{"type":"survey","study_desc":{"title_statement":{"idno":"SEN_2005_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique  et de Sant\u00e9 2005","alt_title":"EDS 2005 \/ DHS 2005","translated_title":"Demographic and Health Survey 2005"},"authoring_entity":[{"name":"Centre de Recherche pour le D\u00e9veloppement Humain (CRDH)","affiliation":"Minist\u00e8re de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale"}],"oth_id":[{"name":"Laboratoire Bact\u00e9riologie Virologie du CHU Le Dantec","affiliation":"","email":"","role":"Technical support on HIV testing"}],"production_statement":{"producers":[{"name":"ORC Macro Calverton","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Banque Mondiale","abbreviation":"BM \/ WB","role":"Funding"},{"name":"Agence des \u00c9tats-Unis pour le D\u00e9veloppement International","abbreviation":"USAID","role":"Funding"},{"name":"Fonds des Nations unies pour l'enfance","abbreviation":"UNICEF","role":"Funding"},{"name":"Fonds des Nations Unies pour la Population","abbreviation":"UNFPA","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":"Minist\u00e8re de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale Centre de Recherche pour le D\u00e9veloppement Huma","affiliation":"","email":"","uri":"http:\/\/www.sante.gouv.sn"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS IV","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 2005 est la quatri\u00e8me EDS r\u00e9alis\u00e9e au S\u00e9n\u00e9gal apr\u00e8s celles de 1986, 1992, 1997 et  la cinqui\u00e8me enqu\u00eate sant\u00e9 si l'on tient compte de l'enqu\u00eate sur les Indicateurs de Sant\u00e9 (ESIS) r\u00e9alis\u00e9e en 1999."},"study_info":{"abstract":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 au S\u00e9n\u00e9gal (EDS-IV) est la quatri\u00e8me enqu\u00eate du genre r\u00e9alis\u00e9e dans le pays. L'EDS-IV est une enqu\u00eate par sondage, repr\u00e9sentative au niveau national, commandit\u00e9e par le Gouvernement S\u00e9n\u00e9galais et conduite par le Centre de Recherche pour le D\u00e9veloppement Humain (CRDH) avec l'assistance technique de ORC Macro, institution de coop\u00e9ration am\u00e9ricaine en charge du programme international des Enqu\u00eates D\u00e9mographiques et de Sant\u00e9 (EDS). Le projet EDS-IV a \u00e9t\u00e9 financ\u00e9 par le Gouvernement du S\u00e9n\u00e9gal \u00e0 travers un pr\u00eat de la Banque Mondiale ; il a b\u00e9n\u00e9fici\u00e9 aussi de l'appui financier de l'Agence des Etats-Unis pour le D\u00e9veloppement International (USAID), du Fonds des Nations Unies Pour l'Enfance (UNICEF) et du Fonds des Nations Unies Pour la Population (UNFPA).  \n\nL'EDS-IV fournit des informations sur les niveaux de f\u00e9condit\u00e9, l'activit\u00e9 sexuelle, les pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9, la connaissance et l'utilisation des m\u00e9thodes de planification familiale, les pratiques d'allaitement, l'\u00e9tat nutritionnel des femmes et des enfants de moins de cinq ans, la mortalit\u00e9 infantile, la mortalit\u00e9 maternelle, la sant\u00e9 de la m\u00e8re et de l'enfant et sur la connaissance, les attitudes et les comportements vis-\u00e0-vis du sida et autres infections sexuellement transmissibles. De nouveaux volets inclus lors de la collecte portent sur la pratique de l'excision, l'utilisation des moustiquaires et les tests du VIH et de l'an\u00e9mie. Les informations collect\u00e9es au cours de l'EDS-IV 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 1992, 1997 et 2000. \n\nAu cours de l'enqu\u00eate r\u00e9alis\u00e9e sur le terrain de f\u00e9vrier \u00e0 mai 2005, 7412 m\u00e9nages ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s (soit un taux de r\u00e9ponse de 98,5 %) ; dans ces m\u00e9nages, 14602 femmes \u00e2g\u00e9es de 15-49 ans et 3761 hommes de 15-59 ans ont \u00e9t\u00e9 interview\u00e9s avec succ\u00e8s et parmi ces enqu\u00eat\u00e9s 4278 femmes de 15-49 ans et 3226 hommes de 15-59 ans ont \u00e9t\u00e9 effectivement test\u00e9s pour le VIH (\u00e9chantillon pond\u00e9r\u00e9). \n\nLes informations recueillies dans l'enqu\u00eate sont repr\u00e9sentatives au niveau national, au niveau du milieu de r\u00e9sidence (urbain et rural) et au niveau des onze r\u00e9gions administratives. \n\nL'EDS-IV a \u00e9t\u00e9 effectu\u00e9e aupr\u00e8s d'un \u00e9chantillon de femmes en \u00e2ge de procr\u00e9ation de 15 \u00e0 49 ans et d'hommes de 15 \u00e0 59 ans. Elle a pour objectifs de : \n- recueillir des donn\u00e9es au niveau r\u00e9gional qui permettront de calculer les taux d\u00e9mographiques, et en particulier les taux de f\u00e9condit\u00e9, de mortalit\u00e9 g\u00e9n\u00e9rale et infantile ; \n- analyser les facteurs directs et indirects qui d\u00e9terminent les niveaux et les tendances de la f\u00e9condit\u00e9 ; \n- mesurer les taux de connaissance et de pratique en mati\u00e8re de contraception par m\u00e9thode selon la r\u00e9gion ; \n- \u00e9valuer les besoins non satisfaits en mati\u00e8re de contraception ; \n- recueillir des informations sur la connaissance et les comportements en mati\u00e8re d'IST\/VIH\/sida ; \n- recueillir des informations sur la pratique de l'excision ; \n- recueillir des informations sur la sant\u00e9 familiale : vaccinations, pr\u00e9valence et traitement de la diarrh\u00e9e et d'autres maladies d'enfants de moins de cinq ans, consultations pr\u00e9natales, assistance pendant l'accouchement, allaitement maternel et consultations post-natales, pr\u00e9vention du paludisme ; \n- collecter des informations sur la mortalit\u00e9 maternelle au niveau national ; \n- recueillir des informations sur la disponibilit\u00e9 et l'accessibilit\u00e9 des services communautaires ; \n- collecter des informations sur la nutrition (anthropom\u00e9trie, alimentation), et l'an\u00e9mie (test du sang) ; \n- recueillir des informations sur la pr\u00e9valence du VIH dans la population g\u00e9n\u00e9rale \u00e0 partir des pr\u00e9l\u00e8vements de sang s\u00e9ch\u00e9. \n\nPRINCIPAUX RESULTATS\n\n- Niveau et tendance de la f\u00e9condit\u00e9. Les donn\u00e9es de l'EDS-IV montrent que la f\u00e9condit\u00e9 des femmes en 2005 demeure encore \u00e9lev\u00e9e au S\u00e9n\u00e9gal. Avec les niveaux actuels, chaque femme donnerait naissance en moyenne \u00e0 5,3 enfants \u00e0 la fin de sa vie f\u00e9conde. Cette f\u00e9condit\u00e9 est \u00e9galement pr\u00e9coce puisque 19 % des filles de moins de 20 ans ont d\u00e9j\u00e0 eu au moins une naissance vivante ou \u00e9taient enceintes au moment de l'enqu\u00eate. Cependant, la f\u00e9condit\u00e9 continue de baisser: l'indice synth\u00e9tique de f\u00e9condit\u00e9 est pass\u00e9 de 6,6 enfants par femme en 1986, \u00e0 6,0 en 1992, 5,7 en 1997 et 5,3 en 2005. Au S\u00e9n\u00e9gal, moins de 3,0 % seulement des femmes actuellement en union et \u00e2g\u00e9es de 40 \u00e0 49 ans n'ont jamais eu d'enfant et pourraient \u00eatre consid\u00e9r\u00e9es comme st\u00e9riles. \n\n- Nuptialit\u00e9 : Parmi les femmes de 15-49 ans, 68 % \u00e9taient en union au moment de l'enqu\u00eate. La proportion de femmes qui restent encore c\u00e9libataires \u00e0 35-39 ans est de 4 % seulement ; \u00e0 plus de 40 ans, elle est inf\u00e9rieure \u00e0 1 %. Ainsi, le mariage qui demeure le cadre privil\u00e9gi\u00e9 de l'activit\u00e9 sexuelle (94 % des c\u00e9libataires n'ont jamais eu de rapports sexuels) et de la procr\u00e9ation est pratiquement universel au S\u00e9n\u00e9gal. En outre, la pratique de la polygamie est assez r\u00e9pandue ; quatre femmes sur dix (40 %) sont en union polygame.\n\n- Planification Familiale : Connaissance des m\u00e9thodes contraceptives. Bien que la connaissance des m\u00e9thodes contraceptives soit g\u00e9n\u00e9ralis\u00e9e (plus de 90 % connaissent au moins une m\u00e9thode moderne), peu de femmes les utilisent (10 % des femmes en union utilisent actuellement une m\u00e9thode moderne).\n\n- Sant\u00e9 de la M\u00e8re : Soins pr\u00e9natals. En ce qui concerne les soins pr\u00e9natals et les conditions d'accouche\u00adment, on constate que pour la grande majorit\u00e9 (83 %) des naissances survenues dans les 5 ann\u00e9es pr\u00e9c\u00e9dant l'enqu\u00eate, les m\u00e8res ont effectu\u00e9 au moins une visite pr\u00e9natale aupr\u00e8s de personnel qualifi\u00e9 et 40 % en ont fait quatre ou plus. Plus d'une m\u00e8re sur cinq (22 %) a \u00e9t\u00e9 prot\u00e9g\u00e9e contre le t\u00e9tanos n\u00e9onatal par une dose de vaccin antit\u00e9tanique (VAT) et deux m\u00e8res sur trois en ont re\u00e7u deux ou plus. Plus de six naissances sur dix (62 %) se sont d\u00e9roul\u00e9es dans un \u00e9tablissement sanitaire 52 % d'entre elles ont b\u00e9n\u00e9fici\u00e9 de l'assistance de personnel de sant\u00e9 au moment de l'accouchement. Les femmes urbaines ont \u00e9t\u00e9 relativement plus nombreuses \u00e0 avoir re\u00e7u quatre consultations pr\u00e9natales ou plus (51 % contre 33 % en milieu rural). Par ailleurs, les femmes rurales (52 %), celles sans niveau d'instruction (46 %), celles r\u00e9sidant dans les r\u00e9gions de Kolda et de Tambacounda (65 %), celles appartenant aux m\u00e9nages les plus pauvres (70 %) et celles n'ayant re\u00e7u aucun soin pr\u00e9natal (86 %) ont, beaucoup plus fr\u00e9quemment que les autres, accouch\u00e9 \u00e0 domicile. \n\n- Sant\u00e9 de l'enfant : Allaitement des enfants. Plus de neuf enfants SANT\u00c9 DE L'ENFANT  sur dix (96 %) n\u00e9s durant les cinq ann\u00e9es ayant pr\u00e9c\u00e9d\u00e9 l'enqu\u00eate ont \u00e9t\u00e9 allait\u00e9s. Bien que la Vaccination des enfants. Pour la majorit\u00e9 des enfants (80 %) soient allait\u00e9s dans les 24 couverture vaccinale des enfants, on rel\u00e8ve que heures qui ont suivi leur naissance, 48 % ont re\u00e7u des aliments avant le d\u00e9but de l'allaitement. L'assistance \u00e0 l'accouchement et partant, le lieu o\u00f9 celui-ci s'est d\u00e9roul\u00e9, influe l\u00e9g\u00e8rement sur le d\u00e9but de l'allaitement. En effet, quand la m\u00e8re a accouch\u00e9 dans une formation sanitaire, 83 % ont \u00e9t\u00e9 allait\u00e9s dans les 24 heures qui ont suivi leur naissance, contre 76 % de ceux dont la m\u00e8re a accouch\u00e9 \u00e0 domicile. \n\n- Mortalit\u00e9 infantiles : Niveau de mortalit\u00e9. La mortalit\u00e9 infanto\u00adjuv\u00e9nile reste \u00e9lev\u00e9e au plan national. Pour la p\u00e9riode la plus r\u00e9cente (0-4 ans avant l'enqu\u00eate), les r\u00e9sultats montrent que sur 1 000 naissances vivantes, 61 meurent avant d'atteindre leur premier anniversaire (35 \u2030 entre 0 et 1 mois exact et 26 \u2030 entre 1 et 12 mois exacts) ; sur 1 000 enfants \u00e2g\u00e9s d'un an, 64 n'atteignent pas leur cinqui\u00e8me anniversaire. \nGlobalement, le risque de d\u00e9c\u00e8s entre la naissance et le cinqui\u00e8me anniversaire est de 121 pour 1000 naissances, soit environ un enfant sur huit. \n\n- La mortalit\u00e9 maternelle est l'indicateur de sant\u00e9 montrant la plus grande disparit\u00e9 entre les pays en d\u00e9veloppement et les pays d\u00e9velopp\u00e9s. En Afrique subsaharienne, une femme a une chance sur 12 de mourir au cours d'une grossesse ou d'un accouchement contre une chance sur 4 000 dans les pays riches.\n \n- Pr\u00e9valence. La pratique de l'excision est assez r\u00e9pandue au S\u00e9n\u00e9gal puisque qu'elle concerne 28 % des femmes de 15-49 ans. La pratique de l'excision est essentiellement d\u00e9termin\u00e9e par l'appartenance ethnique. Dans deux des principaux groupes ethniques, \u00e0 savoir les Wolof et les Serer, le pourcentage de femmes excis\u00e9es n'atteint pas 2 %. Chez les Sonink\u00e9, les Mandingue, les Poular et les Diola, il varie de 60 \u00e0 78 %. \n\n- Pr\u00e9valence du VIH : Taux de couverture. Les r\u00e9sultats de l'EDS\u00adIV indiquent que plus de huit personnes sur dix ont consenti \u00e0 donner quelques gouttes de leur sang pour \u00eatre test\u00e9es sur le VIH. Le taux de couverture est plus \u00e9lev\u00e9 chez les femmes (85 %) que chez les hommes (76 %). Les taux d'acceptation chez les femmes et les hommes du milieu rural sont nettement plus \u00e9lev\u00e9s que chez ceux du milieu urbain. Dans l'ensemble, 83 % des personnes dans les zones rurales ont accept\u00e9, contre 78 % chez celles des villes. Enfin, les meilleurs taux de couverture ont \u00e9t\u00e9 observ\u00e9s dans les r\u00e9gions Diourbel et Kolda (89 %) et les plus bas concernent Matam (71 %), Dakar (73 %) et Saint-Louis (74 %).","coll_dates":[{"start":"2005-02","end":"2005-05","cycle":""}],"nation":[{"name":"Senegal","abbreviation":"SEN"}],"geog_coverage":"National","analysis_unit":"- Household\n- Women age 15-49\n- Men age 15-59","universe":"L'univers de l'enqu\u00eate est l'ensemble de la population et au niveau des sous-populations les femmes \u00e2g\u00e9es de 15-49 ans, ayant pass\u00e9 la nuit pr\u00e9c\u00e9dant le passage des enqu\u00eatrices dans le m\u00e9nage, quel que soit le statut de r\u00e9sidence  et  les hommes \u00e9ligibles, c'est-\u00e0-dire ceux qui sont \u00e2g\u00e9s de 15 \u00e0 59 ans, et qui ont pass\u00e9 la nuit pr\u00e9c\u00e9dant le passage des enqu\u00eateurs dans le m\u00e9nage, quel que soit le statut de r\u00e9sidence.","data_kind":"Sample survey data","notes":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 2005 du S\u00e9n\u00e9gal couvre les th\u00e8mes suivants :\n\n- Activit\u00e9 sexuelle de la femme\n- Anthropometrie\n- Caract\u00e9ristiques socio-d\u00e9mographiques de l'enqu\u00eat\u00e9e\n- Contraception connaissance des MST et du Syndrome Imuno-D\u00e9ficitaire Acquis (SIDA). \n- Excision\n- Fi\u00e8vre, toux et diarrh\u00e9e\n- Grossesse et allaitement\n- Mariage \n- Malaria\n- Mortalit\u00e9 maternelle\n- Mesures anthropom\u00e9triques\n- MST et sida\n- polygamie \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9\n- Reproduction\n- Sant\u00e9 et allaitement\n- Tabac\n- Test anemie\n- Test HIV\n- Vaccination et sant\u00e9","study_scope":"L'Enqu\u00eate D\u00e9mographique et Sant\u00e9 2005 du S\u00e9n\u00e9gal couvre les th\u00e8mes suivants :\n\n- Activit\u00e9 sexuelle de la femme\n- Anthropometrie\n- Caract\u00e9ristiques socio-d\u00e9mographiques de l'enqu\u00eat\u00e9e\n- Contraception connaissance des MST et du Syndrome Imuno-D\u00e9ficitaire Acquis (SIDA). \n- Excision\n- Fi\u00e8vre, toux et diarrh\u00e9e\n- Grossesse et allaitement\n- Mariage \n- Malaria\n- Mortalit\u00e9 maternelle\n- Mesures anthropom\u00e9triques\n- MST et sida\n- polygamie \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9\n- Reproduction\n- Sant\u00e9 et allaitement\n- Tabac\n- Test anemie\n- Test HIV\n- Vaccination et sant\u00e9"},"method":{"data_collection":{"data_collectors":[{"name":"Centre de Recherche pour le D\u00e9veloppement Humain (CRDH)","abbreviation":"","affiliation":"Minist\u00e8re de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale"}],"sampling_procedure":"La quatri\u00e8me Enqu\u00eate D\u00e9mographique et de Sant\u00e9 au S\u00e9n\u00e9gal (EDS-IV) fait suite \u00e0 celles r\u00e9alis\u00e9es en 1986, 1992-1993 et 1997. Elle vise un \u00e9chantillon repr\u00e9sentatif national d'environ 7950 m\u00e9nages. Toutes les femmes \u00e2g\u00e9es de 15 \u00e0 49 ans vivant habituellement dans les m\u00e9nages s\u00e9lectionn\u00e9s, ou pr\u00e9sentes la nuit pr\u00e9c\u00e9dant l'enqu\u00eate seront \u00e9ligibles pour \u00eatre enqu\u00eat\u00e9es. De plus, un sous \u00e9chantillon d'un m\u00e9nage sur trois s\u00e9lectionn\u00e9s pour l'enqu\u00eate femme a \u00e9t\u00e9 s\u00e9lectionn\u00e9 pour une enqu\u00eate aupr\u00e8s des hommes. Dans les m\u00e9nages de ce sous \u00e9chantillon, tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ans sont \u00e9ligibles pour \u00eatre enqu\u00eat\u00e9s. Comme les trois enqu\u00eates pr\u00e9c\u00e9dentes, l'EDS-IV a pour principal objectif de recueillir des informations sur la f\u00e9condit\u00e9, la connaissance et l'utilisation des m\u00e9thodes contraceptives, la mortalit\u00e9 maternelle et infanto-juv\u00e9nile, et les infections sexuellement transmissibles et le sida. Les r\u00e9sultats de l'enqu\u00eate sont pr\u00e9sent\u00e9s pour l'ensemble du territoire national, pour le milieu urbain et le milieu rural, et pour chacune des onze r\u00e9gions administratives. \n\nBASE DE SONDAGE \n\nLa Direction de la Pr\u00e9vision et de la Statistique (DPS) dispose d'un fichier informatique de 9768 districts de recensement (DR) cr\u00e9\u00e9s pour les besoins du Recensement G\u00e9n\u00e9ral de la Population et de l'Habitat de 2002 (RGPH-2002). Dans ce fichier, chaque DR appara\u00eet avec tous ses identifiants (r\u00e9gion, d\u00e9partement, commune\/arrondissement et code d'identification), sa taille en nombre de m\u00e9nages et son type de milieu de r\u00e9sidence (urbain ou rural). Les limites de chaque DR sont clairement identifiables sur des cartes cr\u00e9\u00e9es pour le RGPH-2002.\n\n\u00c9CHANTILLONNAGE \n\nL'\u00e9chantillon de l'EDS-IV est un \u00e9chantillon a\u00e9rolaire, stratifi\u00e9 et tir\u00e9 \u00e0 2 degr\u00e9s. L'unit\u00e9 primaire de sondage est le DR tel que d\u00e9fini pour le recensement de 2002. Chaque r\u00e9gion a \u00e9t\u00e9 divis\u00e9e 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, 377 DRs ont \u00e9t\u00e9 tir\u00e9s avec une probabilit\u00e9 proportionnelle \u00e0 la taille, la taille \u00e9tant le nombre de m\u00e9nages dans le DR. Un d\u00e9nombrement des m\u00e9nages dans chaque DR s\u00e9lectionn\u00e9 a permis d'obtenir une liste de m\u00e9nages qui a servit \u00e0 s\u00e9lectionner des m\u00e9nages au deuxi\u00e8me degr\u00e9. Avant le d\u00e9nombrement des m\u00e9nages, chaque grand DR a \u00e9t\u00e9 divis\u00e9 en segments dont un seul est 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 du DR. Au second degr\u00e9, dans chacun des DR s\u00e9lectionn\u00e9s au premier degr\u00e9, un nombre fixe de m\u00e9nages (21 m\u00e9nages par grappe) sont s\u00e9lectionn\u00e9s, avec un tirage syst\u00e9matique de probabilit\u00e9 \u00e9gale \u00e0 partir des listes nouvellement \u00e9tablies au moment du d\u00e9nombrement. Au total, 7 948 m\u00e9nages sont s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des femmes. \n\nTous les membres des m\u00e9nages tir\u00e9s sont enregistr\u00e9s dans le questionnaire du m\u00e9nage. Chaque femme \u00e2g\u00e9e de 15 \u00e0 49 ans identifi\u00e9e dans le m\u00e9nage est enqu\u00eat\u00e9e avec un questionnaire femme. Parmi les m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des femmes, un m\u00e9nage sur trois est retenu pour une enqu\u00eate aupr\u00e8s des hommes. Dans ces m\u00e9nages, tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ans sont interrog\u00e9s. \u00c0 tous les hommes de 15 \u00e0 59 ans et \u00e0 toutes les femmes de 15 \u00e0 49 ans dans ce sous \u00e9chantillon, est demand\u00e9 un consentement volontaire \u00e0 participer au test du VIH.  Au total, 377 DRs ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s, dont 158 dans le milieu urbain et 219 dans le milieu rural. Pour les m\u00e9nages, 7948 sont s\u00e9lectionn\u00e9s au total, dont 3358 en milieu urbain et 4590 en milieu rural. Le nombre attendu de femmes enqu\u00eat\u00e9es avec succ\u00e8s \u00e9tait de  11955 dont 5010 dans le milieu urbain et 6945 dans le milieu rural.","coll_mode":"Face-to-face","research_instrument":"Les questionnaires pr\u00e9par\u00e9s par le projet DHS+ sont les instruments de base de l'EDS-IV. Trois questionnaires ont \u00e9t\u00e9 d\u00e9velopp\u00e9s dans le cadre de cette enqu\u00eate : \n- un questionnaire m\u00e9nage ; \n- un questionnaire individuel pour les femmes de 15-49 ans ; et  \n- un questionnaire individuel pour les hommes de 15-59 ans.  \n\nLes premiers changements ont \u00e9t\u00e9 d\u00e9j\u00e0 apport\u00e9s aux questionnaires de base \u00e0 la lumi\u00e8re des exp\u00e9riences pass\u00e9es du S\u00e9n\u00e9gal en mati\u00e8re d'enqu\u00eate et des premiers besoins en informations exprim\u00e9s par les partenaires. En plus des sections habituelles, les questionnaires comprendront aussi les modules suivants : \n- un module sur le paludisme (questionnaires m\u00e9nage et femme) ;  \n- un module sur l'excision ; \n- un module sur le VIH\/sida de fa\u00e7on \u00e0 obtenir les informations n\u00e9cessaires au calcul des indicateurs de suivi \u00e9valuation adapt\u00e9s aux besoins du CNLS conform\u00e9ment aux recommandations de l'ONUSIDA (questionnaires femme et homme) ; \n- enfin, un module sur la mortalit\u00e9 maternelle. Les contenus sp\u00e9cifiques de ces diff\u00e9rents questionnaires sont les suivants : \n\na) Le questionnaire m\u00e9nage \n\nLa page de couverture contient les informations relatives \u00e0 l'identification du m\u00e9nage, aux r\u00e9sultats de l'interview qui permettent de calculer le taux de couverture de l'enqu\u00eate et aux contr\u00f4les de terrain et de bureau. Ce questionnaire a permis de collecter des informations sur les membres habituels du m\u00e9nage et les visiteurs qui y ont pass\u00e9 la nuit pr\u00e9c\u00e9dant l'interview. Les informations recueillies portent sur le sexe, l'\u00e2ge, le niveau d'instruction, la survie des parents, la d\u00e9claration des enfants \u00e0 l'\u00e9tat civil, la prise en charge des jeunes enfants au niveau pr\u00e9scolaire et les cases des tout petits et le travail des enfants. Par ailleurs, d'autres informations portant sur les caract\u00e9ristiques du logement (approvisionnement en eau, type de toilettes, mat\u00e9riau de construction, disponibilit\u00e9 de l'\u00e9lectricit\u00e9, possession de biens durables, etc.), la possession, l'utilisation et le traitement des moustiquaires, ainsi que l'utilisation du sel iod\u00e9 dans la pr\u00e9paration des repas, ont \u00e9t\u00e9 \u00e9galement collect\u00e9es. Des questions relatives \u00e0 l'acc\u00e8s \u00e0 la propri\u00e9t\u00e9 fonci\u00e8re et \u00e0 la s\u00e9curit\u00e9 r\u00e9sidentielle ont \u00e9galement \u00e9t\u00e9 pos\u00e9es dans la r\u00e9gion de Dakar. Ces informations sont recueillies afin d'\u00e9valuer les conditions environnementales et socio\u00ad\u00e9conomiques dans lesquelles vivent les personnes enqu\u00eat\u00e9es.  \n\nEn outre, le questionnaire m\u00e9nage a permis d'identifier les hommes et les femmes \u00e9ligibles pour l'interview individuelle. \n\nDe plus, dans le sous-\u00e9chantillon de m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des hommes (soit un m\u00e9nage sur trois), le questionnaire m\u00e9nage permet de recueillir les r\u00e9sultats des mesures anthropom\u00e9triques de toutes les femmes de 15-49 ans et de tous les enfants de moins de 5 ans des m\u00e9nages enqu\u00eat\u00e9s de fa\u00e7on \u00e0 d\u00e9terminer leur \u00e9tat nutritionnel (\u00e9maciation, insuffisance pond\u00e9rale et retard de croissance pour les enfants, et Indice de Masse Corporelle pour les femmes).  \n\nLe questionnaire m\u00e9nage a, enfin, servi \u00e0 enregistrer certaines informations sur les tests du VIH et de l'h\u00e9moglobine (an\u00e9mie) qui ont \u00e9t\u00e9 inclus dans l'enqu\u00eate. Les tests sont effectu\u00e9s dans le sous\u00ad\u00e9chantillon de m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate aupr\u00e8s des hommes. \u00c0 partir d'un pr\u00e9l\u00e8vement sanguin, on mesure par un test direct, le niveau d'h\u00e9moglobine de toutes les femmes de 15-49 ans, de tous les hommes de 15-59 ans et de tous les enfants de moins de 5 ans. Ce m\u00eame pr\u00e9l\u00e8vement a servi pour le test du VIH\/sida sur toutes les femmes de 15-49 ans et tous les hommes de 15-59 ans. Il est important de noter que les tests du VIH\/sida et de l'h\u00e9moglobine sont op\u00e9r\u00e9s sur les enqu\u00eat\u00e9s qui acceptent de s'y soumettre volontairement, apr\u00e8s lecture d'un consentement \u00e9clair\u00e9. Pour les mineurs de moins de 18 ans, le consentement est demand\u00e9 aux parents ou personnes en charge des mineurs, avant de demander le consentement personnel du mineur.  \n\nb) Le questionnaire individuel femme  \n\nIl constitue l'\u00e9l\u00e9ment central de l'EDS-IV. Il comprend une page de couverture similaire \u00e0 celle du questionnaire m\u00e9nage sur laquelle sont enregistr\u00e9es les informations d'identification du m\u00e9nage, le r\u00e9sultat de l'interview qui permet de calculer le taux de couverture de l'enqu\u00eate et les contr\u00f4les de terrain et de bureau ainsi que dix sections qui servent \u00e0 recueillir des informations sur les th\u00e8mes suivants : \n\n- Caract\u00e9ristiques sociod\u00e9mographiques : cette section porte sur le lieu de r\u00e9sidence, l'\u00e2ge et la date de naissance, la scolarisation, l'alphab\u00e9tisation, la nationalit\u00e9, la religion, l'ethnie et l'exposition aux m\u00e9dias. \n- Reproduction : cette deuxi\u00e8me section permet de collecter des informations sur les naissances vivantes que la femme a eues durant sa vie, ainsi que sur leur \u00e9tat de survie au moment de l'enqu\u00eate, sur l'\u00e9tat de grossesse au moment de l'enqu\u00eate, et sur la connaissance de la p\u00e9riode f\u00e9conde dans le cycle menstruel. \n- Connaissance et utilisation de la contraception : cette section permet de recueillir des informations sur la connaissance et l'utilisation ant\u00e9rieure et actuelle des diff\u00e9rentes m\u00e9thodes contraceptives, ainsi que sur la source d'approvisionnement. Elle porte \u00e9galement sur le lieu et la date de la st\u00e9rilisation f\u00e9minine, ainsi que sur les raisons de la non utilisation d'une m\u00e9thode. De plus, quelques questions sur la connaissance et l'utilisation de l'allaitement comme moyen de retarder une grossesse ont \u00e9t\u00e9 pos\u00e9es aux femmes. \n- Grossesse et allaitement, vaccination et sant\u00e9 des enfants : cette section porte sur les naissances des cinq ann\u00e9es ayant pr\u00e9c\u00e9d\u00e9 l'enqu\u00eate.  Elle est compos\u00e9e de deux parties. La premi\u00e8re permet d'obtenir des informations sur la p\u00e9riode de la grossesse, les soins pr\u00e9natals incluant la vaccination antit\u00e9tanique, le lieu d'accouchement et la qualification de la personne ayant assist\u00e9 la femme, les soins postnatals, le retour des r\u00e8gles et la reprise des rapports sexuels apr\u00e8s la naissance de l'enfant. Concernant l'allaitement, les questions portent sur sa fr\u00e9quence et sa dur\u00e9e, sur le type d'allaitement (maternel ou artificiel), ainsi que sur l'utilisation des diff\u00e9rents compl\u00e9ments nutritionnels. La deuxi\u00e8me partie porte sur les vaccinations incluses dans le Programme \u00c9largi de Vaccinations (PEV) et la sant\u00e9 des enfants de moins de cinq ans, plus particuli\u00e8rement sur la pr\u00e9valence et le traitement de la fi\u00e8vre, de la toux et de la diarrh\u00e9e. \n- Mariage et activit\u00e9 sexuelle : cette section porte sur l'\u00e9tat matrimonial de la femme, la cohabitation avec le conjoint, le type de mariage (monogamie ou polygamie), l'\u00e2ge au premier mariage et l'\u00e2ge aux premiers rapports sexuels ainsi que sur l'activit\u00e9 sexuelle. \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 : cette section recueille des informations sur le d\u00e9sir d'enfants suppl\u00e9mentaires, l'intervalle souhait\u00e9 entre les naissances et l'opinion concernant la taille de la famille. Elle donne \u00e9galement des informations sur les interruptions de grossesses. \n- Caract\u00e9ristiques du conjoint et travail de la femme : les questions qui ont \u00e9t\u00e9 pos\u00e9es permettent de conna\u00eetre les caract\u00e9ristiques socioprofessionnelles du conjoint des femmes en union et l'activit\u00e9 professionnelle de celles-ci. \n- IST et sida : cette section vise \u00e0 obtenir des informations sur la connaissance et la pr\u00e9valence des infections sexuellement transmissibles, sur les modes de transmission et les moyens de pr\u00e9vention du sida. \n- Excision : on collecte ici des informations sur la fr\u00e9quence de la pratique de l'excision parmi les femmes enqu\u00eat\u00e9es et leurs filles a\u00een\u00e9es, ainsi que sur l'attitude vis-\u00e0-vis de cette pratique. \n- Mortalit\u00e9 maternelle : dans cette section, on enregistre des informations sur l'\u00e2ge et l'\u00e9tat de survie des fr\u00e8res et s\u0153urs de l'enqu\u00eat\u00e9e. Pour les s\u0153urs d\u00e9c\u00e9d\u00e9es \u00e0 l'\u00e2ge de 12 ans ou plus, des questions suppl\u00e9mentaires permettent de d\u00e9terminer si le d\u00e9c\u00e8s est en rapport avec la maternit\u00e9. Des questions suppl\u00e9mentaires sur le nombre d'enfants de la s\u0153ur (d\u00e9c\u00e9d\u00e9e ou non) ainsi que sur leur \u00e9tat de survie sont aussi pos\u00e9es.  \n\nc) Le questionnaire individuel homme \n\nLe questionnaire homme administr\u00e9 aux hommes de 15-59 ans est une forme all\u00e9g\u00e9e du questionnaire individuel femme. Il comprend une page de couverture similaire \u00e0 celle du questionnaire femme et sept sections servant \u00e0 recueillir des informations sur les th\u00e8mes suivants : \n- Caract\u00e9ristiques sociod\u00e9mographiques ; \n- F\u00e9condit\u00e9 ; \n- Contraception ; \n- Mariage et activit\u00e9 sexuelle ; \n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 ; \n- VIH\/sida et autres infections sexuellement transmissibles ; \n- Connaissance et opinions sur l'excision. \n\nLes questionnaires d\u00e9finitifs ont \u00e9t\u00e9 traduits dans les quatre principales langues nationales (Wolof, S\u00e9rer, Poular et Mandingue). Ces questionnaires traduits ont \u00e9t\u00e9 utilis\u00e9s pendant la formation th\u00e9orique et pratique et sur le terrain. \n\nII - LES MANUELS ET AUTRES DOCUMENTS TECHNIQUES \n\nEn plus des questionnaires, d'autres documents techniques ont \u00e9t\u00e9 \u00e9labor\u00e9s. Il s'agit en particulier : \n- du manuel des enqu\u00eateurs\/enqu\u00eatrices ; \n- du manuel des chefs d'\u00e9quipe\/contr\u00f4leuses ; \n- des fiches d'affectation des enqu\u00eateurs\/contr\u00f4leuses ; \n- du manuel pour l'anthropom\u00e9trie ; \n- du manuel de cartographie et de d\u00e9nombrement des m\u00e9nages ; \n- du manuel du test d'an\u00e9mie et du test du VIH ; \n- des fiches de contr\u00f4le et de gestion pour le test du VIH.","coll_situation":"L'EDS-IV s'est d\u00e9roul\u00e9e en trois \u00e9tapes principales : le d\u00e9nombrement des m\u00e9nages des zones \u00e9chantillonn\u00e9es (septembre 2004), l'enqu\u00eate pilote (novembre 2004) et l'enqu\u00eate principale (f\u00e9vrier \u00e0 juin 2005). Pour chacune de ces \u00e9tapes, une formation a \u00e9t\u00e9 dispens\u00e9e aux personnes recrut\u00e9es par les chercheurs du CRDH et des chercheurs ext\u00e9rieurs. \n\nCARTOGRAPHIE ET DENOMBREMENT \n\nSur environ 150 dossiers d'agents cartographes, 25 ont \u00e9t\u00e9 pr\u00e9s\u00e9lectionn\u00e9s apr\u00e8s un test d'\u00e9valuation, pour suivre une formation \u00e9tal\u00e9e sur la p\u00e9riode du 16 au 18 septembre 2004. La formation en salle a consist\u00e9 en des expos\u00e9s th\u00e9oriques sur la d\u00e9finition des concepts de base, sur la proc\u00e9dure et la m\u00e9thodologie de cartographie ainsi que sur le remplissage des supports techniques (fiches de cartographie et de d\u00e9nombrement, fiche de segmentation et d'enregistrement des coordonn\u00e9es g\u00e9ographiques avec un GPS). Des exercices pratiques de terrain et des \u00e9valuations continues \u00e9taient organis\u00e9s pour appr\u00e9cier le niveau de chaque agent. Sur la base des diff\u00e9rentes \u00e9valuations organis\u00e9es pendant la formation, 20 agents ont \u00e9t\u00e9 d\u00e9finitivement retenus pour l'enqu\u00eate.  Sur le plan technique, 5 \u00e9quipes de 4 personnes ont \u00e9t\u00e9 form\u00e9es et le territoire national a \u00e9t\u00e9 subdivis\u00e9 en 6 zones g\u00e9ographiques qui \u00e9pousent les sp\u00e9cificit\u00e9s r\u00e9gionales, linguistiques et en g\u00e9n\u00e9ral culturelles de la population et dans lesquelles les grappes sont \u00e0 peu pr\u00e8s \u00e9galement r\u00e9parties \u00e0 l'exception de la zone de Dakar. Les 5 \u00e9quipes ont cartographi\u00e9 et d\u00e9nombr\u00e9 ensemble les grappes de la zone de Dakar et ensuite chacune d'elles a \u00e9t\u00e9 affect\u00e9e dans une zone. \n\nENQUETE PILOTE \n\nLe pr\u00e9-test a \u00e9t\u00e9 ex\u00e9cut\u00e9 par quatre \u00e9quipes de 3 enqu\u00eatrices et un enqu\u00eateur pr\u00e9alablement s\u00e9lectionn\u00e9s et form\u00e9s pendant 19 jours dans la p\u00e9riode du 26 octobre au 19 novembre 2004. La formation a \u00e9t\u00e9 assur\u00e9e par les chercheurs du CRDH et des chercheurs ext\u00e9rieurs dont un nutritionniste. L'\u00e9quipe du Laboratoire de Bact\u00e9riologie Virologie du CHU de l'H\u00f4pital Le Dantec a assur\u00e9 la formation sur le volet an\u00e9mie\/VIH. Le pr\u00e9-test a \u00e9galement b\u00e9n\u00e9fici\u00e9 de l'appui technique de ORC Macro.  \n\nLa collecte des donn\u00e9es sur le terrain du pr\u00e9 test s'est d\u00e9roul\u00e9e entre 21 et 25 novembre et a eu lieu dans le quartier de Guinaw Rail Sud du D\u00e9partement de Pikine et le village de Niaga Ouolof de la Communaut\u00e9 rurale de Sangalkam. \u00c0 cette occasion 41 m\u00e9nages ont \u00e9t\u00e9 visit\u00e9s.  Le pr\u00e9-test a \u00e9t\u00e9 l'occasion d'appr\u00e9cier la r\u00e9action des populations devant certaines questions en vue de prendre des mesures correctives, notamment dans la sensibilisation sur les objectifs de l'enqu\u00eate et la formulation des questions.  \n\nL'\u00e9valuation du pr\u00e9-test a port\u00e9 sur divers points : l'organisation, la logistique, la conduite des mesures anthropom\u00e9triques, le test an\u00e9mie\/VIH, la passation des questions (mani\u00e8re de poser les questions, surtout dans les langues locales), la r\u00e9action des enqu\u00eat\u00e9s, l'enregistrement des r\u00e9ponses et l'appr\u00e9ciation de la qualit\u00e9 des supports. \n\nLes questionnaires et les manuels d'instructions des enqu\u00eateurs ont \u00e9t\u00e9 mis \u00e0 jour \u00e0 la lumi\u00e8re des le\u00e7ons tir\u00e9es de la pr\u00e9-enqu\u00eate.  \n\nRECRUTEMENT ET FORMATION DES PERSONNELS DE TERRAIN \n\nSur un fichier d'environ 400 candidats ayant subi des tests de niveau, 96 personnes dont 25 hommes ont \u00e9t\u00e9 retenus pour suivre la formation de l'enqu\u00eate principale qui s'est d\u00e9roul\u00e9e entre le 23 d\u00e9cembre 2004 et le 28 janvier 2005 au Service National de l'Information et de l'\u00c9ducation pour la Sant\u00e9. La formation a \u00e9t\u00e9 assur\u00e9e par l'\u00e9quipe du CRDH et des personnes ressources ext\u00e9rieures. Le Laboratoire de Bact\u00e9riologie Virologie de l'H\u00f4pital Le Dantec a assur\u00e9 la formation sur le volet s\u00e9rologique tandis qu'un nutritionniste a form\u00e9 les agents sur les techniques de mesures anthropom\u00e9triques. Deux missions de Macro ont appuy\u00e9 l'\u00e9quipe locale dans la formation et le d\u00e9marrage des travaux de terrain et de traitement des donn\u00e9es. \n\nTous les agents de terrain ont re\u00e7u une formation de plus de quatre semaines. Le programme comprenait l'\u00e9tude des sujets li\u00e9s \u00e0 la sant\u00e9 familiale et reproductive (morbidit\u00e9, soins pr\u00e9natals, accouchement, vaccinations et maladies d'enfants), la nutrition et une description d\u00e9taill\u00e9e des m\u00e9thodes contraceptives, ainsi que les techniques de l'interview. En outre, une partie des agents de terrain ont \u00e9t\u00e9 form\u00e9s pour r\u00e9aliser le test d'an\u00e9mie ainsi que les pr\u00e9l\u00e8vements de sang pour le test du VIH. \n\nUne formation sp\u00e9ciale a \u00e9t\u00e9 organis\u00e9e pour les personnes qui \u00e9taient en charge du test d'an\u00e9mie et de celui du VIH. Cette formation a \u00e9t\u00e9 organis\u00e9e de fa\u00e7on \u00e0 ce que les tests puissent \u00eatre inclus aux exercices pratiques sur le terrain. Dans cette formation, on a insist\u00e9 sur les proc\u00e9dures \u00e0 employer pour obtenir des enqu\u00eat\u00e9s leur consentement \u00e9clair\u00e9 et volontaire, sur les techniques \u00e0 utiliser pour effectuer les pr\u00e9l\u00e8vements, sur l'utilisation de l'HemoCue (appareil de mesure du taux d'h\u00e9moglobine) pour l'an\u00e9mie ; en outre, cette formation a port\u00e9 sur les proc\u00e9dures pour r\u00e9f\u00e9rer les participants ayant besoin d'un suivi pour l'an\u00e9mie et pour r\u00e9f\u00e9rer les personnes pour des conseils et un test VIH gratuits (CTV) ainsi que sur les proc\u00e9dures pour manipuler et stocker les pr\u00e9l\u00e8vements sur papier filtre jusqu'\u00e0 leur transport au laboratoire et les proc\u00e9dures pour \u00e9liminer les produits bio dangereux. Tout le personnel du bureau central de l'EDS-IV et celui du Laboratoire qui ont \u00e9t\u00e9 impliqu\u00e9s dans les activit\u00e9s de test du VIH, ainsi que le personnel de terrain ont particip\u00e9 \u00e0 cet aspect de la formation. Le personnel du Laboratoire a \u00e9t\u00e9 \u00e9galement form\u00e9 sur la fa\u00e7on d'enregistrer les r\u00e9sultats des tests et sur la fa\u00e7on de restituer les r\u00e9sultats quand toutes les activit\u00e9s d'enqu\u00eate seront achev\u00e9es. \n\nUne demi-journ\u00e9e de formation a \u00e9t\u00e9 consacr\u00e9e \u00e0 l'information de tous les personnels de l'EDS\u00adIV (qu'ils soient impliqu\u00e9s ou non dans le test du VIH) sur l'\u00e9pid\u00e9mie de sida et les moyens de pr\u00e9vention ainsi que sur les raisons pour lesquelles le test du VIH est inclus dans l'enqu\u00eate. Les questions de stigmatisation, de conceptions erron\u00e9es et les questions de confidentialit\u00e9 ont \u00e9t\u00e9 abord\u00e9es au cours de cette formation. \n\n\u00c0 l'issue de la formation, 75 personnes (45 enqu\u00eatrices, 15 contr\u00f4leuses et 15 chefs d'\u00e9quipe) ont \u00e9t\u00e9 d\u00e9finitivement retenues pour participer \u00e0 l'enqu\u00eate. Les superviseurs, chefs d'\u00e9quipe et contr\u00f4leuses ont re\u00e7u par la suite une formation compl\u00e9mentaire de trois jours ax\u00e9e sur le contr\u00f4le technique, l'organisation et la logistique ainsi que le contact avec les autorit\u00e9s et les populations.  \n\nPREPARATION DE LA COLLECTE DES DONNEES SUR LE TERRAIN \n\nORGANISATION DES PERSONNELS \n\nQuinze \u00e9quipes ont \u00e9t\u00e9 constitu\u00e9es pour le travail de terrain ; chaque \u00e9quipe \u00e9tait compos\u00e9e de 3 enqu\u00eatrices charg\u00e9es des enqu\u00eates femmes, une contr\u00f4leuse pour les tests de l'an\u00e9mie et du VIH et un chef d'\u00e9quipe pour les enqu\u00eates hommes et l'anthropom\u00e9trie. La contr\u00f4leuse \u00e9tait charg\u00e9e en outre de contr\u00f4ler la qualit\u00e9 des donn\u00e9es et d'appuyer le Chef d'\u00e9quipe dans la gestion logistique et technique de l'\u00e9quipe. Le chef d'\u00e9quipe \u00e9tait responsable des performances de ses \u00e9quipes ; il g\u00e9rait les ressources de l'\u00e9quipe et prenait les contacts n\u00e9cessaires aupr\u00e8s des autorit\u00e9s et des populations.  \n\nChaque groupe \u00e9tait dirig\u00e9 par un superviseur ayant une grande exp\u00e9rience en mati\u00e8re d'enqu\u00eate dans des positions similaires. Le superviseur \u00e9tait le repr\u00e9sentant permanent du CRDH sur le terrain. Il avait la charge de faire face \u00e0 toutes les questions (techniques, logistiques et administratives) de ses \u00e9quipes. En particulier, il passait successivement avec chaque \u00e9quipe le temps n\u00e9cessaire pour s'assurer que le travail se d\u00e9roulait dans les meilleures conditions. En outre, \u00e0 chaque fois que cela \u00e9tait n\u00e9cessaire , il devan\u00e7ait les \u00e9quipes dans les grappes pour pr\u00e9parer les autorit\u00e9s et les populations \u00e0 les recevoir. Des transferts d'\u00e9quipes d'une zone \u00e0 une autre pouvaient \u00eatre op\u00e9r\u00e9s \u00e0 tout moment compte tenu de l'avancement du travail.  \n\nSENSIBILISATION ET INFORMATION \n\nLes m\u00e9thodes traditionnelles d'information et de sensibilisation ont \u00e9t\u00e9 mises en \u0153uvre pour atteindre les autorit\u00e9s et les populations : lettres circulaires aux autorit\u00e9s r\u00e9gionales et \u00e9lus locaux. Auparavant, les agents de terrain qui ont effectu\u00e9 le d\u00e9nombrement des m\u00e9nages et la cartographie avaient d\u00e9j\u00e0 profit\u00e9 de leur pr\u00e9sence sur le terrain pour entamer cette activit\u00e9. Des visites ont \u00e9t\u00e9 effectu\u00e9es d\u00e8s d\u00e9cembre 2004 par des membres de l'encadrement pour prendre contact avec les autorit\u00e9s administratives et certaines personnes relais. Des pr\u00e9sentations de l'enqu\u00eate ont \u00e9t\u00e9 faites aux autorit\u00e9s r\u00e9gionales et d\u00e9partementales \u00e0 l'occasion des ces visites qui ont quelques fois co\u00efncid\u00e9 avec des r\u00e9unions des Comit\u00e9s Locaux de D\u00e9veloppement (CLD). Une br\u00e8ve note de pr\u00e9sentation de la m\u00e9thodologie et des objectifs de l'enqu\u00eate \u00e9tait \u00e9galement distribu\u00e9e. \n\nLes m\u00e9dia ont \u00e9galement \u00e9t\u00e9 mobilis\u00e9s. \u00c0 cet \u00e9gard, une conf\u00e9rence de presse pr\u00e9sid\u00e9e par le Minist\u00e8re de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale a \u00e9t\u00e9 organis\u00e9e le 31 janvier 2005 \u00e0 la veille du d\u00e9marrage de la collecte des donn\u00e9es. La Radio T\u00e9l\u00e9vision nationale, les Radios priv\u00e9es et la presse \u00e9crite ont largement fait \u00e9cho de cette rencontre. Une \u00e9quipe de reportage a \u00e9galement suivi les \u00e9quipes sur le terrain pour prendre des images des diff\u00e9rentes s\u00e9quences de l'enqu\u00eate et interviewer des m\u00e9nages, des partenaires au d\u00e9veloppement, des utilisateurs et des autorit\u00e9s et responsables administratifs et locaux. Ces diff\u00e9rents \u00e9l\u00e9ments ont permis de faire plusieurs reportages \u00e0 la t\u00e9l\u00e9vision nationale pour informer et sensibiliser les populations. \n\nUn dossier administratif comprenant l'ensemble des correspondances adress\u00e9es par Monsieur le Ministre de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale aux autorit\u00e9s r\u00e9gionales et \u00e9lus locaux, une carte professionnelle et un ordre de mission a \u00e9t\u00e9 constitu\u00e9 pour chaque agent. \n\nCOLLECTE DES DONNEES SUR LE TERRAIN \n\nLa collecte des donn\u00e9es sur le terrain s'est effectu\u00e9e entre le 1er f\u00e9vrier et le 10 juin 2005. Pour permettre aux \u00e9quipes de b\u00e9n\u00e9ficier d'une supervision rapproch\u00e9e des membres de l'encadrement pendant l'\u00e9tape cruciale du d\u00e9marrage de la collecte, il a \u00e9t\u00e9 d\u00e9cid\u00e9 de faire travailler toutes les \u00e9quipes en m\u00eame temps \u00e0 Dakar. Cette approche a permis en outre d'alimenter plus facilement et plus rapidement les op\u00e9ratrices de saisie en questionnaires remplis.  \n\nConform\u00e9ment \u00e0 la m\u00e9thodologie de l'enqu\u00eate, les pr\u00e9l\u00e8vements de sang pour les tests d'an\u00e9mie et du VIH \u00e9taient men\u00e9s en m\u00eame temps que les interviews aupr\u00e8s des m\u00e9nages. Les r\u00e9sultats des tests d'an\u00e9mie \u00e9taient imm\u00e9diatement communiqu\u00e9s aux int\u00e9ress\u00e9s par les personnels d'enqu\u00eate. Les \u00e9chantillons de sang \u00e9taient r\u00e9cup\u00e9r\u00e9s \u00e0 l'occasion des missions de supervision et transmis au Laboratoire de Bact\u00e9riologie Virologie du CHU de l'H\u00f4pital Le Dantec. Apr\u00e8s l'administration des questionnaires dans un m\u00e9nage, des d\u00e9pliants d'information sur l'an\u00e9mie et la nutrition (fournis par Macro international) et sur la sant\u00e9 de l'enfant (BASICS-II) ont \u00e9t\u00e9 distribu\u00e9s au m\u00e9nage. \n\nUne premi\u00e8re \u00e9valuation des travaux de terrain, doubl\u00e9e d'une s\u00e9ance de consolidation de la formation a eu lieu apr\u00e8s une semaine de travail dans la r\u00e9gion de Dakar. Les \u00e9quipes ont \u00e9t\u00e9 par la suite affect\u00e9es dans les diff\u00e9rentes r\u00e9gions de l'int\u00e9rieur du pays.","act_min":"Le personnel technique de l'enqu\u00eate, y compris les personnels sp\u00e9cialis\u00e9s (an\u00e9mie\/VIH et anthropom\u00e9trie) suivaient les \u00e9quipes sur le terrain pour s'assurer du bon d\u00e9roulement des travaux. En particulier, ils observaient la mani\u00e8re des enqu\u00eateurs de s'introduire dans les m\u00e9nages, de pr\u00e9senter l'enqu\u00eate, d'administrer les questionnaires y compris le consentement volontaire et \u00e9clair\u00e9 et ils v\u00e9rifiaient les questionnaires remplis. Les membres du Comit\u00e9 National d'\u00c9thique ainsi que des partenaires au d\u00e9veloppement ont \u00e9t\u00e9 associ\u00e9s \u00e0 ces visites de terrain.","cleaning_operations":"La saisie et le traitement des donn\u00e9es ont \u00e9t\u00e9 effectu\u00e9s en utilisant le logiciel CS Pro (Census and Survey Processing System) d\u00e9velopp\u00e9 par le programme MEASURE DHS+ de Macro et le Bureau of Census des Etats Unis. \nMacro a envoy\u00e9 un informaticien pour la formation et le d\u00e9marrage des travaux de saisie en collaboration avec l'informaticien responsable du traitement des donn\u00e9es du CRDH et son assistant. L'informaticien de Macro a \u00e9galement proc\u00e9d\u00e9 \u00e0 l'installation des programmes informatiques n\u00e9cessaires pour la saisie des r\u00e9sultats d'analyse au LBV. La cha\u00eene de traitement des informations sur les \u00e9chantillons de sang a \u00e9t\u00e9 test\u00e9e avec succ\u00e8s. \n\nVingt op\u00e9ratrices de saisie ont \u00e9t\u00e9 pr\u00e9s\u00e9lectionn\u00e9es pour les travaux de saisie. Ces vingt personnes ont \u00e9t\u00e9 soumises \u00e0 un test de s\u00e9lection (31 janvier 2005) \u00e0 l'issue duquel 14 ont \u00e9t\u00e9 retenues. Elles ont subi une formation de mise \u00e0 niveau de trois jours (3, 4 et 5 f\u00e9vrier 2005) pour se familiariser avec les questionnaires de l'EDS-IV. Les travaux de saisie proprement dits ont d\u00e9marr\u00e9 le 9 f\u00e9vrier 2005, soit une semaine apr\u00e8s le d\u00e9marrage de l'enqu\u00eate sur le terrain. \n\nQuatre agents de bureau \u00e9taient charg\u00e9s de la v\u00e9rification des questionnaires venus du terrain avant de les transmettre \u00e0 la saisie. Pr\u00e8s de 60 % des 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, dans certains cas, pour chaque enqu\u00eatrice\/enqu\u00eateur, certaines des principales erreurs de collecte. Ces informations \u00e9taient 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\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. La v\u00e9rification finale a \u00e9t\u00e9 r\u00e9alis\u00e9e par une \u00e9quipe d'informaticiens de Macro en collaboration avec l'\u00e9quipe technique de l'enqu\u00eate."},"analysis_info":{"response_rate":"Au cours de l'EDS-IV, 7412 m\u00e9nages, 14602 femmes \u00e2g\u00e9es de 15-49 ans et 3761 hommes de 15-59 ans ont \u00e9t\u00e9 enqu\u00eat\u00e9s avec succ\u00e8s. Les taux de couverture d\u00e9taill\u00e9s sont indiqu\u00e9s dans le tableau ci-dessous.\n\nFEMMES\n\nEnqu\u00eate m\u00e9nages\n- M\u00e9nages s\u00e9lectionn\u00e9s: 7859 \n- M\u00e9nages identifi\u00e9s: 7528 \n- M\u00e9nages enqu\u00eat\u00e9s: 7412 \n- Taux de r\u00e9ponse des m\u00e9nages: 98,5% \n\nEnqu\u00eate individuelle femme \n- Effectif de femmes \u00e9ligibles: 15587 \n- Effectif de femmes \u00e9ligibles enqu\u00eat\u00e9es: 14602 \n- Taux de r\u00e9ponse des femmes \u00e9ligibles: 93,7% \n\nHOMMES\n\nEnqu\u00eate m\u00e9nages \n- M\u00e9nages s\u00e9lectionn\u00e9s: 2614 \n- M\u00e9nages identifi\u00e9s: 2499 \n- M\u00e9nages enqu\u00eat\u00e9s: 2453 \n- Taux de r\u00e9ponse des m\u00e9nages: 98,2% \n\nEnqu\u00eate individuelle homme \n- Effectif d'hommes \u00e9ligibles: 4375 \n- Effectif d'hommes \u00e9ligibles enqu\u00eat\u00e9es: 3761 \n- Taux de r\u00e9ponse des hommes \u00e9ligibles: 86,0%","sampling_error_estimates":"Les erreurs de sondage peuvent \u00eatre \u00e9valu\u00e9es statistiquement. L'\u00e9chantillon s\u00e9lectionn\u00e9 pour l'EDS-IV 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 \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 la vraie valeur du param\u00e8tre avec un certain niveau de confiance se trouve. 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 \u00e0 partir d'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'EDS-IV \u00e9tant un \u00e9chantillon stratifi\u00e9 et tir\u00e9 \u00e0 deux degr\u00e9s, des formules plus complexes ont \u00e9t\u00e9 utilis\u00e9es. Le module \u00ab erreurs de sondage \u00bb du logiciel ISSA a \u00e9t\u00e9 utilis\u00e9 pour calculer les erreurs de sondage suivant une 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 du 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'EDS-IV ont \u00e9t\u00e9 calcul\u00e9es pour certaines des variables les plus int\u00e9ressantes. Les r\u00e9sultats de l'enqu\u00eate sont pr\u00e9sent\u00e9s dans une annexe du Rapport Final pour le S\u00e9n\u00e9gal, pour le milieu urbain et le milieu rural, et pour chacune des 11 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.15 pr\u00e9sentent la valeur de la statistique (M), l'erreur-type (ET), le nombre de cas non\u00adpond\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'EDS-IV a donn\u00e9 un nombre moyen d'enfants n\u00e9s vivants de 2,655 pour l'ensemble des femmes, auquel correspond une erreur-type de 0,041 enfants. Dans 95 % des \u00e9chantillons de taille et de caract\u00e9ristiques 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 2,655 - 2\u00d70,041 et 2,655 + 2\u00d70,041, soit 2,573 et 2,737. \n\nLes erreurs de sondage ont \u00e9t\u00e9 analys\u00e9es pour l'\u00e9chantillon national de femmes et pour deux groupes d'estimations : (1) moyennes et proportions, et (2) taux d\u00e9mographiques. Les erreurs relatives (ET\/M) des moyennes et proportions se situent entre 0,5 % et 22,3 % avec une moyenne de 4,7 %. Les erreurs relatives les plus \u00e9lev\u00e9es sont g\u00e9n\u00e9ralement celles des estimations de tr\u00e8s faible valeur (par exemple, parmi les femmes actuellement en union qui Utilise actuellement le DIU). Si on enl\u00e8ve les estimations de tr\u00e8s faible valeur (moins de 10 %), la moyenne tombe \u00e0 2,8 %. Ainsi, en g\u00e9n\u00e9ral, les erreurs relatives de la plupart des estimations pour l'ensemble du pays sont faibles, sauf dans les cas de tr\u00e8s faibles proportions. L'erreur relative de l'indice de f\u00e9condit\u00e9 est assez faible 2,5 %. Cependant, pour les taux de mortalit\u00e9, l'erreur relative moyenne est plus \u00e9lev\u00e9e 5,8 %. \n\nIl existe des diff\u00e9rences entre les erreurs relatives au niveau des sous-\u00e9chantillons. Par exemple, pour la variable Enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 40 \u00e0 49 ans, l'erreur relative pour l'\u00e9chantillon de femmes est respectivement de 1,7 %, 3,3 % et 5,8 % pour l'ensemble du pays, le milieu urbain et Dakar. Pour 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 1,68 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 1,68 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\u00e9e, 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'EDS-IV, 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":"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 de donn\u00e9es pour 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