trchs 1999 tanzania reproductive and child health survey (trchs) 1999 preliminary findings presented...
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![Page 1: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/1.jpg)
TRCHS 1999
Tanzania Reproductive and Child Health Survey
(TRCHS) 1999
Preliminary findings presented by
The RCHS Unit, MOH
![Page 2: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/2.jpg)
TRCHS 1999
Introduction
• National surveys of women and men, and health facilities (1991/92, 1994, 1996, & 1999)
• Presentation will be on indicators from the 1999 survey and trends from prior surveys
• Results presented are preliminary
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TRCHS 1999
Main Points
• Comparison of Tanzania to other sub-Saharan African countries
• Knowledge and behaviour regarding HIV/AIDS
• Family planning
• Maternal and child health
• Quality of health facilities
![Page 4: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/4.jpg)
TRCHS 1999
Comparison of Tanzania to Other Sub-Saharan
African Countries
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TRCHS 1999
Female Education
4
5
5
10
14
27
28
29
42
67
Mozambique
Malawi
TANZANIA
Eritrea
Uganda
Madagascar
Zambia
Kenya
Zimbabwe
South Africa
Percent of females 15-49 who attended secondary school
![Page 6: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/6.jpg)
TRCHS 1999 2.9
4.0
4.7
5.6
5.6
6.0
6.1
6.1
6.9
South Africa
Zimbabwe
Kenya
TANZANIA
Mozambique
Madagascar
Zambia
Eritrea
Uganda
Number of children per woman
Total Fertility Rate
![Page 7: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/7.jpg)
TRCHS 1999
55
42
32
17
14
14
10
8
5
4
South Africa
Zimbabwe
Kenya
TANZANIA
Malawi
Zambia
Madagascar
Uganda
Mozambique
EritreaPercent
Current use of modern method among married women age 15-49
Modern Contraceptive Use
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TRCHS 1999
7
15
18
22
22
24
26
28
Mozambique
Zimbabwe
Zambia
TANZANIA
Uganda
Kenya
Madagascar
Eritrea
Percent currently married women 15-49 with unmet need
Unmet Need for Family Planning
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TRCHS 1999
2
5
6
6
8
11
Eritrea
Zambia
Kenya
Malawi
TANZANIA
Zimbabwe
Percent of women using a condom at last sexual intercourse
Condom Use
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TRCHS 1999
Percent of children 12-23 months who are fully vaccinated
81
80
78
68
65
63
47
47
41
36
Malawi
Zimbabwe
Zambia
TANZANIA
Kenya
South Africa
Uganda
Mozambique
Eritrea
Madagascar
Vaccination Coverage
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TRCHS 1999
Deaths before age five per 1000 live births
59
77
112
136
147
147
159
197
201
South Africa
Zimbabwe
Kenya
Eritrea
TANZANIA
Uganda
Madagascar
Zambia
Mozambique
Under-Five Mortality
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TRCHS 1999
Knowledge and Behaviour:
HIV/AIDS
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TRCHS 1999
Knowledge of HIV Prevention Among Youth (15-24): 2+ ways
3034
4943 45
53
0
25
50
75
1994 1996 1999
Percent
Women 15-24 Men 15-24
Only half of youth know 2
or more ways of preventing HIV/AIDS
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TRCHS 1999
Knowledge of Condoms as Protection Against Pregnancy and STDs
54
40
64
48
0
25
50
75
15-49 15-19
Women Men
Less than half of teenagers know that condoms
protect against pregnancy and
STDs.
Percent
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TRCHS 1999
Condom Use WithNon-Regular Partners
23
1619
3229
34
0
10
20
30
40
1994 1996 1999
Women Men
Percent
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TRCHS 1999
People Tested for HIV
34
78
1112
0
5
10
15
1994 1996 1999
Women Men
Percent
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TRCHS 1999
HIV/AIDS Summary
• Knowledge of ways to prevent HIV has increased
• About half of youth not aware that condoms protect against pregnancy AND STDs
• Condom use with non-regular partners has increased slightly for women; remained about the same for men
• HIV testing has increased slightly
• Condom use and HIV testing are low
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TRCHS 1999
Family Planning
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TRCHS 1999
Coverage of Zinduka: Percent listening in previous 6
months
322523
4739
35
0
10
20
30
40
50
1994 1996 1999
Women Men
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TRCHS 1999
Use of Modern Contraceptives Among All Women 15-49
1211
6
0
2
4
6
8
10
12
14
16
1991/92 1994 1996 1999
15Percent
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TRCHS 1999
Contraceptive Method MixAmong All Women 15-49
1996
1999Long-Term
1.9 %
Condom
1.3 %
Injectables 3.7%
Pill 4.8 %
Pill
4.6 %
Long-Term
1.8 %
Condom
3.4 %
Injectables 5.3%
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TRCHS 1999
Intention to Use Family Planningin Next 12 Months (among non-users)
3332
17
3127
21
12
0
5
10
15
20
25
30
35
40
1991/92 1994 1996 1999
Women Men
35
Percent
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TRCHS 1999
Total Fertility Rates: Number of children per woman
5.65.86.3
0
1
2
3
4
5
6
7
1989-91 1994-96 1997-99
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TRCHS 1999
Desired Number of Children
5.5 5.5
5.3
5.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
1991/92 1994 1996 1999
Women Men
6.0 6.0 6.0
n.a.
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TRCHS 1999
Family Planning Summary
• Family planning messages are reaching more people
• Injectables and condoms have led to an increase in contraceptive use
• Among non-users, one-third of women and men intend to use family planning
• Total fertility rate is declining, BUT desired family size remains high
![Page 26: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/26.jpg)
TRCHS 1999
Quality of Health Facilities
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TRCHS 1999
Government Health Facilities Offering HIV Counseling and Testing
21
70
1
0
0 25 50 75 100
Percent
Dispensaries
Health Centres
Hospitals
ALL
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TRCHS 1999
NGO Health Facilities Offering HIV Counseling and Testing
3
8
45
30
9
0
0 25 50Percent
Dispensaries
UMATI
Health Centres
Hospitals
ALL
Marie Stopes
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TRCHS 1999
98
77
59
100 100
0
20
40
60
80
100
120
Hospitals HealthCentres
Dispensaries UMATI Clinics
Marie Stopes
Health Facilities With at Least One Provider Trained Since 1992
Percent
Gov. and NGO/Private Facilities Combined
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TRCHS 1999
Facilities With at Least One Trained Provider in Integrated
RH and CH Clinical Skills
27
73
44
28
64
0 10 20 30 40 50 60 70 80
Percent
Gov. and NGO/Private Facilities Combined
Marie Stopes
UMATI Clinics
Dispensaries
Health Centres
Hospitals
![Page 31: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/31.jpg)
TRCHS 1999
Health Facilities With Stockouts of Pills, Injectables, or Condoms
27
11
0
5
10
15
20
25
30
1996 1999
Percent
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TRCHS 1999
Quality of Health Facilities Summary
• HIV counseling and testing is offered primarily at hospitals
• Health centers and dispensaries with trained staff in combined RH/CH skills low
• Stockouts of pills, injectables and condoms has declined
![Page 33: TRCHS 1999 Tanzania Reproductive and Child Health Survey (TRCHS) 1999 Preliminary findings presented by The RCHS Unit, MOH](https://reader035.vdocument.in/reader035/viewer/2022070305/5514ca11550346935c8b4ac6/html5/thumbnails/33.jpg)
TRCHS 1999
Maternal and Child Health
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TRCHS 1999
Assistance at Delivery by Trained Provider
5455
0
10
20
30
40
50
60
1991/92 1996 1999
Percent
56
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TRCHS 1999
Exclusive Breastfeeding Children Under 6 Months
23
2932
0
10
20
30
40
1991/92 1996 1999
Percent
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TRCHS 1999
Children (12-23 months) Fully Immunized
687171
0
10
20
30
40
50
60
70
80
1991/92 1996 1999
Percent
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TRCHS 1999
Use of ORS Packets:For children under 3 with diarrhoea
0
10
20
30
40
50
60
70
1991/92 1996 1999
5849
55
Percent
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TRCHS 1999
Trends in Under-Five Mortality
150137141
0
50
100
150
200
1987-91 1992-96 1995-99
Children per 1,000 live births
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TRCHS 1999
Trends in Infant and Child Mortality
998892
55 5754
0
30
60
90
120
1987-91 1992-96 1995-99
Infant Child
Children per 1,000 live births
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TRCHS 1999
Maternal and Child Health Summary
• Key child health indicators have remained the same since 1991
• Under-five mortality has recently increased
• Infant mortality makes up most of the increase in under-five mortality
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TRCHS 1999
Achievements
• HIV knowledge and testing has increased
• More women are using condoms with non-regular partners
• Stockouts of contraceptives has declined
• Contraceptive use has increased
• Total fertility rate is declining
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TRCHS 1999
Challenges
• Condom use and HIV testing are low
• Desired family size remains high
• Key child health indicators have remained the same since 1991
• High level of disposable glove reuse
• Infant, child, and under-five mortality have recently increased