Microsoft Word - AMICS-29Jan2013 - Childinfo.org

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The child mortality findings from AMICS indicate that the reduction of the IMR and U5MR would be 11% and 12% annually, respectively. Table 4.3 shows the speed of reduction between 1990 and 2010 in U5MR in the South Asian region overall as well as some specific countries. Countries like Bangladesh, Bhutan and India are stabilized in terms of these indicators, and have seen a steady increase in the social and economic status of their populations. However, their speed of reduction in U5MR is less than 6% per year over the past two decades. Afghanistan experienced violent conflict during the last three decades, a near absence of social services in many areas, and a rapidly deteriorating human security situation in the last few years of the post-Taliban period. Its child immunization coverage is low, and child malnutrition levels are high. Table 4.3: Reduction in U5MR and IMR in South Asia U5MR 1990 2010 Average annual rate of reduction (percent) South Asia 120 67 2.9 Bangladesh 143 48 5.5 Bhutan 139 56 4.5 India 115 63 3.0 Source: Levels and Trends in Child Mortality, Report 2011, UN Inter-Agency Group for Child Mortality Estimation Considering the above noted regional comparisons and characteristics of the situation in Afghanistan, it can be concluded that the U5MR and IMR are under-estimated in the AMICS. The estimation of child mortality is complex, especially in a country such as Afghanistan. The mortality data resulting from any single survey cannot be reflected as a true value, unless a series of data from different surveys are found to be comparable, and thus validated. As UNICEF has previously noted: Generating accurate estimates of child mortality poses a considerable challenge because of the limited available of high-quality data for many developing countries. Complete vital registration systems are the preferred source of data on child mortality because they collect information as events occur and they cover the entire population. However, many developing countries lack fully functioning vital registration systems that accurately record all births and deaths. 10 For these reasons, users are advised to interpret the child mortality data from the AMICS with caution. Progress on Child Mortality in Afghanistan To put child mortality in Afghanistan in historical perspective, in 1970 UNICEF reported Afghanistan s U5MR at 314. In 1990, the U5MR was estimated at 209 by UNICEF 11 (and the IMR 10 See Child Mortality Methodology, www.childInfo.org. 11 Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation, Levels and Trends in Child Mortality: Report 2011. 22
was estimated at 140), a reduction by more than one third over that 20-year period. The AMICS 2010/11 estimates U5MR at 102. Thus, there has been laudable progress. However, Afghanistan s U5MR is still one of the highest child mortality rates in the world, with more than 1 in 10 children dying before their fifth birthdays. The vast majority of child deaths occurring in Afghanistan are preventable. Research undertaken by UNICEF has found that cost-effective, low-tech interventions such as vaccination programs, antibiotics, micronutrient supplementation, and improved family care and breastfeeding practices can help children survive into adulthood. The extent and impact of access to some of these programs are reported on in the next chapters of this report. 23
Page 2 and 3: Afghanistan Multiple Indicator Clus
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 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
Page 53 and 54: Table 5.3 shows the median duration
Page 55 and 56: Percentage of children age 0-23 mon
Page 59 and 60: In Afghanistan, the Universal Salt
Page 61 and 62: For countries with Vitamin A defici
Page 63 and 64: Table 5.10: Anaemia Status of Child
Page 65: under age five are moderately under
Page 68 and 69: Table 6.2: Vaccinations in first ye
Page 70 and 71: Percentage of children age 12-23 mo
Page 72 and 73: Percentage of women age 15-49 years
Page 74 and 75: ORT with continued feeding among ch
Page 76 and 77: Table 6.6: Feeding practices during
Page 78 and 79: Table 6.7: Oral rehydration therapy
Page 80 and 81: Care Seeking and Antibiotic Treatme
Page 84 and 85: Solid Fuel Use More than three bill
Page 86 and 87: Percent distribution of household m
Page 89 and 90: Safe Drinking Water Safe drinking w
Page 91 and 92: Overall, 57% of the Afghan populati
Page 93 and 94: 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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Percentage of women age 15-49 years
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140
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Page 166 and 167:
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
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- D TEST SCW This questionnaire is
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