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Liberia Demographic and Health Survey 1986 [FR22]

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Liberia Demographic and Health Survey 1986 [FR22] Liberia Demographic and Health Survey 1986 Bureau of Statistics Ministry of Planning and Economic Affairs ®DHS Demographic and Health Surveys Institute for Resource Development/Westinghouse REPUBLIC OF LIBERIA LIBERIA DEMOGRAPHIC AND HEALTH SURVEY 1986 by Dorothy Chieh-Johnson Anne R. Cross Ann A. Way Jeremiah M. Sullivan Bureau of Statistics Ministry of Planning and Economic Affairs Monrovia, Liberia and Institute .for Resource Development/Westinghouse Columbia, Maryland, U.S.A. February 1988 This report presents the findings of the Liberia Demographic and Health Survey, implemented by the Ministry of Planning and Economic Affairs in 1986. The survey is part of the worldwide Demographic and Health Surveys (DHS) Programme which is designed to collect data on fertility, family planning, and maternal and child health. Additional information on this survey can be ob- tained from the Ministry of Planning and Economic Affairs, P.O. Box 9016, Monrovia, Liberia. The Liberia Demographic and Health Survey was carried out with the assistance of the In- stitute for Resource Development (IRD), a subsidiary of Westinghouse Electric Corporation, with offices in Columbia, Maryland. Funding for the survey was provided under a contract with the U.S. Agency for International Development (Contract No. DPE--3023-C~30-4083-00). Addition- al information about the DHS program can be obtained by writing to: DHS, IRD/Westinghouse, P.O. Box 866, Columbia, MD, 21044, U.S.A. (Telex 87775). CONTENTS Page CONTENTS ......................................................................... iii TABLES ............................................................................. v FIGURES ............................................................................ ix PREFACE ........................................................................... xi MAP OF LIBERIA ................................................................... xiv SUMMARY ......................................................................... 1 1. BACKGROUND 1.1 History ....................................................................... 3 1.2 Geography and Climate .......................................................... 4 1.3 Economy ..................................................................... 4 1.4 Educational System ............................................................. 5 1.5 Religion ..................................................................... 5 1.6 Population .................................................................... 6 1.7 Population and Family Planning Policies and Programs ................................ 7 1.8 Health Priorities and Programs .................................................... 7 1.9 Objectives of the Survey ......................................................... 8 1.10 Organization of the Survey ....................................................... 8 1.11 Background Characteristics of the Surveyed Women ................................... 9 2. MARRIAGE AND EXPOSURE TO THE RISK OF PREGNANCY 2.1 Current Marital Status ........................................................... 15 2.2 Polygyny ..................................................................... 16 2.3 Age at First Union .............................................................. 18 2.4 Exposure to the Risk of Pregnancy ................................................. 20 2.5 Breastfeeding, Postpartum Amenorrhea and Abstinence ................................ 23 3. FERTILITY 3.1 Fertility Data .................................................................. 29 3.2 Levels and Differentials in Fertility ................................................. 29 3.3 Fertility Trends ................................................................. 31 3.4 Children Ever Born ............................................................. 32 3.5 Age at First Birth ............................................................... 34 iii Page 4. CONTRACEPTIVE KNOWLEDGE AND USE 4.1 Contraceptive Knowledge ........................................................ 37 4.2 EverUse of Contraception ........................................................ 39 4.3 Current Use of Contraception ..................................................... 40 4.4 Source for Methods ............................................................. 43 4.5 Attitude about Pregnancy and Reasons for Non-use ................................... 46 4.6 Intention To Use In the Future ..................................................... 48 4.7 Approval of the Use of Family Planning Methods ..................................... 49 5. FERTILITY PREFERENCES 5.1 Introduction ................................................................... 53 5.2 Future Fertility Preferences ....................................................... 53 5.3 Ideal Number of Children ........................................................ 59 5.4 Unwanted Fertility .............................................................. 60 6. MORTALITY AND HEALTH 6.1 Mortality ..................................................................... 63 6.2 Maternity Care ................................................................. 70 6.3 Child Health Indicators .......................................................... 71 APPENDIX A: SURVEY DESIGN ..................................................... 83 Sample Design and Implementation ................................................... 83 Characteristics of the Sample ........................................................ 85 APPENDIX B: ESTIMATES OF SAMPLING ERROR ..................................... 87 APPENDIX C: SURVEY QUESTIONNAIRES ........................................... 95 REFERENCES ...................................................................... 117 iv TABLES Page 1.1 PERCENT DISTRIBUTION OF WOMEN AGED 15--49 BY BACKGROUND CHARACTERISTICS, LIBERIA, 1974, 1984, AND 1986 ............................... 10 1.2 PERCENT DISTRIBUTION OF WOMEN BY EDUCATION, ACCORDING TO BACKGROUND CHARACTERISTICS, LIBERIA 1986 ............................... 12 2.1 PERCENT DISTRIBUTION OF WOMEN BY CURRENT MARITAL STATUS, ACCORDING TO CURRENT AGE, LIBERIA 1986 ................................... 15 2.2 PERCENTAGE OF WOMEN WHO HAVE NEVER MARRIED BY AGE GROUP, LIBERIA, 1974, 1984, AND 1986 ........................................................... 16 2.3 PERCENTAGE OF CURRENTLY MARRIED WOMEN WHO ARE IN A POLYGYNOUS UNION, BY AGE, ACCORDING TO BACKGROUND CHARACTERISTICS, LIBERIA 1986 .................................................................. 17 2.4 PERCENT DISTRIBUTION OF WOMEN BY AGE AT FIRST UNION AND MEDIAN AGE AT FIRST UNION, ACCORDING TO CURRENT AGE, LIBERIA 1986 ................... 19 2.5 MEDIAN AGE AT FIRST UNION AMONG WOMEN AGED 20-49 BY CURRENT AGE, ACCORDING TO BACKGROUND CHARACTERISTICS, LIBERIA 1986 ................ 21 2.6 PERCENT DISTRIBUTION OF CURRENTLY MARRIED WOMEN BY EXPOSURE STATUS, ACCORDING TO AGE, LIBERIA 1986 ..................................... 22 2.7 PERCENTAGE OF WOMEN WHO ARE CURRENTLY EXPOSED TO THE RISK OF PREGNANCY, BY MARITAL STATUS, ACCORDING TO AGE, LIBERIA 1986 ........... 23 2.8 PROPORTIONS OF WOMEN STILL BREASTFEEDING, POSTPARTUM AMENORRHEIC, AND ABSTAINING, BY MONTHS SINCE BIRTH, AND MEDIAN AND MEAN DURATIONS OF BREASTI~tzEDING, AMENORRHEA AND ABSTINENCE, LIBERIA, 1986 .......................................................................... 24 2.9 MEAN DURATION OF POSTPARTUM BREASTI~EEDING, AMENORRI-IEA, AND SEXUAL ABSTINENCE (CURRENT STATUS ESTIMATE BASED ON BIRTHS WITHIN 36 MONTHS OF THE INTERVIEW DATE), ACCORDING TO BACKGROUND CHARACTERISTICS OF MOTHER, LIBERIA, 1986 .................................. 26 3.1 TOTAL FERTILITY RATES FOR 198346, 1980-82, AND THE FIVE-YEAR PERIOD IMMEDIATELY PRIOR TO THE SURVEY AND MEAN NUMBER OF CHILDREN EVER BORN TO WOMEN 40-49, ACCORDING TO BACKGROUND CHARACTERISTICS, LIBERIA, 1986 ................................................................. 30 3.2 AGE-SPECIFIC FERTILITY RATES (PER THOUSAND WOMEN) FOR FIVE-YEAR PERIODS PRIOR TO THE SURVEY, LIBERIA, 1986 ................................. 32 3.3 PERCENT DISTRIBUTION OF ALL WOMEN AND CURRENTLY MARRIED WOMEN BY NUMBER OF CHILDREN EVER BORN, ACCORDING TO AGE, LIBERIA, 1986 ......... 33 V Page 3,4 MEAN NUMBER OF CHILDREN EVER BORN TO EVER-MARRIED WOMEN AGED 15--49, ACCORDING TO AGE AT FIRST MARRIAGE AND YEARS SINCE FIRST MARRIAGE, LIBERIA, 1986 ..................................................... 34 3.5 PERCENT DISTRIBUTION OF ALL WOMEN BY AGE AT FIRST BIRTH, ACCORDING TO CURRENT AGE, LIBERIA, 1986............................................... 35 3.6 MEDIAN AGE AT FIRST BIRTH AMONG WOMEN AGED 20-49, ACCORDING TO CURRENT AGE AND BACKGROUND CHARACTERISTICS OF WOMEN, LIBERIA, 1986 .......................................................................... 36 4.1 PERCENTAGE KNOWING ANY CONTRACEPTIVE METHOD AND KNOWING A SOURCE (FOR INFORMATION OR SERVICES) FOR A METHOD AMONG ALL WOMEN AND CURRENTLY MARRIED WOMEN BY METHOD, LIBERIA, 1986 ................. 38 4.2 PERCENTAGE KNOWING ANY MODERN CONTRACEPTIVE METHOD AND PERCENTAGE KNOWING A SOURCE FOR MODERN METHODS AMONG CURRENTLY MARRIED WOMEN ACCORDING TO BACKGROUND CHARAC'I~RISTICS, LIBERIA, 1986 .......................................................................... 39 4.3 PERCENTAGE WHO HAVE EVER USED CONTRACEPTIVE METHODS AMONG ALL WOMEN AND CURRENTLY MARRIED WOMEN BY METHOD, LIBERIA, 1986 ....... 40 4.4 PERCENT DISTRIBUTION OF ALL WOMEN AND WOMEN WHO HAVE EVER USED PERIODIC ABSTINENCE BY KNOWLEDGE
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