Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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Sachs, J. 1999. Helping the poorest. The Economist August 14-20: 27-30.Setty-Venugopal, V. and U.D. Upadhyay. 2002. Birth spacing: Three to five saves lives. PopulationReports, Series L, No. 13. Baltimore, Maryland, USA: Johns Hopkins Bloomberg School of PublicHealth, Population Information Programme.UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance. 2000. Second generationsurveillance for HIV: The next decade. WHO/CDS/CSR/EDC/2000.5, UNAIDS/00.03E, p. 13.United Nations General Assembly. 1991. Advancement of women. Convention on the elimination of allforms of discrimination against women, report of the Secretary-General. New York: United Nations.World Health Assembly, 2001. Global strategy on infant and young child feeding. Provisional agendaitem 13.1, 2001.World Health Organisation (WHO). 1998. Complementary feeding of young children in developingcountries: A review of current scientific knowledge. Geneva: World Health Organisation.References | 125
SAMPLE DESIGNAppendix AA.1 INTRODUCTIONThe 2001-2002 Zambia Demographic and Health Survey (ZDHS) is a comprehensive nationallyrepresentative population and health survey carried out by the Central Statistical Office in partnershipwith the Central Board of Health. ORC Macro provided financial and technical assistance for the surveythrough the USAID-funded MEASURE DHS+ programme. Additional funding for the ZDHS wasreceived from the Government of Japan, UNFPA, and DANIDA.A.2 SURVEY OBJECTIVESThe principal objective of the ZDHS is to provide current and reliable data on fertility and familyplanning behaviour, child mortality, children's nutritional status, the utilization of maternal, child healthservices, knowledge and prevalence of HIV and syphilis.The population covered by the 2001-2002 ZDHS is defined as the universe of all women age 15-49 in Zambia and all men age 15-59. A sample of households was selected and all women age 15-49identified in the households were interviewed. In addition, in a subsample of one-third of all thehouseholds selected for the ZDHS, all men 15-59 were eligible to be interviewed if they were eitherpermanent residents or visitors present in the household on the night before the survey.A.3 SAMPLE DOMAINSThe Zambia DHS collected demographic and health information from a nationally representativesample of women and men age 15-49 and 15-59, respectively. The primary focus of the 2001 ZambiaDHS is to provide estimates of key population and health indicators, including fertility and mortalityrates, for the country as a whole, and for urban and rural areas separately. Also, the sample was designedto provide estimates of key variables for the nine provinces, namely, 1) Central, 2) Copperbelt, 3) Eastern,4) Luapula, 5) Lusaka, 6) Northern, 7) North-Western, 8) Southern, and 9) Western. In addition, thesample provides basic information for a total of 12 combined districts (not each separately) that are thespecial focus of the Zambia Integrated Health Programme (Livingstone, Kalomo, Chibombo, KabweUrban, Ndola Urban, Kitwe, Chipata, Lundazi, Chama, Kasama, Samfya, and Mwense).A.4 SAMPLE FRAMEZambia is divided into nine provinces. In turn, each province is subdivided in districts, eachdistrict into constituencies, and each constituency into wards. In addition to these administrative units,during the 2000 population census, each ward was subdivided into convenient areas called censussupervisory areas (CSAs), and in turn each CSA into standard enumeration areas (SEAs). In total Zambiahas 72 districts, 150 constituencies, 1,289 wards, about 4,400 CSAs, and about 16,400 SEAs. Preliminaryinformation on the counts of households and population, as well as cartographic materials were availablefrom the 2000 population census for the SEAs. Therefore, the sample frame for this survey was the list ofSEAs developed from the 2000 population census.Appendix A | 251
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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
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11.3.2 Micronutrient Intake among C
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11.3.3 Micronutrient Supplementatio
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11.4 HOUSEHOLD FOOD SECURITYFood se
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Table 11.12 Nutritional status of c
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Table 11.12 indicates that children
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VIOLENCE AGAINST WOMEN 12Mary Kazun
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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
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 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
Page 265 and 266: While again not definitive, the res
Page 267: 124 | ReferencesGaisie, K., A. Cros
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
Page 297 and 298: Provincial CoordinatorsMr Martin Nj
Page 299 and 300: Data Processing StaffMr Mathews Muv
Page 301 and 302: 286 | Appendix E
Page 303 and 304: HOUSEHOLD SCHEDULENow we would like
Page 305 and 306: LINENO.USUAL RESIDENTSAND VISITORSR
Page 307 and 308: NO. QUESTIONS AND FILTERS CODING CA
Page 309 and 310: NO. QUESTIONS AND FILTERS CODING CA
Page 311 and 312: INFORMED CONSENT FOR SYPHILIS AND H
Page 313 and 314: September 28, 20012001 ZAMBIA DEMOG
Page 315 and 316: SECTION 1. RESPONDENT’S BACKGROUN
Page 317 and 318: 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. QUESTIONS AND FILTERS CODING CA
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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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