{"type":"survey","study_desc":{"title_statement":{"idno":"HND_2005_DHS_v01_M","title":"Encuesta Nacional de Demograf\u00eda y Salud 2005-2006","alt_title":"ENDESA 2005-06 \/ DHS 20005-06","translated_title":"Demographic and Health Survey 2005-2006"},"authoring_entity":[{"name":"Secretar\u00eda de Salud","affiliation":""},{"name":"Instituto Nacional de Estad\u00edstica (INE)","affiliation":""}],"production_statement":{"producers":[{"name":"Macro International Inc.","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Agencia de Estados Unidos para el Desarrollo Internacional","abbreviation":"USAID","role":"Funding"}]},"distribution_statement":{"contact":[{"name":"General Inquiries","affiliation":"","email":"info@measuredhs.com","uri":"www.measuredhs.com"},{"name":"Data and Data Related Resources","affiliation":"","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (standard) - DHS V","series_info":"La ENDESA 2005-2006 es una investigaci\u00f3n que se constituye en la continuaci\u00f3n de los esfuerzos de la Encuesta Nacional de Epidemiolog\u00eda y Salud Familiar \u2013ENESF-realizadas desde 1981 al 2001, proporcionando la oportunidad de conocer aproximadamente cada cinco a\u00f1os, el nivel, tendencia y diferenciales de la fecundidad, mortalidad, prevalencia anticonceptiva y de la salud familiar; conocimiento que ha sido y es fundamental para el dise\u00f1o y orientaci\u00f3n de las pol\u00edticas y programas de salud de la poblaci\u00f3n, en particular de la salud materno infantil."},"study_info":{"abstract":"La ENDESA 2005-2006 se realiz\u00f3 con el objetivo principal de proporcionar informaci\u00f3n estad\u00edstica actualizada a nivel nacional y por regiones departamentales (exceptuando por costos y accesibilidad, Isla s de la Bah\u00eda y Gracias a D\u00edos) y metropolitanas de salud, sobre indicadores de vivienda, fecundidad, salud en general y salud reproductiva en particular, estado nutricional de los ni\u00f1os, mortalidad infantil y en la ni\u00f1ez, VIH\/SIDA, violencia intrafamiliar, morbilidad, utilizaci\u00f3n de servicios y gastos en salud e indicadores demogr\u00e1ficos de la poblaci\u00f3n de Honduras. Otro de los objetivos de la ENDESA 2005-2006 es proporcionar informaci\u00f3n comparativa con encuestas de salud anteriores, realizadas en el pa\u00eds. \n\nLa muestra ENDESA 2005-2006 fue dise\u00f1ada para proveer an\u00e1lisis a diferentes niveles de desagregaci\u00f3n geogr\u00e1fica, tales como el \u00e1rea de residencia de la poblaci\u00f3n (urbano o rural), de las regiones departamentales de salud y las zonas metropolitanas de los departamentos de Cort\u00e9s y Francisco Moraz\u00e1n. El universo poblacional para el cuestionario individual de mujeres de la ENDESA 2005-2006 se defini\u00f3 como la poblaci\u00f3n femenina de 15 a 49 a\u00f1os de edad de todo el pa\u00eds. \n\nDurante el trabajo de campo, el cual se inici\u00f3 el 30 de Octubre del 2005 y se extendi\u00f3 hasta el d\u00eda 11 de Mayo de 2006, se visitaron un total de 21,201 viviendas en los 1,050 conglomerados (sectores censales) seleccionados para la ENDESA 2005-2006. En estas viviendas se encontraron 19,092 hogares ocupados y se logr\u00f3 realizar la entrevista en 18,683, de donde resulta una tasa de respuesta del 98 por ciento al excluir del c\u00e1lculo los hogares ausentes y las viviendas desocupadas o no encontradas. \n\nDe un total de 21,634 mujeres elegibles se pudo entrevistar a 19,948, obteni\u00e9ndose una tasa de respuesta del 92 por ciento. Estas tasas son satisfactorias para este tipo de encuestas, sobre todo tomando en cuenta las dif\u00edciles condiciones que presentan algunas \u00e1reas y poblaciones de Honduras para el trabajo de campo, particularmente en comunidades mineras que mantienen reserva ante toda presencia externa. \n\nCARACTER\u00cdSTICAS DE LA POBLACI\u00d3N ENTREVISTADA \n\nEn todas las viviendas de la muestra seleccionada para la ENDESA 2005-2006 se aplic\u00f3 el cuestionario del hogar en el cual se registraron las caracter\u00edsticas m\u00e1s importantes de cada uno de los miembros del hogar: relaci\u00f3n de parentesco con el jefe del hogar, si el miembro listado es residente o visitante, sexo, edad, educaci\u00f3n, asistencia a centros regulares de ense\u00f1anza, supervivencia y residencia de los padres, morbilidad y gastos en salud, caracter\u00edsticas de la vivienda y el hogar; y peso y talla de ni\u00f1os y mujeres. La prueba de anemia a ni\u00f1os y mujeres se realiz\u00f3 a todas las personas elegibles presentes o localizadas que estuvieron anuentes. Los resultados que aqu\u00ed se presentan se refieren fundamentalmente a la poblaci\u00f3n calificada como residente habitual. \n\n- Al igual que en 2001, las mujeres de 15 a 24 a\u00f1os representan alrededor del 40 por ciento del total en edad f\u00e9rtil y las de 35 y m\u00e1s a\u00f1os el 29 por ciento. En otras palabras, no ha cambiado la estructura por edad de las mujeres en edad reproductiva. En relaci\u00f3n a la distribuci\u00f3n por estado conyugal, tampoco se presentan cambios significativos entre 2001 y 2005-2006, con el 58 por ciento de las mujeres en el grupo de casadas o unidas. \n\n- Un poco m\u00e1s de la mitad de las mujeres entrevistadas en la ENDESA 2005-2006 (54 por ciento) residen en \u00e1reas urbanas, frente a 49 por ciento en el 2001. Por otro lado, en el campo de la educaci\u00f3n, el 10 por ciento de mujeres con ning\u00fan nivel educativo baj\u00f3 al 6 por ciento y una de cada tres mujeres (35 por ciento) tienen alg\u00fan grado de estudios secundarios o superiores (31 por ciento en el 2001). \n\n- Dos de cada cinco de las mujeres entrevistadas residen en Cort\u00e9s y Francisco Moraz\u00e1n. Individualmente, ninguno de los otros departamentos alberga m\u00e1s del 7 por ciento de las mujeres entrevistadas. \n\nFECUNDIDAD Y FACTORES ASOCIADOS \n\nA\u00fan cuando la tasa de fecundidad global (TFG) ha venido descendiendo en el pais, Honduras es el segundo pa\u00eds de Centro Am\u00e9rica con m\u00e1s alta tasa de fecundidad despu\u00e9s de Guatemala . Esta fecundidad est\u00e1 altamente relacionada con la edad de la primera relaci\u00f3n sexual y la edad en que se tiene el primer hijo. \n\nPara el per\u00edodo 2003-2006, la tasa global de fecundidad (TGF) en Honduras se estim\u00f3 en 3.3 hijos por mujer, lo que indica un descenso de un hijo si se compara con la TGF estimada en la ENESF 2001 de 4.4 hijos por mujer para el per\u00edodo 1998-2000. \n\nMORTALIDAD INFANTIL \n\nLa tasa de mortalidad infantil es un indicador sensible a los cambios que se producen en las sociedades. Los factores de desarrollo socioecon\u00f3mico inciden directamente sobre la probabilidad de sobrevida de los ni\u00f1os y tambi\u00e9n lo hacen sobre la capacidad de respuesta de los servicios de salud. \n\nExisten m\u00faltiples causas de muertes infantiles. Una de las m\u00e1s importantes se refiere a  la falta de acceso a la informaci\u00f3n y a servicios de salud de calidad, debido a barreras geogr\u00e1ficas, sociales, econ\u00f3micas y culturales. La falta de conocimiento de los signos de alarma o de las medidas de prevenci\u00f3n apropiadas, limitan la posibilidad de los padres y cuidadores de ni\u00f1os, a buscar ayuda oportuna con personal de salud calificado. \n\nEMBARAZO, PARTO Y PUERPERIO \n\nDurante las \u00faltimas d\u00e9cadas, Honduras ha venido desarrollando estrategias tendentes a mejorar la calidad de la atenci\u00f3n materna, favoreciendo el acceso de las mujeres a la planificaci\u00f3n familiar, la captaci\u00f3n de las embarazadas antes de las 12 semanas de gestaci\u00f3n, el acceso oportuno a la atenci\u00f3n calificada del parto y la atenci\u00f3n de calidad del periodo del postparto. \n\nPara tal prop\u00f3sito, se han dise\u00f1ado normas actualizadas y estandarizadas que contienen los procedimientos b\u00e1sicos necesarios para que los proveedores de salud, tanto p\u00fablicos como privados, puedan brindar una atenci\u00f3n oportuna, segura y eficaz a las mujeres que demanden atenci\u00f3n en hospitales, cl\u00ednicas maternoinfantiles y centros de salud tanto urbanos como rurales, a fin de favorecer la normal evoluci\u00f3n del embarazo, prevenir complicaciones e identificarlas precozmente para un manejo oportuno. \n\nSALUD INFANTIL \n\nEl estado de salud de los ni\u00f1os es el resultado de las circuntancias socioecon\u00f3micas y culturales que rodean a la familia en especial y a las comunidades en general. La pevalencia del bajo peso al nacer es alta, igual que la prevalencia de las infecciones respiratoria s agudas y las diarreas. Estas infecciones, frecuentes y por largos per\u00edodos, ocasionan un grave deterioro nutricional que a su vez desencadena una mayor vulnerabilidad a enfermarse y a presentar complicaciones que pueden llevar a la muerte. \n\nLACTANCIA MATERNA \n\nLa lactancia materna es el alimento por excelencia para los ni\u00f1os especialmente en los primeros seis meses de vida, sin embargo esta pr\u00e1ctica ha sufrido un fuerte deterioro debido a la creciente urbanizaci\u00f3n, al desarrollo y uso de suced\u00e1neos de la leche materna y tambi\u00e9n a una incorporaci\u00f3n creciente de la mujer en el mercado de trabajo. \n\nLa lactancia contin\u00faa siendo pr\u00e1ctica generalizada en Honduras. El 95 por ciento de los ni\u00f1os nacidos en los cinco a\u00f1os anteriores a la ENDESA 2005-2006, han lactado alguna vez (96 por ciento estimado en la ENESF 2001), sin diferencias entre subgrupos poblacionales. Sin embargo, la lactancia exclusiva, recomendada durante los primeros seis meses de vida, s\u00f3lo es recibida por el 43 por ciento en los menores de dos meses, indicando una disminuci\u00f3n de 4 puntos porcentuales con respecto al 2001. \n\nESTADO NUTRICIONAL \n\nEl pais y en especial el sector salud, han realizado esfuerzos importantes para reducir las tasas de desnutrici\u00f3n infantil, desde la promoci\u00f3n de la lactancia materna exclusiva durante los primeros 6 meses de vida, proyectos de generaci\u00f3n de ingresos, la normalizaci\u00f3n y reglamentaci\u00f3n de la fortificaci\u00f3n de los alimentos de alto consumo, el manejo intrahospitalario del ni\u00f1o severamente desnutrido, el manejo ambulatorio del ni\u00f1o con desnutrici\u00f3n leve y moderada y la suplementaci\u00f3n con micronutientes hasta llegar a la mas reciente estrategia en fase de implementaci\u00f3n, conocida como Atenci\u00f3n Integral a la Ni\u00f1ez con base comunitaria, AIN-C, entre otros. Todas estas intervenciones han conducido a la disminuci\u00f3n de la desnutrici\u00f3n cr\u00f3nica en Honduras. \n\nVIOLENCIA DOMESTICA \n\nLa violencia en el \u00e1mbito familiar es un problema importante de salud p\u00fablica y comprende: 1) la violencia f\u00edsica, considerando \u00e9sta como cualquier acci\u00f3n no accidental que provoque o pueda provocar da\u00f1o f\u00edsico, enfermedad o riesgo de padecerla ; 2) la violencia sicol\u00f3gica, considerando como tal los actos, conductas o exposici\u00f3n a situaciones que agredan o puedan agredir, alteren o puedan alterar el contexto afectivo necesario para el desarrollo psicol\u00f3gico normal, tales como rechazos, insultos, amenazas, humillaciones, aislamiento; 3) la violencia sexual, como toda actividad dirigida a la ejecuci\u00f3n de actos sexuales en contra de la voluntad, dolorosos o humillantes o abusando del poder, autoridad, con enga\u00f1o o por desconocimiento en el caso de los menores; y 4) la violencia econ\u00f3mica, como la desigualdad en el acceso a los recursos econ\u00f3micos que deben ser compartidos, al derecho de propiedad, a la educaci\u00f3n y a un puesto de trabajo, derechos reconocidos en la Constituci\u00f3n. \n\nITS\/VIH\/SIDA \n\nEn el mundo m\u00e1s de 60 millones de personas han sido infectadas por el VIH en los \u00faltimos 20 a\u00f1os y aproximadamente la mitad de ellas se infectaron entre los 15 y los 24 a\u00f1os de edad. Actualmente casi 12 millones de j\u00f3venes est\u00e1n viviendo con el VIH\/SIDA. Las mujeres j\u00f3venes tienen varias veces m\u00e1s probabilidades que los hombres j\u00f3venes de ser infectadas por el VIH. En casi 20 pa\u00edses de \u00c1frica, 5 por ciento o m\u00e1s de las mujeres de 15 a 24 a\u00f1os de edad est\u00e1n infectadas. Estas estad\u00edsticas subrayan la urgente necesidad de abordar el VIH entre los j\u00f3venes. En el pa\u00eds se han venido haciendo esfuerzos para abordar la problem\u00e1tica provocando la participaci\u00f3n activa de la comunidad nacional e internacional. \n\nAUTONOM\u00cdA DE LA MUJER \n\nLa igualdad de g\u00e9nero y el empoderamiento de la mujer son el fundamento para lograr que las madres y ni\u00f1os gocen de salud. Esto significa que las mujeres deben ejercer su derecho a tomar decisiones en aspectos que afectan su salud y la de sus hijos, mas a\u00fan cuando participan activamente en el mercado laboral y generan ingresos que benefician la economia del hogar. \n\nEn algunas zonas del pa\u00eds las mujeres a\u00fan enfrentan obst\u00e1culos para el uso de anticonceptivos, para obtener consejer\u00eda sobre planificaci\u00f3n familiar, o para decidir cu\u00e1ntos hijos tener y cuando tenerlos, debido al control que sobre ellas ejercen sus esposos o parejas. \n\nMORBILIDAD, UTILIZACI\u00d3N DE SERVICIOS Y GASTOS EN SALUD \n\nEn la ENDESA 2005-2006 se hicieron las siguientes preguntas espec\u00edficas sobre los problemas de salud de la poblaci\u00f3n en los hogares en los \u00faltimos 30 d\u00edas: enfermedades; consultas, internamientos, tipos de enfermedades, tipos de establecimientos, gastos en consultas y formas de pago. Igualmente se pregunt\u00f3 por problemas de salud durante el a\u00f1o anterior a la encuesta: causas de internamiento para personas que tuvieron enfermedad f\u00edsica o mental, accidente, embarazo o parto; lugar y duraci\u00f3n del internamiento; forma de pago de los gastos de internamiento y porci\u00f3n que devolvi\u00f3 el seguro; gastos totales de la familia, incluyendo alimentaci\u00f3n, medicinas, servicios m\u00e9dicos; y fuente utilizada para pagar los gastos de internamiento (ahorros, pr\u00e9stamo institucional o familiar, venta de activos, etc.).","coll_dates":[{"start":"2005-10","end":"2006-05","cycle":""}],"nation":[{"name":"Honduras","abbreviation":"HND"}],"geog_coverage":"El dise\u00f1o proporciona una muestra probabil\u00edstica a nivel nacional, que es estratificada y biet\u00e1pica. Dentro de cada departamento los sectores censales fueron estratificados en \u00e1reas de residencia urbana y rural, y adicionalmente en cada departamento fueron estratificados de acuerdo a sus municipios.","analysis_unit":"- Household\n- Children under five\n- Women age 15-49\n- Men age not specified","universe":"El universo poblacional para el cuestionario individual de mujeres de la ENDESA 2005-2006 se defini\u00f3 como la poblaci\u00f3n femenina de 15 a 49 a\u00f1os de edad de todo el pa\u00eds. La poblaci\u00f3n entrevistada con el cuestionario individual fue identificada en 18,683 hogares ocupados seleccionados, donde tambi\u00e9n se aplic\u00f3 el cuestionario del hogar.","data_kind":"Sample survey data","notes":"La Encuesta Nacional de Demograf\u00eda y Salud ENDESA 2005-2006  abarca los siguientes temas:\n\n- Agudeza Visual \n- Antropom\u00e9tria de las muj eres y los ni\u00f1os\n- Caracter\u00edsticas de las Mujeres en Edad F\u00e9rtil\n- Cartographia y GPS\n- Cataratas\n- Enfermedades Respiratorias Agudas\n- Fecundidad\n- higiene\n- Infertilidad \n- Preferencias Reproductivas\n- Planificaci\u00f3n Familiar\n- Lactancia Materna\n- Prevalencia y Tratamiento de la Diarrea\n- Mortalidad Materno-Infantil\n- Nupcialidad\n- Nutricion\n- Salud Materno-Infantil\n- SIDA-ETS\n- Trabajo de la mujer\n- Vacunaci\u00f3n\n- Violencia intrafamiliar","study_scope":"La Encuesta Nacional de Demograf\u00eda y Salud ENDESA 2005-2006  abarca los siguientes temas:\n\n- Agudeza Visual \n- Antropom\u00e9tria de las muj eres y los ni\u00f1os\n- Caracter\u00edsticas de las Mujeres en Edad F\u00e9rtil\n- Cartographia y GPS\n- Cataratas\n- Enfermedades Respiratorias Agudas\n- Fecundidad\n- higiene\n- Infertilidad \n- Preferencias Reproductivas\n- Planificaci\u00f3n Familiar\n- Lactancia Materna\n- Prevalencia y Tratamiento de la Diarrea\n- Mortalidad Materno-Infantil\n- Nupcialidad\n- Nutricion\n- Salud Materno-Infantil\n- SIDA-ETS\n- Trabajo de la mujer\n- Vacunaci\u00f3n\n- Violencia intrafamiliar"},"method":{"data_collection":{"data_collectors":[{"name":"Instituto Nacional de Estad\u00edstica","abbreviation":"INE","affiliation":""}],"sampling_procedure":"Un total de 21,000 hogares fueron definidos a ser seleccionados para la aplicaci\u00f3n del cuestionario de hogar en la ENDESA 2005-2006 y dentro de cada uno de ellos la aplicaci\u00f3n del cuestionario individual a la poblaci\u00f3n de mujeres elegibles (15-49 a\u00f1os). \n\nOBJETIVOS DEL DISE\u00d1O MUESTRAL \n\nEl principal objetivo de la ENDESA 2005-2006 es de producir estimaciones de los diversos indicadores con niveles de confianza aceptables, tales como la fecundidad, la mortalidad infantil y la materna, la planificaci\u00f3n familiar y la salud para los diversos dominios de inter\u00e9s. Los principales dominios de an\u00e1lisis son el total del pa\u00eds, cada una de las 2 \u00e1reas de residencia urbana y rural; y cada uno de los 16 departamentos. En los departamentos de Cort\u00e9s y Francisco Moraz\u00e1n hay dos dominios de an\u00e1lisis: la capital del departamento y el resto. \n\nMARCO MUESTRAL \n\nUn archivo computarizado de los sectores y segmentos para cada departamento ha sido ela borado con la ayuda del Instituto Nacional de Estad\u00edstica (INE) en sus actividades del censo del 2001. Se tiene una lista de segmentos censales y tambi\u00e9n la lista de sectores censales (en su mayor\u00eda cada sector contiene de 3 a 4 segmentos). Cada segmento y\/o sector tiene una completa identificaci\u00f3n que corresponde a codigos de departamento y municipio donde se encuentran localizados. El INE tiene adem\u00e1s un levantamiento cartogr\u00e1fico de cada unidad, lo cual perme una r\u00e1pida actualizaci\u00f3n de hogares en los sectores que se seleccionen para la muestra de la ENDESA 2005-2006. \n\nESTRATIFICACI\u00d3N \n\nLa lista de sectores utilizada como marco muestral est\u00e1 estratificada por departamento. En cada departamento los sectores censales fueron estratificados en \u00e1reas de residencia urbano y rural y adicionalmente por municipios. \n\nM\u00cdNIMO TAMA\u00d1O DE MUESTRA PARA CADA DOMINIO \n\nEn general, el dise\u00f1o de la muestra para una encuesta del tipo de la ENDESA 2005-2006 es estratificado, por conglomerado y en dos \u00e9tapas. El error muestral para este dise\u00f1o tiene dos componentes: el primero corresponde a la variaci\u00f3n entre las UPMs y el segundo a la variaci\u00f3n de los hogares dentro de las UPMs. La variabilidad entre UPMs es mucho mayor para las \u00e1reas urbanas que en las \u00e1reas rurales, pero en general la variabilidad dentro de las UPMs seleccionadas es menor en lo urbano que en lo rural. Por lo tanto, un importante factor para controlar el error muestral es la reducci\u00f3n del mayor componente de variabilidad (que es la variaci\u00f3n entre UPMs) y el cual es inversamente proporcional al n\u00famero de UPMs (especialmente en el \u00e1rea urbana). \n\nLa pol\u00edtica del proyecto de encuestas DHS es la de recomendar seleccionar un m\u00ednimo de alrededor de 35 UPMs por dominio de estudio para el an\u00e1lisis adecuado de la informaci\u00f3n. Tambi\u00e9n es bien conocido que un aumento del n\u00famero de UPMs en la muestra reduce el error muestral pero no en raz\u00f3n proporcional al incremento de ese n\u00famero. Especificamente, si se doblara el n\u00famero de UPMs el error muestral no se reduce a la mitad, sino s\u00f3lo a un 30 por ciento del valor original. \n\nComo resultado de las consideraciones anteriores, para evitar altos costos de implementaci\u00f3n y para no comprometer la calidad de la informaci\u00f3n, despu\u00e9s de una detenida evaluaci\u00f3n de dichos factores se recomend\u00f3 mantener ese m\u00ednimo requerido de segmentos (35 aproximadamente) para las estimaciones por dominio. \n\nASIGNACI\u00d3N DE LA MUESTRA \n\nSiendo el objetivo de obtener un total de 21,000 de hogares seleccionados, se utiliz\u00f3 informaci\u00f3n de la encuesta ENESF\/ENSM- 2001 como un instrumento de ayuda para estimar ciertos par\u00e1metros del dise\u00f1o. Con dicha informacion se estim\u00f3 que en una muestra de 21,000 hogares se tendria un total aproximado de 20,500 entrevista completas de mujeres. El total de hogares seleccionados fu\u00e9 distribu\u00eddo por departamentos pero no proporcionalmente a su tama\u00f1o poblacional sino para poder cumplir con los objetivos requeridos de la encuesta. El n\u00famero final de hogares se ajust\u00f3 para tener un m\u00ednimo de 1,000 hogares por departamento y 1,200 en algunos departamentos prioritarios. Como la asignaci\u00f3n de hogares por departamento no fue hecha en forma proporcional a su correspondiente porcentaje de poblaci\u00f3n, la muestra total no es autoponderada y por lo tanto se necesitan factores de ponderaci\u00f3n en la elaboraci\u00f3n final de las tabulaciones para llevar los resultados departamentales a su participaci\u00f3n porcentual en el total de la poblaci\u00f3n.","coll_mode":"Face-to-face","research_instrument":"Para la recolecci\u00f3n de informaci\u00f3n en la ENDESA 2005-2006 se utilizaron dos cuestionarios: un cuestionario de hogar aplicado en 18,683 hogares y un cuestionario individual de mujeres aplicado a 19,948 mujeres de 15 a 49 a\u00f1os de edad en esos hogares. \n\na) El contenido del cuestionario del hogar comprende los siguientes temas: \n- Residentes habituales y visitantes del hogar \n- Relaci\u00f3n de parentesco, sexo y edad de cada miembro del hogar \n- Supervivencia de los padres de los miembros menores de 18 a\u00f1os \n- Asistencia a establecimientos educativos (personas de 4 a\u00f1os y m\u00e1s) \n- Educaci\u00f3n de la poblaci\u00f3n de 4 a 24 a\u00f1os \n- Gastos en salud (ambulatorios y hospitalarios) \n-  Caracter\u00edsticas de la vivienda y del hogar \n- Peso y talla de los ni\u00f1os y mujeres \n- Prueba de anemia a los ni\u00f1os y mujeres. \n\nb) El cuestionario individual de mujeres comprende los siguientes temas: \n- Antecedentes de la mujer entrevistada \n- Reproducci\u00f3n e historia de nacimientos \n- Anticoncepci\u00f3n \n- Embarazo, parto puerperio y lactancia para los hijos menores de 5 a\u00f1os \n- Vacunaci\u00f3n y salud para los hijos menores de 5 a\u00f1os \n- Autopsia verbal \n- Nupcialidad y actividad sexual \n- Preferencias de fecundidad \n- Antecedentes de su esposo\/compa\u00f1ero y empleo de la entrevistada \n- VIH\/SIDA e Infecciones de Transmisi\u00f3n Sexual \n- Otros asuntos relacionados a la salud \n- Programa EDUCATODOS \n- Violencia intrafamiliar","coll_situation":"El taller de entrenamiento del personal de campo tuvo una duraci\u00f3n de cuatro semanas, entre el 12 de Septiembre al 7 de Octubre de 2005, con el objetivo de garantizar el dominio total de los cuestionarios y proporcionar las capacitaciones complementarias requeridas para el \u00f3ptimo desempe\u00f1o. A la convocatoria de personal se presentaron 110 candidatas donde se incluyeron las aspirantes a supervisoras, cr\u00edticas de campo, encuestadoras, codificadoras y cr\u00edticas de digitaci\u00f3n, a las cuales se les aclar\u00f3 que la capacitaci\u00f3n era competitiva y los puestos a ocupar depend\u00edan del desempe\u00f1o durante el proceso de capacitaci\u00f3n. \n\nDebido al n\u00famero de participantes fue necesario la organizaci\u00f3n en dos grupos que se capacitaron en forma simultanea bajo la asistencia t\u00e9cnica de Macro International y la participaci\u00f3n de t\u00e9cnicos de la Secretar\u00eda de Salud con charlas informativas sobre agua y saneamiento, planificaci\u00f3n familiar, salud sexual y reproductiva, vacunas, salud materno infantil, Programa AIN-C, violencia intrafamiliar y VIH\/SIDA. \n\nPara el entrenamiento se adaptaron los cuestionarios y manuales preparados por el Programa DHS. Tambi\u00e9n se dise\u00f1\u00f3 un juego de formularios de control para la entrega y recepci\u00f3n de asignaciones de trabajo y para el monitoreo diario del rendimiento del personal de campo a nivel de encuestadoras y de equipos. \n\nLa capacitaci\u00f3n de las antropometristas se realiz\u00f3 en un per\u00edodo de cuatro d\u00edas e incluy\u00f3 una parte te\u00f3rica y otra pr\u00e1ctica. En la primera parte se hicieron exposiciones y demostraciones sobre las t\u00e9cnicas de toma de datos antropom\u00e9tricos, el equipo a utilizar y el registro de datos, adem\u00e1s se explicaron las t\u00e9cnicas de toma de muestra de sangre para el estudio de anemia. \n\nEn la segunda parte se hicieron ejercicios de estandarizaci\u00f3n en talla y longitud, con grupos de 10 ni\u00f1os de guarder\u00edas de Tegucigalpa. La pr\u00e1ctica de toma de muestras de sangre se hizo en varios Centros de Salud de la capital. \nSe capacitaron 17 antropometristas de las cuales se seleccionaron 12 considerando las que mostraron mayor capacidad y destreza en la toma de medidas antropom\u00e9tricas. Despu\u00e9s de realizada la capacitaci\u00f3n y estandarizaci\u00f3n al hacer un an\u00e1 lisis de resultados se procedi\u00f3 a recapacitar a todo el grupo para reforzar la t\u00e9cnica de medici\u00f3n y asegurar la calidad de la informaci\u00f3n a recolectar. \n\nFinalizado el proceso de capacitaci\u00f3n del personal de campo, se realiz\u00f3 una pr\u00e1ctica de campo con el objeto de ver el desempe\u00f1o de todo el personal en entrevistas directas en la comunidad, toma de talla, peso y muestra sangu\u00ednea para la medici\u00f3n de la hemoglobina. La supervisi\u00f3n de la pr\u00e1ctica de campo estuvo a cargo de personal t\u00e9cnico institucional y personal de Macro International Inc. \n\nPara la selecci\u00f3n del personal y la postulaci\u00f3n para los diferentes cargos a ejercer durante la encuesta, se tom\u00f3 en cuenta las calificaciones obtenidas en las pruebas escritas, el desempe\u00f1o y participaci\u00f3n en el aula, adem\u00e1s del desempe\u00f1o en la prueba de campo. \n\nUna vez que se hizo la respectiva selecci\u00f3n, se procedi\u00f3 a conformar 12 equipos de trabajo constituidos cada uno por una supervisora, una cr\u00edtica de campo, cuatro encuestadoras y una antropometrista; y adicionalmente un encuestador responsable de practicar la entrevista al hombre elegible para la encuesta masculina que se realiz\u00f3 en forma simult\u00e1nea en una submuestra de la muestra de mujeres. Los grupos estuvieron bajo la tutela de cuatro jefes de zona a quienes se les responsabiliz\u00f3 por la supervisi\u00f3n permanente y sostenible de tres equipos cada uno. \n\nAntes del inicio del trabajo de campo se realiz\u00f3 una jornada de entrenamiento adicional con las cr\u00edticas de campo, supervisoras y jefes de zona para instruirles en el manejo de los formularios de control y reforzar sus habilidades de cr\u00edtica. \n\nTRABAJO DE CAMPO \n\nEl trabajo de campo se inici\u00f3 el 30 de Octubre del 2005 y se extendi\u00f3 hasta el d\u00eda 11 de Mayo de 2006. Las votaciones partidarias y las generales para la elecci\u00f3n de las autoridades que gobiernan actualmente el pa\u00eds, las fiestas navide\u00f1as y de a\u00f1o nuevo, as\u00ed como algunos tr\u00e1mites administrativos para la ejecuci\u00f3n financiera a trav\u00e9s de la Secretar\u00eda de Finanzas ocasionaron un desfase de dos meses en el cronograma planificado de la ENDESA 2005-2006. Cada uno de los 12 equipos conformados para llevar a cabo el trabajo de campo cont\u00f3 con dos veh\u00edculos de uso exclusivo con sus respectivos motoristas. Para minimizar en lo posible, el desfase mencionado anteriormente, durante los \u00faltimos dos meses se tuvo la necesidad de incrementar el n\u00famero de equipos a 15 a expensas de quitarles a los grupos ya conformados, una encuestadora para ser incorporada a los tres nuevos equipos e incrementarles el nivel de esfuerzo y productividad.","act_min":"Se programaron seis giras posteriores al relevamiento de los datos en la ciudad capital; al finalizar la recolecci\u00f3n de datos en la capital y en lo posible despu\u00e9s de cada gira se realizaron reuniones de retroalimentaci\u00f3n con las supervisoras y cr\u00edticas de campo, para compartir las observaciones resultantes de las constantes supervisiones realizadas por el equipo t\u00e9cnico e incorporar las sugerencias. Con el objeto de controlar la calidad de la informaci\u00f3n, durante todo el trabajo de campo los directivos de la encuesta continuaron el acompa\u00f1amiento a los equipos y jefes de zona en labores de monitoreo y retroalimentaci\u00f3n. Los equipos tambi\u00e9n fueron monitoreados por personal de Macro International. En forma permanente se realizaron reuniones de seguimiento con los jefes de zona y cuando el caso lo requer\u00eda, con supervisoras y cr\u00edticas.","cleaning_operations":"La primera etapa del procesamiento de la informaci\u00f3n se implement\u00f3 en el terreno, donde las supervisoras y cr\u00edticas verificaban la consistencia de los cuestionarios. Una vez recibidos los cuestionarios en la oficina central fueron codificados, digitados y verificados para proceder con la cr\u00edtica mediante microcomputadoras, con el programa interactivo CSPro, versi\u00f3n para Windows del programa ISSA (Sistema Integrado para An\u00e1lisis de Encuestas). CSPro es un programa avanzado para microcomputadoras dise\u00f1ado por Macro International, el Census Bureau de Estados Unidos y la compa\u00f1\u00eda SERPRO, espec\u00edficamente para encuestas complejas como la ENDESA 2005-2006, que permite agilizar el ingreso de informaci\u00f3n, cr\u00edtica, correcci\u00f3n y elaboraci\u00f3n de tabulaciones, lo que hace posible la presentaci\u00f3n de resultados al poco tiempo de t\u00e9rmino del trabajo de campo. El programa tambi\u00e9n se utiliza para preparar peri\u00f3dicamente tabulaciones especiales, con el objeto de realizar evaluaciones de la calidad de la informaci\u00f3n a partir de los primeros d\u00edas de trabajo de campo, con retroalimentaci\u00f3n a las supervisoras y encuestadoras. Las tabulaciones permiten igualmente hacer seguimiento al rendimiento de las encuestadoras y mejorar las tasas de respuesta si fuese necesario. \n\nEl ingreso de datos se realiz\u00f3 mediante una red bajo Windows para el almacenamiento interactivo de datos y se efectu\u00f3 doble digitaci\u00f3n en el 100 por ciento de los cuestionarios. La digitaci\u00f3n y verificaci\u00f3n computarizada fue realizada por 20 digitadoras en dos turnos de seis horas, con el apoyo de 4 codificadoras, una cr\u00edtica de digitaci\u00f3n y supervisora por turno. El trabajo de digitaci\u00f3n se inici\u00f3 en noviembre del 2005 y concluy\u00f3 el 20 de mayo de 2006. La etapa de generaci\u00f3n de las bases de datos se complet\u00f3 el 2 de junio."},"analysis_info":{"response_rate":"Durante el trabajo de campo se visitaron un total de 21,201 viviendas en los conglomerados seleccionados para la ENDESA 2005-2006. En estas viviendas se encontraron 19,092 hogares ocupados y se logr\u00f3 realizar la entrevista en 18,683, de donde resulta una tasa de respuesta del 98 por ciento al excluir del c\u00e1lculo los hogares ausentes y las viviendas desocupadas, destruidas o no encontradas. \n\nDe un total de 21,634 mujeres elegibles se pudo entrevistar a 19,948, obteni\u00e9ndose una tasa de respuesta del 92 por ciento. La tasa de respuesta combinada hogares y mujeres fue del 95 por ciento. Estas tasas son satisfactorias para este tipo de encuestas, sobre todo tomando en cuenta las dif\u00edciles condiciones que presentan algunas \u00e1reas y poblaciones de Honduras para el trabajo de campo, particularmente en comunidades mineras que mantienen reserva ante toda presencia externa. \n\nA nivel departamental, la menor tasa de respuesta se obtuvo en San Pedro Sula (80 por ciento) y la mayor en Col\u00f3n (96 por ciento). En varios departamentos se obtuvieron tasas de respuesta del 94 por ciento (Intibuc\u00e1, La Paz, Lempira, Santa B\u00e1rbara y Valle).","sampling_error_estimates":"Por tratarse de una encuesta por muestreo, los resultados de la ENDESA 2005-2006 que se incluyen en el presente informe son estimaciones que est\u00e1n afectadas por dos tipos de errores: aquellos que se producen durante las labores de recolecci\u00f3n y procesamiento de la informaci\u00f3n (que se denominan usualmente errores no muestrales) y los llamados errores de muestreo, que resultan del hecho de haberse entrevistado s\u00f3lo una muestra y no la poblaci\u00f3n total. \n\nEl primer tipo de error incluye la falta de cobertura de todas las mujeres seleccionadas, errores en la formulaci\u00f3n de las preguntas y en el registro de las respuestas, confusi\u00f3n o incapacidad de las mujeres para dar la inf ormaci\u00f3n y errores de codificaci\u00f3n o de procesamiento. Al igual que para las encuestas anteriores de 1989, 1994 y 1998, para la ENDESA 2005-2006 se trat\u00f3 de reducir a un m\u00ednimo este tipo de errores a trav\u00e9s de una serie de procedimientos que se emplean en toda encuesta bien dise\u00f1ada y ejecutada, como son: el dise\u00f1o cuidadoso y numerosas pruebas del cuestionario, intensa capacitaci\u00f3n de las entrevista-doras, supervisi\u00f3n intensa y permanente del trabajo de campo, revisi\u00f3n de los cuestionarios en el campo por parte de las cr\u00edticas, supervisi\u00f3n apropiada en la etapa de codificaci\u00f3n, y procesamiento de los datos y limpieza cuidadosa del archivo con retroalimentaci\u00f3n a las supervisoras, cr\u00edticas y entrevistadoras a partir de los cuadros de control de calidad. Los elementos de juicio disponibles se\u00f1alan que este tipo de errores se mantuvo dentro de m\u00e1rgenes razonables en la ENDESA 2005-2006. En lo que sigue no se har\u00e1 m\u00e1s referencia a los errores ajenos al muestreo sino \u00fanicamente a los llamados errores de muestreo. \n\nLa muestra de hogares visitados para la ENDESA 2005-2006 no es sino una de la gran cantidad de muestras del mismo tama\u00f1o que ser\u00eda posible seleccionar de la poblaci\u00f3n de inter\u00e9s utilizando el dise\u00f1o empleado. Cada una de ellas habr\u00eda dado resultados en alguna medida diferentes de los arrojados por la muestra usada. La variabilidad que se observar\u00eda entre todas las muestras posibles constituye el error de muestreo, el cual no se conoce pero puede ser estimado a partir de los datos suministrados por la muestra realmente seleccionada. El error de muestreo se mide por medio del error est\u00e1ndar. El error est\u00e1ndar de un promedio, porcentaje, diferencia o cualquier otra estad\u00edstica calculada con los datos de la muestra se define como la ra\u00edz cuadrada de la varianza de la estad\u00edstica y es una medida de su variaci\u00f3n en todas las muestras posibles. En consecuencia, el error est\u00e1ndar mide el grado de precisi\u00f3n con que el promedio, porcentaje, o estad\u00edstica basado en la muestra, se aproxima al resultado que se habr\u00eda obtenido si se hubiera entrevistado a todas las mujeres de la poblaci\u00f3n bajo las mismas condiciones. \n\nEl error est\u00e1ndar puede ser usado para calcular intervalos dentro de los cuales hay una determinada confianza de que se encuentra el valor poblacional. As\u00ed, si se toma cierta estad\u00edstica calculada de la muestra (un porcentaje, por ejemplo) y se le suma y resta dos veces su error est\u00e1ndar, se obtiene un intervalo al cual se le asigna una confianza de 95 por ciento de que contiene, en este caso, el porcentaje poblacional. \n\nSi las personas entrevistadas en la ENDESA 2005-2006 hubieran sido seleccionadas en forma simple al azar, podr\u00edan utilizarse directamente las f\u00f3rmulas muy conocidas que aparecen en los textos de estad\u00edstica para el c\u00e1lculo del error est\u00e1ndar y de los l\u00edmites de confianza y para la realizaci\u00f3n de pruebas de hip\u00f3tesis. Sin embargo, como se ha se\u00f1alado, el dise\u00f1o empleado es complejo, por lo cual se requiere utilizar f\u00f3rmulas especiales que consideran los efectos de la estratificaci\u00f3n y la conglomeraci\u00f3n.\n\nAdem\u00e1s del error est\u00e1ndar, tambi\u00e9n se calcula el llamdo efecto del dise\u00f1o, EDIS, el cual se define como la raz\u00f3n entre el error est\u00e1ndar correspondiente al dise\u00f1o empleado (EE) y el error est\u00e1ndar que se obtiene tratando la muestra como si hubiera sido aleatoria simple (EEmas): \n\n                      EDIS= EE \/ EEmas. \n\nUn valor de EDIS igual a 1.0 indicar\u00eda que el dise\u00f1o utilizado es tan eficiente como uno simple al azar del mismo tama\u00f1o, mientras que un valor superior a 1.0 indicar\u00eda que el uso de conglomerados produjo una varianza superior a la que se habr\u00eda obtenido con una muestra simple al azar del mismo tama\u00f1o. \n\nEn el Cuadro B.1 del Informe Final se listan las variables para las cuales se han calculado los errores de muestreo. Se indica all\u00ed el tipo de estimador utilizado y la poblaci\u00f3n de referencia. Los errores de muestreo para las estimaciones de fecundidad y mortalidad por \u00e1rea de residencia y departamento se presentan en los Cuadros B.4 a B.5.6. Los errores de muestreo para el resto de variables listadas en el Cuadro B.1 se presentan en los Cuadros B.2.1 a B.3.16 para el total, urbano-rural y por departamento.  En algunos cuadros, \"na\" indica que el correspondiente valor no es aplicable. Para cada variable se incluye el correspondiente valor estimado V (sea un promedio o un porcentaje), el error est\u00e1ndar y el n\u00famero de casos (sin ponderar y ponderados) para los cuales se investig\u00f3 la caracter\u00edstica considerada. Adem\u00e1s del error est\u00e1ndar, en el cuadro aparecen tambi\u00e9n el efecto del dise\u00f1o (EDIS), el error relativo (EE\/V) y el intervalo con 95 por ciento de confianza que contenga el verdadero valor. \n\nEl examen de los cuadros revela que, en general los errores est\u00e1ndar son peque\u00f1os y que por ello esa muestra puede calificarse como bastante precisa; esto es especialmente claro en la antepen\u00faltima columna donde aparecen los errores relativos. N\u00f3tese que los efectos del dise\u00f1o tienden a aumentar para las clasificaciones geogr\u00e1ficas y a disminuir para clasificaciones que cruzan toda la muestra, como es la edad. \n\nPara ilustrar el uso de las cifras en este Ap\u00e9ndice, consid\u00e9rese la estimaci\u00f3n de la variable \"actualmente usa anticonceptivos\" entre las mujeres del departamento de Atl\u00e1ntida (Cuadro B.3.1), que arroja un valor de 0.695 (69.5 por ciento) con un error est\u00e1ndar de 0.023 (2.3 por ciento). Si se desea un intervalo de confianza del 95 por ciento, lo que se hace es sumarle y restarle al valor estimado dos veces el error est\u00e1ndar: 0.046 ? (2 x 0.023), lo que produce el intervalo de 0.649 a 0.741 de las dos \u00faltimas columnas. Esto significa que se tiene una confianza de 95 por ciento de que el porcentaje de mujeres 15\u00ad49 a\u00f1os de edad en Atl\u00e1ntida que usa m\u00e9todos se encuentra entre esos valores que arroja la muestra (65 y 74 por ciento). \n\nLos errores de muestreo para las estimaciones de las tasas de fecundidad (Cuadro B.4) y de mortalidad (Cuadros B.5.1 a B.5.6), los errores de muestreo fueron calculados de acuerdo al procedi\u00admiento de estimaci\u00f3n del m\u00e9todo Jackknife de replicaciones balanceadas, el cual consiste en obtener un n\u00famero de replicaciones igual al n\u00famero de segmentos censales. Cada replicaci\u00f3n hace uso de todos los segmentos censales encuestados menos uno, siendo este diferente del usado en las replicaciones anteriores."}},"data_access":{"dataset_use":{"contact":[{"name":"MEASURE DHS","affiliation":"ICF International","email":"archive@measuredhs.com","uri":"www.measuredhs.com"}],"cit_req":"Use of the dataset must be acknowledged using a citation which would include:\n- the Identification of the Primary Investigator\n- the title of the survey (including country, acronym and year of implementation)\n- the survey reference number\n- the source and date of download","disclaimer":"El usuario reconoce que los datos de producci\u00f3n de datos, distribuidor autorizado, y los donantes que ayudaron a financiar la producci\u00f3n de estos datos, no son en absoluto responsables de la utilizaci\u00f3n de estos datos, ni interpretaciones y conclusiones derivadas de su an\u00e1lisis y 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