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2003-2004 Madagascar DHS Key Findings: Fertility, Maternal Health, & Child Nutrition

Explore key findings from the 2003-2004 Madagascar Demographic and Health Survey, including fertility trends, maternal care, modern contraception use, and child health indicators. The survey conducted by INSTAT in partnership with the Ministry of Health provides crucial insights into the health landscape of Madagascar. Discover the variations in fertility preferences, medical assistance during delivery, vitamin A supplementation rates, and more.

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2003-2004 Madagascar DHS Key Findings: Fertility, Maternal Health, & Child Nutrition

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  1. 2003-2004 Madagascar DHS Key Preliminary Findings

  2. Introduction • The 2003-2004 Madagascar DHS (MDHS) is the 3rd in a series (1992, 1997). • The MDHS was conducted by the Direction de la Démographie et des Statistiques Sociales at INSTAT, in partnership with the Ministère de la Santé et du Planning Familial. ORC Macro provided technical support. • The MDHS was funded by the World Bank, UNICEF, UNFPA and USAID/Madagascar. • The 2003-2004 MDHS provides estimates on key indicators, including fertility, MCH, STIs and AIDS awareness. New features include the implementation of 4 biomarkers (tetanus, measles, syphilis and anemia).

  3. 2003-2004 MDHS Sample • Nationally representative survey of >8,400 households: • Close to 8,000 women age 15-49 • Close to 2,700 men age 15-59 • Biological testing (“biomarkers”) was implemented for a sub-sample of the population for tetanus, measles, syphilis and anemia

  4. Training and Fieldwork • Training consisted of interviewing techniques, field procedures, questionnaire review, and mock interviews in classroom and field as well as an anthropometric measurement practice. • Fieldwork: 11/23/2003 to 03/28/2004. • 11 teams went in the field, each comprised of 2 nurses (for 4 biomarkers).

  5. 9,295 8,420 98% Households Selected Households Interviewed Response rate (%) 8,337 7,949 95% 2,685 2,432 91% Eligible Women Women Interviewed Response rate (%) Eligible Men Men Interviewed Response rate (%) Response Rates

  6. KEY FINDINGS2003-2004 Madagascar Demographic and Health Survey Photo courtesy of Freedom From Hunger

  7. FERTILITY Photo courtesy of Freedom From Hunger

  8. Trends in Total Fertility Rates* *Per 1,000 women; refer to the 5-year period preceding the survey, except for 2003-2004 which is for 3 years

  9. 4,0 – 4,9 5,0 – 5,9 ANTSI 6,0 – 6,9 MA TOA A/RIVO 5.2 births FI TOL How does fertility* vary by province? National average: 5.2 births Varies from 4.2 births in Antananarivo to 6.3 births in Toliara. *TFR for women age 15-49

  10. Total Fertility Rate:A Cross-national Comparison *Based on preliminary findings

  11. 15 – 19% 20 – 39% ANTSI 40 – 59% MA TOA A/RIVO 34% FI TOL How does teenage pregnancy vary by province? Nationally, 34% of women age 15-19 are either already mothers (28%) or pregnant with their 1st child (6%) Varies from 19% in Antananarivo to 56% in Mahajanga.

  12. Trends in Fertility Determinants Years

  13. FAMILY PLANNING Photo courtesy of Photoshare

  14. Trends in Use of Modern Methods Percent

  15. 10 – 14% 15 – 19% ANTSI 20 – 29% MA TOA A/RIVO 18% FI TOL How does modern use vary by province? Nationally, 18% of women age 15-49 use a modern method of contraception. Modern use varies from 11% in Mahajanga to 27% in Antananarivo.

  16. Use of Modern Contraception:A Cross-national Comparison *Based on preliminary findings

  17. FERTILITY PREFERENCES Photo courtesy of Freedom From Hunger

  18. How does desired fertility vary by province? 3.5 – 3.9 Nationally, women would like to have an average of 4.7 births. Desired fertility varies from 3.7 births in Antananarivo to 5.7 in Toliara. 4.0 – 4.9 ANTSI 5.0 – 5.9 MA TOA A/RIVO 4.7 FI TOL

  19. MATERNITY CARE Photo courtesy of Freedom From Hunger

  20. How does medical assistance at delivery vary by province? 35 – 39% 40 – 49% Medical assistance from a doctor or nurse/midwife at delivery varies from 38% in Toamasina and Toliara to 66% in Antananarivo. ANTSI 50 – 69% MA TOA A/RIVO 51% FI TOL For the 5-year preceding the survey

  21. Medical Assistance at Delivery: A Cross-national Comparison *Based on preliminary findings

  22. CHILD HEALTH AND NUTRITION Photo courtesy of Freedom From Hunger

  23. Trends in Initial Breastfeeding (within 1 hour after birth) Percent

  24. Trends in Exclusive Breastfeeding (children under 6 months) Percent

  25. Trends in Vaccination Coverage Percent *For children age 12-23 months, at any time before the survey

  26. Full Immunization:A Cross-national Comparison *Based on preliminary findings

  27. Prevalence and Treatment for Diarrhoea, ARI and Fever • Prevalence of diarrhea: reduced by half since 1997 • Among those with diarrhoea, 42% received either ORS or especially a homemade solution (twice what was recorded in 1997). • Prevalence of children with ARI: reduced by more than half since 1997 (from 24% to 11%). • Prevalence of children with fever: from 32% to 27% since 1997. • Of all children with ARI and/or fever, 44% were taken to a health facility/provider.

  28. 70 – 74% 75 – 79% ANTSI 80 – 84% MA TOA A/RIVO 76% FI TOL How does vitamin A supplementation vary by province? Supplementation of Vitamin A varies from 70% in Mahajanga to 83% in Antananarivo. In comparison, 4% of women said their children had received a Vitamin A supplement in 1997.

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