Afghanistan Mortality Survey 2010 - Measure DHS

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Figure D.6 Neonatal and Postneonatal Mortality Rates for AfghanistanExcluding the South Zone and For Other South Asian Countries, by Percentage ofDeliveries Taking Place in FacilitiesNeonatal MortalityPostneonatal MortalityNeonatal Mortality Rate60504030South Asia without Afghanistan20 Afghanistan excluding south zoneAll Afghanistan10Linear (South Asia without Afghanistan)0Postneonatal Mortality Rate45403530252015South Asia without Afghanistan10Afghanistan excluding south zoneAll Afghanistan5Linear (South Asia without Afghanistan)00 5 10 15 20 25 30 35 40 45 0 5 10 15 20 25 30 35 40 45Percent of Births in Past 5 years Delivered in a Health FacilityPercent of Births in Past 5 years Delivered in a Health FacilityD.4 CONCLUSIONThe quality of the mortality results forthe South zone from all three data sources isseverely compromised, and, thus, the data areunusable for producing mortality estimates. Anyoverall estimate of the levels of infant and childmortality needs to be based on the results forAfghanistan excluding the South zone—abouttwo-thirds of country’s population. Table D.8gives the range of estimates for infant andunder-5 mortality rates in Afghanistan excludingthe South zone from the three data sources,without and with adjustments. Using theadjusted pregnancy history rates, the “best”estimate for the infant mortality rate, that is, therate that is closest to the true mortality based onall relevant evidence, is 77 deaths per 1,000births and the under-5 mortality rate is 97 per1,000 births.Table D.8 Measured and adjusted infant and under-5 mortalityrates, Afghanistan excluding the South zoneData source and adjustmentInfantmortalityrateUnder-5mortalityratePregnancy historyMeasured (0-4 years prior to survey) 64 83Adjusted for omission of neonataldeaths ( by NN/PNN ratio of 1.09) 71 90Adjusted for omission at 0-1 years(rates for 2-6 years prior to survey) 67 87Adjusted for both omission at 0-1years and neonatal deaths (ratio of 1.09) 77 97Household deaths and exposureMeasured 76 97Adjusted for sex ratio of deaths andexposure using Coale-Demeny WestModel Life Table at level 18 67 92Indirect children ever born-childrensurvivingMeasured 71 98“Best” estimate 77 97Given that estimates of mortality should not be produced directly for the South zone, the best thatcan be done to estimate the mortality rates for all of Afghanistan is to calculate a range based on assumedexcess mortality in the South zone relative to that in the rest of Afghanistan. The results of this calculationare given in Table D.9, which uses the proportion of women 15-49 in the South zone sample (34.7percent) to produce the results. For all of Afghanistan the rates would vary from a level of 77 to 84 forinfant mortality and from 97 to 105 for under-5 mortality, depending on the assumption that is made withrespect to the mortality pattern in the South zone.192 | Appendix D
Table D.9 Estimates for all of Afghanistan based on assumed mortality ofSouth zone in excess of “Best” estimate for Afghanistan excluding the SouthzoneSouth zone estimates All of AfghanistanPercent excessmortality of Southover rest of AfghanistanInfantmortalityrateUnder-5mortalityrateInfantmortalityrateUnder-5mortalityrate+0% 77 97 77 97+10% 85 107 80 100+15% 89 112 81 102+20% 92 116 82 104+25% 96 121 84 105Appendix D | 193
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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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data was found in Afghanistan exclu
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Central zone and 32 percent in the
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Table 5.4 Early childhood mortality
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The patterns of perinatal mortality
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problem for areas outside the South
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information was usually reported by
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fallen from 118 deaths to 71 deaths
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Table 6.4 shows adult mortality rat
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mortality levels. The procedures us
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Table 6.6 Female and male life tabl
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Table 6.7 Mean sibship size and sex
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6.4.2 Household ReportingIn the Hou
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The unexpectedly low crude death ra
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Figure 6.8.2 Estimates of Female Ad
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The third panel estimates life expe
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Maternal mortality in Afghanistan i
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other words, about two in five deat
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It is useful to compare the seven-y
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50PercentFigure 7.1Timing of Pregna
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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
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
Page 172 and 173: ased on sampling probabilities sepa
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
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Page 206 and 207: D.3.1 Evidence of Underreporting of
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Page 217 and 218: PERSONS INVOLVED IN AMS 2010Appendi
Page 219 and 220: Office EditorsMaleMohammad NaseemFe
Page 221 and 222: AshiqullahAssadullah JavedAtiqullah
Page 223: QUESTIONNAIRESAppendix FAppendix F
Page 226 and 227: Introduction and ConsentHello. My n
Page 228 and 229: SECTION 2. MIGRATION FROM HOUSEHOLD
Page 230 and 231: SECTION 4. INPATIENT HEALTH EXPENDI
Page 232 and 233: SECTION 5. OUTPATIENT HEALTH EXPEND
Page 234 and 235: SECTION 6. HOUSEHOLD CHARACTERISTIC
Page 236 and 237: NO. QUESTIONS AND FILTERS CODING CA
Page 240 and 241: SECTION 2. MARITAL STATUSNO.201QUES
Page 242 and 243: Now I would like to record the name
Page 244 and 245: SECTION 4. ANTENATAL, DELIVERY AND
Page 252 and 253: SECTION 6. MATERNAL MORTALITYNO. QU
Page 254 and 255: COMMENTS ABOUT RESPONDENT:INTERVIEW
Page 258 and 259: DEATH OF A CHILD AGED 0-28 DAYSSECT
Page 260 and 261: SECTION 6. DELIVERY HISTORYNO. QUES
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NO. QUESTIONS AND FILTERS CODING CA
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DEATH OF A CHILD AGED 0-28 DAYSSECT
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DEATH OF A CHILD AGED 0-28 DAYSSECT
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AFGHANISTAN MORTALITY SURVEYVERBAL
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DEATH OF A CHILD AGED 29 DAYS TO 11
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Introduction and ConsentHello. My n
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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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NO. QUESTIONS AND FILTERS CODING CA
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