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IRAQ Monitoring the situation of children and women Multiple Indicator Cluster Survey 2006 Volume 1: Final Report Central Organization for Statistics & Information Technology Kurdistan Regional Statistics Office Ministry of Health United Nations Children’s Fund Iraq Multiple Indicator Cluster Survey Final Report, 2006 1 2 Iraq Multiple Indicator Cluster Survey Final Report, 2006 Monitoring the Situation of Children and Women Findings from the Iraq Multiple Indicator Cluster Survey 2006 VOLUME 1: FINAL REPORT October 2007 Implementing agencies: Central Organization for Statistics & Information Technology Kurdistan Regional Statistics Office Partner: Ministry of Health United Nations Children’s Fund Iraq Multiple Indicator Cluster Survey Final Report, 2006 i ii Iraq Multiple Indicator Cluster Survey Final Report, 2006 Contributors to the report: Consultant, Manar E. Abdel-Rahman Central Organization for Statistics & Information Technology (COSIT) Kurdistan Regional Statistics Office (KRSO) UNICEF Headquarters, MENA Regional Office and Country Office for Iraq The Iraq Multiple Indicator Cluster Survey (MICS) was carried by Central Organization for Statistics & Information Technology and Kurdistan Regional Statistics Office in collaboration with the Ministry of Health. Financial and technical support was provided by the United Nations Children’s Fund (UNICEF) . Technical support was also provided by Government of Iraq Steering Committee (MOH, MOE, MOLSA, MMPW), the United Nations Steering Committee (WHO, UNFPA, WFP), the Pan Arab Project for Family Health (PAPFAM), and MEASURE DHS/ ORC Macro. This survey was also made possible by the Canadian International Development Agency’s (CIDA) financial support. This survey was conducted as part of the third round of MICS surveys (MICS-3), carried out around the world in more than 50 countries, in 2005-2006, following the first two rounds of MICS surveys that were conducted in 1995 and in 2000. Survey tools are based on the models and standards developed by the global MICS project, designed to collect information on the situation of children and women in countries around the world. Additional information on the global MICS project may be obtained from www.childinfo.org. Suggested citation: Central Organization for Statistics & Information Technology and Kurdistan Regional Statistics Office. 2007. Iraq Multiple Indicator Cluster Survey 2006, Final Report. Iraq. Iraq Multiple Indicator Cluster Survey Final Report, 2006 iii SUMMARY TABLE OF FINDINGS Multiple Indicator Cluster Surveys (MICS) and Millennium Development Goals (MDG) Indicators, Iraq, 2006 Indicator Kurdistan Topic number Indicator National Unit Region MICS MDG FERTILITY Fertility Total fertility rate 4.3 3.8 per woman CHILD MORTALITY 1 13 Under-five mortality rate 41 40 per thousand Child mortality 7 7 per thousand Child mortality 2 14 Infant mortality rate 35 34 per thousand Post neonatal mortality 12 11 per thousand Neonatal mortality 23 23 per thousand NUTRITION 6 4 Underweight prevalence (moderate and severe) 7.6 7.9 percent (severe) 1.4 1.6 percent Nutritional 7 Stunting prevalence (moderate and severe) 21.4 13.1 percent status (severe) 7.5 3.9 8 Wasting prevalence (moderate and severe) 4.8 4.9 percent (severe) 1.2 1.2 45 Timely initiation of breastfeeding 30.6 15.2 percent 15 Exclusive breastfeeding rate 25.1 11.8 percent Continued breastfeeding rate percent 16 at 12-15 months 67.6 49.6 percent Breastfeeding at 20-23 months 35.7 32.4 percent 17 Timely complementary feeding rate 51 22 percent 18 Frequency of complementary feeding 38 15.2 percent 19 Adequately fed infants 31.8 13.6 percent Salt iodization 41 Iodized salt consumption 28.4 56.8 percent 42 Vitamin A supplementation (under-fives) 2 2.9 percent Vitamin A Vitamin A supplementation (post-partum 43 16.1 11.2 percent mothers) Low birth 9 Low birth weight infants 14.8 14.5 percent weight 10 Infants weighed at birth 44.9 43.2 percent CHILD HEALTH 25 Tuberculosis immunization coverage 91.4 96.6 percent 26 Polio immunization coverage 57 69.2 percent 27 DPT immunization coverage 52.8 62.9 percent Immunization 28 15 Measles or MMR immunization coverage 65.3 71.2 percent 29 Hepatitis B immunization coverage 49.4 72.7 percent 31 Fully immunized children 38.5 47 percent Tetanus toxoid 32 Neonatal tetanus protection 61.4 59.4 percent 33 Use of oral rehydration therapy (ORT) 30.7 26.5 percent 34 Home management of diarrhoea 15.3 30.4 percent Received ORT or increased fluids, and Care of illness 35 63.8 continued feeding 63.1 percent 23 Care seeking for suspected pneumonia 81.6 64.6 percent 22 Antibiotic treatment of suspected pneumonia 82 73.8 percent iv Iraq Multiple Indicator Cluster Survey Final Report, 2006 Indicator Kurdistan Topic number Indicator National Unit Region MICS MDG Solid fuel use 24 29 Solid fuels 4.6 5.9 percent ENVIRONMENT 11 30 Use of improved drinking water sources 79.1 96.9 percent Water and 13 Water treatment 9.2 3.3 percent Sanitation 12 31 Use of improved sanitation facilities 92.3 97.7 percent 14 Disposal of child’s faeces 40.7 48.6 percent REPRODUCTIVE HEALTH Contraception 21 19c Contraceptive prevalence 49.8 58.2 percent and unmet 98 Unmet need for family planning 10.8 13.4 percent need 99 Demand satisfied for family planning 82.2 81.3 percent 20 Antenatal care 83.8 80.2 percent 44 Content of antenatal care Blood test taken 65.9 67.4 percent Maternal and Blood pressure measured 76.2 74.2 percent newborn health Urine specimen taken 62.7 61.2 percent Weight measured 59.3 57.1 percent 4 17 Skilled attendant at delivery 88.5 88.1 percent 5 Institutional deliveries 62.6 67.8 percent CHILD DEVELOPMENT 46 Support for learning 46.4 45.4 percent 47 Father’s support for learning 54.9 54.2 percent EDUCATION 52 Pre-school attendance 2.5 3.6 percent 53 School readiness 4.2 12.7 percent 54 Net intake rate in primary education (6 years) 63.2 60.2 Net intake rate in primary education (7 years) 82.1 87.5 percent 55 6 Net primary school attendance rate 85.8 94.5 percent 56 Net secondary school attendance rate 40.1 52.5 percent Education 57 7 Children reaching grade five 95.2 92.5 percent 58 Transition rate to secondary school 78.3 84.4 percent Primary completion rate (gross) 80.9 114.3 percent 59 7b Primary completion rate (net) 43.9 49 percent Gender parity index 61 9 Primary school 0.88 0.95 ratio Secondary school 0.75 0.96 ratio Literacy 60 8 Adult literacy rate 65.6 64.2 percent CHILD PROTECTION Birth 62 Birth registration 95 98.5 percent registration 71 Child labour 10.7 6.4 percent Child labour 72 Labourer students 61.5 79.7 percent 73 Student labourers 9.5 6.4 percent Child discipline 74 Any psychological/physical punishment 83.7 68.1 percent Marriage before age 15 5.4 6.8 percent 67 Early marriage Marriage before age 18 22.6 26.1 percent 68 Young women aged 15-19 currently married 19 10 percent Iraq Multiple Indicator Cluster Survey Final Report, 2006 v Indicator Kurdistan Topic number Indicator National Unit Region MICS MDG Spousal age difference 69 Women aged 15-19 25.8 26.5 percent Women aged 20-24 21.1 21.4 percent Domestic 100 Attitudes towards domestic violence 59.1 36.7 percent violence Disability 101 Child disability 14.8 18.9 percent HIV/AIDS AND ORPHANED CHILDREN Comprehensive knowledge about HIV prevention 82 19b 2.1 0.7 percent among young people HIV/AIDS 89 Knowledge of mother- to-child transmission of HIV 18.5 20.7 percent knowledge and 86 Attitude towards people with HIV/AIDS 8 7.6 percent attitudes 87 Women who know where to be tested for HIV 6.1 3.4 percent 88 Women who have been tested for HIV 2.8 0.5 percent Support to 75 Prevalence of orphans 5.9 5.5 percent orphaned 78 Children’s living arrangements 2.4 1.5 percent children 77 20 School attendance of orphans versus non-orphans 0.84 1.10 ratio vi Iraq Multiple Indicator Cluster Survey Final Report, 2006 TABLE OF CONTENTS Summary Table of Findings ............................................................................................................................. iv Table of Contents ............................................................................................................................................. vii List of Tables ..................................................................................................................................................... ix List of Figures .................................................................................................................................................... xi List of Maps ...................................................................................................................................................... xii List of Abbreviations ...................................................................................................................................... xiii Preface ............................................................................................................................................................. xiv Acknowledgements ......................................................................................................................................... xv Executive Summary ....................................................................................................................................... xvi 1. Introduction ................................................................................................................................................. 1 1.1. Background. ....................................................................................................................................
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