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MATERNAL AND CHILD HEALTH 10 This chapter presents findings on four areas of importance to maternal and child health: antenatal, delivery, and postnatal care; characteristics of the newborn; vaccination coverage; and common childhood illnesses and their treatment. This information, in combination with data on mortality, is useful in formulating programs and policies to improve maternal and child health services. 10.1 ANTENATAL CARE The health care that a mother receives during pregnancy and at the time of delivery is important for the survival and well-being of both the mother and the child. Antenatal care (ANC) coverage is described according to the type of provider, number of ANC visits, stage of pregnancy at the time of the first and last visits, and number of visits, as well as services and information provided during ANC, including whether tetanus toxoid vaccinations were received. Information on ANC coverage was obtained from women who had a birth in the five years preceding the survey. For women with two or more live births during the five-year period, data refer to the most recent birth only. Table 10.1 and Figure 10.1 show the percent distribution of mothers in the five years preceding the survey by source of antenatal care received during pregnancy, according to selected characteristics. Women were asked to report on all persons seen for antenatal care for the last birth. However, for the purpose of presenting the results, only the provider with the highest qualification is considered if women had seen more than one provider. Twenty-seven percent of mothers received antenatal care from health professionals (doctor, nurse, midwife) for their most recent birth in the five years preceding the survey, and less than 1 percent of mothers received antenatal care from traditional birth attendants (trained and untrained). Nearly three-quarters (73 percent) of mothers received no antenatal care for births in the preceding five years. Differences in antenatal care between age groups of women are negligible. Differences by birth order are more pronounced. Mothers are more likely to receive care from a health professional for first births (32 percent) than for births of order six and higher (21 percent). There are large differences in the use of antenatal care services between urban and rural women. In urban areas, health professionals provided antenatal care for 67 percent of mothers, whereas they provided care for only 22 percent of mothers in rural areas. Additionally, in rural areas, more than three-quarters of mothers (78 percent) received no antenatal care at all, compared with 32 percent in urban areas. Regional differences in the source of antenatal care are quite significant; 83 percent of mothers in Addis Ababa received antenatal care from a health professional, compared with less than one in five mothers in the Somali and Amhara regions. The percentage of mothers who received no antenatal care is the highest in the Somali and Amhara regions (84 and 81 percent, respectively) and the lowest in Addis Ababa (17 percent). Maternal and Child Health * 111
Table 10.1 Antenatal care Percent distribution of women who had a live birth in the five years preceding the survey by source of antenatal care (ANC) during pregnancy, according to maternal and background characteristics, Ethiopia 2000 _________________________________________________________________________________________________ Untrained Trained traditional Health traditional birth Background profes- birth attendant/ characteristic sional attendant other 1 No one Missing Total Number _________________________________________________________________________________________________ Mother's age at birth
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Ethiopia Demographic and Health Sur
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Ethiopia Demographic and Health Sur
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CONTENTS Page Tables and Figures ..
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CHAPTER 8 INFANT AND CHILD MORTALIT
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TABLES AND FIGURES Page CHAPTER 1 I
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Table 5.22 Women’s approval of fa
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Page CHAPTER 11 INFANT FEEDING AND
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FOREWORD The 2000 Ethiopia Demograp
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SUMMARY OF FINDINGS The 2000 Ethiop
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Twelve percent of children are full
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WOMEN’S STATUS The DHS data shed
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The majority of the population live
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Table 1.2 Results of the household
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Table 2.1 Household population by a
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Table 2.3 Children’s living arran
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An investigation of the changes in
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The age-specific attendance rates (
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ural than in urban households. The
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Table 2.11 Utilization and source o
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Table 3.1 Background characteristic
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Table 3.3 Educational attainment by
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Table 3.4 Literacy Percent distribu
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3.5 EMPLOYMENT Respondents were ask
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Table 3.6.2 Employment: men Percent
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Table 3.7.2 Occupation: men Percent
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Employment is assumed to go hand in
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Table 3.10 Women's agreement with r
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primary education. There is substan
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FERTILITY 4 Fertility is the most i
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4.2 FERTILITY DIFFERENTIALS Table 4
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4.4 CHILDREN EVER BORN AND LIVING T
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Comparison of these results with th
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Table 4.7 Age at first birth Percen
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FERTILITY REGULATION 5 Information
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Table 5.2 Couples’ knowledge of c
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Table 5.4 Ever use of contraception
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Table 5.5 Current use of contracept
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Table 5.6.1 Current use of contrace
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Table 5.6.2 Current use of contrace
Page 81 and 82: “Prudence” is used by 13 percen
Page 83 and 84: Table 5.12 Number of children at fi
Page 85 and 86: 5.10 INTENTION TO USE FAMILY PLANNI
Page 87 and 88: The majority (46 percent) of women
Page 89 and 90: Education of respondents is closely
Page 91 and 92: To get an insight into the level of
Page 93 and 94: When there is a perceived disagreem
Page 95 and 96: OTHER PROXIMATE DETERMINANTS OF FER
Page 97 and 98: 6.2 POLYGYNY The extent of polygyny
Page 99 and 100: Table 6.3 Age at first marriage Per
Page 101 and 102: Table 6.5 Age at first sexual inter
Page 103 and 104: Table 6.7 Recent sexual activity: w
Page 105 and 106: ut had had sex before (Table 6.8).
Page 107 and 108: FERTILITY PREFERENCE 7 Due to vario
Page 109 and 110: Figure 7.2 Desire to Limit Childbea
Page 111 and 112: Table 7.4 Desire to limit childbear
Page 113 and 114: Table 7.5 Need for family planning
Page 115 and 116: Table 7.6 also shows that the ideal
Page 117 and 118: Table 7.9 shows wanted fertility ra
Page 119 and 120: and deaths affects mortality estima
Page 121 and 122: 8.3 SOCIOECONOMIC DIFFERENTIALS IN
Page 123 and 124: 8.4 DEMOGRAPHIC DIFFERENTIALS IN MO
Page 125 and 126: at any time during the five years b
Page 127 and 128: Table 8.5 High-risk fertility behav
Page 129 and 130: siblings with missing information f
Page 131: Table 9.2 Direct estimates of mater
Page 135 and 136: Table 10.3 Antenatal care content P
Page 137 and 138: Affar Region. Education of the moth
Page 139 and 140: Table 10.6 Place of delivery Percen
Page 141 and 142: irths to women with no education. N
Page 143 and 144: Table 10.9 Postnatal care by backgr
Page 145 and 146: 10.10 EXPOSURE TO SUNLIGHT In some
Page 147 and 148: Table 10.12 Perceived problem in ac
Page 149 and 150: Figure 10.2 Vaccination Coverage Am
Page 151 and 152: Table 10.15 Vaccinations in first y
Page 153 and 154: Only 16 percent of all children und
Page 155 and 156: Very few children with fever are ta
Page 157 and 158: 10.17 PREVALENCE OF DIARRHEA Diarrh
Page 159 and 160: Table 10.23 Diarrhea treatment Amon
Page 161 and 162: INFANT FEEDING AND CHILDHOOD AND MA
Page 163 and 164: Information on supplementation was
Page 165 and 166: The median and mean duration of bre
Page 167 and 168: Table 11.5 Frequency of foods consu
Page 169 and 170: Table 11.7 Iodized salt Percent dis
Page 171 and 172: A mother’s nutritional status dur
Page 173 and 174: e related to age and that weight be
Page 175 and 176: Chronic malnutrition among Ethiopia
Page 177 and 178: of 140 to 150 centimeters. The BMI,
Page 179 and 180: Table 12.1 Knowledge of AIDS Percen
Page 181 and 182: Table 12.2.2 Source of information
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Table 12.4.1 Knowledge of programma
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Table 12.5 Knowledge of HIV/AIDS-re
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or partner than others. Discussion
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Tables 12.9.1 and 12.9.2 show the k
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Table 12.10 Self-reporting of sexua
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Table 12.12 Number of sexual partne
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Sexual intercourse with noncohabiti
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REFERENCES Boerma, J. Ties. 1988. M
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A.4 SAMPLING FRAME The Ethiopia DHS
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The Men’s Questionnaire collected
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Table A.1.1 Sample implementation:
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ESTIMATES OF SAMPLING ERRORS APPEND
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In general, the relative standard e
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Table B.2 Sampling errors: National
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Table B.4 Sampling errors: Rural sa
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Table C.2 Age distribution of eligi
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Table C.5 Reporting of age at death
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Table C.8 Indicators of data qualit
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Statisticians Abay Getachew Amanuel
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Female Interviewers (contd.) Rahel
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HOUSEHOLD SCHEDULE Now we would lik
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CURRENT SCHOOL ATTENDANCE IF AGE 5-
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PARENTAL SURVIVORSHIP AND RESIDENCE
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NO. QUESTIONS AND FILTERS CODING CA
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CENTRAL STATISTICAL AUTHORITY ETHIO
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211 Now I would like to record the
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LAST BIRTH NAME ___________________
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427 Was (NAME) delivered by caesari
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442 Are you still breastfeeding (NA
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SECTION 4B. IMMUNIZATION AND HEALTH
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463 Has (NAME) been ill with a feve
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479 Where did you seek advice or tr
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SECTION 6. FERTILITY PREFERENCES NO
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804 What was the name given to your
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SECTION 9: FEMALE CIRCUMCISION NO.
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SECTION 11. SEXUAL ACTIVITY NO. QUE
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INTERVIEWER’S OBSERVATIONS TO BE
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SECTION 1. RESPONDENT’S BACKGROUN
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SECTION 2: REPRODUCTION NO. QUESTIO
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SECTION 4. MARRIAGE NO. QUESTIONS A
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SECTION 5. FERTILITY PREFERENCES NO
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SECTION 7: AIDS AND OTHER SEXUALLY
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