Afghanistan Mortality Survey 2010 - Measure DHS

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Table 3.9 Teenage pregnancy and motherhoodPercentage of women age 15-19 who have had a live birth or who are pregnant with theirfirst child and percentage who have begun childbearing, by background characteristics,Afghanistan 2010BackgroundcharacteristicHave had a livebirthPercentage who:Are pregnantwith first childPercentage whohave begunchildbearingNumber ofwomenAge15 0.4 1.2 1.6 2,66216 1.5 1.7 3.2 2,48317 5.6 5.2 10.8 1,95118 12.4 6.9 19.6 2,90919 24.6 8.5 33.2 1,491ResidenceUrban 6.1 2.6 8.9 2,381Rural 8.1 4.8 13.1 9,115ZoneNorthern 7.4 3.2 10.7 3,250Central 9.1 4.0 13.3 4,251Southern 6.5 5.6 12.2 3,995RegionNorth Eastern 8.0 3.9 12.0 1,527Northern 6.8 2.7 9.6 1,722Western 13.8 5.9 19.8 1,475Central Highlands 10.1 6.1 16.6 452Capital 5.9 2.3 8.5 2,325Eastern 8.9 5.4 14.4 1,967Southern 5.7 4.4 10.1 783South Eastern 3.2 6.8 10.1 1,245EducationNo education 9.6 5.2 15.0 7,377Madrassa 9.5 7.8 17.3 160Primary 5.9 3.9 9.8 1,617Secondary 2.7 1.8 4.5 2,255Higher 3.3 1.7 5.0 87Wealth quintileLowest 10.1 3.8 14.0 2,052Second 8.4 4.2 12.9 2,317Middle 7.3 4.8 12.1 2,317Fourth 6.6 5.4 12.1 2,457Highest 6.4 3.5 10.0 2,354Remoteness quintileMost remote 8.3 3.6 12.1 2,748Second 7.0 5.0 12.2 3,366Middle 7.4 5.4 12.8 2,282Fourth 6.9 4.2 11.3 1,913Least remote 10.0 2.6 12.7 1,187Total 7.7 4.3 12.2 11,496Note: Table excludes women age 12-14 years. There were no women age 12-13 who hadbegun childbearing and only 11 women age 14 who had begun childbearing.3.3 MARRIAGENuptiality (including current marital status and age at first marriage) is one of the principalfactors that affect fertility levels in societies. When sexual activity usually takes place within marriage(such as in Afghanistan), marriage signals the onset of a woman’s exposure to the risk of childbearing. Inturn, in the absence of consistent contraceptive use or a widespread practice of abortion, the length oftime women are exposed to childbearing is closely associated with fertility levels in a society. Anexamination of changes over time in the age at which women marry is useful for understanding thefactors that may have contributed to the fertility declines.50 | Fertility, Marriage, and Family Planning
3.3.1 Current Marital StatusData on the marital status of female respondents at the time of the survey are shown in Table3.10. Overall, 45 percent of women age 12-49 have never married, while 54 percent are currently married.At age 12-14, the proportion never-married is more than 99 percent, and by age 30-34, marriage is nearlyuniversal for women—only 4 percent have never married. Marital dissolution is rare among Afghancouples. Across all ages, the proportion divorced or separated is very small, less than 1 percent.Widowhood is not evident until age 20 and increases with age. Five percent of women age 40-44 and 8percent of those age 45-49 are widowed.Table 3.10 Current marital statusPercent distribution of women age 12-49 by current marital status, according to age, Afghanistan2010AgeMarital statusNevermarried Married Divorced Separated Widowed TotalNumber ofwomen12-14 99.5 0.5 0.0 0.0 0.0 100.0 8,38215-19 82.6 17.3 0.0 0.0 0.0 100.0 11,49620-24 33.8 65.7 0.0 0.1 0.4 100.0 7,95225-29 10.1 89.0 0.1 0.1 0.8 100.0 5,90130-34 3.6 94.8 0.0 0.1 1.6 100.0 4,18935-39 1.3 95.4 0.1 0.1 3.1 100.0 4,10940-44 1.0 93.6 0.1 0.1 5.3 100.0 3,19845-49 0.5 91.2 0.0 0.0 8.3 100.0 2,620Total 12-49 44.6 53.9 0.0 0.1 1.4 100.0 47,8483.3.2 Age at First MarriageMarriage marks the point in a woman’s life when childbearing becomes socially acceptable. Ageat first marriage has a major effect on childbearing because women who marry early have, on average, alonger period of exposure to the risk of becoming pregnant and a greater number of lifetime births.Information on age at first marriage was obtained by asking respondents for the month and year, or age atwhich they began living with their first husband.Table 3.11 presents information on age at first marriage. The table shows the percentage of allwomen age 12-49 who first married by specified exact ages and the median age at first marriage,according to current age. Marriage occurs relatively early in Afghanistan. Overall, 92 percent of womenare married by the time they reach age 25. However, there is strong evidence of a rising age at firstmarriage in Afghanistan among women below age 35 (Figure 3.4). The proportion married by age 15declines from 25 percent among women age 30-34 to 4 percent among women age 15-19. Similardeclines are seen in the proportions of women married by age 18 and 20. The median age at marriagerises from 16.9 among women age 30-34 to 19.2 among women age 20-24. 33 The median age at first marriage for women age 15-49 reported in the NRVA 2007/8 is 18 years, which is similaralthough not strictly comparable to the AMS 2010 median for women age 20-49 (18.1 years).Fertility, Marriage, and Family Planning | 51
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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
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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 70 and 71: 3.2.7 Age at First BirthThe onset o
Page 74 and 75: Table 3.11 Age at first marriagePer
Page 76 and 77: the community level by utilizing al
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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
Page 119 and 120: Central zone and 32 percent in the
Page 121 and 122: 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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