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Afghanistan Multiple Indicator Cluster Survey 2010-2011 Central Statistics Organisation (CSO) UNICEF (United Nations Children s Fund) January 2013 The Afghanistan Multiple Indicator Cluster Survey (<strong>AMICS</strong>) was carried out in 2010-2011 by the Central Statistics Organisation (CSO) of the Government of the Islamic Republic of Afghanistan in collaboration with United Nations Children s Fund (UNICEF). Financial and technical support was provided by UNICEF. MICS is an international household survey programme developed by UNICEF. The Afghanistan MICS was conducted as part of the fourth global round of MICS surveys (MICS4). MICS provides up-to-date information on the situation of children and women, and measures key indicators to monitor progress towards the Millennium Development Goals (MDGs), the Afghanistan National Development Strategy (ANDS) and other internationally agreed upon commitments. Suggested citation: Central Statistics Organisation (CSO) and UNICEF (2012). Afghanistan Multiple Indicator Cluster Survey 2010-2011: Final Report. Kabul: Central Statistics Organisation (CSO) and UNICEF. Photos Copyright: Chapter 1: © UNICEF/NYHQ2007-1196/Noorani Chapter 2: © UNICEF/NYHQ2000-0859/LeMoyne Chapter 3: © UNICEF/AFGA2011-00116/Aziz Froutan Chapter 4: © UNICEF/AFGA2009-00654/Noorani Chapter 5: © UNICEF/NYHQ2001-0491/Noorani Chapter 6: © UNICEF/AFGA2011-00010/Jalali Chapter 7: © UNICEF/AFGA2009-00546/Noorani Chapter 8: © UNICEF/NYHQ1992-0344/Isaac Chapter 9: © UNICEF/NYHQ2001-0486/Noorani Chapter 10: © UNICEF/NYHQ2007-1106/Noorani Chapter 11: © UNICEF/AFGA2010-00211/Noorani Chapter 12: © UNICEF/AFGA2007-00043/Khemka Report Cover Photos: © UNICEF/AFGA2007-00819/Noorani © UNICEF/AFGA2009-00802/Shehzad Noorani © UNICEF/AFGA2010-01134/Noorani Report Copyright © Central Statistics Organization, 2012 ii
Foreword After over three decades of armed conflict, Afghanistan has made great strides in overcoming some of the legacies of the past, amidst ongoing challenges and hope for the future. The Government of Afghanistan has worked closely with the international community to lead in progress achieved in a number of key social and economic indicators since 2002. Article 54 of the Afghanistan Constitution (2004) stipulates that the family is the fundamental pillar of society, and that the Government shall adopt all necessary measures to attain the physical and spiritual health of the family, especially that of children and mothers. Article 22 declares nondiscrimination and equality in rights and duties between men and women, while Article 49 prohibits the forced labour of children. Several government ministries such as the Ministry of Women s Affairs (MoWA), the Ministry of Education (MoE), the Ministry of Labour, Social Affairs, Martyrs and Disabled (MoLSAMD), and <strong>org</strong>anizations as well as departments within other ministries have been tasked with addressing the needs of children, women, and families. The Afghanistan Independent Human Rights Commission (AIHRC) came into being in 2002, and includes a Child s Rights Desk focused on protecting the basic human rights of children. Based on the global commitment to meeting the Millenium Development Goals (MDGs), several national policies and strategies aimed at improving the wellbeing of children and women have been adopted. These include the National Action Plan for the Women of Afghanistan, 2007-2017 (NAPWA), the National Child and Adolescent Health Policy, 2009-2013, the National Strategy for Street Working Children, the National Strategy for the Protection of Children at Risk, the National Education Strategic Plan of Afghanistan (NESP), the National Social Protection policy, among others. Afghanistan is also considering the development of a comprehensive Child Act. The Child Protection Action Plan (CPAN) was adopted in 2003 by MoLSAMD, and has the goal of protecting children against all forms of exploitation, violence and abuse. CPAN promotes and disseminates the principles embodied in the Convention on the Rights of the Child (CRC) in Afghanistan. However, the 2011 concluding observations of the CRC Committee urged the Government to apply to a much greater extent the provisions of the CRC in our domestic legal framework. As the main poverty reduction strategy policy, the Afghanistan National Development Strategy (ANDS) 2008-2013 was developed to identify national development priorities and to outline a plan of action for achieving Afghanistan s MDGs, through the enhanced delivery of health services, expanded access to education, improved water and sanitation facilities, and the entrenchment of the rule of law. To protect the legal rights of children in conflict, ANDS calls upon the Government to enhance the legal and policy framework related to the juvenile offenders and children in conflict, and also calls for improved access to the formal legal system for women and children. Recognizing the plight of children in Afghanistan, ANDS underlines the commitments made by the Government to focus on supporting the most vulnerable and the poorest of the poor. This includes in particular, children at risk, chronically poor women, and poor and disabled people; and the obligation to develop social protection programmes to meet the needs of these most vulnerable groups. iii
Page 4 and 5: Further, the Government and the don
Page 6 and 7: Tetanus toxoid 3.7 Neonatal tetanus
Page 8 and 9: Table of Contents Foreword ........
Page 10 and 11: Knowledge about HIV Transmission an
Page 12 and 13: Table 7.10: Availability of soap ..
Page 14 and 15: List of Figures Figure 2.1: Map Sho
Page 16 and 17: U5MR UNAIDS UNDP UNFPA UNGASS UNICE
Page 18 and 19: Executive Summary The Afghanistan M
Page 20 and 21: the prevalence of anaemia among pre
Page 22: In 2010/2011, 29% of school eligibl
Page 25 and 26: The Government of Afghanistan ratif
Page 28 and 29: Sample Design The sample for the AM
Page 30 and 31: Of the 13,468 households selected f
Page 32: to mock interviews between trainees
Page 35 and 36: Percent and frequency distribution
Page 37 and 38: were as follows: household water so
Page 39: Percent and frequency distribution
Page 42 and 43: thousand live births. These estimat
Page 44 and 45: The child mortality findings from A
Page 47 and 48: Introduction: Nutrition Children s
Page 49 and 50: Introduction of solid, semi-solid a
Page 51 and 52: In Table 5.2, breastfeeding status
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Table 5.3 shows the median duration
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Percentage of children age 0-23 mon
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In Afghanistan, the Universal Salt
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For countries with Vitamin A defici
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Table 5.10: Anaemia Status of Child
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under age five are moderately under
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Table 6.2: Vaccinations in first ye
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Percentage of children age 12-23 mo
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Percentage of women age 15-49 years
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ORT with continued feeding among ch
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Table 6.6: Feeding practices during
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Table 6.7: Oral rehydration therapy
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Care Seeking and Antibiotic Treatme
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Solid Fuel Use More than three bill
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Percent distribution of household m
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Safe Drinking Water Safe drinking w
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Overall, 57% of the Afghan populati
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Table 7.2: Household water treatmen
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Percent distribution of household p
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Table 7.5: Types of sanitation faci
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Table 7.6: Use and sharing of sanit
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Percent distribution of children ag
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Table 7.8: Drinking water and sanit
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Table 7.9: Water and soap at place
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According to Table 7.10, nationally
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As shown in Table 8.1, 10% of women
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Table 8.3: Use of contraception Per
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Antenatal Care The antenatal period
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Table 8.5: Number of antenatal care
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midwifery skills is present at ever
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Percent distribution of women age 1
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Almost 33% of births in Afghanistan
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Early Childhood Education and Learn
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Percentage of children age 36-59 mo
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The presence of children s books is
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low throughout the country. Childre
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Literacy Among Young Women One of t
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Primary and Secondary School Partic
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Percentage of children of primary s
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The secondary school net attendance
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Some differences among regions are
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The ratio of girls to boys attendin
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Birth Registration The Internationa
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than the numbers specified in the c
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education (26%) are twice as likely
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Percentage of children age 2-14 yea
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Table 11.6: Children's living arran
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Early Marriage and Polygamy Accordi
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Wealth index quintile Poorest 19.2
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Table 11.10: Spousal age difference
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140
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Percentage of young women age 15-24
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The initial estimated required the
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Since the estimated number of house
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Appendix B. List of Personnel Invol
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18 Abdul Baser Assistant Balkh 19 R
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Hameed, Editor Bakhtawar, Editor/Me
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Nangarhar (Team #46) Nangarhar (Tea
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Fahima Haidari Zarmina Mahbob Hashi
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Age-appropriate breastfeeding 5.4 0
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School readiness 10.2 0.105 0.023 0
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Measles immunization coverage 6.3 0
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Prevalence of children with at leas
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Tuberculosis immunization coverage
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Transition rate to secondary school
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Polio immunization coverage 6.3 0.4
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Appendix D. Data Quality Tables Tab
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78 25 0.0 9 0.0 79 4 0.0 4 0.0 80+
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South 1,866 12.1 1,815 12.1 98.8 So
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Table D.7: Completeness of informat
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Table D.8: Heaping in anthropometri
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Table D.11: Observation of women's
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Table D.13: Presence of mother in t
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Table D.16: Sex ratio at birth amon
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2.8 Continued breastfeeding at 2 ye
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6. CHILD DEVELOPMENT 6.1 Support fo
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[5] Breastfeeding children: Solid,
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HH18. Record the time: Hour .......
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EDUCATION ED1. Line number For hous
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WS5. WHO USUALLY GOES TO THIS SOURC
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HC5. Main material of the exterior
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CHILD LABOUR To be administered for
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CD9. Write name and line number of
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HH19. Record the time. Hour and min
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QUESTIONNAIRE FOR CHILDREN UNDER FI
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BIRTH REGISTRATION BR1. DOES (name)
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EC5. DOES (name) ATTEND ANY ORGANIZ
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BF12. DID (name) DRINK ANY OTHER LI
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CA6. WHAT (ELSE) WAS GIVEN TO TREAT
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IMMUNIZATION If an immunization car
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IM18. HAS (name) RECEIVED A VITAMIN
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No. End the interview with this hou
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QUESTIONNAIRE FOR INDIVIDUAL WOMEN
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CHILD MORTALITY All questions refer
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DESIRE FOR LAST BIRTH This module i
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MN9. DID YOU RECEIVE ANY TETANUS IN
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ILLNESS SYMPTOMS IS IS1. Check Hous
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ATTITUDES TOWARD DOMESTIC VIOLENCE
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HIV/AIDS HA1. NOW I WOULD LIKE TO T
Page 266 and 267:
ANTHROPOMETRY After questionnaires
Page 268 and 269:
- D TEST SCW This questionnaire is
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