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Rwanda Demographic and Health Survey 2014-15 Key findings DHSs in Rwanda The survey was carried out by: • NISR • Ministry of Health Funding: • Government of Rwanda, • DPs (USAID, ONE UN, Global Fund, World Vision, Partner in Health) • Technical assistance: ICF International Implementation The fieldwork – Nov 9, 2014 - Apr 8, 2015 The data entry and editing – Dec 3, 2014 - Apr 26, 2015. The processing – Apr 27, 2015 - May 15, 2015. Subject Scope 1. Household questionnaire 2. Women questionnaire 3. Men questionnaire; Women Questionnaire Content 1. 2. 3. 4. 5. 6. 7. 8. birth and death history of respondents’ children, Contraception Pregnancy, delivery and postnatal care Immunization, health and nutrition, early childhood development Fertility preferences HIV/AIDS and other sexually transmitted infections Adult mortality and Maternal Mortality Ratio; etc Men Questionnaire Content 1. 2. 3. 4. Marriage and sexual activity Employment and gender roles HIV/AIDS etc Respond Rates Household Interviews Households selected 12,793 Response rate 99.9% Interviews with Women age 15-49 Eligible women 13,564 Response rate 99.5% Interviews with Men age 15-59 Eligible men Response rate 6,249 99.5% Enumeration Areas Education Level Women 100 11 12 67 66 Men 16 23 12 16 70 69 21 26 69 65 80 60 68 40 64 20 23 0 22 16 17 12 10 9 RDHS RIDHS RDHS RDHS 2005 2007-08 2010 2014-15 RDHS RIDHS RDHS RDHS 2005 2007-08 2010 2014-15 No education 15 Primary Secondary+ Trends in Fertility Fertility dropping to 4.2 children per woman 6.1 5.5 4.6 RDHS 2005 RIDHS 2007-08 RDHS 2010 4.2 RDHS 2014-15 Current use of contraceptives Percentage of currently married women using contraceptives Trends in Maternal Health 91% of deliveries assisted and in health facilities. Almost all women receive antenatal care at least once during pregnancy 94 96 98 99 91 91 69 69 52 45 39 Antenatal care RDHS 2005 30 Delivery assisted by skilled Delivery in a health facility provider RIDHS 2007-08 RDHS 2010 RDHS 2014-15 Trends in Vaccination Coverage 93% of children 12-23 months fully vaccinated 75 RDHS 2005 90 93 RDHS 2010 RDHS 2014-15 80 RIDHS 2007-08 Trends in Exclusive Breastfeeding 87% of children 0-5 months exclusively breastfeeding 88 RDHS 2005 85 87 RDHS 2010 RDHS 2014-15 Undernourished Children All measures of nutrition are improving among children less than 5 years 51 44 38 18 11 5 Stunted (Height for age) 3 2 Wasted (Weight for height) RDHS 2005 RDHS 2010 9 Underweight (Weight for age) RDHS 2014-15 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 : 100 91 95 89 92 82 88 80 60 40 20 0 Using condoms Limiting sexual intercourse to one uninfected partner Women Men Using condoms and limiting sexual intercourse to one uninfected partner Infant and Under-five Mortality from the RDHS/RIDHS, 2005, 2007-08, 2010, and 2014-15 Infant and Under-five Mortality dropping steadily. 250 200 196 173 152 150 100 103 107 95 86 76 62 50 50 50 32 0 2000 2002-03 2005 2007-08 2010 2014-15 2000 RDHS IMR 2000 RDHS U5MR 2005 RDHS IMR 2005 RDHS U5MR 2007-08 RIDHS IMR 2007-08 RIDHS U5MR 2010 RDHS IMR 2010 RDHS U5MR Maternal Mortality Ratio form the RDHSs 2000, 2005, 2010, and 2014-15 Maternal mortality also dropping steadily 1400 1200 1071 1000 800 750 600 476 400 200 210 0 RDHS 2000 RDHS 2005 RDHS 2010 RDHS 2014-15 Possession of Mosquito Net Percent of households with at least one ITN 82 83 81 56 15 1 ITN RDHS 2005 RIDHS 2007-08 RDHS 2010 RMIS 2013 RDHS 2014-15 Ownership of and Universal Coverage of ITNs Percent of households *Assuming one ITN covers 2 people Thank You