Abstract

The 2005 Vietnam Population and AIDS Indicator Survey (VPAIS) was designed with the objective of obtaining national and sub-national information about program indicators of knowledge, attitudes and sexual behavior related to HIV/AIDS. Data collection took place from 17 September 2005 until mid-December 2005.

The VPAIS was implemented by the General Statistical Office (GSO) in collaboration with the National Institute of Hygiene and Epidemiology (NIHE). ORC Macro provided financial and technical assistance for the survey through the USAID-funded MEASURE DHS program. Financial support was provided by the Government of Vietnam, the United States President’s Emergency Plan for AIDS Relief, the United States Agency for International Development (USAID), and the United States Centers for Disease Control and Prevention/Global AIDS Program (CDC/GAP).

The survey obtained information on sexual behavior, and knowledge, attitudes, and behavior regarding HIV/AIDS. In addition, in Hai Phong province, the survey also collected blood samples from survey respondents in order to estimate the prevalence of HIV. The overall goal of the survey was to provide program managers and policymakers involved in HIV/AIDS programs with strategic information needed to effectively plan, implement and evaluate future interventions.

The information is also intended to assist policymakers and program implementers to monitor and evaluate existing programs and to design new strategies for combating the HIV/AIDS epidemic in Vietnam. The survey data will also be used to calculate indicators developed by the United Nations General Assembly Special Session on HIV/AIDS (UNGASS), UNAIDS, WHO, USAID, the United States President’s Emergency Plan for AIDS Relief, and the HIV/AIDS National Response.

The specific objectives of the 2005 VPAIS were: • to obtain information on sexual behavior. • to obtain accurate information on behavioral indicators related to HIV/AIDS and other sexually transmitted infections. • to obtain accurate information on HIV/AIDS program indicators. • to obtain accurate estimates of the magnitude and variation in HIV prevalence in Hai Phong Province.

Geographic coverage

National coverage

Analysis unit

• Household
• Women age 15-49
• Men age 15-49

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame for the 2005 Vietnam Population and AIDS Indicator Survey (VPAIS) was the master sample used by the General Statistical Office (GSO) for its annual Population Change Survey (PCS 2005). The master sample itself was constructed in 2004 from the 1999 Population and Housing Census. As was true for the VNDHS 1997 and the VNDHS 2002 the VPAIS 2005 is a nationally representative sample of the entire population of Vietnam.

The survey utilized a two-stage sample design. In the first stage, 251 clusters were selected from the master sample. In the second stage, a fixed number of households were systematically selected within each cluster, 22 households in urban areas and 28 in rural areas.

The total sample of 251 clusters is comprised of 97 urban and 154 rural clusters. HIV/AIDS programs have focused efforts in the four provinces of Hai Phong, Ha Noi, Quang Ninh and Ho Chi Minh City; therefore, it was determined that the sample should be selected to allow for representative estimates of these four provinces in addition to the national estimates. The selected clusters were allocated as follows: 35 clusters in Hai Phong province where blood samples were collected to estimate HIV prevalence; 22 clusters in each of the other three targeted provinces of Ha Noi, Quang Ninh and Ho Chi Minh City; and the remaining 150 clusters from the other 60 provinces throughout the country.

Prior to the VPAIS fieldwork, GSO conducted a listing operation in each of the selected clusters. All households residing in the sample points were systematically listed by teams of enumerators, using listing forms specially designed for this activity, and also drew sketch maps of each cluster. A total of 6,446 households were selected. The VPAIS collected data representative of: • the entire country, at the national level • for urban and rural areas • for three regions (North, Central and South), see Appendix for classification of regions. • for four target provinces: Ha Noi, Hai Phong, Quang Ninh and Ho Chi Minh City.

All women and men aged 15-49 years who were either permanent residents of the sampled households or visitors present in the household during the night before the survey were eligible to be interviewed in the survey. All women and men in the sample points of Hai Phong who were interviewed were asked to voluntarily give a blood sample for HIV testing. For youths aged 15-17, blood samples were drawn only after first obtaining consent from their parents or guardians.

(Refer Appendix A of the final survey report for details of sample implementation)

Mode of data collection

Face-to-face [f2f]

Research instrument

Two questionnaires were used in the survey, the Household Questionnaire and the Individual Questionnaire for women and men aged 15-49. The content of these questionnaires was based on the model AIDS Indicator Survey (AIS) questionnaires developed by the MEASURE DHS program implemented by ORC Macro.

In consultation with government agencies and local and international organizations, the GSO and NIHE modified the model questionnaires to reflect issues in HIV/AIDS relevant to Vietnam. These questionnaires were then translated from English into Vietnamese. The questionnaires were further refined after the pretest.

The Household Questionnaire was used to list all the usual members and visitors in the selected households. Some basic information was collected on the characteristics of each person listed, including age, sex, relationship to the head of the household, education, basic material needs, survivorship and residence of biological parents of children under the age of 18 years and birth registration of children under the age of 5 years. The main purpose of the Household Questionnaire was to identify women and men who were eligible for the individual interview. The Household Questionnaire also collected information on characteristics of the household’s dwelling unit, such as the source of drinking water, type of toilet facilities, type of material used in the flooring of the house, and ownership of various durable goods, in order to allow for the calculation of a wealth index. The Household Questionnaire also collected information regarding ownership and use of mosquito nets.

The Individual Questionnaire was used to collect information from all women and men aged 15-49 years.

All questionnaires were administered in a face-to-face interview. Because cultural norms in Vietnam restrict open discussion of sexual behavior, there is concern that this technique may contribute to potential under-reporting of sexual activity, especially outside of marriage.

All aspects of VPAIS data collection were pre-tested in July 2005. In total, 24 interviewers (12 men and 12 women) were involved in this task. They were trained for thirteen days (including three days of fieldwork practice) and then proceeded to conduct the survey in the various urban and rural districts of Ha Noi. In total, 240 individual interviews were completed during the pretest. The lessons learnt from the pretest were used to finalize the survey instruments and logistical arrangements for the survey and blood collection.

Cleaning operations

The data processing of the VPAIS questionnaire began shortly after the fieldwork commenced. The first stage of data editing was done by the field editors, who checked the questionnaires for completeness and consistency. Supervisors also reviewed the questionnaires in the field. The completed questionnaires were then sent periodically to the GSO in Ha Noi by mail for data processing.

The office editing staff first checked that questionnaires of all households and eligible respondents had been received from the field. The data were then entered and edited using CSPro, a software package developed collaboratively between the U.S. Census Bureau, ORC Macro, and SerPRO to process complex surveys. All data were entered twice (100 percent verification). The concurrent processing of the data was a distinct advantage for data quality, as VPAIS staff was able to advise field teams of errors detected during data entry. The data entry and editing phases of the survey were completed by the end of December 2005.

Response rate

A total of 6,446 households were selected in the sample, of which 6,346 (98 percent) were found to be occupied at the time of the fieldwork. Occupied households include dwellings in which the household was present but no competent respondent was home, the household was present but refused the interview, and dwellings that were not found. Of occupied households, 6,337 were interviewed, yielding a household response rate close to 100 percent.

All women and men aged 15-49 years who were either permanent residents of the sampled households or visitors present in the household during the night before the survey were eligible to be interviewed in the survey. Within interviewed households, a total of 7,369 women aged 15-49 were identified as eligible for interview, of whom 7,289 were interviewed, yielding a response rate to the Individual interview of 99 percent among women. The high response rate was also achieved in male interviews. Among the 6,788 men aged 15-49 identified as eligible for interview, 6,707 were successfully interviewed, yielding a response rate of 99 percent.

Sampling error

In 2023, the population density of Vietnam was around 303 people per square kilometer of land area. In that year, Vietnam's total population reached approximately 100.3 million. The country is among those with the highest population density in the Asia Pacific region, ranking 11th in 2020. Population density in Vietnam In comparison, Vietnam’s population density is roughly twice as much as China and Indonesia. The average population density in the world is at 59 inhabitants per square kilometer. The largest population within the country can be found in the Red River Delta and the Mekong River Delta. The most populated city is Ho Chi Minh City with roughly nine million inhabitants. Population growth in Vietnam Vietnam’s total population was forecast to surpass 100 million by 2050. Traditionally, Vietnamese families had an average of six children, while today, the birth rate is at two children per woman. This is due to an improving economy and higher living standards. In 2020, the population growth in Vietnam reached 0.90 percent, down from about three percent in the 1960s.

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Demographic information includes age, race, language, gender, country of birth, religion, marital status, educational level, employment status, citizenship status, household income, and size of household. Several strategies of sampling were used to collect the data. The largest number of cases were completed interviews drawn from a random selection of respondents in a listed sample of high-probability Asian Americans. This listed sample was drawn from a commercial database of voter registration and marketing, with ethnic propensity classifications based on ethnic names, surnames, and geographic density. Two additional strategies of RDD were used to select respondents, the first from a set of telephone numbers generated to maximize the probability of Filipino Americans, and a second set of telephone numbers generated for the population in general. 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The final breakdown was 1,350 Chinese, 1,150 Asian Indian, 719 Vietnamese, 614 Korean, 603 Filipino, and 541 Japanese origin respondents, with 182 additional respondents who are either from other countries in Asia, or who identify as multi-racial or multi-ethnic. Smallest Geographic Unit: county ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accom...

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Abstract

The principal objective of the VNLSS is to collect basic data reflescting the actual living standard of the population. These data then be used for evaluating socio-economic development and formulationg policies to improve living standard. Followings are the main goals by the year of 2000. - Reduce the population growth rate less than 2 % peryear - Reduce the infant mortaility (under 5 years old) 0,81% (1990) to 0,55%; and from 0,46% (1990) to 0,3% (under one year old) - Reduce the mortality rate of women concerning the pregnancy and maternity - Reduce the malnutrition of children under 5years old from 51,5% at present to 40% in 1995 and under 30% by the year of 2000. Heavy malnutrition should not be existed by the year of 2000. - Population can access to safe water resources from 43% (1990) to 82% of which 40% to 80% in rural areas. Population use sanitary latrine from 22% (1990) to 65% of which in rural areas from 15% to 60% - 90 percent of children complete the endeavor universal first level education before the age of 15, and the rest should complete the third grade. By the year of 2000 no children at the age of 15 will be illiterate - Improve the cultural, spiritual life of the children, to ensure that 30% of communes (by the year of 1995) and 50% of communes (by the year of 2000) have entertaining place for children

The main information collected by the survey includes: - Household income and expenditures - Health and education - Employment and other productive and activities - Demographic characteristics and migration - Housing conditions

In addition, the information gatherd is intended to improve planning of economic and social policies in Vietnam and to assist in evaluating the impact of the policies. It should enable decision makers to: - indentify target groups for government assistance - Construct models of socio-economic development policies, both overall and on individuals groups - Analyze the impact of decisions available and of the current economic situation on living condition of household

Geographic coverage

National

Analysis unit

• Households
• Individuals
• Community

Kind of data

Sample survey data [ssd]

Sampling procedure

Sample Design The sample covers 4800 households from all areas of Viet Nam. The sample design was self-weighted, which means that each household in Viet Nam had the same probability of being selected. The overall sampling frame was stratified into two groups urban and rural, with sampling was carried out separately in each group (strata). About 20% of Vietnamese households live in urban areas, so the sample stratification ensures that 20% of selected households also come from urban areas. Within urban and rural areas, two lists of all communes was drawn up (one of urban communes and another of rural ones), province by province, in "serpentine" order. 2 The selection of communes within each list was done to ensure that they were spread out evenly among all provinces in Viet Nam.

The VNLSS sample design is the following. Within each province in Viet Nam, rural areas can be broken down into districts, and districts in turn are divided into communes (Xa). Urban areas in all provinces consist of centers/towns, which are divided into quarters (Quai), and then divided further into communes (Phuong). The number of communes in all of Viet Nam, both urban and rural, is about 10,000, and the average population in each is about 6,500. As explained in Section 4, each survey team covers 32 households in 4 weeks, 16 households in one area, and 16 in another area. For convenience all 32 households (i.e. both sets of 16 household) were selected from the same commune. This implied that 150 communes needed to be randomly selected (32x150=4800), 30 in urban areas and 120 in urban areas. Within urban areas communes can be further divided into clusters (Cum), two of which were selected from which to draw two "workloads" of 16 households (16 from each of the two clusters). The same was done in rural areas, where each commune is divided into several villages (Thon). The average size of urban clusters and rural villages is somewhat less than 1000 households.

The VNLSS sample was drawn in three stages. Because the General Statistical Office in Hanoi knows the current population of each commune in Viet Nam (but not of each cluster or village within each commune), 150 communes were selected out of the 10,000 in all of Viet Nam with the probability of selection proportional to their population size. At the second stage, information was gathered from the 150 selected communes on the population of each cluster (in urban areas) or villages (in rural areas), and two clusters or villages were randomly drawn with probability proportional to their population size. Finally, the third stage involved random selection of 20 households (16 for the sample plus four "extras" to serve as replacements if some of the 16 "originals" could not be interviewed) within each cluster or village from a list of all households within each cluster or village. Note that the first stage of the sample is based on information from the 1989 Census, but the second and third stages use updated information available from the communes. The first and second stage samples were drawn in Hanoi, while the third stage was drawn in the field (see Section 4.3 below for more details).

Implementation

The attached map shows the commune number and approximate location of the 150 communes selected in Viet Nam. Of the 150 communes chosen, one was in a very remote and inaccessible area near the Chinese border and was replaced by another not quite as inaccessible. The actual interview schedule went smoothly. In one instance (commune 68) one of the selected villages was replaced because when the survey team arrived in the village it discovered that most of the adults were away from the village and thus could not be interviewed. In each cluster or village interviews were completed for 16 households, thus the 4800 household target sample was fully achieved. About 3% of the households (155) were replaced; the main reason for replacement was that their occupants were not at home. Only four households refused to participate. Community questionnaires were completed for all 120 rural communes. Price questionnaires were completed for 118 of 120 communes (the exceptions were communes 62 and 63), and comparable price data were collected from existing sources for all 30 urban areas.

Mode of data collection

Face-to-face [f2f]

Research instrument

HOUSEHOLD QUESTIONNAIRE

The household questionnaire contains modules (sections) to collect data on household demographic structure, education, health, employment, migration, housing conditions, fertility, agricultural activities, household non-agricultural businesses, food expenditures, non-food expenditures, remittances and other income sources, savings and loans, and anthropometric (height and weight) measures.

For some sections (survey information, housing, and respondents for second round) the individual designated by the household members as the household head provided responses. For some others (agro-pastoral activities, non-farm self employment, food expenditures, non-food expenditures) a member identified as most knowledgeable provided responses. Identification codes for respondents of different sections indicate who provided the information. In sections where the information collected pertains to individuals (education, health, employment, migration, and fertility) each member of the household was asked to respond for himself or herself, except that parents were allowed to respond for younger children. In the case of the employment and fertility sections it is possible that the information was not provided by the relevant person; variables in these sections indicate when this is the case. The household questionnaire was completed in two interviews two weeks apart: Sections 0-8, were conducted in the first interview, sections 9-14 were conducted in the second interview, and section 15 was administered in both interviews. The survey was designed so that more sensitive issues such as credit and savings were discussed near the end. The content of each module is briefly described below.

I. FIRST INTERVIEW

Section 0 SURVEY INFORMATION 0A HOUSEHOLD HEAD AND RESPONDENT INFORMATION 0B SUMMARY OF SURVEY RESULTS 0C OBSERVATIONS AND COMMENTS

The date of the interview, the religion, ethnic group of the household head, the language used by the respondent and other technical information related to the interview are noted. Section 0B summarizes the results of the survey visits, i.e. whether a section was completed on the first visit or the second visit. Section 0C, not entered into the computer, contains remarks of the interviewer and the supervisor. Since the data in Section 0C are retained only on the questionnaires, researchers cannot gain access to them without checking the original questionnaires at the General Statistical Office in Hanoi.

Section 1 HOUSEHOLD MEMBERSHIP 1A HOUSEHOLD ROSTER 1B INFORMATION ON PARENTS OF HOUSEHOLD MEMBERS 1C CHILDREN RESIDING ELSEWHERE

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