{"type":"survey","doc_desc":{"title":"SEN_2010_DHS_v01_M","idno":"DDI_SEN_2010_DHS_v01_M_WBDG"},"study_desc":{"title_statement":{"idno":"SEN_2010_DHS_v01_M","title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 \u00e0 Indicateurs Multiples 2010-2011","alt_title":"EDS - MICS 2010-11 \/ DHS - MICS 2010-11","translated_title":"Demographic and Health Survey 2010-2011"},"authoring_entity":[{"name":"Agence Nationale de la Statistique et de la D\u00e9mographie (ANSD)","affiliation":""}],"oth_id":[{"name":"Laboratoire de Bact\u00e9riologie et de Virologie","affiliation":"CHU de l\u2019h\u00f4pital Aristide le Dantec de Dakar","email":"","role":"Mise en oeuvre des volets S\u00e9rologie du VIH et de la parasit\u00e9mie palustre"},{"name":"Laboratoire de parasit\u00e9mie","affiliation":"Universit\u00e9 Cheikh Anta DIOP (UCAD)","email":"","role":"Mise en oeuvre des volets S\u00e9rologie du VIH et de la parasit\u00e9mie palustre"}],"production_statement":{"producers":[{"name":"Programme mondial des Enqu\u00eates D\u00e9mographiques et de Sant\u00e9","affiliation":"\u2019ICF Macro International Inc","role":"Assistance technique"},{"name":"CRDH","affiliation":"","role":"Assistance technique"}],"funding_agencies":[{"name":"Gouvernement du S\u00e9n\u00e9gal","abbreviation":"","role":""},{"name":"United States Agency for International Development","abbreviation":"USAID","role":""},{"name":"Fonds des Nations Unies pour l'Enfance","abbreviation":"UNICEF","role":""},{"name":"Fonds Mondial \/ Global Fund","abbreviation":"","role":""},{"name":"Cellule de Lutte contre la Malnutrition","abbreviation":"CLM","role":""},{"name":"Fonds des Nations Unies pour la Population","abbreviation":"FNUAP \/ UNFPA","role":""}]},"distribution_statement":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"http:\/\/www.measuredhs.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS VI","series_info":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 du S\u00e9n\u00e9gal (EDS-MICS), fait suite aux EDS de 1986, 1992, 1997 et 2005. Comme les pr\u00e9c\u00e9dentes, l\u2019EDS-MICS 2010\/2011 avait pour objectif de produire les informations n\u00e9cessaires \u00e0 l\u2019\u00e9laboration, au suivi et \u00e0 l\u2019\u00e9valuation des programmes en mati\u00e8re de d\u00e9veloppement \u00e9conomique et social en g\u00e9n\u00e9ral, dans le domaine de la sant\u00e9 en particulier."},"study_info":{"abstract":"L'Enqu\u00eate D\u00e9mographique et de Sant\u00e9 du S\u00e9n\u00e9gal (EDS-MICS), fait suite aux EDS de 1986, 1992, 1997 et 2005. Comme les pr\u00e9c\u00e9dentes, l\u2019EDS-MICS 2010\/2011 avait pour objectif de produire les informations n\u00e9cessaires \u00e0 l\u2019\u00e9laboration, au suivi et \u00e0 l\u2019\u00e9valuation des programmes en mati\u00e8re de d\u00e9veloppement \u00e9conomique et social en g\u00e9n\u00e9ral, dans le domaine de la sant\u00e9 en particulier. Je me r\u00e9jouis de la qualit\u00e9 de la collaboration avec le Minist\u00e8re de l\u2019Economie et des Finances qui a associ\u00e9 le Minist\u00e8re de la Sant\u00e9 et de la Pr\u00e9vention M\u00e9dicale dans cette importante rencontre.\n\nL\u2019EDS-MICS 2010\/2011 a \u00e9t\u00e9 r\u00e9alis\u00e9e par l\u2019Agence Nationale de la Statistique et de la D\u00e9mographie (ANSD) avec le concours technique d\u2019ICF Macro International Inc.et du CRDH. Le laboratoire de Bact\u00e9riologie et de Virologie du CHU de l\u2019h\u00f4pital Aristide le Dantec de Dakar et le laboratoire de parasit\u00e9mie de l\u2019Universit\u00e9 Cheikh Anta DIOP (UCAD) ont apport\u00e9e leur appuie dans la mise en oeuvre des volets S\u00e9rologie du VIH et de la parasit\u00e9mie palustre. Je leurs adresse mes vifs remerciements.\n\nL\u2019EDS-MICS, tout en reprenant les th\u00e8mes d\u00e9velopp\u00e9s dans les pr\u00e9c\u00e9dentes EDS, a \u00e9t\u00e9 renforc\u00e9 d\u2019indicateurs de l\u2019Enqu\u00eate \u00ab Multiple Indicator Cluster Survey \u00bb ou Enqu\u00eate par Grappe \u00e0 Indicateurs Multiples (MICS), parmi lesquels la f\u00e9condit\u00e9, la planification familiale, les soins pr\u00e9 et postnatals, les maladies des enfants, leur pr\u00e9vention et leur prise en charge, la mortalit\u00e9 au cours de l\u2019enfance. Elle vient combler l\u2019insuffisance des donn\u00e9es sur d\u2019autres questions majeures, \u00e0 savoir les questions de genre, la malnutrition chez les enfants mais aussi chez les adultes hommes et les femmes \u00e0 partir des mesures anthropom\u00e9trique, le niveau d\u2019h\u00e9moglobine dans le sang et la mesure de la pr\u00e9valence du VIH dans la population adulte. Les questions sur la mortalit\u00e9 maternelle ont \u00e9t\u00e9 r\u00e9\u00e9dit\u00e9es et celles sur la pr\u00e9vention du paludisme et l\u2019alimentation des enfants approfondies. En mutualisation diff\u00e9rentes enqu\u00eates, cette op\u00e9ration a permis de rationaliser les ressources publiques de plus en plus rares. Finalement, l\u2019EDS-MICS a permis de disposer d\u2019une grande vari\u00e9t\u00e9 de donn\u00e9es actualis\u00e9es ou tout simplement in\u00e9dites n\u00e9cessaires \u00e0 une bonne planification \u00e9conomique et sociale.\n\nOBJECTIFS\n\nL\u2019Enqu\u00eate D\u00e9mographique et de Sant\u00e9 et \u00e0 Indicateurs Multiples au S\u00e9n\u00e9gal (EDS-MICS, 2010-11) r\u00e9alis\u00e9e sur un \u00e9chantillon repr\u00e9sentatif de femmes de 15-49 ans et d\u2019hommes de 15-59 ans avait pour principauxobjectifs :\n\n1. Calculer des indicateurs d\u00e9mographiques essentiels, plus particuli\u00e8rement les taux de f\u00e9condit\u00e9 et de mortalit\u00e9 infantile et infanto-juv\u00e9nile et analyser les facteurs directs et indirects qui d\u00e9terminent le niveau et la tendance de la f\u00e9condit\u00e9 et de la mortalit\u00e9 infanto- juv\u00e9nile ;\n2. Mesurer les indicateurs de fr\u00e9quentation et d\u2019ach\u00e8vement scolaire au primaire et secondaire (Taux Brut et Taux Net de Scolarisation au Primaire, Taux d\u2019ach\u00e8vement en 5e ann\u00e9e du primaire) ; le niveau d\u2019analphab\u00e9tisme au sein de la population adulte ;\n3. Mesurer les niveaux de connaissance et de pratique contraceptive des femmes par m\u00e9thode ; \u00e9valuer le comportement des adolescents en mati\u00e8re de la sant\u00e9 de la reproduction (contraception, sexualit\u00e9, utilisation des services) ;\n4. Appr\u00e9cier l\u2019\u00e9tat de sant\u00e9 familiale : vaccination, pr\u00e9valence et traitement de la diarrh\u00e9e et d\u2019autres maladies chez les enfants de moins de cinq ans, visites pr\u00e9natales, assistance \u00e0 l\u2019accouchement et visites postnatales ;\n5. Mesurer la fr\u00e9quence de la fi\u00e8vre, le degr\u00e9 de pr\u00e9vention et de traitement du paludisme, en particulier la possession et l\u2019utilisation de moustiquaires, la pr\u00e9vention du paludisme chez les femmes enceintes, le traitement des enfants atteints de fi\u00e8vre et\/ou de convulsions ;\n6. Evaluer l\u2019\u00e9tat nutritionnel des enfants et des femmes, appr\u00e9cier les pratiques nutritionnelles des enfants, y compris l\u2019allaitement ; mesurer le niveau de consommation du sel iod\u00e9 par les m\u00e9nages ;\n7. Evaluer la pr\u00e9valence de l\u2019an\u00e9mie parmi les enfants de moins de cinq ans, les femmes de 15-49 ans et les hommes de 15-59 ans ;\n8. Evaluer le niveau d\u2019accessibilit\u00e9 de la population \u00e0 l\u2019eau potable et celui de l\u2019accessibilit\u00e9 \u00e0 l\u2019assainissement ad\u00e9quat ;\n9. Appr\u00e9cier les connaissances, attitudes et pratiques des femmes et des hommes en mati\u00e8re d\u2019IST et de sida ;\n10. Estimer la pr\u00e9valence du VIH dans la population g\u00e9n\u00e9rale adulte d\u2019\u00e2ge reproductif \u00e0 travers les pr\u00e9l\u00e8vements de sang pour le d\u00e9pistage anonyme du VIH aupr\u00e8s des femmes de 15-49 ans et des hommes de 15-59 ans ;\n11. Estimer la pr\u00e9valence de la parasit\u00e9mie palustre chez les enfants de moins de cinq ans \u00e0 travers l\u2019examen microscopique de la goutte \u00e9paisse ;\n12. Appr\u00e9cier le niveau d\u2019enregistrement des enfants \u00e0 l\u2019\u00e9tat-civil, le travail des enfants ;\n13.Mesurer l\u2019ampleur de la pratique de l\u2019excision ;\n14. Estimer, \u00e0 l\u2019\u00e9chelle nationale, le niveau de la mortalit\u00e9 adulte et particuli\u00e8rement maternelle.","coll_dates":[{"start":"2010-10-13","end":"2011-04-28","cycle":""}],"nation":[{"name":"Senegal","abbreviation":"SEN"}],"geog_coverage":"L'EDS MICS est une enqu\u00eate a couverture nationale. Les r\u00e9sultats de l'enqu\u00eate seront pr\u00e9sent\u00e9s pour le S\u00e9n\u00e9gal, pour la capitale Dakar et les autres villes urbaines s\u00e9par\u00e9ment, pour le milieu urbain ensemble et le milieu rural ensemble s\u00e9par\u00e9ment, et pour chacune des quatorze r\u00e9gions administratives.","data_kind":"Sample survey data","notes":"L\u2019EDS-MICS a collect\u00e9 des informations sur les niveaux de f\u00e9condit\u00e9, l\u2019activit\u00e9 sexuelle, les pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9, la connaissance et l\u2019utilisation des m\u00e9thodes de la planification familiale, les pratiques de l\u2019allaitement, l\u2019\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\u2019enfant et sur la connaissance, les attitudes et les comportements vis-\u00e0-vis du sida et autres infections sexuellement transmissibles et l\u2019excision. D\u2019autres volets inclus dans l\u2019enqu\u00eate fournissent des informations sur les fistules, l\u2019utilisation des moustiquaires ainsi que les tests du VIH, de l\u2019an\u00e9mie et de la parasit\u00e9mie palustre.","study_scope":"L\u2019EDS-MICS a collect\u00e9 des informations sur les niveaux de f\u00e9condit\u00e9, l\u2019activit\u00e9 sexuelle, les pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9, la connaissance et l\u2019utilisation des m\u00e9thodes de la planification familiale, les pratiques de l\u2019allaitement, l\u2019\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\u2019enfant et sur la connaissance, les attitudes et les comportements vis-\u00e0-vis du sida et autres infections sexuellement transmissibles et l\u2019excision. D\u2019autres volets inclus dans l\u2019enqu\u00eate fournissent des informations sur les fistules, l\u2019utilisation des moustiquaires ainsi que les tests du VIH, de l\u2019an\u00e9mie et de la parasit\u00e9mie palustre."},"method":{"data_collection":{"sampling_procedure":"Pour atteindre les objectifs assign\u00e9s \u00e0 cette enqu\u00eate, un \u00e9chantillon national stratifi\u00e9 de 8232 m\u00e9nages a \u00e9t\u00e9 tir\u00e9 ; il \u00e9tait attendu d'enqu\u00eater environ 15044 femmes de 15-49 ans et 4429 hommes de 15-59 ans dans ces m\u00e9nages. Des pr\u00e9l\u00e8vements de sang ont \u00e9t\u00e9 effectu\u00e9s aupr\u00e8s d'un tiers de l'\u00e9chantillon global, 4104 hommes et 5326 femmes.\n\nLa proc\u00e9dure d'\u00e9chantillonnage retenue pour l'EDS-MICS, 2010-11 est un tirage ar\u00e9olaire stratifi\u00e9 \u00e0 deux degr\u00e9s. L'unit\u00e9 primaire de sondage, appel\u00e9e aussi grappe, est le district de recensement (DR) ou une partie du DR lorsque ce dernier est de tr\u00e8s grande taille. La partie urbaine et la partie rurale de chaque r\u00e9gion correspondent chacune \u00e0 une strate d'\u00e9chantillonnage. Au total, 28 strates ont \u00e9t\u00e9 cr\u00e9es. L'\u00e9chantillon de premier degr\u00e9 a \u00e9t\u00e9 tir\u00e9 ind\u00e9pendamment dans chaque strate et l'\u00e9chantillon de second degr\u00e9 l'a \u00e9t\u00e9 ind\u00e9pendamment dans chaque unit\u00e9 primaire tir\u00e9e au premier degr\u00e9. Le plan de sondage d\u00e9taill\u00e9 est pr\u00e9sent\u00e9 en annexe du Rapport Final.\n\nAu premier degr\u00e9 de sondage, 391 grappes (147 grappes en milieu urbain et 244 grappes en milieu rural) ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es en proc\u00e9dant \u00e0 un tirage syst\u00e9matique avec probabilit\u00e9 proportionnelle \u00e0 la taille ; la taille du DR \u00e9tant le nombre de m\u00e9nages. Un d\u00e9nombrement des m\u00e9nages dans chacune de ces grappes a fourni la liste des m\u00e9nages \u00e0 partir de laquelle a \u00e9t\u00e9 tir\u00e9 au second degr\u00e9 un \u00e9chantillon de 21 m\u00e9nages avec un tirage syst\u00e9matique \u00e0 probabilit\u00e9 \u00e9gale. Toutes les femmes de 15 \u00e0 49 ans, r\u00e9sidentes habituelles ou visiteuses, identifi\u00e9es dans ces m\u00e9nages ont \u00e9t\u00e9 individuellement enqu\u00eat\u00e9es.\n\nDans chaque grappe, parmi les 21 m\u00e9nages s\u00e9lectionn\u00e9s pour l'enqu\u00eate des femmes, 8 m\u00e9nages ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s pour faire l'objet d'enqu\u00eate aupr\u00e8s des hommes. Tous les hommes \u00e2g\u00e9s de 15 \u00e0 59 ans dans les m\u00e9nages ainsi s\u00e9lectionn\u00e9s \u00e9taient \u00e9ligibles pour l'enqu\u00eate homme.\n\nDans ce sous-\u00e9chantillon, toutes les femmes et tous les hommes \u00e9ligibles pour l'enqu\u00eate individuelle \u00e9taient aussi \u00e9ligibles pour le test du VIH. En outre, dans ce sous-\u00e9chantillon de m\u00e9nages, il \u00e9tait propos\u00e9 \u00e0 toutes les femmes et tous les hommes \u00e9ligibles pour l'enqu\u00eate ainsi que pour tous les enfants de 6-59 mois, un test d'an\u00e9mie. Par ailleurs, dans ce m\u00eame sous-\u00e9chantillon de m\u00e9nages, touts les hommes et les femmes \u00e9ligibles ainsi que tous les enfants de moins de 5 ans \u00e9taient s\u00e9lectionn\u00e9s pour \u00eatre mesur\u00e9s et pes\u00e9s afin de d\u00e9terminer leur \u00e9tat nutritionnel. Enfin tous les enfants de 6-59 mois dans le sous-\u00e9chantillon \u00e9taient \u00e9ligibles pour subir le test de d\u00e9pistage du paludisme.\n\nBASE DE SONDAGE\n\nL\u2019Agence Nationale de la Statistique et de la D\u00e9mographie (ANSD) dispose d\u2019un fichier informatique des districts de recensement (DR) cr\u00e9\u00e9s pour les besoins du Recensement G\u00e9n\u00e9ral de la Population et de l\u2019Habitat de 2002 (RGPH-2002). Ce fichier est retenu comme base de sondage pour l\u2019EDS-MICS 2010-11. Dans ce fichier, il y a 9 733 DRs ; chaque DR appara\u00eet avec tous ses identifiants (r\u00e9gion, d\u00e9partement, commune\/arrondissement et code d\u2019identification), sa taille en m\u00e9nage et son type de milieu de r\u00e9sidence (urbain ou rural). Des cartes cartographiques pour chaque DR, cr\u00e9\u00e9es pour le RGPH-2002 sont aussi disponibles o\u00f9 les limites de chaque DR sont clairement identifiables. Parmi les 9 733 DRs, 4117 se trouvent dans le milieu urbain, et 5616 se trouvent dans le milieu rural.\n\nLa taille moyenne du DR est de 127 m\u00e9nages dans le milieu urbain, et de 99 m\u00e9nages dans le milieu rural, avec une taille moyenne globale de 111 m\u00e9nages. Le Minist\u00e8re de l\u2019Int\u00e9rieur a r\u00e9cemment r\u00e9alis\u00e9 un nouveau d\u00e9coupage du territoire du pays, et le nombre de r\u00e9gions est devenu quatorze au lieu des onze r\u00e9gions dans le RGPH-2002, et certaines communes rurales dans le RGPH-2002 sont red\u00e9finies comme des communes urbaines. Cela a augment\u00e9 le milieu urbain de 2 % environ. Au S\u00e9n\u00e9gal, il y a quatorze r\u00e9gions ; chaque r\u00e9gion est subdivis\u00e9e en d\u00e9partements ; il a au total 46 d\u00e9partements ; chaque d\u00e9partement est subdivis\u00e9 en communes et arrondissements, etc. Au S\u00e9n\u00e9gal, 42,4 % pourcent de la population vivent en milieu urbain, et ils repr\u00e9sentent 48,5 % des m\u00e9nages ; 22 % de la population et 27,3 % de m\u00e9nages se trouvent dans la r\u00e9gion de Dakar. Au niveau r\u00e9gional, les tailles des r\u00e9gions en population repr\u00e9sentent une grande variation, allant de 1 % pour la r\u00e9gion de K\u00e9dougou \u00e0 22 % pour la r\u00e9gion de Dakar.","coll_mode":"Face-to-face","research_instrument":"Les questionnaires pr\u00e9par\u00e9s par le projet DHS et MICS sont les instruments de base de l\u2019EDS-MICS 2010-11. Des modifications jug\u00e9es n\u00e9cessaires ont \u00e9t\u00e9 apport\u00e9es aux questionnaires de base pour les adapter aux sp\u00e9cificit\u00e9s socioculturelles du pays et r\u00e9pondre aux besoins des utilisateurs. Pour assurer la comparabilit\u00e9 des r\u00e9sultats au niveau international, ces changements ont \u00e9t\u00e9 aussi limit\u00e9s que possible. \n\nTrois questionnaires ont \u00e9t\u00e9 utilis\u00e9s au cours de l\u2019EDS-MICS 2010-11: (1) un questionnaire m\u00e9nage, (2) un questionnaire individuel pour les femmes de 15-49 ans et (3) un questionnaire individuel pour les hommes de 15-59 ans. En plus des sections habituelles des Programme MEASURE DHS, les questionnaires ont inclus aussi les modules suivants :\n- Education pr\u00e9scolaire ;\n- Prise en charge des enfants de 3-5 ans ;\n- Travail des enfants de 5-17 ans ;\n- Excision ;\n- Maladies chroniques ;\n- VIH\/sida de fa\u00e7on \u00e0 obtenir les informations n\u00e9cessaires au calcul des indicateurs de Suivi et Evaluation \u00e0 partir des recommandations de l\u2019ONUSIDA ;\n- Mortalit\u00e9 maternelle ;\n- Paludisme.\n\nLes contenus sp\u00e9cifiques de ces diff\u00e9rents questionnaires sont les suivants :\n\nLe questionnaire m\u00e9nage : Le questionnaire m\u00e9nage a \u00e9t\u00e9 utilis\u00e9 pour lister tous les membres habituels et les visiteurs des m\u00e9nages s\u00e9lectionn\u00e9s. La page de couverture contient les informations relatives \u00e0 l\u2019identification du m\u00e9nage, aux r\u00e9sultats de l\u2019interview qui permettent de calculer le taux de couverture de l\u2019enqu\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\u2019interview. Les informations recueillies portent sur le sexe, l\u2019\u00e2ge, l\u2019\u00e9ducation scolaire et pr\u00e9scolaire, la survie des parents, la d\u00e9claration des enfants \u00e0 l\u2019\u00e9tat civil, la prise en charge des jeunes enfants au niveau pr\u00e9scolaire et le travail des enfants. Par ailleurs, d\u2019autres informations portant sur les caract\u00e9ristiques du logement (approvisionnement en eau, type de toilettes, mat\u00e9riau de construction, disponibilit\u00e9 de l\u2019\u00e9lectricit\u00e9, possession de biens durables, etc.), la possession, l\u2019utilisation et le traitement des moustiquaires, ainsi que l\u2019utilisation du sel iod\u00e9 dans la pr\u00e9paration des repas, ont \u00e9t\u00e9 \u00e9galement collect\u00e9es. [Note: Dans tous les m\u00e9nages enqu\u00eat\u00e9s, le sel utilis\u00e9 pour la cuisine est test\u00e9 pour d\u00e9terminer sa teneur en iode. Les r\u00e9sultats du test permettront de d\u00e9terminer la proportion de femmes et d\u2019enfants vivant dans des m\u00e9nages utilisant du sel suffisamment iod\u00e9.] Des questions relatives \u00e0 l\u2019acc\u00e8s \u00e0 la propri\u00e9t\u00e9 fonci\u00e8re et \u00e0 la s\u00e9curit\u00e9 r\u00e9sidentielle ont \u00e9galement \u00e9t\u00e9 pos\u00e9es. Ces informations ont \u00e9t\u00e9 recueillies afin d\u2019\u00e9valuer les conditions environnementales et socio\u00e9conomiques dans lesquelles vivent les personnes enqu\u00eat\u00e9es.\n\nEn outre, un des objectifs essentiels du questionnaire m\u00e9nage \u00e9tait d\u2019identifier les femmes et les hommes \u00e9ligibles pour des interviews individuelles et les enfants \u00e9ligibles pour l\u2019anthropom\u00e9trie, les tests d\u2019an\u00e9mie et de parasit\u00e9mie.\n\nDe plus, dans le sous-\u00e9chantillon de m\u00e9nages s\u00e9lectionn\u00e9s pour l\u2019enqu\u00eate aupr\u00e8s des hommes (soit huit m\u00e9nages sur vingt et un), le questionnaire m\u00e9nage a permis de recueillir les r\u00e9sultats des tests sur le paludisme et des mesures anthropom\u00e9triques 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\nCe questionnaire a \u00e9galement \u00e9t\u00e9 utilis\u00e9 pour enregistrer, pour les personnes \u00e9ligibles, les r\u00e9sultats des mesures anthropom\u00e9triques (poids et taille) et des tests du VIH, de l\u2019h\u00e9moglobine (an\u00e9mie) et de la parasit\u00e9mie. Les pr\u00e9l\u00e8vements de sang pour les tests \u00e9clair\u00e9s et volontaires de VIH ont \u00e9t\u00e9 document\u00e9s sur d\u2019autres supports. Dans le sous-\u00e9chantillon de m\u00e9nages s\u00e9lectionn\u00e9s pour l\u2019enqu\u00eate aupr\u00e8s des hommes, les tests d\u2019an\u00e9mie et de VIH ont \u00e9t\u00e9 effectu\u00e9s sur les femmes de 15-49 ans et les hommes de 15-59 ans et les tests d\u2019an\u00e9mie et de parasit\u00e9mie l\u2019ont \u00e9t\u00e9 sur les enfants de 6-59 mois.\n\n\u00c0 partir d\u2019un pr\u00e9l\u00e8vement sanguin, il a \u00e9t\u00e9 fait un diagnostique du paludisme (s\u2019il s\u2019agit d\u2019un enfant) et une mesure par un test direct du niveau d\u2019h\u00e9moglobine de toutes les femmes de 15-49 ans, de tous les hommes de 15-59 ans et de tous les enfants de 6-59 mois. 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\u2019h\u00e9moglobine ont \u00e9t\u00e9 op\u00e9r\u00e9s sur les enqu\u00eat\u00e9s qui ont accept\u00e9 de s\u2019y soumettre volontairement, apr\u00e8s un consentement \u00e9clair\u00e9. Pour les mineurs (moins de 18 ans), le consentement est demand\u00e9 aux parents ou personnes en charge (repr\u00e9sentants l\u00e9gaux) des mineurs.\n\nLe questionnaire individuel femme : Il constitue l\u2019\u00e9l\u00e9ment central de l\u2019EDS-MICS 2010-11. Il comprend une page de couverture similaire \u00e0 celle du questionnaire m\u00e9nage sur laquelle sont enregistr\u00e9s les informations d\u2019identification du m\u00e9nage, le r\u00e9sultat de l\u2019interview qui permet de calculer le taux de couverture de l\u2019enqu\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- Caract\u00e9ristiques sociod\u00e9mographiques : cette section porte sur le lieu de r\u00e9sidence, l\u2019\u00e2ge et la date de naissance, la scolarisation, l\u2019alphab\u00e9tisation, la nationalit\u00e9, la religion, l\u2019ethnie et l\u2019exposition 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\u2019enqu\u00eate, sur l\u2019\u00e9tat de grossesse au moment de l\u2019enqu\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\u2019utilisation ant\u00e9rieure et actuelle des diff\u00e9rentes m\u00e9thodes contraceptives, ainsi que sur la source d\u2019approvisionnement. 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\u2019une m\u00e9thode.\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\u2019enqu\u00eate. Elle est compos\u00e9e de deux parties. La premi\u00e8re permet d\u2019obtenir des informations sur la p\u00e9riode de la grossesse, les soins pr\u00e9natals incluant la vaccination antit\u00e9tanique, le lieu d\u2019accouchement 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\u2019enfant. Concernant l\u2019allaitement, les questions portent sur sa fr\u00e9quence et sa dur\u00e9e, sur le type d\u2019allaitement (maternel ou artificiel), ainsi que sur l\u2019utilisation 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\u2019\u00e9tat matrimonial de la femme, la cohabitation avec le conjoint, le type de mariage (monogamie ou polygamie), l\u2019\u00e2ge au premier mariage et l\u2019\u00e2ge aux premiers rapports sexuels ainsi que sur l\u2019activit\u00e9 sexuelle ;\n- Pr\u00e9f\u00e9rences en mati\u00e8re de f\u00e9condit\u00e9 : cette section recueille des informations sur le d\u00e9sir d\u2019enfants suppl\u00e9mentaires, l\u2019intervalle souhait\u00e9 entre les naissances et l\u2019opinion concernant la taille de la famille ;\n- Autres probl\u00e8mes de sant\u00e9 ;\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\u2019activit\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- Les fistules obst\u00e9triques ;\n- Excision : on collecte ici des informations sur la pratique de l\u2019excision chez les femmes enqu\u00eat\u00e9es et leurs filles \u00e2g\u00e9es de moins de 10 ans, ainsi que sur leur attitude vis-\u00e0-vis de cette pratique ;\n- Mortalit\u00e9 maternelle : dans cette section, on enregistre des informations sur l\u2019\u00e2ge et l\u2019\u00e9tat de survie des fr\u00e8res et soeurs de l\u2019enqu\u00eat\u00e9e. Pour les soeurs d\u00e9c\u00e9d\u00e9es \u00e0 l\u2019\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 sur le nombre d\u2019enfants de la soeur (d\u00e9c\u00e9d\u00e9e ou non) ainsi que sur leur \u00e9tat de survie sont aussi pos\u00e9es. \n\nLe questionnaire individuel homme : Le 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- Emploi et r\u00f4le des sexes ;\n- VIH\/sida et autres infections sexuellement transmissibles ;\n- Autres probl\u00e8mes de sant\u00e9.\n\nLes questionnaires d\u00e9finitifs ont \u00e9t\u00e9 traduits dans les quatre principales langues nationales (Wolof, S\u00e9r\u00e8re, Poular et Mandingue).\n\nMANUELS ET AUTRES DOCUMENTS TECHNIQUES\n\nEn plus des questionnaires, d\u2019autres documents techniques ont \u00e9t\u00e9 \u00e9labor\u00e9s par l\u2019\u00e9quipe technique du l\u2019EDS-MICS 2010-11. Il s\u2019agit en particulier :\n- du manuel des enqu\u00eateurs\/enqu\u00eatrices ;\n- du manuel des chefs d\u2019\u00e9quipe ;\n- du manuel de cartographie et de d\u00e9nombrement des m\u00e9nages ;\n- du manuel d\u2019utilisation des tablettes PC (syst\u00e8me d\u2019interview assist\u00e9 par ordinateur (CAPI)) ;\n- du manuel pour l\u2019anthropom\u00e9trie ;\n- du manuel du test du paludisme ;\n- du manuel du test d\u2019an\u00e9mie et du test du VIH ;\n- des autres fiches de terrain et de gestion;\n- des fiches d\u2019affectation des enqu\u00eateurs\/contr\u00f4leuses ;\n- des fiches de contr\u00f4le et de gestion pour les tests (an\u00e9mie, VIH et paludisme) ;\n- des fiches de r\u00e9f\u00e9rence pour les tests (an\u00e9mie et paludisme).\n\nL\u2019ANSD a assur\u00e9 la reproduction en nombre suffisant de ces diff\u00e9rents documents.\n\nTESTS DE L'HEMOGLOBINE, DU VIH ET DE LA PARASITEMIE PALUSTRE\n\nDans huit (8) m\u00e9nages sur vingt et un (21), les femmes de 15-49 ans, les hommes de 15-59 ans et les enfants de moins de 5 ans \u00e9taient \u00e9ligibles pour le test d\u2019an\u00e9mie. En outre, les femmes et les hommes \u00e9taient \u00e9ligibles pour le test du VIH et les enfants de 6-59 mois pour les tests de parasit\u00e9mie. Les protocoles pour les tests de l\u2019an\u00e9mie, du VIH et de la parasit\u00e9mie ont \u00e9t\u00e9 approuv\u00e9s par le Comit\u00e9 d\u2019\u00c9thique (Internal Review Board) d\u2019ICF Macro \u00e0 Calverton et par le Comit\u00e9 National d\u2019\u00c9thique pour la Recherche en Sant\u00e9 (CNERS) du S\u00e9n\u00e9gal.\n\nTest de l\u2019h\u00e9moglobine : Le test d\u2019h\u00e9moglobine est la principale m\u00e9thode pour diagnostiquer l\u2019an\u00e9mie ; ce test est effectu\u00e9 en utilisant le syst\u00e8me d\u2019HemoCue. Un consentement libre et \u00e9clair\u00e9 \u00e9tait demand\u00e9 \u00e0 la personne \u00e9ligible (majeur capable) ou au parent\/adulte responsable de l\u2019enfant ou du jeune de 15-17 ans (repr\u00e9sentant l\u00e9gal). Ce consentement est obtenu aupr\u00e8s de l\u2019individu \u00e9ligible (ou le parent\/personne responsable) \u00e0 partir d\u2019une lettre d\u2019information qui explique l\u2019objectif du test, la remise imm\u00e9diate des r\u00e9sultats et les conditions de prise en charge en cas de besoin. Avant de pr\u00e9lever le sang, le doigt \u00e9tait nettoy\u00e9 avec un tampon imbib\u00e9 d\u2019alcool et s\u00e9ch\u00e9 \u00e0 l\u2019air. Ensuite, le bout du doigt (ou du talon des enfants de moins d\u2019un an et tr\u00e8s maigre) \u00e9tait piqu\u00e9 avec une lancette r\u00e9tractable, st\u00e9rile et non r\u00e9-utilisable. Une goutte de sang \u00e9tait r\u00e9cup\u00e9r\u00e9e dans une micro cuvette et ensuite introduite dans le photom\u00e8tre HemoCue qui indiquait le niveau d\u2019h\u00e9moglobine. Ces r\u00e9sultats \u00e9taient enregistr\u00e9s dans le questionnaire m\u00e9nage et communiqu\u00e9s \u00e0 la personne test\u00e9e, ou au parent\/adulte responsable, en expliquant la signification des r\u00e9sultats. Si la personne pr\u00e9sentait une an\u00e9mie s\u00e9v\u00e8re (un niveau d\u2019h\u00e9moglobine <7 g\/dl), l\u2019enqu\u00eateur lui fournissait une fiche de r\u00e9f\u00e9rence pour rechercher des soins aupr\u00e8s d\u2019un service de sant\u00e9.\n\nTest du VIH : Le test du VIH \u00e9tait effectu\u00e9 dans le sous-\u00e9chantillon de m\u00e9nages s\u00e9lectionn\u00e9s pour l\u2019enqu\u00eate homme. Les pr\u00e9l\u00e8vements de sang \u00e9taient effectu\u00e9s aupr\u00e8s de tous les hommes et toutes les femmes \u00e9ligibles de ces m\u00e9nages qui acceptaient volontairement de se soumettre au test. Le protocole pour d\u00e9pister le VIH est bas\u00e9 sur le protocole anonyme-li\u00e9 d\u00e9velopp\u00e9 par le projet DHS (Demographic and Health Surveys) et approuv\u00e9 par le Comit\u00e9 d\u2019\u00c9thique (Internal Review Board) de ICF Macro. Selon ce protocole, aucun nom ou autre caract\u00e9ristique individuelle ou g\u00e9ographique permettant d\u2019identifier un individu ne peut \u00eatre li\u00e9 \u00e0 l\u2019\u00e9chantillon du sang. Le Comit\u00e9 National d\u2019\u00c9thique pour la Recherche en Sant\u00e9 du S\u00e9n\u00e9gal a, apr\u00e8s examen et amendement, approuv\u00e9 le protocole. Etant donn\u00e9 que les tests du VIH sont strictement anonymes, il n\u2019\u00e9tait pas possible et ne sera\npas possible d\u2019informer les enqu\u00eat\u00e9s sur les r\u00e9sultats de leur test.\n\nPour accomplir les pr\u00e9l\u00e8vements sanguins aupr\u00e8s des personnes \u00e9ligibles, chaque \u00e9quipe de terrain comprenait un enqu\u00eateur-technicien sp\u00e9cialement charg\u00e9 des pr\u00e9l\u00e8vements. En plus de la formation d\u2019enqu\u00eateurs, ce technicien avait re\u00e7u une formation sp\u00e9ciale sur tous les aspects des protocoles des tests d\u2019an\u00e9mie et du VIH. D\u2019abord, pour chaque personne \u00e9ligible, le technicien 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\u2019anonymat du test. Pour les femmes et les hommes qui acceptaient d\u2019\u00eatre test\u00e9s, le technicien, en respectant toutes les pr\u00e9cautions d\u2019hygi\u00e8ne et de s\u00e9curit\u00e9 recommand\u00e9es, pr\u00e9levait des gouttes de sang sur un papier filtre. Dans la plupart des cas, les gouttes de sang pour les deux tests \u00e9taient obtenues \u00e0 partir d\u2019une m\u00eame piq\u00fbre au doigt. Une \u00e9tiquette contenant un code barre \u00e9tait coll\u00e9e sur le papier filtre contenant du sang. Une deuxi\u00e8me \u00e9tiquette avec le m\u00eame code barre \u00e9tait coll\u00e9e sur le questionnaire m\u00e9nage sur la ligne 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 absorbants l\u2019humidit\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\u2019humidit\u00e9 \u00e9taient plac\u00e9s dans le petit sac. Les sacs en plastique individuels \u00e9taient ainsi conserv\u00e9s secs jusqu\u2019\u00e0 leur acheminement au bureau central de l\u2019ANSD \u00e0 Dakar. \u00c0 l\u2019ANSD, ils \u00e9taient imm\u00e9diatement v\u00e9rifi\u00e9s et plac\u00e9s au frais avant leur enregistrement et leur transfert au Laboratoire de Bact\u00e9riologie Virologie (LBV) du CHU de Le Dantec.\n\nLe test des anticorps anti-VIH et la restitution des r\u00e9sultats \u00e9taient effectu\u00e9s par le LBV \u00e0 Dakar. Le LBV est le laboratoire de r\u00e9f\u00e9rence au S\u00e9n\u00e9gal ; il est r\u00e9guli\u00e8rement soumis \u00e0 un contr\u00f4le de qualit\u00e9 interne rigoureux, ainsi qu\u2019\u00e0 un contr\u00f4le de qualit\u00e9 externe. Le LBV participe \u00e0 diff\u00e9rents programmes de contr\u00f4le de qualit\u00e9 de la s\u00e9rologie VIH organis\u00e9s par l\u2019OMS (s\u00e9rologie effectu\u00e9e sur s\u00e9rums) et le CDC d\u2019Atlanta aux USA (s\u00e9rologie effectu\u00e9e sur s\u00e9rums et sur gouttes de sang s\u00e9ch\u00e9es). Pour ce qui concerne les proc\u00e9dures d\u2019analyse au laboratoire, les gouttes de sang s\u00e9ch\u00e9es sur papier filtre \u00e9taient perfor\u00e9es \u00e0 l\u2019aide d\u2019une poin\u00e7onneuse. Le poin\u00e7on coup\u00e9 mesurait approximativement 6 mm de diam\u00e8tre et \u00e9tait ensuite plong\u00e9 dans 150 micro litres de solution PBS pour \u00e9lution du s\u00e9rum. Ensuite le LBV a trait\u00e9 les pr\u00e9l\u00e8vements selon l\u2019algorithme suivant:\n- Tous les \u00e9chantillons sont test\u00e9s par un 1er ELISA (Vironostika\u00ae HIV Uni-Form II plus O).\n- Les \u00e9chantillons d\u00e9pist\u00e9s positifs par le 1er ELISA 1 ainsi que 10% des n\u00e9gatifs sont ensuite analys\u00e9s \u00e0 l\u2019aide d\u2019un second ELISA (Enzignost\u00ae HIV Anti-VIH1\/2 plus).\n- Tous les \u00e9chantillons positifs sur les deux ELISA sont report\u00e9s positifs.\n- Tous les \u00e9chantillons discordants aux deux ELISA (positifs au Vironostika et n\u00e9gatifs \u00e0 l\u2019Enzygnost) sont confirm\u00e9s par Inno-Lia Blot.\n\nUn programme en CSPro (Census and Survey Processing System) d\u00e9velopp\u00e9 par ICF Macro, sp\u00e9cialement con\u00e7u selon l\u2019algorithme retenu, \u00e9tait fourni au LBV pour la saisie des r\u00e9sultats des tests. Au fur et \u00e0 mesure des entr\u00e9es, ce programme proc\u00e9dait \u00e0 un comptage automatique de toutes les entr\u00e9es (nombre de pr\u00e9l\u00e8vements test\u00e9s, nombre de positifs et de n\u00e9gatifs selon les diff\u00e9rents kits utilis\u00e9s).\n\nTest de la parasit\u00e9mie palustre : Les tests de parasit\u00e9mie palustre ont \u00e9t\u00e9 effectu\u00e9s dans un tiers de l\u2019\u00e9chantillon sur les enfants de 6-59 mois. Deux tests du diagnostic du paludisme ont \u00e9t\u00e9 r\u00e9alis\u00e9s : test de diagnostic rapide (TDR) et goutte \u00e9paisse. Les enfants test\u00e9s positifs au TDR ont \u00e9t\u00e9 r\u00e9f\u00e9renc\u00e9s par les techniciens de laboratoire de l\u2019enqu\u00eate selon le protocole en vigueur. Par ailleurs, les gouttes \u00e9paisses confectionn\u00e9es sur une lame porte-objet apr\u00e8s pr\u00e9l\u00e8vement d\u2019un \u00e9chantillon de sang ont \u00e9t\u00e9 analys\u00e9s au laboratoire du D\u00e9partement de Parasitologie de la Facult\u00e9 de M\u00e9decine de l\u2019UCAD de Dakar.","coll_situation":"L\u2019EDS-MICS, 2010-11 s\u2019est d\u00e9roul\u00e9e en quatre \u00e9tapes principales : la phase pr\u00e9paratoire, la cartographie et le d\u00e9nombrement des m\u00e9nages des grappes \u00e9chantillonn\u00e9es (en septembre 2010), l\u2019enqu\u00eate pilote (Aout 2010) et l\u2019enqu\u00eate principale (15 octobre 2010 au 27 avril 2011). Pour chacune de ces trois derni\u00e8res \u00e9tapes, une formation a \u00e9t\u00e9 dispens\u00e9e aux personnes recrut\u00e9es pour les besoins des activit\u00e9s de terrain. \n\nLa phase pr\u00e9paratoire : La phase pr\u00e9paratoire a d\u00e9marr\u00e9 en novembre 2009 avec l\u2019\u00e9laboration du premier document de projet et a pris fin en juin 2010 juste avant la formation des agents de l\u2019enqu\u00eate pilote. Les documents de projet, de plaidoyer et les supports de collecte de l\u2019EDS-MICS2010-11 ont \u00e9t\u00e9 \u00e9labor\u00e9s durant cette phase. La mobilisation du budget a \u00e9galement \u00e9t\u00e9 faite; il en a \u00e9t\u00e9 de m\u00eame de la pr\u00e9sentation des documents de projet et de plaidoyer ont \u00e9t\u00e9 pr\u00e9sent\u00e9s au Minist\u00e8re de la Sante et aux Partenaires Techniques et Financiers et valid\u00e9s par eux.\n\nUne \u00e9quipe technique charg\u00e9e de piloter le projet assist\u00e9e par ICF MACRO\/CRDH, a \u00e9t\u00e9 mise en place au niveau de l\u2019ANSD. Un coordonateur m\u00e9dical et un nutritionniste \u00e9taient recrut\u00e9s et int\u00e9gr\u00e9s dans l\u2019\u00e9quipe technique. Deux laboratoires charg\u00e9s des volets biologiques (bact\u00e9riologie-virologie et parasitologie) \u00e9taient \u00e9galement mis \u00e0 contribution. Ceux-ci avaient la charge de la formation et de la supervision de des techniciens de sant\u00e9, des analyses de laboratoire et devaient participer \u00e0 l\u2019analyse des donn\u00e9es. Le coordonnateur m\u00e9dical \u00e9tait charg\u00e9 de coordonner les activit\u00e9s effectu\u00e9es par les techniciens de sant\u00e9 et les laboratoires.\n\nEnqu\u00eate pilote : Pour les besoins de l\u2019enqu\u00eate pilote, 20 agents (4 agents techniques de sant\u00e9 et 16 enqu\u00eateurs) ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s pour suivre une formation en 25 jours. Elle a comport\u00e9 trois volets : une formation sur les questionnaires papier (m\u00e9nage, femme et homme), sur les tests biologiques et anthropom\u00e9triques et sur les tablettes PC.\n\nLa formation sur les questionnaires papier qui a dur\u00e9 3 semaines a \u00e9t\u00e9 assur\u00e9e par l\u2019encadrement de l\u2019ESDMICS 2010-11 (ANSD et CRDH\/MACRO). La formation sur les tests biologiques et anthropom\u00e9triques (an\u00e9mie, VIH, parasit\u00e9mie et anthropom\u00e9trie a \u00e9t\u00e9 assur\u00e9e par des personnels des laboratoires de bact\u00e9riologie et virologie et de parasitologie et un nutritionniste. Le troisi\u00e8me volet de la formation portant sur les tablettes PC (UMPC) a \u00e9t\u00e9 par des experts de Macro et du CRDH. Tous les agents de terrain ont suivi la toute la formation, sauf le module sur les tests biologiques qui \u00e9tait r\u00e9serv\u00e9 aux seuls techniciens de sant\u00e9. A la fin de la formation, les agents ont re\u00e7u une formation compl\u00e9mentaire sur le contr\u00f4le technique, l\u2019organisation et la logistique du terrain ainsi que sur le contact avec les autorit\u00e9s et les populations.\n\nL\u2019enqu\u00eate pilote a dur\u00e9 cinq jours et a couvert une quarantaine de m\u00e9nages. Elle a \u00e9t\u00e9 l\u2019occasion d\u2019appr\u00e9cier la r\u00e9action des populations devant certaines questions en vue de prendre des mesures correctives, notamment dans la sensibilisation, la manipulation des UMPC, le programme de saisie Cs Pro et la formulation des questions. Les agents ont \u00e9t\u00e9 r\u00e9partis en quatre \u00e9quipes. Dans chaque \u00e9quipe, il y\u2019avait, en plus des enqu\u00eatrices un chef d\u2019\u00e9quipe et un technicien de sant\u00e9. Les \u00e9quipes \u00e9taient r\u00e9parties entre le milieu rural et le milieu urbain de la r\u00e9gion de Dakar ; deux \u00e9quipes en milieu urbain (Gu\u00e9diawaye) et les deux autres en milieu rural (d\u00e9partement de Rufisque).\n\nCartographie et d\u00e9nombrement : La formation des cartographes qui a \u00e9t\u00e9 r\u00e9alis\u00e9e en septembre 2010 et les travaux de terrain de septembre \u00e0 mi-octobre 2010. La formation comprenait des expos\u00e9s th\u00e9oriques sur la d\u00e9finition des concepts de base, les proc\u00e9dures et la m\u00e9thodologie de cartographie; et ; ii) des exercices pratiques de terrain et des \u00e9valuations continues. Sur la base des diff\u00e9rentes \u00e9valuations organis\u00e9es pendant la formation, 28 agents cartographes (r\u00e9partis en 7 \u00e9quipes compos\u00e9es chacune d\u2019un chef d\u2019\u00e9quipe et de 3 agents cartographes) ont \u00e9t\u00e9 d\u00e9finitivement retenus pour mettre en oeuvre la cartographie et le d\u00e9nombrement des m\u00e9nages dans les grappes s\u00e9lectionn\u00e9es.\n\nRecrutement et formation du personnel de terrain : Pour la r\u00e9alisation de la collecte de l\u2019EDS-MICS 2010-11, 110 personnes ont \u00e9t\u00e9 retenues pour suivre la formation de l\u2019enqu\u00eate principale. Elle s\u2019est d\u00e9roul\u00e9e comme pour la phase pilote en quatre phases et a \u00e9t\u00e9 assur\u00e9e par la m\u00eame \u00e9quipe technique. Dans cette phase, quinze jours ont \u00e9t\u00e9 consacr\u00e9s \u00e0 la formation des agents sur la manipulation des tablettes UMPC. \n\nLa collecte des donn\u00e9es : Apr\u00e8s la formation, 16 \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 aupr\u00e8s des femmes, un technicien de sant\u00e9 pour effectuer les mesures anthropom\u00e9triques, les tests du paludisme, de l\u2019an\u00e9mie et du VIH, et un chef d\u2019\u00e9quipe pour les enqu\u00eates aupr\u00e8s des hommes. Ce dernier \u00e9tait responsable de la performance et de la gestion de son \u00e9quipe. Il servait aussi d\u2019assistant au technicien de sant\u00e9 pour la prise des mesures anthropom\u00e9triques. En appui aux chefs d\u2019\u00e9quipe, des missions de la coordination pr\u00e9c\u00e9daient les \u00e9quipes dans les grappes pour informer et sensibiliser les autorit\u00e9s et les populations \u00e0 les accueillir et \u00e0 les aider \u00e0 bien mener l\u2019op\u00e9ration de collecte.\n\nLa sensibilisation des autorit\u00e9s et les populations \u00e9tait faite \u00e0 travers les lettres circulaires aux autorit\u00e9s r\u00e9gionales et des visites aux \u00e9lus locaux. Pendant la cartographie, cette activit\u00e9 faisait partie des termes de r\u00e9f\u00e9rence des \u00e9quipes. Des missions d\u2019information et de sensibilisation ont \u00e9t\u00e9 organis\u00e9es avant le d\u00e9marrage de la collecte des donn\u00e9es et se sont poursuivies pendant toute la dur\u00e9e des travaux de terrain. \n\nLes m\u00e9dia (radios communautaires) ont \u00e9galement \u00e9t\u00e9 mis \u00e0 contribution dans la sensibilisation des populations. \u00c0 cet \u00e9gard, un point de presse dont ont largement fait \u00e9cho la Radio T\u00e9l\u00e9vision Nationale, les T\u00e9l\u00e9visions priv\u00e9es, les Radios priv\u00e9es et la presse \u00e9crite, a \u00e9t\u00e9 tenu dans les locaux de l\u2019ANSD.\n\nLa collecte des donn\u00e9es sur le terrain a dur\u00e9e 6 mois et demi (du 13 octobre 2010 au 28 avril 2011) et a permis de visiter 456 DR (391 DR de l\u2019\u00e9chantillon EDS-MICS 2010-11 et 65 DR suppl\u00e9mentaires du PMI). L\u2019\u00e9chantillon suppl\u00e9mentaire du PMI concerne six r\u00e9gions: Kaolack, Kaffrine, K\u00e9dougou, Kolda, Saint Louis et Tambacounda.","act_min":"Pour assurer une bonne supervision des travaux de collecte, des missions de supervision rapproch\u00e9es ont \u00e9t\u00e9 organis\u00e9es par l\u2019encadrement technique. Parall\u00e8lement, ne mission de supervision organis\u00e9e par le Comit\u00e9 National d\u2019Ethique pour la Recherche en Sant\u00e9 (CNERS) a permis de s\u2019assurer du respect des r\u00e8gles d\u2019\u00e9thiques sur le terrain.\n\nExploitation des tableaux de qualit\u00e9 des donn\u00e9es : Pendant toute la dur\u00e9e de la collecte, un dispositif de contr\u00f4le de qualit\u00e9 des donn\u00e9es \u00e0 travers le suivi de certains indicateurs cl\u00e9s (le taux de couverture, \u00e2ge des enqu\u00eat\u00e9s, \u00e2ges au d\u00e9c\u00e8s des enfants, etc.) a \u00e9t\u00e9 mis en place. Les erreurs d\u00e9tect\u00e9es \u00e0 l\u2019occasion de ces contr\u00f4les \u00e9taient partag\u00e9es avec les \u00e9quipes de terrain \u00e0 travers des missions de supervision de l\u2019\u00e9quipe de coordination et de contacts t\u00e9l\u00e9phoniques en cas d\u2019urgence.","weight":"A cause de la r\u00e9partition non proportionnelle de l\u2019\u00e9chantillon parmi les strates et des diff\u00e9rents taux de r\u00e9ponse \u00e0 l\u2019enqu\u00eate par strate, des poids de sondage doivent \u00eatre affect\u00e9s dans toutes les analyses en utilisant les donn\u00e9es de l\u2019EDS-MICS 2010-11 pour assurer la repr\u00e9sentativit\u00e9 actuelle de l\u2019\u00e9chantillon au niveau national et au niveau r\u00e9gional.","cleaning_operations":"Traitement des donn\u00e9es : Le travail d\u2019apurement des donn\u00e9es se faisait au fur et \u00e0 mesure de la r\u00e9ception des dossiers des grappes achev\u00e9es. Une \u00e9quipe compos\u00e9e d\u2019informaticiens et de d\u00e9mographes corrigeait les erreurs d\u00e9tect\u00e9es. Apr\u00e8s la fusion des fichiers, les derni\u00e8res erreurs d\u00e9tect\u00e9es ont \u00e9t\u00e9 trait\u00e9es avec l\u2019appui de l\u2019expert informaticien d\u2019ICF Macro.\n\nAnalyse au laboratoire des pr\u00e9l\u00e8vements de sang : Les travaux d\u2019analyse des pr\u00e9l\u00e8vements de sang (goutte s\u00e9ch\u00e9e sur papier filtre) pour le test du VIH ont \u00e9t\u00e9 effectu\u00e9s par le laboratoire de bact\u00e9riologie virologie de l\u2019H\u00f4pital Aristide Le Dantec. En ce qui concerne le test du paludisme, la parasit\u00e9mie \u00e9tait r\u00e9alis\u00e9e par le laboratoire de parasitologie de l\u2019Universit\u00e9 Cheikh Anta Diop (UCAD). Le traitement des \u00e9chantillons des gouttes \u00e9paisses de sang s\u2019est fait au fur et mesure de collecte des donn\u00e9es sur le terrain. Quant \u00e0 l\u2019analyse des \u00e9chantillons de sang pour le test du VIH, elle a d\u00e9marre \u00e0 la fin de la collecte pour des raisons de confidentialit\u00e9 des donn\u00e9es m\u00eame si les pr\u00e9l\u00e8vements en provenance du terrain \u00e9taient r\u00e9guli\u00e8rement r\u00e9ceptionn\u00e9s au niveau du laboratoire de bact\u00e9riologie et de virologie."},"analysis_info":{"response_rate":"Au cours de l'EDS-MICS 2010-11, 391 grappes s\u00e9lectionn\u00e9es dans l'\u00e9chantillon ont \u00e9t\u00e9 finalement enqu\u00eat\u00e9es. Au total, 8212 m\u00e9nages ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s et parmi eux, 8029 m\u00e9nages occup\u00e9s ont \u00e9t\u00e9 identifi\u00e9s au moment de l'enqu\u00eate. Parmi ces 8029 m\u00e9nages, 7902 ont pu \u00eatre enqu\u00eat\u00e9s avec succ\u00e8s, soit un taux de r\u00e9ponse de plus de 98%. Le taux de r\u00e9ponse est l\u00e9g\u00e8rement plus \u00e9lev\u00e9 en milieu rural (98,6 %) qu'en milieu urbain (98,0 %).\n\nDans les 7902 m\u00e9nages enqu\u00eat\u00e9s, 16931 femmes \u00e2g\u00e9es de 15-49 ans ont \u00e9t\u00e9 identifi\u00e9es comme \u00e9ligibles pour l\u2019enqu\u00eate individuelle, et pour 15688 d\u2019entre elles, l\u2019interview a \u00e9t\u00e9 men\u00e9e avec succ\u00e8s, soit un taux de r\u00e9ponse de 92,7%. L\u2019enqu\u00eate homme a \u00e9t\u00e9 r\u00e9alis\u00e9e dans un m\u00e9nage sur trois : au total 4929 hommes de 15-59 sur 5668 \u00e9ligibles ont \u00e9t\u00e9 enti\u00e8rement enqu\u00eat\u00e9s (taux de r\u00e9ponses de 87%). Comme pour les femmes, les taux de r\u00e9ponse observ\u00e9s en milieu rural sont sensiblement plus \u00e9lev\u00e9s que ceux obtenus en milieu urbain.","sampling_error_estimates":"Les erreurs de sondage pour l\u2019EDS-MICS 2010-11 ont \u00e9t\u00e9 calcul\u00e9es pour certaines des variables les plus int\u00e9ressantes. Les r\u00e9sultats de l\u2019enqu\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 14 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. Les tableaux B.2 \u00e0 B.18 pr\u00e9sentent la valeur de la statistique (M), l\u2019erreur-type (ET), le nombre de cas non-pond\u00e9r\u00e9s (N) et pond\u00e9r\u00e9s (N\u2019), la racine carr\u00e9e de l\u2019effet du plan de sondage (REPS), l\u2019erreur relative (ET\/M), et l\u2019intervalle de confiance \u00e0 95% (M\u00b12ET) pour chaque variable. L\u2019effet du plan de sondage (REPS) est non-d\u00e9fini quand l\u2019\u00e9cart type sous l\u2019\u00e9chantillon al\u00e9atoire simple est z\u00e9ro (quand l\u2019estimation est proche de 0 ou 1). Dans le cas de l\u2019indice synth\u00e9tique de f\u00e9condit\u00e9, le nombre de cas non-pond\u00e9r\u00e9s n\u2019est pas pertinent, car la valeur non-pond\u00e9r\u00e9e de femmes-ann\u00e9es d\u2019exposition au risque de grossesse n\u2019est pas connue.\n\nL\u2019intervalle de confiance est interpr\u00e9t\u00e9 de la mani\u00e8re suivante : pour la variable Enfants n\u00e9s vivants, l\u2019EDSMICS 2010-11 a donn\u00e9 un nombre moyen d\u2019enfants n\u00e9s vivants de 2,509 pour l\u2019ensemble des femmes, auquel correspond une erreur-type de 0,038 enfants. Dans 95 % des \u00e9chantillons de taille et de caract\u00e9ristiques identiques, la valeur r\u00e9elle du nombre moyen d\u2019enfants n\u00e9s vivants des femmes \u00e2g\u00e9es de 15 \u00e0 49 ans se trouve entre 2,509 - 2\u00d70,038 et 2,509 + 2\u00d70,038, soit 2,433 et 2,585.\n\nPour l\u2019\u00e9chantillon national de femmes, la moyenne de la racine carr\u00e9e de l\u2019effet du plan de sondage (REPS) calcul\u00e9e pour l\u2019ensemble des estimations est de 1,684 ce qui veut dire que, par rapport \u00e0 un \u00e9chantillon al\u00e9atoire simple, l\u2019erreur de sondage est multipli\u00e9e en moyenne par un facteur de 1,684 parce qu\u2019on utilise un plan de sondage complexe (par grappes et \u00e0 plusieurs degr\u00e9s) et moins efficace."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"http:\/\/www.measuredhs.com\/"}],"cit_req":"L'utilisation des donn\u00e9es doit \u00eatre mentionn\u00e9e par l'inclusion d'une r\u00e9f\u00e9rence bibliographique contenant au minimum:\n- l'identification de l'enqu\u00eateur principal (agence ou personne ayant assur\u00e9 la responsabiit\u00e9 de la production des donn\u00e9es)\n- le titre exact de l'enqu\u00eate (y compris le pays, l'ann\u00e9e de l'enqu\u00eate et l'abbr\u00e9viation du titre de l'enqu\u00eate lorsque disponible)\n- le num\u00e9ro de r\u00e9f\u00e9rence de l'enqu\u00eate tel qu'indiqu\u00e9 dans notre catalogue\n- la source et la date du t\u00e9l\u00e9chargement des fichiers de donn\u00e9es pour les donn\u00e9es obtenues en ligne","disclaimer":"L'utilisateur des donn\u00e9es reconnait que le producteur des donn\u00e9es, le distributeur agr\u00e9\u00e9, ainsi que les bailleurs de fonds ayant contribu\u00e9 au financement de la production de ces donn\u00e9es, ne sont nullement responsables de l'utilisation qui sera faite de ces donn\u00e9es, ni des interpr\u00e9tations et conclusions d\u00e9riv\u00e9es de leur analyse et utilisation."}}},"data_files":[{"file_id":"F1","file_name":"RECH0","description":"HOUSEHOLD \n- Household's basic data","case_count":"8212","var_count":"38","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F2","file_name":"RECH1","description":"HOUSEHOLD \n- Household Schedule","case_count":"77269","var_count":"31","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F3","file_name":"RECH2","description":"HOUSEHOLD \n- Household Characteristics","case_count":"7902","var_count":"92","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F4","file_name":"RECH3","description":"HOUSEHOLD \n- Survey specific Household variables","case_count":"8212","var_count":"49","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F5","file_name":"RECH4","description":"HOUSEHOLD \n- Survey specific Household Schedule variables","case_count":"77269","var_count":"11","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F6","file_name":"RECH5","description":"HOUSEHOLD \n- Women Height\/Weight\/Hemoglobin","case_count":"6905","var_count":"38","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F7","file_name":"RECH6","description":"HOUSEHOLD \n- Children Height\/Weight\/Hemoglobin","case_count":"5199","var_count":"42","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F8","file_name":"RECHMA","description":"HOUSEHOLD \n- Men Height\/Weight\/Hemoglobin","case_count":"5941","var_count":"37","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F9","file_name":"RECHMH","description":"HOUSEHOLD \n- Malaria: by Household 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