{"type":"survey","doc_desc":{"title":"DOM_2013_DHS_v01_M","idno":"DDI_DOM_2013_DHS_v01_M_WB","producers":[{"name":"Development Data Group","abbreviation":"DECDG","affiliation":"World Bank Group","role":"Metadata preparation"}],"prod_date":"2015-03-02","version_statement":{"version":"Version 01 (March 2015). Metadata is excerpted from \"Rep\u00fablica Dominicana Encuesta Demogr\u00e1fica y de Salud 2013\" Report."}},"study_desc":{"title_statement":{"idno":"DOM_2013_DHS_v01_M","title":"Encuesta Demogr\u00e1fica y de Salud 2013","alt_title":"DHS 2013 \/ ENDESA 2013","translated_title":"Demographic and Health Survey 2013"},"authoring_entity":[{"name":"Centro de Estudios Sociales y Demogr\u00e1ficos (CESDEM)","affiliation":"Rep\u00fablica Dominicana"}],"production_statement":{"producers":[{"name":"Ministerio de Salud P\u00fablica","affiliation":"","role":""},{"name":"ICF International","affiliation":"","role":"Proporcion\u00f3 asistencia t\u00e9cnica"}],"funding_agencies":[{"name":"Agencia de los Estados Unidos para el Desarrollo International","abbreviation":"USAID","role":"Financiaci\u00f3n"},{"name":"Ministerio de Salud P\u00fablica, Rep\u00fablica Dominicana","abbreviation":"MSP","role":"Financiaci\u00f3n"},{"name":"Fondo Global de la Lucha Contra el SIDA, la Tuberculosis y la Malaria a trav\u00e9s del Consejo Nacional para el VIH y SIDA","abbreviation":"CONAVIHSIDA","role":"Financiaci\u00f3n"},{"name":"Programa Nacional de Control de la Tuberculosis","abbreviation":"MSP-PNCT","role":"Financiaci\u00f3n"},{"name":"Plan de Emergencia del Presidente para el Alivio del SIDA\/Centros para el Control y la Prevenci\u00f3n de Enfermedades","abbreviation":"PEPFAR\/ CDC","role":"Financiaci\u00f3n"}]},"distribution_statement":{"contact":[{"name":"Information about The DHS Program","affiliation":"The DHS Program","email":"reports@DHSprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"General Inquiries","affiliation":"The DHS Program","email":"info@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"Data and Data Related Resources","affiliation":"The DHS Program","email":"archive@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"}]},"series_statement":{"series_name":"Demographic and Health Survey (Standard) - DHS VI","series_info":"La Encuesta Demogr\u00e1fica y de Salud 2013 (ENDESA 2013) es la sexta encuesta llevada a cabo en Rep\u00fablica Dominicana dentro del Proyecto Mundial de Encuestas de Demograf\u00eda y Salud (DHS) y constituye la m\u00e1s completa investigaci\u00f3n para obtener informaci\u00f3n actualizada y efectuar an\u00e1lisis del cambio, tendencias y determinantes de la fecundidad, mortalidad y la salud de la poblaci\u00f3n dominicana.\n\nLas variables investigadas est\u00e1n referidas a la salud general, materna e infantil, prevalencia anticonceptiva, fecundidad, mortalidad infantil, conocimiento, actitudes, pr\u00e1cticas y prevalencia del VIHSIDA, violencia dom\u00e9stica, morbilidad y gastos en salud. Asimismo, proporciona informaci\u00f3n sobre el estado nutricional e inmunizaci\u00f3n de la poblaci\u00f3n menor de cinco a\u00f1os de edad, pr\u00e1cticas de lactancia, entre otros indicadores de salud y poblaci\u00f3n a nivel nacional y regional."},"study_info":{"abstract":"La Encuesta Demogr\u00e1fica y de Salud en la Rep\u00fablica Dominicana en 2013 (DRDHS 2013), tambi\u00e9n conocida como ENDESA 2013, es una actualizaci\u00f3n de las encuestas realizadas en 1986, 1991, 1996, 2002 y 2007, con una muestra representativa a nivel nacional de cerca de 13,100 hogares seleccionados. Todas las mujeres de 15-49 a\u00f1os de edad, residentes habituales de los hogares seleccionados o que durmieron en esos hogares la noche anterior a la encuesta, fueron elegibles para la encuesta. La encuesta se propuso entrevistar aproximadamente 9,700 mujeres de 15-49 de edad. Al igual que en las encuestas anteriores, los principales objetivos de la ENDESA 2013 son proporcionar informaci\u00f3n actualizada sobre los niveles de fecundidad y mortalidad infantil; preferencias de fecundidad; conocimiento y uso de m\u00e9todos de planificaci\u00f3n familiar; salud materno-infantil; conocimientos y actitudes hacia el VIH \/ SIDA y otras infecciones de transmisi\u00f3n sexual (ITS); prevalencia del VIH entre la poblaci\u00f3n adulta; violencia contra la mujer, gastos de salud de los hogares, entre otros.\n\nAdicionalmente al cuestionario individual aplicado a las mujeres, se administr\u00f3 un cuestionario individual a los hombres en todos los hogares seleccionados. Todos los hombres de 15-59 de edad, residentes habituales de los hogares seleccionados, o que durmieron en los hogares la noche anterior a la encuesta fueron elegibles para la encuesta masculina. La encuesta recopil\u00f3 informaci\u00f3n demogr\u00e1fica b\u00e1sica y condici\u00f3n social; conocimiento y uso de m\u00e9todos de planificaci\u00f3n familiar; y el conocimiento y las actitudes hacia el VIH \/ SIDA y otras infecciones.\n\nLa encuesta fue dise\u00f1ada para producir estimaciones representativas de los principales indicadores demogr\u00e1ficos y de salud para el pa\u00eds en su conjunto, para las zonas urbanas y rurales, y para cada una de las nueve regiones de salud.","coll_dates":[{"start":"2013-07-12","end":"2013-10-26","cycle":""}],"nation":[{"name":"Dominican Republic","abbreviation":"DOM"}],"geog_coverage":"La cobertura nacional","analysis_unit":"- El hogar\n- Mujeres de 15-49 a\u00f1os\n- Hijos menores de 5 a\u00f1os\n- Hombres de 15-59 a\u00f1os","data_kind":"Sample survey data [ssd]","notes":"La encuesta abarc\u00f3 los siguientes temas:\n- Cuestionario del hogar\n\u2022 Residentes habituales y visitantes del hogar\n\u2022 Relaci\u00f3n de parentesco, sexo y edad de cada miembro del hogar\n\u2022 Supervivencia de los padres de los miembros menores de 16 a\u00f1os\n\u2022 Peso y talla de los ni\u00f1os y adultos\n\u2022 Datos de la vivienda y del hogar\n\u2022 Caracter\u00edsticas demogr\u00e1ficas y educacionales de la poblaci\u00f3n de 5 a\u00f1os y m\u00e1s\n\n- Cuestionario individual de mujeres\n\u2022 Antecedentes de la mujer entrevistada\n\u2022 Reproducci\u00f3n e historia de nacimientos\n\u2022 Anticoncepci\u00f3n\n\u2022 Embarazo y cuidados post natales\n\u2022 Inmunizaci\u00f3n, salud y nutrici\u00f3n infantil\n\u2022 Nupcialidad y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Antecedentes del marido y trabajo de la mujer\n\u2022 SIDA e infecciones de transmisi\u00f3n sexual: conocimiento y prevenci\u00f3n\n\u2022 Violencia dom\u00e9stica\n\u2022 Otros asuntos de salud: tuberculosis, fumar, dieta y ejercicio, y atenci\u00f3n de salud preventiva\n\n- Cuestionario individual de hombres\n\u2022 Antecedentes de los entrevistados\n\u2022 Nupcialidad y actividad sexual\n\u2022 SIDA e infecciones de transmisi\u00f3n sexual: conocimiento y prevenci\u00f3n\n\u2022 Otros asuntos de salud\n\u2022 Actitudes hacia la mujer\n\u2022 Otros asuntos de salud: tuberculosis, fumar, dieta y ejercicio, y atenci\u00f3n de salud preventiva\n\n- Cuestionario de morbilidad y gastos en salud\n\u2022 Caracter\u00edsticas econ\u00f3micas de los miembros del hogar de 10 a\u00f1os o m\u00e1s\n\u2022 Morbilidad y atenci\u00f3n en salud\n\u2022 Utilizaci\u00f3n de los servicios de salud\n\u2022 Gastos directos e indirectos en salud\n\u2022 Coberturas de los seguros de salud","study_scope":"La encuesta abarc\u00f3 los siguientes temas:\n- Cuestionario del hogar\n\u2022 Residentes habituales y visitantes del hogar\n\u2022 Relaci\u00f3n de parentesco, sexo y edad de cada miembro del hogar\n\u2022 Supervivencia de los padres de los miembros menores de 16 a\u00f1os\n\u2022 Peso y talla de los ni\u00f1os y adultos\n\u2022 Datos de la vivienda y del hogar\n\u2022 Caracter\u00edsticas demogr\u00e1ficas y educacionales de la poblaci\u00f3n de 5 a\u00f1os y m\u00e1s\n\n- Cuestionario individual de mujeres\n\u2022 Antecedentes de la mujer entrevistada\n\u2022 Reproducci\u00f3n e historia de nacimientos\n\u2022 Anticoncepci\u00f3n\n\u2022 Embarazo y cuidados post natales\n\u2022 Inmunizaci\u00f3n, salud y nutrici\u00f3n infantil\n\u2022 Nupcialidad y actividad sexual\n\u2022 Preferencias de fecundidad\n\u2022 Antecedentes del marido y trabajo de la mujer\n\u2022 SIDA e infecciones de transmisi\u00f3n sexual: conocimiento y prevenci\u00f3n\n\u2022 Violencia dom\u00e9stica\n\u2022 Otros asuntos de salud: tuberculosis, fumar, dieta y ejercicio, y atenci\u00f3n de salud preventiva\n\n- Cuestionario individual de hombres\n\u2022 Antecedentes de los entrevistados\n\u2022 Nupcialidad y actividad sexual\n\u2022 SIDA e infecciones de transmisi\u00f3n sexual: conocimiento y prevenci\u00f3n\n\u2022 Otros asuntos de salud\n\u2022 Actitudes hacia la mujer\n\u2022 Otros asuntos de salud: tuberculosis, fumar, dieta y ejercicio, y atenci\u00f3n de salud preventiva\n\n- Cuestionario de morbilidad y gastos en salud\n\u2022 Caracter\u00edsticas econ\u00f3micas de los miembros del hogar de 10 a\u00f1os o m\u00e1s\n\u2022 Morbilidad y atenci\u00f3n en salud\n\u2022 Utilizaci\u00f3n de los servicios de salud\n\u2022 Gastos directos e indirectos en salud\n\u2022 Coberturas de los seguros de salud"},"method":{"data_collection":{"sampling_procedure":"Objetivos del dise\u00f1o de la muestra\nLa ENDESA 2013 fue dise\u00f1ada para obtener estimaciones confiables en una serie de indicadores relevantes para el pa\u00eds como un todo, por zona urbana y rural como dominios independientes, y para cada una de las nueve regiones de salud del pa\u00eds. Sin embargo, dependiendo del indicador, aplican dominios de an\u00e1lisis m\u00e1s restringidos, especialmente el caso de la prevalencia de VIH.\n\nLos universos de estudio est\u00e1n constituidos por los hogares, las mujeres de 15-49 a\u00f1os, sus hijos menores de 5 a\u00f1os, y por los hombres de 15-59 a\u00f1os.\n\nDise\u00f1o de la muestra\nEl dise\u00f1o muestral implementado por la ENDESA-2013 fue probabil\u00edstico, por conglomerado, estratificado y bi-et\u00e1pico. Como marco muestral fue utilizado el conjunto de \u00e1reas de supervisi\u00f3n censal extra\u00eddo del Censo de Poblaci\u00f3n y Vivienda del 2010, elaborado por la Oficina Nacional de Estad\u00edstica (ONE). Estas \u00e1reas constituyen las Unidades Primarias de Muestreo (UPMs).\n\nComo primera etapa en el dise\u00f1o las UPMs fueron estratificadas por provincia y zona de residencia. En esta etapa fueron seleccionadas 524 UPMs, con probabilidad proporcional a su tama\u00f1o (PPT). Estas \u00e1reas fueron sometidas a un proceso de actualizaci\u00f3n cartogr\u00e1fica, a los fines de tomar en cuenta posibles cambios al interior de las mismas. En la segunda etapa fueron seleccionados 25 hogares en cada una de las UPMs actualizadas, siguiendo un proceso aleatorio-sistem\u00e1tico. En cada uno de los hogares seleccionados, fueron considerados elegibles para la encuesta todas las mujeres de 15 a 49 a\u00f1os y todos los hombres de 15 a 59 a\u00f1os residentes habituales de esos hogares o que durmieron en ellos la noche anterior. Para la aplicaci\u00f3n del Cuestionario de Morbilidad y Gastos en Salud fue realizada una submuestra, tomando de manera aleatoria uno de cada dos hogares ya seleccionados en la segunda etapa.\n\nPara asegurar que el nivel de precisi\u00f3n de la encuesta sea comparable entre regiones, la muestra considera una afijaci\u00f3n 'power' entre regiones y entre zonas de residencia dentro de cada regi\u00f3n. Sobre la base de una muestra de 25 hogares dentro de cada conglomerado, la muestra seleccion\u00f3 524 \u00c1reas de Enumeraci\u00f3n (AE), 364 en zonas urbanas y 160 en zonas rurales. La muestra fue seleccionada de manera que se garantizara un n\u00famero suficiente casos en cada dominio, yendo de 1,150 hogares en la regi\u00f3n IV a 2,000 hogares en la regi\u00f3n 0.\n\nCabe observar que para esta encuesta se utiliz\u00f3 la nueva regionalizaci\u00f3n de salud que contempla a la provincia de Azua en la regi\u00f3n VI y no en la regi\u00f3n I como en la ENDESA-2007. El resto de las regiones no sufrieron cambios.\n\nV\u00e9ase Ap\u00e9ndice A para m\u00e1s detalles","coll_mode":"Face-to-face [f2f]","research_instrument":"La ENDESA 2013 utiliz\u00f3 4 cuestionarios para la recolecci\u00f3n de la informaci\u00f3n: un cuestionario de hogar aplicado en 11,464 hogares; un cuestionario individual de mujeres aplicado a 9,372 mujeres de 15 a 49 a\u00f1os de edad en esos hogares, un cuestionario individual de hombres aplicado a 10,306 hombres de 15 a 59 a\u00f1os; y un cuestionario de morbilidad y gastos en salud, aplicado en la mitad de los hogares totales visitados.","coll_situation":"TRABAJO DE CAMPO\nEl trabajo de campo para la ENDESA 2013 inici\u00f3 el 12 de julio y finaliz\u00f3 el 26 de octubre. En su ejecuci\u00f3n se conformaron 12 equipos, supervisados por dos jefas de campo y una coordinadora general. Cada equipo cont\u00f3 con una supervisora, un asistente, un digitador y editor de campo, 4 entrevistadoras, 2 entrevistadores y un chofer.\n\nEl trabajo se inici\u00f3 en la provincia Santo Domingo y el Distrito Nacional, luego se continu\u00f3 con la regi\u00f3n Sur del pa\u00eds, comenzando por Azua, Peravia, seguidas por Pedernales, Barahona, Bahoruco, Independencia, San Juan y El\u00edas Pi\u00f1a; a continuaci\u00f3n se trabaj\u00f3 en las regiones del Cibao. Las \u00faltimas provincias donde se recolectaron los datos fueron las de la regi\u00f3n Este. Durante las labores de campo los equipos recibieron las visitas de seguimiento del personal directivo de la encuesta y de ICF International. Al t\u00e9rmino de los primeros d\u00edas del trabajo de campo se realiz\u00f3 una reuni\u00f3n de retroalimentaci\u00f3n con las supervisoras, asistentes y digitadores\/criticadores para compartir las observaciones de monitoreo del equipo directivo e incorporar sugerencias. Todas las semanas se condujeron reuniones de seguimiento con las jefas de campo y cuando el caso lo ameritaba, con supervisores y digitadores\/cr\u00edticos.","cleaning_operations":"Para la ENDESA 2013 se implement\u00f3 el sistema de procesamiento de datos usando la metodolog\u00eda CAFE (Computer Assisted Field Editing). El m\u00e9todo CAFE se fundamenta en la digitaci\u00f3n de los cuestionarios en el terreno inmediatamente despu\u00e9s de terminar cada entrevista. La entrada de los cuestionarios en el campo tiene dos prop\u00f3sitos: 1) La edici\u00f3n inmediata de los cuestionarios antes de salir del \u00e1rea de trabajo con fines de detectar errores de recolecci\u00f3n, como preguntas en blanco, casos sin informaci\u00f3n, errores de filtros y pases, entre otros; 2) la creaci\u00f3n de una base de datos electr\u00f3nica en l\u00ednea y de este modo eliminar la captura de los datos en la oficina central.\n\nInternet File Streaming System, IFSS, es el sistema de transferencia de datos que se utiliz\u00f3 para enviar los datos del terreno a la oficina Central. El mismo se utiliz\u00f3 tambi\u00e9n para enviar actualizaciones de las aplicaciones y de los datos desde la oficina central a los editores de campo, cuando fue necesario. En el sistema IFSS se necesita tener acceso a internet para poder transmitir informaci\u00f3n. Para este prop\u00f3sito, se le provey\u00f3 a cada editor de campo de un modem 3G\/4G (GPRS\u2014Servicio General de Paquete v\u00eda Radio) que le permit\u00eda conectarse al internet en la mayor\u00eda de las \u00e1reas seleccionadas en la muestra de esta encuesta. En las \u00e1reas donde no se pod\u00eda conseguir conexi\u00f3n, el editor se trasladaba a la zona m\u00e1s cercana donde pod\u00eda conseguir se\u00f1al y hacer el env\u00edo de los datos o recibir actualizaciones.\n\nCon el sistema IFSS se env\u00edan los datos a un servidor central desde donde el supervisor de procesamiento puede descargar los datos a su computador de manera peri\u00f3dica (una vez al d\u00eda, por ejemplo). El sistema tambi\u00e9n permite a los editores de campo realizar la transferencia en cualquier momento del d\u00eda si es necesario. Esta opci\u00f3n es de gran utilidad, especialmente cuando se presentan errores en el programa de entrada y es necesario enviar una soluci\u00f3n inmediata al terreno. El acceso directo y en l\u00ednea a los datos del servidor central que tienen los encargados de procesamiento de datos permite identificar y enviar soluciones r\u00e1pidas a trav\u00e9s de este sistema de transferencia de datos."},"analysis_info":{"response_rate":"Un total de 13,135 hogares seleccionados fueron encontrados 12,002, excluyendo de esta cifra a los hogares ausentes, las viviendas desocupadas, destruidas y no encontradas. Del total de hogares encontrados fueron entrevistados 11,464, para una tasa de respuesta del 96 por ciento.\n\nEn este conjunto de hogares entrevistados se localizaron 9,955 mujeres elegibles, siendo entrevistadas el 94 por ciento. En el caso de los hombres se encontraron 11,912 elegibles, logrando entrevistar al 87 por ciento de los mismos. Para las tres tasas comentadas no se aprecian diferencias importantes por zona de residencia. Como se registr\u00f3 en encuestas anteriores, el principal motivo para la no respuesta individual es por ausencia al momento de la entrevista, especialmente en hombres. Comparando con la cobertura lograda en la ENDESA 2007 se observa en esta encuesta una ligera mejor\u00eda en los resultados de las entrevistas individuales, sobre todo en la poblaci\u00f3n masculina.","sampling_error_estimates":"Los resultados de la ENDESA 2013, por ser una encuesta por muestreo, est\u00e1n afectados 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\nAunque se hicieron numerosos esfuerzos durante la ejecuci\u00f3n de la ENDESA 2013 para minimizar los errores no muestrales, es imposible evitar completamente este tipo de errores. Los errores de muestreo pueden, en cambio, ser evaluados estad\u00edsticamente. La muestra seleccionada para la ENDESA 2013 es s\u00f3lo una de las muchas muestras que pod\u00edan haber sido seleccionadas en base a la poblaci\u00f3n del pa\u00eds, usando el mismo dise\u00f1o y el mismo tama\u00f1o esperado. Cada una de estas muestras dar\u00eda resultados que diferir\u00edan un poco de los resultados de la muestra efectivamente seleccionada. Los errores de muestreo son una medida de la variabilidad entre todas las posibles muestras. Aunque el grado de variabilidad no se conoce exactamente, se puede estimar a partir de los resultados de la encuesta.\n\nLos errores de muestreo pueden medirse en t\u00e9rminos del error est\u00e1ndar de una estad\u00edstica espec\u00edfica (media, porcentaje, etc.), que es la ra\u00edz cuadrada de la varianza. El error est\u00e1ndar puede ser usado para calcular los intervalos de confianza dentro de los cuales se supone que razonablemente podr\u00eda caer el verdadero valor en la poblaci\u00f3n. Por ejemplo, para cualquier estad\u00edstica calculada a partir de una encuesta por muestreo, el valor de esa estad\u00edstica caer\u00e1 dentro de un rango de m\u00e1s o menos dos veces el error est\u00e1ndar de esa estad\u00edstica en el 95 por ciento de todas las muestras de id\u00e9ntico tama\u00f1o y dise\u00f1o.\n\nSi la muestra de los encuestados hubiese sido seleccionada como una muestra aleatoria simple, habr\u00eda sido posible calcular de manera muy directa los errores muestrales. Sin embargo, la muestra de la ENDESA 2013 es el resultado de un dise\u00f1o estratificado en varias etapas, y, en consecuencia, fue necesario utilizar f\u00f3rmulas m\u00e1s complejas. Los errores de muestreo se calculan ya sea ISSA o en SAS, usando programas desarrollados por ICF International. Estos programas utilizan el m\u00e9todo de linealizaci\u00f3n de Taylor de estimaci\u00f3n de la varianza de las estimaciones de la encuesta en el caso de promedios, razones o proporciones. El m\u00e9todo de replicaci\u00f3n repetida Jackknife es usado para la estimaci\u00f3n de la varianza de estad\u00edsticas m\u00e1s complejas tales como las tasas de fecundidad y mortalidad.\n\nV\u00e9ase Ap\u00e9ndice B para m\u00e1s detalles","data_appraisal":"Las tablas fueron producidos para revisar la calidad de los datos:\n- Distribuci\u00f3n por edad en los hogares\n- Distribuci\u00f3n por edad de las mujeres elegibles y entrevistadas\n- Distribuci\u00f3n por edad de los hombres elegibles y entrevistados\n- Cobertura de la informaci\u00f3n\n- Nacimientos por a\u00f1os calendario\n- Informaci\u00f3n de la edad al morir en d\u00edas\n- Informaci\u00f3n sobre de la edad al morir en meses \n- Estado nutricional de ni\u00f1os\/as basado en la poblaci\u00f3n internacional de referencia de\n\nNota: Las tablas se presentan en el Ap\u00e9ndice C del informe final."}},"data_access":{"dataset_availability":{"access_place":"The DHS 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