Afghanistan Mortality Survey 2010 - Measure DHS

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This report presents findings of the Afghanistan Mortality Survey (AMS) 2010 which was carried out bythe Afghan Public Health Institute (APHI) of the Ministry of Public Health (MoPH) and the CentralStatistics Organization (CSO) of Afghanistan. Technical assistance for the survey was provided by ICFMacro, the Indian Institute of Health Management Research (IIHMR), and the World Health OrganizationRegional Office for the Eastern Mediterranean (WHO/EMRO). The AMS 2010 is part of the worldwideMEASURE DHS project that assists countries in the collection of data to monitor and evaluate population,health, and nutrition programs. Financial support for the survey was received from the United StatesAgency for International Development (USAID) and the United Nations Children’s Fund (UNICEF).WHO/EMRO’s contribution to the survey was supported with funds from USAID and the UKDepartment for International Development and the Health Metrics Network (DFID/HMN).Additional information about the AMS 2010 may be obtained from the Afghan Public Health Institute(APHI), 3 rd Floor MoPH Main Building, Massoud Square, Wazir Akbar Khan Mena, Kabul, Afghanistan;Telephone: +93(0) 20 29 22 435; E-mail: dgaphi.moph@gmail.com; Internet: http://www.moph.gov.af.Information about the MEASURE DHS project can be obtained from ICF Macro, 11785 Beltsville Drive,Calverton, MD 20705 USA; Telephone: 301-572-0200; Fax: 301-572-0999; E-mail:reports@measuredhs.com; Internet: http://www.measuredhs.com.Recommended citation:Afghan Public Health Institute, Ministry of Public Health (APHI/MoPH) [Afghanistan], Central StatisticsOrganization (CSO) [Afghanistan], ICF Macro, Indian Institute of Health Management Research(IIHMR) [India], and World Health Organization Regional Office for the Eastern Mediterranean(WHO/EMRO) [Egypt]. 2011. Afghanistan Mortality Survey 2010. Calverton, Maryland, USA:APHI/MoPH, CSO, ICF Macro, IIHMR and WHO/EMRO.Cover photographs courtesy of ISAF Public Affairs
CONTENTSTABLES AND FIGURES ................................................................................................................ viiFOREWORD ................................................................................................................................xiiiAMS 2010 TECHNICAL ADVISORY GROUP MEMBERS AND TECHNICAL EXPERTS ........ xvAMS 2010 STEERING COMMITTEE ........................................................................................ xviiAMS 2010 CONTRIBUTORS TO THE REPORT ...................................................................... xixMAP OF AFGHANISTAN ...................................................................................................xxPageCHAPTER 1INTRODUCTION1.1 Geography, History, and Economy.........................................................................11.1.1 Geography..................................................................................................11.1.2 History........................................................................................................11.1.3 Economy ....................................................................................................31.2 Population .............................................................................................................41.3 Health Policies, Strategies, and Structure of the Health Care System.......................51.3.1 Evolution of Health Policy and Strategy.......................................................51.3.2 Structure of the Health Care System ...........................................................61.4 Objectives of the Survey ........................................................................................81.5 Organization of the Survey.....................................................................................81.6 Sample Design .......................................................................................................91.7 Questionnaires.....................................................................................................111.8 Listing, Pretest, Training, and Fieldwork ...............................................................111.8.1 Listing.......................................................................................................111.8.2 Pretest ......................................................................................................121.8.3 Training ....................................................................................................121.8.4 Fieldwork .................................................................................................131.9 Data Processing....................................................................................................141.10 Response Rates ....................................................................................................151.11 Prior Studies.........................................................................................................15CHAPTER 2HOUSEHOLD POPULATION, HOUSEHOLD AND WOMEN’SCHARACTERISTICS2.1 Household Population by Age and Sex.................................................................192.2 Household Composition ......................................................................................212.3 Household Characteristics....................................................................................222.4 Household Possessions.........................................................................................252.5 Socioeconomic Status Index.................................................................................262.6 Remoteness Index................................................................................................27Contents | iii
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Page 9 and 10: TABLES AND FIGURESCHAPTER 1INTRODUC
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Page 23 and 24: INTRODUCTION 11.1 GEOGRAPHY, HISTOR
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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
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Global Agricultural Information Net
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Streatfield, P.K., S.E. Arifeen, A.
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• The Cluster Level Questionnaire
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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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