Transcript The Tanzania Demographic and Health Survey (TDHS) 2004-05

The Tanzania
Demographic and Health
Survey (TDHS) 2004-05
June 2005
Key findings
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Total fertility rate unchanged
Maternal Mortality unchanged – 1996 was 529 in 2004/5 is
578
IMR has decreased – from 99.1 in 1999 to 68 in 2004/5
UMR has decreased – from 146.6 in 1999 to 112 in 2004/5
Malnutrition rate has decreased e.g. Stunting from 43.8%
in 1999 to 38% in 2004/5
More kids (under 5 yrs of age) are sleeping under nets in
1999 was 21% and in 2004/5 is 36%
Children with fever (proxy for Malaria) declined form 35%
in 1999 to 23% in 2004/5
Background Characteristics
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Two third (2/3) of women are currently married
About 40% of men have never been married
Almost one-quarter of women have no education – this
is more than twice the proportion of men
Total fertility rate (TFR) has not changed since 1996 – in
1996 was 5.8 and now is 5.7 – statistically are the same
TFR for rural women is 6.5 and Urban women is 3.6 this
means - on average, rural women will give birth to
approximately three more children during their
reproductive years than urban women
In general, Urban women are about twice as likely as
rural women to use some contraceptive methods
Maternal Care and Mortality
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In Mainland (47%) and Zanzibar (49%) - less
that half delivered in a health facility
The situation is better in Urban where more
that 80% delivered in health facility compared
to 39% in Rural areas
Maternal Mortality rate has not changed is the
same with that estimated in 1996. New
estimate is 578 old estimate is 529. (not
significant statistically)
Infant and Under-fives mortality
rates
Mortality rates for
both infants and
under-fives have
declined
Trend in Mortality Rates based on 3 points of
Estimates 1996, 1999 & 2004/5
160
140
120
Pecent
100
80
60
40
20
0
1996
1999
Infant Mortality Rate
2004/05
U5MR
Immunization
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About 70% of children are fully
immunized
There is significant variation by
residence – About 80% of Urban children
are fully immunized compared with
69% of rural children
Diarrhoea
Diarrhoea and Treatment
80
70
60
50
Percent
54% of children who
had diarrhoea (2
wks before the
survey) were
given solution
prepared from
ORS packet and
70% were given
ORT.
40
30
20
10
0
1996
treated at health facility
1999
2004/05
given ORS
any oral rehydration
Malaria
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Half of the interviewed
households own
mosquito nets but only
14% own ITN
The trend of under-fives
to sleep under net has
increased from 21% in
1999 to 36 % in 2004/5
One out of ten underfives and one of out ten
pregnant mothers slept
under ITN a night
before the survey .
Children with fever 2 weeks before the survey in
three points of Estimates
Percent
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40
35
30
25
20
15
10
5
0
36
35.1
30.3
21
23.1
0
1996
1999
Children w ith fever 2 w ks before the survey
Under 5 slept under bednet (night before the survey)
2004/05
Exclusive breastfeeding
70% of children of less
than 2 months of age
are exclusively
breastfed. – Data
collected in 2004/5
indicate that
complementary foods
are introduced at a
young age in
Tanzania
Trend in Exclusive Breastfeeding by age category in three
points of Estimates 1996, 1999 & 2004/5
80.0%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
1996
1999
2004/05
<2 mths exclusive 2-3 mths exclusive 4-5 mths exclusive
Malnutrition
There is a decline in
malnutrition rates
Moderate Stunting – 38%
and severe stunting
was 13%
Wasting - 3%
Moderate Underweight –
21% and severe
underweight was 4%
The nutrition status is
much better in Urban
compared to rural areas
Other nutrition apects
Anaemia – two thirds of children are anaemic
Anaemia - The disparity between Mainland and
Zanzibar is alarming – 42% and 63%
respectively
Vitamin A - the coverage is 46 % three times
compared to what was observed in TCHRs
1999
Iodised salt – 43% of households use
adequately iodised salt – urban households
are twice as likely as rural households to
have fully iodised salt