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SEMINAR PRESENTATIONS

SEMINAR PRESENTATIONS. Cambodia DHS and Measure DHS + Survey Objectives and Methodology Housing and Characteristics of the Population Fertility and its Determinants Fertility Preferences Family Planning Abortion Women’s Status Domestic Violence HIV/AIDS and Other STIs

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SEMINAR PRESENTATIONS

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  1. SEMINAR PRESENTATIONS Cambodia DHS and Measure DHS+ Survey Objectives and Methodology Housing and Characteristics of the Population Fertility and its Determinants Fertility Preferences Family Planning Abortion Women’s Status Domestic Violence HIV/AIDS and Other STIs Health Status and Utilization of Health Services Infant, Child and Maternal Mortality Maternal and Child Health Infant Feeding & Childhood and Maternal Nutrition

  2. Maternity care Delivery and postnatal care Use of tobacco and betel nuts Childhood vaccinations Treatment of childhood illnesses

  3. Women who reported having a “big” problem in accessing health care for themselves (%)

  4. Only 2 out of 5 mothers receive antenatal care from trained medical personnel. • Doctors (1%), nurses (5%) and especially midwives (32%) provide antenatal care. • Overall, 55% of women received no antenatal care in the preceding 5 years.

  5. How does antenatal carevary by residence and education? Percent Percent distribution of women who had a birth in the 5 years preceding the survey, who received any antenatal care from trained personnel

  6. Antenatal care coverage varies greatly by region:  30% 31 to 40% 41% and + Kampong Spueu Kampong Thum Kaoh Kong Prey Veaeng (18%) Mondol K./ Rotanak K. (16%) Siem Reab/Otdar Mean Chey CAMBODIA Bantey Mean Chey Kampong Cham Takaev Kampot/Krong K./K.P. Sihanouk Preah V./Stueng T./Kracheh Kampong Chhnang Kandal Phnom Penh (84%) Pousat Svay Rieng Bat Dambang/ Krong Pailin (48%)

  7. Number of antenatal care visits % distribution of women who had a live birth in the 5 years before the survey, by the number of ANC visits

  8. What are women receiving during antenatal care? Percent

  9. Coverage of tetanus toxoid vaccinations • Immunity against tetanus is transferred to the fetus through the placenta. • Babies are considered protected if the mother receives 2 doses of tetanus toxoid during early pregnancy.

  10. 30% Two doses or more 15% One dose 54% No dose How many tetanus toxoid injectionsdo women get during pregnancy?

  11. How does tetanus toxoid coverage* vary by residence and education? *Percent distribution of women who received 2 doses or more during pregnancy

  12. Maternity care Delivery and postnatal care Use of tobacco and betel nuts Childhood vaccinations Treatment of childhood illnesses

  13. 89% of births are delivered at home, and only 10% in a health facility.

  14. 32% from any medically trained personnel Who assisted womenduring delivery? Doctor: 2% Nurse: 2% Midwives: 28% Traditional birth attendants: 66%

  15. How does delivery by trained personnel vary by residence and education? Percent

  16. It is recommended that women receive a checkup within 2 days after delivery to check for any complications arising from the delivery. Postnatal care also offers the possibility to educate a mother on how to care for herself and her child.

  17. How does postnatal care vary by residence and education? *Percent distribution of women who either received postnatal care within 2 days or delivered in a health facility

  18. Maternity care Delivery and postnatal care Use of tobacco and betel nuts Childhood vaccinations Treatment of childhood illnesses

  19. What percentage of women smoke*? *In the preceding 24 hours

  20. What about chewing tobacco and/or betel nuts? • Chewing tobacco contains higher levels of nicotine than smoking. • Chewing betel nuts (Areca) may also cause serious health problems, some leading to cancer.

  21. Maternity care Delivery and postnatal care Use of tobacco and betel nuts Childhood vaccinations Treatment of childhood illnesses

  22. Immunization coverage 40% of children 12-23 months are fully vaccinated, (31% only by 12 months of age) They have received BCG, measles, and 3 doses of DPT and polio vaccines (excluding polio at birth) Full coverage is much higher among children born of mothers with secondary+ education (59%) than for those whose mother has no education (29%)

  23. What vaccines do children get? 29% drop-out rate 31% drop-out rate Percent

  24.  than 30% 31 to 40% 41% or more How does full coverage vary by residence and region? Banteay Mean Chey Kampong Cham Kaoh Kong (12%) Prey Veaeng Svay Rieng Kampot/Krong Kaeb/ K.P. Sihanouk Preah Vihear/Stueng Traeng/Kracheh Mondol Kiri/Rotanak Kiri (14%) Rural Cambodia Kampong Thum Pousat Siem Reab/Otdar Mean Chey Urban Kampong Chhnang Kampong Spueu Kandal (62%) Phnom Penh (62%) Takaev Bat Dambang/ Krong Pailin (63%)

  25. Maternity care Delivery and postnatal care Use of tobacco and betel nuts Childhood vaccinations Treatment of childhood illnesses

  26. What proportion of children under 5 had* diarrhea, fever or acute respiratory infection? * In the 2 weeks before the survey

  27. Does diarrhea prevalence vary by residence and region? • 16% in urban areas and 19% in rural areas • Less than 10% in: • Kampong Spueu • Prey Veaeng • Takaev • Bat Dambang/Krong Pailin. • 30% or more in: • Kampong Chhnang • Kandal • Pousat.

  28. Percent Age in months < 6 16 6-11 30 12-23 27 24-35 20 36-47 15 48-59 11 At what age is diarrheathe most prevalent?

  29. Are children with diarrhea treated with ORT (Oral Rehydration Therapy)*? Percent

  30. How children with diarrhea are treated? Percent

  31. Does knowledge of ORS packets vary? • 50% of Cambodian women know about ORS (64% urban and 48% rural) • The more educated mothers are, the more they know about ORS packets: • No education: 36% • Primary education: 52% • Secondary+ education: 75%

  32. Acute Respiratory Infection and Fever In the 2 weeks before the survey, 19% of children under age 5 were ill with cough and rapid breathing and 35% had fever. Among children with ARI and/or fever: • 35% taken to a medical facility or health provider to seek treatment or advice • 37% taken to a non-medical sector. • 31% received NO treatment.

  33. MAIN FINDINGS • A majority of women (93%) say they have a “big” problem in accessing health care for themselves, their main problem is lack of money. • More than half the women received no antenatal care in the preceding 5 years. • For those who received antenatal care (mostly from midwives), the number and timing of checkup visits are below recommendations. • The proportion of births delivered in a health facility is only 10%. • Only 2 in 5 women benefit from postnatal care.

  34. Use of tobacco and betel nuts is limited, except in a few regions. • Coverage for all vaccines is 40% (only 31% when considering only those vaccinated by the recommended age of 12 months). • Among children with diarrhea, 74% have received ORT. • 35% of children with ARI and/or fever were taken to a medical facility/provider for treatment.

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