{"type":"survey","study_desc":{"title_statement":{"idno":"MDG_2008_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 2008-2009","alt_title":"EDS 2008-09 \/ DHS 2008-09","translated_title":"Demographic and Health Survey 2008-2009"},"authoring_entity":[{"name":"Institut National de la Statistique (INSTAT)","affiliation":""}],"production_statement":{"producers":[{"name":"ICF Macro International","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Agence des \u00c9tats-Unis pour le D\u00e9veloppement International","abbreviation":"USAID","role":"Funding"},{"name":"Agence Fran\u00e7aise de D\u00e9veloppement","abbreviation":"AFD","role":"Funding"},{"name":"Agence Japonaise de Coop\u00e9ration Internationale","abbreviation":"JICA","role":"Funding"},{"name":"Banque Africaine de D\u00e9veloppement","abbreviation":"BAD","role":"Funding"},{"name":"Banque Mondiale","abbreviation":"BM \/ PMPS, PDSSP","role":"Funding"},{"name":"Organisation Mondiale de la Sant\u00e9","abbreviation":"OMS\/WHO","role":"Funding"},{"name":"Fonds des Nations Unies pour la Population","abbreviation":"UNFPA","role":"Funding"},{"name":"Fonds des Nations Unies pour l\u2019Enfance","abbreviation":"UNICEF","role":"Funding"}]},"distribution_statement":{"contact":[{"name":"General Inquiries","affiliation":"","email":"info@measuredhs.com ","uri":"www.measuredhs.com"},{"name":"Data and Data Related Resources","affiliation":"","email":"archive@measuredhs.com","uri":"www.measuredhs.com"},{"name":"archive@measuredhs.com","affiliation":"","email":"dginstat@moov.mg","uri":"http:\/\/www.instat.mg\/"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS V","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 de Madagascar (EDSMD-IV) 2008-2009 est la quatri\u00e8me d'une s\u00e9rie d'enqu\u00eates r\u00e9alis\u00e9es tous les cinq ans \u00e0 Madagascar (ENDS-1992, EDS-1997, EDSMD-2003-2004 et EDSMD-2008-2009)."},"study_info":{"abstract":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 de Madagascar (EDSMD-IV) 2008-2009 est la quatri\u00e8me d'une s\u00e9rie d'enqu\u00eates r\u00e9alis\u00e9es tous les cinq ans \u00e0 Madagascar (ENDS-1992, EDS-1997, EDSMD-2003-2004 et EDSMD-2008-2009). Elle a \u00e9t\u00e9 ex\u00e9cut\u00e9e par l'Institut National de la Statistique (INSTAT), en collaboration avec la Vice Primature charg\u00e9e de la Sant\u00e9 Publique. \n\nL'EDSMD-IV est une enqu\u00eate r\u00e9trospective au cours de laquelle 17 857 m\u00e9nages, 17 375 femmes de 15-49 ans et 8 586 hommes de 15-59 ans ont \u00e9t\u00e9 enqu\u00eat\u00e9s. La collecte des donn\u00e9es s'est d\u00e9roul\u00e9e de novembre 2008 \u00e0 ao\u00fbt 2009. \n\nLes informations recueillies au cours de l'enqu\u00eate sont repr\u00e9sentatives au niveau national, au niveau des milieux de r\u00e9sidence (urbain, et rural) ainsi qu'au niveau de la capitale et des vingt-deux r\u00e9gions du pays. Les r\u00e9sultats ont \u00e9t\u00e9 analys\u00e9s selon certaines caract\u00e9ristiques sociod\u00e9mographiques telles que l'\u00e2ge, le sexe, le milieu de r\u00e9sidence le niveau d'instruction, le niveau de bien-\u00eatre \u00e9conomique et l'\u00e9tat matrimonial, etc. Ces informations permettent ainsi la mise \u00e0 jour des indicateurs de base sur la situation d\u00e9mographique et sanitaire du pays estim\u00e9s lors des pr\u00e9c\u00e9dentes enqu\u00eates de 1992, 1997 et de 2003-2004. \n\nLa quatri\u00e8me Enqu\u00eate D\u00e9mographique et de Sant\u00e9 de Madagascar (EDSMD-IV), a pour objectif d'estimer de nombreux indicateurs socio-\u00e9conomiques, d\u00e9mographiques et sanitaires au niveau de l'ensemble de la population et au niveau des sous-populations des femmes de 15-49 ans, des enfants de moins de 5 ans et des hommes de 15-59 ans. En particulier, l'EDSMD-IV vise \u00e0 identifier et\/ou \u00e0 estimer : \n\nPour l'ensemble de la population : \n- les niveaux de scolarisation ; \n- certains indicateurs de bien-\u00eatre des m\u00e9nages. \n\nPour les femmes de 15-49 ans et les enfants de moins de cinq ans : \n- divers indicateurs d\u00e9mographiques, en particulier les taux de f\u00e9condit\u00e9, de mortalit\u00e9 des enfants et de mortalit\u00e9 maternelle ; \n- les facteurs directs et indirects qui d\u00e9terminent les niveaux et tendances de la f\u00e9condit\u00e9, tels que la nuptialit\u00e9, les comportements sexuels et l'utilisation de la contraception ;  \n- les cat\u00e9gories de femmes susceptibles d'avoir plus ou moins d'enfants et susceptibles d'utiliser la contraception ; \n- les taux de connaissance et de pratique contraceptive par m\u00e9thode, selon diverses caract\u00e9ristiques sociod\u00e9mographiques ; \n- les facteurs directs et indirects qui d\u00e9terminent les niveaux et tendances de la mortalit\u00e9 ; \n- diff\u00e9rentes composantes de la sant\u00e9 de la reproduction et de la sant\u00e9 des enfants : visites pr\u00e9natales et postnatales, conditions d'accouchement, allaitement, vaccinations, pr\u00e9valence et traitement de la diarrh\u00e9e et d'autres maladies chez les enfants de moins de cinq ans ; \n- l'\u00e9tat nutritionnel des femmes et des enfants au moyen des mesures anthropom\u00e9triques (poids et taille) ;  \n- le niveau de connaissance, les opinions et attitudes des femmes vis-\u00e0-vis des Infections Sexuellement Transmissibles (IST) et du VIH\/sida ; \n- la pr\u00e9valence de l'an\u00e9mie chez les femmes, les enfants et \n- la pr\u00e9valence de la syphilis chez les femmes. \n\nPour les hommes de 15-59 ans : \n- les facteurs directs et indirects qui d\u00e9terminent les niveaux et tendances de la f\u00e9condit\u00e9, tels que la nuptialit\u00e9 et les comportements sexuels;  \n- le niveau de connaissance, les opinions et attitudes des hommes vis-\u00e0-vis des Infections Sexuellement Transmissibles (IST) et du VIH\/sida ; et \n- la pr\u00e9valence de l'an\u00e9mie et de la syphilis.  \n\nL'ensemble des donn\u00e9es collect\u00e9es constitue une base de donn\u00e9es qui facilitera la mise en place et le suivi de politiques et de programmes dans le domaine de la population et de la sant\u00e9 et, plus globalement, de politiques visant \u00e0 l'am\u00e9lioration des conditions de vie de la population de Madagascar. Par ailleurs, les donn\u00e9es ayant \u00e9t\u00e9 collect\u00e9es selon une m\u00e9thodologie similaire \u00e0 celle utilis\u00e9e dans de nombreux autres pays ayant particip\u00e9 au programme DHS, elles font partie, de ce fait, d'une base de donn\u00e9es utilisables et comparables au niveau international.","coll_dates":[{"start":"2008-11","end":"2009-07","cycle":""}],"nation":[{"name":"Madagascar","abbreviation":"MDG"}],"geog_coverage":"National\n\nNote: La d\u00e9finition du milieu de r\u00e9sidence utilis\u00e9 au cours de l'EDSMD-IV est diff\u00e9rente de celle utilis\u00e9e pendant les deux pr\u00e9c\u00e9dentes EDS. En effet, au cours des EDS de 1997 et de 2003-2004, le milieu urbain suivait la d\u00e9finition du RGPH de 1993 et \u00e9tait constitu\u00e9 par \u00ab l'ensemble des chefs lieux des Fivondronampokontany (pr\u00e9fectures ou sous-pr\u00e9fectures) \u00e0 part huit, dont Antananarivo-Avaradrano, Antananarivo-Atsimondrano et tous les Fivondronampokontany II. Le reste constituait le \u00ab milieu rural \u00bb. Au cours de l'EDSMD-IV, le milieu urbain qui suit la nouvelle d\u00e9finition du minist\u00e8re de la D\u00e9centralisation et de l'Am\u00e9nagement du Territoire (MDAT) est constitu\u00e9 de 45 communes (y compris la Capitale), le reste du pays formant le milieu rural.","analysis_unit":"- Household\n- Women age 15-49\n- Men age 15-59\n- Children under five","universe":"L'univers de l'enqu\u00eate est l'ensemble de la population et au niveau des sous-populations des femmes de 15 \u00e0 49 ans (r\u00e9sidentes habituelles ou visiteuses) qui se trouvaient dans les m\u00e9nages la nuit pr\u00e9c\u00e9dent l'enqu\u00eate quelque soit le statut et les maris du m\u00e9nage ag\u00e9s de 15 \u00e0 59 ans.","data_kind":"Sample survey data","notes":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 2008-2009 couvre les th\u00e8mes suivants :\n- Allaitement et alimentation de compl\u00e9ment\n- An\u00e9mpie\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enquet\u00e9s\n- Cartographie \/ GPS\n- Circoncision\n- Contraception\n- Etat nutritionnel des enfants\n- F\u00e9condit\u00e9\n- Grossesse\n- Mariage et activit\u00e9 sexuelle\n- Malaria\/rougeole\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Migration\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Plannification familiale\n- Reproduction\n- Sant\u00e9 et nutrition des femme\n- Services communautaires\n- Soins postnatals et nutrition des enfants\n- Tabac\n- Tests tetanos, syphilis, an\u00e9mie, rougeole\n- Vaccination\n- VIH\/SIDA\n- Vitamine A","study_scope":"L'Enqu\u00eate Nationale D\u00e9mographique et Sanitaire 2008-2009 couvre les th\u00e8mes suivants :\n- Allaitement et alimentation de compl\u00e9ment\n- An\u00e9mpie\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enquet\u00e9s\n- Cartographie \/ GPS\n- Circoncision\n- Contraception\n- Etat nutritionnel des enfants\n- F\u00e9condit\u00e9\n- Grossesse\n- Mariage et activit\u00e9 sexuelle\n- Malaria\/rougeole\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Migration\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Plannification familiale\n- Reproduction\n- Sant\u00e9 et nutrition des femme\n- Services communautaires\n- Soins postnatals et nutrition des enfants\n- Tabac\n- Tests tetanos, syphilis, an\u00e9mie, rougeole\n- Vaccination\n- VIH\/SIDA\n- Vitamine A"},"method":{"data_collection":{"data_collectors":[{"name":"Institut National de la Statistique (INSTAT)","abbreviation":"","affiliation":""}],"sampling_procedure":"La quatri\u00e8me Enqu\u00eate D\u00e9mographique et de Sant\u00e9 \u00e0 Madagascar (EDSMD-IV) fait suite \u00e0 celles r\u00e9alis\u00e9es en 1992, 1997 et 2003-04. Elle a vis\u00e9 un \u00e9chantillon national d'environ 19200 m\u00e9nages, avec un nombre attendu de 17000 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans enqu\u00eat\u00e9es avec succ\u00e8s. Comme les trois premi\u00e8res enqu\u00eates, elle a pour principal objectif de recueillir des informations sur la sant\u00e9 des femmes et de leur jeunes enfants, sur la f\u00e9condit\u00e9, la connaissance et l'utilisation des m\u00e9thodes contraceptives, la mortalit\u00e9 maternelle et infanto-juv\u00e9nile ainsi que sur la connaissance et les attitudes vis-\u00e0-vis des maladies sexuellement transmissibles et le sida. Les r\u00e9sultats de l'enqu\u00eate sont pr\u00e9sent\u00e9s pour Madagascar, pour la capitale Antananarivo, pour les autres villes urbaines, pour le milieu urbain dans son ensemble et le milieu rural, et pour chacune des 22 r\u00e9gions administratives. \n\nUne enqu\u00eate aupr\u00e8s des hommes a \u00e9t\u00e9 \u00e9galement men\u00e9e. Parmi les m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des femmes, un m\u00e9nage sur deux a \u00e9t\u00e9 s\u00e9lectionn\u00e9 pour l'enqu\u00eate aupr\u00e8s des hommes. Tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ans dans les m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des hommes ont \u00e9t\u00e9 interview\u00e9s pour recueillir des informations sur leur connaissance des m\u00e9thodes contraceptives, sur leur connaissance et les attitudes vis-\u00e0-vis des maladies sexuellement transmissibles et le sida. En outre, dans ce sous-\u00e9chantillon, toutes les femmes \u00e9ligibles ont \u00e9t\u00e9 interview\u00e9es avec un questionnaire long ; dans le reste des m\u00e9nages, toutes les femmes \u00e9ligibles ont \u00e9t\u00e9 interview\u00e9es avec un questionnaire court, c'est-\u00e0-dire, sans les questions sur la connaissance du sida et les autres questions sur la sant\u00e9.  \n\nBASE DE SONDAGE \n\nLe dernier recensement g\u00e9n\u00e9ral de la population et de l'habitat \u00e0 Madagascar date de 1993. Cette base avait \u00e9t\u00e9 utilis\u00e9e comme base de sondage pour l'EDS-1997 et l'EDSMD-III 2003-2004, mais elle a \u00e9t\u00e9 jug\u00e9e trop ancienne pour servir de base de sondage pour l'EDSMD-IV. M\u00eame si, en 2009, un nouveau Recensement \u00e9tait en cours de pr\u00e9paration \u00e0 l'Institut National de la Statistique (INSTAT), il ne pouvait servir de base pour l'EDSMD-IV car les travaux n'\u00e9taient pas suffisamment avanc\u00e9s pour l'EDSMD-IV 2008-2009. Apr\u00e8s r\u00e9flexion, il a \u00e9t\u00e9 d\u00e9cid\u00e9 d'utiliser les r\u00e9sultats de la cartographie pr\u00e9par\u00e9e pour le nouveau recensement comme base de sondage pour l'EDSMD-IV. L'INSTAT dispose d'un fichier \u00e9lectronique consistant en 21 835 Zones de D\u00e9nombrement (ZD) cr\u00e9\u00e9es pour le recensement 2009. Ce fichier contient des informations comme les identifiants et les mesures de la taille pour chaque ZD. Il y a deux mesures de la taille : le nombre provisoire de toits et le nombre provisoire d'habitants. Comme le nombre de toits contient des structures de multiples m\u00e9nages, il a \u00e9t\u00e9 d\u00e9cid\u00e9 d'utiliser le nombre provisoire d'habitants comme mesure de la taille pour l'EDSMD-IV. L'\u00e9chantillon au premier degr\u00e9 a \u00e9t\u00e9 s\u00e9lectionn\u00e9 avec une probabilit\u00e9 proportionnelle \u00e0 cette taille. \n\nAvec le nouveau d\u00e9coupage, le nombre de r\u00e9gions administratives a \u00e9t\u00e9 port\u00e9 \u00e0 22 ; chaque r\u00e9gion est divis\u00e9e en district, chaque district en commune et chaque commune en fokontany et chaque fokontany est divis\u00e9 en secteur\/localit\u00e9. Les anciennes unit\u00e9s \u00ab province \u00bb ont disparu. Mais il est possible de regrouper les r\u00e9gions pour retrouver la province, les r\u00e9gions \u00e9tant des d\u00e9coupages \u00e0 l'int\u00e9rieur de chaque province. Ceci peut permettre la comparaison des r\u00e9sultats de l'enqu\u00eate avec ceux des enqu\u00eates pr\u00e9c\u00e9dentes au niveau des provinces. Mais la d\u00e9finition de l'urbain et du rural ayant \u00e9t\u00e9 chang\u00e9e au cours de l'op\u00e9ration effectu\u00e9e par le Minist\u00e8re de la D\u00e9centralisation et de l'Am\u00e9nagement du Territoire, il n'est donc plus possible de comparer les milieux de r\u00e9sidence de l'enqu\u00eate actuelle avec ceux des enqu\u00eates pr\u00e9c\u00e9dentes. La d\u00e9finition du milieu urbain adopt\u00e9e par le Minist\u00e8re de la D\u00e9centralisation et de l'Am\u00e9nagement du Territoire a eu pour cons\u00e9quence une r\u00e9duction consid\u00e9rable du milieu urbain. Pour des raisons de comparabilit\u00e9 avec les enqu\u00eates pr\u00e9c\u00e9dentes, la capitale Antananarivo a \u00e9t\u00e9 consid\u00e9r\u00e9e comme une r\u00e9gion, chacun de ses six arrondissements ayant \u00e9t\u00e9 consid\u00e9r\u00e9 comme une commune. En tenant compte de cet effet, le nombre de r\u00e9gions de l'EDSMD-IV est de 23 r\u00e9gions et chacune repr\u00e9sente un domaine d'\u00e9tude ; il y a au total 119 districts et 1 554 communes. Le tableau A.1 ci-dessous pr\u00e9sente la r\u00e9partition de la population et des ZD par r\u00e9gion et par milieu de r\u00e9sidence. \u00c0 Madagascar, selon la d\u00e9finition du Minist\u00e8re de la D\u00e9centralisation et de l'Am\u00e9nagement du Territoire, 15,2 % de la population habitent dans le milieu urbain. \n\n\u00c9CHANTILLONNAGE \n\nL'\u00e9chantillon de l'EDSMD-IV est un \u00e9chantillon ar\u00e9olaire, stratifi\u00e9 et tir\u00e9 \u00e0 2 degr\u00e9s. L'unit\u00e9primaire de sondage est la ZD telle que d\u00e9finie par la cartographie du recensement de 2009. \u00c0 Madagascar, il y 23 r\u00e9gions administratives si l'on consid\u00e8re la capitale Antananarivo comme une r\u00e9gion. Chaque r\u00e9gion est divis\u00e9e en milieu de r\u00e9sidence pour former les strates d'\u00e9chantillonnage. Au total, 43 strates d'\u00e9chantillonnage (les r\u00e9gions d'Analamanga et d'Androy ne sont compos\u00e9es que de milieu rural et la r\u00e9gion d'Antananarivo n'est compos\u00e9e que de milieu urbain) ont \u00e9t\u00e9 identifi\u00e9es et l'\u00e9chantillon a \u00e9t\u00e9 tir\u00e9 ind\u00e9pendamment dans chaque strate d'\u00e9chantillonnage. Au premier degr\u00e9, un \u00e9chantillon stratifi\u00e9 de 600 ZD a \u00e9t\u00e9 tir\u00e9 avec une probabilit\u00e9 proportionnelle \u00e0 la taille. La taille d'une ZD est le nombre d'habitants provisoire estim\u00e9 par la cartographie du recensement. Avant le tirage des ZD, le fichier de base a \u00e9t\u00e9 class\u00e9 selon le type de r\u00e9sidence, le district, la commune et le num\u00e9ro de ZD \u00e0 l'int\u00e9rieur de chaque strate d'\u00e9chantillonnage. Avec un tirage \u00e0 probabilit\u00e9 proportionnelle \u00e0 la taille, ceci conduit \u00e0 une stratification implicite au niveau du district et de la commune, et avec une allocation proportionnelle de l'\u00e9chantillon par type de r\u00e9sidence.  \n\nUn d\u00e9nombrement des m\u00e9nages dans chaque ZD s\u00e9lectionn\u00e9e a \u00e9t\u00e9 effectu\u00e9 avant la collecte principale. Ceci a permis d'obtenir une liste de m\u00e9nages qui a servi \u00e0 s\u00e9lectionner des m\u00e9nages au deuxi\u00e8me degr\u00e9. Avant le d\u00e9nombrement des m\u00e9nages, les grandes ZD ont \u00e9t\u00e9 divis\u00e9es en segments dont un seul a \u00e9t\u00e9 retenu dans l'\u00e9chantillon. Cette derni\u00e8re \u00e9tape n'est pas consid\u00e9r\u00e9e comme un degr\u00e9 de tirage car la segmentation a pour seul but de limiter le travail de d\u00e9nombrement \u00e0 l'int\u00e9rieur de la ZD. Apr\u00e8s le d\u00e9nombrement et la mise \u00e0 jour de la carte, la s\u00e9lection des m\u00e9nages a \u00e9t\u00e9 effectu\u00e9e au bureau central. Un fichier Excel a \u00e9t\u00e9 pr\u00e9par\u00e9 pour faciliter le tirage de m\u00e9nages. Les enqu\u00eateurs ne doivent enqu\u00eater que les m\u00e9nages s\u00e9lectionn\u00e9s. Les remplacements de m\u00e9nages ne sont pas autoris\u00e9s, cela pour \u00e9viter des biais, m\u00eame dans le cas de m\u00e9nages qui refusent de r\u00e9pondre.  \n\n\u00c9tant donn\u00e9 que le nombre de domaines d'\u00e9tudes est grand et que le budget de l'enqu\u00eate est limit\u00e9, une allocation identique de l'\u00e9chantillon a \u00e9t\u00e9 adopt\u00e9e, sauf pour la capitale Antananarivo, pour que la pr\u00e9cision de l'enqu\u00eate soit comparable entre les r\u00e9gions. Compte tenu de la complexit\u00e9 des caract\u00e9ristiques \u00e9conomiques et sociales des m\u00e9nages de la capitale par rapport aux autres r\u00e9gions, Antananarivo a re\u00e7u une taille d'\u00e9chantillon deux fois plus grande que les autres. Parmi les 600 ZD s\u00e9lectionn\u00e9es, 149 sont situ\u00e9es dans le milieu urbain et 451 dans le milieu rural. L'\u00e9chantillon recouvre 118 districts (il y en a au total 119) et 487 communes (il y en a au total 1554). En d\u00e9cidant d'enqu\u00eater 32 m\u00e9nages par grappe, le nombre total de m\u00e9nages enqu\u00eat\u00e9s est de 19200 dont 4768 situ\u00e9s en milieu urbain et 14432 en milieu rural.  \n\nLe nombre moyen de femmes de 15-49 ans par m\u00e9nage et le taux de r\u00e9ponse des femmes sont respectivement de 1,04 et 95 % pour le milieu urbain, et 0,91 et 96,3 % pour le milieu rural ; le nombre moyen d'hommes de 15-59 ans par m\u00e9nage et le taux de r\u00e9ponse des hommes sont respectivement de 0,97 et 87,8 % pour le milieu urbain, et 0,95 et 89,4 % pour le milieu rural ; le taux de r\u00e9ponse de m\u00e9nages s'\u00e9l\u00e8ve \u00e0 98,1 % pour le milieu urbain et \u00e0 98,5 % pour le milieu rural.","coll_mode":"Face-to-face","research_instrument":"Afin d'atteindre les objectifs fix\u00e9s, quatre types de questionnaires ont \u00e9t\u00e9 utilis\u00e9s : \n\na) Questionnaire m\u00e9nage. Il a permis de collecter des informations sur le m\u00e9nage, tel que le nombre de personnes y r\u00e9sidant, le sexe, l'\u00e2ge, le niveau d'instruction, l'\u00e9tat de survie des parents, etc. Par ailleurs, il a permis de collecter des informations sur les caract\u00e9ristiques du logement (approvisionnement en eau, type de toilettes, etc.), sur les biens poss\u00e9d\u00e9s par les m\u00e9nages et sur le sel utilis\u00e9 par les m\u00e9nages : ces informations sont recueillies afin d'\u00e9valuer les conditions environnementales et socio-\u00e9conomiques dans lesquelles vivent les personnes enqu\u00eat\u00e9es. En outre, le questionnaire m\u00e9nage a permis d'\u00e9tablir l'\u00e9ligibilit\u00e9 des personnes qui seront interview\u00e9es individuellement et par cons\u00e9quent de d\u00e9terminer les populations de r\u00e9f\u00e9rence pour le calcul de certains taux d\u00e9mographiques.  \n\nb) Questionnaire femme. Il comprend les onze sections suivantes : \n- Caract\u00e9ristiques sociod\u00e9mographiques des enqu\u00eat\u00e9es ; \n- Reproduction ; \n- Planification familiale ; \n- Grossesse, soins postnatals et allaitement ;  \n- Vaccination, sant\u00e9 et nutrition ; \n- Union et activit\u00e9 sexuelle ; \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 ; \n- Caract\u00e9ristiques du conjoint et travail de la femme ; \n- VIH\/Sida et autres maladies sexuellement transmissibles ; \n- Autres probl\u00e8mes de sant\u00e9 ; et \n- Mortalit\u00e9 maternelle. \n\nc) Questionnaire homme. Il s'agit \u00e9galement d'un questionnaire individuel comprenant les sept sections suivantes : \n- Caract\u00e9ristiques sociod\u00e9mographiques de l'enqu\u00eat\u00e9 ; \n- Reproduction ; \n- Contraception ; \n- Union et activit\u00e9 sexuelle ; \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 ; \n- VIH\/Sida et maladies sexuellement transmissibles ; et \n- Autres probl\u00e8mes de sant\u00e9. \n\nEn plus de ces trois questionnaires utilis\u00e9s pour les interviews, l'EDSMD-IV comprenait \u00e9galement un questionnaire biomarqueurs administr\u00e9 dans la moiti\u00e9 des m\u00e9nages. Ce questionnaire a permis d'enregistrer : \nLes mesures anthropom\u00e9triques (taille et poids) des femmes, des hommes et des enfants de moins de cinq ans pour \u00e9valuer leur \u00e9tat nutritionnel ; \n- le r\u00e9sultat du test d'h\u00e9moglobine pour estimer la pr\u00e9valence de l'an\u00e9mie ; \n- le r\u00e9sultat du test rapide de syphilis ; en outre, en cas de test positif, le questionnaire fournit les instructions pour un pr\u00e9l\u00e8vement de sang veineux et l'administration d'un traitement. \n\nCes outils ont \u00e9t\u00e9 d\u00e9velopp\u00e9s \u00e0 partir des questionnaires de base du programme MEASURE DHS, pr\u00e9alablement adapt\u00e9s au contexte de Madagascar et en tenant compte des objectifs de l'enqu\u00eate.","coll_situation":"Les cadres de la Direction de la D\u00e9mographie et des Statistiques Sociales (DDSS) ont assur\u00e9 la formation du personnel d'enqu\u00eate avec la participation d'autres personnes ressources de la Vice Primature charg\u00e9e de la Sant\u00e9 Publique et d'un consultant d'ICF Macro. \n\nLes activit\u00e9s de collecte se sont d\u00e9roul\u00e9es en 3 \u00e9tapes principales : l'enqu\u00eate pilote, le d\u00e9nombrement des zones d'enqu\u00eate \u00e9chantillonn\u00e9es et l'enqu\u00eate principale. Pour chacune de ces \u00e9tapes, une formation a \u00e9t\u00e9 dispens\u00e9e aux personnes recrut\u00e9es. \n\nL'enqu\u00eate pilote a \u00e9t\u00e9 effectu\u00e9e dans trois zones, une urbaine et deux rurales. Aucune de ces zones ne faisait partie de l'\u00e9chantillon principal. Au total, 279 m\u00e9nages, 217 femmes et 85 hommes ont \u00e9t\u00e9 interview\u00e9s par sept \u00e9quipes de six enqu\u00eateurs et enqu\u00eatrices pendant six jours. L'objectif de cet exercice \u00e9tait de tester l'acceptabilit\u00e9 du pr\u00e9l\u00e8vement de sang et des questionnaires M\u00e9nage, Femme et Homme et d'estimer le temps n\u00e9cessaire au pr\u00e9l\u00e8vement de sang et au remplissage de chaque type de questionnaire. La formation du personnel de terrain a dur\u00e9 deux semaines. L'enqu\u00eate pilote qui a eu lieu du 16 septembre au 7 octobre 2008 (y compris la formation), a permis de r\u00e9viser et de finaliser les questionnaires ainsi que les autres documents m\u00e9thodologiques de l'enqu\u00eate. \n\nLe d\u00e9nombrement des m\u00e9nages dans les grappes s\u00e9lectionn\u00e9es pour l'enqu\u00eate a \u00e9t\u00e9 r\u00e9alis\u00e9 du 10 octobre au 15 novembre 2008. Cinquante \u00e9quipes, compos\u00e9es chacune de deux agents (agent de d\u00e9nombrement et cartographe) ont particip\u00e9 \u00e0 la r\u00e9alisation de cette op\u00e9ration. \n\nLe personnel de terrain pour l'enqu\u00eate principale, s\u00e9lectionn\u00e9 par la direction de l'EDSMD\u00adIV a \u00e9t\u00e9 form\u00e9 sur une p\u00e9riode de quatre semaines, y compris la formation pour les tests des biomarqueurs.  \n\nLa formation des infirmi\u00e8res\/m\u00e9decins et des techniciens de laboratoire a dur\u00e9 une semaine. Quarante infirmi\u00e8res\/m\u00e9decins et 20 techniciens de laboratoire certifi\u00e9s d'\u00e9tat avaient \u00e9t\u00e9 r\u00e9f\u00e9r\u00e9s par la Vice Primature charg\u00e9e de la Sant\u00e9 Publique, pour participer \u00e0 la formation de l'enqu\u00eate. La formation a port\u00e9 sur deux principaux aspects : les techniques de pr\u00e9l\u00e8vements des gouttes de sang, du sang veineux et du traitement de la syphilis, ainsi que des techniques de laboratoire pour la centrifugation du sang veineux. \n\nL'enqu\u00eate a d\u00e9but\u00e9 quelques jours apr\u00e8s la formation, avec 20 \u00e9quipes. Chaque \u00e9quipe \u00e9tait compos\u00e9e d'un chef d'\u00e9quipe, d'une contr\u00f4leuse, de trois enqu\u00eatrices (deux d'entre elles poss\u00e9daient une formation m\u00e9dicale et \u00e9taient responsables des prises de sang pour les tests), d'un technicien de laboratoire ainsi que d'un chauffeur. Les chefs d'\u00e9quipe \u00e9taient charg\u00e9s de mener l'enqu\u00eate Homme.  \n\nLes grappes de la capitale ont \u00e9t\u00e9 r\u00e9alis\u00e9es en premier par l'ensemble des \u00e9quipes avant que ces derni\u00e8res ne rejoignent leur zone d'affectation respective. La collecte des donn\u00e9es s'est d\u00e9roul\u00e9e du 23 novembre 2008 au 17 ao\u00fbt 2009. \n\nMESURES ANTHROPOMETRIQUES ET BIOMARQUEURS \n\nMESURES ANTHROPOMETRIQUES \nComme au cours des EDS r\u00e9alis\u00e9es pr\u00e9c\u00e9demment \u00e0 Madagascar, l'EDSMD-IV a \u00e9valu\u00e9 l'\u00e9tat nutritionnel des femmes de 15-49 ans et des enfants de moins de cinq ans au moyen des mesures anthropom\u00e9triques.  \nPour des raisons logistiques, l'EDSMD-IV n'a pas pu utiliser des balances \u00e9lectroniques \u00e0 affichage digital pour la prise du poids, mais des p\u00e8se-personnes m\u00e9caniques \u00e0 aiguille. Ces balances n'ont pas permis d'obtenir des poids suffisamment pr\u00e9cis pour les enfants et, apr\u00e8s v\u00e9rification des donn\u00e9es collect\u00e9es, les donn\u00e9es relatives au poids des enfants n'ont pas \u00e9t\u00e9 valid\u00e9es et ne sont donc pas pr\u00e9sent\u00e9es dans ce rapport : seul l'indicateur nutritionnel bas\u00e9 sur la taille des enfants a \u00e9t\u00e9 analys\u00e9. Par contre, les donn\u00e9es concernant le poids des femmes ont pu \u00eatre utilis\u00e9es pour \u00e9valuer leur \u00e9tat nutritionnel.  \n\nANEMIE ET SYPHILIS \nAlors que pour d\u00e9terminer la pr\u00e9valence de l'an\u00e9mie on mesure le niveau d'h\u00e9moglobine dans le sang, pour le test de d\u00e9pistage de l'infection de la syphilis, on cherche la pr\u00e9sence d'anticorps dans le sang. \nAvant de commencer les tests, l'infirmi\u00e8re\/infirmier lisait le texte de consentement volontaire pour le test d'an\u00e9mie, puis elle demandait \u00e0 l'enqu\u00eat\u00e9 s'il acceptait volontairement de participer \u00e0 ce test. Ensuite, et quel que soit le consentement donn\u00e9 pour le test d'an\u00e9mie par l'enqu\u00eat\u00e9, l'infirmi\u00e8re\/infirmier lui lisait un deuxi\u00e8me consentement volontaire pour l'inviter \u00e0 participer au test de d\u00e9pistage de la syphilis3. Apr\u00e8s avoir rempli ces d\u00e9clarations de consentement volontaire, l'infirmi\u00e8re\/infirmier signait pour pr\u00e9ciser que les sujets enqu\u00eat\u00e9s avaient accept\u00e9 de participer aux tests. Le pr\u00e9l\u00e8vement de sang \u00e9tait ensuite r\u00e9alis\u00e9 de la mani\u00e8re suivante : \n- Du sang capillaire \u00e9tait pr\u00e9lev\u00e9 au moyen d'une piq\u00fbre faite au bout du doigt \u00e0 l'aide d'une petite aiguille r\u00e9tractable (Tenderlette). \n- Apr\u00e8s que la premi\u00e8re goutte de sang ait \u00e9t\u00e9 essuy\u00e9e \u00e0 l'aide d'un tampon st\u00e9rile, la deuxi\u00e8me goutte \u00e9tait r\u00e9serv\u00e9e au test d'h\u00e9moglobine effectu\u00e9 \u00e0 l'aide d'un h\u00e9moglobinom\u00e8tre portatif ou Hemocue. Le r\u00e9sultat, exprim\u00e9 en gramme d'h\u00e9moglobine par d\u00e9cilitre, disponible apr\u00e8s quelques secondes, \u00e9tait enregistr\u00e9 dans le questionnaire. Ce r\u00e9sultat \u00e9tait aussi communiqu\u00e9 et expliqu\u00e9 aux participants.  \n- La troisi\u00e8me goutte \u00e9tait d\u00e9pos\u00e9e sur la bandelette de test rapide Abbott Determine pour d\u00e9terminer les cas de syphilis (infection actuelle et pass\u00e9e). Apr\u00e8s avoir d\u00e9pos\u00e9 du fixateur au moyen d'un tampon, l'infirmier\/infirmi\u00e8re attendait, au minimum, 15 minutes pour enregistrer le r\u00e9sultat du test dans le questionnaire, puis le lire et le communiquer au participant. Lorsque l'enqu\u00eat\u00e9 \u00e9tait positif au test Abbott Determine, l'infirmi\u00e8re\/infirmier lui proposait imm\u00e9diatement un traitement sur place dans le m\u00e9nage. \n- Dans le cas o\u00f9 l'enqu\u00eat\u00e9 \u00e9tait positif au test Abbott Determine, et apr\u00e8s obtention d'un nouveau consentement, l'infirmi\u00e8re\/infirmier pr\u00e9levait 5 cc de sang veineux dans un tube EDTA qu'elle apportait imm\u00e9diatement, au technicien de laboratoire pour centrifugation \u00e0 l'aide d'une centrifugeuse \u00e9lectrique. \n- Le s\u00e9rum obtenu \u00e9tait ensuite collect\u00e9 dans un micro tube (tube cryog\u00e9nique) et plac\u00e9 dans un conteneur dry-shipper \u00e0 azote liquide puis achemin\u00e9 \u00e0 Antananarivo, au laboratoire de l'Institut Pasteur de Madagascar, pour effectuer le test Rapid Plasma Reagin (RPR) et un autre test de confirmation \u00e0 l'aide du Treponema Pallidum Haemagglutination Assay (TPHA). Les tests RPR et TPHA permettent de d\u00e9celer les cas de syphilis active.","cleaning_operations":"La saisie des donn\u00e9es sur micro-ordinateur a d\u00e9but\u00e9 un mois apr\u00e8s le d\u00e9marrage de l'enqu\u00eate sur le terrain, en utilisant CSPro, logiciel d\u00e9velopp\u00e9 par le programme DHS. Des agents de bureau ont \u00e9t\u00e9 charg\u00e9s de la v\u00e9rification des questionnaires avant de les transmettre \u00e0 la saisie. La saisie a \u00e9t\u00e9 r\u00e9alis\u00e9e par dix neuf op\u00e9rateurs, de janvier 2008 \u00e0 fin ao\u00fbt 2009 sous la supervision de contr\u00f4leurs informatiques et d'un coordinateur. Tous les questionnaires ont fait l'objet d'une double saisie pour \u00e9liminer du fichier le maximum d'erreurs de saisie. Par ailleurs, un programme de contr\u00f4le de qualit\u00e9 a permis de d\u00e9tecter pour chaque \u00e9quipe et m\u00eame, le cas \u00e9ch\u00e9ant, pour chaque enqu\u00eatrice\/enqu\u00eateur, certaines des principales erreurs de collecte. Ces informations ont \u00e9t\u00e9 imm\u00e9diatement r\u00e9percut\u00e9es aux \u00e9quipes de terrain lors des missions de supervision, afin d'am\u00e9liorer la qualit\u00e9 des donn\u00e9es.  \n\nA la suite de la saisie, les donn\u00e9es ont \u00e9t\u00e9 \u00e9dit\u00e9es en vue de v\u00e9rifier la coh\u00e9rence interne des r\u00e9ponses. La v\u00e9rification finale a \u00e9t\u00e9 r\u00e9alis\u00e9e par l'\u00e9quipe informatique et l'\u00e9quipe technique de l'enqu\u00eate, avec l'assistance de l'informaticien d'ICF Macro."},"analysis_info":{"response_rate":"Chaque femme, \u00e2g\u00e9e de 15 \u00e0 49 ans, identifi\u00e9e dans les m\u00e9nages enqu\u00eat\u00e9s a \u00e9t\u00e9 \u00e9galement enqu\u00eat\u00e9e au moyen du questionnaire Femme. Dans un sous-\u00e9chantillon de 50 % des m\u00e9nages s\u00e9lectionn\u00e9s, tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ont aussi \u00e9t\u00e9 interrog\u00e9s. Par ailleurs, c'est \u00e9galement dans ce sous-\u00e9chantillon de m\u00e9nages, qu'ont \u00e9t\u00e9 prises les mesures anthropom\u00e9triques et qu'un pr\u00e9l\u00e8vement de sang a \u00e9t\u00e9 effectu\u00e9 pour les tests d'h\u00e9moglobine et de syphilis. \n\nSur les 600 grappes s\u00e9lectionn\u00e9es, 596 ont pu \u00eatre enqu\u00eat\u00e9es au cours de l'EDSMD-IV. Le nombre de m\u00e9nages s\u00e9lectionn\u00e9s dans une grappe \u00e9tait de 32, quel que soit le milieu de r\u00e9sidence. Au total 18985 m\u00e9nages ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s dont 18083 ont \u00e9t\u00e9 identifi\u00e9s au moment de l'enqu\u00eate et parmi lesquels 17857 ont pu \u00eatre enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 99 %. \n\nDans ces 17857 m\u00e9nages enqu\u00eat\u00e9s, 18177 femmes \u00e2g\u00e9es de 15-49 ans ont \u00e9t\u00e9 identifi\u00e9es comme \u00e9tant \u00e9ligibles pour l'enqu\u00eate individuelle et pour 17375 d'entre elles, l'enqu\u00eate a pu \u00eatre men\u00e9e \u00e0 bien. Le taux de r\u00e9ponse s'\u00e9tablit donc \u00e0 96 % pour les interviews aupr\u00e8s des femmes. L'enqu\u00eate homme a \u00e9t\u00e9 r\u00e9alis\u00e9e dans un m\u00e9nage sur deux : au total 9239 hommes de 15-59 ans ont \u00e9t\u00e9 identifi\u00e9s dans les m\u00e9nages de l'\u00e9chantillon. Parmi ces 9239 hommes, 8586 ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 93 %, l\u00e9g\u00e8rement inf\u00e9rieur \u00e0 celui des femmes.","sampling_error_estimates":"Les erreurs de sondage peuvent \u00eatre \u00e9valu\u00e9es statistiquement. L'\u00e9chantillon s\u00e9lectionn\u00e9 pour l'EDSMD-IV 2008-2009 n'est qu'un parmi un grand nombre d'\u00e9chantillons de m\u00eame taille qui peuvent \u00eatre s\u00e9lectionn\u00e9s dans la m\u00eame population avec le m\u00eame plan de sondage. Chacun de ces \u00e9chantillons peut produire des r\u00e9sultats peu diff\u00e9rents de ceux obtenus avec l'\u00e9chantillon actuellement choisi. L'erreur de sondage est une mesure de cette variabilit\u00e9 entre tous les \u00e9chantillons possibles. Bien que cette variabilit\u00e9 ne puisse pas \u00eatre mesur\u00e9e exactement, elle peut n\u00e9anmoins \u00eatre estim\u00e9e \u00e0 partir des donn\u00e9es collect\u00e9es. \n\nL'erreur-type (ET) est un indice particuli\u00e8rement utile pour mesurer l'erreur de sondage d'un param\u00e8tre (moyenne, proportion ou taux) ; elle est la racine carr\u00e9e de la variance du param\u00e8tre. L'erreur-type peut \u00eatre utilis\u00e9e pour calculer des intervalles de confiance dans lesquels nous consid\u00e9rons que se trouve la vraie valeur du param\u00e8tre avec un certain niveau de confiance. Par exemple, la vraie valeur d'un param\u00e8tre se trouve dans les limites de sa valeur estim\u00e9e plus ou moins deux fois son erreur-type, avec un niveau de confiance de 95 %. \n\nSi l'\u00e9chantillon avait \u00e9t\u00e9 tir\u00e9 d'apr\u00e8s un plan de sondage al\u00e9atoire simple, il aurait \u00e9t\u00e9 possible d'utiliser des formules simples pour calculer les erreurs de sondage. Cependant, l'\u00e9chantillon de l'EDSMD-IV 2008-2009 \u00e9tant un \u00e9chantillon stratifi\u00e9 et tir\u00e9 \u00e0 deux degr\u00e9s, des formules plus complexes ont \u00e9t\u00e9 utilis\u00e9es. Une proc\u00e9dure en macro SAS a \u00e9t\u00e9 utilis\u00e9e pour calculer les erreurs de sondage suivant la m\u00e9thodologie statistique appropri\u00e9e. Ce module utilise la m\u00e9thode de lin\u00e9arisation (Taylor) pour des estimations telles que les moyennes ou proportions, et la m\u00e9thode de Jackknife pour des estimations plus complexes tels que l'indice synth\u00e9tique de f\u00e9condit\u00e9 et les quotients de mortalit\u00e9. \nLa m\u00e9thode de Jackknife d\u00e9rive les estimations des taux complexes \u00e0 partir de chacun des sous-\u00e9chantillons de l'\u00e9chantillon principal, et calcule les variances de ces estimations avec des formules simples. Chaque sous-\u00e9chantillon exclut une grappe dans les calculs des estimations. Ainsi, des estimations pseudo-ind\u00e9pendantes ont \u00e9t\u00e9s cr\u00e9\u00e9es. Dans l'EDSMD-IV 2008-2009, il y a 594 grappes non-vides. Par cons\u00e9quent, 594 estimations ont \u00e9t\u00e9s cr\u00e9\u00e9es.\n\nIl existe un deuxi\u00e8me indice tr\u00e8s utile qui est la racine carr\u00e9e de l'effet du plan de sondage (REPS) ou effet de grappe : c'est le rapport de l'erreur-type observ\u00e9e sur l'erreur-type qu'on aurait obtenue si un sondage al\u00e9atoire simple avait \u00e9t\u00e9 utilis\u00e9. Cet indice r\u00e9v\u00e8le dans quelle mesure le plan de sondage qui a \u00e9t\u00e9 choisi se rapproche d'un \u00e9chantillon al\u00e9atoire simple de m\u00eame taille : la valeur 1 de la REPS indique que le plan de sondage est aussi efficace qu'un \u00e9chantillon al\u00e9atoire simple, alors qu'une valeur sup\u00e9rieure \u00e0 1 indique un accroissement de l'erreur de sondage d\u00fb \u00e0 un plan de sondage plus complexe et moins efficace au point de vue statistique. Le logiciel calcule aussi l'erreur relative et l'intervalle de confiance pour chaque estimation. \n\nLes erreurs de sondage pour l'EDSMD-IV 2008-2009 ont \u00e9t\u00e9 calcul\u00e9es pour certaines des variables les plus int\u00e9ressantes. Les r\u00e9sultats sont pr\u00e9sent\u00e9s en annexe du Rapport Final pour le pays dans son ensemble, pour la capitale, pour les autres villes urbaines, pour le milieu urbain dans son ensemble, pour le milieu rural, et pour chacune des 22 r\u00e9gions administratives. Pour chaque variable, le type de statistique (moyenne, proportion ou taux) et la population de base sont pr\u00e9sent\u00e9s dans le tableau B.1 du Rapport Final. Les tableaux B.2 \u00e0 B.28 pr\u00e9sentent la valeur de la statistique (M), l'erreur-type (ET), le nombre de cas non-pond\u00e9r\u00e9s (N) et pond\u00e9r\u00e9s (N'), la racine carr\u00e9e de l'effet du plan de sondage (REPS), l'erreur relative (ET\/M), et l'intervalle de confiance \u00e0 95 % (M\u00b12ET) pour chaque variable. L'effet du plan de sondage (REPS) est non-d\u00e9fini quand l'\u00e9cart type sous l'\u00e9chantillon al\u00e9atoire simple est z\u00e9ro (quand l'estimation est proche de 0 ou 1). Dans le cas de l'indice synth\u00e9tique de f\u00e9condit\u00e9, le nombre de cas non-pond\u00e9r\u00e9s n'est pas pertinent, car la valeur non-pond\u00e9r\u00e9e de femmes-ann\u00e9es d'exposition au risque de grossesse n'est pas connue. \n\nL'intervalle de confiance est interpr\u00e9t\u00e9 de la mani\u00e8re suivante : pour la variable Enfants n\u00e9s vivants, l'EDSMD-IV 2008-2009 a fourni un nombre moyen d'enfants n\u00e9s vivants de 2,855 pour l'ensemble des femmes, auquel correspond une erreur-type de 0,035 enfants. Dans 95 % des \u00e9chantillons de taille et caract\u00e9ristique identiques, la valeur r\u00e9elle du nombre moyen d'enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 15 \u00e0 49 ans se trouve entre 2,855- 2\u00d70,035 et 2,855 + 2\u00d70,035, soit 2,785 et 2,925. \n\nPour l'\u00e9chantillon national des femmes, la moyenne de la racine carr\u00e9e de l'effet du plan de sondage (REPS) calcul\u00e9e pour l'ensemble des estimations est de 1,695 ce qui veut dire que, par rapport \u00e0 un \u00e9chantillon al\u00e9atoire simple, l'erreur de sondage est multipli\u00e9e en moyenne par un facteur de 1,695 parce qu'on utilise un plan de sondage complexe (par grappes et \u00e0 plusieurs degr\u00e9s) et moins efficace.","data_appraisal":"Les erreurs de mesure sont celles associ\u00e9es \u00e0 la mise en \u0153uvre de la collecte et de l'exploitation des donn\u00e9es telles que l'omission de m\u00e9nages s\u00e9lectionn\u00e9s, la mauvaise interpr\u00e9tation des questions de la part de l'enqu\u00eatrice ou de l'enqu\u00eat\u00e9, ou les erreurs de saisie des donn\u00e9es. Bien que tout le possible ait \u00e9t\u00e9 fait pour minimiser ce type d'erreur pendant la mise en \u0153uvre de l'EDSMD-IV 2008-2009, il est difficile d'\u00e9viter et d'\u00e9valuer toutes les erreurs de mesure."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS, ICF Macro","affiliation":"","email":"archive@measuredhs.com","uri":"http:\/\/www.measuredhs.com"}],"cit_req":"L'utilisation des donn\u00e9es doit \u00eatre mentionn\u00e9e par l'inclusion d'une r\u00e9f\u00e9rence bibliographique contenant au minimum:\n- l'identification de l'enqu\u00eateur principal (agence ou personne ayant assur\u00e9 la responsabiit\u00e9 de la production des donn\u00e9es)\n- le titre exact de l'enqu\u00eate (y compris le pays, l'ann\u00e9e de l'enqu\u00eate et l'abbr\u00e9viation du titre de l'enqu\u00eate lorsque disponible)\n- le num\u00e9ro de r\u00e9f\u00e9rence de l'enqu\u00eate tel qu'indiqu\u00e9 dans notre catalogue\n- la source et la date du t\u00e9l\u00e9chargement des fichiers 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