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Zambia DHS 2014 - preliminary slides (22sept2014)

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These are the preliminary results of the Zambia Demographic Health Survey 2014. They were presented at a press conference in Lusaka in Sep-14.

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Zambia DHS 2014 - preliminary slides (22sept2014)

  1. 1. Preliminary Key Findings 2013-14 Zambia Demographic and Health Survey
  2. 2. The 2013-14 Zambia Demographic and Health Survey was implemented by the Central Statistical Office (CSO) in partnership with the Ministry of Health as well as the University Teaching Hospital (UTH) – Virology Laboratory, the Tropical Disease Research Center (TDRC) and the Department of Population Studies at the University of Zambia (UNZA). The Government through the Ministry of Health and the Ministry of Finance provided funding for the survey. ICF International provided technical assistance as well as funding to the project through The DHS Program, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. Additional funding for the ZDHS was provided by the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the United Nations Population Fund (UNFPA), and the United Nations Children’s Fund (UNICEF).
  3. 3. Objectives The primary objective of the 2013-14 ZDHS was to provide up-to-date information on fertility levels, fertility preferences, awareness and use of family planning methods, child feeding practices, nutritional status of women and children, awareness and attitudes regarding HIV and AIDS, sexual behavior and condom use, maternal and child health, adult and childhood mortality, and domestic violence. This information is intended to assist policymakers and programme managers in evaluating and designing programmes and strategies for improving health and family planning services in the country.
  4. 4. The Survey • It is the 5th Demographic and Health Survey conducted in Zambia as part of The DHS Program. • It was designed to provide estimates at the national and provincial levels as well as urban and rural levels
  5. 5. Survey Activities Activity Time Listing November 2012-January 2013 Training of Trainers November 2012 Pretest February 2013 Main training May-June 2013 Data collection August 2013- April 2014 Data processing September 2013-June 2014
  6. 6. Results of the household and individual interviews Households Selected Households Occupied Households Interviewed Household Response Rate 18,052 16,258 15,920 98% Eligible Women Women Interviewed Response Rate 17,064 16,411 96% Eligible Men Men Interviewed Response Rate 18,229 14,773 91%
  7. 7. Background characteristics 6 9 14 12 12 17 15 18 22 7 10 14 17 25 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Men Women Percent distribution of women and men aged 15-49
  8. 8. Background characteristics 20 17 13 12 12 9 6 7 7 4 5 5 6 4 46 54 21 18 13 9 7 5 47 53 Rural Urban North Western Muchinga Western Luapula Northern Central Eastern Southern Copperbelt Lusaka Men Women Percent distribution of women and men aged 15-49
  9. 9. Educational Attainment of Respondents Age 15-49 Percent of women and men age 15-49 5 8 40 47 49 40 8 4 Women Men More than secondary Secondary Primary No education
  10. 10. Marital Status Percent distribution of women and men age 15-49 4 4 9 1 1 60 28 <1 51 44 Never married Married Living together Divorced/separated Widowed Men Women
  11. 11. Fertility Trends TFR for women age 15-49 6.5 6.1 5.9 6.2 5.3 1992 1996 2001-02 2007 2013-14
  12. 12. Trends in Use of Family Planning Percent of currently married women age 15-49 15 1992 1996 2001-02 2007 2013-14 9 6 26 14 12 34 25 9 41 33 8 49 45 4 Any method Any modern method Traditional method
  13. 13. Trends in Childhood Mortality Deaths per 1,000 live births for the 5-year period before the survey 43 1992 1996 2001-02 2007 2013-14 107 191 35 109 197 37 95 168 34 70 119 24 45 75 Neonatal Mortality Infant Mortality Under-five Mortality
  14. 14. Trends in Immunization Coverage Percent of children 12-23 months fully vaccinated 67 78 70 68 68 1992 1996 2001-02 2007 2013-14
  15. 15. Trends in Immunization Coverage Percent of children 12-23 months fully vaccinated 95 1992 1996 2001-02 2007 2013-14 77 76 77 67 4 97 86 84 87 78 2 94 80 80 84 70 3 92 80 77 85 68 6 95 86 78 85 68 2 BCG DPT 3 Polio 3 Measles All None
  16. 16. Childhood Illness Prevalence Percent of children under 5 with diarrhoea, fever, symptoms of ARI in the two weeks before the survey 21 16 4 Fever Diarrhoea Symptoms of ARI
  17. 17. Diarrhoea Treatment 64 65 70 Percent of children under 5 with diarrhoea in the two weeks before the survey Given any ORT Given ORS Treatment was sought from a health facility/ provider
  18. 18. Treatment for ARI and Fever Percent of children under 5 with symptoms of ARI in the two weeks before the survey 68 Treatment was sought from a health facility/ provider 70 Percent of children under 5 with fever in the two weeks before the survey Treatment was sought from a health facility/ provider
  19. 19. Exclusive Breastfeeding by Age 94.3 85 45 73 0-1 2-3 4-5 0-5 Age in months Percent of children exclusively breastfed
  20. 20. Nutritional Status of Children 23 4 12 17 2 3 Underweight (too thin for age) Wasted (too thin for height) Stunted (too short for age) Moderate Severe Percent of children under 5 15 40 6 *Based on the 2006 WHO Child Growth Standards
  21. 21. Trends in Nutritional Status Percent of children under age 5 46 1992 1996 2001-02 2007 2013-14 6 21 49 5 19 53 6 23 45 5 15 40 6 15 Stunting Wasting Underweight *Based on the 2006 WHO Child Growth Standards
  22. 22. Trends in Use of ITNs 28.5 2001-02 2007 2013-14 Percent who slept under an ITN the night before the survey 7 8.9 32.7 57 62 Children under 5 Pregnant women 15-49
  23. 23. Trends in ANC Attendance Among women age 15-49 who had a live birth in the five years preceding the survey, percentage who received antenatal care from a skilled provider for the last live birth ZDHS 1992 ZDHS 1996 ZDHS 2001-02 ZDHS 2007 ZDHS 2013-2014 92 96 93 94 96 Antenatal care from a skilled provider
  24. 24. Trends in health facility delivery, assistance during delivery Among all live births in the five years before the survey, percentage delivered by a skilled provider and percentage delivered in a health facility ZDHS 1992 ZDHS 1996 ZDHS 2001-02 ZDHS 2007 ZDHS 2013-2014 67 64 51 50 48 47 47 44 47 43 Births delivered in a health facility Births assisted by a skilled provider
  25. 25. Maternal Mortality Maternal mortality ratio (MMR) for the 7-year period before the survey = 398 deaths per 100,000 live births [95% Confidence Interval ranges from 323 to 474 deaths per 100,000 births]

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