Afghanistan Mortality Survey 2010 - Measure DHS

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• The Cluster Level Questionnaire was used to gather information from the head of the villageor some other knowledgeable informant, on access to basic amenities such as the presence ofa cell phone, a paved road, a police station or post.A.2 SAMPLING FRAMEThe sampling frame used for the AMS 2010 was the preparatory frame for the 2011 AfghanPopulation and Housing Census (APHC 2011), provided by the Central Statistical Organization (CSO).CSO has an electronic file consisting of 21,194 enumeration areas (EA) created for the APHC 2011. AnEA is a geographic area consisting of a convenient number of dwelling units which serves as countingunits for the census. In urban areas, an EA is a city block; in rural areas, an EA is either a village, or agroup of small adjacent villages, or a part of a large village. The frame file contains information about thelocation (region, district and control area), the type of residence (urban and rural), and the estimatednumber of residential households for each of the 21,194 EAs. Sketch maps are also available for each EAwhich delimit the geographic boundaries of the EA. Since this is a preparatory frame, the EA sizes arerough estimates and quite homogenous, with an average of 185 households per EA which is an adequatesize for a primary sampling unit (PSU) in a cluster survey.Administratively, Afghanistan is divided into 34 provinces; each province is subdivided intodistricts, with a total number of 398 districts nationwide. The 34 provinces are regrouped to form eightgeographical regions. Table A.1 shows the household distribution, the number of EAs by province and bytype of residence. Among the 21,194 EAs, 3,648 are in urban areas and 17,546 are in rural areas. Theaverage size of an EA by number of households is 230 households in an urban EA and 176 in a rural EA,with an overall average of 185 households per EA. In Afghanistan, 21.4 percent of the households residein urban areas, and 78.6 percent reside in rural areas. Among the 34 provinces, most of have a very smallurban part, and two of them (Nuristan and Panjsher) have no urban areas at all. The provinces are verydifferent in size; with the largest province (Kabul) representing 11.8 percent of the total households of thecountry, and the smallest province (Panjsher) representing only 0.4 percent. Table A.2 shows thedistribution of households by domain and type of residence. The domains have more or less equal size;with the smallest one, the North domain, representing 27.7 percent of the total households, and the largestone, the Central domain, representing 38 percent of the total households. The urban composition of thethree domains are vastly different, with 32.8 percent of the Central domain being urban compared to only9.7 percent of the South domain. The low proportion of the country that is urban required anoversampling in urban areas in order to produce reliable estimates for the urban area which is a studydomain for the AMS 2010.Some areas in the south of the country were considered difficult to access due to securityproblems, especially the rural areas of Kandahar, Hilmand and Zabul provinces. For security reasons, therural areas of these three provinces were excluded from the sample selection; however, the urban areas ofthese provinces were included in the sample selection. The excluded areas represent 8.8 percent of thetotal households of the country.146 | Appendix A
Table A.1 Percentage distribution of households and number of EAs by province and by type of residenceUrban Rural ProvinceProvince Households EAs Households EAs Households EAsBadakhshan 6.2 37 93.8 918 3.6 955Badghis 3.5 12 96.5 555 2.2 567Baghlan 25.0 132 75.0 572 3.4 704Balkh 36.0 292 64.0 606 4.8 898Bamyan 5.6 13 94.4 321 1.5 334Daykundi 1.4 5 98.6 492 2.2 497Farah 6.1 22 93.9 408 2.3 430Faryab 14.6 87 85.4 690 3.6 777Ghazni 4.2 30 95.8 897 4.4 927Ghor 1.5 7 98.5 608 2.9 615Hilmand 6.9 60 93.1 1,003 5.2 1,063Hirat 26.0 539 74.0 1,201 7.7 1,740Jawzjan 27.5 82 72.5 289 1.9 371Kabul 80.1 1,458 19.9 524 11.8 1,982Kandahar 32.8 241 67.2 520 4.1 761Kapisa 0.5 1 99.5 336 1.3 337Khost 5.8 20 94.2 464 2.3 484Kunar 2.9 12 97.1 652 2.4 664Kunduz 28.4 148 71.6 647 3.2 795Laghman 0.4 1 99.6 364 1.6 365Logar 2.1 4 97.9 247 1.3 251Nangarhar 15.8 158 84.2 1,183 5.8 1,341Nimroz 23.3 20 76.7 82 0.5 102Nuristan 0.0 0 100.0 193 0.7 193Paktika 0.6 3 99.4 520 3.0 523Paktya 4.6 14 95.4 393 1.9 407Panjsher 0.0 0 100.0 101 0.4 101Parwan 27.1 94 73.0 386 2.3 480Samangan 18.7 41 81.3 277 1.5 318Sari Pul 8.0 25 92.0 379 2.0 404Takhar 11.7 72 88.3 740 3.6 812Urozgan 4.5 10 95.5 265 1.2 275Maydan Wardak 0.6 2 99.4 444 2.2 446Zabul 2.5 6 97.5 269 1.3 275Afghanistan 21.4 3,648 78.6 17,546 100.0 21,194Source: Preparatory sampling frame for APHC 2011Table A.2 Percentage distribution of households and number of EAs by domain and by type of residenceUrban Rural Domain/regionDomain/region Households EAs Households EAs Households EAsNorth 20.3 916 79.7 5,118 27.7 6,034North Eastern 17.3 389 82.7 2,877 13.9 3,266Northern 23.2 527 76.8 2,241 13.8 2,768Central 32.8 2,157 67.2 5,623 38.0 7,780Capital 52.5 1,559 47.5 2,038 19.2 3,597Central Highland 3.1 18 96.9 813 3.7 831Western 14.9 580 85.1 2,772 15.1 3,352South 9.7 575 90.3 6,805 34.3 7,380Eastern 9.5 171 90.5 2,392 10.4 2,563South Eastern 3.4 37 96.7 1,377 7.2 1,414Southern 12.5 367 87.5 3,036 16.7 3,403Afghanistan 21.4 3,648 78.6 17,546 100.0 21,194Source: Preparatory sampling frame for APHC 2011Appendix A | 147
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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
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Table 4.13 Problems in accessing he
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INFANT AND CHILD MORTALITY 5Early c
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first seven days of life, to estima
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In considering the mortality trends
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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
Page 154 and 155: 50PercentFigure 7.1Timing of Pregna
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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 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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Page 214 and 215: Figure D.6 Neonatal and Postneonata
Page 217 and 218: 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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