executive summary of the 2002 cps field workers interviewed 2,698 mauritian respondents 500...

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EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING THE STRENGTHS AND WEAKNESSES OF THE FAMILY PLANNING PROGRAMME BETWEEN JUNE AND AUGUST 2002

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Page 1: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

EXECUTIVE SUMMARY OF THE 2002 CPS

FIELD WORKERS INTERVIEWED

2,698 MAURITIAN RESPONDENTS

500 RODRIGUAN RESPONDENTS

IMPORTANT EVALUATION TOOL FOR IDENTIFYING THE STRENGTHS AND WEAKNESSES OF THE FAMILY PLANNING PROGRAMME

BETWEEN JUNE AND AUGUST 2002

Page 2: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

1991 CPS WOMEN IN THE

REPRODUCTIVE AGE GROUP 15-44

2002 CPS WOMEN IN THE

REPRODUCTIVE AGE GROUP 15-49

DATA HAVE TO BE ADJUSTEDDATA HAVE TO BE ADJUSTED

EXECUTIVE SUMMARY OF THE 2002 CPS

Page 3: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Age group

20-2413.8%

25-2915.2%

40-4414.4%

15-1910.3%

45-4914.5%

30-3413.8%

35-3918.0%

Residence

Urban42.6%

Rural57.4%

2002 CPS, MAURITIUS

SOCIO-DEMOGRAPHIC CHARACTERISTICS

Page 4: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Religion

Catholic28.0%

Muslim16.8%

Hindu53.2%

Other1.8%

No religion

0.2%

Education

Completed

Primary32.7%

Less than completed

primary8.9%

More than completed

primary58.4%

SOCIO-DEMOGRAPHIC CHARACTERISTICS

2002 CPS, MAURITIUS AGE GROUP 15-49

Page 5: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

FERTILITY TREND

FERTILITY

2.23 CHILDREN PER WOMAN

1991 CPS

2002 CPS 1.96 CHILDREN PER WOMAN

2002 CPS, MAURITIUS

Page 6: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Fertility by background characteristicsTotal fertility rate for the three years preceding the 2002 CPS, by selected background characteristics

Background characteristic Total fertility rate*

ResidenceUrbanRural

1.991.94

EducationLess than completed primaryCompleted primaryMore than completed primary

2.602.311.87

ReligionHinduMuslimCatholic

1.822.142.09

Socio-economic IndexLowMediumHighTotal

2.431.891.711.97

* Rate is for women age 15 - 49 years

FERTILITY

DIFFERENTIALS

2002 CPS, MAURITIUS

Page 7: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

3.7

5.2

8.9

3.4

7.1

10.5

0

2

4

6

8

10

12

Birth before union Birth within 7months of union

Birth before unionor within 7

months of union1991 CPS 2002 CPS

PREMARITAL CONCEPTION IS ON THE RISE

2002 CPS, MAURITIUS

PERCENTAGE OF FIRST BIRTHS THAT OCCURRED BEFORE FIRST UNION OR WITHIN THE FIRST 7 MONTHS OF FIRST UNION

Page 8: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

10.7

7.58.7

1.9 2.3 2.2

0

2

4

6

8

10

12

URBAN RURAL TOTAL

2002 CPS

MOTHERS PREGNANT WITH FIRST CHILD

2002 CPS, MAURITIUS

ALMOST 11 PERCENT OF TEENAGERS HAVE ALREADY BEGUN CHILDBEARING!

PERCENTAGE OF WOMEN AGE 15-19 WHO ARE MOTHERS OR PREGNANT WITH FIRST CHILD

Page 9: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

9.3

1.8

7.9

14.4

3.2

11.7

0

2

4

6

8

10

12

14

16

Spontaneousabortion

Induced abortion Either spontaneousor induced abortion

1991 CPS 2002 CPS

2002 CPS,MAURITIUS

PERCENTAGE OF WOMEN AGE 15-44 WHO REPORTED OF HAVING AT LEAST ONE ABORTION

Page 10: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

2002 CPS, MAURITIUS

Private facility13.6%

Home0.4%

Public facility86.0%

1991 CPS 2002 CPS

PLACE OF

DELIVERY

MOST BABIES ARE DELIVERED BY HEALTH

PROFESSIONALS

AMONG ALL LAST BIRTHS IN THE FIVE YEARS PRECEDING THE SURVEY AMONG ALL LAST BIRTHS IN THE FIVE YEARS PRECEDING THE SURVEY FOR CURRENTLY MARRIED WOMEN AGE 15-44 YEARS FOR CURRENTLY MARRIED WOMEN AGE 15-44 YEARS

Public facility84.9%

Home7.1%

Private facility8.0%

Page 11: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

among currently married women age 15-49 years, 2002 CPS

31.133.133.5

52.4

64.0

72.0

79.385.786.6

93.394.499.0 99.9

28.1

17.116.5

0

10

20

30

40

50

60

70

80

90

100

Any methodPill

Male condom

Tubal ligati

on

Injectables

Withdrawal

IUD

Temperat

ure

Calendar

Sympto-therm

al

Mucus

Implant

Foaming tablets

Vasectomy

Female

condom

Diaphragm

2002 CPS,MAURITIUS

%

Page 12: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Contraceptive method

All Mauritianwomen

age15 - 49

Currently married women

age 15 – 49

Currentlymarried women

age 15 - 44

Currently married women

age 15 - 44

  2002 CPS 1991 CPS

Any method 99.0 99.9 99.9 99.7

Tubal ligation 88.1 93.3 93.2 92.3

Vasectomy 27.2 28.1 27.8 23.9

Pill 97.5 99.0 99.1 99.3

Injectables 79.8 86.6 86.1 94.1

IUD 70.5 79.3 78.2 88.2

Male condom 92.1 94.4 94.4 95.0

Female condom 18.2 17.1 17.7 -

Diaphragm 16.2 16.5 16.9 09.5

Foaming tablets 27.9 31.1 30.4 23.3

Implant 28.7 33.1 34.8 05.3

Sympto-thermal 47.0 52.4 52.7 36.4

Mucus 29.4 33.5 33.0 23.6

Calendar 58.3 64.0 65.1 54.5

Temperature 65.2 72.0 71.6 78.9

Withdrawal 75.6 85.7 86.3 74.8

Knowledge

Page 13: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

WITHDRAWAL IS THE MOST COMMONLY USED METHOD WITHDRAWAL IS THE MOST COMMONLY USED METHOD AMONG CURRENTLY MARRIED WOMEN AGE 15-49 YEARSAMONG CURRENTLY MARRIED WOMEN AGE 15-49 YEARS

Not using24.1%

Implant0.1%

Male condom9.1%

Male and female

sterilisation 9.0%

Injectables3.1%

Pill15.8%

Foaming tablets0.2%

NFP methods10.2%

Withdrawal27.1%

IUD1.3%

2002 CPS,MAURITIUS

Percent distribution of contraceptive use, 2002 CPSPercent distribution of contraceptive use, 2002 CPS

Page 14: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

2002 CPS MAURITIUS

CCUURRRREENNTT

UUSSEERRSS

Percent distribution of currently married women age 15-49 years by type of method currently used according to background characteristics, 2002 CPS

39.9

32.9

44.249.8

39.1

32.927.6

18.4

36.4

46.3

47.4

33.9

9.1

11.6

8.4

9.1

11.5

11.311.9

13.75.9

5.8

9.1

28.9

24.6

20.0

27.924.0

31.2

31.529.1

26.3

27.327.9

22.6

14.8

33.7

0

37.7

38.0

0

40.1

010.0

0

9.3

0

2.6

12.8

0

0

0

26.3

0

0 20 40 60 80 100

Rural

Urban

Residence

45-49

40-44

35-39

30-34

25-29

20-24

15-19

Age group

>Completed primary

Completed Primary

<Completed primary

Education

Catholic

Muslim

Hindu

Religion

%

Supplied methods

NFP methods

Withdrawal

Page 15: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Contraceptive method All Mauritian women

age 15 - 49

Currently married women

age 15 - 49

Currently married

women age 15 - 44

Currently married

women age 15 - 44

2002 CPS 1991 CPS

Currently using any method

57.2 75.9 78.5 74.7

Tubal ligation 6.8 8.9 7.2 7.2

Vasectomy 0.1 0.1 0.1 0.2

Pill 12.0 15.8 17.7 20.9

Injectables 2.3 3.1 3.1 4.1

IUD 1.0 1.3 1.4 2.8

Male condom 7.0 9.1 9.9 13.3

Foaming tablets 0.2 0.2 0.2 0.4

Implant 0.1 0.1 0.1 0.0

Sympto-thermal 0.9 1.2 1.2 1.5

Mucus 0.3 0.3 0.4 0.5

Calendar 6.0 8.1 8.2 5.5

Temperature 0.4 0.6 0.7 1.7

Withdrawal 20.3 27.1 28.3 16.1

Current users

2002 CPS, MAURITIUS

Page 16: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

16.1 48.9 9.2

28.3 39.7 10.5

0 20 40 60 80 100 %

1991 CPS

2002 CPS

Withdrawal Supplied methods NFP methods

Type of contraceptive method currently being used by currently married women

2002 CPS, MAURITIUS

Page 17: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

24.9

54.6

21.6

52.6

36.5

42.0

01020

3040

506070

8090

100

%

1985 CPS 1991 CPS 2002 CPS

Traditional methods Modern methods

TRENDS IN CONTRACEPTIVE USE AMONG CURRENTLY MARRIED WOMEN AGE 15-44 YEARS

2002 CPS,MAURITIUS

Calendar and withdrawal are

traditional methods

Page 18: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

2002 CPS, MAURITIUS

Govern-

ment

58.1%

Private

Sector

24.2%

MFPA

7.4%

Action

Familiale

10.3%The public sector is the main source The public sector is the main source for a large majority of current usersfor a large majority of current users

Source of supply Currently married

women age 15 - 49

Currently married

women age 15 - 44

Currently married

women age 15 - 44

2002 CPS2002 CPS 1991 CPS1991 CPS

Government 58.4 58.3 68.0

MFPA 7.4 6.7 15.3Action Familiale 10.5 10.7 7.5

Private sector 23.7 24.2 9.3

Among all women age 15-49 years 2002 CPS

Among all women age 15-49 years 2002 CPS

Page 19: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

2002 CPS, MAURITIUS

Planning status

Currently married women

age 15 – 49 2002 CPS

WantedWanted 72.072.0MistimedMistimed 13.513.5UnwantedUnwanted 8.58.5Not sureNot sure 6.06.0

A MAJORITY OF COUPLES ARE SUCCESSFULLY A MAJORITY OF COUPLES ARE SUCCESSFULLY CONTROLLING THEIR FERTILITYCONTROLLING THEIR FERTILITY

PERCENT DISTRIBUTION OF CURRENTLY MARRIED PERCENT DISTRIBUTION OF CURRENTLY MARRIED WOMEN BY PLANNING STATUS OF THEIR MOST WOMEN BY PLANNING STATUS OF THEIR MOST

RECENT PREGNANCIESRECENT PREGNANCIES

79.1

20.3

72.3

21.7

0

20

40

60

80

100

Planned Unplanned

1991 CPS 2002 CPS

Page 20: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Not in need, 24.2%

Unmet need for

FP services

6.3%

Unmet need for

more effective

FP methods

20.4%

Using more

effective methods

49.1%

Using more

effective methods

40.1%

Unmet need for

more effective

FP methods

34.5%

Unmet need for

FP services

3.3%

Not in need, 22.1%

2002 CPS, MAURITIUS

2002 CPS2002 CPS1991 CPS1991 CPS

UNMET NEED FOR FAMILY PLANNINGUNMET NEED FOR FAMILY PLANNING

CURRENT USERS OF WITHDRAWAL METHOD OR CALENDAR METHODCURRENT USERS OF WITHDRAWAL METHOD OR CALENDAR METHOD

FECUND WOMEN: SEXUALLY ACTIVE, NOT CURRENTLY PREGNANT & DO NOT DESIRE TO BECOME FECUND WOMEN: SEXUALLY ACTIVE, NOT CURRENTLY PREGNANT & DO NOT DESIRE TO BECOME PREGNANT BUT NOT USING ANY FP METHODPREGNANT BUT NOT USING ANY FP METHOD

Page 21: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

2002 CPS, MAURITIUS

CPSCPS % ever % ever breastfed*breastfed*

Mean duration* Mean duration* (in months) of :(in months) of :

Any Any breastfeedingbreastfeeding

Exclusive Exclusive breastfeedingbreastfeeding

19851985 86.186.1 13.613.6 --

19911991 71.971.9 13.613.6 1.11.1

20022002 93.493.4 13.613.6 2.02.0

BREASTFEEDING INDICATORSBREASTFEEDING INDICATORS

*Among last - born children born in the *Among last - born children born in the two yearstwo years preceding the survey preceding the survey

*Among last - born children born in the *Among last - born children born in the five yearsfive years preceding the survey preceding the survey

Page 22: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Nothing14.7%

Little bit57.7%

Moderate22.7%

No response

2.3%

Great deal2.6%

No6.7%

Don't know20.0% Yes

73.3%

ABOUT AIDSABOUT AIDS

ABOUT WAYS TO AVOID GETTING HIV/AIDSABOUT WAYS TO AVOID GETTING HIV/AIDS

2002 CPS, MAURITIUS

KNOWLEDGE AMONG ALL RESPONDENTSKNOWLEDGE AMONG ALL RESPONDENTS

Page 23: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Unprompted Unprompted knowledge of ways to avoid knowledge of ways to avoid getting HIV/AIDSgetting HIV/AIDS

%%

Use condoms 49.2

Keep to one sexual partner 46.5

Limit number of sexual partners 23.2

Avoid sex with intravenous drug users

16.0

Avoid sex with persons who have many partners 14.2

Abstain from sex 14.0

Avoid sex with sex workers 13.1

Avoid blood transfusions 12.3

Avoid sex with homosexuals 8.3

Avoid injections 7.2

Avoid sharing razor blades 4.7

Avoid mosquito bites 0.7

PromptedPrompted knowledge about ways of knowledge about ways of HIV transmissionHIV transmission

%%

Sexual intercourse 89.3

Sharing of syringes with drug addicts 77.4

Blood transfusion 76.2

From mother to child 74.8

Mosquito bites 28.7

Kissing 21.9

Sharing food, cups or glasses with a person 15.6

Using toilets 15.5

Swimming pools 14.6

Touching or hugging 8.5

2002 CPS, MAURITIUS

Page 24: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

42.0 percent of respondents, who have heard about AIDS, are 42.0 percent of respondents, who have heard about AIDS, are willing to take care of a relative who is infected with AIDS in willing to take care of a relative who is infected with AIDS in

their own householdtheir own household

43.2 percent of respondents believe that AIDS infected 43.2 percent of respondents believe that AIDS infected persons, who work with other persons, should be allowed to persons, who work with other persons, should be allowed to

continue their workcontinue their work

2002 CPS,MAURITIUS

Page 25: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Revitalize the family planning programme as a shift in method mix is noted.

General observations:General observations:

Intensify campaigns to increase public Intensify campaigns to increase public awareness of HIV/AIDSawareness of HIV/AIDS

Educate women about the benefits of exclusive Educate women about the benefits of exclusive and prolonged breastfeedingand prolonged breastfeeding

Steer Steer programme towards teenagers towards teenagers

Page 26: EXECUTIVE SUMMARY OF THE 2002 CPS FIELD WORKERS INTERVIEWED 2,698 MAURITIAN RESPONDENTS 500 RODRIGUAN RESPONDENTS IMPORTANT EVALUATION TOOL FOR IDENTIFYING

Evaluation UnitEvaluation Unit

Ministry of Health & Quality of LifeMinistry of Health & Quality of Life

Republic of MauritiusRepublic of Mauritius

Copyright August 2003Copyright August 2003

Ms. N. Akaloo, DemographerMs. N. Akaloo, DemographerMs. N. Akaloo, DemographerMs. N. Akaloo, Demographer

Mr. J. Sunkur, Principal DemographerMr. J. Sunkur, Principal DemographerMr. J. Sunkur, Principal DemographerMr. J. Sunkur, Principal Demographer

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