Survey on Morbidity and Health Care 2004 - 60th Round
India, 2004
Reference ID
IND_2004_MHC_60th_Sch25_MOSPI_NSSO
Producer(s)
National Sample Survey Office
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Created on
Mar 11, 2014
Last modified
Jun 19, 2017
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Identification
Survey ID Number
IND_2004_MHC_60th_Sch25_MOSPI_NSSO
Title
Survey on Morbidity and Health Care 2004 - 60th Round
Subtitle
January-June
Country
| Name | Country code |
|---|---|
| India | IND |
Series Name
Socio-Economic/Household Survey
Abstract
The National Sample Survey Organisation (NSSO) was set up in 1950 as a permanent survey organisation to collect data on various facets of the Indian economy through nation-wide sample surveys in order to assist in socio-economic planning and policy-making. 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 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.
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.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Randomly selected households based on sampling procedure and members of the household
Version
Version number
V1.0; Re-organised anonymised dataset for public distribution.
Version Date
2012-12-30
Scope
Study notes
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.
(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 Classification
| Topic | Vocabulary | URI |
|---|---|---|
| Labor Markets | World Bank | Link |
Keywords
| Keyword |
|---|
| Employment |
| Unemployment |
| Indebtedness of rural labour |
| Usual principal activity |
| Usual subsidiary activity |
| Time disposition during the week |
| Migration |
Coverage
Geographic Coverage
The entire area of the country was covered with the exception of some interior areas of Nagaland and Andaman & Nicobar Islands, and Leh (Ladakh) and Kargil districts of Jammu & Kashmir.
Universe
The survey used the interview method of data collection from a sample of randomly selected households and members of the household
Producers and sponsors
Authoring entity/Primary investigators
| Agency Name | Affiliation |
|---|---|
| National Sample Survey Office | M/o Statistcs and Programme Implementation(MOSPI),Government of India (GOI) |
Producers
| 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 | M/o Statistcs and Programme Implementation(MOSPI),Government of India (GOI) | Data Dissemination |
Funding Agency/Sponsor
| Name | Abbreviation |
|---|---|
| M/o Statistics & Programme Implementation, GOI | MOSPI |
Other Identifications/Acknowledgments
| Name | Affiliation | Role |
|---|---|---|
| Governing council and Working Group | GOI | Finalisation of survey study and Questionnaire |
Sampling
Sampling Procedure
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.
The procedure for selection of fsus/usus is given in detail in Appendix B of the report no.507 attached as external resources.
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.
The procedure for selection of fsus/usus is given in detail in Appendix B of the report no.507 attached as external resources.
Deviations from the Sample Design
There was no deviation from the original sample deviation.
Response Rate
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.
Weighting
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.
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.
Data Collection
Dates of Data Collection (YYYY/MM/DD)
| Start date | End date | Cycle |
|---|---|---|
| 2004-01-01 | 2004-03-31 | subround-1 |
| 2004-04-01 | 2004-06-30 | subround-2 |
Mode of data collection
Face-to-face [f2f]
Characteristics of Data Collection Situation - Notes on data collection
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.
Data Collectors
| Name | Abbreviation | Affiliation |
|---|---|---|
| Field Operations Division of Naional Sample Survey Office | NSSO(FOD) | Ministry of Statistics and Programme Implementation |
Questionnaires
Type of Research Instrument
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)
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)
Data access
Contact
Conditions
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.
Contact
| Name | Affiliation | URI | |
|---|---|---|---|
| Computer Centre | M/O Statistics and Programme Implementation | nssodata@gmail.com | Link |
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.
Metadata production
Document ID
DDI_IND_2004_MHC_60th_Sch25_MOSPI_NSSO
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Computer Centre | MOSPI, CC | M/O Statistics & Programme Implementation | Documentation of the study |
Date of Production
2012-12-30
Document version
Version 1.0 (December 2012)