Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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The coverage rate for syphilis testing was higher for women than men; this was largely due to thegreater likelihood that men were absent from the household at the time of the survey. Refusal rates werearound 15 percent for both eligible men and women.Table 14.1 shows that coverage rates for rural women and men were generally comparable;79 percent of women in rural areas agreed to the syphilis test compared with 77 percent of men. In urbanareas, there was a substantial difference in the coverage levels between men and women; 80 percent ofwomen were tested compared with 67 percent of men. Again, this was primarily due to the men’s likelihoodof being absent from the household (13 percent for men versus 3 percent for women) rather than to ahigher refusal rate among men than women.Looking at provincial patterns (Table 14.2), the coverage rate for syphilis testing was the highestin Southern province (86 percent) and lowest in Eastern province (61 percent). Generally, the highly urbanisedprovinces (Copperbelt and Lusaka) had lower coverage rates than the rest of the provinces, exceptfor Eastern and Western. The overall patterns of syphilis testing coverage by province were similar forwomen and men. However, as mentioned earlier, men in the urban provinces (Copperbelt and Lusaka)had substantially lower coverage rates than women in the same provinces.Table 14.2 Coverage of syphilis testing by province (unweighted)Percent distribution of de facto women and men eligible for syphilis testing by testing status, according to province, Zambia 2001-2002ProvinceTesting status Central Copperbelt Eastern Luapula Lusaka NorthernNorth-Western Southern Western TotalWomen 15-49Tested 87.3 82.8 63.7 82.2 77.0 77.1 83.6 87.7 72.7 79.2Refused 11.0 12.2 28.9 11.2 18.4 17.2 10.2 9.8 17.7 15.4Absent /other 1.7 3.6 4.7 0.5 2.6 2.9 6.1 0.8 3.6 3.0Interviewed in DHS 0.6 1.8 0.3 0.0 2.0 1.7 1.4 0.0 0.9 1.0Not interviewed in DHS 1.2 1.8 4.3 0.5 0.7 1.2 4.8 0.8 2.7 2.0Result missing 0.0 1.5 2.8 6.1 2.0 2.7 0.0 1.6 5.9 2.3Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 347 337 322 214 305 407 293 244 220 2,689Men 15-59Tested 83.0 68.5 59.3 81.2 62.9 76.8 83.5 83.6 60.9 73.1Refused 11.6 12.2 27.0 12.9 19.8 13.4 8.1 10.2 17.2 14.8Absent 5.1 14.1 10.3 0.5 12.0 6.0 6.5 2.2 13.5 8.1Interviewed in DHS 1.0 4.5 1.0 0.5 4.2 0.8 0.8 0.0 2.6 1.8Not interviewed in DHS 4.1 9.6 9.3 0.0 7.8 5.2 5.8 2.2 10.9 6.3Result missing 0.3 5.1 3.3 5.4 5.3 3.8 1.9 4.0 8.3 4.0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 294 311 300 186 283 367 260 225 192 2,418Total 15-49Tested 85.4 75.2 61.3 82.4 70.9 77.2 83.4 86.3 66.8 76.4Refused 11.1 12.7 28.1 11.3 18.7 15.5 9.5 9.5 17.5 15.1Absent 3.4 8.8 7.5 0.5 7.0 4.3 6.2 1.6 8.5 5.5Interviewed in DHS 0.8 3.0 0.7 0.3 3.0 1.3 1.1 0.0 1.8 1.4Not interviewed in DHS 2.6 5.8 6.8 0.3 4.0 3.0 5.0 1.6 6.8 4.1Result missing 0.2 3.4 3.2 5.8 3.3 3.0 0.9 2.7 7.3 3.0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 622 624 602 380 571 742 536 451 400 4,928226 | Prevalence of HIV and Syphilis
14.1.2 Coverage for HIV Testing by ResidenceTables 14.3 and 14.4 summarise coverage rates for HIV testing in the 2001-2002 ZDHS by residence.Overall, three out of every four eligible individuals were tested for HIV.Women in the ZDHS were slightly more likely to have been tested than men (79 percent versus73 percent). The coverage rate among women eligible for HIV testing in the 2001-2002 ZDHS fallswithin the range reported in the population-based survey used to calibrate the ANC sentinel surveillancesystem. The acceptance rate for voluntary participation in that study varied from 70-90 percent amongwomen (Fylkesnes et al., 1999).Table 14.3 Coverage for HIV testing by urban-ruralresidence (unweighted)Percent distribution of de facto women and men eligiblefor HIV testing by testing status, according to urban-ruralresidence, Zambia 2001-2002ResidenceTesting status Urban Rural TotalWomen 15-49Tested 79.5 79.3 79.4Refused 15.6 15.7 15.7Absent/other 3.3 2.9 3.0Interviewed in DHS 1.8 0.7 1.1Not interviewed in DHS 1.5 2.2 2.0Result missing 1.6 2.1 1.9Total 100.0 100.0 100.0Unweighted number 873 1,816 2,689Men 15-59Tested 66.5 76.8 73.3Refused 16.2 14.3 14.9Absent/other 13.1 5.5 8.1Interviewed in DHS 3.4 0.9 1.7Not interviewed in DHS 9.7 4.6 6.3Result missing 4.2 3.4 3.7Total 100.0 100.0 100.0Unweighted number 814 1,604 2,418Total 15-49Tested 73.3 78.1 76.5Refused 15.8 15.0 15.3Absent/other 8.1 4.2 5.5Interviewed in DHS 2.6 0.8 1.4Not interviewed in DHS 5.5 3.4 4.1Result missing 2.8 2.7 2.7Total 100.0 100.0 100.0Unweighted number 1,631 3,297 4,928Prevalence of HIV and Syphilis | 227
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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
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Table 9.10.2 Neighbourhood Health C
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No major variations were observed w
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Table 9.13 Vaccinations by backgrou
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Table 9.14 Prevalence of injections
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Eastern province has the highest pr
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Table 9.18 Diarrhoea treatmentPerce
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Table 9.20 Household knowledge and
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10.1.1 Use of Bednets by Children a
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Table 10.4 Use of antimalarial drug
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Luapula province has the highest pe
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INFANT FEEDING, NUTRITIONAL PRACTIC
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than half (51 percent) of the infan
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tamination after cleaning, the nipp
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11.2 COMPLEMENTARY FEEDING11.2.1 Ty
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Few children under two years of age
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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 and 214: More than four out of ten never-mar
Page 215 and 216: AIDS/HIV/STI-RELATED KNOWLEDGE AND1
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
Page 239 and 240: used condoms, 34 percent took medic
Page 241 and 242: The practice of having multiple par
Page 243 and 244: Table 13.21 Use of condoms by type
Page 245: PREVALENCE OF HIV AND SYPHILIS 14Ku
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
Page 265 and 266: While again not definitive, the res
Page 267 and 268: 124 | ReferencesGaisie, K., A. Cros
Page 269 and 270: SAMPLE DESIGNAppendix AA.1 INTRODUC
Page 271 and 272: Table A.2. Expected number of selec
Page 273 and 274: Similarly, a total of 2,658 potenti
Page 275 and 276: Table A.5 Sample implementation: me
Page 277 and 278: where h represents the stratum whic
Page 279 and 280: Table B.2 Sampling errors for selec
Page 287 and 288: Table B.10 Sampling errors for sele
Page 289 and 290: Table B.12 Sampling errors for sele
Page 291 and 292: DATA QUALITY TABLESAppendix CTable
Page 293 and 294: Table C.3 Completeness of reporting
Page 295 and 296: 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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Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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