Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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PageCHAPTER 9 MATERNAL AND CHILD HEALTHMiriam Chipimo, Elizabeth Mulamfu, Martha Mulenga, and Arlinda Zhuzhuni9.1 Maternity Care ..................................................................................................... 1279.1.1 Antenatal Care.......................................................................................... 1279.1.2 Delivery and Postnatal Care...................................................................... 1329.1.3 Trends in Maternity Care Indicators .......................................................... 1379.2 Visits by Health Workers and Presence of a Neighbourhood Health Committee ... 1389.3 Women’s Perceptions of Problems in Obtaining Health Care................................ 1419.4 Child Immunisation .............................................................................................. 1439.5 Acute Respiratory Infections ................................................................................. 1479.6 Diarrhoeal Diseases .............................................................................................. 149CHAPTER 10 MALARIAMiriam Chipimo and Richard Banda10.1 Introduction ......................................................................................................... 15510.1.1 Ownership of Mosquito Nets.................................................................... 15510.1.1 Use of Bednets by Children and Pregnant Women ................................... 15610.2 Malaria Diagnosis, Case Management and Treatment ........................................... 15710.2.1 Malaria Prophylaxis during Pregnancy....................................................... 15710.2.2 Prevalence and Management of Childhood Malaria.................................. 158CHAPTER 11 INFANT FEEDING, NUTRITIONAL PRACTICES, AND NUTRITIONALSTATUS AMONG YOUNG CHILDREN AND WOMENBornwell Sikateyo, Agnes Mugala Aongola, and Arlinda Zhuzhuni11.1 Breastfeeding........................................................................................................ 16311.1.1 Initiation of Breastfeeding ......................................................................... 16311.1.2 Age Pattern of Breastfeeding ..................................................................... 16511.2 Complementary Feeding....................................................................................... 16911.2.1 Types of Complementary Foods................................................................ 16911.2.2 Frequency of Foods Consumed by Children .............................................. 17111.3 Micronutrients ...................................................................................................... 17211.3.1 Salt and Sugar Fortification ....................................................................... 172vi | Contents
Page11.3.2 Micronutrient Intake among Children ....................................................... 17511.3.3 Micronutrient Supplementation for Women ............................................. 17711.4 Household Food Security...................................................................................... 17811.5 Nutritional Status of Children under Age Five........................................................ 17911.5.1 Measures of Nutritional Status in Childhood ............................................. 17911.5.2 Trends in Children’s Nutritional Status ...................................................... 18311.6 Nutritional Status of Women ................................................................................ 183CHAPTER 12 VIOLENCE AGAINST WOMENMary Kazunga and Patrick Mumba Chewe12.1 Introduction ......................................................................................................... 18512.2 Characteristics of Respondents.............................................................................. 18612.3 Experience of Beatings or Physical Mistreatment ................................................... 18612.4 Perpetrators of Physical Violence .......................................................................... 18912.5 Frequency of Beatings........................................................................................... 18912.6 Sexual Violence by a Man..................................................................................... 19012.7 Perpetrators and Frequency of Sexual Violence in the Past 12 Months.................. 19212.8 Sexual Intercourse Forced by a Third Party ........................................................... 194CHAPTER 13 HIV/AIDS/STI-RELATED KNOWLEDGE AND BEHAVIOURMargaret T. Mwanamwenge13.1 Introduction ......................................................................................................... 19513.2 Knowledge about AIDS and Ways to Avoid It ....................................................... 19513.2.1 Knowledge of Ways to Avoid AIDS ........................................................... 19513.2.2 Knowledge of Programmatically Important Ways to Avoid HIV/AIDS ........ 19713.3 Knowledge of HIV/AIDS Transmission and its Effects............................................. 19913.4 Perception of HIV/AIDS........................................................................................ 20013.4.1 Discussion of HIV/AIDS with Partners ................................................................... 20013.4.2 Stigma Associated with HIV/AIDS ......................................................................... 20113.4.3 Discussions of Condoms in the Media................................................................... 20313.5 Testing for HIV ..................................................................................................... 20513.6 Men’s Attitudes Toward Condoms ........................................................................ 20813.7 Absence from Home and Use of Alcohol .............................................................. 21013.7.1 Absence from Home.............................................................................. 21013.7.2 Alcohol Consumption ............................................................................ 21113.8 Knowledge of Symptoms of Sexually Transmitted Infections.................................. 213Contents | vii
Page 1: ZambiaDemographic andHealth Survey2
Page 4 and 5: This report summarises the findings
Page 6: Page3.6 Women’s Employment ......
Page 11 and 12: PageA.7 Sample Selection ..........
Page 13 and 14: PageTable 3.11 Decision on use of e
Page 15 and 16: Table 7.7 Wanted fertility rates ..
Page 17 and 18: PageTable 13.5 Discussion of HIV/AI
Page 19 and 20: PREFACEThe Zambia Demographic and H
Page 21 and 22: FAMILY PLANNINGKnowledge of contrac
Page 23 and 24: According to mothers’ reports, ar
Page 25 and 26: ZAMBIALake TanganyikaLake MweruTanz
Page 27 and 28: The 1980s marked the start of the f
Page 29 and 30: the peripheral structures. An impor
Page 31 and 32: ing in private households in the co
Page 33 and 34: subjects agreed) received a referra
Page 35 and 36: confidentiality.Finally, in additio
Page 37 and 38: CHARACTERISTICS OF HOUSEHOLDS AND2R
Page 39 and 40: Figure 2.2 Distribution of De Facto
Page 41 and 42: 2.4 EDUCATIONAL LEVEL OF HOUSEHOLD
Page 43 and 44: Figure 2.3 Percent Distribution of
Page 45 and 46: Figure 2.4 Net and Gross Attendance
Page 47 and 48: 2.5 HOUSING CHARACTERISTICS ANDHOUS
Page 49 and 50: Thirty percent of households own a
Page 51 and 52: CHARACTERISTICS OF RESPONDENTS3AND
Page 53 and 54: enrolment ratios suggest that educa
Page 55 and 56: 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
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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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