Afghanistan Mortality Survey 2010 - Measure DHS

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3.2.7 Age at First BirthThe onset of childbearing has a major effect on the health of both mother and child. Earlychildbearing lengthens the reproductive period, thereby increasing the level of fertility. Table 3.10 showsthe median age at first birth and the percentage of women who gave birth by exact ages, by five-year agegroups. Eight percent of women age 25-49 have never given birth. The median age at first birth decreasessteadily from 21 for women age 45-49 to 19.3 for women age 30-34 before rising at age 25-29.Table 3.7 Age at first birthPercentage of women who gave birth by exact ages, percentage who have never given birth, and median ageat first birth, according to current age, Afghanistan 2010Percentage who gave birth by exact ageCurrent age 15 18 20 22 25Percentagewho havenever givenbirthNumberof womenMedianage at firstbirth15-19 0.9 na na na na 92.3 11,496 a20-24 4.3 22.7 39.6 na na 46.2 7,952 a25-29 6.2 28.8 49.2 67.6 81.6 15.3 5,901 20.130-34 7.3 36.7 56.4 73.4 86.1 6.6 4,189 19.335-39 5.2 31.1 54.3 72.9 87.6 3.9 4,109 19.640-44 6.0 28.8 48.2 69.9 87.9 3.7 3,198 20.145-49 4.9 22.0 39.6 58.5 79.6 2.4 2,620 21.025-49 6.0 30.0 50.3 69.1 84.5 7.6 20,017 20.0na = Not applicablea = Omitted because less than 50 percent of women had a birth before reaching the beginning of the agegroupTable 3.8 shows the median age at first birth by background characteristics. The median age atfirst birth is almost the same in urban and rural areas. Women in the North and Central zones give birthmore than one year earlier than women in the South zone, which as noted has an urban bias. The medianage at first birth among women age 25-49 is highest in the Southern and South Eastern regions (21) andlowest in the Central Highland region (18).The median age at first birth increases with education after primary school. Women with noeducation give birth about four years earlier than women with higher education. The difference in themedian age at first birth is less pronounced by household wealth and remoteness.48 | Fertility, Marriage, and Family Planning
Table 3.8 Median age at first birthMedian age at first birth among women age 25-49 years, according to backgroundcharacteristics, Afghanistan 2010BackgroundAgecharacteristic 25-29 30-34 35-39 40-44 45-49Womenage 25-49ResidenceUrban 20.7 19.8 19.6 19.9 20.7 20.1Rural 20.0 19.1 19.6 20.2 21.0 19.9ZoneNorth 19.6 19.1 19.2 19.5 20.1 19.5Central 19.6 18.6 19.0 19.4 20.6 19.4South 20.8 20.0 20.5 21.2 22.1 20.8RegionNorth Eastern 19.1 18.6 18.9 18.9 19.7 19.0Northern 20.1 19.6 19.4 20.1 20.6 19.9Western 18.6 17.8 18.5 18.8 20.6 18.6Central Highland 17.8 16.8 17.9 18.4 20.0 17.9Capital 20.9 19.9 19.6 20.0 20.7 20.2Eastern 20.5 19.7 20.1 20.9 21.2 20.4Southern 20.9 20.0 21.0 21.7 22.8 21.1South Eastern 21.2 20.5 20.5 21.3 22.5 21.1EducationNo education 19.9 19.2 19.6 20.1 21.0 19.9Madrassa 20.2 18.6 20.2 19.7 20.2 19.9Primary 20.5 19.1 19.3 20.1 20.2 19.9Secondary 21.6 20.3 20.5 20.4 21.6 20.8Higher a 22.7 22.4 22.8 24.7 24.0Wealth quintileLowest 19.1 18.2 18.8 19.7 20.3 19.0Second 19.5 18.8 19.2 19.3 20.5 19.4Middle 20.0 19.8 19.8 20.6 21.5 20.2Fourth 20.7 19.6 20.2 20.8 22.0 20.6Highest 21.2 20.3 20.0 20.2 20.5 20.5Remoteness quintileMost remote 19.6 18.6 19.1 19.5 20.4 19.4Second 20.0 19.0 19.7 20.2 21.0 19.9Middle 20.2 20.0 19.9 20.4 21.5 20.3Fourth 20.4 19.6 19.7 20.5 21.3 20.2Least remote 20.5 19.9 20.1 20.2 21.4 20.3Total 20.1 19.3 19.6 20.1 21.0 20.0a = Omitted because less than 50 percent of the women had a birth before reaching thebeginning of the age group3.2.8 Adolescent Pregnancy and MotherhoodAdolescent pregnancy and motherhood are a major social and health issue in Afghanistan. Earlyteenage pregnancy can cause severe health problems for both the mother and her child. Moreover, anearly start to childbearing greatly reduces the educational and employment opportunities of women and isassociated with higher levels of fertility. Table 3.9 shows the percentage of women age 15-19 who havehad a live birth or who are pregnant with their first child and the percentage that have begun childbearing,by background characteristics.Twelve percent of women age 15-19 have started childbearing, with 8 percent having had a livebirth and 4 percent pregnant with their first child. By age 19, one-third of women have startedchildbearing. Early childbearing is higher among women in rural areas, those in the Central zone, andwomen in the Western region compared with their counterparts in the other geographic areas. Earlychildbearing is strongly associated with women’s education and wealth, and decreases as education andwealth increase. Early childbearing and its relationship to remoteness is less pronounced.Fertility, Marriage, and Family Planning | 49
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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
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 68 and 69: 3.2.6 Birth IntervalsA birth interv
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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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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