Final Report (PDF, 2132K) - Measure DHS

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Although the reporting of family planning service statistics in Ondo State is incomplete, theavailable statistics indicate that by 1986, PPFN was providing services to about 4,000 new acceptors peryear and the MOH was providing services to about 8,000 new acceptors per year.1.6 Objectives of the SurveyThe primary objective of the ODHS is to provide policymakers and planners with information onfertility, family planning, maternal and child health, and infant and child mortality. The data will be usedto evaluate existing health and family planning programmes and to aid in the design of new programmes.Another objective of the survey is to test the feasibility of conducting a population-based surveyin Ondo State where, as with the rest of Nigeria, a sampling frame is available for only part of the State.A third objective is to document recent changes in population characteristics and fertility andfamily planning practices in Ondo State.1.7 Selection of Ondo State for a DHS SurveyThe ODHS differs from most other surveys in the DHS Programme which are national in scope.Ondo State was chosen for a DHS survey for two reasons. First, the Ondo State MOH expressed a needfor, and interest in, the type of data collected in DHS surveys. Second, the efforts of the NationalPopulation Board to provide a population-based sampling frame for Nigeria through the EnumerationArea Demarcation Exercise had progressed furtJaer in Ondo State than in any other state of Nigeria.Without the Enumeration Area Demarcation Exercise, it would have been difficult to implementthe ODHS. In 1985, when the survey was designed, it had been 22 years since the 1963 PopulationCensus, the last officially accepted census of Nigeria. A census was attempted in 1973 but abandonedbecause of data irregularities. By 1980 there was considerable uncertainty about the size and distributionof the national population. To rectify this situation, the National Population Bureau began theEnumeration Area Demarcation Exercise in 1983. By 1985, this project had not progressed very far,except in Ondo State, where new enumeration areas had been created in 13 of the state's 17 LocalGovernment Areas.1.8 Organization of the SurveyThe ODHS was funded by the United States Agency for International Development andimplemented by the Ondo State Ministry of Health. Technical assistance was provided by theInstitute for Resource Development, located in Columbia, Maryland. The National Population Bureauparticipated in the survey by providing one senior technical staff member from its Lagos office and themanpower for sample implementation from its Ondo State office. The United Nations Children's Fundprovided vehicles during the fieldwork phase of the survey.The ODHS survey activities took place over a 38 month period, from February 1986 to March1989. The schedule of activities is shown in Table 1.1 and described in Appendix A.Two survey instruments were used in the ODHS: a household schedule and an individualwoman's questionnaire. Both were adapted from the Model "B" Core Questionnaires of the DHSProgramme. The English version of the questionnaires is reproduced in Appendix C.3
Table 1.1Schedule of Activities for the Ondo State Demographic andHealth SurveyActivityTime PeriodSurvey Design and Questionnaire Development Feb-April 1986Preparation of Sampling Frame March-June 1986Pretest June-July 1986Household Listing in Sample PSUs July 1986Printing Questionnaires August 1986Training for Main Survey August-Sept 1986Fieldwork for Main Survey Sept 1986-Jan 1987Data Entry and Editing Sept 1986-Mar 1987Tabulations for Preliminary Report May 1987Publication of Preliminary Report August 1987Special Tabulations of Owe LGA (for UNICEF) September 1987Tabulations for First Country Report August-Nov 1987Analysis and Report Preparation Dec 1987-Mar 1989Publication of First Country Report April 1989The sample was a stratified, self-weighting probability sample, representative of the entire state.The primary sampling units were enumeration areas created by the National Population Bureau and thesecond stage units were households. Table 1.2 shows the distribution of the 90 selected primary samplingunits by Local Govemment Area and type of area (urban, rural or riverine). A household listing operationwas carried out in these sampling units and household selection was done at the survey office in Akureusing systematic random sampling. Details of the sample design are presented in Appendix A.Eligibility for the woman's questionnaire was on a de facto basis: all women aged 15-49 who hadstayed in a sample household during the previous night were eligible respondents. The sample designspecified a target of 3,600 completed interviews from female respondents. For the survey, a total of 4,213completed interviews were obtained.1.9 Population Statistics for Ondo StatePopulation statistics for Ondo State are available from two national-level surveys of Nigeria: the1980 National Demographic Sample Survey (NDSS) and the 1981-82 Nigeria Fertility Survey (NFS).The latter was conducted as part of the World Fertility Survey Programme.Three relevant publications from these surveys are National Demographic Sample Survey, OndoState (National Population Bureau and Institute for Resource Development/Westinghouse, 1988),Principal Report of the Nigeria Fertility Survey (National Population Bureau, 1984) and Nigeria FertilitySurvey, Ondo State Report (National Population Bureau and Federal Ministry of Health, 1986).Unfortunately, the last report is based on only 389 female respondents, so the information available islimited. When appropriate, statistics from the above three sources are cited in this report.4
Page 1 and 2: ONDO STATE, NIGERIADEMOGRAPHICANDHE
Page 3 and 4: This report presents the findings o
Page 5 and 6: Page4.34.44.54.64.74.8Current Use o
Page 7 and 8: PageTable 3.3Table 3.4Table 3.5Tabl
Page 9 and 10: PageTable 5.1Table 5.2Table 5.3Tabl
Page 11 and 12: PageAPPENDIX A ....................
Page 14: PREFACEThe Ondo State Demographic a
Page 17: percent of women using each) and th
Page 20 and 21: 1. BACKGROUND1.1 Geography and Hist
Page 24 and 25: Table 1.2Number of Selected Primary
Page 26 and 27: Religion and EthnicityThe majority
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Page 31 and 32: consistent with the comparable stat
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Page 40 and 41: educational attainment, differences
Page 42 and 43: distributions. The proportion with
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Page 47 and 48: Table 4.1Percentage Knowing Any Met
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Page 51 and 52: Table 4.6Percent Distribution of Al
Page 53 and 54: Table 4.7Percent Distribution of Cu
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Page 57 and 58: Figure 4.4Source of Family Planning
Page 59 and 60: 4.7 Intention to Use Contraception
Page 61 and 62: Table 4.16 presents data on wives'
Page 63 and 64: Table 4.18Percentage of Currently M
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6. MORTALITY AND HEALTH6.1 Mortalit
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Table 6.1 Infant and Child Mortalit
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Table 6.3Mean Number of Children Ev
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Table 6.5 • Percent Distribution
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For the investigation of differenti
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In considering the morbidity inform
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Cough/Difficult BreathingThe ODHS c
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Nutritional StatusNutritional statu
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Weight-for-HeightWeight-for-height
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Weight-for-AgeTable 6.13 shows the
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REFERENCESCttieh-Johnson, D., Cross
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APPENDIX ASURVEY DESIGNA.1 Sample D
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However, as shown in Table A.2, the
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A total of 32 field staff participa
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Table A.3Household Response Rate an
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APPENDIX BSAMPLING ERRORSThe result
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Table B.I List of Variables for Whi
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Table B.2 Sampling Errors (con't):
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MINISTRY OF HEALTH, ONDO STATE, NIG
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CONTINUED FROM PREVIOUS PAGENAME OF
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MINISTRY OF HEALTH, C, OVERNMENT OF
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!P............IM,RSKIPattended: pri
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i SECTION 2: REPRODUCTION. ISKIP201
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TABLE 2.1rRECORD INFORMATION STARTI
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SKIP230 CHECK: COMPARE NUMBER OF BI
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I ISECTION 3:HEALTH AND BREASTFEEDI
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316317CHECK ~2:LAST BIRTH ALIVE [ ]
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SKIP334 What was done?CIRCLECODE 1
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!TABLE 3.1(ASK QUESTIONS STARTING W
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LTABLE 3.3(ASK @UESTIONS ONLY FOR S
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TABLE 3.5CF. TABLE 2.1:ENTER NAME A
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TABLE 4: IPILL "Women can take •
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SKIP413CHECK 404:NO STERILIZATION [
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SECTIOM 5: MARRIAGE. lSKIP501 /Have
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SKIP520 kow we need some detmils ab
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SKIP606 For how long should • cou
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SKIP7e9CHECK 7@8:DOES/DID NOT WORKI
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INTERVIEWER'S OBSERVATIONS.(To be t
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