Rwanda Demographic and Health Survey – 2014-15 Key Indicators Results

Rwanda Demographic and Health Survey – 2014-15

Key Indicators Results

The survey was carried out by the National Institute of Statistics of

Rwanda (NISR) and the Ministry of Health (MOH) of Rwanda.

Funding for the RDHS 2014-15 was provided by the Government of

Rwanda, USAID, ONE UN, Global Fund, World Vision, and Partner in

Health. Technical assistance was provided by ICF International as part of

the Demographic and Health Surveys Program (DHS Program). The

objective of the DHS program is to collect, analyze and disseminate

demographic data, especially those related to fertility, family planning,

maternal and child health, and HIV/AIDS.

DHSs in Rwanda

Implementation

The survey was carried out by the National Institute of Statistics of Rwanda (NISR) and the Ministry of Health (MOH) of Rwanda.

ICF International provided technical assistance to every phase of the survey through the worldwide Demographic and Health Program.

Implementation

The fieldwork for the RDHS took place from November 9, 2014 to April 8, 2015.

The data entry and editing took place from December 3, 2014 to April 26, 2015.

The data cleaning and finalization took place from April , 27 2015 to May 15, 2015.

Three questionnaires were used for the RDHS 2015: the Household Questionnaire, the Woman Questionnaire, and the Man Questionnaire.

Household Questionnaire

The household questionnaire was used to list all the usual members and visitors and to collect information on the following topics:1. Dwelling characteristics

2. Possession of iodized salt

3. Possession and utilization of mosquito net

The household questionnaire is also an instrument to measure and test the following biomarkers:

1. Height and weight of women, men, and children

2. Anemia and malaria tests of women and children

3. HIV testing women and men (50% of household), and children 0-14 (15% of households)

Women Questionnaire

The women questionnaire was used to collect information on the following topics:1. Respondent background characteristics

2. Reproduction, including a complete birth and death history of respondents’ children, and information on abortion

3. Contraception

4. Pregnancy, delivery and postnatal care

5. Immunization, health and nutrition, early childhood development

6. Marriage and sexual activity

7. Fertility preferences

8. Husband’s background and woman’s work

9. HIV/AIDS and other sexually transmitted infections

10. Other health issues

11. Adult mortality and MMR

12. Relationship in the household (DV)

Men Questionnaire

The men questionnaire was used to collect information on the following topics:1. Respondent background characteristics

2. Reproduction

3. Contraception

4. Marriage and sexual activity

5. Fertility preferences

6. Employment and gender roles

7. HIV/AIDS

8. Other health issues

9. DV

Sample Design

The sample design allows indicators to be calculated at national level, for urban and rural areas. They also can be reported for 5 provinces. - Some indicators will be available at the district level.

The sample was selected in two stages:- 492 villages (clusters or enumeration areas) were selected with

probability proportional to size.- Households were systematically selected from those listed in each

EA for the survey.- All women age 15-49 who were either permanent residents or

visitors present in the households on the night before the survey were eligible to be interviewed. All men age 15-59 in a sub-sample of the households were eligible to be interviewed.

Sample Size and Respond Rates

Selected households: 12,793 Households found: 12,717

Interviewed: 12,699

Response rate: 99.9%

Eligible women: 13,564 Interviewed: 13,497


Eligible men: 6,249 Interviewed: 6,217


Marital Status

3848

5250

102

0

20

40

60

80

100

Women Men

Divorced/separated/widowed In union Never married

Women Men

Education Level

23 22 16 12 17 15 10 9

67 6668

6470 69

69 65

11 12 16 2312 16 21 26

0

20

40

60

80

100

RDHS2005

RIDHS2007-08

RDHS2010

RDHS2014-15

RDHS2005

RIDHS2007-08

RDHS2010

RDHS2014-15

No education Primary Secondary+

Women Men

At current fertility levels, a woman in Rwanda will have an average of 4.24.2 children in her entire

reproductive life; The TFR of urban women is 3.6 and of rural women is 4.3

Total Fertility Rate

Trend in Fertility

6.15.5

4.64.2

RDHS 2005 RIDHS 2007-08 RDHS 2010 RDHS 2014-15

TFR for women age 15-49 for the 3-year period preceding the survey

Current Use of Modern Methods

Percentage of currently married women using any modern method

Trends in Maternal Health

94

3930

96

5245

98

69 69

9991 91

Antenatal care Delivery assisted by skilledprovider

Delivery in a health facility


Antenatal Visit for 4+ Times

13

24

35

44


Trends in Vaccination Coverage

7580

90 93


Percentage of children 12-23 months fully vaccinated

Trend in Exclusive Breastfeeding

88 85 87

RDHS 2005 RDHS 2010 RDHS 2014-15

Percentage of 0-5 month-olds who are exclusively breastfeeding.

Prevalence of ARI, Fever and Diarrhea

6

1912

ARI symptoms Fever Diarrhea

Percentage of children under five years who had symptoms of ARI, fever, or diarrhea in the two weeks preceding the survey

Treatment of ARI, Fever and Diarrhea

26 27

14

2835 33

50

4337

5449

44

ARI Fever Diarrhea


Among children with symptoms of ARI, fever, or diarrhea percentage of whom treatment was sought from a health facility/ provider

Anemia in Children 6-59 months

40

23

16

0

38

24

14

1

37

21

15

1

Any anemia Mild anemia Moderate anemia Severe anemia

RIDHS 2007-08 RDHS 2010 RDHS 2014-15

Children with <7.0 g/dl of hemoglobin have severe anemia, children with 7.0-9.9 g/dl have moderate anemia, and

children with 10.0-10.9 g/dl have mild anemia

Anemia in Women

1815

20

17

14

30

19

16

3

0

Any anemia Mild anemia Moderate anemia Severe anemia

RIDHS 2007-08 RDHS 2010 RDHS 2014-15

Women with <7.0 g/dl of hemoglobin have severe anemia, women with 7.0-9.9 g/dl have moderate anemia, and non-pregnant women with 10.0-11.9 g/dl and pregnant women

with 10.0-10.9 g/dl have mild anemia.

Possession of Mosquito Net

15

56

82 83 81

1 ITN

RDHS 2005 RIDHS 2007-08 RDHS 2010 RMIS 2013 RDHS 2014-15

Percent of households with at least

Utilization of Mosquito Net by Children

58

707574

79

68

80.3

All households Households with ITN

RIDHS 2007-08 RDHS 2010 RMIS 2013 RDHS 2014-15

Percent of Children under 5 who slept ITN

Utilization of Mosquito Net by Pregnant Women

6272

8174

86

73

88

All households Households with ITN

RIDHS 2007-08 RDHS 2010 RMIS 2013 RDHS 2014-15

Percent of pregnant women who slept ITN

Undernourished Children

51

5

18

44

3

11

38

29

Stunted(Height for age)

Wasted(Weight for height)

Underweight(Weight for age)

RDHS 2005 RDHS 2010 RDHS 2014-15

More than 2 SD below the median of WHO Child Growth Standards adopted in 2006.

Knowledge of HIV prevention

Percentage of women and men age 15-49 who, in response to prompted questions, say that people can reduce the risk of getting the AIDS virus by :

91 8982

95 92 88

0

20

40

60

80

100

Using condoms Limiting sexualintercourse to oneuninfected partner

Using condoms andlimiting sexual

intercourse to oneuninfected partner

Women Men

Multiple sex partners and use of condom-Women

99.3

51.6

0.7

48.4

Percentage who had 2+ partners inthe past 12 months

Percentage who reported using acondom during last sexual intercourse

Among all women age 15-49 Among women who had 2+ partners in the past 12 months

Multiple sex partners and use of condom-Men

95.2

72.0

4.8

28.0

Percentage who had 2+ partners inthe past 12 months

Percentage who reported using acondom during last sexual intercourse

Among all men age 15-49 Among men who had 2+ partners in the past 12 months

Multiple sexual partners - Men

1

4

6 6 7

3

6

11

7

4

7

3

6

3

5 5 54

15-19

20-24

25-29

30-39

40-49

Never m

arried

Married/living together

Divorced/separated/w

idowed

Urban

Rural

Kigali City

South

West

North

East

No education

Primary

Secondary or higher

Use Condom- Men

72

33

1915

81

9

58

18

60

37

18 19 21 22

69

15-24

25-29

30-39

40-49

Ne

ver m

arried

Married

/living

tog

ether

Urb

an

Ru

ral

Kig

ali City

So

uth

West

No

rth

Ea

st

Prim

ary

Se

con

da

ry or h

igh

er

Infant and Under-five Mortality from the RDHS/RIDHS, 2005, 2007-08, 2010, and 2014-15

Maternal Mortality Ratio form the RDHSs 2000, 2005, 2010, and 2014-15

1071

750

476

210

Next Steps

• Preparation (drafting, reviewing, and printing) Key Indicators Report – KIR (formerly called Preliminary Report) - May-June 2015

• Disseminating KIR – June

Documents

Rwanda Demographic and Health Survey – 2014-15 Key Indicators Results