{"type":"survey","doc_desc":{"title":"MLI_2006_DHS_v01_M","idno":"DDI_MLI_2006_DHS_v01_M","producers":[{"name":"World Bank, Development Economics Data Group","abbreviation":"DECDG","affiliation":"","role":"Generation of DDI documentation"}],"prod_date":"2012-03-02"},"study_desc":{"title_statement":{"idno":"MLI_2006_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 2006","alt_title":"EDS 2006 \/ DHS 2006","translated_title":"Demographic and Health Survey 2006"},"authoring_entity":[{"name":"Direction Nationale de la Statistique et de L'Informatique (DNSI)","affiliation":"Minist\u00e8re du Plan et de l\u2019Am\u00e9nagement du Territoire "},{"name":"Cellule de Planification et de Statistique","affiliation":"Minist\u00e8re de la Sant\u00e9"}],"oth_id":[{"name":"Institut National de Recherche en Sant\u00e9 Publique (INRSP)","affiliation":"","email":"","role":"Technical assistance "},{"name":"","affiliation":"","email":"","role":""}],"production_statement":{"producers":[{"name":"Macro International Inc.","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Health Minister of Mali","abbreviation":"","role":"Funding"},{"name":"United States Agency for International Development","abbreviation":"USAID","role":"Funding"},{"name":"United Nations Population Fund","abbreviation":"UNFPA","role":"Funding"},{"name":"United Nations Children's Fund","abbreviation":"UNICEF","role":"Funding"},{"name":"The World Bank","abbreviation":"WB","role":"Funding"},{"name":"Minister for Development Cooperation of Netherlands","abbreviation":"","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":"Cellule de Planification et de Statistique","affiliation":"Minist\u00e8re de la Sant\u00e9 ","email":"cpssante@datatech.toolnet.org","uri":"http:\/\/www.sante.gov.ml\/"},{"name":"Direction Nationale de la Statistique et de l'Informatique","affiliation":"","email":"","uri":"http:\/\/instat.gov.ml\/"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS V","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 2006 est la quatri\u00e8me EDS r\u00e9alis\u00e9e au Mali apr\u00e8s celles de 1987, 1995 et de 2001."},"study_info":{"abstract":"L'enqu\u00eate D\u00e9mographique et de Sant\u00e9 de 2006 (EDSM-IV) est la quatri\u00e8me d'une s\u00e9rie r\u00e9alis\u00e9e par la Cellule de Planification et de Statistique du Minist\u00e8re de la Sant\u00e9 en collaboration avec la Direction Nationale de la Statistique et de l'Informatique du Minist\u00e8re du Plan et l'Am\u00e9nagement du Territoire et l'Institut National de Recherche en Sant\u00e9 Publique. Elle a b\u00e9n\u00e9fici\u00e9 de l'appui technique de Macro International et de l'appui financier de l'USAID, de l'UNICEF, de l'UNFPA, de la Coop\u00e9ration N\u00e9erlandaise, de la Banque Mondiale et du Gouvernement Malien. Il s'agit d'une enqu\u00eate r\u00e9trospective au cours de laquelle 12998 m\u00e9nages, 14583 femmes de 15-49 ans et 4207 hommes de 15-59 ans ont \u00e9t\u00e9 enqu\u00eat\u00e9s. La collecte des donn\u00e9es s'est d\u00e9roul\u00e9e de mai \u00e0 d\u00e9cembre 2006. \n\nLes informations recueillies au cours de l'enqu\u00eate sont repr\u00e9sentatives au niveau national, au niveau du milieu de r\u00e9sidence (urbain et rural), au niveau des huit r\u00e9gions et de la ville de Bamako. \n\nL'EDSM-IV fournit des informations sur les niveaux de f\u00e9condit\u00e9, et sur certains des facteurs qui influencent ces niveaux tels que l'activit\u00e9 sexuelle, la connaissance et l'utilisation des m\u00e9thodes de planification familiale et l'\u00e9tat matrimonial.  \n\nL'enqu\u00eate comprend \u00e9galement un volet important sur la sant\u00e9 et l'\u00e9tat nutritionnel des femmes et des enfants de moins de cinq ans. Les donn\u00e9es recueillies ont \u00e9galement permis l'\u00e9valuation de la couverture vaccinale, l'estimation de la pr\u00e9valence de la fi\u00e8vre, de la diarrh\u00e9e et de la toux chez les enfants de moins de cinq ans. L'enqu\u00eate s'est \u00e9galement int\u00e9ress\u00e9e \u00e0 l'utilisation de moyens pr\u00e9ventifs contre le paludisme tels que les moustiquaires impr\u00e9gn\u00e9es d'insecticide et la prise d'anti\u00adpalud\u00e9ens. \n\nLes informations sur la sant\u00e9 des femmes de 15-49 ans concernent le suivi pr\u00e9natal, les conditions d'accouchement, le suivi postnatal et la consom\u00admation de micronutriments. L'\u00e9tat nutritionnel des femmes a \u00e9galement \u00e9t\u00e9 \u00e9valu\u00e9 au moyen d'indicateurs anthropom\u00e9triques. En outre, \u00e0 la diff\u00e9rence de l'enqu\u00eate pr\u00e9c\u00e9dente, des donn\u00e9es ont \u00e9t\u00e9 collect\u00e9es sur la pr\u00e9valence de la fistule et sur la connaissance de cette maladie par les femmes. Enfin, il faut \u00e9galement citer dans ce volet sant\u00e9, la r\u00e9alisation au cours de l'enqu\u00eate d'un test de s\u00e9ropr\u00e9valence qui a permis d'estimer d'une part la pr\u00e9valence de l'an\u00e9mie parmi les femmes, et les enfants de moins de 5 ans et d'autre part la pr\u00e9valence du VIH\/sida dans la population adulte.  \n\nDe m\u00eame, au cours de l'enqu\u00eate des questions ont \u00e9t\u00e9 pos\u00e9es sur la connaissance, la pratique de l'excision et on a cherch\u00e9 \u00e0 d\u00e9terminer le niveau de connaissance, les attitudes et les comportements vis-\u00e0-vis du sida et autres infections sexuellement transmissibles.  \n\nLes donn\u00e9es collect\u00e9es au cours de l'EDSM-IV ont aussi permis d'\u00e9valuer le niveau de la mortalit\u00e9 infanto-juv\u00e9nile et d'estimer le taux de mortalit\u00e9 maternelle.  \n\nDes informations ont \u00e9galement \u00e9t\u00e9 collect\u00e9es sur le statut de la femme et la situation des enfants. Les informations ainsi recueillies permettent la mise \u00e0 jour des indicateurs de base sur la situation d\u00e9mographique et sanitaire estim\u00e9s lors des pr\u00e9c\u00e9dentes enqu\u00eates de 1987, 1995-1996 et 2001. \n\n\u00c0 la diff\u00e9rence des trois premi\u00e8res enqu\u00eates, le questionnaire m\u00e9nage de l'EDSM-IV a permis de collecter, des informations sur les d\u00e9penses de sant\u00e9 des m\u00e9nages dans un m\u00e9nage sur trois de l'\u00e9chantillon.","coll_dates":[{"start":"2006-05","end":"2006-12","cycle":""}],"nation":[{"name":"Mali","abbreviation":"MLI"}],"geog_coverage":"Les informations recueillies au cours de l'enqu\u00eate sont repr\u00e9sentatives au niveau national, au niveau du milieu de r\u00e9sidence (urbain et rural), au niveau des huit r\u00e9gions et de la ville de Bamako.","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, des enfants de moins de 5 ans et des hommes de 15 \u00e0 59 ans","data_kind":"Sample survey data","notes":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 2006 du Mali couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de compl\u00e9ment\n- An\u00e9mie\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enqu\u00eat\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- D\u00e9penses de Sant\u00e9\n- Etat nutritionnel des enfants\n- Excision\n- F\u00e9condit\u00e9\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Paludisme\n- Plannification familiale\n- Reproduction\n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Services communautaires\n- SIDA \/ IST\n- Tabac\n- Travail des enfants\n- Violence domestique","study_scope":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 2006 du Mali couvre les th\u00e8mes suivants :\n\n- Allaitement et alimentation de compl\u00e9ment\n- An\u00e9mie\n- Anthropom\u00e9trie\n- Caract\u00e9ristiques socio-d\u00e9mographiques des enqu\u00eat\u00e9s\n- Cartographie \/ GPS\n- Contraception\n- D\u00e9penses de Sant\u00e9\n- Etat nutritionnel des enfants\n- Excision\n- F\u00e9condit\u00e9\n- Mortalit\u00e9 maternelle et infantile\n- Mesures anthropom\u00e9triques\n- Micronutriments\n- Nuptialit\u00e9 et exposition au risque de grossesse\n- Paludisme\n- Plannification familiale\n- Reproduction\n- Sant\u00e9 de la m\u00e8re et de l'enfant\n- Services communautaires\n- SIDA \/ IST\n- Tabac\n- Travail des enfants\n- Violence domestique"},"method":{"data_collection":{"data_collectors":[{"name":"Direction Nationale de la Statistique et de L'Informatique","abbreviation":"DNSI","affiliation":"Minist\u00e8re du Plan et de l\u2019Am\u00e9nagement du Territoire "},{"name":"Cellule de Planification et de Statistique","abbreviation":"CPS","affiliation":"Minist\u00e8re de la Sant\u00e9"}],"sampling_procedure":"La quatri\u00e8me Enqu\u00eate D\u00e9mographique et de Sant\u00e9 du Mali (EDSM-IV) fait suite \u00e0 celles r\u00e9alis\u00e9es en 1987, 1995 et 2001. Elle vise un \u00e9chantillon national d'environ 14000 femmes \u00e2g\u00e9es de 15 \u00e0 49 ans et de 4 000 hommes \u00e2g\u00e9s de 15 \u00e0 59 ans. Comme les trois enqu\u00eates pr\u00e9c\u00e9dentes, elle a pour principal objectif de recueillir des informations sur les taux de f\u00e9condit\u00e9, de mortalit\u00e9 infantile et infanto-juv\u00e9nile, sur la connaissance et l'utilisation des m\u00e9thodes contraceptives et sur la connaissance et attitude vis-\u00e0-vis des maladies sexuellement transmissibles et le sida. Les r\u00e9sultats de l'enqu\u00eate sont pr\u00e9sent\u00e9s s\u00e9par\u00e9ment pour le Mali, pour la capitale Bamako, pour l'ensemble du milieu urbain et le milieu rural, et pour les 8 r\u00e9gions administratives. \n\nUne enqu\u00eate aupr\u00e8s des hommes a \u00e9t\u00e9 \u00e9galement men\u00e9e au moment de l'enqu\u00eate aupr\u00e8s des femmes. Parmi les m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des femmes, un sur trois 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 et utilisation des m\u00e9thodes contraceptives, et sur leur connaissance et attitude vis-\u00e0-vis des maladies sexuellement transmissibles et le sida. Toutes les femmes et tous les hommes \u00e9ligibles pour l'enqu\u00eate dans ce sous \u00e9chantillon sont \u00e9galement \u00e9ligibles pour le test du VIH. \n\nBASE DE SONDAGE \n\nLa Direction Nationale de la Statistique et de l'Informatique (DNSI) dispose d'un fichier des sections d'\u00e9num\u00e9ration (SE) qui ont \u00e9t\u00e9 cr\u00e9\u00e9es pour les besoins du Recensement G\u00e9n\u00e9ral de la Population et de l'Habitat effectu\u00e9 au Mali en 1998 (RGPH 1998). Ce fichier a \u00e9t\u00e9 retenu comme base de sondage pour l'EDSM-IV. Ce m\u00eame fichier avait \u00e9t\u00e9 utilis\u00e9 comme base de sondage pour l'EDSM-III. En g\u00e9n\u00e9ral, une SE consiste en plusieurs composants : plusieurs villages dans le milieu rural ou plusieurs quartiers dans le milieu urbain, avec le nom de localit\u00e9, le type de r\u00e9sidence, le type de m\u00e9nages et leur population pour chaque composant. Mais il existe aussi des SE qui regroupent plusieurs types de composants : dans une SE, il y a des quartiers urbains et des villages ruraux, des m\u00e9nages s\u00e9dentaires, des m\u00e9nages nomades et des m\u00e9nages collectifs. Ceci rend difficile la d\u00e9finition du type de r\u00e9sidence. Plusieurs d\u00e9cisions ont \u00e9t\u00e9 prises pour l'EDSM-IV : enlever les composants nomades et collectifs pour toutes les SE qui ont des types de m\u00e9nages multiples ; d\u00e9finir le type de r\u00e9sidence en se r\u00e9f\u00e9rant la proportion d'habitants en majorit\u00e9. Une SE est d\u00e9finie comme milieu urbain si elle comprend plus de 50 % de population urbaine ; sinon, elle est d\u00e9finie comme milieu rural. Un fichier de 13149 SE a \u00e9t\u00e9 \u00e9tabli \u00e0 partir de la base de recensement. Il comporte des informations sur la localisation et le type de r\u00e9sidence pour chacune des SE ; il comporte aussi une mesure de la taille pour chacune des SE, la taille \u00e9tant la population s\u00e9dentaire recens\u00e9e en 1998. La population nomade et collective exclue de la base ne repr\u00e9sente que 1 % de la population totale du pays. Le tableau suivant pr\u00e9sente la r\u00e9partition de la population par r\u00e9gion et par milieu de r\u00e9sidence \u00e0 l'int\u00e9rieur de chaque r\u00e9gion. Au Mali en 1998, 27 % de la population habitait dans le milieu urbain.  \n\n\u00c9CHANTILLONNAGE \n\nL'\u00e9chantillon de l'EDSM-IV est un \u00e9chantillon ar\u00e9olaire, stratifi\u00e9 et tir\u00e9 \u00e0 2 degr\u00e9s. L'unit\u00e9 primaire de sondage est la SE telle que d\u00e9finie au recensement de 1998. Au Mali, il y 9 r\u00e9gions administratives, chaque r\u00e9gion est constitu\u00e9e par un nombre de Cercles. Il y 49 cercles identifi\u00e9s dans 8 r\u00e9gions, plus les 6 communes de Bamako qui sont consid\u00e9r\u00e9es comme des cercles ; au total, nous avons identifi\u00e9 55 cercles. Chaque cercle a \u00e9t\u00e9 s\u00e9par\u00e9 en parties urbaine et rurale pour former les strates d'\u00e9chantillonnage et l'\u00e9chantillon a \u00e9t\u00e9 tir\u00e9 ind\u00e9pendamment dans chaque strate. Au premier degr\u00e9, 410 SE ont \u00e9t\u00e9 tir\u00e9es avec une probabilit\u00e9 proportionnelle \u00e0 la taille; la taille \u00e9tant la population recens\u00e9e en 1998. Un d\u00e9nombrement des m\u00e9nages dans chaque SE s\u00e9lectionn\u00e9e 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 SE 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 SE. \n\nLes 410 SE ont \u00e9t\u00e9 d'abord allou\u00e9es pour chaque r\u00e9gion avec une allocation non proportionnelle car les tailles des r\u00e9gions sont tr\u00e8s diff\u00e9rentes. L'allocation de l'\u00e9chantillon avait aussi pris en compte d'int\u00e9grer une \u00e9valuation dans deux r\u00e9gions (Sikasso et Mopti) sur les effets du programme KENEYA CIWARA men\u00e9 par l'USAID. La r\u00e9gion de Mopti (cercle Bandiagara) a \u00e9t\u00e9 sur-\u00e9chantillonn\u00e9e \u00e0 cette fin. Les trois r\u00e9gions du Nord (Tombouctou, Gao et Kidal) ont aussi \u00e9t\u00e9 sur\u00e9chantillonn\u00e9es car leurs tailles sont trop petites. Le sur\u00e9chantillonnage \u00e0 Tombouctou et Gao a permis de produire tous les indicateurs principaux avec une pr\u00e9cision raisonnable, tandis que le sur-\u00e9chantillonnage de Kidal n'a permis de produire que des indicateurs de niveau moyen. De plus, parmi les 14 grappes s\u00e9lectionn\u00e9es \u00e0 Kidal, seulement 11 grappes ont \u00e9t\u00e9 enqu\u00eat\u00e9es. En d\u00e9cidant de s\u00e9lectionner 30 m\u00e9nages par grappe dans le milieu urbain et 36 m\u00e9nages dans le milieu rural. Parmi les 410 SE, 147 sont situ\u00e9es dans le milieu urbain et 263 dans le milieu rural. Le nombre total de m\u00e9nages tir\u00e9s est 13 878 dont 4 410 situ\u00e9s dans le milieu urbain et 9468 dans le milieu rural \n\nLes grappes allou\u00e9es pour chaque r\u00e9gion sont ensuite allou\u00e9es proportionnellement \u00e0 chaque strate d'\u00e9chantillonnage qui sont le milieu urbain et le milieu rural de chaque cercle de la r\u00e9gion. Seul le cercle Bandiagara dans la r\u00e9gion de Mopti a \u00e9t\u00e9 beaucoup surrepr\u00e9sent\u00e9 afin de pouvoir \u00e9valuer le programme KENEYA CIWARA qui est implant\u00e9 dans un seul cercle de Mopti. \n\nUn certain nombre de SE s\u00e9lectionn\u00e9es sont de grande taille et exigeraient un travail \u00e9norme si tous leurs m\u00e9nages devaient \u00eatre d\u00e9nombr\u00e9s. Ainsi, toutes les SE d\u00e9passant 300 m\u00e9nages ont \u00e9t\u00e9 divis\u00e9es en plusieurs segments dont un seul est retenu dans l'\u00e9chantillon.\n\nTous les membres des m\u00e9nages tir\u00e9s sont identifi\u00e9s \u00e0 l'aide d'un questionnaire m\u00e9nage. Chaque femme \u00e2g\u00e9e de 15 \u00e0 49 ans que l'on a identifi\u00e9 est \u00e9galement enqu\u00eat\u00e9e avec un questionnaire femme. D'apr\u00e8s les r\u00e9sultats de l'EDSM-III, le nombre de femmes de 15-49 par m\u00e9nage et le taux de r\u00e9ponse des femmes sont respectivement de 1,36 et 92,4 % pour le milieu urbain et 1,02 et 95,8 % pour le milieu rural ; le taux de r\u00e9ponse des m\u00e9nages est de 89 % dans le milieu urbain et 90 % dans le milieu rural.\n\nENQU\u00caTE HOMME ET TEST DU VIH\n\nParmi les m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des femmes, un sur trois \u00e9tait s\u00e9lectionn\u00e9 pour l'enqu\u00eate aupr\u00e8s des hommes, soit 4626 m\u00e9nages. Tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ans ont \u00e9t\u00e9 interview\u00e9s dans le cadre de l'enqu\u00eate aupr\u00e8s des hommes. D'apr\u00e8s les r\u00e9sultats de l'EDSM-III, le nombre d'hommes de 15-59 par m\u00e9nage et le taux de r\u00e9ponse des hommes sont, respectivement, de 1,38 et 75 % pour le milieu urbain et 0,88 et 88 % pour le milieu rural ; le taux de r\u00e9ponse des m\u00e9nages est de 90 %. Au total, on s'attendait \u00e0 enqu\u00eater avec succ\u00e8s 3568 hommes de 15-59 ans, dont 1370 dans le milieu urbain, et 2 198 dans le milieu rural.\n\nEn ce qui concerne le test du VIH, toutes les femmes et tous les hommes \u00e9ligibles pour l'enqu\u00eate dans le sous \u00e9chantillon des hommes sont \u00e9galement \u00e9ligibles pour le test du VIH. D'apr\u00e8s les r\u00e9sultats, le taux de r\u00e9ponse pour le test de VIH parmi les femmes enqu\u00eat\u00e9es avec succ\u00e8s est de 86 % dans le milieu urbain, 92 % dans le milieu rural ; parmi les hommes enqu\u00eat\u00e9s avec succ\u00e8s, le taux de r\u00e9ponse pour le test de VIH est identique dans le milieu urbain et le milieu rural, il est de 90 %.","coll_mode":"Face-to-face","research_instrument":"Afin d'atteindre les objectifs fix\u00e9s, trois types de questionnaires ont \u00e9t\u00e9 utilis\u00e9s : \n\n1) Questionnaire M\u00e9nage. Il permet de collecter des informations sur le m\u00e9nage, telles que le nombre de personnes y r\u00e9sidant, par sexe, \u00e2ge et niveau d'instruction, la survie des parents, etc. Par ailleurs, il permet de collecter des informations sur les caract\u00e9ristiques du logement (approvisionnement en eau, type de toilettes, etc.), et sur le sel utilis\u00e9 par les m\u00e9nages : ces informations sont recueillies afin d'\u00e9valuer les conditions environnementales et la situation nutritionnelle dans lesquelles vivent les personnes enqu\u00eat\u00e9es. De plus, les femmes \u00e2g\u00e9es de 15-49 ans et les enfants \u00e2g\u00e9s de moins de 5 ans sont pes\u00e9s et mesur\u00e9s et leur sang est test\u00e9 pour d\u00e9terminer la pr\u00e9valence de l'an\u00e9mie. Enfin, le questionnaire m\u00e9nage permet d'\u00e9tablir l'\u00e9ligibilit\u00e9 des personnes \u00e0 interviewer individuellement. Il permet aussi de d\u00e9terminer les populations de r\u00e9f\u00e9rence pour le calcul de certains taux d\u00e9mographiques. Le questionnaire m\u00e9nage permet \u00e9galement de collecter des informations sur les d\u00e9penses de sant\u00e9 des m\u00e9nages des 30 jours ayant pr\u00e9c\u00e9d\u00e9 l'enqu\u00eate. \n\n2) Questionnaire Femme. Il comprend les douze sections suivantes : -caract\u00e9ristiques sociod\u00e9mographiques des enqu\u00eat\u00e9es ; -reproduction ; -planification familiale ; -suivi pr\u00e9\/postnatal, allaitement, vaccination et sant\u00e9 des enfants ; -mariage et activit\u00e9 sexuelle ; -pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 ; -caract\u00e9ristiques du conjoint et activit\u00e9 professionnelle de la femme ; -VIH\/sida et autres infections sexuellement transmissibles ; -excision ; -fistule ; -relations dans le m\u00e9nage ; -mortalit\u00e9 maternelle. \n\n3) Questionnaire Homme. Il s'agit \u00e9galement d'un questionnaire individuel comprenant les sept \nsections suivantes : -caract\u00e9ristiques sociod\u00e9mographiques des enqu\u00eat\u00e9s ; -reproduction ; -planification familiale ; -mariage et activit\u00e9 sexuelle ; -pr\u00e9f\u00e9rence en mati\u00e8re de f\u00e9condit\u00e9 ; -VIH\/sida et autres infections sexuellement transmissibles ; -circoncision. \n\nCes instruments ont \u00e9t\u00e9 d\u00e9velopp\u00e9s \u00e0 partir des questionnaires de base du programme DHS, pr\u00e9alablement adapt\u00e9s au contexte du Mali et en tenant compte des objectifs de l'enqu\u00eate. Par ailleurs, les questionnaires individuels (femme et homme) ont \u00e9t\u00e9 traduits pendant la formation en Bamanan, fulfuld\u00e9 et sonrha\u00ef, de mani\u00e8re qu'au cours de l'enqu\u00eate, les questions soient pos\u00e9es le plus fid\u00e8lement possible par les enqu\u00eatrices\/enqu\u00eateurs. Dans les EDS pr\u00e9c\u00e9dentes, les questionnaires avaient \u00e9t\u00e9 \u00e9galement traduits en Bamanan, mais leur utilisation a \u00e9t\u00e9 peu fr\u00e9quente sur le terrain \u00e0 cause de sa non praticabilit\u00e9.","coll_situation":"Pour assurer une bonne r\u00e9alisation des objectifs de l'enqu\u00eate, une direction technique a \u00e9t\u00e9 mise en place sous l'autorit\u00e9 d'un Directeur National et d'un Directeur Technique, chacun assist\u00e9 d'un adjoint, et de 8 cadres techniques qui avaient en charge la supervision g\u00e9n\u00e9rale de l'enqu\u00eate. Cette direction technique, assist\u00e9e d'un conseiller r\u00e9sident de Macro, a \u00e9t\u00e9 compl\u00e9t\u00e9e par 20 agents de saisie, 2 gestionnaires de base de donn\u00e9es charg\u00e9s des travaux informatiques, 2 \u00e9diteurs, 2 agents de v\u00e9rification une secr\u00e9taire et un chauffeur. \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-IV s'est d\u00e9roul\u00e9e en trois \u00e9tapes principales : le d\u00e9nombrement des m\u00e9nages des zones \u00e9chantillonn\u00e9es (de janvier \u00e0 f\u00e9vrier 2006), le pr\u00e9-test (janvier-f\u00e9vrier 2006) et l'enqu\u00eate principale (mai \u00e0 d\u00e9cembre 2006). Pour chacune de ces \u00e9tapes, une formation a \u00e9t\u00e9 dispens\u00e9e aux personnes recrut\u00e9es. Pour les op\u00e9rations de cartographie et de d\u00e9nombrement des zones s\u00e9lectionn\u00e9es pour l'enqu\u00eate, 24 agents ont \u00e9t\u00e9 recrut\u00e9s afin de former 12 \u00e9quipes. Les agents cartographes \u00e9taient aussi charg\u00e9s d'administrer le questionnaire Homme. \n\nPour le pr\u00e9-test, 20 enqu\u00eatrices et enqu\u00eateurs ont \u00e9t\u00e9 retenus pour suivre une formation de trois semaines environ. Pour les travaux de terrain du pr\u00e9-test qui ont dur\u00e9 une semaine, quatre 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 des probl\u00e8mes concernant la formulation et la traduction en langues nationales. En ce qui concerne l'enqu\u00eate principale, le recrutement s'est effectu\u00e9 de la mani\u00e8re suivante : \n- Les chefs d'\u00e9quipe, au nombre de 25, ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s parmi les agents cartographes ; \n- Les contr\u00f4leuses ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es, en majorit\u00e9, parmi les personnes ayant effectu\u00e9 le pr\u00e9test ; \n- Les enqu\u00eatrices (au nombre de 75, pour former les 25 \u00e9quipes n\u00e9cessaires) ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es apr\u00e8s la formation et selon leurs r\u00e9sultats aux diff\u00e9rents tests d'aptitude. La 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. En outre, diff\u00e9rents sp\u00e9cialistes dans les domaines de la planification familiale, la vaccination, la nutrition et le sida ont donn\u00e9 aux enqu\u00eatrices des informations compl\u00e9mentaires dans leurs domaines de comp\u00e9tence. Par ailleurs, la pratique concernant la prise des mesures anthropom\u00e9triques s'est d\u00e9roul\u00e9e dans un centre de sant\u00e9. Enfin, pour parachever leur formation th\u00e9orique, les enqu\u00eatrices ont r\u00e9alis\u00e9 des enqu\u00eates pratiques sur le terrain, en langues nationales, pendant 3 jours. \n\nPar ailleurs, la formation des agents pour le pr\u00e9l\u00e8vement de sang pour les tests d'h\u00e9moglobine et de VIH\/sida a \u00e9t\u00e9 assur\u00e9e par un expert de Macro avec la participation des sp\u00e9cialistes nationaux. Afin de v\u00e9rifier l'acceptabilit\u00e9 du test de VIH\/sida, une \u00e9tude pilote a eu lieu dans des zones urbaines et rurales non loin de Bamako, en dehors des grappes de l'\u00e9chantillon. De plus, une formation suppl\u00e9mentaire sur le consentement volontaire a eu lieu.\n\nTEST DU VIH\/SIDA \n\nDans un tiers des m\u00e9nages s\u00e9lectionn\u00e9s, les hommes de 15-59 ans et les femmes de 15-49 ans \u00e9taient \u00e9ligibles pour le test du VIH\/sida. Le protocole pour le test du VIH a \u00e9t\u00e9 approuv\u00e9 par le Comit\u00e9 d'\u00c9thique (Internal Board Committee) de Macro \u00e0 Calverton et par le Comit\u00e9 National d'\u00c9thique pour les Sciences de la Sant\u00e9 du Mali. Les pr\u00e9l\u00e8vements de sang ont \u00e9t\u00e9 effectu\u00e9s aupr\u00e8s de tous les hommes de 15-59 ans et de toutes les femmes de 15-49 ans \u00e9ligibles qui ont accept\u00e9 volontairement de se soumettre au test. Le protocole pour d\u00e9pister le VIH est bas\u00e9 sur le protocole anonyme-li\u00e9 \u00e9labor\u00e9 par le projet DHS (Demographic and Health Surveys) et approuv\u00e9 par le Comit\u00e9 d'\u00c9thique (Internal Board Committee) de Macro International Inc. Selon ce protocole, aucun nom ou autre caract\u00e9ristique individuelle ou g\u00e9ographique permettant d'identifier un individu ne peut \u00eatre li\u00e9 \u00e0 l'\u00e9chantillon de sang. Apr\u00e8s examen et amendement, le Comit\u00e9 National d'\u00c9thique du Mali a approuv\u00e9 le protocole anonyme-li\u00e9 sp\u00e9cifique de l'EDSM-IV et la version finale du Consentement \u00c9clair\u00e9 et Volontaire du test. Etant donn\u00e9 que le test du VIH est strictement anonyme, il n'a pas \u00e9t\u00e9 possible d'informer les enqu\u00eat\u00e9s des r\u00e9sultats de leur test. On a remis aux personnes \u00e9ligibles, qu'elles aient accept\u00e9 (par signature du formulaire de consentement) ou non d'\u00eatre test\u00e9es pour le VIH, une carte pour obtenir, si elles le souhaitaient, des conseils et un test gratuits aupr\u00e8s d'un Centre de Conseils et de D\u00e9pistage Volontaire (CCDV). Pour effectuer les pr\u00e9l\u00e8vements sanguins aupr\u00e8s des personnes \u00e9ligibles, deux membres de l'\u00e9quipe de terrain, \u00e9taient charg\u00e9s des pr\u00e9l\u00e8vements sur les personnes \u00e9ligibles du m\u00e9nage. En plus de la formation pour la collecte des gouttes de sang, les agents avaient re\u00e7u une formation sp\u00e9ciale sur tous les aspects des protocoles du test du VIH. D'abord, pour chaque personne \u00e9ligible, l'agent cherchait \u00e0 obtenir son consentement \u00e9clair\u00e9 apr\u00e8s lui avoir expliqu\u00e9 les proc\u00e9dures de pr\u00e9l\u00e8vement, la confidentialit\u00e9 et l'anonymat du test. Ensuite, la carte \u00e9tait remise \u00e0 la personne \u00e9ligible pour b\u00e9n\u00e9ficier des conseils et d'un test gratuits aupr\u00e8s d'un CCDV. \n\nPour les femmes et les hommes qui acceptaient d'\u00eatre test\u00e9s, l'agent, en respectant toutes les pr\u00e9cautions d'hygi\u00e8ne et de s\u00e9curit\u00e9 recommand\u00e9es, pr\u00e9levait des gouttes de sang sur un papier filtre. Une \u00e9tiquette contenant un code barre \u00e9tait coll\u00e9e sur le papier filtre contenant le sang. Une deuxi\u00e8me \u00e9tiquette avec le m\u00eame code barre \u00e9tait coll\u00e9e sur la ligne du Questionnaire correspondant au consentement de la personne \u00e9ligible et une troisi\u00e8me \u00e9tiquette, toujours avec le m\u00eame code barre, \u00e9tait coll\u00e9e sur la fiche de transmission. Les gouttes de sang sur papier filtre \u00e9taient s\u00e9ch\u00e9es, pendant 24 heures au minimum, dans une bo\u00eete de s\u00e9chage avec des dessicants pour absorber l'humidit\u00e9. Le lendemain, chaque \u00e9chantillon s\u00e9ch\u00e9 \u00e9tait plac\u00e9 dans un petit sac en plastique imperm\u00e9able et \u00e0 fermeture herm\u00e9tique. Pour la conservation des pr\u00e9l\u00e8vements, des dessicants et un indicateur d'humidit\u00e9 \u00e9taient plac\u00e9s dans le petit sac. Les sacs en plastique individuels \u00e9taient ainsi conserv\u00e9s au sec jusqu'\u00e0 leur acheminement au Bureau Central des Recensements (BCR) de la DNSI, puis au laboratoire de l'INRSP \u00e0 Bamako.","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\/MS 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'\u00e9valuer 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":"La saisie des donn\u00e9es sur micro-ordinateur a d\u00e9but\u00e9 deux semaines apr\u00e8s le d\u00e9marrage de l'enqu\u00eate sur le terrain, en utilisant le logiciel CSPro, d\u00e9velopp\u00e9 par le programme DHS. Deux agents de bureau \u00e9taient charg\u00e9s de la v\u00e9rification des questionnaires venus du terrain avant de les transmettre \u00e0 la saisie. Cette saisie a \u00e9t\u00e9 r\u00e9alis\u00e9e par vingt op\u00e9rateurs de saisie, de mai 2006 \u00e0 janvier 2007, sous la supervision de deux gestionnaires de base des donn\u00e9es. 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 permettait 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 \u00e9taient imm\u00e9diatement r\u00e9percut\u00e9es sur les \u00e9quipes de terrain lors des missions de supervision afin d'am\u00e9liorer la qualit\u00e9 des donn\u00e9es. \n\n\u00c0 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. Ce travail a \u00e9t\u00e9 effectu\u00e9 par une \u00e9quipe compos\u00e9e de deux (2) agents d'\u00e9dition, qui ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es pour cette t\u00e2che sur la base des bons r\u00e9sultats obtenus au cours de leur travail en tant que contr\u00f4leuses sur le terrain et lors des EDS pr\u00e9c\u00e9dentes. La v\u00e9rification finale a \u00e9t\u00e9 r\u00e9alis\u00e9e par l'\u00e9quipe technique du BCR avec l'assistance d'un informaticien et d'un d\u00e9mographe du programme DHS, utilisant une technique \u00e9prouv\u00e9e au cours de dizaines d'enqu\u00eates similaires."},"analysis_info":{"response_rate":"Les 410 grappes s\u00e9lectionn\u00e9es dans l'\u00e9chantillon ont pu \u00eatre enqu\u00eat\u00e9es \u00e0 l'exception de trois grappes dans la r\u00e9gion de Kidal. Au total, 13695 m\u00e9nages ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s et, parmi eux, 13 160 m\u00e9nages ont \u00e9t\u00e9 identifi\u00e9s et \u00e9taient occup\u00e9s au moment de l'enqu\u00eate. Parmi ces 13160 m\u00e9nages, 12 998 ont pu \u00eatre enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 98,8 %. \n\n\u00c0 l'int\u00e9rieur des 12998 m\u00e9nages enqu\u00eat\u00e9s, 15102 femmes \u00e2g\u00e9es de 15-49 ans ont \u00e9t\u00e9 identifi\u00e9es comme \u00e9tant \u00e9ligibles pour l'enqu\u00eate individuelle et pour 14583 d'entre elles, l'enqu\u00eate a pu \u00eatre men\u00e9e \u00e0 bien. Le taux de r\u00e9ponse s'\u00e9tablit donc \u00e0 96,6 % pour les interviews aupr\u00e8s des femmes. \n\nL'enqu\u00eate homme a \u00e9t\u00e9 r\u00e9alis\u00e9e dans un m\u00e9nage sur trois : au total 4643 hommes de 15-59 ans ont \u00e9t\u00e9 identifi\u00e9s dans les m\u00e9nages de l'\u00e9chantillon. Parmi ces 4643 hommes devant \u00eatre interview\u00e9s individuellement, 4207 ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de 90,6 %, nettement 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'EDSM-IV n'est qu'un \u00e9chantillon 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 peut pas \u00eatre mesur\u00e9e exactement, elle peut cependant \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\u00adtype 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 de 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'EDSM\u00adIV \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\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 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. \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'EDSM-IV 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 Mali, pour la capitale Bamako, pour les Autres Villes, pour l'ensemble du milieu urbain et le milieu rural, et pour chacun des 8 d\u00e9partments administratifs. Pour chaque variable, le type de statistique (moyenne, proportion ou taux) et la population de base sont pr\u00e9sent\u00e9s au tableau B.1 du Rapport Final. Les tableaux B.2 \u00e0 B.14 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'EDSM-IV a donn\u00e9 un nombre moyen d'enfants n\u00e9s vivants de 7,049 pour l'ensemble des femmes, auquel correspond une erreur-type de 0,093 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 7,049- (2\u00d70,093) et 7,049 + (2\u00d70,093), soit 6,863 et 7,234.\n\nPour l'\u00e9chantillon national de 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 1,88 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 1,88 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 oeuvre 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\u00e9e, ou les erreurs de saisie des donn\u00e9es. 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