Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

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iv | Contents CHAPTER 3 CHARACTERISTICS OF RESPONDENTS 3.1 Characteristics of Survey Respondents .............................................................. 31 3.2 Educational Attainment and Literacy ................................................................. 32 3.3 Access to Mass Media ....................................................................................... 36 3.4 Employment ..................................................................................................... 38 3.4.1 Employment Status ............................................................................... 38 3.4.2 Occupation .......................................................................................... 41 3.4.3 Earnings, Employers, and Continuity of Employment ............................. 43 3.5 Knowledge and Attitudes Concerning Tuberculosis ........................................... 44 3.6 Use of Tobacco ................................................................................................ 46 CHAPTER 4 FERTILITY 4.1 Current Fertility ................................................................................................ 49 4.2 Fertility Differentials .......................................................................................... 50 4.3 Fertility Trends .................................................................................................. 52 4.4 Children Ever Born and Surviving ...................................................................... 54 4.5 Birth Intervals ................................................................................................... 55 4.6 Age at First Birth ............................................................................................... 56 4.7 Adolescent Pregnancy and Motherhood ........................................................... 57 CHAPTER 5 FAMILY PLANNING 5.1 Knowledge of Contraceptive Methods .............................................................. 60 5.2 Knowledge of Contraceptive Methods by Background Characteristics ............... 61 5.3 Ever Use of Contraception ................................................................................ 62 5.4 Current Use of Contraception ........................................................................... 64 5.5 Trend in Current Use of Contraception ............................................................. 66 5.6 Current Use of Contraception by Background Characteristics ............................ 66 5.7 Number of Children at First Use of Contraception ............................................ 68 5.8 Knowledge of Fertile Period .............................................................................. 69 5.9 Timing of Female Sterilization ........................................................................... 70 5.10 Source of Modern Contraception Methods ....................................................... 70 5.11 Payment of Fees for Modern Contraceptive Methods ........................................ 71 5.12 Informed Choice .............................................................................................. 71 5.13 Future Use of Contraception ............................................................................. 72 5.14 Reasons for Non-use of Contraception in the Future ......................................... 73 5.15 Preferred Method of Contraception for Future Use ........................................... 73 5.16 Exposure to Family Planning Messages .............................................................. 74 5.17 Contact of Non-users with Family Planning Providers ........................................ 75 5.18 Husband’s Knowledge of Wife’s Use of Contraception ..................................... 76 CHAPTER 6 OTHER PROXIMATE DETERMINANTS OF FERTILITY 6.1 Current Marital Status ....................................................................................... 79 6.2 Polygyny ........................................................................................................... 80 6.3 Age at First Marriage ......................................................................................... 81 6.4 Age at First Sexual Intercourse .......................................................................... 83 6.5 Recent Sexual Activity ....................................................................................... 85 6.6 Postpartum Amenorrhea, Abstinence, and Insusceptibility ................................ 88 6.7 Menopause ...................................................................................................... 89
CHAPTER 7 FERTILITY PREFERENCES 7.1 Desire for More Children .................................................................................. 91 7.2 Desire to Limit Childbearing by Background Characteristics .............................. 92 7.3 Need for Family Planning Services .................................................................... 94 7.4 Ideal Family Size ............................................................................................... 95 7.5 Fertility Planning ............................................................................................... 97 CHAPTER 8 INFANT AND CHILD MORTALITY 8.1 Definition, Data Quality, and Methodology ...................................................... 99 8.2 Assessment of Data Quality............................................................................... 99 8.3 Levels and Trends in Infant and Child Mortality .............................................. 100 8.4 Socioeconomic Differentials in Mortality ......................................................... 102 8.5 Demographic Characteristics and Child Mortality ............................................ 103 8.6 Perinatal Mortality .......................................................................................... 105 8.7 High-Risk Fertility Behavior ............................................................................. 106 CHAPTER 9 ADULT AND MATERNAL MORTALITY 9.1 Data Quality Analysis ...................................................................................... 109 9.2 Adult Mortality ............................................................................................... 111 9.3 Maternal Mortality .......................................................................................... 111 CHAPTER 10 MATERNAL HEALTH 10.1 Antenatal Care ................................................................................................ 113 10.2 Number and Timing of Antenatal Visits ........................................................... 115 10.3 Components of Antenatal Care ....................................................................... 115 10.4 Tetanus Toxoid Vaccination ............................................................................ 117 10.5 Knowledge of Danger Signs During Pregnancy ................................................ 118 10.6 Delivery Care ................................................................................................. 119 10.6.1 Place of Delivery ................................................................................ 119 10.6.2 Assistance during Delivery .................................................................. 121 10.7 Newborn Care ................................................................................................ 122 10.7.1 Knowledge of Danger Signs for Newborns .......................................... 122 10.7.2 Care for Umbilical Cord ...................................................................... 123 10.7.3 Drying and Bathing of Newborns ........................................................ 125 10.8 Timing of First Postnatal Checkup ................................................................... 126 10.9 Type of Provider of First Postnatal Checkup .................................................... 127 10.10 Problems in Accessing Health Care ................................................................. 128 CHAPTER 11 CHILD HEALTH 11.1 Child’s Size at Birth ......................................................................................... 131 11.2 Vaccination Coverage ..................................................................................... 132 11.3 Trends in Vaccination Coverage ...................................................................... 135 11.4 Acute Respiratory Infection ............................................................................. 136 11.5 Fever .............................................................................................................. 137 Contents | v
Page 1 and 2: Timor-Leste Demographic and Health
Page 3: CONTENTS TABLES AND FIGURES .......
Page 7: 14.8 HIV/AIDS-related Knowledge and
Page 10 and 11: x | Tables and Figures CHAPTER 4 FE
Page 12 and 13: xii | Tables and Figures Table 11.4
Page 14 and 15: xiv | Tables and Figures Table 16.4
Page 17: FOREWORD The 2009-10 Timor-Leste De
Page 21: CONTRIBUTORS TO THE REPORT Elias do
Page 24 and 25: about three children more than wome
Page 26 and 27: Postnatal Care. The majority of wom
Page 28 and 29: However, the level of chronic energ
Page 31 and 32: MILLENNIUM DEVELOPMENT GOAL INDICAT
Page 33 and 34: INTRODUCTION 1 1.1 HISTORY, GEOGRAP
Page 35 and 36: The government of Timor-Leste has l
Page 37 and 38: 1.5 ORGANIZATION OF THE SURVEY The
Page 39 and 40: 1.8 HEMOGLOBIN TESTING In one-third
Page 41: In these households, 13,796 women w
Page 44 and 45: Table 2.1 Household population by a
Page 46 and 47: The percentage of children not livi
Page 48 and 49: The Early Childhood Care and Educat
Page 50 and 51: Table 2.4.2 Educational attainment
Page 52 and 53: The GAR at the primary school level
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ate (2 percent) than their rural co
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water. Thirty-six percent of househ
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The type of flooring material used
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Table 2.11 Wealth quintiles Percent
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CHARACTERISTICS OF RESPONDENTS 3 Th
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Table 3.2.1 Educational attainment:
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Table 3.3.1 Literacy: Women Percent
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Table 3.4.1 Exposure to mass media:
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Table 3.5.1 Employment status: Wome
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3.4.2 Occupation Respondents who we
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3.4.3 Earnings, Employers, and Cont
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Tables 3.8.1 and 3.8.2 show the per
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Table 3.9.1 Use of tobacco: Women P
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FERTILITY 4 One of the major object
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Table 4.2 Fertility by background c
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calculated in the 2003 DHS follows
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of primary sterility. In Timor-Lest
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Table 4.8 Median age at first birth
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FAMILY PLANNING 5 In 2002, the Coun
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According to the 2003 DHS, knowledg
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Table 5.3.1 Ever use of contracepti
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Table 5.4 Current use of contracept
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Table 5.5 Current use of contracept
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Use increases with parity but with
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Female and male sterilizations are
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Table 5.10 Future use of contracept
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Table 5.13 Exposure to family plann
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Table 5.15 Husband/partner’s know
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6.2 POLYGYNY Polygyny (the practice
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20.9 years. Although the proportion
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84 | Other Proximate Determinants o
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Table 6.7.1 Recent sexual activity:
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There is little difference in the p
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2 percent among women age 30-34 to
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92 | Fertility Preferences Table 7.
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94 | Fertility Preferences 7.3 NEED
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96 | Fertility Preferences an idea
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98 | Fertility Preferences The perc
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with their death, or they may live
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100 80 60 40 20 102 | Infant and Ch
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104 | Infant and Child Mortality Ta
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8.7 HIGH-RISK FERTILITY BEHAVIOR Th
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ADULT AND MATERNAL MORTALITY 9 The
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9.2 ADULT MORTALITY Table 9.3 Sibsh
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MATERNAL HEALTH 10 Making Pregnancy
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among women in the lowest wealth qu
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A much lower percentage of Timorese
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Table 10.5 Knowledge of danger sign
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10.6.2 Assistance during Delivery O
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Table 10.8 Knowledge of danger sign
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Table 10.10 Application of material
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Table 10.12 Timing of first postnat
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Where health services are present,
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CHILD HEALTH 11 This chapter presen
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In the TLDHS, information on vaccin
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Boys (54 percent) are somewhat more
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The data indicate that two percent
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11.6 DIARRHEAL DISEASE Dehydration
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Table 11.8 Diarrhea treatment Among
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Ten percent of children with diarrh
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There are marked differences in the
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international reference population
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80 Percent 70 60 50 40 30 20 10 150
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60 50 40 30 20 10 152 | Nutrition o
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Table 12.2 shows the percentages of
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100 Percent 90 80 70 60 50 40 30 20
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Table 12.5 Foods and liquids consum
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Table 12.6 Infant and young child f
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Table 12.7 shows the percentage of
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the most recent distribution preced
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Table 12.10 Nutritional status of w
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Table 12.12 shows data on micronutr
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12.12 PREVALENCE OF ANEMIA IN WOMEN
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MALARIA 13 Malaria remains a leadin
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13.1.2 Use of Mosquito Nets by Chil
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Tables 13.3 and 13.4 show the perce
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The highest prevalence of fever is
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HIV/AIDS-RELATED KNOWLEDGE, ATTITUD
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percent of women and 61 percent of
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person who has AIDS or by sharing c
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Comprehensive knowledge about AIDS
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HIV or AIDS on all four indicators
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Table 14.6 Payment for sexual inter
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14.5 MALE CIRCUMCISION Male circumc
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In the 2009-10 TLDHS, women and men
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100 Percent 80 60 40 20 0 64 Total
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14.8.2 Age at First Sex and Condom
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To assess the extent of condom use
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WOMEN’S EMPOWERMENT AND DEMOGRAPH
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Table 15.2.1 Control over women’s
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Table 15.2.2 Control over men's cas
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Table 15.4.1 Women’s participatio
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Table 15.5.1 Women’s participatio
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15.5 ATTITUDES TOWARD WIFE BEATING
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Table 15.6.2 Attitude toward wife b
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Table 15.7.1 Attitude toward refusi
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Women’s empowerment is closely as
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Table 15.8 Indicators of women’s
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pathways: its negative association
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DOMESTIC VIOLENCE 16 In the words o
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partner] hit, slapped, kicked, or d
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Table 16.1 Experience of physical v
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Among women who have never been mar
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who experienced sexual violence fir
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Domestic violence is not limited to
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Table 16.8 Forms of spousal violenc
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Table 16.9—Continued Emotional vi
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Table 16.10 Spousal violence by hus
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16.14 Physical Violence by Women ag
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16.15 HELP-SEEKING BEHAVIOR OF WOME
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16.17 SOCIAL NORMS AND VALUES The f
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REFERENCES Acharya, M. 2010. Effort
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Ministry of Health (MOH) [Timor-Les
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World Health Organization (WHO), Wo
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256 | Appendix A during the populat
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A.5 SURVEY RESULTS 258 | Appendix A
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ESTIMATES OF SAMPLING ERRORS Append
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Table B.1 List of selected variable
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Table B.3 Sampling errors for Urban
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Table B.5 Sampling errors for Aileu
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Table B.7 Sampling errors for Bauca
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Table B.9 Sampling errors for Coval
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Table B.11 Sampling errors for Erme
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Table B.13 Sampling errors for Liqu
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Table B.15 Sampling errors for Manu
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Table B.17 Sampling errors for Viqu
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282 | Appendix C Table C.2.1 Age di
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284 | Appendix C Table C.5 Reportin
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286 | Appendix C Table C.7 Nutritio
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PERSONS INVOLVED IN THE 2009-10 TIM
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Martinho da Costa Cesaltina Falcao
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QUESTIONNAIRES Appendix E Appendix
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296 | Appendix E Introduction and C
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IF AGE 15 IF AGE 0-17 YEARS IF AGE
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300 | Appendix E HOUSEHOLD CHARACTE
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302 | Appendix E NO. QUESTIONS AND
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306 | Appendix E WEIGHT, HEIGHT AND
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308 | Appendix E WEIGHT, HEIGHT, AN
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310 | Appendix E
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312 | Appendix E INTRODUCTION AND C
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314 | Appendix E SECTION 2. REPRODU
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212 316 | Appendix E 213 214 215 21
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326 | Appendix E LAST BIRTH NEXT-TO
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350 | Appendix E LAST SEXUAL PARTNE
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352 | Appendix E SECTION 7. FERTILI
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356 | Appendix E SECTION 8. HUSBAND
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362 | Appendix E SECTION 10. OTHER
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364 | Appendix E SECTION 11. MATERN
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366 | Appendix E SECTION 12. DOMEST
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372 | Appendix E INSTRUCTIONS: 2 04
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374 | Appendix E INTRODUCTION AND C
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376 | Appendix E SECTION 2. REPRODU
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378 | Appendix E SECTION 3. CONTRAC
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380 | Appendix E 311 Where is that?
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386 | Appendix E SECTION 5. FERTILI
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388 | Appendix E SECTION 6. EMPLOYM
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390 | Appendix E SECTION 7. HIV/AID
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