Preliminary Key Findings
2013-14 Zambia Demographic and Health Survey
The 2013-14 Zambia Demographic and Health Survey was implemented by the Central Statistical Office (CSO) in partnership with the Ministry of Health as well as the University Teaching Hospital (UTH) – Virology Laboratory, the Tropical Disease Research Center (TDRC) and the Department of Population Studies at the University of Zambia (UNZA). The Government through the Ministry of Health and the Ministry of Finance provided funding for the survey. ICF International provided technical assistance as well as funding to the project through The DHS Program, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. Additional funding for the ZDHS was provided by the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the United Nations Population Fund (UNFPA), and the United Nations Children’s Fund (UNICEF).
Objectives
The primary objective of the 2013-14 ZDHS was to provide up-to-date information on fertility levels, fertility preferences, awareness and use of family planning methods, child feeding practices, nutritional status of women and children, awareness and attitudes regarding HIV and AIDS, sexual behavior and condom use, maternal and child health, adult and childhood mortality, and domestic violence. This information is intended to assist policymakers and programme managers in evaluating and designing programmes and strategies for improving health and family planning services in the country.
The Survey
• It is the 5th Demographic and Health Survey conducted in Zambia as part of The DHS Program.
• It was designed to provide estimates at the national and provincial levels as well as urban and rural levels
Survey Activities
Activity TimeListing November 2012-January 2013
Training of Trainers November 2012
Pretest February 2013
Main training May-June 2013
Data collection August 2013- April 2014
Data processing September 2013-June 2014
Results of the household and individual interviews
Households SelectedHouseholds OccupiedHouseholds Interviewed
Household Response Rate
18,05216,25815,920
98%
Eligible WomenWomen Interviewed
Response Rate
17,06416,411
96%
Eligible MenMen Interviewed
Response Rate
18,229 14,773
91%
Background characteristics
45-49
40-44
35-39
30-34
25-29
20-24
15-19
6
9
12
15
17
18
22
7
10
12
14
14
17
25
MenWomen
Percent distribution of women and men aged 15-49
Background characteristics
Lusaka
Copperbelt
Southern
Eastern
Central
Northern
Luapula
Western
Muchinga
North Western
Urban
Rural
20
17
12
12
9
7
7
6
5
4
46
54
21
18
13
13
9
7
6
5
5
4
47
53
MenWomen
Percent distribution of women and men aged 15-49
Educational Attainmentof Respondents Age 15-49
Percent of women and men age 15-49
Women Men
8 4
47
40
40
49
5 8
More than secondarySecondaryPrimaryNo education
Marital Status
Widowed
Divorced/separated
Living together
Married
Never married
4
9
1
60
28
<1
4
1
51
44
Men Women
Percent distribution of women and men age 15-49
Fertility Trends
1992 1996 2001-02 2007 2013-14
6.56.1 5.9 6.2
5.3
TFR for women age 15-49
Trends in Use of Family Planning
Any method Any modern method Traditional method
159
6
26
14 12
34
25
9
41
33
8
4945
4
1992 1996 2001-02 2007 2013-14
Percent of currently married women age 15-49
Trends in Childhood Mortality
Neonatal Mortality Infant Mortality Under-five Mortality
43
107
191
35
109
197
37
95
168
34
70
119
2445
75
1992 1996 2001-02 2007 2013-14
Deaths per 1,000 live births for the 5-year period before the survey
Trends in Immunization Coverage
1992 1996 2001-02 2007 2013-14
67
78
70 68 68
Percent of children 12-23 months fully vaccinated
Trends in Immunization CoveragePercent of children 12-23 months fully vaccinated
BCG DPT 3 Polio 3 Measles All None
95
77 76 77
67
4
97
86 84 8778
2
94
80 8084
70
3
92
80 7785
68
6
95
8678
85
68
2
1992 1996 2001-02 2007 2013-14
Childhood Illness Prevalence
Fever Diarrhoea Symptoms of ARI
2116
4
Percent of children under 5 with diarrhoea, fever, symptoms of ARI in the two weeks before the survey
Diarrhoea Treatment
Treatment was sought from a health facil-ity/ provider
Given ORS
Given any ORT
65
64
70
Percent of children under 5 with diarrhoea in the two weeks before the survey
Treatment for ARI and Fever
Treatment was sought from a health facility/ provider 68
Percent of children under 5 with symptoms of ARI in the two weeks before the survey
Treatment was sought from a health facility/ provider 70
Percent of children under 5 with fever in the two weeks before the survey
Exclusive Breastfeeding by Age
0-1 2-3 4-5 0-5
9485
45
73
Age in months
Percent of children exclusively breastfed
Nutritional Status of Children
Stunted (too short for age)
Wasted (too thin for height)
Underweight (too thin for age)
23
4
12
17
2
3
Moderate Severe
Percent of children under 5
15
40
6
*Based on the 2006 WHO Child Growth Standards
Trends in Nutritional StatusPercent of children under age 5
Stunting Wasting Underweight
46
6
21
49
5
19
53
6
23
45
5
15
40
6
15
1992 1996 2001-02 2007 2013-14
*Based on the 2006 WHO Child Growth Standards
Trends in Use of ITNs
Children under 5 Pregnant women 15-49
7.3 8.9
28.532.7
5762
2001-02 2007 2013-14
Percent who slept under an ITN the night before the survey
Trends in ANC AttendanceAmong women age 15-49 who had a live birth in the five years preceding the survey, percentage who received antenatal care from a skilled provider for the last live birth
Antenatal care from a skilled provider
92
96
93 94
96
ZDHS 1992 ZDHS 1996 ZDHS 2001-02ZDHS 2007 ZDHS 2013-2014
Trends in health facility delivery, assistance during delivery
Among all live births in the five years before the survey, percentage delivered by a skilled provider and percentage delivered in a health facility
Births delivered in a health facility Births assisted by a skilled provider
51 5047 4744 4348 47
67 64
ZDHS 1992 ZDHS 1996 ZDHS 2001-02ZDHS 2007 ZDHS 2013-2014
Maternal Mortality
Maternal mortality ratio (MMR) for the 7-year period before the survey =
398 deaths per 100,000 live births[95% Confidence Interval ranges from 323 to 474
deaths per 100,000 births]
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