Guyana Demographic And Health Survey 2009 [FR232] - GuyNode

Guyana 2009Guyana2009Demographic and Health SurveyDemographic andHealth Survey

GuyanaDemographic and Health Survey2009Ministry of HealthGeorgetown, GuyanaBureau of StatisticsGeorgetown, GuyanaICF Macro(Technical Assistance)October 2010Ministry of Health

This report summarizes the results of the 2009 Guyana Demographic and Health Survey (2009 GDHS),implemented by the Ministry of Health (MOH) and the Bureau of Statistics (BOS), with technical assistance fromICF Macro. Funds for the survey were provided in their entirety by the local mission of the United States Agency forInternational Development (USAID/Guyana) under the MEASURE DHS program.The 2009 GDHS is part of the worldwide MEASURE DHS program, which is designed to assistdeveloping countries to collect, analyze, and disseminate data on fertility, family planning, and maternaland child health.Additional information about the 2009 GDHS may be obtained fromBureau of Statistics (BOS)Avenue of the Republic and Brickdam, StabroekGeorgetown, GuyanaTelephone: 592 225 6150Fax: 592 226 2036Web site: www.statisticsguyana.gov.gyAdditional information about the Demographic and Health Surveys program may be obtained fromMEASURE DHS, ICF Macro11785 Beltsville Drive, Suite 300Calverton, MD 20705 USATelephone: 301-572-0200; fax: 301-572-0999Email: reports@measuredhs.comWeb site: www.measuredhs.comSuggested citation:Ministry of Health (MOH), Bureau of Statistics (BOS), and ICF Macro. 2010. Guyana Demographic andHealth Survey 2009. Georgetown, Guyana: MOH, BOS, and ICF Macro.

CONTENTSPágeTABLES AND FIGURES . ixFOREWORD . xviiSUMMARY OF FINDINGS . xixBASIC INDICATORS. xxixMAP OF GUYANA . xxxCHAPTER 11.11.21.31.41.51.61.71.8CHAPTER 2INTRODUCTIONOverview . 1Objectives. 1Sample Design. 1Questionnaires . 2Pretest Activities, Training, and Fieldwork. 3Data Processing . 3Response Rates. 3Contents of the Report. 5HOUSEHOLD POPULATION AND HOUSING CHARACTERISTICS2.1Characteristics of the Population. 92.1.1 Age-Sex Structure . 92.1.2 Household Composition . 112.1.3 Children’s Living Arrangements and Orphanhood . 122.1.4 Educational Attainment. 142.1.5 School Attendance. 172.2Housing Characteristics. 202.2.1 Drinking Water and Housing Characteristics. 202.2.2 Sanitation Facilities . 242.2.3 Household Possessions. 252.32.4Wealth Quintiles. 26Birth Registration . 27CHAPTER 33.13.23.33.43.53.6CHARACTERISTICS OF SURVEY RESPONDENTSBackground Characteristics of Survey Respondents. 29Educational Attainment of Respondents . 31Literacy. 33Exposure and Access to Mass Media . 36Employment Status and Type of Occupation. 38Health Insurance Coverage . 44Contents iii

3.73.8CHAPTER 44.14.24.34.44.54.64.7CHAPTER R 66.16.26.36.46.56.6CHAPTER 77.17.27.37.47.57.6CHAPTER 88.18.2iv ContentsKnowledge and Attitudes Concerning Tuberculosis . 47Smoking . 50FERTILITYCurrent Fertility. 53Fertility Differentials. 55Fertility Trends. 56Children Ever Born and Living . 57Birth Intervals. 58Age at First Birth. 60Teenage Pregnancy and Motherhood . 62FAMILY PLANNINGKnowledge of Contraceptive Methods. 65Knowledge of Contraception by Background Characteristics . 67Ever Use of Contraceptive Methods . 67Current Use of Contraception. 69Differentials in Current Use . 71Number of Children at First Use of Contraception . 73Use of Social Marketing of Brands of Pills and Condoms. 74Sources for Family Planning Methods and Informed Choice . 75Contraceptive Discontinuation . 78Intention to Use Family Planning Among Non-users . 78Exposure to Family Planning in the Mass Media. 81Contact of Non-users with Family Planning Providers . 83Husband/Partner's Knowledge of Women's Use of Contraception . 84OTHER PROXIMATE DETERMINANTS OF FERTILITYCurrent Marital Status . 85Age at First Union . 87Age at First Sexual Intercourse . 90Recent Sexual Activity. 93Postpartum Amenorrhea, Abstinence, and Insusceptibility. 96Termination of Exposure to Pregnancy. 98FERTILITY PREFERENCESDesire for More Children . 101Desire to Limit Childbearing by Background Characteristics. 104Need and Demand for Family Planning Services. 106Ideal Family Size. 110Fertility Planning Status . 111Wanted Fertility Rates. 112INFANT AND CHILD MORTALITYDefinition, Data Quality, and Methodology. 115Current Estimates of Infant and Child Mortality. 116

8.38.48.5CHAPTER 9Differentials in Infant and Child Mortality . 117Perinatal Mortality. 120High-Risk Fertility Behavior. 122REPRODUCTIVE HEALTH9.1Antenatal Care. 1259.1.1 Content of Antenatal Care. 1289.1.2 Tetanus Toxoid Injections . 1299.29.39.4Delivery Care . 131Postnatal Care. 135Problems in Accessing Health Care . 139CHAPTER 10CHILD HEALTH10.110.2Child’s Size at Birth . 141Vaccination of Children . 14310.2.1 Vaccination at Any Time before the Survey . 14310.2.2 Trends in Vaccination Coverage . 14610.310.410.5Acute Respiratory Infection . 147Fever. 149Diarrhea: Prevalence and Treatment . 15110.5.1 Prevalence of Diarrhea . 15110.5.2 Treatment of Diarrhea . 15310.5.3 Feeding Practices during Diarrhea . 15410.5.4 Knowledge of ORS Packets . 15510.5.5 Disposal of Stools. 156CHAPTER 11NUTRITION OF CHILDREN AND ADULTS11.111.2Nutritional Status of Young Children . 159Breastfeeding. 16511.2.1 Initial Breastfeeding . 16511.2.2 Breastfeeding Status by Age . 16711.2.3 Duration and Frequency of Breastfeeding. tary Foods . 170Appropriate Infant and Young Child Feeding (IYCF) . 172Anemia in Children . 175Micronutrient Intake among Children . 177Presence of Iodized Salt in Households . 180Nutritional Status of Women and Men. 181Foods Consumed by Mothers. 184Anemia in Women and Men . 186Micronutrient Intake among Mothers. 189Contents v

CHAPTER 1212.112.212.312.412.5CHAPTER 13Ownership of Mosquito Nets . 191Use of Mosquito Nets by Children. 193Use of Mosquito Nets by Women . 195Malaria during Pregnancy . 197Prevalence and Management of Childhood Malaria . 199HIV/AIDS-RELATED KNOWLEDGE, ATTITUDES, ge of AIDS. 201Knowledge of HIV Prevention Methods. 203Beliefs about AIDS . 206Knowledge of Prevention of Mother-to-Child Transmission of HIV . 210Stigma Associated with AIDS and Attitudes Related to HIV/AIDS. 212Attitudes toward Negotiating Safer Sex . 215Attitudes toward Condom Education for Youth. 217Higher-Risk Sex . 21813.8.1 Multiple Partners and Condom Use . 21813.8.2 Transactional Sex . 22213.9Coverage of Prior HIV Testing . 22213.9.1 HIV Testing during Antenatal Care . 22613.1013.1113.1213.13Male Circumcision . 228Self-Reporting of Sexually Transmitted Infections. 229Prevalence of Medical Injections . 231HIV/AIDS-Related Knowledge and Sexual Behavior among Young Adults . 23413.13.1 HIV/AIDS-Related Knowledge among Young Adults . 23413.13.2 Age at First Sex . 23613.13.3 Condom Use at First Sex. 23813.13.4 Abstinence and Premarital Sex. 24013.13.5 Higher-Risk Sex and Condom Use among Young Adults . 24213.13.6 Age Mixing in Sexual Relationships among Women . 24413.13.7 Drunkenness during Sex among Young Adults . 24613.13.8 Recent HIV Testing among Youth. 248CHAPTER 1414.114.214.314.414.514.614.714.814.9vi ContentsMALARIAWOMEN’S EMPOWERMENT AND DEMOGRAPHIC ANDHEALTH OUTCOMESEmployment and Forms of Earnings. 251Control over Women’s and Men’s Earnings . 252Women’s Participation in Household Decision-Making. 257Attitudes toward Wife Beating. 262Attitudes toward Refusing Sex with Husband. 266Women’s Empowerment Indicators . 271Current Use of Contraception by Women’s Status . 272Ideal Family Size and Unmet Need by Women’s Status . 273Reproductive Health Care and Women’s Empowerment Status. 274

REFERENCES . 277APPENDIX AA.1A.2A.3A.4SAMPLE DESIGN. 279Sample Frame . 279Sample Selection . 279Sample Allocation . 280Response Rates. 281APPENDIX BESTIMATES OF SAMPLING ERRORS . 285APPENDIX CDATA QUALITY TABLES. 309APPENDIX DSURVEY PERSONNEL . 315APPENDIX EQUESTIONNAIRES . 317Contents vii

TABLES AND FIGURESPageCHAPTER 1INTRODUCTIONTable 1.1Table 1.2Results of the household and individual interviews .4Number of women and men interviewed by residence and region.5CHAPTER 2HOUSEHOLD POPULATION AND HOUSING CHARACTERISTICSTable 2.1Table 2.2Table 2.3Table 2.4.1Table 2.4.2Table 2.5Table 2.6Table 2.7Table 2.8Table 2.9Table 2.10Table 2.11Household population by age, sex, and residence .10Household composition .11Children’s living arrangements and orphanhood.13Educational attainment of the female household population.15Educational attainment of the male household population .16School attendance ratios .18Household drinking water.21Housing characteristics.23Sanitation facilities .24Durable goods.25Wealth quintiles.27Birth registration of children under age 5.28Figure 2.1Figure 2.2Figure 2.3Population Pyramid .10Percentage of Female-Headed Households by Residence .12Age-Specific School Attendance Rates, by Sex .19CHAPTER 3CHARACTERISTICS OF SURVEY RESPONDENTSTable 3.1Table 3.2.1Table 3.2.2Table 3.3.1Table 3.3.2Table 3.4.1Table 3.4.2Table 3.5Table 3.6.1Table 3.6.2Table 3.7Table 3.8.1Table 3.8.2Table 3.9.1Table 3.9.2Table 3.10.1Table 3.10.2Background characteristics of respondents.29Educational attainment of respondents: Women .30Educational attainment of respondents: Men.32Literacy: Women .34Literacy: Men .35Exposure to mass media: Women.36Exposure to mass media: Men.37Employment status .39Occupation: Women .42Occupation: Men .43Type of employment.44Health insurance coverage: Women .45Health insurance coverage: Men .46Knowledge and attitudes concerning tuberculosis: Women.48Knowledge and attitudes concerning tuberculosis: Men .49Use of tobacco: Women .51Use of tobacco: Men.52Tables and Figures ix

Figure 3.1Figure 3.2Respondents Completing Secondary or Higher Education, by Residence andWealth Quintile.33Respondents Currently Employed, by Residence and Education.41CHAPTER 4FERTILITYTable 4.1Table 4.2Table 4.3Table 4.4Table 4.5Table 4.6Table 4.7Table 4.8Current fertility .54Fertility by background characteristics.55Trends in age-specific fertility rates .56Children ever born and living .57Birth intervals .59Age at first birth.61Median age at first birth by background characteristics .62Teenage pregnancy and motherhood .63Figure 4.1Figure 4.2Total Fertility Rates for the Three Years Preceding the Survey, by Residence.54Births with a Birth Interval of Less than 24 Months, by Residence andWealth Quintile.60CHAPTER 5FAMILY PLANNINGTable 5.1Table 5.2Table 5.3Table 5.4Table 5.5Table 5.6Table 5.7Table 5.8.1Table 5.8.2Table 5.9Table 5.10Table 5.11Table 5.12Table 5.13.1Table 5.13.2Table 5.14Table 5.15Knowledge of contraceptive methods .66Knowledge of contraceptive methods by selected background characteristics .67Ever use of contraception by age: Women .68Ever use of contraception by age: Men .69Current use of contraception by age .70Current use of contraception by background characteristics .72Number of children at first use of contraception .74Brand of pills .74Brand of condoms.75Source of modern contraception methods .76Informed choice.77First-year contraceptive discontinuation rates .78Future use of contraception among non-users .79Reasons for not intending to use contraception .80Preferred method of contraception for future use.81Exposure to family planning messages.82Contact of non-users with family planning providers .83Figure 5.1Contraceptive Use among Currently Married Women, by Region.73CHAPTER 6Table 6.1Table 6.2Table 6.3Table 6.4Table 6.5.1Table 6.5.2Table 6.6.1Table 6.6.2Table 6.7.1x Tables and FiguresOTHER PROXIMATE DETERMINANTS OF FERTILITYCurrent marital status by age and sex .86Current marital status by background characteristics .87Age at first union .88Median age at first union by background characteristics .89Age at first sexual intercourse: Women.91Age at first sexual intercourse: Men .91Median age at first sexual intercourse, by background characteristics: Women .92Median age at first sexual intercourse, by background characteristics: Men .93Recent sexual activity: Women .94