Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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When asked about the size of their children at birth, 14 percent of the mothers reported that theirbabies were very small or smaller than average. The majority of babies (86 percent) were reported to beof average or larger size at birth. Among babies who were weighed, the proportion that were of low birthweight was highest in Copperbelt (8 percent) and lowest in Eastern (2 percent). There was little differenceby mother’s level of education in the proportion who weighed less than 2.5 kg at birth.Postnatal carePostnatal care is particularly important in the case of non-institutional births in order to detectdelivery complications that may threaten the mother or the child’s survival. Table 9.8 shows the percentdistribution of women who delivered a baby outside a health facility in the five years before the survey,according to whether they received a postnatal checkup and, if they had such care, the timing of the firstpostnatal visit. A checkup during the first two days following delivery is particularly critical since mostmaternal and neonatal deaths occur during that period. The benefits of early postnatal check-up,especially during the first 24 hours, include early diagnosis of complications during the postpartum periodfor both mother and her newborn, care of the newborn and mother including education or breastfeedingand family planning. One of the most frequent postpartum complications is haemorrhage, which occurswithin 24 hours after delivery and can lead to death (Ransom and Yinger, 2002). In Zambia, the majorityof women deliver at home where they do not have access to skilled care.Table 9.8 shows that 77 percent of women who deliver outside a health facility do not receivepostnatal care. Only 12 percent attend postnatal care within 2 days of delivery and 8 percent 7 to 41 daysafter delivery. Younger mothers tend to utilise postnatal services slightly more than older mothers. Morethan twice as many women from the urban areas receive postnatal care within 2 days of delivery as thosefrom rural areas. Differences in the utilisation of postnatal services by province are quite marked. Mothersresiding in Copperbelt (51 percent) and Lusaka (46 percent) are most likely to receive postnatal care,compared with mothers living in Central, Western, and Eastern provinces, where the level is less than15 percent. A higher proportion of mothers with secondary or higher education receive postnatal carecompared with those with primary or no education.136 | Maternal and Child Health
Table 9.8 Postnatal carePercent distribution of women who had a non-institutional live birth in the five years precedingthe survey by timing of postnatal care for the most recent non-institutional birth, according tobackground characteristics, Zambia 2001-2002––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––Timing of first postnatal checkup––––––––––––––––––––––––––––––––––––––WithinDid not2 days 3-6 days 7-41 days Don't receive NumberBackground of after after know/ postnatal ofcharacteristic delivery delivery delivery missing checkup 1 Total women––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––Age at birth
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ZambiaDemographic andHealth Survey2
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This report summarises the findings
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Page3.6 Women’s Employment ......
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Page11.3.2 Micronutrient Intake amo
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PageA.7 Sample Selection ..........
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PageTable 3.11 Decision on use of e
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Table 7.7 Wanted fertility rates ..
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PageTable 13.5 Discussion of HIV/AI
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PREFACEThe Zambia Demographic and H
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FAMILY PLANNINGKnowledge of contrac
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According to mothers’ reports, ar
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ZAMBIALake TanganyikaLake MweruTanz
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The 1980s marked the start of the f
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the peripheral structures. An impor
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ing in private households in the co
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subjects agreed) received a referra
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confidentiality.Finally, in additio
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CHARACTERISTICS OF HOUSEHOLDS AND2R
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Figure 2.2 Distribution of De Facto
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2.4 EDUCATIONAL LEVEL OF HOUSEHOLD
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Figure 2.3 Percent Distribution of
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Figure 2.4 Net and Gross Attendance
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2.5 HOUSING CHARACTERISTICS ANDHOUS
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Thirty percent of households own a
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CHARACTERISTICS OF RESPONDENTS3AND
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enrolment ratios suggest that educa
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3.3 LITERACYThe ability to read is
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Figure 3.1 Youth Literacy100 Percen
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3.5 MEN’S EMPLOYMENTMale responde
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Table 3.6 Occupation: menPercent di
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Table 3.8 Employment status: womenP
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non-agricultural occupations, since
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Table 3.12 Women’s control over e
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Table 3.14.1 Women’s participatio
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Table 3.14.2 Women’s participatio
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Table 3.15.1 Women’s attitudes to
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3.7.3 Attitudes toward Refusing Sex
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Table 3.16.2 Men’s attitudes towa
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Table 3.17.1 Smoking of tobacco: wo
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FERTILITY4Richard Banda and Margare
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As the comparison in Figure 4.1 ind
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Figure 4.3 Total Fertility Rate by
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Table 4.4 Trends in fertility by ba
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Results from the 2001-2002 ZDHS ind
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The median birth interval is 33 mon
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4.6 TEENAGE FERTILITYAdolescent chi
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FERTILITY REGULATION5Mika Bwembya a
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Table 5.1.2 Knowledge of contracept
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Seventy percent of currently marrie
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Table 5.4 Current use of contracept
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Table 5.7 Number of children at fir
Page 107 and 108: Table 5.10 Source of contraceptionP
Page 109 and 110: The pattern is slightly different f
Page 111 and 112: 5.14 EXPOSURE TO FAMILY PLANNING ME
Page 113 and 114: Table 5.16.1 Exposure to specific r
Page 115 and 116: Table 5.17 shows that 18 percent of
Page 117 and 118: Table 5.19 Attitudes of couples tow
Page 119 and 120: Table 6.1 shows that one-fourth of
Page 121 and 122: Table 6.3 Age at first marriagePerc
Page 123 and 124: Table 6.5 Age at first sexual inter
Page 125 and 126: Table 6.7.1 Recent sexual activity:
Page 127 and 128: Almost four in ten (38 percent) of
Page 129 and 130: FERTILITY PREFERENCES AND UNMET NEE
Page 131 and 132: The above results show an increase
Page 133 and 134: 7.3 UNMET NEED FOR FAMILY PLANNINGW
Page 135 and 136: Figure 7.4 Unmet Need for Spacing a
Page 137 and 138: The mean ideal number of children f
Page 139 and 140: Table 7.7 shows the total wanted fe
Page 141 and 142: Fifty-nine percent of all neonatal
Page 143 and 144: Table 8.3 Early childhood mortality
Page 145 and 146: Table 8.5 Early childhood mortality
Page 147 and 148: Only 27 percent of births are in a
Page 149 and 150: MATERNAL AND CHILD HEALTH9Miriam Ch
Page 151 and 152: Expectant mothers should beginanten
Page 153 and 154: There are particularly sharp differ
Page 155 and 156: Table 9.5 Place of deliveryPercent
Page 157: Table 9.7 shows that only 2 percent
Page 161 and 162: Table 9.9 Visits by health workersP
Page 163 and 164: Table 9.10.2 Neighbourhood Health C
Page 165 and 166: No major variations were observed w
Page 167 and 168: Table 9.13 Vaccinations by backgrou
Page 169 and 170: Table 9.14 Prevalence of injections
Page 171 and 172: Eastern province has the highest pr
Page 173 and 174: Table 9.18 Diarrhoea treatmentPerce
Page 175 and 176: Table 9.20 Household knowledge and
Page 177 and 178: 10.1.1 Use of Bednets by Children a
Page 179 and 180: Table 10.4 Use of antimalarial drug
Page 181 and 182: Luapula province has the highest pe
Page 183 and 184: INFANT FEEDING, NUTRITIONAL PRACTIC
Page 185 and 186: than half (51 percent) of the infan
Page 187 and 188: tamination after cleaning, the nipp
Page 189 and 190: 11.2 COMPLEMENTARY FEEDING11.2.1 Ty
Page 191 and 192: Few children under two years of age
Page 193 and 194: Table 11.6 Iodisation of household
Page 195 and 196: 11.3.2 Micronutrient Intake among C
Page 197 and 198: 11.3.3 Micronutrient Supplementatio
Page 199 and 200: 11.4 HOUSEHOLD FOOD SECURITYFood se
Page 201 and 202: Table 11.12 Nutritional status of c
Page 203 and 204: Table 11.12 indicates that children
Page 205 and 206: VIOLENCE AGAINST WOMEN 12Mary Kazun
Page 207 and 208: Table 12.2 Experience of beatings o
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Results show that almost eight out
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Table 12.5 Experience of sexual vio
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More than four out of ten never-mar
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AIDS/HIV/STI-RELATED KNOWLEDGE AND1
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Table 13.2 Knowledge of ways to avo
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Knowledge of HIV prevention methods
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Table 13.5 Discussion of HIV/AIDS w
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The view that HIV status of a famil
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Table 13.8 Knowledge of “Trendset
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Figure 13.1 Unmet Need for HIV Test
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Table 13.10 Men's attitudes toward
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Men in sales and services and skill
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Table 13.13 Alcohol consumption by
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Table 13.14.2 Knowledge of symptoms
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The peak age for having STI symptom
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used condoms, 34 percent took medic
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The practice of having multiple par
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Table 13.21 Use of condoms by type
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PREVALENCE OF HIV AND SYPHILIS 14Ku
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14.1.2 Coverage for HIV Testing by
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14.1.3 Approach to Weighting Syphil
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14.2 SYPHILIS PREVALENCE RATES 1Tab
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Table 14.8 Syphilis prevalence by a
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The 2001-2002 ZDHS data can be used
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Figure 14.2 illustrates the distinc
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Figure 14.3 HIV Prevalence AmongWom
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ADULT MORTALITY15Ann A. WayData col
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Table 15.2 Adult mortality ratesDir
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While again not definitive, the res
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124 | ReferencesGaisie, K., A. Cros
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SAMPLE DESIGNAppendix AA.1 INTRODUC
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Table A.2. Expected number of selec
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Similarly, a total of 2,658 potenti
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Table A.5 Sample implementation: me
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where h represents the stratum whic
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Table B.2 Sampling errors for selec
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Table B.10 Sampling errors for sele
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Table B.12 Sampling errors for sele
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DATA QUALITY TABLESAppendix CTable
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Table C.3 Completeness of reporting
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Table C.6 Reporting of age at death
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Provincial CoordinatorsMr Martin Nj
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Data Processing StaffMr Mathews Muv
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286 | Appendix E
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HOUSEHOLD SCHEDULENow we would like
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LINENO.USUAL RESIDENTSAND VISITORSR
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NO. QUESTIONS AND FILTERS CODING CA
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INFORMED CONSENT FOR SYPHILIS AND H
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September 28, 20012001 ZAMBIA DEMOG
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SECTION 1. RESPONDENT’S BACKGROUN
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SECTION 2: REPRODUCTIONNO. QUESTION
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212 213 214 215 216 217IF ALIVE:218
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NO QUESTIONS AND FILTERS CODING CAT
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NO. QUESTION AND FILTERS CODING CAT
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NO. QUESTION AND FILTERS CODING CAT
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407AWhere did the first antenatal v
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NAMELAST BIRTHNEXT-TO-LAST-BIRTHNAM
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NAMELAST BIRTHNEXT-TO-LAST-BIRTHNAM
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SECTION 4B. IMMUNIZATION, HEALTH AN
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LAST BIRTHNEXT-TO-LAST BIRTHNAMENAM
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LAST BIRTHNEXT-TO-LAST BIRTH474B CH
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LAST BIRTHNEXT-TO-LAST BIRTH480 Wha
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NO QUESTIONS AND FILTERS CODING CAT
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SECTION 5. MARRIAGE AND SEXUAL ACTI
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SECTION 6. FERTILITY PREFERENCESNO.
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SECTION 7. HUSBAND'S BACKGROUND AND
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SECTION 9. MATERNAL MORTALITYNO. QU
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904 What wasname given toyour oldes
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NAME OF EDITOR:____________________
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SUPERVISOR FIELD EDITOR OFFICE EDIT
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14 Have you heard of any other ways
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SECTION 5. FERTILITY PREFERENCESNO.
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SECTION 7. AIDS AND OTHER SEXUALLY
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