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Sri Lanka

Sri LankaDemographic and health Survey2006-07 Sri Lanka 2006-07 demographic and health survey Sri Lanka demographic and health survey 2006-07 Department of Census and Statistics Colombo, Sri Lanka health Sector Development Project Ministry of Healthcare and Nutrition Colombo, Sri Lanka April 2009 The 2006-07 Sri Lanka demographic and health survey (SLDHS) was carried out by the Department of Census and Statistics (DCS) for the health Sector Development Project (HSDP) of the Ministry of Healthcare and Nutrition in collaboration with The World Bank. Technical support for the survey was provided by Macro International Inc., USA. The objective of the survey was to provide data to monitor and evaluate the impact of population, health , and nutrition programmes implemented by different government agencies.

The 2006-07 Sri Lanka Demographic and Health Survey (SLDHS) was carried out by the Department of Census and Statistics (DCS) for the Health Sector Development Project (HSDP) of the Ministry of

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1 Sri LankaDemographic and health Survey2006-07 Sri Lanka 2006-07 demographic and health survey Sri Lanka demographic and health survey 2006-07 Department of Census and Statistics Colombo, Sri Lanka health Sector Development Project Ministry of Healthcare and Nutrition Colombo, Sri Lanka April 2009 The 2006-07 Sri Lanka demographic and health survey (SLDHS) was carried out by the Department of Census and Statistics (DCS) for the health Sector Development Project (HSDP) of the Ministry of Healthcare and Nutrition in collaboration with The World Bank. Technical support for the survey was provided by Macro International Inc., USA. The objective of the survey was to provide data to monitor and evaluate the impact of population, health , and nutrition programmes implemented by different government agencies.

2 Additionally the survey aimed at measuring the impact of interventions made under the HSDP in improving the quality and efficiency of health care services as a whole. Additional information about the 2006-07 SLDHS may be obtained from the Department of Census and Statistics, 15/12 Maitland Crescent, Colombo 7, Sri Lanka , Telephone: (94) 11-268-2176 or (94) 11-269-2291; Fax: (94) 11-269-7594; Internet: Recommended citation: Department of Census and Statistics (DCS) and Ministry of Healthcare and Nutrition (MOH). 2009. Sri Lanka demographic and health survey 2006-07. Colombo, Sri Lanka : DCS and MOH. Contents | iii CONTENTS Page TABLES AND ix PREFACE .. xv xvii SUMMARY OF xix MAP OF SRI xxiv CHAPTER 1 INTRODUCTION de Silva and Bandara Historical Background and Geography of the Country ..1 Climatic Country health Policies and Family Planning Policies and demographic and health Surveys in Sri Lanka .

3 3 survey Implementation ..4 Sample Training ..6 Fieldwork ..7 Data Processing ..8 Results of the survey CHAPTER 2 HOUSEHOLD POPULATION AND HOUSING CHARACTERISTICS Dharma Dissanayake and de Silva Household Population by Age and Household Composition ..11 Education of Household Members ..11 Educational School Attendance Rates ..14 Household Drinking Household Sanitation Facilities.

4 17 Housing Household Possessions ..19 Wealth Index ..20 Birth CHAPTER 3 CHARACTERISTICS OF RESPONDENTS Vidyaratne Characteristics of survey Respondents ..23 Educational Attainment by Background Characteristics ..23 Access to Mass Media ..27 iv Contents Occupation ..31 Earnings and Type of health Insurance Coverage ..33 Knowledge and Attitudes Concerning Smoking ..35 CHAPTER 4 FERTILITY LEVELS, TRENDS, AND DIFFERENTIALS Gunasekera Introduction ..37 Current Fertility.

5 37 Fertility Differentials by Background Characteristics ..38 Fertility Trends ..42 Children Ever Born and Living ..43 Birth Intervals ..45 Age at First Teenage Pregnancy and Motherhood ..49 CHAPTER 5 FAMILY PLANNING Jayakody Knowledge of Contraceptive Methods ..52 Ever Use of Family Planning Current Use of Contraceptive Methods ..55 Differentials in Contraceptive Use by Background Characteristics ..56 Trends in Contraceptive Use ..58 Contraceptive Method Mix ..60 Number of Children at First Use of Contraception ..61 Use of Social Marketing Contraceptive Knowledge of Fertile Period ..63 Timing of Source of Contraception.

6 64 Informed Choice ..65 Contraceptive Discontinuation ..67 Future Use of Contraception ..68 Reasons for Not Intending to Use ..69 Exposure to Family Planning Messages ..69 Contact of Nonusers with Family Planning Providers ..71 Husband's Knowledge of Women s Contraceptive Use ..71 CHAPTER 6 OTHER PROXIMATE DETERMINANTS OF FERTILITY Bandara Current Marital 73 Age at First Marriage .. 74 Age at First Sexual Intercourse .. 77 Recent Sexual Activity .. 78 Postpartum Amenorrhoea, Abstinence, and Insusceptibility .. 80 Menopause .. 81 Contents | v CHAPTER 7 FERTILITY PREFERENCES de Silva Desire for More 83 Need for Family Planning Services.

7 87 Ideal Number of 89 Fertility Planning 90 Wanted Fertility Rates .. 91 CHAPTER 8 INFANT AND CHILD MORTALITY de Silva Levels and Trends in Infant and Child Mortality .. 95 Data 96 Socioeconomic Differentials in Infant and Child 96 demographic Differentials in Infant and Child Mortality .. 98 Perinatal Mortality .. 99 High-Risk Fertility 100 CHAPTER 9 REPRODUCTIVE health Dharma Dissanayake Antenatal Care .. 103 Number of Antenatal Care Visits and Timing of First Visit .. 103 Components of Antenatal Care .. 106 Tetanus Toxoid Injections .. 108 Delivery Care.

8 110 Place of Delivery .. 110 Assistance During 112 Postnatal Care .. 114 Problems in Accessing health Care .. 117 CHAPTER 10 CHILD health Gaveshika Child s Weight at Birth .. 122 Vaccination 124 Trends In Vaccination Coverage .. 126 Acute Respiratory Infection and Treatment .. 126 Fever .. 128 Diarrhoeal Disease .. 129 Feeding Practices during Diarrhoea .. 130 Knowledge of ORS 131 Stool 132 CHAPTER 11 NUTRITION OF CHILDREN AND WOMEN Gunesekara and Chandrani Piyasena Nutritional Status of Children .. 135 Measurement of Nutritional Status among Young Children.

9 135 136 Wasting .. 139 vi Contents Underweight .. 140 Initiation of Breastfeeding .. 140 Breastfeeding Status by Age .. 142 Duration and Frequency of Breastfeeding .. 144 Types of Complementary Foods .. 147 Infant and Young Child Feeding Practices .. 148 Presence of Iodised Salt in 150 Micronutrient Intake among Children .. 151 Nutritional Status of Women .. 153 Height of 154 Body Mass Index (BMI) of Women .. 155 Trends in Women s Nutritional Status .. 155 Foods Consumed by Mothers .. 156 Micronutrient Intake and Deficiency Status in Women .. 158 CHAPTER 12 MALARIA de Silva Household Ownership of Mosquito Nets .. 162 Use of Mosquito Nets.

10 166 CHAPTER 13 HIV/AIDS-RELATED KNOWLEDGE, ATTITUDES, AND BEHAVIOUR Jayakody Introduction .. 171 HIV/AIDS Knowledge, Transmission, and Prevention 171 Awareness of HIV/AIDS .. 171 Knowledge of HIV 173 Rejection of Misconceptions about HIV/AIDS .. 175 Knowledge of Prevention of Mother-to-Child Transmission of 177 Attitudes towards People Living with AIDS .. 179 Coverage of HIV Counselling and Testing .. 181 Self-Reporting of Sexually Transmitted Infections .. 181 Prevalence of Medical Injections .. 182 HIV/AIDS Knowledge among 184 CHAPTER 14 WOMEN S EMPOWERMENT AND demographic AND health OUTCOMES Bandara Employment and Form of Earnings.


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