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

1. Preliminary Key Findings
2013-14 Zambia Demographic and Health Survey

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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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]