KOICA PROGRAM BASELINE SURVEY 2015 REPORT Baseline Survey for KOICA Program in Uganda 2016 THE REPUBLIC OF UGANDA UGANDA BUREAU OFSTATISTICS BASELINE SURVEY FOR KOICA PROGRAM2015 Uganda Bureau of Statistics Colville Street, Plot 9 P.O. Box 7186, Kampala Tel: 0414-320740, 0772 705127 Fax: 0414-237 553 August 2016 E-mail: [email protected] Website: www.ubos.org 1 Baseline Survey for KOICA Program in Uganda 2016 LIST OF ACRONYMS ANC Antenatal Care EA Enumeration Areas EmOC Emergency Obstetric Care HC Health Centre KOICA Korea International Cooperation Agency M&E Monitoring and Evaluation MNCH Maternal New-born and Child Health PNC Post-natal Care PPS Probability Proportional to Size UBOS Uganda Bureau of Statistics UNICEF United Nations Children’s Fund UPHC Uganda Population and Housing Census VHTs Village Health Teams 2 Baseline Survey for KOICA Program in Uganda 2016 TABLE OF CONTENTS TABLE OF CONTENTS ............................................................................................................... 3 LIST OF TABLES ......................................................................................................................... 5 EXECUTIVE SUMMARY .......................................................... 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BOOKMARK NOT DEFINED. 1 CHAPTER ONE .................................................................................................................... 9 INTRODUCTION ................................................................................................................................ 9 1.1 BACKGROUND ................................................................................................................. 9 1.2 SURVEY OBJECTIVES .....................................................................................................10 1.3 SCOPE AND COVERAGE ..................................................................................................10 1.4 SAMPLING DESIGN .........................................................................................................10 1.4.1 Selection of Health facilities ................................................................................11 1.5 SURVEY ORGANIZATION .................................................................................................11 1.5.1 Recruitment and training of fieldworkers ...........................................................11 1.5.2 Composition of field teams .................................................................................11 1.6 DATA PROCESSING ........................................................................................................12 1.7 FUNDING ........................................................................................................................12 2 CHAPTER TWO ..................................................................................................................13 CHARACTERISTICS OF THE HOUSEHOLD POPULATION ....................................................................13 2.1 INTRODUCTION ...............................................................................................................13 2.2 DISTRIBUTION OF HOUSEHOLD POPULATION .................................................................13 2.3 CHARACTERISTICS OF HOUSEHOLD HEADS ...................................................................14 2.3.1 Sex and Age-group of Household Heads ..........................................................14 2.3.2 Highest level of Education of Household Heads ...............................................15 2.3.3 Marital status of Household Heads ....................................................................15 3 CHAPTER THREE ..............................................................................................................17 MATERNAL AND NEW BORN CARE ...............................................................................................17 3.1 INTRODUCTION ...............................................................................................................17 3.2 CHARACTERISTICS OF WOMEN AGED 15-49 YEARS .......................................................17 3.2.1 Age and Marital Status ........................................................................................17 3.2.2 Educational attainment of Women aged 15 – 49 years ....................................18 3.2.3 Age at first marriage ............................................................................................19 3.2.4 Teenage Motherhood ..........................................................................................20 3.2.5 Children born after 2011 .....................................................................................20 3.3 ANTENATAL CARE (ANC) ..............................................................................................22 3.3.1 Antenatal care attendance ..................................................................................22 3.3.2 Antenatal care provider ............................................ 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Bookmark not defined. 3.3.3 Number of Antenatal Care visits.........................................................................23 3.3.4 Timing of Antenatal Care visits ...........................................................................24 3.3.5 Intermittent Preventive Treatment of Malaria in Pregnancy .............................25 3.3.6 Number of doses of SP Fansidar taken .............................................................26 3.3.7 Attitudes towards Antenatal care .......................................................................27 3.4 DELIVERY .......................................................................................................................27 3.4.1 Place of delivery ..................................................................................................28 3.4.2 Assistance during delivery ..................................................................................29 3.4.3 Attitudes towards delivery in a health facility .....................................................30 3 Baseline Survey for KOICA Program in Uganda 2016 3.5 POSTNATAL CARE FOR MOTHERS..................................................................................31 3.5.1 Postnatal Care Utilization ........................................ Error! Bookmark not defined. 3.5.2 Timing of first postnatal check-up ......................................................................31 3.5.3 Postnatal Care for newborns ................................... Error! Bookmark not defined. 3.5.4 Timing of first postnatal check-up for the newborn ...........................................32 3.6 BREASTFEEDING ............................................................................................................33 3.6.1 Breastfeeding for Last Birth ..................................... Error! Bookmark not defined. 3.6.2 Initiation of Breastfeeding ...................................................................................33 3.6.3 Feeding children using a bottle with a nipple ....................................................34 3.6.4 Diarrhoeal Diseases ............................................................................................35 3.6.5 Oral Rehydration Solutions .................................................................................35 4 CHAPTER FOUR.............................................................. ERROR! BOOKMARK NOT DEFINED. HEALTH FACILITY ............................................................................... ERROR! BOOKMARK NOT DEFINED. 4.1 INTRODUCTION ..................................................................... ERROR! BOOKMARK NOT DEFINED. 4.2 GENERAL INFORMATION ABOUT HEALTH FACILITIES ............. ERROR! BOOKMARK NOT DEFINED. 4.3 WORK FORCE AVAILABILITY ................................................ ERROR! BOOKMARK NOT DEFINED. 4.3.1 Staff allocated to Maternity and labor ward including postnatal ward ....... Error! Bookmark not defined. 4.4 AVAILABILITY AND FUNCTIONALITY OF VILLAGE HEALTH TEAMS ......ERROR! BOOKMARK NOT DEFINED. 4.5 FACILITY INFRASTRUCTURE AND DESIGNATED SPACE .......... ERROR! BOOKMARK NOT DEFINED. 4.5.1 Type of Facility infrastructure in HC IV ................... Error! Bookmark not defined. 4.6 SIGNAL FUNCTIONS AND OTHER ESSENTIAL SERVICES ......... ERROR! BOOKMARK NOT DEFINED. 4.7 ACTIVE MANAGEMENT OF THE THIRD STAGE OF DELIVERY ... ERROR! BOOKMARK NOT DEFINED. 4.8 STAFF TRAINED IN EMNOC (MNH PACKAGE) ..................... ERROR! BOOKMARK NOT DEFINED. LIST OF REFERENCES........................................................... ERROR! BOOKMARK NOT DEFINED. APPENDIX ................................................................................. ERROR! BOOKMARK NOT DEFINED. SAMPLE DESIGN ..................................................................... ERROR! BOOKMARK NOT DEFINED. QUESTIONNAIRES .................................................................. ERROR! BOOKMARK NOT DEFINED. 4 Baseline Survey for KOICA Program in Uganda 2016 LIST OF TABLES Table 2.1: Distribution of Households by Residence and District (%) ............................................................ 13 Table 2.2: Distribution of households heads by Sex, Age-group and District (%) .......................................... 14 Table 2.3:Distribution of Household Heads Household Heads by highest level of education attended and District (%) ...................................................................................................................................................