Afghanistan Mortality Survey 2010 - Measure DHS

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Figure 6.8.2 Estimates of Female Adult Mortality BetweenAges 15 and 59 from the Various Sources in the Survey,Afghanistan 2010400350Probability of dying per 1,000300250200150100 2010 AMS Orphanhood method502010 AMS Sibling history2010 AMS Household deaths01995 1997 1999 2001 2003 2005 2007 2009Calendar yearNote: The years 1995-2009 correspond roughly to the years 1374-1388 in the Afghan calendar. AMS 2010Figure 6.9 compares the AMS 2010 age-specific probabilities of dying for men and women withthose of the 2006 Pakistan DHS. The probabilities for both men and women from the AMS 2010 arebelow those for Pakistan, especially after 30 years of age. Excluding the South zone does not change thisresult (not shown).Figure 6.9 Adult Mortality Probabilities by Age andSex, Afghanistan 2010 and Pakistan 2006Probability of dying betweenage 15 and 50 per 1000 (15q50)876543210Men AfghanistanWomen AfghanistanMen PakistanWomen Pakistan15-19 20-24 25-29 30-34 35-39 40-44 45-49Age in yearsAMS 2010122 | Adult Mortality
Comparable adult mortality estimates from sibling history sources do not exist for other countriesin the region. Estimates of reproductive age mortality elsewhere in the region, however, are generallyhigher than in Afghanistan. For example, the 2001 Bangladesh Maternal Health Services and MaternalMortality Survey reports reproductive-age mortality rates ( 35 q 15 ) from the sibling history to be about 73per 1,000 for both men and women, for a period about three years prior to the survey (1998-2001)(NIPORT et al., 2003). 3 In Nepal, measures of reproductive age mortality from sibling historyinformation for the 7 years prior to the survey (1999-2005) show the probability of dying, for women andmen, to be 99 and 127, respectively (MOHP, New ERA and MI, 2007 as calculated from Table 9.1).Table 6.11 presents various estimates of life expectancy at birth from household deaths in the fiveyears preceding the survey for Afghanistan as a whole, Afghanistan excluding the South zone, and theSouth zone. The estimates are based on reported deaths, adjusted under-5 mortality rates and potentialundercounting of deaths. For each variation, the life expectancies are given without and with adjustmentof person-years of exposure for changes in household composition (movement of people in and out of thehousehold, including births and deaths) in the five years preceding the survey. In the first panel, the lifeexpectancies are based on deaths reported in the household death roster. For Afghanistan withoutadjustment for migration, the life expectancy at birth is 64.2 years for females and 63.6 years for males.Adjusting for changes in composition lowers the life expectancy by 0.4 years for females and 0.2 yearsfor males. The South zone has higher life expectancies than Afghanistan excluding the South zone by 3.5-3.7 years for women and 1.6-1.7 years for men.Table 6.11 Various estimates of life expectancy at birthLife expectancy at birth with and without taking changes in household composition into account for exposure,adjusting “Best” estimate of infant and child mortality, and for 25 percent excess South zone mortality, by sex, forAfghanistan, Afghanistan excluding the South zone, and the South zone, Afghanistan 2010Afghanistan excludingAll AfghanistanSouth zoneSouth zoneFemale Male Female Male Female MaleAs reportedWithout change in household composition 64.2 63.6 63.2 62.9 66.7 64.5With change in household composition 63.8 63.4 62.8 62.7 66.5 64.4Adjusted for neonatal/postneonatal ratio 1Without change in household composition na na 62.6 63.5 na naWith change in household composition na na 62.2 63.4 na naAdjusted for +25 percent South zoneWithout change in household composition 62.2 61.7 na na na naWith change in household composition 61.8 61.5 na na na naAdjusted for +25 percent South zone andneonatal/postneonatal ratio 1Without change in household composition 61.5 61.7 na na na naWith change in household composition 61.5 62.3 na na na na1Calculated using adjusted infant and 1-4 mortality rates from "Best" estimates from Technical Note on Infant and ChildMortality,Appendix Dna = Not applicableIn the second panel, the life expectancies at birth for Afghanistan excluding the South zone areadjusted by using the “Best” estimates of infant and child mortality. This adjustment reduces female lifeexpectancy by 0.6 of a year, but increases male life expectancy by the same amount compared with thatbased on just the reported deaths.3 The Bangladesh 35 q 15 rates are slightly higher when estimated from the household deaths, a similar phenomenon tothe one in Afghanistan, as seen in the discussion of adult mortality from household deaths.Adult Mortality | 123
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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
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Table 3.9 Teenage pregnancy and mot
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Table 3.11 Age at first marriagePer
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the community level by utilizing al
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difference may be due to difference
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There are substantial differences i
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Table 3.17 Total fertility rate and
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MATERNAL HEALTH 4Afghanistan is com
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Table 4.1 Antenatal carePercent dis
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Figure 4.2 Trends in Antenatal Care
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4.1.3 Problems with Pregnancy at Fi
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Page 95 and 96: About one-third (32 percent) of mot
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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 and 122: Table 5.4 Early childhood mortality
Page 123 and 124: The patterns of perinatal 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
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Page 148 and 149: Maternal mortality in Afghanistan i
Page 150 and 151: other words, about two in five deat
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Page 156 and 157: ased on the sibling history (270).
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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Page 175 and 176: ESTIMATES OF SAMPLING ERRORSAppendi
Page 177 and 178: For the total sample, the value of
Page 179 and 180: Table B.3 Sampling errors for Urban
Page 181 and 182: Table B.5 Sampling errors for North
Page 183 and 184: Table B.7 Sampling errors for South
Page 185 and 186: Table B.9 Sampling errors for North
Page 187 and 188: Table B.11 Sampling errors for Cent
Page 189 and 190: Table B.13 Sampling errors for East
Page 191: 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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