Preliminary Key Findings Zambia Demographic and Health Survey

The Zambia Demographic and Health Survey was implemented by the Central Statistical Office (CSO) in partnership with the Ministry of Health as well as the University Teaching Hospital (UTH) – Virology Laboratory, the Tropical Disease Research Center (TDRC) and the Department of Population Studies at the University of Zambia (UNZA). The Government through the Ministry of Health and the Ministry of Finance provided funding for the survey. ICF International provided technical assistance as well as funding to the project through The DHS Program, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide. Additional funding for the ZDHS was provided by the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the United Nations Population Fund (UNFPA), and the United Nations Children’s Fund (UNICEF).

Objectives The primary objective of the ZDHS was to provide up-to-date information on fertility levels, fertility preferences, awareness and use of family planning methods, child feeding practices, nutritional status of women and children, awareness and attitudes regarding HIV and AIDS, sexual behavior and condom use, maternal and child health, adult and childhood mortality, and domestic violence. This information is intended to assist policymakers and programme managers in evaluating and designing programmes and strategies for improving health and family planning services in the country.

The Survey It is the 5th Demographic and Health Survey conducted in Zambia as part of The DHS Program. It was designed to provide estimates at the national and provincial levels as well as urban and rural levels

Survey Activities ActivityTime ListingNovember 2012-January 2013 Training of TrainersNovember 2012 PretestFebruary 2013 Main trainingMay-June 2013 Data collectionAugust April 2014 Data processingSeptember 2013-June 2014

Results of the household and individual interviews Households Selected Households Occupied Households Interviewed Household Response Rate 18,052 16,258 15,920 98% Eligible Women Women Interviewed Response Rate 17,064 16,411 96% Eligible Men Men Interviewed Response Rate 18,229 14,773 91%

Background characteristics Percent distribution of women and men aged 15-49

Background characteristics Percent distribution of women and men aged 15-49

Educational Attainment of Respondents Age Percent of women and men age 15-49

Marital Status Percent distribution of women and men age 15-49

Fertility Trends TFR for women age 15-49

Trends in Use of Family Planning Percent of currently married women age 15-49

Trends in Childhood Mortality Deaths per 1,000 live births for the 5-year period before the survey

Trends in Immunization Coverage Percent of children months fully vaccinated

Trends in Immunization Coverage Percent of children months fully vaccinated

Childhood Illness Prevalence Percent of children under 5 with diarrhoea, fever, symptoms of ARI in the two weeks before the survey

Diarrhoea Treatment Percent of children under 5 with diarrhoea in the two weeks before the survey

Treatment for ARI and Fever Percent of children under 5 with symptoms of ARI in the two weeks before the survey Percent of children under 5 with fever in the two weeks before the survey

Exclusive Breastfeeding by Age Age in months Percent of children exclusively breastfed

Nutritional Status of Children Percent of children under *Based on the 2006 WHO Child Growth Standards

Trends in Nutritional Status Percent of children under age 5 *Based on the 2006 WHO Child Growth Standards

Trends in Use of ITNs Percent who slept under an ITN the night before the survey

Trends in ANC Attendance Among women age who had a live birth in the five years preceding the survey, percentage who received antenatal care from a skilled provider for the last live birth

Trends in health facility delivery, assistance during delivery Among all live births in the five years before the survey, percentage delivered by a skilled provider and percentage delivered in a health facility

Maternal Mortality Maternal mortality ratio (MMR) for the 7-year period before the survey = 398 deaths per 100,000 live births [95% Confidence Interval ranges from 323 to 474 deaths per 100,000 births]