Abstract

The 2013 NDHS is designed to provide information on fertility, family planning, and health in the country for use by the government in monitoring the progress of its programs on population, family planning and health.

In particular, the 2013 NDHS has the following specific objectives: • Collect data which will allow the estimation of demographic rates, particularly fertility rates and under-five mortality rates by urban-rural residence and region. • Analyze the direct and indirect factors which determine the level and patterns of fertility. • Measure the level of contraceptive knowledge and practice by method, urban-rural residence, and region. • Collect data on health, immunizations, prenatal and postnatal check-ups, assistance at delivery, breastfeeding, and prevalence and treatment of diarrhea, fever and acute respiratory infections among children below five years old. • Collect data on environmental health, utilization of health facilities, health care financing, prevalence of common non-communicable and infectious diseases, and membership in the National Health Insurance Program (PhilHealth). • Collect data on awareness of cancer, heart disease, diabetes, dengue fever and tuberculosis. • Determine the knowledge of women about AIDS, and the extent of misconception on HIV transmission and access to HIV testing. • Determine the extent of violence against women.

Geographic coverage

National coverage

Analysis unit

• Household
• Individuals/ persons
• Woman age 15 to 49

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample selection methodology for the 2013 NDHS is based on a stratified two-stage sample design, using the 2010 Census of Population and Housing (CPH) as a frame. The first stage involved a systematic selection of 800 sample enumeration areas (EAs) distributed by stratum (region, urban/rural). In the second stage, 20 sample housing units were selected from each sample EA, using systematic random sampling.

All households in the sampled housing units were interviewed. An EA is defined as an area with discern able boundaries consisting of contiguous households. The sample was designed to provide data representative of the country and its 17 administrative regions.

Further details on the sample design and implementation are given in Appendix A of the final report.

Mode of data collection

Face-to-face [f2f]

Research instrument

The 2013 NDHS used three questionnaires: Household Questionnaire, Individual Woman’s Questionnaire, and Women’s Safety Module. The development of these questionnaires resulted from the solicited comments and suggestions during the deliberation in the consultative meetings and separate meetings conducted with the various agencies/organizations namely: PSA-NSO, POPCOM, DOH, FNRI, ICF International, NEDA, PCW, PhilHealth, PIDS, PLCPD, UNFPA, USAID, UPPI, UPSE, and WHO. The three questionnaires were translated from English into six major languages - Tagalog, Cebuano, Ilocano, Bicol, Hiligaynon, and Waray.

The main purpose of the Household Questionnaire was to identify female members of the sample household who were eligible for interview with the Individual Woman’s Questionnaire and the Women’s Safety Module.

The Individual Woman’s Questionnaire was used to collect information from all women aged 15-49 years.

The Women’s Safety Module was used to collect information on domestic violence in the country, its prevalence, severity and frequency from only one selected respondent from among all the eligible women who were identified from the Household Questionnaire.

Cleaning operations

All completed questionnaires and the control forms were returned to the PSA-NSO central office in Manila for data processing, which consisted of manual editing, data entry and verification, and editing of computer-identified errors. An ad-hoc group of thirteen regular employees from the DSSD, the Information Resources Department (IRD), and the Information Technology Operations Division (ITOD) of the NSO was created to work fulltime and oversee data processing operation in the NDHS Data Processing Center that was carried out at the NSO-CVEA Building in Quezon City, Philippines. This group was responsible for the different aspects of NDHS data processing. There were 19 data encoders hired to process the data who underwent training on September 12-13, 2013.

Data entry started on September 16, 2013. The computer package program called Census and Survey Processing System (CSPro) was used for data entry, editing, and verification. Mr. Alexander Izmukhambetov, a data processing specialist from ICF International, spent two weeks at NSO in September 2013 to finalize the data entry program. Data processing was completed on December 6, 2013.

Response rate

For the 2013 NDHS sample, 16,732 households were selected, of which 14,893 were occupied. Of these households, 14,804 were successfully interviewed, yielding a household response rate of 99.4 percent. The household response rates in urban and rural areas are almost identical.

Among the households interviewed, 16,437 women were identified as eligible respondents, and the interviews were completed for 16,155 women, yielding a response rate of 98.3 percent. On the other hand, for the women’s safety module, from a total of 11,373 eligible women, 10,963 were interviewed with privacy, translating to a 96.4 percent response rate. At the individual level, urban and rural response rates showed no difference. The principal reason for non-response among women was the failure to find individuals at home, despite interviewers’ repeated visits to the household.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2013 National Demographic and Health Survey (NDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2013 NDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling error is a measure of the variability between the results of all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey data.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2013 NDHS sample is the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for the 2013 NDHS is a SAS program. This program used the Taylor linearization method for variance estimation for survey estimates that are means or proportions. The Jackknife repeated replications method is used for variance estimation of more complex statistics such as fertility and mortality rates.

The Taylor linearization method treats any percentage or average as a ratio estimate, r = y/x, where y represents the total sample value for variable y, and x represents the total number of weighted cases in the group or subgroup under consideration.

Further details on sampling errors calculation are given in Appendix B of the final report.

Data appraisal

Data quality tables were produced to review the quality of the data: - Household age distribution - Age distribution of eligible and interviewed women - Completeness of reporting - Births by calendar years - Reporting of age at death in days - Reporting of age at death in months

Note: The tables are presented in APPENDIX C of the final report.

Preliminary figures between January to September 2024 indicated that ischaemic heart disease was the leading cause of death in the Philippines. The number of people who died from this illness was estimated at 75,500. Following this, cancer resulted in the deaths of about 43,000 people. Eating habits Heart diseases have been linked to high meat consumption, among others. In the Philippines, pork has been the most consumed meat type, followed closely by chicken. While pork meat is typically produced domestically, the country also imports pork to supplement its supply. However, plant-based food has started gaining popularity among Filipinos. In fact, a 2024 survey revealed that 69 percent of surveyed Filipinos consumed plant-based products, including meat alternatives. Common diseases in the Philippines Aside from heart and cerebrovascular diseases, the Filipino population is also exposed to infections, diabetes, skin diseases, and illnesses resulting from high meat consumption. In 2020, over 700,000 Filipinos contracted acute respiratory tract infections, followed by over 400,000 diagnosed with hypertension. In areas with high exposure to rain, dengue infections and leptospirosis have also become prevalent.

Abstract

The World Values Survey (www.worldvaluessurvey.org) is a global network of social scientists studying changing values and their impact on social and political life, led by an international team of scholars, with the WVS association and secretariat headquartered in Stockholm, Sweden. The survey, which started in 1981, seeks to use the most rigorous, high-quality research designs in each country. The WVS consists of nationally representative surveys conducted in almost 100 countries which contain almost 90 percent of the world’s population, using a common questionnaire. The WVS is the largest non-commercial, cross-national, time series investigation of human beliefs and values ever executed, currently including interviews with almost 400,000 respondents. Moreover the WVS is the only academic study covering the full range of global variations, from very poor to very rich countries, in all of the world’s major cultural zones. The WVS seeks to help scientists and policy makers understand changes in the beliefs, values and motivations of people throughout the world. Thousands of political scientists, sociologists, social psychologists, anthropologists and economists have used these data to analyze such topics as economic development, democratization, religion, gender equality, social capital, and subjective well-being. These data have also been widely used by government officials, journalists and students, and groups at the World Bank have analyzed the linkages between cultural factors and economic development.

Geographic coverage

This survey covers the Philippines.

Analysis unit

• Household
• Individual

Universe

The WVS for the Philippines covers national population, aged 18 years and over, for both sexes.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sample size for the Philippines is N=1200 and covers national population, aged 18 years and over, for both sexes.

Mode of data collection

Face-to-face [f2f]

Research instrument

Some special variable labels have been included, such as: V56 Neighbours: Muslims and V149 Institution: ASEAN. Special categories labels are: V167 Least liked groups: 1 stands for Muslims, 3 for Hard Lined Communists and 7 for Extreme Rightists. V179 Religion has many categories that have been recoded to 8 (Other) except for 4 (protestant) recoded to 2, 7 (Islam) recoded to 5, 19 (Pentecostal) recoded to 11 and 21 (Evangelist) recoded to 10. V203/ V204: Geographical affinity, 3 stands for ‘Philippines’ and 4 stands for ‘Asia’. Country Specific variables included are: V232 Size of the town is missing (but present in printed questionnaire); V208: Ethnic identification: 1. Hispano Filipino, 2. American Filipino 3. Chinese Filipino 4. Japanese Filipino, 5. Filipino then ethnic and 6. Ethnic then Filipino; V209: Language at home. The variables political parties V210 a V212; Ethic group: V 233; Region: V 234 and V235 Interview language are also included as country specific variables.

Sampling error estimates

+/- 2,9%