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Malawi Demographic and Health Survey 2010

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Malawi Demographic and Health Survey 2010 Malawi Demographic and Health Survey 2010 Preliminary Report National Statistical Office Zomba, Malawi MEASURE DHS, ICF Macro Calverton, Maryland, USA The 2010 Malawi Demographic and Health Survey (2010 MDHS) was implemented by the National Statistical Office (NSO) and the Community Health Sciences Unit (CHSU) from June through November 2010. The Funding for the MDHS was provided by the Government of Malawi, National AIDS Commission (NAC), the United Nations Population Fund (UNFPA), the United Nations Children’s Fund (UNICEF), the United Kingdom Department for International Development (DFID), the Centres for Disease Control and Prevention (CDC), and the United States Agency for International Development (USAID). ICF Macro provided technical assistance as well as funding to the project through the MEASURE DHS programme, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. Additional information about the 2010 MDHS may be obtained from the Demography and Social Statistics Division (DDS), National Statistical Office, Chimbiya Road, P.O. Box 333, Zomba, Malawi; Telephone: 265-1- 524-377, 265-1-524-111; Fax: 265-1-525-130; Email: [email protected]; Internet: www.nso.malawi.net. Information about the MEASURE DHS programme may be obtained from ICF Macro, 11785 Beltsville Drive, Suite 300, Calverton, MD 20705, USA; Telephone: 301-572-0200, Fax: 301-572-0999, E-mail: [email protected], Internet: http://www.measuredhs.com. Malawi Demographic and Health Survey 2010 Preliminary Report National Statistical Office Zomba, Malawi MEASURE DHS ICF Macro Calverton, Maryland, USA February 2011 CONTENTS Page TABLES AND FIGURES .......................................................................................................v FOREWORD ................................................................................................................................... vii PREFACE ............................................................................................................................... ix ACRONYMS ...................................................................................................................................... xi I. INTRODUCTION......................................................................................................... 1 II. SURVEY IMPLEMENTATION ................................................................................. 2 A. Sample Design ................................................................................................................ 2 B. Questionnaires ................................................................................................................. 2 C. HIV and Anaemia Testing .............................................................................................. 3 D. Pretest Activities ............................................................................................................. 4 E. Training of Field Staff .................................................................................................... 5 F. Fieldwork ........................................................................................................................ 5 G. Data Processing ............................................................................................................... 5 III. RESULTS ...................................................................................................................... 6 A. Response Rates ............................................................................................................... 6 B. Characteristics of the Respondents ................................................................................. 6 C. Fertility ............................................................................................................................ 8 D. Family Planning .............................................................................................................. 9 E. Fertility Preferences ...................................................................................................... 12 F. Maternal Care ................................................................................................................ 12 G. Child Health and Nutrition............................................................................................ 15 H. Early Childhood Mortality ............................................................................................ 24 I. Malaria .......................................................................................................................... 25 J. HIV/AIDS Awareness, Knowledge, and Behaviour ..................................................... 28 REFERENCES ............................................................................................................................... 35 iii TABLES AND FIGURES Page Table 1 Results of the household and individual interviews ................................................ 6 Table 2 Background characteristics of respondents.............................................................. 7 Table 3 Current fertility ........................................................................................................ 8 Table 4 Current use of contraception .................................................................................... 2 Table 5 Fertility preferences by number of living children ................................................ 12 Table 6 Maternal care indicators ........................................................................................ 14 Table 7 Vaccinations by background characteristics .......................................................... 16 Table 8 Treatment for acute respiratory infection, fever, and diarrhoea ............................ 18 Table 9 Breastfeeding status by age ................................................................................... 19 Table 10 Nutritional status of children ................................................................................. 21 Table 11 Anaemia among children and women ................................................................... 23 Table 12 Early childhood mortality rates ............................................................................. 25 Table 13 Malaria indicators .................................................................................................. 27 Table 14 Knowledge of HIV or AIDS .................................................................................. 28 Table 15 Knowledge of HIV prevention methods ................................................................ 30 Table 16.1 Multiple sexual partners and higher-risk sexual intercourse in the past 12 months: Women ................................................................................................ 31 Table 16.2 Multiple sexual partners and higher-risk sexual intercourse in the past 12 months: Men ..................................................................................................... 33 Figure 1 Age-Specific Fertility Rates, Malawi 1992-2010 .................................................... 9 v FOREWORD Malawi has taken part in four rounds of the MEASURE DHS surveys. The latest is the 2010 Malawi Demographic and Health Survey (MDHS), which was successfully completed in November 2010. As a key source of demographic and social data, the MDHS provides the country with important information to foster national development. The 2010 MDHS will serve to update and guide the Malawi Growth and Development Strategy (MGDS). The MGDS is the overarching development strategy for the country. The Government of Malawi is fully cognisant of the need for quality statistics in policy formulation, decision-making, and targeting of resources, and in the monitoring and evaluation of the MGDS. I would like to acknowledge the continued support received from development partners and individuals during the survey period. Specifically, I wish to thank the United Nations Children’s Fund (UNICEF), the Malawi National AIDS Commission (NAC), the United Nations Population Fund (UNFPA), the United Kingdom Department for International Development (DFID), the Centres for Disease Control and Prevention (CDC), the United States Agency for International Development (USAID), and ICF Macro. I also wish to register my appreciation to government ministries and departments for their cooperation and support during the survey process. Finally, I would like to thank staff from the National Statistical Office and ICF Macro for their professionalism and dedication in the preparation of this preliminary report. Abbie Marambika Shawa, MP Minister of Development Planning and Cooperation vii PREFACE The 2010 Malawi Demographic and Health Survey (MDHS) is a large, nationally representative sample survey conducted by the National Statistical Office (NSO). The 2010 MDHS covered a total of 27,000 households, involving 24,000 female and 7,000 male respondents. The primary objective of the 2010 MDHS is to provide up-to-date information for policymakers, planners, researchers, and programme managers on fertility levels, nuptiality, fertility preferences, knowledge and use of family planning methods, breastfeeding practices, nutritional status of mothers and children, childhood illnesses and mortality, use of maternal and child health services, malaria, maternal mortality, and HIV and AIDS-related
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