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

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60 | Family Planning 5.1 KNOWLEDGE OF CONTRACEPTIVE METHODS Knowledge of contraceptive methods is an important precursor to use. The ability to spontaneously name or recognize a family planning method when described is a simple test of a respondent’s familiarity with a method but is not necessarily an indication of the comprehensiveness of their knowledge. Information on knowledge of contraception was collected by first asking a respondent to name ways or methods by which a couple could delay or avoid pregnancy. If the respondent failed to mention a particular method spontaneously, the interviewer described the method and asked whether the respondent recognized it. The survey collected information on eleven modern family planning methods—female and male sterilization, the pill, the IUD, injectables, implants, female and male condoms, lactational amenorrhea method (LAM), emergency contraception, the standard days method, and two traditional methods—rhythm method and withdrawal. Folk methods, such as use of plants and herbs, could be mentioned spontaneously by respondents. In Table 5.1, information about knowledge of specific contraceptive methods is presented for all women and men as well as for currently married women and men and for sexually active unmarried men. Findings from the 2009-10 TLDHS show that 78 percent of currently married women and 66 percent of currently married men in Timor-Leste know of at least one modern method of family planning. The most widely known modern contraceptive methods among currently married women are injectables (70 percent) and the pill (58 percent). Currently married men are most likely to know of the male condom (54 percent) and injectables (46 percent). Twenty-seven percent of currently married men mentioned knowledge of a traditional method compared with 22 percent of currently married women. Sexually active unmarried men are most knowledgeable about the male condom (90 percent) followed by injectables (55 percent). The pattern of knowledge for all women and men is similar to that described for currently married women and men. The mean number of methods known is slightly higher among married women (3.3) than among married men (3.0). Table 5.1 Knowledge of contraceptive methods Percentage of all respondents, currently married respondents, and sexually active unmarried respondents age 15-49 who know any contraceptive method, by specific method, Timor-Leste 2009-10 Method All women Women Men Currently married women All men Currently married men Sexually active unmarried men 1 Any method 71.4 78.1 66.4 66.6 92.8 Any modern method 71.1 77.7 66.1 66.4 92.1 Female sterilization 20.0 23.9 21.2 26.8 31.7 Male sterilization 4.0 4.8 8.7 11.3 13.6 Pill 50.1 57.6 33.1 40.3 47.7 IUD 28.1 35.9 15.7 20.6 21.3 Injectables 61.2 70.3 36.0 45.5 55.3 Implants 31.5 40.0 19.3 25.3 35.4 Male condom 27.7 26.2 58.0 53.7 90.4 Female condom 10.4 10.1 10.4 11.1 15.3 Lactational amenorrhea (LAM) 7.0 9.5 4.8 7.1 0.4 Emergency contraception 3.2 4.0 3.7 5.2 2.2 Standard days method 13.2 16.8 9.8 14.6 6.8 Any traditional method 16.9 21.7 23.1 27.4 54.9 Rhythm 13.2 17.0 8.3 12.5 6.1 Withdrawal 7.7 10.2 19.4 21.7 54.6 Folk method Mean number of methods 2.7 3.8 3.3 5.1 0.0 known by respondents 15-49 2.8 3.3 2.5 3.0 3.8 Number of respondents 13,137 7,906 4,076 2,158 215 Note: There are too few sexually active unmarried women to analyze their knowledge separately. 1 Had last sexual intercourse within 30 days preceding the survey
According to the 2003 DHS, knowledge of contraception for ever-married women and men was 38 percent and 30 percent, respectively. These percentages are not exactly comparable to the 2009-10 TLDHS; they also include knowledge among women and men who are widowed and divorced, and as such may be slightly inflated. Nevertheless, it is important to note that over the past seven years there has been a considerable increase in the overall knowledge of contraceptive methods in the country. This increase in knowledge may be attributed to the successful dissemination of family planning messages through the mass media and, to a lesser degree, through service providers in family planning and reproductive health. 5.2 KNOWLEDGE OF CONTRACEPTIVE METHODS BY BACKGROUND CHARACTERISTICS The study of differentials in knowledge of contraceptive methods by background characteristics is important because it helps to identify subgroups of the population to target for family planning services. Table 5.2 presents, by background characteristics, the percentages of currently married women and men who have heard of any method and any modern method of family planning. Table 5.2 Knowledge of contraceptive methods by background characteristics Percentage of currently married women and currently married men age 15-49 who have heard of at least one contraceptive method and who have heard of at least one modern method by background characteristics, Timor-Leste 2009-10 Background characteristic Heard of any method Women Men Heard of any modern method 1 Number of women Heard of any method Heard of any modern method 1 Number of men Age 15-19 70.4 70.4 243 * * 4 20-24 77.3 77.2 1,100 66.4 66.4 125 25-29 82.3 82.1 1,516 69.0 69.0 359 30-34 83.3 82.8 1,362 73.8 73.0 368 35-39 78.3 78.2 1,514 70.1 70.1 492 40-44 77.1 76.5 1,211 61.2 61.1 433 45-49 Residence 68.2 67.2 960 58.9 58.7 378 Urban 88.7 88.3 2,025 84.0 83.6 567 Rural District 74.5 74.1 5,881 60.4 60.2 1,592 Aileu 68.8 68.7 299 59.6 59.6 92 Ainaro 57.8 57.4 382 51.4 50.7 101 Baucau 56.2 55.8 852 31.2 31.0 237 Bobonaro 78.8 78.3 739 87.6 87.6 170 Covalima 95.5 95.5 458 92.8 92.8 123 Dili 92.9 92.6 1,459 87.5 87.0 416 Ermera 72.1 71.3 881 17.5 17.5 233 Lautem 88.0 87.6 541 87.1 87.1 163 Liquiçá 76.2 75.6 460 75.0 75.0 124 Manatuto 74.8 74.6 353 100.0 100.0 96 Manufahi 78.6 77.8 319 38.9 37.4 77 Oecussi 95.1 94.9 603 91.2 91.2 165 Viqueque Education 61.8 61.8 559 47.2 47.2 159 No education 66.0 65.5 2,909 40.5 40.3 523 Primary 80.3 79.8 2,027 62.4 62.4 650 Secondary 87.9 87.6 2,739 81.4 81.0 853 More than secondary Wealth quintile 96.5 96.5 231 94.3 94.3 132 Lowest 65.5 65.0 1,467 57.2 56.9 413 Second 67.9 67.1 1,487 48.5 48.5 408 Middle 76.7 76.6 1,559 62.3 62.3 411 Fourth 84.3 83.9 1,571 72.1 71.5 447 Highest 92.5 92.4 1,821 88.4 88.3 479 Total 15-49 78.1 77.7 7,906 66.6 66.4 2,158 Note: An asterisk indicates that a figure is based on fewer than 25 unweighted cases and has been suppressed. 1 Female sterilization, male sterilization, pill, IUD, injectables, implants, male condom, female condom, diaphragm, foam or jelly, lactational amenorrhea method (LAM), standard days method, and emergency contraception Family Planning | 61
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Timor-Leste Demographic and Health
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CONTENTS TABLES AND FIGURES .......
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CHAPTER 7 FERTILITY PREFERENCES 7.1
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14.8 HIV/AIDS-related Knowledge and
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x | Tables and Figures CHAPTER 4 FE
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xii | Tables and Figures Table 11.4
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xiv | Tables and Figures Table 16.4
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FOREWORD The 2009-10 Timor-Leste De
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CONTRIBUTORS TO THE REPORT Elias do
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about three children more than wome
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Postnatal Care. The majority of wom
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However, the level of chronic energ
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MILLENNIUM DEVELOPMENT GOAL INDICAT
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INTRODUCTION 1 1.1 HISTORY, GEOGRAP
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The government of Timor-Leste has l
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1.5 ORGANIZATION OF THE SURVEY The
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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
Page 54 and 55: ate (2 percent) than their rural co
Page 56 and 57: water. Thirty-six percent of househ
Page 58 and 59: The type of flooring material used
Page 60 and 61: Table 2.11 Wealth quintiles Percent
Page 63 and 64: CHARACTERISTICS OF RESPONDENTS 3 Th
Page 65 and 66: Table 3.2.1 Educational attainment:
Page 67 and 68: Table 3.3.1 Literacy: Women Percent
Page 69 and 70: Table 3.4.1 Exposure to mass media:
Page 71 and 72: Table 3.5.1 Employment status: Wome
Page 73 and 74: 3.4.2 Occupation Respondents who we
Page 75 and 76: 3.4.3 Earnings, Employers, and Cont
Page 77 and 78: Tables 3.8.1 and 3.8.2 show the per
Page 79 and 80: Table 3.9.1 Use of tobacco: Women P
Page 81 and 82: FERTILITY 4 One of the major object
Page 83 and 84: Table 4.2 Fertility by background c
Page 85 and 86: calculated in the 2003 DHS follows
Page 87 and 88: of primary sterility. In Timor-Lest
Page 89 and 90: Table 4.8 Median age at first birth
Page 91: FAMILY PLANNING 5 In 2002, the Coun
Page 95 and 96: Table 5.3.1 Ever use of contracepti
Page 97 and 98: Table 5.4 Current use of contracept
Page 99 and 100: Table 5.5 Current use of contracept
Page 101 and 102: Use increases with parity but with
Page 103 and 104: Female and male sterilizations are
Page 105 and 106: Table 5.10 Future use of contracept
Page 107 and 108: Table 5.13 Exposure to family plann
Page 109: Table 5.15 Husband/partner’s know
Page 112 and 113: 6.2 POLYGYNY Polygyny (the practice
Page 114 and 115: 20.9 years. Although the proportion
Page 116 and 117: 84 | Other Proximate Determinants o
Page 118 and 119: Table 6.7.1 Recent sexual activity:
Page 120 and 121: There is little difference in the p
Page 122 and 123: 2 percent among women age 30-34 to
Page 124 and 125: 92 | Fertility Preferences Table 7.
Page 126 and 127: 94 | Fertility Preferences 7.3 NEED
Page 128 and 129: 96 | Fertility Preferences an idea
Page 130 and 131: 98 | Fertility Preferences The perc
Page 132 and 133: with their death, or they may live
Page 134 and 135: 100 80 60 40 20 102 | Infant and Ch
Page 136 and 137: 104 | Infant and Child Mortality Ta
Page 138 and 139: 8.7 HIGH-RISK FERTILITY BEHAVIOR Th
Page 141 and 142: 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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