Expenditure on Health Survey-2004
West Bank and Gaza, 2004
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Reference ID
PSE-PCBS-EHS-2004-V1.0
Producer(s)
Palestinian Central Bureau of Statistics
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Created on
Jan 28, 2020
Last modified
Jan 28, 2020
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Identification
Survey ID Number
PSE-PCBS-EHS-2004-V1.0
Title
Expenditure on Health Survey-2004
Translated Title
مسح الانفاق على الصحة 2004
Country
| Name | Country code |
|---|---|
| Palestine | PSE |
Study type
Demographic and Health Survey [hh/dhs]
Series Information
The Health Expenditure Survey 2004 is the first national survey of its kind conducted by the Palestinian Central Bureau of Statistics (PCBS), for establishing the basis for national health accounts in the Palestinian Territory.
The survey is designed to collect, analyze and disseminate data on household expenditure on health pertaining to the Palestinian population living in the Palestinian Territory, with a focus on expenditure on primary, secondary and tertiary health care. The survey also includes other sections and elements, such as basic information on households' monthly income and their source of income.
The survey is designed to collect, analyze and disseminate data on household expenditure on health pertaining to the Palestinian population living in the Palestinian Territory, with a focus on expenditure on primary, secondary and tertiary health care. The survey also includes other sections and elements, such as basic information on households' monthly income and their source of income.
Abstract
The aim of the survey is to collect data on the households expenditure on health in the Palestinian Territory in order to facilitate the creation of National Health Accounts System. The main objectives of the survey are:
* To evaluate the health services provided.
* Utilization of health services and health insurance as well.
* To provide data on the share of households expenditure on health.
* To provide data on the share of MoH and private sector expenditure on health.
* To evaluate the health services provided.
* Utilization of health services and health insurance as well.
* To provide data on the share of households expenditure on health.
* To provide data on the share of MoH and private sector expenditure on health.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Household, Individual
Version
Version Description
Version 1.0 dataset for public distribution
Version Date
2013-10-27
Scope
Notes
The survey is designed to collect, analyze and disseminate data on household expenditure on health pertaining to the Palestinian population living in the Palestinian Territory, with a focus on expenditure on primary, secondary and tertiary health care. The survey also includes other sections and elements, such as basic information on households' monthly income and their source of income.
Topics
Coverage
Geographic Coverage
All Palestinian households living in the Palestinian Territory (west bank and Gaza Strip)
Universe
All Palestinian households living in the Palestinian Territory.
Producers and sponsors
Primary investigators
| Name | Affiliation |
|---|---|
| Palestinian Central Bureau of Statistics | Palestinian National Authority |
Producers
| Name |
|---|
| Ministry of Heath |
Funding Agency/Sponsor
| Name | Abbreviation | Role |
|---|---|---|
| The Palestinian National Authority | PNA | Financial assistance |
| Italian Cooperation | IC | Financial assistance |
Sampling
Sampling Procedure
The number of households in the sample was 4,496 households: 3,056 in the West Bank and 1,440 in the Gaza Strip. 4,014 households were interviewed, 2,663 in the West Bank and 1,351 in Gaza Strip.
The list of all Palestinian households has been constructed by updating some identification variables from the data collected through the Population Census of 1997. The master sample was drawn up to be used for different sample surveys. It consists of 481 enumeration areas (EA) (the average size of about 150 households). The master sample was the sample frame for the current HHES 2004. The selected EA were divided into small units called cells (with an average size of 16 households in the West Bank and Gaza Strip, while 20 households were selected in Jerusalem).
The sample type was a stratified two-stage random sample:
First stage: 275 EAs were selected from all Palestinian territory.
Second stage: A systematic random sample of 16 households was selected from each EA in the West Bank and the Gaza Strip. For the part of Jerusalem that was annexed by Israel after the 1967 war, 20 households were selected from each EA.
The list of all Palestinian households has been constructed by updating some identification variables from the data collected through the Population Census of 1997. The master sample was drawn up to be used for different sample surveys. It consists of 481 enumeration areas (EA) (the average size of about 150 households). The master sample was the sample frame for the current HHES 2004. The selected EA were divided into small units called cells (with an average size of 16 households in the West Bank and Gaza Strip, while 20 households were selected in Jerusalem).
The sample type was a stratified two-stage random sample:
First stage: 275 EAs were selected from all Palestinian territory.
Second stage: A systematic random sample of 16 households was selected from each EA in the West Bank and the Gaza Strip. For the part of Jerusalem that was annexed by Israel after the 1967 war, 20 households were selected from each EA.
Response Rate
The response rate for the SURVEY 89.3%.
Weighting
Weights have been calculated for each sampling unit. Weights reflect the sampling procedures. To make the weighing procedure feasible and simple, we assumed that the households have been selected directly within the EA.
The weighing procedure considered the total Palestinian population in the beginning of the second quarter of the year 2004 and their distribution by region, sex and age group.
The weighing procedure considered the total Palestinian population in the beginning of the second quarter of the year 2004 and their distribution by region, sex and age group.
Data Collection
Dates of Data Collection
| Start | End |
|---|---|
| 2004-08-03 | 2004-09-04 |
Time periods
| Start date | End date |
|---|---|
| 2004-08-03 | 2004-09-04 |
Data Collection Mode
Face-to-face [f2f]
Supervision
Special patterns were designed to follow-up receiving and handing in questionnaires at all levels and the daily follow up of interviewers work. The supervisor handed out work on the team using a map and sample. Daily and weekly reports were submitted to the coordinator of the fieldwork and the project administration. The reports explain the number of complete interviews and non-response. In addition to conducting field visits by the technicians and coordinators in order to oversee work and ensure data quality and assisting in solving any problems facing the field team.
Data Collection Notes
Training
The draft fieldwork manual prepared for the pilot was reviewed, edited and utilized for the main fieldwork training.
The main training was via videoconference between the West Bank and the Gaza Strip. Training lasted for an intensive 8 days. A group of doctors was recruited to deliver lectures on different parts of the questionnaires.
The training materials consisted of the following basic survey documents: questionnaires and interviewer and supervisor's instructions manual.
The training course for interviewers consisted of:
Classroom lectures on the objectives and organization of the survey
Detailed explanation of the questionnaire
The art of asking questions
The principles of interviewing were addressed by the demonstration of an interview through role-playing and practice interviews.
Fieldwork Organization
The main fieldwork in the West Bank and Gaza Strip started on August 3rd, 2004, and was completed on September 4th, 2004.
Fieldwork teams implemented field editing, which included further spot-checks if needed. The field editor thoroughly checked and corrected any obvious mistakes and slips.
The draft fieldwork manual prepared for the pilot was reviewed, edited and utilized for the main fieldwork training.
The main training was via videoconference between the West Bank and the Gaza Strip. Training lasted for an intensive 8 days. A group of doctors was recruited to deliver lectures on different parts of the questionnaires.
The training materials consisted of the following basic survey documents: questionnaires and interviewer and supervisor's instructions manual.
The training course for interviewers consisted of:
Classroom lectures on the objectives and organization of the survey
Detailed explanation of the questionnaire
The art of asking questions
The principles of interviewing were addressed by the demonstration of an interview through role-playing and practice interviews.
Fieldwork Organization
The main fieldwork in the West Bank and Gaza Strip started on August 3rd, 2004, and was completed on September 4th, 2004.
Fieldwork teams implemented field editing, which included further spot-checks if needed. The field editor thoroughly checked and corrected any obvious mistakes and slips.
Data Collectors
| Name | Abbreviation | Affiliation |
|---|---|---|
| : Palestinian Central Bureau of Statistics | PCBS | Palestinian National Authority |
Questionnaires
Questionnaires
The Palestinian Central Bureau of Statistics developed the questionnaire after revision and adaptation of some questionnaires belongs to some neighboring countries such as Jordan, in addition to the standard manual for calculating the national health accounts which was developed by WHO.
The HHES 2004 questionnaire consisted of following parts:
1. Control Sheet, which includes items related to quality control, sample identification, interview schedule and interview outcome.
2. Part one, which includes the household roster including demographic variables such as age, sex, relation to the head of the household, and date of birth.
3. Part two; this part was designed to collect data on the availability of health insurance and the utilization of health insurance. In addition to the prevalence of diseases need continuous treatment and the monthly mean expenditures on such diseases.
4. Part Three: This part includes questions on utilization of primary health care centers for those who suffer any health problem during the past two weeks preceding the survey.
5. Part four (A): This part was designed to collect data on persons who utilize the out patients clinic at hospitals during the past 6 months preceding the survey.
6. Part four (B): This part was designed to collect data on persons who admitted to the hospitals during the past year preceding the survey.
7. Part five: This part includes questions on utilization of rehabilitation centers for those who suffer any health problem during the six months two weeks preceding the survey.
8. Part six: This part includes data on selected socio-economic indicators and the households' expenses on some health items during the past month preceding the survey.
The HHES 2004 questionnaire consisted of following parts:
1. Control Sheet, which includes items related to quality control, sample identification, interview schedule and interview outcome.
2. Part one, which includes the household roster including demographic variables such as age, sex, relation to the head of the household, and date of birth.
3. Part two; this part was designed to collect data on the availability of health insurance and the utilization of health insurance. In addition to the prevalence of diseases need continuous treatment and the monthly mean expenditures on such diseases.
4. Part Three: This part includes questions on utilization of primary health care centers for those who suffer any health problem during the past two weeks preceding the survey.
5. Part four (A): This part was designed to collect data on persons who utilize the out patients clinic at hospitals during the past 6 months preceding the survey.
6. Part four (B): This part was designed to collect data on persons who admitted to the hospitals during the past year preceding the survey.
7. Part five: This part includes questions on utilization of rehabilitation centers for those who suffer any health problem during the six months two weeks preceding the survey.
8. Part six: This part includes data on selected socio-economic indicators and the households' expenses on some health items during the past month preceding the survey.
Data Processing
Data Editing
BLAIZE was used in the data entry. Data entry was organized in a number of files, corresponding to the main parts of the questionnaire.
A data-entry template was designed to reflect an exact image of the questionnaire and included various electronic checks: logical check, consistency checks and cross-validation. Continuously thorough checks on the overall consistency of the data files were conducted, and some questionnaires were sent back to the field for corrections.
Data entry started in August 10, 2004, and finished on September 20, 2004. Data cleaning and checking processes were initiated simultaneously with the data entry. Thorough data quality checks and consistency checks were carried out.
Final tabulation of results was performed using the statistical package SPSS for Windows (version 8.0) and specialized health and demographic analysis programs.
A data-entry template was designed to reflect an exact image of the questionnaire and included various electronic checks: logical check, consistency checks and cross-validation. Continuously thorough checks on the overall consistency of the data files were conducted, and some questionnaires were sent back to the field for corrections.
Data entry started in August 10, 2004, and finished on September 20, 2004. Data cleaning and checking processes were initiated simultaneously with the data entry. Thorough data quality checks and consistency checks were carried out.
Final tabulation of results was performed using the statistical package SPSS for Windows (version 8.0) and specialized health and demographic analysis programs.
Data Appraisal
Estimates of Sampling Error
Since the data reported here are based on a sample survey and not on complete enumeration, they are subjected to two main types of errors: sampling errors and non-Sampling errors.
Sampling errors are random outcomes of the sample design, and are, therefore, easily measurable.
Non-sampling errors can occur at the various stages of the survey implementation in data collection and data processing, and are generally difficult to be evaluated statistically. They cover a wide range of errors, including errors resulting from non-response, sample frame coverage, data processing and response (both respondent and interviewer-related). The use of effective training and supervisions and the careful design of questions as measures have direct bearing on the magnitude of non-sampling errors, and hence the quality of the resulting data are of high quality.
Sampling errors are random outcomes of the sample design, and are, therefore, easily measurable.
Non-sampling errors can occur at the various stages of the survey implementation in data collection and data processing, and are generally difficult to be evaluated statistically. They cover a wide range of errors, including errors resulting from non-response, sample frame coverage, data processing and response (both respondent and interviewer-related). The use of effective training and supervisions and the careful design of questions as measures have direct bearing on the magnitude of non-sampling errors, and hence the quality of the resulting data are of high quality.
Access policy
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Division of Users Services | Palestinian Central Bureau of Statistics | diwan@pcbs.gov.ps | www.pcbs.gov.ps |
Confidentiality
General Statistics Law
No. (5) for Year 2000
Article (17
1. All individual information and data submitted to the Bureau for statistical purposes shall be treated as confidential and shall not be divulged, in whole or in part, to any individual or to a public or private body, or used for any purpose other than for preparing statistical tables.
2. The Bureau shall endeavor to issue official statistical publications in aggregate tables, which do not disclose individual data, in conformity with the confidentiality of statistical data.
Access conditions
1. pledges the utilization of "data" or any copies thereof shall be limited to the purposes agreed upon including not granting any third parties any access to these data. Restrictions applies to any data duplication or transformed setting for purposes other than meeting the requirements of the statistical programs used in data analysis.
2. Utilization of "data" or any copies thereof is limited to personal computers normally .
3. pledges not to alter the value of any observation in the original "data"; nevertheless, this does not apply on subjecting data to any processes or procedures aiming to derive new variables. The first party does not bear any professional, administrative or financial responsibility for any losses incurred as a result of changes in the variables values.
2. Utilization of "data" or any copies thereof is limited to personal computers normally .
3. pledges not to alter the value of any observation in the original "data"; nevertheless, this does not apply on subjecting data to any processes or procedures aiming to derive new variables. The first party does not bear any professional, administrative or financial responsibility for any losses incurred as a result of changes in the variables values.
Citation requirements
Palestinian Central Bureau of Statistics.Expenditure on Health Survey-2004. V1.0 (10-2013). Ramallah - Palestine.
Access authority
| Name | Affiliation | URL | |
|---|---|---|---|
| Palestinian Central Bureau of Statistics | Palestinian National Authority | diwan@pcbs.gov.ps | www.pcbs.gov.ps |
Disclaimer and copyrights
Disclaimer
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.
Copyright
© All Rights Reserved.Palestinian Central Bureau of Statistics, Expenditure on Health Survey-2004
Metadata production
DDI Document ID
DDI-PSE-PCBS-EHS-2004-V1.0
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Palestinian Central Bureau of Statistics | PCBS | Palestinian Nationa Authority | Production and execute the survey |
Date of Metadata Production
2013-10-27
DDI Document version
Version 1.0 Oct / 2013