harsh measures and their continued aggression against the Palestinian population have left thousands of Palestinian households with no means of protection or support for their children. In view of these tragic developments, the results of this Survey could be used as a fairly good and reliable baseline to compare with when studying the impact of Israeli measures and actions against Palestinian children and households.
The Health Survey of 1996 and the Demographic Survey of 1995 were among the pioneering household surveys in the establishment phase of Palestinian Central Bureau of Statistics (PCBS). The two surveys where complementary to each other and were designed to provide detailed accounting and baseline data and statistics on the demographic and health status of Palestinian households and individuals. An update of the health survey was deemed necessary by PCBS and the Ministry of Health in order to update the baseline data on health situation in Palestine. The current survey (the 2000 health Survey in the West Bank and Gaza Strip) comes as a timely update ofthe various indicators, which were measured by the previous surveys, and as an answer to the statistical needs of the planners within government, NGO's, and specialized international agencies which are mandated to work in Palestine. This survey is in fact a realization of a partnership, which was formulated between PCBS, Ministry of Health, UNFPA and UNICEF in order to pool the demand side on data and produce a relevant data set for various stakeholders. The survey has tried to provide estimates for many indicators within the framework of UNICEF's efforts to support countries to come up with assessment of End Decade Goals as set out by UNICEF. It also tried to come up with the baseline data, which could be used in drafting a country strategy and a CPA exercise by UNFPA. The survey has also tried to provide enough details to allow the Ministry of Health finalize its strategic plan.
Sample survey data [ssd]
- Individuals
- Households
Scope
The scope of the Multiple Indicator Cluster Survey includes:
- Household: Control Sheet (quality control sample identification, interview schedule and interview results), Household Roster (age, sex, relation to head of household, date of birth and health variables such as health insurance and smoking), Housing section (housing conditions, such as water sanitation and iodized salt);
- Women: Reproduction, Family planning, Antenatal care and Breastfeeding, Tetanus Toxoid Vaccination, Desire of Reproduction, Public Health and Health Awareness and Knowledge of HIV;
- Children: Birth Registration, Child Education, Child Labor, Child Health and Child Immunization, Child Ophthalmic Health and Anthropometry.
Coverage
National
The survey covered all de jure household members (usual residents), all women aged 15-54 years, all children aged 5-17 years and under 5 living in the household.
Producers and sponsors
| Name |
|---|
| United Nations Children’s Fund |
| Palestinian Central Bureau of Statistics |
| Name |
|---|
| Palestinian Ministry of Health |
| Name | Role |
|---|---|
| United Nations Children’s Fund | Financial and technical support |
| United Nations Population Fund | Financial and technical support |
| Palestinian Central Bureau of Statistics | Financial and technical support |
Sampling
The sample design of the 2000 Health Survey in the West Bank and Gaza Strip (MICS) takes into account the main recommendations of UNICEF for this type of surveys.
The sample provides a subsample of household that receives health services from the Ministry of Health clinics.
The target population consists of all Palestin_ian households that usually reside in the Palestinian Territory. This type of survey concentrates on 2 subpopulations. the first one is ever-married women and aged (15-54) years. the second one is children less than 5 years.
The list of all Palestinian households has been constructed with some identification variables, after finishing the Population Census 1997 processes. The master sample was drowned to be used for different sample surveys. The master sample consists of 481-enumeration area (EA) (the average sizes about 120 households). The master sample is the sample frame of the 2000 Health Survey in the West Bank and Gaza Strip. The selected EAs were divided into small units called cells (with average size of 25 households). One cell per EA was selected.
Different criteria were taken into account when sample size was determined. The level of sampling error for the main indicators was considered, the result could be published at 3 subpopulations. and 10% incomplete questionnaire was assumed. The overall sample was 272 EAs, 178 in the West Bank and 94 in Gaza Strip. The Sample cells increased to 288 cells. 194 in West Bank and 94 in Gaza Strip. The number of households in the sample was 6,349 households, 4,295 in the West Bank and 2,054 in Gaza Strip.
The sample is a stratified multi-stage random sample.
Stratification:
Four levels of stratification were made:
- Stratification by governorates.
- Stratification by place of residence which comprised:
(a) Urban (b) Rural (c) Refugee Camps - Stratification by classifying localities, excluding governorate capitals, into three strata based on the ownership of households within these localities of durable goods.
- Stratification by size locality (number of households).
A compact cluster design was adopted because the sample frame was old. As mentioned above, the first sampling units were divided into small units (cells). Then one cell from each EA was randomly selected.
For that part of Jerusalem, which was annexed after 1967 war, a list of households for the EAs in the frame was completed in 1999. Therefore a compact cluster design was not used in this part, and a random of households from the EAs was selected.
First stage sampling units are the area units (EAs) in the master sample. The second stage-sampling units are cells.
Overall 94.0% of the questionnaires were completed. 93.3% in the West Bank, and 95.5% in Gaza Strip.
The response rate was about 97.7%, it was 96.9% in the West Bank and 99.3% in Gaza Strip.
Weights have been calculated for each sampling unit. Weights reflect the sampling procedures. To make the weighing procedure feasible and simple, we assumed that the households have been selected directly within the EA.
It was respected in weighing procedure that the total Palestinian population in the beginning of the second quartet in year 2000 and their distribution according to the region, sex and age group.
Survey instrument
The questionnaire was developed by the Palestinian Central Bureau of Statistics after revision and adaptation of the following standard questionnaires:
- The Health Survey questionnaire, which implemented by Palestinian Central Bureau of Statistics in 1996.
- Demographic Survey questionnaire, which implemented by Palestinian Central Bureau of Statistics in 1995.
- UNICEF questionnaire for Multiple Indicator Cluster Survey (MICS II).
- Standard Demographic and Health survey questionnaire.
- Other Demographic and Health Survey questionnaire (DHS).
The health survey - 2000 questionnaire consist of three main parts:
- Household questionnaire which includes the following sections:
- Control Sheet: which includes items related to quality control sample identification, interview schedule and interview results.
- Household Roster: includes demographic variables such as age, sex, relation to head of household, date ofbirth and health variables such as health insurance and smoking.
- Housing section: includes questions on housing conditions, such as water sanitation and iodized salt.
- Women's Health questionnaire: this questionnaire was designed to collect data for all ever- married women aged less than 55 years, it consists of seven sections:
- Reproduction.
- Family planning.
- Antenatal care and Breastfeeding.
- Tetanus Toxoid Vaccination.
- Desire of Reproduction.
- Public Health and Health Awareness.
- Knowledge of HIV.
- Child Health Questionnaire: This module consists of six sections:
- Birth Registration for children under five years.
- Child Education for children aged 5-17 years .
- Child Labor for children aged 5-17 years.
- Child Health and Child Immunization for children under five years.
- Child Ophthalmic Health for children under five years.
- Anthropometry for children under five years.
Data collection
| Start | End |
|---|---|
| 2000-04-10 | 2000-05-31 |
| Name |
|---|
| Palestinian Central Bureau of Statistics |
There is one supervisor for each of the 17 data collection teams in the field.
Recruitment of fieldworkers was restricted to women. The fieldwork directorate at PCBS screened all available female applicants. A scale was designed to rank applicants using objective criteria. Four committees to interview applicants in Ramallah, Nablus, Hebron and Gaza were formed. 72 interviewers, 45 supervisors and editors were selected to work in the West Bank and Gaza Strip.
The draft fieldwork manual prepared for the pilot was reviewed, edited and utilized for training.
The main training was divided into two courses, one course was given in the West Bank and the other was given in Gaza Strip. An 18-days intensive course for 147 interviewers was conducted, 100 of them in West Bank and 47 in Gaza Strip.
A group of doctors was recruited to deliver lectures on different parts of the questionnaires.
The training materials, consisted of the following basic survey documents: questionnaires, interviewer's and supervisor's instructional manual.
The training course for interviewers consisted of:
- Classroom lectures on the objectives and organization of the survey.
- Detailed explanation of the questionnaire.
- The art of asking questions.
Principles of interviewing include demonstration of interview through role-playing and practice interviews.
Main fieldwork in West Bank and Gaza Strip started on April 10, 2000 and was completed on May 31, 2000.
17 mobile teams in West Bank and Gaza Strip under took fieldwork. Each team consisted of 3-5 interviewers, one supervisor, one assistant and one field editor.
We have implemented field editing which included further spot-checks if needed. The field editor thoroughly checked and corrected any obvious mistakes and slips.
Fieldwork pwcedures and organization were designed to ensure adequate supervision and the collection of high quality data. To this end, several quality control measures were used including, periodic sudden visits by the professional staff to the field team, adequate communications between the central office staff and the field in the form of daily and weekly reporting, re-interviewing of about 10% of the sample households by supervisors, spot-checking of ages for eligible women, observation of interviewers by supervisors, distribution of written memos to the field when confusion arises, adequate documentation of the flow of the questionnaire through control sheets, and limiting call backs to three visits per household.
Data processing
IMPS was used in data entry. Data entry was organized in a number of files, corresponding to the main parts of the questionnaire.
A data entry template was designed to reflect an exact image of the questionnaire, and included various electronic checks: logical check, consisting checks and cross-validation. Continuously thorough checks on the overall consistency of the data files and sample allocation were sent back to the field for corrections.
Data entry started on may 18, 2000 and finished on June 8, 2000. Data cleaning and checking processes were initiated simultaneously with the data entry. Thorough data quality checks and consistency checks were carried out.
Final tabulation of results was performed using statistical package SPSS for Windows (version 8.0) and specialized health and demographic analysis programs.
Data appraisal
Since the data reported here are based on a sample survey and not on complete enumeration. They are subject to two main types of errors: sampling rrrors and non-sampling errors.
Sampling errors are random outcomes of the sample design, and are, therefore, easily measurable.
Non-sampling errors can occur at the various stages of the survey implementatipn in data collection and data processing, and are generally difficult to be evaluated statistically. They cover a wide range of errors, including errors resulting from non-response, sample frame coverage, data processing and response (both respondent and interviewer-related). The use of effective training and supervisions and the careful design of questions as measures have direct bearing on the magnitude of non-sampling errors, and hence the quality of the resulting data.
Data Access
| Name | Affiliation | URL | |
|---|---|---|---|
| Childinfo | UNICEF | http://www.childinfo.org/mics4_surveys.html | mics@unicef.org |
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. |
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download.
Example,
United Nations Children’s Fund, Palestinian Central Bureau of Statistics. Palestinian Health Survey (MICS) 2000, Ref. WBG_2000_MICS_v01_M. Dataset downloaded from [url] on [date].
Disclaimer and copyrights
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.
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| The World Bank Microdata Library | The World Bank | microdata@worldbank.org | http://microdata.worldbank.org |
Metadata production
DDI_WBG_2000_MICS_v01_M_WB
| Name | Affiliation | Role |
|---|---|---|
| Development Data Group | The World Bank | Documentation of the DDI |
2015-12-23
Metadata version
Version 01 (December 2015)