{"type":"survey","study_desc":{"title_statement":{"idno":"MLI_1995_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 1995-1996","alt_title":"EDS 1995-96 \/ DHS 1995-96","translated_title":"Demographic and Health Survey 1995-1996"},"authoring_entity":[{"name":"Cellule de Planification et Statistique","affiliation":"Minist\u00e8re de la Sant\u00e9, de la Solidarit\u00e9 et des Personnes \u00c2g\u00e9es "},{"name":"","affiliation":""}],"oth_id":[{"name":"Cellule de Planification et de Statistique","affiliation":"Minist\u00e8re de la Sant\u00e9 de la Solidarit\u00e9 et des Personnes Ag\u00e9es","email":"","role":"Training"},{"name":"Cellule de Coordination du Projet Sant\u00e9 Population et Hydraulique Rurale (CCPSPHR)","affiliation":"Minist\u00e8re de la Sant\u00e9 de la Solidarit\u00e9 et des Personnes Ag\u00e9es","email":"","role":"Training"},{"name":"Direction Nationale de la Sant\u00e9 Publique et services rattach\u00e9s","affiliation":"Minist\u00e8re de la Sant\u00e9 de la Solidarit\u00e9 et des Personnes Ag\u00e9es","email":"","role":"Training"},{"name":"Direction Administrative et Financi\u00e8re","affiliation":"Minist\u00e8re de la Sant\u00e9 de la Solidarit\u00e9 et des Personnes Ag\u00e9es","email":"","role":"Training"},{"name":"Direction Nationale de l'Alphab\u00e9tisation Fonctionnelle et de la Linguistique Appliqu\u00e9e (DNAFLA)","affiliation":"","email":"","role":"Translation"}],"production_statement":{"producers":[{"name":"Direction Nationale de la Statistique et de l'Informatique","affiliation":"","role":""},{"name":"Macro International Inc","affiliation":"","role":"Technical assitance"}],"funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","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"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS III","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 1987 est la deuxi\u00e8me EDS r\u00e9alis\u00e9e au Mali apr\u00e8s celle de 1987."},"study_info":{"abstract":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 au Mali (EDSM-II) est une enqu\u00eate nationale par sondage. Elle a \u00e9t\u00e9 ex\u00e9cut\u00e9e par la Cellule de Planification et de Statistique du Minist\u00e8re de la Sant\u00e9, de la Solidarit\u00e9 et des Personnes \u00c2g\u00e9es (CPS\/MSSPA) et par la Direction Nationale de la Statistique et de l'Informatique (DNSI), avec l'assistance technique de Macro International Inc. \n\nL'un des principaux objectifs de I'EDSM-II \u00e9tait de recueillir, \u00e0 l'\u00e9chelle nationale, des donn\u00e9es de qualit\u00e9 qui permettent de : \n- conna\u00eetre les niveaux et tendances de la f\u00e9condit\u00e9 et de la mortalit\u00e9 infantile et juv\u00e9nile, ainsi que les facteurs d\u00e9terminant leur \u00e9volution ; \n- d\u00e9terminer le niveau de connaissance et d'utilisation des m\u00e9thodes de contraception chez les femmes et les hommes ; \n- obtenir des informations sur le nombre id\u00e9al d'enfants et sur l'attitude vis-\u00e0-vis de la planification familiale chez les femmes et les hommes en \u00e2ge de procr\u00e9er ; \n- recueillir des donn\u00e9es d\u00e9taill\u00e9es sur la sant\u00e9 maternelle et infantile : visites pr\u00e9natales, assistance \u00e0 l'accouchement, allaitement, vaccinations, suppl\u00e9mentation en Vitamine A, pr\u00e9valence et traitement de la diarrh\u00e9e et d'autres maladies chez les enfants de moins de trois ans ; \n- d\u00e9terminer l'\u00e9tat nutritionnel des m\u00e8res et des enfants de moins de trois ans au moyen des mesures anthropom\u00e9triques (poids et taille) ; \n- recueillir des donn\u00e9es sur la pratique de l'excision ; \n- recueillir des donn\u00e9es d\u00e9taill\u00e9es sur la connaissance, les opinions et attitudes des femmes et des hommes vis-\u00e0-vis des Maladies Sexuellement Transmissibles (MST) et du sida, \n- mesurer le niveau de mortalit\u00e9 maternelle au niveau national ; \n- \u00e9valuer la disponibilit\u00e9 des services de sant\u00e9 et de planification familiale. \n\nEnfin, I'EDSM-II a permis de d\u00e9velopper les capacit\u00e9s nationales n\u00e9cessaires \u00e0 la r\u00e9alisation p\u00e9riodique d'enqu\u00eates d\u00e9mographiques et de sant\u00e9. \n\nLes informations recueillies sont significatives au niveau national et au niveau de chacun des sept domaines d'\u00e9tudes retenus dans le cadre de I'EDSM-II : ce sont le district de Bamako, les r\u00e9gions de Kayes, Koulikoro, Sikasso, S\u00e9gou, Mopti, et Tombouctou\/Gao. En ce qui concerne ce dernier domaine d'\u00e9tudes, les donn\u00e9es ne sont repr\u00e9sentatives que des deux communes de Tombouctou et de Gao. Les donn\u00e9es sont aussi repr\u00e9sentatives selon le milieu de r\u00e9sidence, \u00e0 savoir, le district de Bamako, les Autres villes et le milieu rural.","coll_dates":[{"start":"1995-11","end":"1996-05","cycle":""}],"nation":[{"name":"Mali","abbreviation":"MLI"}],"geog_coverage":"Les informations recueillies sont significatives au niveau national et au niveau de chacun des sept domaines d'\u00e9tudes retenus dans le cadre de I'EDSM-II : ce sont le district de Bamako, les r\u00e9gions de Kayes, Koulikoro, Sikasso, S\u00e9gou, Mopti, et Tombouctou\/Gao.","analysis_unit":"- Household\n- Women age 15-49\n- Men age 15-59\n- Children under five","universe":"Les femmes \u00e2g\u00e9es de 15 \u00e0 49 ans r\u00e9sidentes, pr\u00e9sentes au moment de l'interview ou en visite dans le m\u00e9nage, les hommes \u00e2g\u00e9s de15 \u00e0 59 ans  et les enfants de moins de 5 ans.","data_kind":"Sample survey data","notes":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 1995 du Mali couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de compl\u00e9ment\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enqu\u00eat\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- Etat nutritionnel des enfants\n- Excision\n- F\u00e9condit\u00e9\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Plannification familiale\n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Services communautaires\n- SIDA","study_scope":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 1995 du Mali couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de compl\u00e9ment\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enqu\u00eat\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- Etat nutritionnel des enfants\n- Excision\n- F\u00e9condit\u00e9\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Plannification familiale\n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Services communautaires\n- SIDA"},"method":{"data_collection":{"data_collectors":[{"name":"Direction Nationale de la Statistique et de l'Informatique","abbreviation":"","affiliation":""}],"sampling_procedure":"L'EDSM-II a pr\u00e9vu un \u00e9chantillon total de 9 000 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans et un \u00e9chantillon d'hommes de 15 \u00e0 59 ans dans un tiers des m\u00e9nages tir\u00e9s pour l'enqu\u00eate de femmes. Le Recensement G\u00e9n\u00e9ral de la Population et de l'Habitat (RGPH), r\u00e9alis\u00e9 au Mali en 1987, a servi de base de sondage. Pour des raisons de s\u00e9curit\u00e9, il \u00e9tait n\u00e9cessaire d'exclure de cette base certaines zones g\u00e9ographiques, notamment les zones rurales des r\u00e9gions deTombouctou et de Gao. Les zones exclues repr\u00e9sentent environ deux tiers de la superficie du pays (65 %) et totalisent \u00e0 peu pr\u00e8s 10 % de la population. Une nouvelle r\u00e9gion, Kidal, a \u00e9t\u00e9 cr\u00e9\u00e9e apr\u00e8s le RGPH \u00e0 partir de la r\u00e9gion de Gao. Comme cette r\u00e9gion n'a pas \u00e9t\u00e9 d\u00e9finie dans la base de sondage de 1987, elle ne sera pas mentionn\u00e9e de fa\u00e7on explicite dans ce rapport o\u00f9 elle fait toujours partie de la r\u00e9gion Gao. \n\nAu Mali, les domaines d'\u00e9tudes - ou sous-populations pour lesquelles on d\u00e9sire des analyses bas\u00e9es sur les informations recueillies par l'enqu\u00eate -correspondent aux r\u00e9gions ou groupes de r\u00e9gions administratives. On a donc identifi\u00e9 sept domaines d'\u00e9tudes : Bamako, Kayes, Koulikoro, Sikasso, S\u00e9gou, Mopti et Tombouctou\/Gao. Ces deux derni\u00e8res r\u00e9gions ont \u00e9t\u00e9 regroup\u00e9es car, apr\u00e8s avoir exclu le milieu rural, elles ne repr\u00e9sentent qu'un effectif de population tr\u00e8s faible. Il sera \u00e9galement possible d'obtenir des estimations s\u00e9par\u00e9es pour l'ensemble des centres urbains, autres que Bamako, et pour l'ensemble du milieu rural. \n\nUne premi\u00e8re allocation proportionnelle de l'\u00e9chantillon des 9 000 femmes aux huit r\u00e9gions a montr\u00e9 que Tombouctou et Gao (zones rurales exclues) n'auraient qu'un \u00e9chantillon tr\u00e8s faible (135 femmes pour les deux r\u00e9gions), ces deux r\u00e9gions ensemble ne repr\u00e9sentant que 1,5 % de la population couverte. Cette taille relativement faible de l'\u00e9chantillon ne permet pas les analyses approfondies que l'on d\u00e9sire effectuer dans le domaine d'\u00e9tudes regroup\u00e9 de Tombouctou\/Gao. On a alors affect\u00e9 un taux de sondage plus \u00e9lev\u00e9 \u00e0 ces deux r\u00e9gions par rapport aux autres r\u00e9gions. \n\nBASE DE SONDAGE \n\nL'\u00e9chantillon est stratifi\u00e9, pond\u00e9r\u00e9 et repr\u00e9sentatif au niveau national et au niveau des milieux de r\u00e9sidence 3 (les zones rurales de Tombouctou et Gao exclues) et des r\u00e9gions telles que d\u00e9finies pr\u00e9c\u00e9demment. \n\nL'\u00e9chantillon a \u00e9t\u00e9 s\u00e9lectionn\u00e9 de la mani\u00e8re suivante : \n- au premier degr\u00e9, 300 grappes, constituant les Unit\u00e9s Primaires de Sondage (UPS), ont \u00e9t\u00e9 tir\u00e9es de fa\u00e7on syst\u00e9matique \u00e0 l'int\u00e9rieur de chacune des 13 strates (Bamako, Tombouctou, Gao et les milieux urbain et rural des r\u00e9gions de Kayes, Koulikoro, Sikasso, S\u00e9gou et Mopti) avec une probabilit\u00e9 proportionnelle \u00e0 la taille de la SE, \u00e0 savoir le nombre de m\u00e9nages dans la SE ; \n- au deuxi\u00e8me degr\u00e9, un \u00e9chantillon de m\u00e9nages a \u00e9t\u00e9 s\u00e9lectionn\u00e9 \u00e0 partir de la liste de m\u00e9nages \u00e9tablie lors de l'op\u00e9ration de d\u00e9nombrement de chacune des 300 grappes s\u00e9lectionn\u00e9es. \n\nIl a \u00e9t\u00e9 d\u00e9cid\u00e9 d'exclure de l'\u00e9chantillon les zones rurales des r\u00e9gions de Tombouctou et de Gao (871 SE, comprenant \u00e9galement, \u00e0 l'\u00e9poque du RGPH de 1987, la r\u00e9gion actuelle de Kidal) qui repr\u00e9sentent environ 65 % du territoire national et 10 % de la population totale. De ce fait et comme l'effectif de population des 2 communes est tr\u00e8s faible, il a \u00e9t\u00e9 d\u00e9cid\u00e9 de les regrouper. Les donn\u00e9es collect\u00e9es ne sont donc repr\u00e9sentatives que du milieu urbain de Tombouctou et de Gao. Dans la suite de ce rapport, les r\u00e9sultats de ces deux communes seront toujours pr\u00e9sent\u00e9s ensemble. \n\nCARACTERISTIQUES GENERALES DE L'ECHANTILLON \n\nL'\u00e9chantillon de I'EDSM-II a \u00e9t\u00e9 bas\u00e9 sur un sondage ar\u00e9olaire stratifi\u00e9 et tir\u00e9 \u00e0 deux degr\u00e9s. Bamako, Tombouctou et Gao ont constitu\u00e9 chacune une strate \u00e0 part alors que chacune des cinq autres r\u00e9gions a \u00e9t\u00e9 stratifi\u00e9e en urbain et rural. Ce qui a donn\u00e9 au total 13 strates. \n\nDans chaque strate, on a tir\u00e9 au premier degr\u00e9 un certain nombre de SE \u00e0 partir de l'ensemble des SE. Chaque SE tir\u00e9e qui \u00e9tait de grande taille a \u00e9t\u00e9 ensuite divis\u00e9e en segments et un seul segment a \u00e9t\u00e9 retenu pour l'enqu\u00eate. La grappe, ou plus petite unit\u00e9 g\u00e9ographique retenue, pouvait donc \u00eatre une SE enti\u00e8re ou une partie d'une SE. Un d\u00e9nombrement des m\u00e9nages dans chacune de ces grappes a fourni une liste de m\u00e9nages \u00e0 partir de laquelle on a tir\u00e9, au deuxi\u00e8me degr\u00e9, un \u00e9chantillon de m\u00e9nages. Tous les membres de ces m\u00e9nages ont ~t\u00ea d\u00e9nombr\u00e9s \u00e0 l'aide d'un questionnaire m\u00e9nage et chaque femme \u00e2g\u00e9e de 15 \u00e0 49 ans identifi\u00e9e a \u00e9t\u00e9 enqu\u00eat\u00e9e avec un questionnaire femme plus d\u00e9taill\u00e9. \n\nL'enqu\u00eate homme a port\u00e9 sur un tiers des m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate principale. Le tirage des m\u00e9nages pour l'enqu\u00eate homme a \u00e9t\u00e9 effectu\u00e9 au m\u00eame moment que le tirage des m\u00e9nages pour l'enqu\u00eate femme, de fa\u00e7on syst\u00e9matique et avec une probabilit\u00e9 \u00e9gale \u00e0 un m\u00e9nage sur trois. \n\nREPARTITION DE L'ECHANTILLON \n\nAlors que les \u00e9chantillons de Bamako et des cinq plus grandes r\u00e9gions \u00e9taient suffisamment grands pour permettre des estimations fiables, il n'en \u00e9tait pas de m\u00eame pour Tombouctou et Gao. Un \u00e9chantillon minimum de 1000 femmes \u00e9tant souhaitable pour chaque domaine d'\u00e9tudes afin d'obtenir des r\u00e9sultats sur les taux d\u00e9mographiques avec des marges d'erreur acceptables, on a donc sur-\u00e9chantillonn\u00e9 les r\u00e9gions de Tombouctou et de Gao par rapport aux autres r\u00e9gions. A l'int\u00e9rieur de chaque r\u00e9gion, l'\u00e9chantillon a \u00e9t\u00e9 r\u00e9parti proportionnellement aux milieux urbain et rural. On a tout d'abord affect\u00e9 un minimum de 1 000 femmes \u00e0 Bamako et un minimum de 1000 \u00e0 Tombouctou et Gao (500 femmes pour chaque ville). On a ensuite r\u00e9parti les 7000 femmes qui restaient aux cinq autres r\u00e9gions, proportionnellement \u00e0 leur effectif de population. A l'int\u00e9rieur de chacune de ces cinq r\u00e9gions, l'\u00e9chantillon est r\u00e9parti proportionnellement entre urbain et rural.\n\nD'apr\u00e8s la premi\u00e8re Enqu\u00eate D\u00e9mographique et de Sant\u00e9 r\u00e9alis\u00e9e au Mali en 1987, il y avait 1,14 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans par m\u00e9nage urbain et 1,02 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans par m\u00e9nage rural (chiffres moyens utilis\u00e9s pour I'EDSM-II). Comme taux de r\u00e9ponse, on a utilis\u00e9 un taux global de 90 %; ceci en supposant que, parmi l'ensemble des m\u00e9nages tir\u00e9s pour l'enqu\u00eate, seulement 95 % seraient effectivement trouv\u00e9s sur le terrain pour des raisons diverses (logement non trouv\u00e9, refus de r\u00e9pondre, m\u00e9nage absent, etc.) et que de l'ensemble des femmes \u00e9ligibles identifi\u00e9es, on pourrait seulement en enqu\u00eater 95 % avec succ\u00e8s.\n\nLe nombre de grappes \u00e0 tirer d\u00e9pend du nombre de femmes \u00e0 enqu\u00eater dans chaque grappe. Les analyses men\u00e9es aupr\u00e8s d'autres enqu\u00eates analogues indiquent que le nombre optimal de femmes \u00e0 enqu\u00eater par grappe est de l'ordre de 30-35 femmes dans le milieu rural et de 20-25 femmes dans le milieu urbain. Si l'on d\u00e9cide de tirer 35 m\u00e9nages, en moyenne, dans chaque grappe rurale, 25 m\u00e9nages, en moyenne, \u00e0 Bamako et dans les autres centres urbains, et 30 m\u00e9nages, en moyenne, \u00e0 Tombouctou et Gao (ce qui revient \u00e0 enqu\u00eater, respectivement, 32, 26 et 31 femmes, en moyenne, dans le milieu rural, dans les autres centres urbains et \u00e0 Tombouctou et Gao, en tenant compte du nombre de femmes par m\u00e9nage et du taux de r\u00e9ponse), on aboutit \u00e0 un nombre total de 300 grappes. On a d\u00e9cid\u00e9 d' augmenter le nombre moyen de m\u00e9nages \u00e0 tirer dans chaque grappe des villes de Tombouctou et Gao pour diminuer le nombre de grappes \u00e0 tirer, \u00e9tant donn\u00e9 que ces deux villes sont tr\u00e8s petites et que la population est assez homog\u00e8ne au niveau des caract\u00e9ristiques sociod\u00e9mographiques. \n\nPour avoir un nombre pair de grappes dans chaque strate, ce qui facilite les calculs ult\u00e9rieurs des erreurs de sondage, on a r\u00e9arrang\u00e9 le nombre de grappes dans chaque strate et on a abouti au nombre final de grappes \u00e0 tirer. \u00c0 cause de la r\u00e9partition non-proportionnelle de l'\u00e9chantillon parmi les strates, des taux de pond\u00e9ration seront n\u00e9cessaires pour assurer la repr\u00e9sentativit\u00e9 r\u00e9elle de l'\u00e9chantillon au niveau national.\n\nSTRATIFICATION ET TIRAGE D'UNITES AREOLAIRES \n\nL'unit\u00e9 primaire de sondage est la SE telle qu'elle \u00e9tait d\u00e9finie dans le fichier des SE du BCR. On a effectu\u00e9 un tirage syst\u00e9matique des SE \u00e0 l'int\u00e9rieur de chaque strate avec une probabilit\u00e9 proportionnelle \u00e0 la taille de la SE, la taille \u00e9tant l'effectif de m\u00e9nages recens\u00e9s d' apr\u00e8s la base de sondage. Vu que les tailles des SE sont tr\u00e8s variables, cette m\u00e9thode de tirage r\u00e9duit la variance erreur de l'enqu\u00eate. \n\nLe tirage syst\u00e9matique des SE a \u00e9t\u00e9 fait ind\u00e9pendamment dans chaque strate, \u00e0 partir du fichier des SE, suite \u00e0 une stratification g\u00e9ographique implicite : avant le tirage, les SE \u00e9taient class\u00e9es par cercle et arrondissement \u00e0 l'int\u00e9rieur de chaque strate. \u00c0 l'int\u00e9rieur de chaque arrondissement, les SE ont \u00e9t\u00e9 class\u00e9es s\u00e9quentiellement par code de SE. \n\nPour chaque tirage, on a d'abord calcul\u00e9 l'effectif cumul\u00e9 de chaque SE dans la base de sondage. \n\nSEGMENTATION DES GRANDES SECTIONS D'ENUMERATION \n\nL'\u00e9valuation de la base de sondage a montr\u00e9 que la plus grande SE avait 1068 m\u00e9nages en 1987. Si par hasard cette grande SE \u00e9tait s\u00e9lectionn\u00e9e, elle exigerait un travail \u00e9norme de d\u00e9nombrement. On a donc impos\u00e9 une limite sup\u00e9rieure de 400 m\u00e9nages \u00e0 la taille de SE. Ainsi, les SE tir\u00e9es qui d\u00e9passaient cette taille ont \u00e9t\u00e9 scind\u00e9es en plusieurs segments, parmi lesquels un seul a \u00e9t\u00e9 retenu pour l'enqu\u00eate. La segmentation a \u00e9t\u00e9 faite sur le terrain pendant l'op\u00e9ration de cartographie et de d\u00e9nombrement de m\u00e9nages.","coll_mode":"Face-to-face","research_instrument":"L'EDSM-II a utilis\u00e9 4 types de questionnaires  : un questionnaire m\u00e9nage ; un questionnaire individuel femme ; un questionnaire individuel homme ; un questionnaire communautaire sur la disponibilit\u00e9 des services. Les questionnaires m\u00e9nages et individuels femme et homme ont \u00e9t\u00e9 traduits en trois langues nationales (le bambara, le sonraf et le peulh). Apr\u00e8s la traduction, ces questionnaires ont \u00e9t\u00e9 revus par des sages-femmes pour l'utilisation des termes sp\u00e9cifiques aux diff\u00e9rents domaines de sant\u00e9 explor\u00e9s dans l'enqu\u00eate. \n\na) Questionnaire m\u00e9nage \n\nIl permet d'\u00e9tablir la liste de tous les membres du m\u00e9nage et des visiteurs et, de collecter \u00e0 leur sujet un certain nombre d'informations telles que le nom, le lien de parent\u00e9 avec le chef de m\u00e9nage, la situation de r\u00e9sidence, le sexe, l'\u00e2ge, le niveau d'instruction. En outre, par le biais du questionnaire m\u00e9nage, sont collect\u00e9es quelques caract\u00e9ristiques des logements devant servir \u00e0 \u00e9valuer les conditions socio-\u00e9conomiques et environnementales dans lesquelles vivent les femmes et les hommes qui seront enqu\u00eat\u00e9s individuellement. \nCependant, l'objectif principal de ce questionnaire est de permettre l'identification des femmes \u00e9ligibles (\u00e2g\u00e9es de 15-49 ans) et, dans un tiers des m\u00e9nages, celle des hommes \u00e9ligibles (\u00e2g\u00e9s de 15-59 ans). Le questionnaire m\u00e9nage fournit \u00e9galement les informations permettant d'\u00e9tablir le d\u00e9nominateur pour le calcul des taux d\u00e9mographiques (natalit\u00e9, mortalit\u00e9, f6condit\u00e9). \nIl comprend, en outre, en page de garde, la localisation du m\u00e9nage (r\u00e9gion, cercle, commune ou village), le nombre de visites effectu\u00e9es par 1' enqu\u00eatrice, le r\u00e9sultat de l'interview ainsi qu'une partie r\u00e9serv\u00e9e au contr\u00f4le de terrain et de bureau. \n\nb) Questionnaire individuel femme \n\nLe questionnaire individuel femme qui constitue le coeur de I'EDSM-II, a \u00e9t\u00e9 \u00e9labor\u00e9 sur la base du questionnaire Mod\u00e8le B du programme DHS (questionnaire pour les pays \u00e0 faible pr\u00e9valence contraceptive). Il comprend une page de couverture, similaire \u00e0 celle du questionnaire m\u00e9nage, sur laquelle sont enregistr\u00e9es les informations d'identification et les r\u00e9sultats des interviews. Avec les dix sections qui le composent, il sert \u00e0 recueillir des informations sur les th\u00e8mes suivants : \n- Caract\u00e9ristiques socio-d\u00e9mographiques : \n- Reproduction \n- Connaissance et utilisation de la contraception \n- Grossesse et allaitement, vaccination et sant\u00e9 des enfants \n- Mariage \n- Excision \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 \n- Caract\u00e9ristiques du conjoint et activit\u00e9 \u00e9conomique de la femme \n- MST et sida \n- Mortalit\u00e9 maternelle \n- Taille et poids des m\u00e8res et des enfants \n\nc) Questionnaire individuel homme \n\nLe questionnaire homme qui est une forme all\u00e9g\u00e9e du questionnaire individuel femme permet de collecter des informations sur la connaissance et l'utilisation de la contraception, et sur les opinions des hommes en mati\u00e8re de f\u00e9condit\u00e9, de taille de la famille et de planification familiale, ainsi que sur les MST et le sida.\n \nd) Questionnaire sur la disponibilit\u00e9 des services \n\nLe questionnaire communautaire a pour objectif de recueillir des informations sur les infrastructures socio-\u00e9conomiques (\u00e9coles, march\u00e9, services de transport..) et sanitaires (h\u00f4pitaux, cliniques, centres de sant\u00e9 communautaire..) disponibles dans chacune des grappes de l'enqu\u00eate.","coll_situation":"Pour assurer une bonne r\u00e9alisation des objectifs de I'EDSM-II, une direction technique a \u00e9t\u00e9 mise en place sous l'autorit\u00e9 d'un Directeur G\u00e9n\u00e9ral et d'un Directeur Technique, chacun assist\u00e9 d'un adjoint, et qui avaient en charge la supervision g\u00e9n\u00e9rale de l'enqu\u00eate, y compris les travaux informatiques. \n\nPar ailleurs, des consultants nationaux et internationaux ont assist\u00e9 l'\u00e9quipe technique pour l'adaptation du plan de sondage, la conception des questionnaires, la formation du personnel d'enqu\u00eate, le traitement et l'analyse des donn\u00e9es. Des consultants nationaux de la Direction Nationale de l'Alphab\u00e9tisation Fonctionnelle et de la Linguistique Appliqu\u00e9e (DNAFLA) ont effectu\u00e9 la traduction des questionnaires dans les trois principales langues du pays : bambara, sonra\u00ef et peulh. \n\nL'EDSM-II s'est d\u00e9roul\u00e9e en trois \u00e9tapes principales : le d\u00e9nombrement des m\u00e9nages des zones \u00e9chantillonn\u00e9es (de juin \u00e0 ao\u00fbt 1995), le pr\u00e9-test (juillet 1995) et l'enqu\u00eate principale (novembre 1995 \u00e0 mai 1996). Pour chacune de ces \u00e9tapes, une formation a \u00e9t\u00e9 dispens\u00e9e aux personnes recrut\u00e9es. \n\nPour les op\u00e9rations de cartographie et de d\u00e9nombrement des zones s\u00e9lectionn\u00e9es pour l'enqu\u00eate, 18 agents de la DNSI, ayant d\u00e9j\u00e0 effectu\u00e9 ces activit\u00e9s lors du RGPH de 1987, ont \u00e9t\u00e9 recrut\u00e9s afin de former 9 \u00e9quipes. Les agents cartographes \u00e9taient aussi charg\u00e9s de r\u00e9aliser l'enqu\u00eate communautaire sur la disponibilit\u00e9 des services. \n\nPour le pr\u00e9-test, 24 enqu\u00eatrices et enqu\u00eateurs ont \u00e9t\u00e9 retenus pour suivre une formation de trois semaines. La formation en langues nationales a \u00e9t\u00e9 assur\u00e9e par des sp\u00e9cialistes de la DNAFLA qui avaient traduit les questionnaires. Pour les travaux de terrain du pr\u00e9-test qui ont dur\u00e9 5 jours, trois zones d'enqu\u00eates, ne faisant pas partie des zones de l'\u00e9chantillon principal, ont \u00e9t\u00e9 retenues : deux secteurs de Bamako pour le milieu urbain et deux villages non loin de la capitale, pour le milieu rural. D'une mani\u00e8re g\u00e9n\u00e9rale, le pr\u00e9-test a permis d'identifier plusieurs probl\u00e8mes concernant la formulation et la traduction en langues nationales, notamment de quelques questions sur le sida et l'excision. \n\nEn ce qui concerne l'enqu\u00eate principale, le recrutement s'est effectu\u00e9 de la mani\u00e8re suivante : \n- les chefs d'\u00e9quipe (charg\u00e9s aussi de l'enqu\u00eate individuelle aupr\u00e8s des hommes) ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s parmi les agents cartographes et les contr\u00f4leuses ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s, en majorit\u00e9, parmi les personnes ayant effectu\u00e9 le pr\u00e9-test ; \n-  les enqu\u00eatrices (au nombre de 31, plus deux enqu\u00eateurs, pour former les 10 \u00e9quipes n\u00e9cessaires) ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es apr\u00e8s la formation et d'apr\u00e8s leurs r\u00e9sultats aux diff\u00e9rents tests d'aptitude. \n\nLa formation qui a dur\u00e9 quatre semaines consistait, d'une part, en des expos\u00e9s th\u00e9oriques concernant les techniques d'enregistrement des informations et, d'autre part, en des exercices sur la fa\u00e7on de remplir les questionnaires. La formation a \u00e9t\u00e9 assur\u00e9e en fran\u00e7ais et, par la suite, des compl\u00e9ments ont \u00e9t\u00e9 donn\u00e9s en langues nationales par les cadres de la DNAFLA. En outre, diff\u00e9rentes personnes de la Division de la Sant\u00e9 Familiale et Communautaire (DSFC), du Centre National d'Immunisation (CNI) sont intervenues durant la formation, pour donner aux enqu\u00eatrices des informations sur le planning familial, la sant\u00e9 maternelle et infantile ainsi que sur le sida. Par ailleurs, la pratique des mesures anthropom\u00e9triques s'est d\u00e9roul\u00e9e dans un orphelinat de Bamako. Enfin, pour parachever leur formation th\u00e9orique, les enqu\u00eatrices ont r\u00e9alis\u00e9 des enqu\u00eates de pratique sur le terrain, en langues nationales, pendant 3 jours. \n\nCOLLECTE DES DONNEES \n\nLes op\u00e9rations de collecte pour l'enqu\u00eate communautaire sur la disponibilit\u00e9 des services se sont d\u00e9roul\u00e9es en m\u00eame temps que les activit\u00e9s de cartographie. Une enqu\u00eate aupr\u00e8s de chaque grappe a \u00e9t\u00e9 r\u00e9alis\u00e9e. Apr\u00e8s une formation de quatre semaines environ, les 10 \u00e9quipes 5 compos\u00e9es chacune de trois enqu\u00eatrices, d'une contr\u00f4leuse, d'un chef d'\u00e9quipe et d'un chauffeur ont visit\u00e9 les 300 grappes s\u00e9lectionn\u00e9es pour r\u00e9aliser l'enqu\u00eate principale. En m\u00eame temps, les chefs d'\u00e9quipe \u00e9taient charg\u00e9s de relever les coordonn\u00e9es g\u00e9ographiques de chacune de ces grappes, \u00e0 l'aide d'un \u00e9quipement sp\u00e9cialis\u00e9 utilisant le \u00ab Global Positionning System \u00bb (GPS). Au total, il a fallu aux \u00e9quipes pr\u00e8s de six mois pour mener \u00e0 bien cette t\u00e2che.","act_min":"Dans le cadre du suivi des travaux sur le terrain, des missions de supervision ont \u00e9t\u00e9 organis\u00e9es r\u00e9guli\u00e8rement. Les membres de l'\u00e9quipe technique de la CPS\/MSSPA et de la DNSI, comprenant des d\u00e9mographes et des sp\u00e9cialistes en planification et en sant\u00e9, ont assur\u00e9 cette supervision des activit\u00e9s de terrain. Les missions de supervision avaient pour but d'appr\u00e9cier les conditions de travail de chaque \u00e9quipe, de contr\u00f4ler la qualit\u00e9 du travail, de r\u00e9soudre les probl\u00e8mes \u00e9ventuels rencontr\u00e9s par les \u00e9quipes, de les ravitailler en mat\u00e9riel et de ramener \u00e0 Bamako, les questionnaires des grappes enqu\u00eat\u00e9es.","cleaning_operations":"L'exploitation des donn\u00e9es de I'EDSM-II s'est d\u00e9roul\u00e9e en 4 \u00e9tapes : \n\na) V\u00e9rification : la v\u00e9rification consistait en un contr\u00f4le d'exhaustivit\u00e9 de l'\u00e9chantillon par rapport aux fiches de terrain et en un contr\u00f4le sommaire de la coh\u00e9rence des donn\u00e9es. Ce travail, ex\u00e9cut\u00e9 par quatre agents de v\u00e9rification sous l'autorit\u00e9 d'un superviseur, a commenc\u00e9 \u00e0 peine une semaine apr\u00e8s le d\u00e9but de la collecte et a \u00e9t\u00e9 men\u00e9 parall\u00e8lement aux travaux de terrain. Cette v\u00e9rification a permis d'am\u00e9liorer la qualit\u00e9 des donn\u00e9es recueillies. \n\nb) Saisie\/\u00e9dition des donn\u00e9es : l'ensemble des op\u00e9rations de saisie et d'apurement des donn\u00e9es ont \u00e9t\u00e9 r\u00e9alis\u00e9es \u00e0 la DNSI, sur micro-ordinateurs au moyen du logiciel ISSA (Integrated Systems for Survey Analysis) d\u00e9velopp\u00e9 par Macro International, Inc. \nLa saisie a \u00e9t\u00e9 effectu\u00e9e par 10 agents de saisie, travaillant en deux \u00e9quipes toumantes de cinq personnes chacune, sous la supervision de deux techniciens informatique de la DNSI. Ces agents ont \u00e9t\u00e9 form\u00e9s en m\u00eame temps que les enqu\u00eatrices avant de suivre leur propre formation sur micro-ordinateurs. \u00c0 la suite de la saisie, les membres de l'\u00e9quipe technique ont proc\u00e9d\u00e9 \u00e0 l'\u00e9dition des donn\u00e9es, \u00e0 savoir la v\u00e9rification de la coh\u00e9rence interne des r\u00e9ponses contenues dans les questionnaires, et \u00e0 la correction des \nerreurs. \nPour appr\u00e9cier la qualit\u00e9 des donn\u00e9es et r\u00e9duire le taux d'erreurs lors de la saisie, chaque grappe a \u00e9t\u00e9 saisie deux fois, et par un agent diff\u00e9rent. En corrigeant les erreurs de saisie ainsi d\u00e9tect\u00e9es, on diminue le temps n\u00e9cessaire \u00e0 l'\u00e9dition finale des donn\u00e9es, qui consiste en la correction des incoh\u00e9rences \u00e0 l'int\u00e9rieur d'un m\u00eame questionnaire, incoh\u00e9rences souvent dues \u00e0 des erreurs de saisie. \n\nc) Apurement : apr\u00e8s la saisie et 1' \u00e9dition des donn\u00e9es d'une grappe, un programme de contr\u00f4le \u00e9tait ex\u00e9cut\u00e9 pour v\u00e9rifier la coh\u00e9rence interne des r\u00e9ponses. A ce stade, tous les fichiers de grappes sont fusionn\u00e9s en un seul et unique fichier. \n\nd) Tabulation : il s'agit du d\u00e9veloppement et de l'exploitation des programmes destin\u00e9s \u00e0 fournir les tableaux de base n\u00e9cessaires \u00e0 l'\u00e9laboration du rapport pr\u00e9liminaire et du rapport final. La tabulation a \u00e9t\u00e9 enti\u00e8rement r\u00e9alis\u00e9e au si\u00e8ge de Macro International Inc, \u00e0 Calverton, Maryland. \n\nL'ensemble des op\u00e9rations de contr\u00f4le et de nettoyage de fichier ainsi que la tabulation des donn\u00e9es ont \u00e9t\u00e9 r\u00e9alis\u00e9es au moyen du logiciel ISSA."},"analysis_info":{"response_rate":"Toutes les grappes s\u00e9lectionn\u00e9es ont pu \u00eatre enqu\u00eat\u00e9es au cours de I'EDSM-II, le nombre de m\u00e9nages s\u00e9lectionn\u00e9s dans chaque grappe variant de 10 \u00e0 60. Au total, 9512 m\u00e9nages ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s et, parmi eux, 8833 m\u00e9nages ont \u00e9t\u00e9 identifi\u00e9s au moment de l'enqu\u00eate. Parmi ces 8833 m\u00e9nages, 8716 ont pu \u00eatre enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 98,7 %. \n\nDans les 8716 m\u00e9nages enqu\u00eat\u00e9s, 10 096 femmes ont \u00e9t\u00e9 identifi\u00e9es comme \u00e9tant \u00e9ligibles pour l'enqu\u00eate individuelle et, dans un sous-\u00e9chantillon de 2869 m\u00e9nages enqu\u00eat\u00e9s avec succ\u00e8s, 2 810 hommes \u00e2g\u00e9s de 15 \u00e0 59 ans a \u00e9t\u00e9 aussi identifi\u00e9 pour l'enqu\u00eate homme. Parmi les femmes \u00e9ligibles, 9704 ont \u00e9t\u00e9 enqu\u00eat\u00e9es avec succ\u00e8s, soit un taux de r\u00e9ponse de 96,1%. Parmi les 2810 hommes \u00e9ligibles, 2474 ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 88,0 %.","sampling_error_estimates":"les erreurs de sondage peuvent \u00eatre \u00e9valu\u00e9es statistiquement. Les estimations qui figurent dans ce rapport ont \u00e9t\u00e9 obtenues \u00e0 partir d'un \u00e9chantillon de 9 704 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans et de 2474 hommes \u00e2g\u00e9s de 15 \u00e0 59 ans. Si l'enqu\u00eate avait \u00e9t\u00e9 effectu\u00e9e aupr\u00e8s d'autres enqu\u00eat\u00e9s, on a tout lieu de penser que les fr\u00e9quences des r\u00e9ponses auraient \u00e9t\u00e9 tr\u00e8s peu diff\u00e9rentes de celles que l'on a pr\u00e9sent\u00e9es. C'est l'incertitude de cette assomption que refl\u00e8te l'erreur de sondage; celle-ci permet donc de mesurer le degr\u00e9 de variation des r\u00e9ponses suivant l'\u00e9chantillon. \n\nL'erreur-type (ET) est un indice particuli\u00e8rement utile pour mesurer l'erreur de sondage d'un param\u00e8tre (moyenne ou proportion). On l'estime \u00e0 partir de la variance des r\u00e9ponses dans l'\u00e9chantillon m\u00eame : l'erreur-type est la racine carr\u00e9e de la variance. Cet indice a pour propri\u00e9t\u00e9 que dans 95 % des \u00e9chantillons de taille et de caract\u00e9ristique identiques, la valeur vraie d'un param\u00e8tre pour l'ensemble d'une population se trouve \u00e0 l'int\u00e9rieur de l'intervalle de + 2 ET. \n\nSi l'\u00e9chantillon des femmes ou des hommes 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 I'EDSM-II est un \u00e9chantillon stratifi\u00e9 \u00e0 deux degr\u00e9s. Par cons\u00e9quent, on a besoin d'utiliser des formules plus complexes. Le module \u00ab erreurs de sondage \u00bb du logiciel ISSA a \u00e9t\u00e9 utilis\u00e9 pour calculer les erreurs de sondage suivant la m\u00e9thodologie statistique appropri\u00e9e. Ce module utilise la m\u00e9thode de lin\u00e9arisation (Taylor) pour les estimations qui sont des moyennes ou proportions. La m\u00e9thode du Jackknife a \u00e9t\u00e9 utilis\u00e9e pour les estimations plus complexes telles que l'indice synth\u00e9tique de f\u00e9condit\u00e9 et les quotients de mortalit\u00e9. \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 1' erreur-type observ\u00e9e sur l'erreur-type qu'on aurait obtenue si on avait eu recours \u00e0 un sondage al\u00e9atoire simple. 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 I'EDSM-II 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 l'ensemble du pays, le milieu urbain et le milieu rural, la capitale Bamako, l'ensemble des autres villes et les r\u00e9gions : Kayes, Koulikoro, Sikasso, S\u00e9gou, Mopti, et les communes de Tombouctou et Gao regroup\u00e9es ensemble. Pour chaque variable, le type de statistique (moyenne ou proportion) et la population de base sont pr\u00e9sent\u00e9s en annexe. On consid\u00e8re que la REPS est non-d\u00e9finie 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\nOn interpr\u00e8te l'intervalle de confiance de la mani\u00e8re suivante : pour la variable Enfants n\u00e9s vivants aux femmes 15-49 ans, I'EDSM-II a donn\u00e9 un nombre moyen d'enfants n\u00e9s vivants de 3,967 pour l'ensemble des femmes, auquel correspond une erreur-type de 0,039 enfant. La fourchette dans laquelle se place la moyenne \u00b1 2 ET est donc 3,889 et 4,045. La probabilit\u00e9 que la vraie valeur du nombre moyen d'enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 15 \u00e0 49 ans soit \u00e0 l'int\u00e9rieur de cet intervalle est de 95 %. On a analys\u00e9 les erreurs de sondage pour l'\u00e9chantillon national de femmes et pour deux groupes d'estimations : (1) moyennes et proportions de valeur sup\u00e9rieure ou \u00e9gale \u00e0 1%, et (2) taux d\u00e9mographiques. Les erreurs relatives (ET\/M) des moyennes et proportions se situent entre 0,8 % et 12,5 % avec une moyenne de 4 %; les erreurs relatives les plus \u00e9lev\u00e9es sont celles des tr\u00e8s faibles estimations (par exemple, parmi les femmes actuellement en union qui Utilisent la continence p\u00e9riodique). Si on enl\u00e8ve les estimations de tr\u00e8s faible valeur (moins de 10 %), la moyenne tombe \u00e0 3,5 %. Ainsi, en g\u00e9n\u00e9ral, les erreurs relatives de la plupart des estimations pour l'ensemble du pays sont faibles, sauf dans le cas de tr\u00e8s faibles proportions. L'erreur relative de l'indice de f\u00e9condit\u00e9 est assez faible (1,7 %). 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