ANNUAL HEALTH BULLETIN 2004 - Ministry of Health

Table 15. Fertilitv status
S Age
No. of
women T~~al bi:T
Fertility
N Group interviewed in 1 vear Rate
N.LinQ Kabesa Total N.Limz Kabesa Total N.Linll Kabesa Mean
1 15-19 35 29 64 5 0 5 142.85 0 71.43
2 20-24 42 41 83 11 6 17 261.9 146.34 204.12
3 25-29 27 40 67 8 8 16 296.29 200 248.14
4 30-34 30 32 62 4 8 12 133.33 250 191.66
5 35-39 29 27 56 2 7 9 68.96 259.25 164.1
6 40-44 22 23 45 1 6 7 45.45 260.86 153.15
7 45-49 27 21 48 1 0 1 37.03 0 18.51
Looking at the ASFRs (age specific fertility rate) in these seven age groups the total fertility rate is
estimated to be 5.25 per woman. Fertility status was not studied at Kanglung gewog. Fertility in
younger age group was higher in Norbuling gewog and older age group was higher in Kabisa gewog.
5. Discussion:
The women of reproductive age during these three surveys represents more then 50% of the total
women interviewed .(TotaLwomen in--l6-49 yrs interviewed was 859 and total women in 15-49 yrs
was 635). The study gives us a picture of the current situation of contraceptive use in the studied
gewogs.
The male to female ratio is found to be marginally higher than the National ratio of 98: 100
(Statistical year book- 1997). As per the National Health Survey 0[2000, the ratio was found to be
94: 100. Another important finding is the no. of women of reproductive age residing in these
areas(30%). These aberrations are probably because of migration of adult male population to other
areas looking for better opportunities or for studies. Other findings like the age and sex distribution
are almost consistent with the existing averages.
The overall contraceptives prevalence in these three gewogs is found to be 41.57% of women of
reproductive age. This shows an overall improvement of 10% from 2000 National Health Survey
(30.7%). It was lowest in Kabisa gewog- 28%. A comparison of the age group wise contraceptive
prevalence with 2000 National Health Survey (NHS) is shown in the table below.
Table 16. Com arison of a
15 - 19
20-24
25 - 29
30 - 34
35 - 39
40-44
45 -49
Overall