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Demographic and Health Survey 2015

Afghanistan, 2015 - 2016
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AFG_2015_DHS_v01_M
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Central Statistics Organization (CSO), Ministry of Public Health (MoPH)
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Jul 05, 2017
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Jul 06, 2017
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Questionnaires
Afghanistan Demographic and Health Survey 2015, Household Questionnaire
Author(s) Central Statistics Organization and Ministry of Public Health
Date 2015-06-01
Country Afghanistan
Language English
Download N/A
Afghanistan Demographic and Health Survey 2015, Ever-Maried Woman's Questionnaire
Author(s) Central Statistics Organization and Ministry of Public Health
Date 2015-06-01
Country Afghanistan
Language English
Download N/A
Afghanistan Demographic and Health Survey 2015, Ever-Married Man's Questionnaire
Author(s) Central Statistics Organization and Ministry of Public Health
Date 2015-06-01
Country Afghanistan
Language English
Download N/A
Reports
Afghanistan Demographic and Health Survey 2015, Report
External link
Author(s) Central Statistics Organization, Ansari Watt, Kabul, Afghanistan Ministry of Public Health, Wazir Akbar Khan, Kabul, Afghanistan The DHS Program, ICF, Rockville, Maryland, USA
Date 2017-01-01
Country Afghanistan
Language English
Table of contents TABLES AND FIGURES .................................................................................................... vii
FOREWORD..........................................................................................................................xv
CONTRIBUTORS TO THE REPORT ............................................................................ xvii
READING AND UNDERSTANDING TABLES FROM THE 2015 AFDHS ................ xix
ADDITIONAL DHS PROGRAM RESOURCES .......................................................... xxvii
ACRONYMS AND ABBREVIATIONS .......................................................................... xxix
MAP OF AFGHANISTAN .............................................................................................. xxxii

1 INTRODUCTION AND SURVEY METHODOLOGY ..........................................1
1.1 Survey Objectives ..............................................................................................1
1.2 Sample Design ...................................................................................................1
1.3 Questionnaires....................................................................................................2
1.4 Pretest .................................................................................................................3
1.5 Training of Trainers ...........................................................................................3
1.6 Training of Field Staff .......................................................................................3
1.7 Fieldwork ...........................................................................................................4
1.7.1 Fieldwork Challenges ............................................................................4
1.8 Data Processing ..................................................................................................4
1.9 Response Rates ..................................................................................................5

2 HOUSING CHARACTERISTICS AND HOUSEHOLD POPULATION ............7
2.1 Drinking Water Sources and Treatment ............................................................7
2.2 Sanitation ...........................................................................................................8
2.3 Other Household Characteristics .......................................................................9
2.4 Household Wealth ..............................................................................................9
2.5 Hand Washing ..................................................................................................10
2.6 Household Population and Composition .........................................................10
2.7 Birth Registration .............................................................................................11
2.8 Children’s Living Arrangements and Parental Survival ..................................11
2.9 Education .........................................................................................................12
2.9.1 Educational Attainment .......................................................................12
2.9.2 School Attendance ...............................................................................12
2.9.3 Reasons for Not Attending School ......................................................13

3 CHARACTERISTICS OF RESPONDENTS .........................................................31
3.1 Basic Characteristics of Survey Respondents ..................................................31
3.2 Education and Literacy ....................................................................................31
3.3 Mass Media Exposure ......................................................................................33
3.4 Employment .....................................................................................................34
3.5 Occupation .......................................................................................................34
3.6 Tobacco and Drug Use.....................................................................................35
3.7 Knowledge of Tuberculosis .............................................................................36
3.8 Knowledge of Hepatitis ...................................................................................36
3.9 Hepatitis Prevalence.........................................................................................36
3.10 Cancer Prevalence and Deaths Related to Cancer ...........................................37

4 MARRIAGE AND SEXUAL ACTIVITY ...............................................................61
4.1 Marital Status ...................................................................................................61
4.2 Polygyny ..........................................................................................................62
4.3 Age at First Marriage .......................................................................................63
4.4 Age at First Sexual Intercourse ........................................................................64
4.5 Recent Sexual Activity ....................................................................................65

5 FERTILITY................................................................................................................77
5.1 Current Fertility ...............................................................................................77
5.2 Children Ever Born and Living........................................................................79
5.3 Birth Intervals ..................................................................................................79
5.4 Insusceptibility to Pregnancy ...........................................................................80
5.5 Age at First Birth .............................................................................................80
5.6 Teenage Childbearing ......................................................................................81

6 FERTILITY PREFERENCES .................................................................................91
6.1 Desire for Another Child .................................................................................91
6.2 Ideal Family Size .............................................................................................92
6.3 Fertility Planning Status ...................................................................................93
6.4 Wanted Fertility Rates .....................................................................................94

7 FAMILY PLANNING .............................................................................................103
7.1 Contraceptive Knowledge and Use ................................................................104
7.2 Source of Modern Contraceptive Methods ....................................................106
7.3 Informed Choice ............................................................................................107
7.4 Discontinuation of Contraceptives .................................................................107
7.5 Demand for Family Planning .........................................................................108
7.6 Contact of Nonusers with Family Planning Providers ...................................110

8 INFANT AND CHILD MORTALITY ..................................................................127
8.1 Early Childhood Mortality .............................................................................128
8.2 Biodemographic Risk Factors ........................................................................129
8.3 Perinatal Mortality .........................................................................................130

9 MATERNAL HEALTH CARE ..............................................................................135
9.1 Antenatal Care Coverage and Content ...........................................................136
9.1.1 Skilled Providers ................................................................................136
9.1.2 Timing and Number of ANC Visits ...................................................136
9.2 Components of ANC Visits ...........................................................................137
9.3 Protection against Neonatal Tetanus ..............................................................137
9.4 Delivery Services ...........................................................................................138
9.4.1 Institutional Deliveries .......................................................................138
9.4.2 Skilled Assistance during Delivery ....................................................139
9.4.3 Delivery by Cesarean .........................................................................140
9.5 Postnatal Care ................................................................................................140
9.5.1 Postnatal Health Check for Mothers ..................................................140
9.5.2 Postnatal Health Checks for Newborns .............................................141
9.6 Problems in Accessing Health Care ...............................................................142

10 CHILD HEALTH ....................................................................................................159
10.1 Birth Weight...................................................................................................159
10.2 Vaccination of Children .................................................................................160
10.3 Symptoms of Acute Respiratory Infection ....................................................162
10.4 Fever ..............................................................................................................162
10.5 Diarrheal Disease ...........................................................................................163
10.5.1 Prevalence of Diarrhea .......................................................................163
10.5.2 Treatment of Diarrhea ........................................................................163
10.5.3 Feeding Practices ...............................................................................164
10.5.4 Knowledge of ORS Packets ...............................................................165
10.6 Disposal of Children’s Stools ........................................................................165

11 NUTRITION OF CHILDREN AND WOMEN ....................................................185
11.1 Infant and Young Child Feeding Practices ....................................................185
11.1.1 Breastfeeding .....................................................................................185
11.1.2 Exclusive Breastfeeding.....................................................................186
11.1.3 Median Duration of Breastfeeding.....................................................187
11.1.4 Complementary Feeding ....................................................................187
11.1.5 Minimum Acceptable Diet .................................................................188
11.2 Micronutrient Intake and Supplementation among Children.........................189
11.3 Presence of Iodized Salt in Households .........................................................190
11.4 Micronutrient Intake among Mothers ............................................................190

12 MALARIA ................................................................................................................201
12.1 Ownership of Insecticide-Treated Nets .........................................................202
12.2 Household Access and Use of ITNs ..............................................................203
12.3 Use of ITNs by Children and Pregnant Women ............................................204
12.4 Case Management of Malaria in Children .....................................................204

13 HIV/AIDS-RELATED KNOWLEDGE, ATTITUDES, AND BEHAVIOR .....215
13.1 HIV/AIDS Knowledge, Transmission, and Prevention Methods ..................216
13.2 Knowledge about Mother-to-Child Transmission .........................................218
13.3 HIV/AIDS Attitudes ......................................................................................218
13.3.1 Attitudes toward People Living with HIV/AIDS ................................218
13.3.2 Attitudes toward Negotiating Safer Sexual Relations with Husbands ..............219
13.3.3 Attitudes toward Condom Education for Young People ...................219
13.4 Coverage of HIV Testing Services ................................................................220
13.5 Male Circumcision .........................................................................................220
13.6 Self-reporting of Sexually Transmitted Infections ........................................220
13.7 Injections ........................................................................................................221
13.8 HIV/AIDS-Related Knowledge and Behavior among Young People ...........221
13.8.1 Knowledge ..........................................................................................221
13.8.2 First Sex ..............................................................................................222
13.8.3 Coverage of HIV Testing Services .....................................................222

14 ADULT AND MATERNAL MORTALITY .........................................................245
14.1 Data ................................................................................................................245
14.2 Direct Estimates of Adult Mortality ..............................................................246
14.3 Direct Estimates of Pregnancy-related Mortality ..........................................247

15 WOMEN’S EMPOWERMENT .............................................................................251
15.1 Married Women’s and Men’s Employment ..................................................251
15.2 Control over Women’s Earnings ...................................................................252
15.3 Control over Men’s Earnings .........................................................................253
15.4 Women’s and Men’s Ownership of Assets ....................................................253
15.5 Women’s Participation in Decision Making ..................................................254
15.6 Attitudes toward Wife Beating ......................................................................255

16 DOMESTIC VIOLENCE .......................................................................................273
16.1 Measurement of Violence ..............................................................................274
16.2 Experience of Physical Violence from Anyone .............................................274
16.2.1 Prevalence of Physical Violence ........................................................274
16.2.2 Perpetrators of Physical Violence ......................................................275
16.3 Marital Control...............................................................................................275
16.4 Spousal Violence ...........................................................................................276
16.4.1 Prevalence of Spousal Violence.........................................................276
16.4.2 Onset of Spousal Violence .................................................................279
16.5 Injuries due to Spousal Violence ...................................................................279
16.6 Violence Initiated by Women against Husbands ...........................................280
16.7 Response to Violence .....................................................................................280
16.7.1 Help Seeking Behavior to Stop the Violence ....................................280
16.7.2 Sources for Help ................................................................................280

17 FISTULA ..................................................................................................................299
17.1 Womens’ Knowledge of Fistula ....................................................................299
17.2 Self-Reported Symptoms and Treatment .......................................................300
17.2.1 Self-reported Fistula Symptoms ........................................................300
17.2.2 Treatment Seeking for Fistula ............................................................300

REFERENCES .....................................................................................................................307
APPENDIX A SAMPLE DESIGN.................................................................................309
APPENDIX B ESTIMATES OF SAMPLING ERRORS ...........................................319
APPENDIX C DATA QUALITY TABLES ..................................................................359
APPENDIX D QUESTIONNAIRES .............................................................................365
Download http://dhsprogram.com/pubs/pdf/FR323/FR323.pdf
Afghanistan 2015 Demographic and Health Survey, Key Findings
External link
Author(s) The DHS Program
Date 2017-01-01
Country Afghanistan
Language English
Download http://dhsprogram.com/pubs/pdf/SR236/SR236.pdf
Afghanistan 2015 Demographic and Health Survey, Wall Chart
External link
Author(s) The DHS Program
Date 2017-01-01
Country Afghanistan
Language English
Download http://dhsprogram.com/pubs/pdf/DM99/DM99.pdf
Fast Facts from The 2015 Afghanistan Demographic and Health Survey
External link
Author(s) The DHS Program
Date 2017-01-01
Country Afghanistan
Language English
Download http://dhsprogram.com/pubs/pdf/DM101/DM101.pdf
2015 Afghanistan Demographic and Health Survey (AfDHS) , Flyer
External link
Author(s) The DHS Program
Date 2017-01-01
Country Afghanistan
Language English
Download http://dhsprogram.com/pubs/pdf/DM100/DM100.pdf
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