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Microsoft Word - AMICS-29Jan2013 - Childinfo.org

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Percent distribution of women age 15-49 who gave birth in the two years preceding the survey by type of personnel providing<br />

antenatal care, Afghanistan, 2010-2011<br />

Doctor<br />

Person providing antenatal care<br />

Nurse/<br />

Midwife<br />

Auxiliary<br />

midwife<br />

Traditional<br />

birth<br />

attendant<br />

Community<br />

health<br />

worker<br />

No<br />

antenatal<br />

care<br />

received<br />

Total<br />

Any<br />

skilled<br />

personnel 1<br />

Number of<br />

women who<br />

gave birth in<br />

the<br />

preceding<br />

two years<br />

Urban 54.1 19.6 3.4 0.8 0.2 21.7 100 77.1 903<br />

Rural 22.9 16.2 2.1 7.7 0.6 50 100 41.2 3,962<br />

Mother's age at birth<br />

Less than 20 30.5 17.3 1.9 8.2 0.6 41.3 100 49.7 747<br />

20-34 29 16.3 2.4 6.2 0.3 45.1 100 47.8 3,463<br />

35-49 25.3 18.8 2.5 5.3 1.3 46.7 100 46.6 652<br />

Education<br />

None 25.5 16 2.2 7.1 0.6 48.1 100 43.8 4,311<br />

Primary 45.7 26.1 4.3 1.8 0 22 100 76.1 286<br />

Secondary + 62 19.1 2.5 0.9 0 15.2 100 83.6 268<br />

Wealth index quintiles<br />

Poorest 16.7 7.9 1.3 15.9 0.5 57.2 100 25.8 933<br />

Second 18.1 17.6 2 7.8 0.3 53.9 100 37.7 1,029<br />

Middle 22.4 17.2 2.7 4.7 0.6 51.9 100 42.3 993<br />

Fourth 31.6 21.3 3.3 2.6 0.5 39.8 100 56.2 967<br />

Richest 55.9 19.8 2.4 1.3 0.6 20 100 78.1 944<br />

Total 28.7 16.8 2.3 6.4 0.5 44.7 100 47.9 4,865<br />

1<br />

MICS indicator 5.5a; MDG indicator 5.5<br />

Coverage of antenatal care (by a doctor, nurse, or midwife) is low in Afghanistan, with 48% of women<br />

receiving antenatal care at least once during the pregnancy. There is a considerable disparity in antenatal<br />

care services by region. The lowest level of antenatal care is found in the Southern region (31%), while<br />

the highest is found in the Central region (74%). Antenatal care coverage is some 36% higher in urban<br />

areas (77%) compared to rural areas (41%).<br />

The education level of the woman influences the rate of antenatal care. Among women who gave birth<br />

in the last two years, women with secondary education or higher (84%) reported receiving antenatal<br />

care almost twice as often as women with no education (44%). Simultaneously, women living in the<br />

households of the wealthiest quintile (78%) receive antenatal care three times more often than women<br />

in the poorest quintile (26%).<br />

UNICEF and WHO recommend a minimum of at least four antenatal care visits during pregnancy. Table<br />

8.5 shows the number of antenatal care visits during the last pregnancy during the two years preceding<br />

the survey, regardless of the provider, by selected characteristics.<br />

93

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