México Front Matter

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México Front Matter Encuesta Nacional sobre Fecundidad y Salud 1987 Secretaría de Salud Subsecretaría de Servicios de Salud Dirección General de Planificación Familiar ®DHS Demographic and Health Surveys Institute for Resource Development/Macro Systems, Inc. México Encuesta Nacional sobre Fecundidad y Salud 1987 Dirección General de PlanificaciÓn Familiar Subsecretaría de Servicios de Salud Secretaría de Salud México, D.E, México Institute for Resource Development/Macro Systems, Inc. Columbia, Maryland USA Julio 1989 Este informe presenta los resultados de la Encuesta Nacional sobre Fecundidad y Salud, ENI«ES, realizada en 1987 por la Secretaria de Salud a trav6s de la Dirección General de Planificación Familiar (DGPF), en el marco dei programa internacional de las Encuestas de Demografia y Salud (DHS). Informaci6n adicional sobre la ENFES y otras encuestas similares en México se puede obtener de la DGPF en la siguiente dirección: Insurgentes Sur 1397, Piso 7, Colonia Insurgentes MIXCOAC, C. P. 03920, M6xico, D.F., MEXICO. EI Institute for Resource Development (IRD), con oficinas en Columbia, Maryland, desarrolla en la actualidad el proyecto de las Encuestas de Demografia y Salud (DHS), bajo contrato con la Agencia para el Desarrollo Internacional, USAID (contrato DPE-3023-C-00-4083-00). lnformaci6n adicional sobre el programa DHS se puede obtener escribiendo a: 8850 Stanford Boulevard, Suite 4000, Columbia, Maryland, 21045, U.S.A. (TELEX 87775). PRESENTACION La Secretaria de Salud, en cumplimiento de una de sus atribuciones, la EvaluaciÓn, llevó a cabo a.través de la Direccíón General de PlanifieacíÓn Familiar, la Encuesta Nacional sobre Fecundidad y Salud, ENFES. Este estudio, que contó con el respaldo financiero de1 Instituto para el Desarrollo de los Recursos (IRD), el Consejo Nacional de Ciencia y Tecnologia y la propia Secretarla, proporciona la información más aetualizada de1 avance de1 Programa de Planificación Familiar en México. Así mismo, da continuidad y permite el anAlisis de las Cendeneias e impacto del uso de antíeonceptivos en la fecundidad y su interrelaeión con factores sociodemográficos y de salud de la poblaeiÓn. En este informe final se incluyen nueve cap£tulos y seis anexos. Las caracCerlsricas de la ENFES; la dinámiea demográfica y las pollticas de población; las caracterlsticas generales de la poblaciÓn baio estudio; la nupcialidad y exposiciÓn al riesgo de eoncebir; los niveles de feeundidad; la regulación de la fecundidad; las preferencias sobre fecundidad; las caraeterlsticas de la aceptación de métodos quirúrEicos; y la mortalidad infantil y salud, son los temas de los capltulos que eonstituyen la parte medular de este documento. Lo anterior es sólo una muestra de la riqueza de información que se encuentra en la ENFES, y es resultado de1 Crabajo y calidad profesional de todo el personal que colaborÓ en el desarrollo de esta encuesta baio la direcciÓn de la Lic. Yolanda Palma Cabrera. Asl mismo, el trabajo se faeilitó gracias al apoyo técnico del equipo de1 IRD. la planeaeiÓn de las estrategias que apoyarán el desarrollo futuro de1 Programa de P1anificación Familiar cuentan ahora con éste acervo básico para su dise~o. DR. MANUEL URBINA FUENTES TITULAR DE LA DIRECCION GENERAL DE PLANIFICACION FAMILIAR iii EQUIPO DE TRABAJO ELABORACION DEL INFORME Yolanda Palma Cabrera Juan Guillermo Figueroa Perea Alejandro Cervantes Carson Carlos Echarri Cánovas Gon la colaboraciÓn de Javier Suárez Morales Germán Sandoval Cruz V DIRECTORA ENFES Yolanda Palma Cabrera DISE@O CONCEPTUAL Juan Guillermo Figueroa Perea Alejandro Cervantes Carson DISE@O MUESTRAL Elsa Resano Pérez COORDINACION ADMINISTRATIVA Joaquín Guerrero Magafia COORDINACION DE LA CODIFICACION, CAPTURA Y DEPURACION Juan Guillermo Figueroa Perea PROCESAMIENTO DE LA INFORMACION Javier Suárez Morales Héctor Macfas Cuesta Carlos Echarri Cánovas ORGANIZAGION Y GOORDINACION DEL TRABAdO DE CAMPO Javier Suárez Morales Blanca M. Aguilar Ganado Beatriz Arita Watanabe Alejandro Cervantes Carson Ma. Antonieta Echeverría Rosa María Fuentes Solorzano Cristino García Rodríguez Ma. Blanca L6pez Arellano Celia Lot Helgueras Ciria Martínez Martínez Manuel Mondragón Rico Orlando Pradenas Donoso Manuel Recio Solís Imelda Reyes Aguirre Adriana Rosique Manjarrez Germán Sandoval Cruz vi TRABAJO DE CAMPO Supervisoras Angeles Aranda M., Margarita Espinal G., Beatriz Espinoza de los M., Ma. Jesús Figueroa L., Eugenia Hernández V., Ma. Cristina Jiménez P., Raquel L6pez Calvo, Ma. dei Carmen Martínez S., Rita Carolina Ortega R., Gabriela Rivera R., Veróniea Sánchez O. Entrevistadoras Alejandra Aguirre R., Angélica Alquicira H., Alma A. Armenta S., Ma. de Jesús Elizabeth Artega A., Ma. de Lourdes Betanzos C., Ma. de los Angeles Bustamante J., Silvia Calderón S., Francisca Angelina Camacho R., Ma. Cecilia Canizalez B., Alicia Castellanos V., Ma. de Jesús Cornejo B., Graciela Cuéllar A., Martha Alicia Elenes A., Ana María Estévez R., Martha Fonseca T., Elizabeth Flores T., Reina Isabel Flores, Laura Franco M., Ma. del Carmen Gallegos G., Ma. Isabel García S., Rosa Laura González A., Eloisa Grobet V., Soledad Gutiérrez, Elsa Lilian Hernández S., Ma. dei Carmen Hernández H., Ma. Socorro Ibarra I., Gabriela Infante H., Jazmín Jadue J., Gema Jara A., Margarita Juárez G., Elia Patricia L6pez G., Norma Luna R., Ma. de la Luz Maya N., Ma. de la Luz Méndez M., Jaqueline Molina F., Ana María Montes S., Ma. Eugenia Montes C., Beatriz Moreno H., Ma. dei Refugio Orozco O., Isabel Ortiz O., Alma Leticia Palazuelos A., Ma. de Jesús Pelcastre L., Consuelo Prado B., Ma. Lina Pineda M., Delfina Quijada V., Elisa Ramírez R., Ma. de Lourdes Ramírez C., Gudelia Rangei G., Felipa Rodríguez B., Aurora Rojas B., Juanita Román E., Ma. Isabel Rosas U., Aída Araceli Salazar L., Rocío Saldafia García, Ma. Eugenia Salinas U., Martha Natalia Salinas M., Carmen Turcio O., Ana Patricia Uriarte B., Marcela Soledad Valle G., Beatriz Vázquez C., Leticia Zapata P. CODIFICACION Supervisores José Antonio Torres M., Fernando Valdez M., Lourdez Vázquez D. Codificadores Ma. Elena Borrego B., Rosa María Montiel H., Miguel Angel Pimentel R., Rosa Prieto A., Esperanza Ramírez P., Pedro Ismael Reyna G., Mario Rosas M., Angela Santillán Ch., Ma. Teresa Suárez R., Jorge Torres M. CAPTURA Supervisor Héctor Macías Cuesta Capturistas Cristóbal Cano A., Guadalupe Cedefio P., Hilda González A., Claudia Jaime O., René Molina C., José Luis Ortega A., Jos6 Alfredo Torres M., Armando Valdez M., Fernando Valdez M. MECANOGRAFIA Olidia Gutiérrez V., Raquel Malagón F., Rosa María Mares G., Antonia Solís C., Leticia Zúfiiga R. vii EQUIPO DEL IRD Martin Vaessen, Director dei Programa DHS Luis Hernando Ochoa, Coordinador de la Asistencia Técnica Rafael Hernández, Procesamiento Guillermo Rojas, Procesamiento Alfredo Aliaga, Muestreo Shea Rutstein, Evaluación Elsa Gómez, Revisión Técnica dei Informe Edilberto Loaiza, Revisión Técnica dei Informe Kaye Mitchell, Procesamiento de Palabra Sidney Moore, Edición Robert Wolf, Gráficas viii CONTENIDO Página PRESENTACION ........................................................ iii EQUIPO DE TRABAJO .................................................... v CONTENIDO ............................................................. ix LISTA DE CUADROS ..................................................... xiii LISTA DE GRAFICAS ................................................... xxiii MAPA ............................................................... xxvi CAPITULO I CARACTERISTICAS DE LA ENCUESTA ......................... 1 Bases Legales .............................................. 1 Objetivos ................................................. 1 Poblaci6n de Estudio ......................................... 2 Cuestionarios ..... ~ ........................................ 2 Cobertura y Características de la Muestra ........................... 3 Recolección y Procesamiento de la lnformaci6n ....................... 4 Resultados dei Levantamiento ................................... 5 CAPITULO II DINAMICA DEMOGRAFICA Y POLITICAS DE POBLACION .......... 7 Antecedentes Demográficos ..................................... 7 Programa Nacional de Planificaci6n Familiar ......................... 9 CAPITULO III CARACTERISTICAS GENERALES DE LA POBLACION ............. 11 Estructura de la Población .................................... 11 Composición Urbano-Rural .................................... 13 Caracterlsticas de la Poblaci6n .................................. 13 Caracteristicas de las Mujeres en Edad Fértil ........................ 18 ix p~tgina CAPITULO IV NUPCIALIDAD Y EXPOSICION AI-, RIESGO DE CONCEBIR ......... 21 Estado Marital Actual ....................................... 21 Edad a la Primera Uni6n ..................................... 23 Exposición ai Riesgo de Concebir ............................... 25 Lactancia, Amenorrea y Abstinencia Posfparfo ....................... 27 Frecuencia de RelacioneS Sexuales ............................... 31 CAPITUI_ O V NIVELES, TENDENCIAS Y DIFERENC1ALES DE FECUNDIDAD ...... 33 Hijcs Nacidos Vivos y Sobrevivientes ............................ 33 Tasas de Fecundidad ........................................ 34 Edad a la Uni6n y Duraci6n de la Uni6n .......................... 38 CAPITU[ O VI REGULACION DE LA FECUNDIDAD .......................... 41 Conocimiento y U,'o P~sado de Métodos .......................... 41 U~o de Métodos: Niveles Actuales y Tendencias ..................... 42 Diferenciales en el Uso de Métodos Anticonceptivos .................. 43 Lugar de Obtenci6n de los Métodos Utilizados
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