Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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12.8 SEXUAL INTERCOURSE FORCED BY A THIRD PARTYWomen in the domestic violence sub-sample were asked whether anyone had ever forced them tohave sexual intercourse with some other person when they did not want to. If the answer to this question was“Yes,” they were asked who forced them and how often this happened in the last 12 months.Results show that, overall, 2 percent of women report having been forced by someone to have sexualintercourse with a third person and 1 percent report such an occurrence in the past 12 months (data notshown). Given the small proportion of women reporting forced intercourse by a third party, the relationshipbetween this form of sexual violence and respondents’ background characteristics is not clear.194 | Violence against Women
AIDS/HIV/STI-RELATED KNOWLEDGE AND13BEHAVIOUR13.1 INTRODUCTIONMargaret T. MwanamwengeHIV/AIDS remains a major concern in Zambia due to its high prevalence rates among both youthand adults. To reverse the epidemic, the Government of the Republic of Zambia through the NationalHIV/AIDS/STD/TB Council with the support of donors has implemented a number of programmes toreduce the spread of HIV. Programmes have focused on ensuring that individuals, families and communitieshave the correct and appropriate knowledge and information. A major focus of health interventions isbehaviour change to stem the spread of the epidemic.As a means to achieve this goal, information, education and communication messages are beingused to educate the public about sexually transmitted infections (STIs). Public health research has documenteda strong correlation between STIs and vulnerability to HIV infection. AIDS control measureshave been directed at sensitizing the public that STIs are avoidable; however, if an STI is contracted, it isimportant to practice responsible sexual behaviour.In addition to the Zambia Demographic and Health Surveys, the Zambia Sexual Behaviour Surveys(in 1998 and 2000) provide further measures of sexual behaviour and knowledge of HIV/AIDS preventionin the country. Zambians report a high level of knowledge of both HIV/AIDS transmission routesand prevention strategies.13.2 KNOWLEDGE ABOUT AIDS AND WAYS TO AVOID ITTable 13.1 shows that knowledge of AIDS is nearly universal, with 99 percent of women andmen having heard of AIDS. There is no significant difference between women and men in knowledge ofAIDS. In comparison, the 2000 Sexual Behaviour Survey (SBS) indicated that 96 percent of both womenand men had heard about HIV/AIDS, while that of the 1996 ZDHS was about 100 percent of both womenand men. Exposure to higher levels of education is a key factor in improving knowledge about ways ofpreventing sexually transmitted diseases.There are no significant differences according to background characteristics in the knowledge ofAIDS. However, the proportion of women who believe AIDS can be avoided ranges from 80 percentamong women aged 15-19 to 89 percent among those age 30-39, from 59 percent in Western province to93 percent in Copperbelt province, and from 71 percent among women without any education to 99 percentamong those with more than secondary education. For men, the range in proportion of those whobelieve there is a way to avoid AIDS by province is narrower, from 85 percent in Southern province to97 percent in Central province.13.2.1 Knowledge of Ways to Avoid AIDSIn general, most Zambians know that HIV/AIDS can be prevented. Table 13.2 shows that whenasked to spontaneously mention ways to avoid AIDS, only 6 percent of women and 4 percent of men saythat AIDS is unavoidable, compared with 21 percent of women and 16 percent of men in the 2000 SBS.Among women, condom use (48 percent) is the most commonly mentioned way of avoiding HIV/AIDS,followed closely by faithfulness/limiting number of partners (46 percent) and abstinence (44 percent).AIDS/HIV/STI-Related Knowledge and Behaviour | 195
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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
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Table 5.10 Source of contraceptionP
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The pattern is slightly different f
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5.14 EXPOSURE TO FAMILY PLANNING ME
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Table 5.16.1 Exposure to specific r
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Table 5.17 shows that 18 percent of
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Table 5.19 Attitudes of couples tow
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Table 6.1 shows that one-fourth of
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Table 6.3 Age at first marriagePerc
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Table 6.5 Age at first sexual inter
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Table 6.7.1 Recent sexual activity:
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Almost four in ten (38 percent) of
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FERTILITY PREFERENCES AND UNMET NEE
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The above results show an increase
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7.3 UNMET NEED FOR FAMILY PLANNINGW
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Figure 7.4 Unmet Need for Spacing a
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The mean ideal number of children f
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Table 7.7 shows the total wanted fe
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Fifty-nine percent of all neonatal
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Table 8.3 Early childhood mortality
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Table 8.5 Early childhood mortality
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Only 27 percent of births are in a
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MATERNAL AND CHILD HEALTH9Miriam Ch
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Expectant mothers should beginanten
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There are particularly sharp differ
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Table 9.5 Place of deliveryPercent
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Table 9.7 shows that only 2 percent
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Table 9.8 Postnatal carePercent dis
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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
Page 209 and 210: Results show that almost eight out
Page 211 and 212: Table 12.5 Experience of sexual vio
Page 213: More than four out of ten never-mar
Page 217 and 218: Table 13.2 Knowledge of ways to avo
Page 219 and 220: Knowledge of HIV prevention methods
Page 221 and 222: Table 13.5 Discussion of HIV/AIDS w
Page 223 and 224: The view that HIV status of a famil
Page 225 and 226: Table 13.8 Knowledge of “Trendset
Page 227 and 228: Figure 13.1 Unmet Need for HIV Test
Page 229 and 230: Table 13.10 Men's attitudes toward
Page 231 and 232: Men in sales and services and skill
Page 233 and 234: Table 13.13 Alcohol consumption by
Page 235 and 236: Table 13.14.2 Knowledge of symptoms
Page 237 and 238: The peak age for having STI symptom
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Page 241 and 242: The practice of having multiple par
Page 243 and 244: Table 13.21 Use of condoms by type
Page 245 and 246: PREVALENCE OF HIV AND SYPHILIS 14Ku
Page 247 and 248: 14.1.2 Coverage for HIV Testing by
Page 249 and 250: 14.1.3 Approach to Weighting Syphil
Page 251 and 252: 14.2 SYPHILIS PREVALENCE RATES 1Tab
Page 253 and 254: Table 14.8 Syphilis prevalence by a
Page 255 and 256: The 2001-2002 ZDHS data can be used
Page 257 and 258: Figure 14.2 illustrates the distinc
Page 259 and 260: Figure 14.3 HIV Prevalence AmongWom
Page 261 and 262: ADULT MORTALITY15Ann A. WayData col
Page 263 and 264: 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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