Together for Health is funded by the United States Agency for International Development and...

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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 Indicators MOH, Center of Health Statistics MOH, Center of Health Statistics Reproductive Health Survey, 1999 Reproductive Health Survey, 1999 Demographic Health Survey, 2007 Demographic Health Survey, 2007

Transcript of Together for Health is funded by the United States Agency for International Development and...

Page 1: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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

Page 2: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

ABORTION

Page 3: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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.

Page 4: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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.

Page 5: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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

Page 6: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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

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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

Page 8: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

CONTRACEPTIVEUSE

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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

Page 10: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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

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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

Page 12: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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

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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

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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

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POPULATIONKNOWLEDGE

AND BEHAVIOR

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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

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Knowledge of traditional contraceptive methods (age 15-49)

16%

90%96%

0%

25%

50%

75%

100%

folk method rhythm withdrawal

Source: UDHS, 2007

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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

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Condoms Use at first sex, age 15-24

45%

50%

10%

20%

30%

40%

50%

Women Men

Source: UDHS, 2007

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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

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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

Page 22: Together for Health is funded by the United States Agency for International Development and implemented by JSI Research & Training Institute, Inc. in collaboration.

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.