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Ukraine Demographic and Health Survey 2007 [FR210]

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Ukraine Demographic and Health Survey 2007 [FR210] Ukraine 2007 Ukraine Demographic and Health Survey Demographic and Health Survey 2007 UKRAINE DEMOGRAPHIC AND HEALTH SURVEY 2007 Ukrainian Center for Social Reforms Kyiv, Ukraine State Statistical Committee Kyiv, Ukraine Ministry of Health Kyiv, Ukraine Macro International Inc. Calverton, Maryland, U.S.A. September 2008 This report summarizes the findings of the 2007 Ukraine Demographic and Health Survey (UDHS) carried out by the Ukrainian Center for Social Reforms and the State Statistical Committee of Ukraine. Macro International Inc. provided technical assistance through the MEASURE DHS project and the United States Agency for International Development (USAID) provided funding under the terms of contract number GPO-C-00-03-00002-00. The views expressed in this report are those of the authors and do not necessarily reflect the views of the United States Agency for International Development or the United States Government or the Government of Ukraine. The 2007 UDHS is part of the worldwide Demographic and Health Surveys program, which is designed to assist developing countries to collect data on fertility, reproductive health, maternal and child health, nutrition, and HIV/AIDS. Additional information about the survey may be obtained from: Ukrainian Center for Social Reforms, 26, Panasa Myrnogo Street, Kyiv, 01011, Ukraine, (Telephone/Fax: +380-44-280-8210; E-mail: [email protected]) and from the State Statistical Committee of Ukraine, 3, Shota Rustavely Street, Kyiv- 23,01023, Ukraine (Telephone: +380-287-24-33, Fax: +380-235-37-39; E-mail: [email protected]). Additional information about the MEASURE DHS project may be obtained from: Macro International Inc., 11785 Beltsville Drive, Suite 300, Calverton, MD 20705, USA (Telephone: 1-301-572-0200; Fax: 1-301-572-0999; Email: [email protected]; Internet: www.measuredhs.com). Cover photo: The Kyivan Cave Monastery (Kyievo-Pecherska Lavra) is an Orthodox monastery founded in the mid-11th century on the hilly banks of the Dnieper River in Kiev. It is part of an architectural complex that includes eight churches. It figures prominently in the history of the Ukrainian people and is one of the most important spiritual and cultural sites in Ukraine. Recommended citation: Ukrainian Center for Social Reforms (UCSR), State Statistical Committee (SSC) [Ukraine], Ministry of Health (MOH) [Ukraine], and Macro International Inc. 2008. Ukraine Demographic and Health Survey 2007. Calverton, Maryland, USA: UCSR and Macro International. CONTENTS TABLES AND FIGURES ....................................................................................................................ix PREFACE ......................................................................................................................................... xv ACKNOWLEDGEMENTS............................................................................................................... xvii SUMMARY OF FINDINGS............................................................................................................. xix MAP OF UKRAINE....................................................................................................................... xxvi CHAPTER 1 INTRODUCTION 1.1 Geography and Population ........................................................................................1 1.2 Characteristics of the Health System of Ukraine .........................................................2 1.2.1 Network of Health Institutions, System of Management and Funding, and Basic Problems of the Health System ...................................................2 1.2.2 Specific Health Care Services and selected Programs ..................................3 1.3 Systems for Collecting Demographic and Health Data ...............................................5 1.4 Objectives and Organization of the Survey ................................................................5 1.4.1 Sample Design and Implementation ...........................................................6 1.4.2 Questionnaires ...........................................................................................6 1.4.3 Training of Field Staff..................................................................................7 1.4.4 Fieldwork and Data Processing ...................................................................7 1.5 Response Rates..........................................................................................................8 CHAPTER 2 HOUSEHOLD POPULATION AND HOUSING CHARACTERISTICS 2.1 Characteristics of the Population................................................................................9 2.1.1 Age-Sex Structure.......................................................................................9 2.1.2 Children’s Living Arrangements and Orphanhood.....................................11 2.1.3 Household Composition...........................................................................12 2.1.4 Education .................................................................................................12 2.2 Housing Characteristics............................................................................................15 2.3 Wealth Quintiles .....................................................................................................19 CHAPTER 3 BACKGROUND CHARACTERISTICS OF RESPONDENTS 3.1 Background Characteristics of Respondents .............................................................21 3.2 Educational Level of Respondents............................................................................22 3.3 Exposure to Mass Media ..........................................................................................24 3.4 Employment............................................................................................................25 3.5 Occupation .............................................................................................................29 3.6 Employment Characteristics.....................................................................................30 3.7 Male Circumcision...................................................................................................31 CHAPTER 4 FERTILITY 4.1 Current Fertility .......................................................................................................33 4.2 Fertility Differentials by Background Characteristics .................................................34 4.3 Fertility Trends.........................................................................................................36 4.4 Children Ever Born and Living .................................................................................36 4.5 Birth Intervals..........................................................................................................37 Contents | iii 4.6 Age at First Birth ......................................................................................................39 4.7 Teenage Pregnancy and Motherhood ......................................................................41 CHAPTER 5 FAMILY PLANNING 5.1 Knowledge of Contraceptive Methods .....................................................................43 5.2 Ever Use of Contraception .......................................................................................44 5.3 Current Use of Contraception..................................................................................46 5.4 Current Use of Contraception by Background Characteristics...................................47 5.5 Trends in Current Use of Family Planning ................................................................48 5.6 Number of Children at First Use of Contraception ...................................................49 5.7 Knowledge of Fertile Period.....................................................................................49 5.8 Source of Contraception..........................................................................................50 5.9 Payment of Fees for Modern Contraceptive Methods...............................................51 5.10 Informed Choice .....................................................................................................51 5.11 Contraceptive Discontinuation.................................................................................52 5.12 Future Contraception...............................................................................................53 5.13 Reasons for Nonuse of Contraception......................................................................54 5.14 Preferred Method of Contraception for Future Use..................................................54 5.15 Exposure to Family Planning Messages.....................................................................55 5.16 Contact of Nonusers with Family Planning Providers................................................56 5.17 Husband’s Knowledge of Wife’s Use of Contraception ............................................57 CHAPTER 6 ABORTION 6.1 Pregnancies Ending in Induced Abortion..................................................................59 6.2 Lifetime Experience with Induced Abortion .............................................................60 6.3 Rates of Induced Abortion .......................................................................................61 6.4 Use of Contraceptive Methods Before Abortion .......................................................63 CHAPTER 7 OTHER PROXIMATE DETERMINANTS OF FERTILITY 7.1 Current
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