Afghanistan Mortality Survey 2010 - Measure DHS

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Figure 8.1 Causes of Female and Male DeathsInfections33%Infections27%Maternal5%Other6%Perinatal13%Other6%Perinatal12%Injuries7%Injuries21%Non-communicable38%Non-communicable33%AMS 20108.3 INJURY-RELATED DEATHSTable 8.2 shows the percent distribution of the 89 female and 376 male deaths attributed to injuryby broad age group. Among men age 15 and over, war and violence account for just under half of allinjury-related deaths (48 percent). War and violence are also a significant cause of death due to injury forboys under age 15 years (10 percent). This is not the case for women and girls.Table 8.2 Injury-related deathsPercent distribution of female and male injury-related deaths in the three years before the survey by type of injury,according to broad age groups, Afghanistan 2010FemaleType of injury 0-14 15+ Total 0-14 15+ TotalUnintentional injuries 95.9 (85.1) 91.9 88.6 48.0 63.5Road traffic accidents 12.4 (26.9) 17.7 18.9 27.2 24.0Poisoning 1.6 (3.4) 2.3 0.8 0.0 0.3Fall 27.8 (9.1) 20.9 14.3 2.5 7.0Fire 6.3 (26.8) 13.8 2.4 0.0 0.9Drowning 15.6 (0.0) 9.8 20.8 3.8 10.3Other unintentional injuries 32.1 (18.8) 27.4 31.5 14.5 21.0Intentional injuries 2.0 (14.9) 6.8 10.6 50.6 35.4Self-inflicted injuries 0.0 (5.1) 1.9 0.6 2.9 2.0Violence 0.0 (9.8) 3.6 6.1 22.4 16.2War 2.0 (0.0) 1.3 4.0 25.4 17.2Ill-defined injuries/accidents 2.1 (0.0) 1.3 0.7 1.3 1.1Total 100.0 100.0 100.0 100.0 100.0 100.0Number of injury deaths 56 33 89 144 233 376Note: Data are derived from the verbal autopsy questionnaires. Figures shown in parentheses are based on 25-49unweighted cases.Male138 | Cause of Death
Road traffic accidents cause 24 percent of male injury-related deaths and 18 percent of femaledeaths; they account for a sizeable proportion of injury-related deaths for both sexes and all age groups.Among children under age 15, deaths from drowning and falls account for sizeable proportions of injuryrelateddeaths. Fires are a common cause of injury-related deaths to women, but not for men.8.4 CAUSES OF MATERNAL DEATHSAmong the deaths investigated through the VerbalAutopsy Questionnaire were 64 deaths due to maternalconditions. As shown in Table 8.3, hemorrhage is by far theleading cause of maternal deaths in Afghanistan (56 percent).Eclampsia is associated with one-fifth of maternal deaths andprolonged or obstructed labor with 11 percent of maternal deaths.The percentage of maternal deaths attributed to sepsis isrelatively low (5 percent). Also, indirect causes of maternaldeath—pre-existing conditions and diseases aggravated bypregnancy and delivery—are relatively rare (5 percent), whichmay be due to underreporting of such causes in the verbalautopsy interview, or coding preferences of the physicians.Table 8.3 Causes of maternal deathsPercent distribution of maternal deaths in thethree years before the survey by cause ofdeath, Afghanistan 2010CausePercentageHemorrhage 55.9Prolonged or obstructed labor 10.7Other direct causes 3.6Pre-eclampsia / Eclampsia 19.8Sepsis / infection 5.0Indirect causes 5.1Total 100.0Number of deaths 64Note: Data are derived from the verbalautopsy questionnaires.Hemorrhage was found to be the major cause of maternal deaths in three of the four sites studiedin the 2002 RAMOS study in Afghanistan (Bartlett et al., 2005). Hemorrhage was also found to be theleading cause of maternal deaths in neighboring countries like Bangladesh (NIPORT et al., 2003) andPakistan (NIPS and MI, 2008).8.5 CAUSES OF CHILDHOOD DEATHSTable 8.4 presents the distribution of causes of death among children under five by age group forboth sexes combined. The leading causes of death are acute respiratory infections (ARI) and other severeinfections, each of which accounts for about 20 percent of under-5 deaths in Afghanistan. Disordersrelated to the perinatal period also cause a substantial proportion of childhood deaths (15 percent). Thelatter category may include some deaths due to asphyxia, as the proportion of neonatal deaths assigned tothis cause (3 percent) is considerably lower than expected based on data from other populations. Amongneonatal deaths, disorders related to the perinatal period are associated with 35 percent of deaths. Acuterespiratory infection is the most common cause of death in the postneonatal (35 percent) and earlychildhood period (23 percent). Injury is also a common cause of death among children aged 12-59 months(22 percent). The relatively low proportion of deaths attributed to diarrhea is remarkable.Cause of Death | 139
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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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4.1.4 Number and Timing of Antenata
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About one-third (32 percent) of mot
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As with other maternal health indic
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Table 4.8 Reasons for not deliverin
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Table 4.9 Assistance during deliver
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4.2.4 Procedures Performed at Deliv
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Figure 4.6 Reasons for Not Seeking
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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 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 158 and 159: The VA interview started by checkin
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
Page 194 and 195: Table C.2 Myers’ Blended IndexPre
Page 196 and 197: Table C.5 Births by calendar years
Page 198 and 199: Table C.6 Reporting of age at death
Page 200 and 201: Table C.9 Sex ratio of live birthsS
Page 202 and 203: mother and the household. The morta
Page 204 and 205: The estimated infant mortality rate
Page 206 and 207: D.3.1 Evidence of Underreporting of
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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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