Afghanistan Mortality Survey 2010 - Measure DHS

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Another frequently used approach to assessing trends in fertility is to compare the results from themost recent survey to findings from other data sources, including censuses and other surveys. Caution hasto be exercised in making such comparisons since differences in the populations surveyed, themethodology used for obtaining the fertility estimates, and data quality can affect the interpretation whenmultiple data sources are used to examine changes over time in fertility levels. The situation is furthercomplicated in Afghanistan by the relative lack of national level surveys.The NRVA 2007/08 is the survey that is most similar in coverage and methodology to the AMS2010, although the two surveys varied in the methodology used to obtain fertility estimates. 1 The declinein fertility in recent times in Afghanistan as seen in the AMS 2010 is consistent with the pattern reportedin the NRVA 2007/8 (ICON-INSTITUTE, 2009), which estimated the TFR for the three-year periodimmediately before the survey at 5.3 births per woman (including Kuchi women). 2The 2003 MICS produced an indirect estimate of TFR from information collected on the numberof children ever born to women age 15-49. The estimated TFR from the MICS 2003 for Afghanistan was6.3 (CSO and UNICEF, 2004). However, there were several data quality issues associated with theimplementation and analysis of the MICS 2003 that may render this estimate less reliable.Other sources of TFR estimates for Afghanistan typically have used various demographicestimation techniques to derive the rates they report. The TFR estimates vary substantially. For example,data from the World Population Data Sheet for 2010 produced by the Population Reference Bureauestimates the TFR for Afghanistan for 2010 at 5.7 children per woman (PRB, 2011). The United NationsPopulation Division estimated the TFR for the period 2005-2010 at 6.6 children per woman (UnitedNations, 2011).3.2.4 Pregnancy OutcomesAs discussed earlier, the AMS 2010 included the collection of a complete pregnancy history fromeach respondent. Thus, the survey provides information not only on the live births the women had, butalso information on the miscarriages or stillbirths they experienced. Collecting information on pregnancyhistories is more difficult than collecting birth histories retrospectively, particularly in the case ofpregnancies that miscarry within the first few months after conception. Therefore, the total number ofpregnancies and abortions may be underestimated, and caution should be exercised in interpreting thesedata. Abortion is illegal in Afghanistan, and there is also social stigma associated with it. Consequently,women may report an induced abortion as a spontaneous abortion or a stillbirth, or omit mentioning italtogether.Data on pregnancy outcomes among ever-married women in the 10 years preceding the survey byage at the end of pregnancy are presented in Table 3.4. Overall, 98 percent of pregnancies resulted in alive birth and only 2 percent ended as a stillbirth or miscarriage. Women are less likely to report havinghad a miscarriage (0.7 percent) than a stillbirth (1.8 percent). There is not much variation in pregnancyoutcomes across age groups, except for age group 45-49, where 6 percent of pregnancies ended in astillbirth and 3 percent in a miscarriage.1 The estimate of TFR from the NRVA 2007/8 was derived from a partial birth history of recent deliveries, adjustedfor under-reporting of children who later died. In contrast, as discussed above, the AMS 2010 collected a completebirth history with dates of birth of all children whether living or dead at the time of the survey, in addition to age atdeath of children who had died.2 The NRVA 2007/8 also produced an indirect estimate of fertility of 6.3 based on the assumption that fertilityestimates from censuses and surveys tend to be underestimated. The Brass approach and an estimation equationbased on the Coale-Trussell Fertility Model was used in calculating the indirect estimate of TFR (ICON-INSTITUTE, 2009).44 | Fertility, Marriage, and Family Planning
Table 3.4 Pregnancy outcomesPercent distribution of pregnancies reported by ever-married women thatended in the 10 years preceding the survey, by pregnancy outcome,according to age of the mother at end of pregnancy, Afghanistan 2010Age at endof pregnancy Live birth Stillbirth Miscarriage TotalNumber ofpregnancyoutcomes
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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
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
Page 62 and 63: more problematic for the estimates
Page 64 and 65: Table 3.2 Fertility by background c
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
Page 115 and 116: 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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