Afghanistan Mortality Survey 2010 - Measure DHS

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Table 5.5 Perinatal mortality for Afghanistan excluding the South zoneNumber of stillbirths and early neonatal deaths, and the perinatal mortality rate for the five-yearperiod preceding the survey, by background characteristics, Afghanistan excluding the Southzone, Afghanistan 2010BackgroundcharacteristicNumber ofstillbirthsNumber ofearly neonataldeathsPerinatalmortality rate(per 1,000)Number ofpregnancies of7+ monthsdurationMother's age at birth
The patterns of perinatal mortality are in the expected directions. Mortality is higher amongwomen whose age at delivery was either under 20 years or especially 40-49 years. First pregnancies andpregnancies that end after an interval of less than 15 months are more likely than pregnancies that endafter longer intervals to end in a perinatal loss. There is little difference in perinatal loss among urban andrural women. Perinatal mortality is lowest among women in the highest wealth quintile and those in thefourth and least remote quintiles.5.6 PATTERNS OF CHILDBEARING ASSOCIATED WITH HIGH CHILD MORTALITY RISKSThe survival of infants and children depends in part on the demographic and biological characteristicsof their mothers. Typically, the probability of dying in infancy is greatest among children born tomothers who are young (under age 18) or old (over age 34); children born after a short birth interval (lessthan 24 months after the preceding birth); and children born to mothers of high parity (more than threechildren). The risk is further elevated when a child is born to a mother who has multiple riskcharacteristics.The first column in Table 5.6 shows the percentage of births (excluding the South zone) occurringin the five years before the survey that fall into the various risk categories. Seventy-two percent of birthsin Afghanistan are at an elevated but avoidable risk of dying, while 16 percent are in a “risk-free”category. First births to mothers age 18-34, which make up 12 percent of births, are in the “unavoidable”risk category. Forty-three percent of births are in a single high-risk category, and 29 percent are in amultiple high-risk category. The most common single high-risk category is births of order 4 and higher(25 percent), while the most common multiple high-risk category is births to mothers occurring less than24 months after a prior birth and of birth order 4 and above (15 percent).The risk ratios displayed in the second column of Table 5.6 denote the relationship between riskfactors and mortality. In general, risk ratios are higher for children in a multiple high-risk category thanfor children in a single high-risk category. The most vulnerable births are those to women age 34 or older,especially if they have a birth interval less than 24 months and a birth order of 3 or higher. This group ofchildren is more than twice as likely to die early as children not in any high-risk category.The last column of Table 5.6 shows by category the distribution of currently married women whohave the potential for having a high-risk birth. This column is purely hypothetical and does not take intoconsideration the protection provided by family planning, postpartum insusceptibility, and prolongedabstinence. However, the data provide insight into the magnitude of high-risk births. Eighty percent ofcurrently married women are in categories that would put them at potential high and avoidable risk werethey to get pregnant. A higher proportion of women (47 percent) have the potential for having a birth in amultiple high-risk category than in a single high-risk category (33 percent).Infant and Child Mortality | 101
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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
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2.10 CONCLUSIONThe AMS 2010 enumera
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3.1.2 Data Quality AssessmentThe pr
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more problematic for the estimates
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Table 3.2 Fertility by background c
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Another frequently used approach to
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3.2.6 Birth IntervalsA birth interv
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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
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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 and 108: Table 4.12 presents information on
Page 109 and 110: Table 4.13 Problems in accessing he
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
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Page 119 and 120: Central zone and 32 percent in the
Page 121: Table 5.4 Early childhood mortality
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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
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Page 158 and 159: The VA interview started by checkin
Page 160 and 161: Figure 8.1 Causes of Female and Mal
Page 162 and 163: Table 8.4 Causes of deaths among ch
Page 164 and 165: Global Agricultural Information Net
Page 166 and 167: Streatfield, P.K., S.E. Arifeen, A.
Page 168 and 169: • The Cluster Level Questionnaire
Page 170 and 171: 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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