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Transcript of Together for Health is funded by the United States Agency for International Development and...
Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration with the Academy for Educational Development and Harvard School of Public Health
Ukraine Selected FP/RH IndicatorsMOH, Center of Health StatisticsMOH, Center of Health Statistics
Reproductive Health Survey, 1999Reproductive Health Survey, 1999Demographic Health Survey, 2007Demographic Health Survey, 2007
ABORTION
Abortion Rate, per 1,000 WRA
Ukraine MOH service statistics36,4
32,1
27,3 25,823,4
21,119,5 18,6 17,2 18,0*
0
5
10
15
20
25
30
35
40
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008Source: Ukraine MOH. *There is an increase in abortion rate in 2008 because of the change in reporting requirements. In 2008, the MOH
started to collect data about the # of abortions from the medical facilities of other Ministries and from the private sector.
Abortion Ratio, per 1,000 Live Births(Ukraine MOH--service statistics data)
1 4001 290
1 1901 204
1 063
920828
716637
588503
445400
0
250
500
750
1000
1250
1500
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Source: Ukraine MOH.
Abortions per 1,000 Live Births Selected Countries & Regions
557
178
240
154
499
232247
0
150
300
450
600
Ukraine CIS EU Germany CzechRepublic
Netherland Denmark
Source: WHO Health for All Database-data for 2006
IUD and Hormonal Methods Users, per 1,000 WRA
Ukraine MOH--service statistics
203,3 197,2 194,8205,8
215,8
239,3257,5
271,8282,9 289,5 297,2 302,5 308,4
134,1136,2138,4140,9
145,6143,8147,0159,0
169,0
147,3 149,2 147,6
145,1
174,3166,3158,8148,6
108,392,0
137,8
34,3
124,2
70,262,0
47,838,2
0
50
100
150
200
250
300
350
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Total users (IUD + Hormonals)
IUD users
Hormonal methods users
Trends in Total Abortion and Contraceptive Prevalence Rates, MWRA
(UKRAINE RHS, 1999 & DHS, 2007)1,6
0,4
38%
48%
0
0,2
0,4
0,6
0,8
1
1,2
1,4
1,6
1,8
1999 2007
To
tal
abo
rtio
n r
ate
0%
10%
20%
30%
40%
50%
60%
Mo
der
n C
on
trac
epti
ve P
reva
len
ce
Rat
e
Total abortion rate Modern method CPR
CONTRACEPTIVEUSE
Percent of Married WRA using a Modern Contraceptive Method
(UKRAINE RHS, 1999 & DHS, 2007)
38%
48%
0%
25%
50%
75%
100%
URHS, 1999 DHS, 2007
Use of Modern & Traditional Contraceptive Methods (MWRA), Selected Countries & Regions
54%
70% 70%
36%
48%
19%
7%
26%
6%4%
0%
20%
40%
60%
80%
Ukraine World E. Europe W. Europe U.S.
Modern
Traditonal
Source: UN World Contraceptive Use 2005; Ukraine DHS 2007
Percent of Women who are Married or in Union using Selected Methods
3%
5%
19% 18%
14%
24%
2% 2%
0%
10%
20%
30%
Pill IUD Male condoms Spermicides &Sterilization
URHS, 1999
UDHS, 2007
Source: Ukraine RHS 1999 and DHS 2007
1%2%
5%
23%
37%
5%
8%
47%
7%
16%14% 14%
1%
5%
26%
7%
11%
18%
5%
13%11%
24%
19%
4%6%
0%
10%
20%
30%
40%
50%
Ukraine E. Europe W. Europe World United States
Sterilization
Pill
IUD
Condom
Traditional
Source: UN World Contraceptive Use 2005; Ukraine DHS 2007
Contraceptive Use by Method, MWRA Selected Countries & Regions
Percent of Women who are Married or in Union using Modern Contraception, by
Urban/Rural
42%50%
27%
42%
0%
20%
40%
60%
80%
100%
Urban WRA Rural WRA
URHS, 1999UDHS, 2007
Source: Ukraine RHS 1999 and DHS 2007
Percent of Women who are Married or in Union using Traditional Methods
27%19%
36%
20%
0%
20%
40%
60%
80%
100%
Urban WRA Rural WRA
URHS, 1999UDHS, 2007
Source: Ukraine RHS 1999 and DHS 2007
POPULATIONKNOWLEDGE
AND BEHAVIOR
Youth knowledge of modern contraceptive methods is high
(age 15-24)
23%
47% 50%
65%
74%
96% 99%94%
0%
25%
50%
75%
100%
Implants Injectables Emergencycc.
Malesterilization
Femalesterilization
Pill IUD Condoms
Source: UDHS, 2007
Knowledge of traditional contraceptive methods (age 15-49)
16%
90%96%
0%
25%
50%
75%
100%
folk method rhythm withdrawal
Source: UDHS, 2007
The missed opportunity - contacts of nonusers with FP providers
4%
10%
44%
0%
10%
20%
30%
40%
50%
women who were visited byhealth worker who discussed
FP
women who visited a healthfacility&discussed FP
women who visited a healthfacility&did not discuss FP
Source: UDHS, 2007
Condoms Use at first sex, age 15-24
45%
50%
10%
20%
30%
40%
50%
Women Men
Source: UDHS, 2007
Condom use during premarital sexual intercourse among youth,
age 15-24
73%69%
10%
20%
30%
40%
50%
60%
70%
80%
Never-marriedwomen
Never-married men
Source: UDHS, 2007
Main Contraception Sources for condoms & pills
60%
27%
91%
9%
0%
20%
40%
60%
80%
100%
condoms pills
Pharmacy
friends/relatives, other
Source: UDHS, 2007
THANK YOU!
This presentation is made possible by the generous support of the American people through the
United States Agency for International Development (USAID).
The contents are the responsibility of JSI Research & Training Institute, Inc. and do not necessarily reflect the views of
USAID or the United States Government.