Afghanistan Mortality Survey 2010 - Measure DHS

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Table 3.2 Fertility by background characteristicsTotal fertility rate for the three years preceding thesurvey, percentage of women age 15-49 currentlypregnant, and mean number of children ever born towomen age 40-49 years, by background characteristics,Afghanistan 2010BackgroundcharacteristicTotalfertilityratePercentage ofwomenage 15-49currentlypregnantMeannumber ofchildrenever bornto womenage 40-49ResidenceUrban 4.7 9.5 6.8Rural 5.2 12.8 6.9ZoneNorth 5.0 12.3 7.0Central 5.0 11.1 6.9South 5.3 12.9 6.8RegionNorth Eastern 5.1 13.1 7.2Northern 4.9 11.6 6.9Western 4.9 13.1 6.8Central Highland 4.6 12.4 7.5Capital 5.1 9.8 6.8Eastern 5.6 13.5 7.1Southern 4.7 9.0 5.7South Eastern 5.5 14.7 7.2EducationNo education 5.3 13.1 7.0Madrassa 4.7 14.5 6.1Primary 4.4 9.7 6.7Secondary 3.6 5.8 6.0Higher 2.8 6.8 4.9Wealth quintileLowest 5.3 12.3 6.8Second 5.0 12.4 6.9Middle 5.4 12.2 7.0Fourth 5.2 13.4 6.9Highest 4.8 10.3 6.8Remoteness quintileMost remote 5.1 13.1 7.1Second 5.0 12.4 6.9Middle 5.2 11.6 6.7Fourth 5.3 12.3 6.9Least remote 4.8 9.7 6.7Total 5.1 12.1 6.9Note: Total fertility rates are for the period 1- 36 monthsprior to interview.42 | Fertility, Marriage, and Family Planning
Figure 3.3 Total Fertility Rates by Background CharacteristicsAFGHANISTAN5.1RESIDENCEUrbanRural4.75.2EDUCATIONNo educationMadrassaPrimarySecondaryHigher2.83.64.74.45.3WEALTH QUINTILELowestSecondMiddleFourthHighest3.2.3 Fertility TrendsIn addition to the comparison of current andcompleted fertility, trends in fertility over time can beexamined by comparing age-specific fertility rates from theAMS 2010 for successive five-year periods preceding thesurvey (Table 3.3). Because women 50 years and olderwere not interviewed in the survey, the rates for older agegroups become progressively more truncated for periodsmore distant from the survey date. For example, ratescannot be calculated for women age 35-39 for the period15-19 years before the survey because these women wouldhave been over age 50 at the time of the survey andtherefore not eligible to be interviewed.Nonetheless, the results in Table 3.3 show thatfertility has dropped substantially among all age groups,5.35.05.45.24.80.0 1.0 2.0 3.0 4.0 5.0 6.0Number of childrenAMS 2010Table 3.3 Trends in age-specific fertility ratesAge-specific fertility rates for five-year periodspreceding the survey, by mother’s age at the time ofthe birth, Afghanistan 2010Mother’s Number of years preceding surveyage at birth 0-4 5-9 10-14 15-1915-19 90 146 175 19420-24 279 333 351 35225-29 287 350 354 35630-34 235 289 316 [359]35-39 145 217 [257]40-44 68 [143]45-49 [28]Note: Age-specific fertility rates are per 1,000 women.Estimates in brackets are truncated. Rates exclude themonth of interview.mainly during the last 15 years. For example, the age-specific fertility rate for women age 15-19 declinedfrom 175 births per 1,000 women in the 10-14 years preceding the survey to 90 births per 1,000 women inthe 0-4 years before the survey, a 49 percent decline. The pace of fertility decline has increased in all agegroups during the last 5 years compared to the preceding time periods.Many factors may have contributed to the ongoing fertility decline in Afghanistan. The internal aswell as external displacement of people due to decades of political instability and insecurity may be oneof the fundamental reasons for this change. The movement of people from remote rural areas to semiurbanor urban areas may have influenced couples to have smaller families for social and economicreasons. Furthermore, exposure to modern means of communications and easy access to modern familyplanning methods not previously widely available in Afghanistan may also have had an impact.Fertility, Marriage, and Family Planning | 43
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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
Page 13: APPENDIX CDATA QUALITY TABLESTable
Page 17: AMS 2010 TECHNICAL ADVISORY GROUP M
Page 21 and 22: AMS 2010 CONTRIBUTORS TO THE REPORT
Page 23 and 24: INTRODUCTION 11.1 GEOGRAPHY, HISTOR
Page 25 and 26: After the fall of the communist reg
Page 27 and 28: Afghanistan, in cooperation with th
Page 29 and 30: workload of the BHC, up to two addi
Page 31 and 32: complete list of names of persons i
Page 33 and 34: 1.7 QUESTIONNAIRESFour questionnair
Page 35 and 36: survey, a detailed review of the qu
Page 37 and 38: 1.10 RESPONSE RATESTable 1.2 shows
Page 39: 72 percent of the rural population
Page 42 and 43: Figure 2.1 Population Pyramid80 +75
Page 44 and 45: Table 2.3 Children’s orphanhood s
Page 46 and 47: Table 2.5 presents information on h
Page 48 and 49: Table 2.7 Household possessionsPerc
Page 50 and 51: emoteness, and the scores were summ
Page 52 and 53: The analysis also suggests that amo
Page 54 and 55: Central zone (56 percent) has the h
Page 56 and 57: The data also show that more than h
Page 58 and 59: 2.10 CONCLUSIONThe AMS 2010 enumera
Page 60 and 61: 3.1.2 Data Quality AssessmentThe pr
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Page 66 and 67: Another frequently used approach to
Page 68 and 69: 3.2.6 Birth IntervalsA birth interv
Page 70 and 71: 3.2.7 Age at First BirthThe onset o
Page 72 and 73: Table 3.9 Teenage pregnancy and mot
Page 74 and 75: Table 3.11 Age at first marriagePer
Page 76 and 77: the community level by utilizing al
Page 78 and 79: difference may be due to difference
Page 80 and 81: There are substantial differences i
Page 82 and 83: Table 3.17 Total fertility rate and
Page 85 and 86: MATERNAL HEALTH 4Afghanistan is com
Page 87 and 88: Table 4.1 Antenatal carePercent dis
Page 89 and 90: Figure 4.2 Trends in Antenatal Care
Page 91 and 92: 4.1.3 Problems with Pregnancy at Fi
Page 93 and 94: 4.1.4 Number and Timing of Antenata
Page 95 and 96: About one-third (32 percent) of mot
Page 97 and 98: As with other maternal health indic
Page 99 and 100: Table 4.8 Reasons for not deliverin
Page 101 and 102: Table 4.9 Assistance during deliver
Page 103 and 104: 4.2.4 Procedures Performed at Deliv
Page 105 and 106: Figure 4.6 Reasons for Not Seeking
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
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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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