Afghanistan Mortality Survey 2010 - Measure DHS

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4.4 PROBLEMS IN ACCESSING HEALTH CAREMany factors can prevent women from getting medical advice or treatment for themselves whenthey are sick. Information on such factors is particularly important in understanding and addressing thebarriers that women may face in seeking care during pregnancy and at the time of delivery. In the AMS2010, women were asked a series of questions with respect to barriers or problems in accessing healthcare. The results are shown in Table 4.13.An overwhelming majority (78 percent) of women expressed that a lack of money was animportant problem in accessing health care for themselves. More than 70 percent of women also reportedthat distance to a facility and transportation problems were a big hindrance for accessing health service.Other problems mentioned were lack of medicines at the facility (30 percent), not having someone toaccompany them (29 percent), security concerns (28 percent), and the lack of good service at the facility(27 percent). About one in five women (23 percent) expressed concern that there may not be a femalehealth provider, and 15 percent expressed concerns over the inconvenient service hours in the facility.Relatively fewer women perceived getting permission from someone else as a barrier to seeking healthcare for themselves. Not surprisingly, rural women, women with no education, those from the pooresthouseholds, and those from the most remote households were more likely than other women to state thataccessing health care for any reason is a big problem.86 | Maternal Health
Table 4.13 Problems in accessing health carePercentage of women age 12-49 with a birth in the five years preceding the survey who reported that they have serious problems in accessing health care for themselves when they are sick,by type of problem, according to background characteristics, Afghanistan 2010BackgroundcharacteristicLack ofmoneyToofarTransportationproblemNo onetoaccompanyGoodservicenotavailableDrugs notavailableProblems in accessing health careBetterserviceat homeDidnotknowwhereto goNofemaleprovideravailableDidnot getpermissionInconvenientservicehourAfraid ofbadpeopleSecurityreasonsLongwaitingtimeReligiousreasonsAfraid ofhealthfacilitiesNumberofwomenAge< 20 73.5 70.4 72.1 28.5 21.0 27.5 15.0 9.9 8.4 16.3 12.0 12.9 27.0 17.2 5.7 7.0 87520-34 77.0 72.1 73.0 28.8 27.5 30.3 16.4 10.3 10.6 22.7 13.7 12.3 28.1 21.2 7.4 6.4 11,86435-49 79.9 72.2 74.3 29.9 27.9 29.4 17.8 10.3 11.6 25.1 17.9 13.3 28.9 23.1 7.1 6.6 4,259Number of living children0 80.1 77.6 73.6 20.9 22.5 26.7 17.7 7.3 12.4 20.7 8.8 13.2 28.9 11.3 2.0 2.7 1271-2 74.0 71.2 72.2 27.5 26.1 30.7 16.0 10.6 10.1 22.3 13.4 12.9 28.2 21.0 7.0 6.4 5,4193-4 79.0 72.0 73.3 28.4 28.3 29.8 16.0 10.5 10.5 22.4 13.6 12.0 27.4 21.3 7.5 6.6 4,7925+ 79.3 72.5 74.1 31.0 27.5 29.4 17.7 10.0 11.3 23.9 16.6 12.8 28.9 22.1 7.2 6.5 6,660Marital statusMarried or living together 77.5 72.0 73.3 29.1 27.3 29.9 16.7 10.3 10.8 23.0 14.7 12.6 28.3 21.4 7.2 6.5 16,898Divorced/separated/widowed 87.7 74.3 74.8 28.7 25.0 24.8 10.2 6.2 5.2 21.9 10.2 7.7 18.2 29.3 2.1 5.5 100ResidenceUrban 61.9 35.1 39.2 18.3 18.7 18.3 10.7 10.0 9.5 11.0 8.3 6.8 12.8 16.1 3.3 4.4 3,245Rural 81.2 80.7 81.3 31.6 29.3 32.6 18.1 10.4 11.0 25.8 16.1 14.0 31.9 22.8 8.1 7.0 13,753ZoneNorth 88.9 74.8 73.0 29.0 26.7 23.0 10.5 12.1 4.8 13.4 7.9 5.0 11.4 21.5 5.4 6.3 5,346Central 76.3 70.8 70.5 26.7 19.2 25.2 16.3 6.9 10.9 18.7 10.6 8.2 18.7 13.7 4.0 4.3 5,965South 68.2 70.6 76.5 31.6 36.1 41.4 22.9 12.1 16.1 36.4 25.3 24.4 54.1 29.6 12.3 8.8 5,687EducationNo education 79.8 74.9 76.3 30.4 28.3 31.1 17.5 10.5 11.2 24.5 15.4 13.2 29.7 22.2 7.4 6.7 14,982Madrassa 81.7 75.4 74.1 29.6 16.2 28.8 17.5 13.2 13.7 22.0 16.2 25.5 40.1 30.3 17.4 15.8 198Primary 64.4 53.2 53.2 20.5 20.2 21.7 11.7 8.9 7.0 12.6 9.4 7.0 17.2 16.0 4.9 4.9 1,001Secondary 51.3 41.6 42.7 14.9 17.7 17.5 8.0 7.9 5.8 9.0 8.3 5.7 12.5 13.7 3.8 2.6 653Higher 50.2 41.3 42.1 12.5 21.1 19.8 6.2 10.7 3.6 6.8 2.1 2.6 8.9 8.1 1.1 1.2 164Wealth quintileLowest 94.9 89.8 88.5 31.1 29.9 32.5 15.6 11.3 9.3 24.9 11.0 9.1 13.9 15.9 6.6 5.4 3,543Second 88.2 81.0 79.5 31.9 28.4 30.5 17.2 12.1 10.4 22.5 12.2 9.6 22.3 19.7 7.3 6.4 3,509Middle 76.8 77.2 77.1 32.0 26.1 31.3 18.4 9.3 11.9 26.3 17.0 14.0 38.5 24.5 8.4 8.4 3,272Fourth 70.9 68.9 74.3 30.4 28.5 31.7 18.5 8.2 11.0 26.0 20.8 18.3 42.3 27.2 8.5 7.0 3,403Highest 55.0 41.1 45.3 19.4 22.9 23.2 13.8 10.5 11.2 14.9 12.5 12.4 25.4 20.4 5.3 5.3 3,270Remoteness quintileMost remote 87.2 83.3 83.0 30.8 26.2 28.9 14.6 8.3 8.9 22.8 13.9 8.0 19.5 19.4 6.9 5.7 4,511Second 79.1 77.9 78.5 27.6 27.1 32.6 17.7 8.5 10.0 24.3 16.2 12.9 27.1 22.5 6.1 5.1 4,737Middle 74.5 72.4 73.2 32.6 30.8 28.2 17.5 14.3 12.9 24.7 14.5 15.7 37.5 22.8 8.9 8.2 3,310Fourth 71.1 60.6 65.1 29.0 31.2 35.4 18.1 11.2 12.2 26.1 16.0 16.3 37.2 21.7 7.3 7.5 2,789Least remote 63.7 42.8 45.9 21.5 16.9 19.0 15.6 11.4 11.0 11.0 10.5 11.7 21.7 21.1 7.7 7.1 1,651Total 77.5 72.0 73.3 29.0 27.2 29.9 16.7 10.3 10.7 23.0 14.7 12.6 28.2 21.5 7.2 6.5 16,998Maternal Health | 87
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AfghanistanMortality Survey 2010
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CONTENTSTABLES AND FIGURES ........
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4.3 Postnatal Care.................
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TABLES AND FIGURESCHAPTER 1INTRODUC
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Table 5.2 Early childhood mortality
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APPENDIX CDATA QUALITY TABLESTable
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AMS 2010 TECHNICAL ADVISORY GROUP M
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AMS 2010 CONTRIBUTORS TO THE REPORT
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INTRODUCTION 11.1 GEOGRAPHY, HISTOR
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After the fall of the communist reg
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Afghanistan, in cooperation with th
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workload of the BHC, up to two addi
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complete list of names of persons i
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1.7 QUESTIONNAIRESFour questionnair
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survey, a detailed review of the qu
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1.10 RESPONSE RATESTable 1.2 shows
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72 percent of the rural population
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Figure 2.1 Population Pyramid80 +75
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Table 2.3 Children’s orphanhood s
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Table 2.5 presents information on h
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Table 2.7 Household possessionsPerc
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emoteness, and the scores were summ
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The analysis also suggests that amo
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Central zone (56 percent) has the h
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The data also show that more than h
Page 58 and 59: 2.10 CONCLUSIONThe AMS 2010 enumera
Page 60 and 61: 3.1.2 Data Quality AssessmentThe pr
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Page 64 and 65: Table 3.2 Fertility by background c
Page 66 and 67: Another frequently used approach to
Page 68 and 69: 3.2.6 Birth IntervalsA birth interv
Page 70 and 71: 3.2.7 Age at First BirthThe onset o
Page 72 and 73: Table 3.9 Teenage pregnancy and mot
Page 74 and 75: Table 3.11 Age at first marriagePer
Page 76 and 77: the community level by utilizing al
Page 78 and 79: difference may be due to difference
Page 80 and 81: There are substantial differences i
Page 82 and 83: Table 3.17 Total fertility rate and
Page 85 and 86: MATERNAL HEALTH 4Afghanistan is com
Page 87 and 88: Table 4.1 Antenatal carePercent dis
Page 89 and 90: Figure 4.2 Trends in Antenatal Care
Page 91 and 92: 4.1.3 Problems with Pregnancy at Fi
Page 93 and 94: 4.1.4 Number and Timing of Antenata
Page 95 and 96: About one-third (32 percent) of mot
Page 97 and 98: As with other maternal health indic
Page 99 and 100: Table 4.8 Reasons for not deliverin
Page 101 and 102: Table 4.9 Assistance during deliver
Page 103 and 104: 4.2.4 Procedures Performed at Deliv
Page 105 and 106: Figure 4.6 Reasons for Not Seeking
Page 107: Table 4.12 presents information on
Page 111 and 112: INFANT AND CHILD MORTALITY 5Early c
Page 113 and 114: first seven days of life, to estima
Page 115 and 116: In considering the mortality trends
Page 117 and 118: data was found in Afghanistan exclu
Page 119 and 120: Central zone and 32 percent in the
Page 121 and 122: Table 5.4 Early childhood mortality
Page 123 and 124: The patterns of perinatal mortality
Page 125: problem for areas outside the South
Page 128 and 129: information was usually reported by
Page 130 and 131: fallen from 118 deaths to 71 deaths
Page 132 and 133: Table 6.4 shows adult mortality rat
Page 134 and 135: mortality levels. The procedures us
Page 136 and 137: Table 6.6 Female and male life tabl
Page 138 and 139: Table 6.7 Mean sibship size and sex
Page 140 and 141: 6.4.2 Household ReportingIn the Hou
Page 142 and 143: The unexpectedly low crude death ra
Page 144 and 145: Figure 6.8.2 Estimates of Female Ad
Page 146 and 147: The third panel estimates life expe
Page 148 and 149: Maternal mortality in Afghanistan i
Page 150 and 151: other words, about two in five deat
Page 152 and 153: It is useful to compare the seven-y
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Page 156 and 157: ased on the sibling history (270).
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The VA interview started by checkin
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Figure 8.1 Causes of Female and Mal
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Table 8.4 Causes of deaths among ch
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Global Agricultural Information Net
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Streatfield, P.K., S.E. Arifeen, A.
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• The Cluster Level Questionnaire
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A.3 STRUCTURE OF THE SAMPLE AND THE
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ased on sampling probabilities sepa
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ESTIMATES OF SAMPLING ERRORSAppendi
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For the total sample, the value of
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Table B.3 Sampling errors for Urban
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Table B.5 Sampling errors for North
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Table B.7 Sampling errors for South
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Table B.9 Sampling errors for North
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Table B.11 Sampling errors for Cent
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Table B.13 Sampling errors for East
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Table B.15 Sampling errors for Sout
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Table C.2 Myers’ Blended IndexPre
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Table C.5 Births by calendar years
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Table C.6 Reporting of age at death
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Table C.9 Sex ratio of live birthsS
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mother and the household. The morta
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The estimated infant mortality rate
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D.3.1 Evidence of Underreporting of
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Given the apparent omission of livi
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totally consistent with the estimat
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Perhaps a more sensitive indicator
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Figure D.6 Neonatal and Postneonata
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PERSONS INVOLVED IN AMS 2010Appendi
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Office EditorsMaleMohammad NaseemFe
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AshiqullahAssadullah JavedAtiqullah
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QUESTIONNAIRESAppendix FAppendix F
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Introduction and ConsentHello. My n
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SECTION 2. MIGRATION FROM HOUSEHOLD
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SECTION 4. INPATIENT HEALTH EXPENDI
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SECTION 5. OUTPATIENT HEALTH EXPEND
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SECTION 6. HOUSEHOLD CHARACTERISTIC
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NO. QUESTIONS AND FILTERS CODING CA
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SECTION 2. MARITAL STATUSNO.201QUES
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Now I would like to record the name
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SECTION 4. ANTENATAL, DELIVERY AND
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SECTION 6. MATERNAL MORTALITYNO. QU
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COMMENTS ABOUT RESPONDENT:INTERVIEW
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DEATH OF A CHILD AGED 0-28 DAYSSECT
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SECTION 6. DELIVERY HISTORYNO. QUES
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AFGHANISTAN MORTALITY SURVEYVERBAL
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DEATH OF A CHILD AGED 29 DAYS TO 11
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401 Could you tell me about the ill
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DEATH OF A PERSON AGED 12 YEARS AND
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Afghanistan Mortality Survey 2010 - Measure DHS

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