Afghanistan Mortality Survey 2010 - Measure DHS

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3.2.6 Birth IntervalsA birth interval is the length of time between two successive live births. Information on birthintervals provides insight into birth spacing patterns, which affect fertility as well as maternal, infant, andchild mortality. Studies have shown that short birth intervals are associated with an increased risk of deathfor mother and baby, particularly when the birth interval is less than 24 months.Table 3.6 shows the percent distribution of non-first births in the five years preceding the surveyby number of months since the preceding birth, according to background characteristics. The median birthinterval in Afghanistan is 27 months. The median number of months since a preceding birth increaseswith age, from a low of 23 months among mothers age 15-19 to a high of 31 months among mothers age40-49. There is no marked difference in the length of the median birth interval by birth order or sex of thepreceding birth.Studies have shown that the death of a preceding child leads to a shorter birth interval than whenthe preceding child survives. The median birth interval is three months shorter among births for which theprevious sibling is dead than among births for which the previous sibling is alive (24 months and 27months, respectively). This difference in the birth interval may be due to the desire of parents to replace adead child as well as the loss of the fertility-delaying effects of breastfeeding.There are no marked differences in the median birth intervals by residence, zones, wealthquintiles or remoteness quintile. However, the median birth interval increases with the level of educationfrom 27 months among uneducated mothers to 33 months among mothers with higher education.46 | Fertility, Marriage, and Family Planning
Table 3.6 Birth intervalsPercent distribution of non-first births in the five years preceding the survey by number of months since preceding birth, and mediannumber of months since preceding birth, according to background characteristics, Afghanistan 2010Months since preceding birthBackgroundcharacteristic 7-17 18-23 24-35 36-47 48-59 60+ TotalNumber ofnon-firstbirthsMediannumber ofmonths sinceprecedingbirthAge12-19 31.5 23.8 31.7 11.3 1.8 0.0 100.0 311 23.020-29 20.8 22.3 37.3 13.5 4.4 1.8 100.0 11,630 25.530-39 13.8 18.8 36.2 16.5 7.7 7.0 100.0 9,500 27.940-49 11.1 15.1 33.2 17.3 10.8 12.5 100.0 2,482 31.4Birth order2-3 20.3 21.8 36.3 13.8 4.7 3.0 100.0 8,738 25.74-6 15.6 19.8 36.3 15.9 6.9 5.6 100.0 9,435 27.27+ 15.0 18.2 36.5 15.5 8.0 6.8 100.0 5,749 27.6Sex of preceding birthMale 16.6 20.6 37.1 14.6 6.2 4.9 100.0 12,559 26.6Female 17.8 19.7 35.6 15.5 6.5 4.9 100.0 11,363 26.7Survival of preceding birthLiving 15.9 20.4 36.9 15.4 6.4 5.0 100.0 22,309 26.8Dead 35.0 16.9 28.3 9.8 5.9 4.1 100.0 1,613 23.6ResidenceUrban 19.4 17.1 32.0 15.9 7.7 7.8 100.0 4,470 27.4Rural 16.7 20.9 37.4 14.8 6.0 4.3 100.0 19,452 26.6ZoneNorth 17.3 17.7 33.1 17.4 8.1 6.4 100.0 7,330 28.2Central 18.8 18.8 34.6 15.2 6.7 5.9 100.0 8,410 27.1South 15.4 23.8 41.1 12.8 4.4 2.6 100.0 8,183 25.8RegionNorth Eastern 18.3 18.4 33.6 16.8 7.3 5.6 100.0 3,715 27.5Northern 16.2 17.0 32.7 18.1 8.9 7.2 100.0 3,615 29.2Western 15.0 18.2 35.4 18.2 7.1 6.2 100.0 2,988 28.5Central Highland 13.7 19.1 37.5 16.3 7.5 5.9 100.0 725 28.2Capital 22.0 19.1 33.7 13.1 6.4 5.7 100.0 4,697 26.1Eastern 19.1 22.1 38.9 12.4 4.9 2.5 100.0 4,592 25.2Southern 8.5 22.0 43.4 16.2 5.2 4.7 100.0 1,461 27.8South Eastern 12.0 28.8 44.1 11.3 2.5 1.3 100.0 2,130 25.7EducationNo education 17.2 20.4 36.8 14.9 6.1 4.6 100.0 21,547 26.6Madrassa 17.0 18.8 42.4 12.9 5.7 3.2 100.0 267 26.3Primary 18.0 18.1 33.3 16.0 8.3 6.3 100.0 1,217 27.4Secondary 16.0 18.7 29.1 18.2 8.7 9.3 100.0 719 28.5Higher 15.9 12.7 25.8 14.1 14.4 17.1 100.0 172 33.4Wealth quintileLowest 16.2 17.8 36.1 17.0 7.8 5.0 100.0 5,017 27.9Second 17.2 19.0 35.2 16.4 6.6 5.6 100.0 4,814 27.5Middle 16.5 23.0 38.6 12.9 5.5 3.5 100.0 4,813 26.0Fourth 18.0 22.1 37.2 14.0 5.2 3.5 100.0 4,852 25.8Highest 17.9 18.9 34.7 14.9 6.5 7.1 100.0 4,427 26.9Remoteness quintileMost remote 17.1 18.9 35.5 16.0 7.3 5.2 100.0 6,187 27.3Second 17.6 19.6 36.5 15.3 6.2 4.8 100.0 6,746 26.8Middle 16.6 21.4 38.6 14.0 5.7 3.7 100.0 4,713 26.4Fourth 16.7 22.2 36.4 14.4 5.3 4.9 100.0 4,016 26.1Least remote 18.1 19.3 33.6 15.1 7.2 6.8 100.0 2,260 26.7Total 17.2 20.2 36.4 15.0 6.3 4.9 100.0 23,922 26.7Note: First-order births are excluded. The interval for multiple births is the number of months since the preceding pregnancy that endedin a live birth.Fertility, Marriage, and Family Planning | 47
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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 66 and 67: Another frequently used approach to
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
Page 117 and 118: 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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