2009–10 -Leste Demographic and Health Survey (TLDHS)

The 2009–10 Timor-Leste Demographic and Health Trends in Fertility Unmet Need for Family Planning Survey (TLDHS) provides up-to-date information TFR for women for the Percent of currently married women age 15-49 on the population and health situation in Timor- 3-year period before the survey with an unmet need for family planning* Leste. The 2009–10 TLDHS is the second national demographic and health survey conducted in the 7.4 7.8 29% country. Liquiçá Lautem 5.7 Timor-Leste 29% 28% 35% 27% The survey is based on a nationally representative 4.4 31% Ermera 30% sample. It provides estimates for rural and urban 23% 31% Bobonaro Manufahi areas of the country and for each of the 13 districts. 42% 22% The survey also included anemia testing. Oecussi Covalima 40% 17% 43% Coverage 1997 2002 2003 2009-10 IDHS MICS DHS TLDHS Households interviewed 11,463 *Currently married fecund women who want to Women (age 15–49) interviewed 13,137 postpone their next birth for two or more years or Men (age 15–54) interviewed 4,076 who want to stop childbearing altogether but are not using a contraceptive method Women marry at a median age of Response rates Households interviewed 98% 20.9 and have their first birth at a Women interviewed 95% median age of 22.4. Men interviewed 92% Trends in Contraceptive Use Percent of currently married women Any method Any modern method 27 25 Literacy of Respondents Total Fertility Rate 22 21 Percent of women and men age 15-49 who are literate 20 Dili Total Urban Rural 4.6 Timor-Leste Liquiçá Lautem 89 5.5 Baucau 14 5.7 Manatuto 5.5 6.7 79 Aileu 84 75 5.6 5.5 10 Ermera Viqueque 6.6 7 7 7 68 5.6 62 Bobonaro Manufahi 6.0 Oecussi 5.9 6.6 Covalima Ainaro 4.4 7.2 1997 2002 2003 2007 2009-10 IDHS MICS DHS TLSLS TLDHS TFR for women age 15-49 for the 3-year period before the survey Women Men 2009-10 Timor-Leste Use of Mosquito Nets For additional information on the results of the 2009–10 Timor-Leste Demographic and Health Percent who slept under a mosquito net Demographic and Survey, please contact: the night before the survey Health Survey Any net ITN In Timor-Leste: 45 45 National Statistics Directorate, 41 39 41 34 P.O. Box 10 Timor-Leste Telephone: (977-1) 670-3339527 Internet: www.dne.mof.gov.tl. Fact Sheet

Children under five WomenWomen 15-49 15-49 PregnantWomen women 15-49 15-49 Women 15-49In USA: MEASURE DHS, ICF Macro 11785 Beltsville Drive Knowledge of HIV Prevention Methods Calverton, MD 20705 USA Percent who know HIV can be prevented by: Telephone: 301-572-0200 Women 15-49 Men 15-49 Fax: 301-572-0999 49 Website: www.measuredhs.com 45 36 The 2009-10 Timor-Leste Demographic and Health Sur- 30 33 26 vey (TLDHS) was implemented by the National Statistics Directorate of the Directorate General for Analysis and Research of the Ministry of Finance, under the aegis of the Ministry of Health (MOH) of Timor-Leste. ICF Mac- ro, an ICF International company, provided technical Timor-Leste Using Limiting sexual Abstaining from assistance through every phase of the survey through condoms intercourse to one sexual the USAID-funded MEASURE DHS programme. Finan- uninnfected partner intercourse cial support was provided by USAID, the Government of (AusAID), the Government of Ireland (Irish AID), the United Nations Population Fund (UNFPA), the Women’s Experience with Spousal Physical United Nations Children’s Fund (UNICEF), the United or Sexual Violence Nations Development Fund (UNDP), and the World Health Organization (WHO). UNFPA provided logistical, Dili 46% administrative, and technical assistance. Liquiçá Lautem 25% Baucau 56% Timor-Leste Aileu Manatuto 31% 11% Ermera 27% Viqueque 35% 16% 26% Bobonaro Manufahi 23% 78%

Oecussi Covalima Ainaro 55% 45% 12%

Percent of ever-married women age 15-49 who have ever experienced physical or sexual violence committed by their husband/partner 2009-10 Timor-Leste Demographic and Health Survey

Maternal and Child Health

Under-5 Mortality Trends in Immunization Coverage Percent of children 12-23 months Dili 60 Fully immunized No vaccinations Liquiçá Lautem 101 Baucau 59 Manatuto 42 98 56 Timor-Leste Aileu 69 Ermera 76 Viqueque 46 64 102 77 Bobonaro Manufahi 27 85 86 23 Oecussi 17 18 18 92 Covalima Ainaro 95 97 5 ** Deaths per 1,000 live births for the 1997 2002 2003* 2007* 2009-10* 10-year period before the survey IDHS MICS DHS TLSLS TLDHS (national rate is for the 5-year period before the survey) *Includes four doses of polio; **Unavailable

Maternal Health Care Percent of women with a live birth in the past 5 years 86

The maternal mortality ratio Photo by Pav Govindasamy, ICF Macro in Timor-Leste is 557 deaths 30 per 100,000 live births. 22

Received antenatal Received delivery Delivered in a care from a skilled care from a skilled health facility provider* provider* *Skilled provider includes doctor, nurse, midwife, or assistant nurse

Nutrition

Nutritional Status of Children Trends in Nutritional Status of Children Percent of children under 5 Percent of children under age 5 Moderate Severe 2002 MICS 2003 DHS 2009-10 TLDHS 53 53 52 Stunted 47 49 46 25 33 58 (too short for age)

Wasted 12 7 19 17 (too thin for height) 12 12

Underweight 30 15 45 Stunted Wasted Underweight (too thin for age) (too short for age) (too thin for height) (too thin for age)

Note: Based on the new WHO Child Growth Standards Note: Data for the 2009-10 TLDHS are recalculated using the NCHS/CDC/WHO

Prevalence of Anemia: Women Prevalence of Anemia: Children

Dili Dili 17% 25% Liquiçá Liquiçá Lautem Lautem 21% Baucau 26% Timor-Leste 41% Baucau Timor-Leste Manatuto 46% Aileu 17% Aileu Manatuto 51% 21% 28% 33% 38% 68% Ermera Viqueque Ermera 40% Viqueque 21% 25% 15% 44% Bobonaro Manufahi Bobonaro 26% Manufahi 13% 44% 38%

Oecussi Covalima Ainaro Oecussii Ainaro 23% 25% 10% 45% 31% Covalima Percent of women age 15-49 with any 36% anemia (<12.0 g/dl for not pregnant, Percent of children 6-59 months <11.0 g/dl for pregnant) with any anemia (<11.0 g/dl)

Percent of women age 15-49 who are thin (BMI <18.5)

Dili Timor-Leste 22% Liquiçá Lautem 27% 33% Baucau 28% Aileu Manatuto 17% 21% 21% Ermera Viqueque 31% 27% Bobonaro 40% Manufahi 30%

Oecussi Covalima Ainaro 36% 31% 21%