Reproductive Health Survey 2002 - Albania

Abstract
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The reproductive health survey of Albania has provided baseline data for new developments in recent years in this field, developments which have affected lifestyle, legislation, policies and social services. Until this survey was in place there was no comprehensive comparative analysis of the main indicators of family planning and reproductive health, utilizing data from a nation-wide representative sample.

A principal objective of the study was to examine the reproductive health status of the population and needs that can be used to help direct or modify program interventions. Until this survey, relatively little detailed and reliable population-based information was available about important reproductive health topics in the country.

The RHS examines patterns and levels of fertility, contraceptive use and method selection, health behaviors, knowledge of HIV/AIDS, attitudes toward specific contraceptive methods, domestic violence and sexual abuse, as well as sex education and sexual behavior of young adults. These data are particularly useful in assisting policy makers and program officials in evaluating health service needs and identifying reproductive health behaviors associated with poor health outcomes.

Geographic coverage
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National

Analysis unit
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- Households
- Individuals
- Men age 15-49 years
- Women age 15-44 years

Kind of data
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Sample survey data [ssd]

Sampling procedure
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Sampling Design

The Albania RHS 2002 is based on in-person, face-to-face interviews with 5,697 women and 1,740 men in their homes. The household-based survey was designed to collect information from a representative sample of men and women of reproductive age throughout Albania. Respondents were selected from the universe of all females aged 15-44 years and all males aged 15-49 years, regardless of marital status, who were living in Albania when the survey was conducted. Male and female samples were selected independently.

For analysis purposes, three strata were constructed for the sampling design: Metro Tirana, other urban areas and other rural areas. Metro Tirana includes 6 of the 19 communes in Tirana district: Bashkia Tirane (capital city of Tirana) , Kamez, Vore, Farke, Kashar and Paskuqan. These six communes include 85% of the District population and an estimated 92% of the urban population in the District. The "Other Urban Area" stratum includes urban areas outside of Metro Tirana and the "Other Rural Area" stratum includes all rural areas outside of Metro Tirana.

Note: See detailed sample design information in the final report which is provided in this documentation.

Mode of data collection
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Face-to-face [f2f]

Research instrument
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The individual questionnaire included information on each respondent's education, employment, living arrangements, and other background characteristics, as well as histories of marriage, divorce and cohabitation, sexual experience, pregnancy and contraceptive use. Additional questions investigated health risk behaviors that may affect reproductive health (smoking and drinking habits), women's health screening practices, young adult sexual and contraceptive behavior, knowledge and attitudes related to HIV/AIDS, and intimate partner violence. The questionnaire was developed in English and translated into Albanian and underwent two pretests. The second pretest, in May 2002, was performed to test changes in the questionnaire made after the first pretest.

Response rate
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Of the 10,316 households selected in the female household sample, 5,866 (57%) included at least one eligible woman (age 15-44 years). One-third (34%) of households did not include an eligible woman and 8% of households were unoccupied, principally in rural areas (12%). Of the identified respondents, 5,697 were successfully interviewed, yielding an individual response rate of 97% for an overall response rate of 97% for women. Virtually all respondents who were selected to participate in the sample agreed to be interviewed and were very cooperative. Less than one percent refused to be interviewed. Response rates were similar in all three strata.

The male sample totaled 3,965 households with 1,831 (46%) including at least one eligible man (age 15-49 years). A lower percentage of households included an eligible male than did the female sample (include an eligible female) due, in part, to the emigration of males of working age. A total of 1,740 eligible males were interviewed for a 95% individual response rate, yielding an overall response rate of 94% (.95 x 99%). As with the female sample, refusals were less than one percent and response rates in the three strata were similar.

Note: See summarized response rates by strata in Table 2.1A and 2.1B of the report which is presented in this documentation.

摘要
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阿尔巴尼亚的生殖健康调查为近年来该领域的新发展提供了基线数据，这些发展影响了生活方式、立法、政策和社会服务。在此调查实施之前，尚未有关于家庭规划和生殖健康主要指标的全面比较分析，这些分析使用了全国代表性样本的数据。
研究的主要目标之一是检查人口的生殖健康状况以及可用于指导或修改项目干预措施的需求。在此调查之前，关于国家重要生殖健康主题的详细且可靠的人口信息相对较少。
生殖健康调查（RHS）考察了生育率、避孕使用和避孕方法选择、健康行为、对HIV/AIDS的了解、对特定避孕方法的看法、家庭暴力和性虐待，以及青年成人的性教育和性行为模式。这些数据对于帮助政策制定者和项目官员评估医疗服务需求以及识别与不良健康结果相关的生殖健康行为特别有用。
地理覆盖范围
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全国
分析单元
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- 家庭
- 个人
- 15-49岁男性
- 15-44岁女性
数据类型
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样本调查数据 [ssd]
抽样程序
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抽样设计
阿尔巴尼亚2002年生殖健康调查基于对5,697名女性和1,740名男性在家中的面对面访谈。基于家庭的调查旨在收集来自阿尔巴尼亚各生殖年龄男女的代表性样本信息。受访者从所有居住在阿尔巴尼亚且年龄在15-44岁之间的女性和所有年龄在15-49岁之间的男性的总体中选取，无论婚姻状况如何。男性和女性样本独立选取。
为了分析目的，抽样设计构建了三个层：地拉那都会区、其他城市地区和其他农村地区。地拉那都会区包括地拉那区19个社区中的6个：Bashkia Tirane（地拉那首都）、Kamez、Vore、Farke、Kashar和Paskuqan。这六个社区包括该区人口的85%，以及估计的92%的城市人口。'其他城市地区'层包括地拉那都会区以外的城市地区，'其他农村地区'层包括地拉那都会区以外的所有农村地区。
注意：请参阅最终报告中提供的详细抽样设计信息。
数据收集方式
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面对面 [f2f]
研究工具
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个人问卷包含了关于每个受访者的教育、就业、居住安排以及其他背景特征的信息，以及婚姻、离婚和同居历史、性经历、怀孕和避孕使用历史。额外的问题调查了可能影响生殖健康的风险行为（吸烟和饮酒习惯），女性的健康筛查实践，青年成人的性避孕行为，与HIV/AIDS相关的知识和态度，以及亲密伴侣暴力。问卷用英语开发，翻译成阿尔巴尼亚语，并经过了两次预测试。第二次预测试于2002年5月进行，以测试在第一次预测试后对问卷所做的修改。
响应率
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在女性家庭样本中选取的10,316个家庭中，5,866个家庭（57%）至少包含一名符合条件的女性（年龄在15-44岁之间）。三分之一的家庭（34%）没有符合条件的女性，8%的家庭为空，主要在农村地区（12%）。在确定的受访者中，5,697人成功接受了访谈，个人响应率为97%，女性总体响应率为97%。几乎所有被选入样本的受访者都同意接受访谈，并且非常合作。不到1%的人拒绝接受访谈。三个层中的响应率相似。
男性样本总数为3,965个家庭，其中1,831个家庭（46%）至少包含一名符合条件的男性（年龄在15-49岁之间）。与女性样本相比，包含符合条件的男性的家庭比例较低，部分原因是工作年龄男性的移民。总共对1,740名符合条件的男性进行了访谈，个人响应率为95%，总体响应率为94%（.95 x 99%）。与女性样本一样，拒绝率不到1%，三个层的响应率相似。
注意：请参阅报告中表2.1A和2.1B中按层汇总的响应率。报告在本文档中提供。