DOI: 10.3886/e100464v2
title: Survey of public healthcare providers-Reproductive care for adolescents-Mexico-2012

description: This
study is an excerpt from a larger study called Monitoring care for women in
public health sector services, carried out in Mexico during 2012; a report on
this larger study (methodology including sample and a summary of results) can
be found in Spanish here: https://www.insp.mx/produccion-editorial/novedades-editoriales/3102-monitoreo-mujeres.html.
This cross-sectional study had a complex, probabilistic, stratified
sampling design, representative at the national, regional and rural/urban level
in Mexico. Questionnaires on different types of healthcare for women (maternal care, family planning, etc.) were applied to healthcare providers who worked in each type of healthcare, in 926 healthcare units. Relating to this excerpt, a questionnaire was collected from one provider each at 505 primary
care units that provided sexual and reproductive healthcare to female and male adolescents. At each healthcare unit all personnel providing reproductive healthcare
services to adolescents were listed and one provider was randomly selected and
interviewed by a trained fieldworker using a structured questionnaire. All
participants signed consent forms; the study was approved by the Institutional
Review Board of Mexico’s National Institute of Public Health. Data collection
spanned August to October 2012. The questionnaire collected information about:
the public institution each healthcare unit was affiliated to, rural/urban
location, geographic region (North, Center, South and Mexico City-Mexico State
which is a geographically smaller but densely populated region of the country),
demographic information for the healthcare provider responding to the
questionnaire, quality of care provided and other characteristics of available
infrastructure and services provided to adolescents. The file is an excerpt that
contains data about the variables listed in the previous sentence, referring
only to sexual and reproductive healthcare services for adolescents.
description: Weights: The weights took into consideration the probability of selection of each healthcare unit. In the initial analysis of relative frequencies and confidence intervals, the weight assigned to each healthcare unit was used, which corresponds to the inverse of its probability of selection. To obtain 95% confidence intervals the complex sampling design was taken into account, using the SVY commands in Stata 12.0.  <br>
description: Response Rates: The response rate to the
survey was 93%.
description: Presence of Common Scales: No commonly used scales were included in the instrument.
description: computer-assisted personal interview (CAPI)~~The questionnaires were collected on laptop computers taken into the field by fieldworkers using Computer Assisted Personal Interviewing (CAPI).
description: The universe were public healthcare units in including all
healthcare units in each of the four major public healthcare institutions that
exist in Mexico: the Public Employees Social Security and
Services Institute (Instituto de Seguridad y Servicios Sociales de los
Trabajadores del Estado, ISSSTE); the Mexican
Institute of Social Security (Instituto Mexicano del Seguro Social, IMSS); Social Security for the Underserved (called IMSS-Oportunidades
at the time of the study, later the program name was changed to IMSS-Progresa), and the clinics of the Ministry of Health. Together, these segments provide coverage
for 98% of the Mexican population.Smallest Geographic Unit: region (Northwest Mexico, Northeast Mexico, Central Mexico, Southern Mexico and Mexico City-Mexico State)
description: This study had a probabilistic, stratified
sampling design to randomly select 926 public healthcare units from a sampling
frame of all public healthcare units in the country. The sample of 926
healthcare units was selected through systematic sampling of municipalities in each of five geographic regions: Northwest, Northeast,
Center, South and Mexico City-Mexico State (geographically smaller but densely
populated)). This sample was also representative for rural and urban areas. The sample included healthcare units from each of the four major public healthcare institutions in the country (Mexico) that were stratified by the level of care (primary,
secondary, tertiary).