IND-NSSO-SMHC-2004-v1.0
Survey on Morbidity and Health Care January - June 2004
NSS 60th Round
SMHC 2004 : NSS 60th Round
| Name | Country code |
|---|---|
| India | IND |
Other Household Health Survey [hh/hea]
The National Sample Survey Organisation (NSSO) has carried out a series of comprehensive and nationwide surveys on social consumption during its 35th (1980 - 1981), 42nd (1986 - 1987) and 52 nd (1995 - 1996) rounds. The emphasis of the morbidity and health care survey in this round is on the collection of information on morbidity and utilization of health care services provided by the public and private sector, together with the expenditure incurred by the households for availing these services. The concepts, definitions and procedures used in the 52 nd round for the purpose of survey on utilisation of health services and problem of aged persons are to be followed in this round also. This Round is third in round series.
The National Sample Survey made its first attempt to collect information on morbidity in the seventh round (Oct. 1953 - March 1954). This survey and the morbidity surveys conducted in the three subsequent rounds (the eleventh to the thirteenth, 1956-58) were all exploratory in nature. The aim of these surveys was to evolve an appropriate data collection method for studying morbidity profile in India. These surveys were followed up by a pilot survey in the seventeenth round (Sept. 1961 - July 1962) to examine alternative approaches of morbidity reporting. With the aid of the findings of these exploratory surveys, a full-scale survey on morbidity was conducted in the twenty-eighth round (Oct. 1973 - June 1974). Since then, the NSSO had not undertaken any separate morbidity survey and data on morbidity became a part of the decennial surveys on social consumption.
The object of the present survey was essentially to study the benefits derived by various sections of the population from investments and outlays made by the Government, as well as by the private sector in the fields of health and get an estimate of expenditure incurred by households to avail health care services including immunization and maternity care.
The NSSO carried out the first all-India Survey on Social Consumption in its 35th round (July 1980 - June 1981). The items covered were the public distribution system, health services including mass immunisation and family welfare programmes, and educational services. The results of the survey could not be brought out owing to some unavoidable reasons. The second survey on Social Consumption was carried out in the 42nd round (July 1986 - June 1987) with some modifications in the coverage of subjects. Topics like Problems of Aged Persons were included in this round. The third Survey on Social Consumption was carried out in the 52nd round (July 1995 - June 1996). Two topics, viz. utilisation of the public distribution system and utilisation of family planning services, were dropped, as these were
covered in the NSS 50th round and in a nationwide survey by the Ministry of Health and Family Welfare, respectively.
After a gap of about nine years, the Governing Council decided to take up a survey on ‘Morbidity and Health care’ at the request of Ministry of Health and Family Welfare, during the period January to June, 2004. The enquiry covered the curative aspects of the general health care system in India and also the utilization of health care services provided by the public and private sector, together with the expenditure incurred by the households for availing these services.
Sample survey data [ssd]
households
v1.0 : Re-organised anonymised dataset for public distribution.
2012-12-30
In the Sixtieth round of NSS, data was collected through a survey on the subject of ‘Morbidity and Health Care’. Apart from this subject, surveys were also undertaken separately on ‘Household Consumer Expenditure’ and ‘Employment and Unemployment’. In the survey on Morbidity and Health Care, the following main aspects were covered:
(i) Morbidity and utilisation of health care services including immunisation and maternity care,
(ii) Problems of aged persons, and
(iii) Expenditure of the households for availing the health care services.
The object of the present survey was essentially to study the benefits derived by various sections of the population from investments and outlays made by the Government, as well as by the private sector in the fields of health and get an estimate of expenditure incurred by households to avail health care services including immunization and maternity care.
The data were collected from a sample of households by the interview method. A set of probing questions was put to as many individual members of a selected household as possible to ascertain whether they had suffered from any ailment during the reference period and whether they had taken any medical treatment for it. As far as possible, efforts were made to collect information relating to ailments of each household member from the member themselves. But in spite of the best efforts, some other person of the household might have provided this information, especially for the children and the aged persons in the household. Efforts were made to interview all the adult male members of each sample household, personally. For the children, particularly the young, attempts were made to get the required information from their mothers.
The enquiry on morbidity was conducted with a reference period of 15 days. All spells of ailment suffered by each member, both present as well as the deceased, of the sample household, during the 15 days preceding the date of enquiry, whether or not the patient was hospitalised for treatment, were covered in the survey. For hospitalised treatment, however, information was collected for every event of hospitalisation of a member, whether living or deceased at the time of survey, during the 365 days preceding the date of enquiry.
The schedule on morbidity and health care (Schedule 25.0) framed for the 60th round consists of 13 blocks.
| Topic | Vocabulary | URI |
|---|---|---|
| Labor Markets | World Bank | http://www.surveynetwork.org/toolkit |
National, State, Urban, Rural
All households
| Name | Affiliation |
|---|---|
| National Sample Survey Office | Ministry of Statistcs and Programme Implementation(MOSPI),Government of India (GOI) |
| Name | Affiliation | Role |
|---|---|---|
| Survey Design Reearch Division | National Sample Survey Office | Questionnaire Desgn, Sampling methodology,Survey Reports |
| Field Operations Division | National Sample Survey Office | Field Work |
| Data Processing Division | National Sample Survey Office | Data Processing |
| Computer Centre | Ministry of Statistcs and Programme Implementation(MOSPI),Government of India (GOI) | Data Dissemination |
| Name | Abbreviation |
|---|---|
| Ministry of Statistics & Programme Implementation, GOI | MOSPI |
| Name | Affiliation | Role |
|---|---|---|
| Governing council and Working Group | GOI | Finalisation of survey study and Questionnaire |
An outline of the sampling design: The sampling design adopted for the survey was essentially a stratified multi-stage one for both rural and urban areas. The first stage units (FSUs) were villages (panchayat wards for Kerala) for rural areas and NSS Urban Frame Survey (UFS) blocks for urban areas. The ultimate stage units (USUs) were households. Large FSUs were subdivided into hamlet-groups (rural)/sub-blocks (urban). Details of the formation of hamlet-groups/sub-blocks and procedure of selection of hamlet-groups/sub-blocks and then of households are also given in Appendix B.
Sampling Frame for FSUs: The list of villages (panchayat wards for Kerala) as per 1991 Census and latest lists of UFS blocks of NSSO were respectively used for selection of rural and urban sample FSUs. For selection of sample villages from the State of Jammu & Kashmir, the list of villages as per 1981 Census was used as the sampling frame. However, interior villages of Nagaland situated beyond 5 kms. of the bus route and inaccessible villages of Andaman & Nicobar Islands were left out of the survey coverage of NSS 60th round.
Stratification : Rural sector: Two special strata will be formed at the State/ UT level, viz.
Stratum 1: All FSUs with population between 0 to 50 and
Stratum 2: FSUs with population more than 15,000.
Special stratum 1 will be formed if at least 50 such FSUs are found in a State/UT.
Similarly, special stratum 2 will be formed if at least 4 such FSUs are found in a State/UT.Otherwise, such FSUs will be merged with the general strata.
Urban sector: In the urban sector, strata will be formed within each NSS region on the basis of size class of towns as per Population Census 2001. The stratum numbers and their composition (within each region) are given below.
stratum 1 : all towns with population less than 50,000
stratum 2 : all towns with population 50,000 or more but less than 2 lakhs
stratum 3 : all towns with population 2 lakhs or more but less than 10 lakhs
stratum 4, 5, 6,...: each town with population 10 lakhs or more.The stratum numbers will remain as above even if, in some regions, some of the strata are not formed.
Total sample size (FSUs): 7612 FSUs have been allocated at all-India level on the basis of investigator strength in different States/UTs for central sample and 8260 for state sample.
Allocation of total sample to States and UTs: The total number of sample FSUs is allocated to the States and UTs in proportion to provisional population as per Census 2001 subject to the availability of investigators ensuring more or less uniform work-load.
Selection of FSUs: FSUs will be selected with Probability Proportional to Size With Replacement (PPSWR), size being the population as per Population Census 1991 in all the strata for rural sector except for stratum 1. In stratum 1 of rural sector and in all the strata of urban sector, selection will be done using Simple Random Sampling Without Replacement (SRSWOR). Within each stratum, samples will be drawn in the form of two independent subsamples in both the rural and urban sectors.
Allocation of State/UT level sample to rural and urban sectors: State/UT level sample is allocated between two sectors in proportion to provisional population as per Census 2001 with 1.5 weightage to urban sector subject to the restriction that urban sample size for bigger states like Maharashtra, Tamil Nadu etc. should not exceed the rural sample size. Earlier practice of giving double weightage to urban sector has been modified considering the fact that there has been considerable growth in urban population. A minimum of 8 FSUs will be allocated to each state/UT separately for rural and urban areas.
The procedure for selection of fsus/usus is given in detail in Appendix B of the report no.507 attached as external resources.
There was no deviation from the original sample deviation.
Sample size -- first-stage units: In all, 10,072 villages were planned to be surveyed in this round. Of these, 4,908 were allocated to the central sample -- the part surveyed mainly by the NSSO field staff -- and the rest to the State sample -- the part surveyed by the State agencies. In the urban sector, the allocations for the Central and State samples were, respectively, 2,708 and 3,096 blocks. This report is based on the estimates obtained from the central sample alone. The number of villages and that of urban blocks actually surveyed as the central sample were 4,755 and 2,668 respectively. 1.7.3 Sample size -- second-stage units: For Schedule 25.0, 10 households were planned to be surveyed in each selected FSU. In the Central sample, the actual numbers of households surveyed in the rural and urban areas were 47,302 and 26,566, respectively.
For generating any estimate, one has to extract relevant portion of the data, and aggregate after applying the weights.
Weights (or multipliers) VARIABLES are given at the end of record of each dataset. The weights (multipliers) are
WGT_SS for Sub-sample-wise estimation and WGT_Combined for combined subsample estimates.
All records of a household will have same weight figure. In case of those Blocks/Levels, where Item/Person Sl.No. is not applicable the field is filled up with 00000.
Use of subsample-wise weights (multipliers)
For generating subsample-wise estimates based on data of all subrounds taken together, either Subsample-1 households or Subsample-2 households are to be considered at one time. Subsample code is available in the dataset For generating subsample-combined estimates based on data of all subrounds taken together all households are to be considered.
The schedule on morbidity and health care (Schedule 25.0) framed for the 60th round consists of 13 blocks. The different blocks of the schedule are:
Block 0: descriptive identification of sample household
Block 1: identification of sample household
Block 2: particulars of field operation
Block 3: household characteristics
Block 4: demographic particulars of household members
Block 5: particulars of earstwhile household members who died during last 365 days
Block 6: particulars of economic independence and ailments for persons aged 60 years and above
Block 7: particulars of medical treatment received as inpatient of a hospital during last 365 days
Block 8: expenses incurred for treatment of members treated as impatient of hospital during last 365 days and source of finance
Block 9: particulars of spells of ailment of household members during last 15 days (including hospitalisation)
Block 10: expenses incurred during last 15 days for treatment of members (not as an inpatient of hospital) and source of finance
Block 11: particulars of immunisation of children (0 - 4 yrs.), pre-natal and post-natal care for ever married women of age below 50 years during last 365 days
Block 12: remarks by investigator
Block 13: comments by supervisory officer(s)
| Start | End | Cycle |
|---|---|---|
| 2004-01-01 | 2004-03-31 | subround-1 |
| 2004-04-01 | 2004-06-30 | subround-2 |
| Name | Affiliation | Abbreviation |
|---|---|---|
| Field Operations Division of Naional Sample Survey Office | Ministry of Statistics and Programme Implementation | NSSO(FOD) |
The fieldwork of 60th round of NSSO started from 1st January, 2004 and continued till 30th June, 2004. As usual, the survey period of this round was divided into two sub-rounds, each with a duration of three months, the 1st sub-round period ranging from January to March, 2004 and the 2nd sub-round period from April to June, 2004. An equal number of sample FSU’s was allotted for survey in each of these two sub-rounds.
| Name | Affiliation | URL | |
|---|---|---|---|
| Computer Centre | Ministry of Statistics and Programme Implementation | http://mospi.nic.in/Mospi_New/site/home.aspx | nssodata@gmail.com |
Validated unit level data relating to various survey rounds are available on CD-ROMS which can be obtained from the Deputy Director General, Computer Centre, M/O Statistics and PI, East Block No. 10 R.K. Puram, New Delhi-110066 by remitting the price along with packaging and postal charges as well as giving an undertaking duly signed in a specified format.The amount is to be remitted by way of demand draft drawn in favour of Pay & Accounts Officer, Ministry of Statistics & Programme Implementation, payable at New Delhi.
National Sample Survey Organization of India, Survey on Morbidity and Health Care January - June 2004 Version 1.0: NSS 60th Round, provided by Ministry of Statistics and Programme Implementation India. http://mospi.nic.in/Mospi_New/site/home.aspx
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
© 2004, National Sample Survey Organization of India
| Name | Affiliation | URL |
|---|---|---|
| ADG, SDRD , NSSO | M/O Statistics & PI, G/O India | http://mospi.gov.in/ |
| DDG, Computer Centre | Ministry of Statistics and Programme Implementation | http://mospi.nic.in/Mospi_New/site/home.aspx |
DDI-IND-NSSO-SMHC-2004-v1.0
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Computer Centre | MOSPI, CC | M/O Statistics & Programme Implementation | Documentation of the study |
2012-12-30
Version 1.0 (December 2012)
