{"type":"survey","doc_desc":{"title":"PER_1991_DHS_v01_M","idno":"DDI_PER_1991_DHS_v01_M","producers":[{"name":"World Bank, Development Economics Data Group","abbreviation":"DECDG","affiliation":"","role":"Generation of DDI documentation"}],"prod_date":"2012-05-09"},"study_desc":{"title_statement":{"idno":"PER_1991_DHS_v01_M","title":"Encuesta Demogr\u00e1fica y de Salud Familiar 1991\/1992","alt_title":"ENDES 1991-92 \/ DHS 1991-92","translated_title":"Demographic and Health Survey 1991-1992"},"authoring_entity":[{"name":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica (INEI)","affiliation":""},{"name":"Asociaci\u00f3n Ben\u00e9fica PRISMA","affiliation":""}],"production_statement":{"producers":[{"name":"Macro lntemational","affiliation":"","role":"Technical assistance"}],"funding_agencies":[{"name":"Agencia de Estados Unidos para el Desarrollo Internacional","abbreviation":"USAID","role":""}],"grant_no":"DPE-3023-Z-00-8074-00"},"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 II","series_info":"La Peru 1991-1992 Encuesta Demografiga y de Salud Familiar (Endes 1991-92) es la secunda encuesta de este tipo llevado a cabo en Peru."},"study_info":{"abstract":"La segunda Encuesta Demogr\u00e1fica y de Salud Familiar en Per\u00fa, denominada ENDES 1991- 1992, es una investigacion por muestreo que provee informacion sobre caracter\u00edsticas generales de la poblaci\u00f3n total: distribuci\u00f3n por sexo, edad y regiones; niveles educativos y asistencia escolar, entre otros aspectos. Su poblacion objetivo est\u00e1 constituida por las mujeres en edad f\u00e9rtil (15 a 49 a\u00f1os) para determinar los niveles de fecundidad, la prevalencia en el uso de m\u00e9todos anticonceptivos, las tendencias de la nupcialidad, y preferencias sobre fecundidad, principalmente. En ENDES 1991-1992 tambi\u00e9n se recolect\u00f3 informaci\u00f3n sobre los hijos tenidos por las mujeres, sobre todo en los cinco a\u00f1os anteriores ala entrevista, para determinar los niveles de mortalidad infantil, y la salud matemo-infantil, incluyendo la nutrici\u00f3n. \n\nENDES 1991-1992 tuvo lugar entre Junio de 1991 y Agosto de 1992. La operaci\u00f3n de campo se ejecut\u00f3 entre el 17 de Octubre de 1991 y el 7 de Marzo de 1992. La muestra consta de 15882 mujeres y provee informaci\u00f3n para todo el pa\u00eds, 13 regiones administrtativas, 3 regiones naturales y 4 niveles de urbanizaci\u00f3n. La ejecuci6n de la encuesta moviliz\u00f3 a m\u00e1s de 200 personas, tomando en cuenta todas sus fases. La encuesta fue financiada por la Misi6n en Per\u00fa de la Agencia para el Desarrollo Internacional (USAID\/Per\u00fa) y por Macro Intemational bajo convenio con la oficina central de USAID en Washington. Las agencias del sistema de las Naciones Unidas contribuyeron fondos adicionales. \n\nENDES 1991-1992 encuentra que el Per\u00fa habria sufrido un proceso de concentraci6n de su poblaci\u00f3n en su area urbana; el 72 por ciento se asienta en centros poblados de m\u00e1s de  000 habitantes. Tambi\u00e9n se comprueba un mejora-miento sustancial en los niveles educativos de la poblaci\u00f3n, en especial de la femenina, en cuyo caso la proporci\u00f3n con estudios post-primarios ha aumentado de 51 a 66 por ciento en los ultimos 5 a\u00f1os. Estos dos aspectos serIan los que habrian influido de manera determinante en los cambios producidos en las principales variables investigadas en la ENDES 1991-1992. \n\nEl deseo de no tener m\u00e1s hijos es expresado por el 72 por ciento de las mujeres que al momento de la encuesta estaban casadas o en convivencia. Esta situaci6n no ha cambiado mucho en a\u00f1os recientes, pero en la actualidad son m\u00e1s las mujeres que evitan la reproducci\u00f3n involuntaria. El uso de cualquier forma de anticoncepcion ha aumentado de 46 a 59 por ciento entre las mujeres unidas y se espera que esta tendencia contin\u00fae en el futuro pues el 96 por ciento de las mujeres en edad f\u00e9rtil conoce, o por lo menos ha o\u00eddo hablar, de m\u00e9todos anticonceptivos y el 89 por ciento sabe d\u00f3nde proveerse de ellos. \n\nLa abstinencia peri\u00f3dica, m\u00e1s conocida como el ritmo, es el m\u00e9todo m\u00e1s utilizado (21 por ciento de las mujeres unidas), aunque una de cada cuatro de las usuarias no sabe cu\u00e1l es el per\u00edodo f\u00e9rtil dentro del ciclo ovulatorio. La preferencia por los m\u00e9todos anticonceptivos modernos, sin embargo, ha aumentado, de tal manera que la prevalencia de su uso ha pasado del 23 al 33 por ciento entre las mujeres unidas. Los dispositivos intrauterinos ocupan el primer lugar, con el 13 por ciento, seguido de la esterilizaci\u00f3n femenina con el 8 por ciento. El 41 por ciento de las intervenciones quir\u00fargicas ocurre entre los 30 y 34 agios. \n\nConsecuente con la mayor urbanizacion y el mayor uso de m\u00e9todos anticonceptivos, la tasa global de fecundidad ha disminuido de 4.1 a 3.5 en 5 a\u00f1os, aunque en el \u00e1rea rural contin\u00faa en los mismos niveles encontrados en la Encuesta Demogr\u00e5fica y de Salud Familiar de 1986 (6.2 hijos por mujer). Cuando se hace el an\u00e1lisis por niveles educativos aparece una sustancial diferencia de 5 hijos entre las mujeres sin instrucci\u00f3n y aquellas con estudios superiores (7.1 y 1.9 hijos respectivamente). \n\nEl Sector P\u00fablico sirve al 48 por ciento de las usuarias de m\u00e9todos anticonceptivos modernos. El sector comercial privado, incluyendo las Organizaciones Privadas Voluntarias, atiende 'al 51 por ciento. El sistema existente satisface el 80 por ciento de la demanda total de m\u00e9todos de planificaci\u00f3n familiar (usuarias actuales y mujeres con necesidad insatisfecha). Los mayores niveles de demanda insatisfecha se encuentran en los grupos sociales de menor desarrollo: Sierra, \u00e1rea rural y mujeres sin instrucci\u00f3n. Como la fecundidad real supera en 75 por ciento a la deseada, si la cobertura fuera total y se evitaran los embarazos no deseados, la tasa global de fecundidad ser\u00eda de solo 2 hijos por mujer. \n\nLa comparaci6n con ENDES 1986 permite concluir que la probabilidad de muerte en el primer agio de vida ha disminuido de 76 a 55 por mil entre 1982-1986 y 1987-1991 y la correspondiente a los primeros cinco a\u00f1os de vida baj6 de 112 a 78 por mil. Este descenso se correlaciona bien con los cambios producidos en los principales indicadores demogr\u00e1ficos y de salud obtenidos en la encuesta. Se observa que el menor nivel de mortalidad infantil se d\u00e1 cuando la madre tiene entre 20 y 29 allos. Por debajo de esta edad el riesgo relativo aumenta en 36 por ciento; cuando ella tiene mas de 40 a\u00f1os, tal riesgo es mayor en 74 por ciento. \n\nCasi 2 de cada 3 embarazos (64 por ciento) es atendido por un profesional de la salud (m\u00e9dico, obstetriz o enfermera) y similar cuidado recibe el 53 por ciento de los alumbramientos. El hecho que todav\u00eda el 50 por ciento de los partos son domiciliarios indica que los establecimientos de salud a\u00fan no son muy asequibles, sea por distancia o por costo, para el grueso de la poblacion. \n\nEn poco mas de la mitad de los nigios (51 por ciento) se encontro la tarjeta de vacunaci6o correspondiente. Si se complementa la informaci6n de las tarjetas con la proporcionada por las madres cuando la tarjeta no estaba disponible, se observa que el 96 por ciento de los nigios de 1 a\u00f1o hab\u00edan recibido alguna dosis de vacuna. El 91 por ciento han recibido protecci\u00f3n contra la tuberculosis, el 68 por ciento contra la difteria, el t\u00e9tano y la tos ferina; el 70 por ciento contra la polio y el 74 por ciento contra el sarampi6n. La protecci\u00f3n completa con todas las vacunas y dosis recomendadas alcanza al 58 por ciento de los nigios de 12 a 23 meses. \n\nSe investig6 tambi\u00e9n la prevalencia de la diarrea y la infeccion respiratoria aguda en las dos semanas anteriores a la fecha de entrevista. Se en- contr6 que el 18 por ciento de los menores de 5 a\u00f1os hab\u00eda presentado un cuadro de diarrea; un 23 por ciento hab\u00eda tenido tos acompanada de respiraci\u00f3n agitada. Para los casos con diarrea, el 62 por ciento recibi\u00f3 tratamiento con l\u00edquidos adicionales (dentro de estos, el 20 por ciento recibi\u00f3 sales de rehidrataci\u00f3n oral). El 85 por ciento de los nigios con s\u00edntomas de IRA recibieron alg\u00fan tratamiento. \n\nLa lactancia se encuentra bastante difundida, de tal manera que entre los 10 y los 11 meses de edad el 76 por ciento de los nigios todav\u00eda se encuentra lactando. En promedio, los nigios reciben el pecho materno durante 17 meses. \n\nLa comparaci\u00f3n de ENDES 1991 - 1992 con ENNSA 1984 permite concluir que entre 1984 y 1991 no ha habido progresos en la nutricirn de los nigios. El 37 por ciento de los menores de 5 anos sufre de desnutrici\u00f3n cr6nica. De la evaluaci\u00f3n antropom\u00e9trica de las mujeres se concluye que el 17 por ciento de las mujeres que tuvieron hijos en los 5 a\u00f1os anteriores a la encuesta ten\u00edan estatura por debajo de los 145 cms, el l\u00edmite para ser clasificadas en el grupo de riesgo para el desarrollo normal de la gestaci6n. Un 10 por ciento de las madres tiene un per\u00edmetro braquial por debajo de los 23 cms. recomendables. Estos dos grupos tienen altas probabilidades de concebir nillos con bajo peso al nacer y con mayores riesgos de morir en el primer a\u00f1o de vida. \n\nDesde el punto de vista de las regiones naturales, la encuesta encuentra que las mejores condiciones de vida se dan en la Costa, seguida a buena distancia por la Selva y en el \u00faltimo lugar la Sierra. El analisis de la informaci\u00f3n por regiones administrativas permite identificar a dos grandes grupos: Lima y Arequipa, donde se dan las mejores condiciones; y el resto del Per\u00fa donde se encuentran las mayores carencias. En estas regiones la mortalidad infantil fluct\u00faa entre 70 y 100 por mil, la desnutrici\u00f3n cronica afecta por lo menos al 50 por ciento de los ni\u00f1os, el 50 por ciento de los hogares no consumen agua potable y el analfabetismo es por lo menos 50 por ciento m\u00e1s alto que el promedio nacional. Seg\u00fan la mayor\u00eda de los indicadores, las regiones Inka y A. A. C\u00e5ceres ser\u00edan las de menor desarrollo relativo en el pa\u00eds.","coll_dates":[{"start":"1991-10","end":"1992-03","cycle":""}],"nation":[{"name":"Peru","abbreviation":"PER"}],"geog_coverage":"Nacional\n- 13 Regiones Administrativas: Lima, Nor-Oriental del Mara\u00f1on, Andr\u00e9s Avelino C\u00e1ceres, Los Libertadores-Wari, Grau, Jos\u00e9 Carlos Mari\u00e1tegui, Inka, Chavfn, Arequipa, Loreto, Ucayali, La Libertad, San Mart\u00edn.\n- 3 regiones naturales: Costa, Sierra, Selva. \n- 4 niveles de urbanizaci\u00f3n: menos de 2 000 habitantes (Rural), de 2 000 a 19 999 (Resto Urbano), de 20 000 a m~s (Otras Grandes Ciudades, sin Lima), y Lima Metropolitana","analysis_unit":"- Household\n- Children under five years\n- Women age 15-49","universe":"Para el cuestionario de hogares y el individual, la poblaci\u00f3n en estudio est\u00e1 constituida por todos los hogares asentados en las viviendas particulares del pals y todas las mujeres entre 15 y 49 a\u00f1os, ast como todos sus hijos, con \u00e9nfasis en los menores de 5 a\u00f1os. En el Estudio de Disponibilidad de Servicios, el universo est\u00e5 conformado por los servicios de salud y planificaci\u00f3n familiar cercanos a los segmentos seleccionados para la muestra de bogares.","data_kind":"Sample survey data","notes":"La Encuesta Demogr\u00e1fica y de Salud de 1991 en Peru abarca los siguientes temas:\n\n- Alfabetismo \n- Antropometria: peso, talla y pertmetro braquial (madres e hijos) \n- Anticoncepci\u00f3n\n- CaracterIsticas de las Mujeres y Hombres Entrevistados\n- Estado Conyugal\n- Preferencias de Fecundidad\n- Mortalidad Materno-Infantil\n- Lactancia y Nutrici\u00f3n\n- Salud Materno-Infantil\n- Reproduccion","study_scope":"La Encuesta Demogr\u00e1fica y de Salud de 1991 en Peru abarca los siguientes temas:\n\n- Alfabetismo \n- Antropometria: peso, talla y pertmetro braquial (madres e hijos) \n- Anticoncepci\u00f3n\n- CaracterIsticas de las Mujeres y Hombres Entrevistados\n- Estado Conyugal\n- Preferencias de Fecundidad\n- Mortalidad Materno-Infantil\n- Lactancia y Nutrici\u00f3n\n- Salud Materno-Infantil\n- Reproduccion"},"method":{"data_collection":{"data_collectors":[{"name":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica","abbreviation":"INEI","affiliation":""}],"sampling_procedure":"EL MAREO MUESTRAL \n\nUno de los objetivos primordiales de la ENDES 1991-1992 es brindar estimaciones de los principales indicadores demogr\u00e1ficos a nivel de las trece regiones administrativas recientemente delineadas. El marco muestral de viviendas del INEI, creado en 1984 para la Encuesta Nacional de Nutrici\u00f3n y Salud y actualizado para encuestas posteriores, no serv\u00eda para este tipo de desagregaci\u00f3n, por lo cual fue necesario dise\u00f1ar un marco muestral nuevo. \n\nEl marco muestral fue desarrollado por el INEI y es el que servir\u00e1 de base para los Censos Nacionales de Poblaci\u00f3n y Vivienda previstos para 1993. Para ello fue necesario actualizar la cartograf\u00eda del pa\u00eds para identificar las nuevas manzanas y los asentamientos poblacionales paraluego proceder al registro de edificios y viviendas. En el proceso de actualizaci\u00f3n, el cual tuvo lugar entre Febrero y Diciembre de 1991 y en el cual participaron alrededor de un centenar de personas, se dio prioridad a los distritos seleccionados para la encuesta. \n\nEn el Cuadro A.1 se presentan estimaciones de la poblaci\u00f3n de mujeres en edad f\u00e9rtil por regi\u00f3n y por \u00e1reas metropolitanas y no metropolitanas, derivadas de las \u00faltimas proyecciones de poblacion preparadas por el INEI en 1990. Por \u00e1rea metropolitana (METRO) se entiende la poblacion residente en los distritos que conforman una ciudad y que suman a m\u00e1s de 100,000 (con la excepci\u00f3n de la regi\u00f3n San Mart\u00edn, cuyas ciudades de Tarapoto y Moyobamba han sido consideradas \u00e1rea metropolitana sin satisfacer el criterio de 100,000). El complemento de METRO es denominado RESTO. \n\nSeg\u00fan las proyecciones, el n\u00famero de ciudades con poblaci\u00f3n mayor de 100,000 habr\u00eda crecido de 13 en 1981 a 18 en 1990. Estas son: Iquitos en Loreto; Huancayo y Huanuco en Andr\u00e9s Avelino C\u00e1ceres; Arequipa en Arequipa; Chimbote en Chavfn; Piura y Sullana en Grau; Cuzco en Inka; Tacna, Juliaca y Puno en Jos\u00e9 Carlos Mariategui; Ica y Ayacucho en Los Libertadores-Wari; Chiclayo y Cajamarca en Nor-Oriental del Mara\u00f1on; Trujillo en La Libertad; Pucallpa en Ucayali; y Lima-Callao en Lima. Al incluir las ciudades de Tarapoto y Moyobamba, la poblaci\u00f3n metropolitana habr\u00eda alcanzado el 49 por ciento del total nacional en 1990; y entre mujeres en edad f\u00e9rtil, el 55 por ciento. \n\nTAMANO DE LA MUESTRA\n\nEl presupuesto original de la ENDES 1991-1992 permit\u00eda un tamafio de muestra de aproximadamente 12,000 mujeres. Al fijar la distribuci\u00f3n esperada de MEF por regi\u00f3n, para establecer las fracciones de muestreo a emplearse, se trabajo con la cifra de 15,000, esperando una p\u00e9rdida muestral de hasta 20 por ciento por motivos de la no respuesta y la posible inaccesibilidad de ciertos conglomerados por razones de clima, terrorismo y nareotr\u00e1fico. \n\nLa distribuci\u00f3n de la muestra seg\u00fan regiones respondi6 a dos consideraciones. En primer lugar, se quer\u00eda representar a cada regi\u00fan como un dominio de estudio. En segundo lugar, se quer\u00eda obtener estimadores confiables a nivel nacional. La mejor distribuci\u00f3n de la muestra seg\u00fan el primer criterio habrIa sido la asignaci\u00fan de 1150 entrevistas a cada una de las 13 regiones. La mejor distribuci\u00f3n de la muestra para el segundo criterio habr\u00eda sido en forma proporcional al n\u00famero estimado de MEF (170 entrevistas en Ucayali y 5184 entrevistas en Lima, por ejemplo). \n\nUna decisi\u00fan de representar a cada regi\u00f3n con igual n\u00famero de entrevistas tendr\u00eda el efecto de incrementar el error est\u00e1ndar de cualquier estimador a nivel nacional en 41 por ciento. En cambio, ser\u00eda absolutamente inadmisible tratar de representar a Ucayali con solo 170 entrevistas. La distribuci\u00fan que se adopt\u00f3 para la ENDES 1991-1992, balancea los dos criterios: permite hacer inferencia a nivel regional mientras que para estimaciones a nivel nacional aumenta el error est\u00e1ndar de cualquier estimador en s\u00f3lo 4 por ciento. \n\nSELECCION DE LA MUESTRA \n\nA continuaci\u00f3n se distribuy\u00f3 el n\u00famero estimado de entrevistas a tomarse en cada regi\u00fan seg\u00fan METRO y RESTO en forma proporcional al n\u00famero estimado de MEF en la poblaci\u00fan total. Luego se fij\u00f3 el n\u00famero de unidades primarias de muestreo (UPM) a seleccionarse. En \u00e1reas metropolitanas, el muestreo fue biet\u00e1pico: primero la selecci\u00f3n de UPM, y luego la selecci\u00f3n de viviendas. La experiencia de otras encuestas ha seflalado la conveniencia de seleccionar conglomerados de aproximadamente 15 a 20 MEF en \u00e1reas urbanas. Para obtener el ntlmero de UPM en el \u00e1rea metropolitana, se dividi\u00f3 el n\u00famero estimado de entrevistas a tomarse entre 15, redondeando al n\u00famero par m\u00e1s cercano, para poder parear conglomerados para c\u00e1lculos de varianza. \n\nEl muestreo en areas no metropolitanas fue triet\u00e1pico: primero la selecci\u00f3n de distritos como UPM, luego la selecci\u00f3n de conglomerados como unidades secundarias de muestreo (USM), y finalmente la selecci\u00f3n de viviendas. El n\u00famero de UPM seleccionadas result6 de dividir el n\u00famero estimado de entrevistas entre 60 y redondear al siguiente n\u00famero par. Luego se procedi\u00f3 a la selecci\u00f3n de tres conglomerados por distrito. La selecci\u00f3n de UPM y de USM se hizo utilizando probabilidad proporcional al tamatlo estimado (PPTE). Las UPM metropolitanas (conglomerados) son grupos de manzanas, o una sola manzana, con un promedio de 100 viviendas. Para la selecci\u00f3n tanto de las UPM Metro como de las viviendas, se utilizaron los listados producto de la operaci\u00f3n precensal llevada a cabo por el INEI en 1991. \n\nLa selecci\u00f3n de UPM (distritos) en el dominio no metropolitano se hizo con PPTE, utilizando las proyecciones preparadas por el INEI en 1991 a nivel distrital. La seleccion de conglomerados (segmentos urbanos o \u00e1reas de empadronamiento rural, AER), tambi\u00bfn se hizo con PPTE, utilizando igualmente el material producido por la operaci\u00fan precensal. Los segmentos y AER contienen en promedio unas 100 viviendas. \n\nLa t\u00e9cnica de muestreo utilizada en la selecci\u00f3n de distritos, conglomerados y viviendas fue sistem\u00e1tica con inicio aleatorio. La \u00fanica excepci\u00f3n a esta regla fue la selecci\u00f3n de viviendas en las AER, donde por razones de seguridad fue preferible emplear segmentos compactos. En cada AER se determin\u00f3 el n\u00famero de segmentos a formarse, derivado del cuociente entre el n\u00famero de viviendas listadas y el intervalo de selecci\u00f3n para luego seleccionar un segmento con un n\u00famero aleatorio. En total se seleccionaron 910 conglomerados, 514 en las \u00e1reas metropolitanas y 396 en los 132 distritos seleccionados para representar al resto del pa\u00eds.","coll_mode":"Face-to-face","research_instrument":"La recolecci\u00f3n de informaci\u00f3n en ENDES 1991-1992 se planeo mediante la utilizaci\u00f3n de tres cuestionarios: un Cuestionario del Hogar, un Cuestionario Individual y un Cuestionario de Disponibilidad de Servicios. Ellos son versiones adaptadas al Per\u00fa de los cuestionarios modelo del programa DHS (Modelo \"A\" para pa\u00edses con niveles altos en la prevalencia de anticoncepci\u00f3n). En su adaptaci\u00f3n para el Per\u00fa participo el Comit\u00e9 T\u00e9cnico. Contribuyeron tambi\u00e9n miembros de la misi\u00f3n local de la Agencia para el Desarrollo Internacional (USAID) y del Ministerio de Salud con el fin de asegurar que la encuesta captara informaci\u00f3n que sirva para sus fines program\u00e1ticos. \n\na) El Cuestionario del Hogar capt\u00f3 la siguiente informaci\u00f3n de todas las personas que habitaban permanentemente en el hogar y de aquellos que pernoctaron la noche anterior: \n- Sexo \n- Edad \n- Parentesco con el jefe del hogar \n- Actividad principal \n- Nivel de instruccion \n- Alfabetismo \n- Asistencia escolar (incluye asistencia a otros centros de instrucci\u00f3n formal) \n- Mortalidad materna \n\n\nb) El Cuestionario Individual se utiliza en la recolecci\u00f3n de informaci\u00f3n de las mujeres en edad f\u00e9rtil, entre 15 y 50 alaos, que durmieron la noche anterior al d\u00eda de la entrevista en la vivienda seleccionada (poblacion de facto o de hecho). Se entrevistaron las mujeres de 50 afios como medida de seguridad para evitar desplazamiento en tal variable. El Cuestionario Individual incluye los t\u00f3picos que se sefialan a continuaci\u00f3n: \n- Antecedentes de la entrevistada Repmducci\u00f3n e historia de nacimientos Conocimiento, uso y fuente de obtenci\u00f3n de m\u00e9todos anticonceptivos. Salud materno-infantil y lactancia Nupcialidad Preferencias de fecundidad \n- Antecedentes del marido, residencia y trabajo de la mujer \n- Mortalidad materna \n- Antropometria: peso, talla y pertmetro braquial (madres e hijos) \n\nEl Cuestionario Individual incluyo un calendario mediante el cual se recogi\u00f3 informaci\u00f3n detallada sobre eventos importantes en la vida de la mujer, registrados mes a mes desde Enero de 1986: nacimientos, embarazos, terminaciones de embarazos y uso de anticonceptivos (Columna 1 del calendario); motivo de descontinuaci\u00f3n de m\u00e9todos (Columna 2); meses de amenorrea, abstinencia y lactancia (Columnas 3, 4 y 5, respectivamente); historia de uniones (Columna 6); tipo de localidad donde ha vivido (Columna 7); y tipo de trabajo desempe\u00f1ado (Columna 8). El empleo del calendario permite tener una adecuada secuencia de los eventos y detectar y corregir traslapos indebidos en los tiempos de duraci6n de cada uno de ellos, lo que asegura mejor calidad en los datos. \n\nc) El Cuestionario de Disponibilidad de Servicios de la versi6n maestra del programa DHS ha sido ampliado y adaptado para hacer un estudio m\u00e1s profundo de la oferta de servicios de salud y planificaci\u00f3n familiar, incluyendo aspectos de calidad de los servicios, complement\u00e5ndose as con un estudio de Investigaci\u00f3n Operativa para Planeamiento Estrat\u00e9gico que realizar\u00e1 The Population Council en el Per\u00fa. Por esta raz6n su aplicaci\u00f3n fue diferida y tendr\u00e1 lugar en el tercer trimestre de 1992.","coll_situation":"ENTRENAMIENTO DEL PERSONAL DE CAMPO \n\nEl entrenamiento al personal de campo se realiz\u00f3 en dos etapas : en la primera se adiestraron 34 candidatas a supervisoras en un curso de dos semanas, seguido de una prueba piloto (del 15 al 18 de Mayo de 1991) consistente en la entrevista a 200 mujeres entre 15 y 49 afios. La experiencia de la prueba piloto permiti\u00f3 efectuar ajustes y modificaciones a los cuestionarios de hogar e individual. \n\nEn una segunda etapa se adiestraron 110 candidatas a entrevistadoras durante 40 d\u00edas. En el curso se explic\u00f3 el sentido y la importancia de cada pregunta del cuestionario, los procedimientos de entrevista y se realizaron pr\u00e5cticas de prueba en el aula y en el terreno. Al final del entrenamiento se seleccionaron 55 entrevistadoras, 28 supervisoras y 12 operadoras para digitaci\u00f3n. Durante la \u00faltima semana se capacit\u00f3 a las supervisoras en las t\u00e9cnicas de antropometffa (peso, talla y pertmetro braquial). En el curso actuaron como profesores profesionales del INEI, del Ministerio de Salud, de centros de investigaci\u00f3n no gubernamentales y de la Asociaci\u00f3n Ben\u00e9fica PRISMA, asI como los asesores de Macro Intemational. \n\nOPERACION DE CAMPO \n\nPara el trabajo de campo se constituyeron 14 equipos, uno para cada regi\u00f3n y 2 en el caso de Lima. Cada uno estuvo conformado por cuatro entrevistadoras, una cr\u00edtica de campo (encargada de la revisi\u00f3n de los cuestionarios en el mismo terreno), una supervisora (responsable de las mediciones antropom\u00e9tricas y de la conducci\u00f3n del equipo) y un chofer. El personal de campo estuvo constituido, en su gran mayor\u00eda, por residentes de las regiones donde se realizaba el trabajo; su adaptaci\u00f3n al medio en t\u00e9rminos culturales, de clima y ambiente, fue un factor clave para asegurar el contacto con las informantes, lo que permiti6 evitar el recelo natural que suscitan personas ajenas al lugar, sobre todo en las zonas de emergencia por razones de violencia. \n\nEl trabajo de campo se inici\u00f3 el 17 de Octubre de 1991, simult\u00e1neamente en las 13 regiones del pats y culmin\u00f3 el 7 de Marzo de 1992. La \u00faltima fase se realiz\u00f3 en Lima, para lo cual se desplazaron allf personas que ya hablan concluido el trabajo de su regi6n, conform\u00e1ndose 3 equipos m\u00e1s.","act_min":"Adicionalmente se cont\u00f3 con 5 supervisoras nacionales, del personal permanente del INEI, quienes hicieron un seguimiento del trabajo de cada equipo, desplaz\u00e1ndose periodicamente a las regiones.","cleaning_operations":"La primera etapa del procesamiento de la informaci\u00f3n se implement\u00f3 en el terreno, donde las cr\u00edticas de campo verificaban la consistencia de los cuestionarios, aclarando y corrigiendo errores mediante reentrevistas en el campo. Luego, en la oficina central, los lotes de cuestionarios fueron codificados y digitados para proceder con la crflica interactiva mediante microcomputadoras, con el programa ISSA (Sistema Integrado para An\u00e1lisis de Encuestas) desarrollado dentro del Programa DHS para el procesamiento de encuestas complejas como la ENDES 1991-1992. ISSA se utilizo para completar las siguientes tareas: \n\n1. Consistencia de rangos y control de flujos y relaciones l\u00f3gicas entre las variables, a medida que se digitan las respuestas, detectando r\u00e1pidamente errores e inconsistencias que fueron resueltos por las digitadoras (los casos sencillos) o por un equipo especial de analistas de consistencia. \n2. Depuraci\u00f3n de errores mediante un proceso por lotes, que controla la integridad del archivo de datos e informa acerca de las posibles inconsistencias. \n3. Preparaci\u00f3n de tabulaciones de control de calidad con el objeto de realizar evaluaciones de la calidad de la informacion desde los primeros d\u00edas de trabajo de campo, lo que permite hacer el seguimiento de los equipos y retroalimentar a las supervisoras y entrevistadoras, eliminando as\u00ed errores sistem\u00e1ticos. \n4. Preparaci6n de tabulaciones de salida, lo que permite la presentaci\u00f3n de resultados al poco tiempo de concluido el trabajo de campo.","method_notes":"En la preparaci\u00f3n del informe participaronlos responsables t\u00e9cnicos por parte de Macro Intemational y el director del Proyecto por parte del INEI. El informe fue realizado en la Sede de Macro Intemational en Columbia, Maryland, Estados Unidos de Norte Am\u00e9rica, lo que permit\u00ed6 contar con la asesor\u00eda especializada de sus investigadores y las facilidades de c\u00f3mputo para realizar corridas adicionales de los programas y asf entender mejor las relaciones entre las variables investigadas."},"analysis_info":{"response_rate":"En el proceso de la selecci\u00f3n de los distritos para representar al dominio no metropolitano se tuvo que excluir 50 distritos, por no estar en condiciones de ofrecer garant\u00eda alguna para los equipos de campo. M\u00e1s adelante, en el proceso de listado precensal, hubo que reemplazar 16 de los 132 distritos seleccionados originalmente, por el mismo motivo. En su gran mayor\u00eda, estos distritos son pequeflos en t\u00e9rminos de su poblaci\u00f3n y est\u00e5n concentrados en la Sierra Sur y Sierra Central. Aunque es dif\u00edcil especificar con exactitud la poblaci\u00f3n as\u00ed exclueda, se estima que la muestra representa al 95 por ciento de la poblaci\u00fan peruana. \n\nEn t\u00e9rminos generales, el rendimiento de la muestra fue bueno, como era de esperarse, porque se trabajaba con listados elaborarlos poco antes de la encuesta. Las selecciones excluidas de la base para el c\u00e1lculo de la tasa de respuesta (desocupada, destruirla u otro), por ser selecciones \"no muestrales\", representan solo el 3.9 por ciento del total de selecciones. Para la ENDES de 1986, la cifra comparable era 7.3 por ciento. La tasa total de respuesta, 90 por ciento, compara muy favorablemente con otras encuestas del programa DHS, y es escasamente un punto por debajo de la obtenida en la ENDES de 1986. \n\nDebido a que se utilizaron tasas de muestreo que variaban entre regiones, es necesario usar los datos con ponderaciones que reflejan la probabilidad correcta con que una vivienda o una mujer fue seleccionada para la encuesta. Al mismo tiempo, es conveniente incluir en el c\u00e1lculo del factor de ponderaci\u00f3n la tasa de respuesta obtenida tanto a nivel del hogar como a nivel de la mujer. Cabe tener en cuenta la correcci6n introducida por falta de cobertura: del total de 910 conglomerados, 9 no pudieron ser visitados, por motivos varios. Las ponderaciones est\u00e1n normalizadas para que sumen al nt\u00edmero total de entrevistas, tanto de hogares como de mujeres. \n\nEl mayor n\u00famero de entrevistas de MEF logradas en comparaci\u00f3n con el n\u00famero esperado (15,882 vs. 12,000) se debe en parte a los procedimientos rigurosos aplicados en el campo y en parte a algunas sorpresas en cu\u00e1nto al rendimiento de la muestra y el trabajo de campo. Referente a los procedimientos, se aplico el intervalo semi-abierto para encontrar viviendas suplementarias; y dentro de cada vivienda, se indag\u00f3 por la existencia de hogares adicionales. Como resultado de estas pr\u00e1cticas, el n\u00famero de hogares encontrados super6 en 8.3 por ciento la cantidad de direcciones originalmente enviadas al campo. Esta cifra compara con la de 5.5 por ciento encontrada en la ENDES de 1986, sugiriendo un proceso continuo de hacinamiento. \n\nLas sorpresas surgen alrededor de dos supuestos b\u00e1sicos que se hicieron al momento de disellar la muestra: que la relaci\u00f3n del n\u00famero de MEF al total proyectado de la poblaci\u00f3n ser\u00eda de 25 por ciento en las \u00e1reas metropolitanas y de 20 por ciento en el resto del pa\u00eds; y que habr\u00eda una p6rdida muestral de 20 por ciento por causa de la no respuesta, inaccesibilidad, etc. \n\nEn 20 de los 26 dominios muestrales la relaci\u00f3n MEF-personas super\u00f3 la relaci6n supuesta. Esto se mide en la columna titulada \"Mejor captura de MEF\", e indica que se encontraron 1096 MEF m\u00e1s que las esperadas. La p\u00e9rdida muestral, o sea el inverso de la tasa total de respuesta y cobertura, supera el 20 por ciento en solo 3 de los 26 dominios muestrales. La consecuencia de esto est\u00e1 medida en la columna titulada \"Mejor tasa de respuesta\", indicando una ganancia de 1395 entrevistas. Ast, resulta f\u00e1cil explicar la existencia de 14,491 entrevistas en contra de las 12,000 esperadas. El super\u00e5vit restante de 1391 entrevistas podr\u00eda atribuirse a un sin n\u00famero de factores, incluyendo la sobre-cobertura. Pero parecer\u00eda m\u00e1s realista atribuir el super\u00e1vit a una proyecci\u00f3n de la poblaci\u00f3n que haya subestimado el crecimiento real de la misma.","sampling_error_estimates":"En general, los errores estandar son pequeflos y que por ello la 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 disel~o tienden a aumentar para las clasificaciones geogr\u00e1ficas y a disminuir para clasificaciones que cruzan toda la muestra, como es la edad.","data_appraisal":"El prop\u00e9sito del presente ap\u00bfndice es proporcionar al usuario de los datos de la ENDES 1991-1992 una primera visi\u00f3n de la calidad de los mismos. En el Ap\u00e9ndice B del Informe Final se presentaron los resultados relacionados con los errores de muestreo. Los cuadros en este Ap\u00e9ndice est\u00e1n referidos m\u00e1s bien a posibles errores no muestrales: preferencia de d\u00edgitos y redondeo en la declaraci6n de edades o fechas; olvido de acontecimientos en el pasado; el esfuerzo deliberado de algunas entrevistadoras de distorsionar algunos datos con el objeto de aligerar la carga de trabajo; la falta de colaboraci\u00f3n de algunas mujeres en facilitar cienos datos o su rechazo a la medici\u00f3n antropom\u00e9trica, etc. A continuaci\u00f3n se describe brevemente la magnitud de estos errores no muestrales."}},"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 uso."}}},"data_files":[{"file_id":"F1","file_name":"RECH0","description":"HOUSEHOLD\n- Household's Basic Data","case_count":"14469","var_count":"30","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":"73042","var_count":"20","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F3","file_name":"RECH2","description":"HOUSEHOLD\n- Household 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