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Cdc 8269 DS1.Pdf r**ttt', SA r I:R · HEALTH IER · PEOPLE: " '..•..' KI EV INT ERNATlOI" AL DEPARTl\I ENT OF HEALTH Al\'D HUl\IA l\' SERV IC ES U.S. Agency for INSTITUT E OF SOClO LO (; v Ce nte rs for Disease Control a nd Prevention Int ernati onal Development 1999 UKRAINE REPRODUCTIVE HEALTH SURVEY FINAL REPORT 1999 UKRAINE REPRODUCTIVE HEALTH SURVEY FINAL REPORT Kiev International Institute of Sociology Centers for Disease Control and Prevention, Division of Reproductive Health, USA United States Agency for International Development September, 2001 ACKNOWLEDGMENTS This report describes the 1999 Ukraine Reproductive Health Survey and its major findings. This undertaking could not have taken place successfully without the participation, support, and cooperation of a large number of individuals and organizations, both in Ukraine and the United States. Funding for the survey was provided by the United States Agency for International Development (USAID) mission in Kiev, which was also the motivating force behind the activity. The survey was capably directed by Dr. Vladimir Paniotto, president of the Kiev International Institute of Sociology (KIIS). KIIS staff members in Kiev and elsewhere in Ukraine, particularly Elena Buslayeva and Victoria Zakhozha, did an outstanding job coordinating and implementing all survey activities. Dr. Howard Goldberg coordinated technical assistance from the United States Centers for Disease Control and Prevention’s Division of Reproductive Health, which provided consultation in survey design, planning, questionnaire development,fieldwork implementation, data analysis, and report preparation. Important contributions were also made by many others working in the area of reproductive health in Ukraine, most notably at the Ukraine Ministry of Health and Johns Hopkins University/Population Communications Services. Finally, thanks go to the KIIS interviewing staff, who did an excellent job collecting the survey data, and to the many women across Ukraine who willing gave their time and cooperation to provide the information that will be so valuable to improving the health of women and children in their country. -i- Contributors This report was prepared by Howard Goldberg, Natalia Melnikova, Elena Buslayeva, and Victoria Zakhozha. The following organizations and individuals made important contributions to the 1999 Ukraine Women=s Reproductive Health Survey and the preparation of this report: Kiev International Institute of Sociology (KIIS) Vladimir Paniotto, President, Survey Director Elena Buslayeva, Assistant Director, KIIS Victoria Zakhozha, Project Manager Centers for Disease Control and Prevention (USA) Howard Goldberg, Deputy Chief, Behavioral Epidemiology and Demographic Research Branch (BEDRB), Division of Reproductive Health (DRH) Natalya Melnikova, Visiting Fellow, BEDRB, DRH Jay Friedman, Program Analyst, BEDRB, DRH Leo Morris, Chief, BEDRB, DRH David Gilbertz, Computer Programmer, DRH J. Timothy Johnson, Chief, Program Services Evaluation Section, DRH United States Agency for International Development/Kiev Teresa Ingham, Women=s Health Advisor (former), Office of Democratic and Social Transition (ODST) Marilynn Schmidt, Director, ODST Catherine Fischer, Senior Health Advisor (former), ODST Pamela Mandel, Deputy Director, ODST Alina Yurova, Health Program Coordinator, ODST Eliot Pearlman, Senior Health Advisor, ODST Boris Uspensky, Women’s Health Advisor, ODST Johns Hopkins University/Population Communications Services (JHU/PCS) Laurie Liskin, Chief, Division of Europe and New Independent States (DENIS) Paul Nary, Program Officer, DENIS Anne Sochan, Project Officer, DENIS The Futures Group, Inc. Monica Medrek, Country manager, POLICY Project Karen Foreit, Evaluation Coordinator, POLICY Project -ii- Others Petr Velebil, Institute for the Care of Mother and Child, Prague, Czech Republic Naomi Blumberg, Fellow, Office of Population, USAID/Washington Tamara K. Irkina, Deputy Head of Administration, Head of Department of Maternal and Child Health, Ukraine Ministry of Health -iii- -iv- TABLE OF CONTENTS PAGE ACKNOWLEDGMENTS...................................................................................................i CONTRIBUTORS.............................................................................................................ii LIST OF TABLES..........................................................................................................viii LIST OF FIGURES.........................................................................................................xv SUMMARY OF FINDINGS.............................................................................................1 CHAPTER I. INTRODUCTION...................................................................................11 Background The Ukraine Women’s Reproductive Health Initiative The 1999 Ukraine Reproductive Health Survey CHAPTER II. SURVEY METHODOLOGY...............................................................15 Organizational Structure Questionnaire content Survey design Data collection Response rates CHAPTER III. CHARACTERISTICS OF THE RESPONDENTS..........................19 Demographic and social characteristics Economic characteristics Marriage CHAPTER IV. PREGNANCY AND CHILDBEARING............................................31 Fertility and pregnancy levels and patterns Pregnancy outcomes Planning status of pregnancies Pregnancy intentions CHAPTER V. INDUCED ABORTION........................................................................55 Proportions of women with any abortions Current incidence of abortion Types of abortion, complications, cost -v- CHAPTER VI. INFERTILITY........................................................................................71 Prevalence of infertility Treatment of infertility CHAPTER VII. CONTRACEPTION.............................................................................79 Knowledge and ever use of contraceptive methods Current contraceptive prevalence Recent trends in contraceptive prevalence Source of contraceptive methods Reasons for not using contraception Unmet need for contraception Preference for other methods/Problems with current method Contraceptive failure and discontinuation Opinions about fertility control methods Use of non-supplied methods IUD use Oral contraceptive use Contraceptive sterilization CHAPTER VIII. CONTRACEPTIVE COUNSELING............................................127 Post-abortion/Post-partum counseling Content of counseling/Method selection Partner involvement in reproductive health decisions CHAPTER IX. INFORMATION, EDUCATION, AND COMMUNICATION ...135 Television viewing habits Radio listening habits Newspaper readership Exposure to and attitudes about health messages in the media CHAPTER X. SEXUAL EXPERIENCE...................................................................149 Sexual experience of all women First sexual experience of young adults CHAPTER XI. MATERNAL AND CHILD HEALTH / WOMEN’S HEALTH...165 Prenatal care Hospitalization during pregnancy Labor and delivery Cigarette smoking during pregnancy Breastfeeding Women’s health behaviors -vi- CHAPTER XII. SEXUALLY TRANSMITTED INFECTIONS................................187 Awareness of STI’s and lifetime history of STI diagnosis Treatment for possible symptoms of STIs Knowledge about prevention/Perceived risk of acquiring STIs CHAPTER XII. DOMESTIC VIOLENCE..................................................................199 CHAPTER XIII. CONCLUSIONS...............................................................................207 REFERENCES.................................................................................................................211 APPENDIX. Survey Questionnaire.................................................................................215 -vii- LIST OF TABLES Chapter II 2.1 Percentage distribution of household and individual final interview status, by residence Chapter III 3.1 Percentage distributions of socio-demographic characteristics of respondents, by residence 3.2 Percentage distributions of socio-demographic characteristics of respondents, by region of residence 3.3 Percentage distributions of current employment status and percent of women who live in homes with selected possessions, by residence 3.4 Percentage distributions of current marital status by age of respondent, by residence 3.5 Percent of respondents who have ever been in union and who are currently in union, by current age 3.6 Percent of women who were married or in a consensual union before selected ages by current age Chapter IV 4.1 Percentage of respondents who have had one or more live births and mean number of live births, by age at interview, by residence 4.2 Percentage of respondents who have had one or more pregnancies and mean number of pregnancies, by age at interview, by residence 4.3 Age-specific and total fertility rates, by residence, region, and education 4.4 Age-specific and total pregnancy rates, by residence, region, and education 4.5 Percent of women ever in union with any live births and percent ever pregnant, by years since first union and residence 4.6 Percentage distribution of number of live births, by current age and residence 4.7 Percentage distribution of number of live births, by number of years since first union, by residence 4.8 Percentage of women who had a live birth before selected age, by current age 4.9 Percentage distribution of number of pregnancies, by current age, by residence 4.10 Percentage distributions of outcomes of pregnancies ending since January
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