DATA RESULTS FROM THE DEMOGRAPHIC AND HEALTH SURVEY
Côte d’Ivoire 2011–12 Introduction The Côte d’Ivoire Demographic and Health and Multiple Cluster Indicator Survey 2011–12 (DHSMICS) or Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011–12 (EDS-MICS) was conducted by the Institut National de la Statistique (INS) with technical assistance from ICF International. Data for this nationally representative survey were collected from 10,413 households, and complete interviews were conducted with 10,060 women aged 15−49 and 5,135 men aged 15–59. The fieldwork took place from 5 December 2011 to 11 May 2012. The summary statistics presented below were taken from the 2011 Côte d’Ivoire DHS-MICS (INS and ICF International 2012), with exceptions as noted.
OVERVIEW 1.1 General characteristics of the population Percent Characteristic 1980–85 2005–10 change
Demographic Population size (mil.) 9.3 18.2 +95.7 Crude birth rate (/1,000) 46.4 36.1 –22.2 Crude death rate (/1,000) 14.6 15.5 +6.2 Population growth rate (%/year) 4.1 1.7 –58.5 Life expectancy (years) 51.6 48.7 –5.6 Socioeconomic GNI per capita ($) na 1,220a — Adult literacy rate (% aged 15 and older) na 57b —
1.2 Percentage distribution of women surveyed, by highest educational level attained, according to residence Educational level
None Partial primary Complete primary Partial secondary Complete secondary Higher Total (Weighted N)
Residence Rural Urban
Total
66.3 40.8 53.2 18.2 14.6 16.4 8.2 9.8 9.0 6.4 24.8 15.9 0.7 4.9 2.8 0.2 5.1 2.7 100.0 100.0 100.0 (4,890) (5,170) (10,060)
GNI = Gross national income. na = Not available. — = Not applicable. a GNI per capita is given for 2012 (World Bank 2013a). b National estimate based on survey data for adult literacy for those aged 15 and older is given for 2011 (World Bank 2013b). SOURCES: All data except a and b are drawn from World Population Prospects (UN 2013).
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FERTILITY 2.1 Fertility trends
2.2 Fertility differentials, 2009–12
UN estimate 7.8
8
7.3
6.7
Survey estimate
6.1
6
5.6
5.2
5.0
4.9
4
6 Total fertility rate
Total fertility rate
10
6.3
5.8 5.0
4
3.7 2.6
2
2 0
2 –1
2.3 Trends in age-specific fertility Years prior to survey 0–4 5–9 10–14 15–19
15–19 125 136 141 139 20–24 216 220 250 237 25–29 221 236 250 261 30–34 187 230 232 (241) 35–39 140 159 (208) na 40–44 75 (105) na na 45–49 (26) na na na
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher. NOTE: Fertility rates are for the period 1–36 months prior to the survey.
2.4 Differentials in median age at first birth among women aged 25–49 25 20
23.1 19.6
19.0
20.4
19.2
19.2
15
Age
0
Year
Mother’s age at birth
a c b 1 Mother’s educational level
Rural Urban Residence
09
–1
20
05 20
–0
5
0 20
00
00
5
–2
–9
19
95
0
90
–9
19
5
85
–8
19
80 19
19
75
–8
0
0
10
na = Not available. NOTE: Age-specific fertility is measured in births per 1,000 women per year in each age group. Numbers in parentheses are partially truncated rates.
5 0
All women
Rural Urban Residence
a b c 1 Mother’s educational level
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
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FERTILITY PREFERENCES 3.1 Mean ideal number of children among women surveyed, by age and number of living children
Ideal number of children
8 7.2 7
6.4
6 5 4 3
•5.1
•
• 4.5
4.8
•5.5 •5.7
•
4.4
15–19 20–24 25–29 30–34 35–39 40–44 45–49 Age
3.2 Desire to stop childbearing among women in union, by number of living children Percentage who want no more (including sterilized women)
100
57
60 40
26
20
March 2014
•
•
4.7
0
1
0.1 0
2 1
6
33
13
6+ 2 3 4 5 Number of living children (including current pregnancy)
21
•4.9
•5.5
•5.9
•6.5
2 3 5 4 Number of living children (including current pregnancy)
6+
3.3 Percentage distribution of births in the five years preceding the survey, by planning status, according to birth order Planning status
80
0
•6.5
•
Birth order (including current pregnancy) 1 2 3 4+
All
Wanted then 69.1 76.3 77.8 76.0 74.8 Wanted later 29.3 21.5 19.4 16.5 20.9 Wanted no more 0.7 0.9 1.7 6.6 3.3 Missing 0.9 1.3 1.1 0.9 1.0 Total 100.0 100.0 100.0 100.0 100.0 (Weighted N) (1,923) (1,748) (1,396) (3,455) (8,523)
Total
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CONTRACEPTION 4.1 Percentage of women in union, by method, according to their knowledge and current use of contraceptives Method
Any method Any modern method Female sterilization Male sterilization Pill IUD Injectable Diaphragm Foam/jelly Male condom Female condom Implant Emergency contraception Lactational amenorrhea method Other Any traditional method Periodic abstinence Withdrawal Other
Know Currently method using
93.7 93.2 27.1 13.2 85.7 23.6 66.8 6.4 7.2 88.3 49.0 18.7 20.0 30.9 0.0 58.5 46.7 43.4 10.6
18.2 12.5 0.1 0.0 7.1 0.1 2.4 0.0 0.0 1.8 0.0 0.2 0.0 0.6 0.3 5.7 3.9 0.6 1.2
4.2 Percentage distribution of current users of modern contraceptive methods, by most recent source of supply, according to method Method Male Source Pill Injectable condom
Public sector Government hospital Government health center Family planning clinic Mobile clinic Community health worker Other Private medical sector Hospital/private clinic Pharmacy Private doctor Mobile clinic Community health worker Other Other source Store/market Religious institution Parents/friends Other Missing Total (Weighted N)
Totala
22.5 88.3 4.0 26.3 7.8 28.4 1.4 9.0 11.8 48.6 1.7 13.5 2.4 9.4 0.0 2.6 0.3 0.5 0.0 0.2 0.2 1.1 0.0 0.3 0.0 0.2 1.0 0.8 59.5 9.2 44.8 45.7 1.7 0.9 0.6 1.2 56.9 1.2 43.7 42.7 0.3 0.9 0.3 0.5 0.3 0.0 0.2 0.2 0.0 2.8 0.0 0.4 0.4 3.3 0.0 0.7 1.4 1.4 38.0 15.3 0.5 0.0 26.1 10.0 0.0 1.4 0.1 0.3 0.9 0.0 11.9 5.0
12.6 0.1 9.0 9.2 4.0 1.0 4.2 3.5 100.0 100.0 100.0 100.0 (611) (189) (499) (1,333)
a Includes other modern methods but excludes lactational amenorrhea method.
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CONTRACEPTION (continued)
Percentage of women in union reporting current contraceptive use
4.3 Contraceptive prevalence differentials Any method Traditional or folk methods
40
Modern methods
30 23 20
30
26
18
15
13
6
10 13
0
Urban Rural Residence
a c b Woman’s educational level1
Total
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
4.4 Contraceptive prevalence, by age and number of living children Percentage of women in union reporting current contraceptive use
40
30 20
20
10
•
17 11
0
•
•
20
•
21
•
21
20
•
18
• 11
15–19 20–24 25–29
30–34 35–39 Age
40–44 45–49
•
•
20
•
•7 0
1–2 3–4 5+ Number of living children
4.5 Percentage distribution of women in union who are nonusers, by intention to practice contraception in the future, according to number of living children Intention
Intends to use Unsure Does not intend to use Missing Total (Weighted N)
March 2014
Number of living children (including current pregnancy) 0 1 2 3 4+ Total
30.6 43.1 45.1 42.2 37.3 40.0 13.0 11.5 10.7 10.1 10.3 10.7 54.6 44.2 42.4 46.0 50.9 47.6 1.8 1.3 1.8 1.7 1.6 1.6
100.0 100.0 100.0 100.0 100.0 100.0 (344) (854) (941) (868) (2,155) (5,161)
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MARITAL STATUS 5.1 Percentage distribution of women, by current marital status, according to age Age Marital status 15–19 20–24 25–29 30–34 35–39 40–44 45–49 Total
Single 78.4 40.3 21.3 9.6 5.4 3.8 2.8 30.2 Married 10.4 31.1 42.5 49.9 57.3 60.5 60.3 39.3 Living together 10.3 24.9 29.6 30.4 27.4 23.0 18.8 23.4 Divorced/separated/widowed 0.9 3.7 6.6 10.1 9.9 12.6 18.0 7.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (Weighted N) (2,023) (1,953) (1,922) (1,508) (1,129) (852) (672) (10,060)
ASSISTANCE DURING DELIVERY 6.1 Percentage distribution of births in the five years prior to the survey, by type of assistance during delivery, according to residence Type of assistance
Rural
Doctor Nurse/midwife Auxiliary nurse/auxiliary midwife Traditional birth attendant Parent/other No one Does not know/missing Total (Weighted N)
Urban
Total
3.0 7.2 4.6 39.0 74.5 52.3 2.5 2.7 2.6 27.9 6.5 19.9 23.0 6.9 17.0 3.6 0.8 2.6 1.0 1.3 1.1 100.0 100.0 100.0 (4,690) (2,802) (7,492)
POSTPARTUM VARIABLES 7.1 Differentials in median duration of breastfeeding among children born in the three years preceding the survey
7.2 Median duration of breastfeeding and postpartum insusceptibility
Median number of months
20
19.8
17.6
20.0
17.2
18.9 15.3
20
18.9
0 Rural Urban Residence
a b c Mother’s educational level1
Total
1 Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
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12.4
9.7
10
10
0
Median number of months
30
30
6.1
Any breastfeeding
Amenorrhea Abstinence
Insusceptibility*
Postpartum status *Amenorrhea and/or abstinence.
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INFANT MORTALITY 8.1 Infant mortality trends 200
UN estimates
Infant mortality rate
175 150
125
125
113
107
100
Survey estimate
103
99
94
87 68
75 50 25
2 20
07
–1
0 –1
20
–0 20
00
–2
05
5
0 00
5
95
90
–9
19
0 19
–9 85
5 19
–8 80 19
19
75
–8
0
0
Year
8.2 Infant mortality differentials, 2001–12
Infant mortality rate
90 80 70 60 50 40 30 20 10 0
82
80 66
74
68 52
Rural Urban Residence
a b c Mother’s educational level1
Total 2007–12
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
8.3 Children ever born, children surviving, and ratio of dead to ever born among all women Age of woman
Mean number of children Ever born Surviving
Ratio of dead/ ever born
15–19 0.28 0.26 20–24 1.24 1.11 25–29 2.33 2.07 30–34 3.55 3.11 35–39 4.70 4.03 40–44 5.55 4.72 45–49 6.13 5.10 Total 2.68 2.32
March 2014
0.07 0.10 0.11 0.12 0.14 0.15 0.17 0.13
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HEALTH: DISEASE, PREVENTION, AND TREATMENT 9.1 Percentage of children 12 to 23 months of age who have received specific vaccines at any time before the survey, by residence and mother’s educational level Characteristic
BCG
Residence Rural Urban Mother’s educational level None Partial or complete primary Partial or complete secondary Total
Pentavalent(3)
Percent receiving vaccines Polio(3) Measles
All vaccines
76.1 55.7 66.7 56.9 42.2 94.2 76.0 72.8 75.9 63.0 78.7 89.5 94.9 83.4
55.8 64.2 57.0 43.8 74.2 78.1 72.7 57.9 84.5 75.4 87.0 71.1 63.8 69.2 64.5 50.5
NOTE: Pentavalent (3) contains vaccines for diphtheria, tetanus, pertussis, hepatitis B, and influenza type B.
9.2 Percentage of children younger than five years with diarrhea in the two weeks prior to survey, and of those, percentage for whom a health provider was consulted and percentage receiving oral rehydration therapy (ORT), by residence and mother’s educational level Diarrhea in Characteristic past two weeks
Consulted health provider
ORT therapy ORS Home packets solution
Increased fluids
No treatment
Rural 17.5 26.2 14.4 4.8 38.9 27.2 Urban 18.6 28.7 21.6 8.6 37.3 27.6 Mother’s educational level None 16.2 20.5 12.1 5.0 37.1 29.5 Partial or complete primary 22.0 34.6 24.8 8.4 38.5 26.5 Partial or complete secondary 17.9 41.4 22.0 7.0 44.3 18.0 Total 17.9 27.2 17.2 6.3 38.3 27.3 ORS = Oral rehydration salts.
NUTRITIONAL STATUS: ANTHROPOMETRIC MEASURES 10.1 Percentage malnourished among children younger than five years, according to children’s weight-for-height measure and height-for-age measure, by residence and mother’s educational level Malnutrition Weight-for-height measure Height-for-age measure Characteristic Severe Moderate/severe Severe Moderate/severe
Residence Rural Urban Mother’s educational level None Partial or complete primary Partial or complete secondary Total
1.9 1.3
7.4 7.8
15.2 6.7
1.7 2.3 0.7 1.7
8.0 13.8 8.9 9.5 4.1 3.7 7.5 12.2
34.9 20.5 31.8 28.7 16.2 29.8
NOTES: Based on comparison with the WHO Child Growth Standards adopted in 2006. Children two or more standard deviations below the median of the reference (2.3 percent expected) are considered moderately or severely malnourished; those three or more standard deviations below the reference (0.1 percent expected) are considered severely malnourished.
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KNOWLEDGE OF HIV/AIDS 11.1 Percentage of women surveyed who have heard of AIDS and who, when prompted, indicate that they know ways related to sexual behavior to avoid acquiring or transmitting the infection, by selected characteristics
Ways to avoid AIDS Use condoms Limit sex to and limit sex Has heard Use one faithful to one faithful Characteristic of AIDS condoms uninfected partner uninfected partner (Weighted N) Age 15–19 91.6 57.8 62.9 48.0 (2,023) 20–24 94.7 64.3 68.6 54.0 (1,953) 25–29 95.2 62.6 69.4 53.3 (1,922) 30–39 95.5 60.6 67.9 51.6 (2,637) 40–49 94.2 52.5 63.8 43.3 (1,524) Marital status Single 95.3 67.4 71.1 57.5 (3,038) Ever had sex 97.5 70.7 74.5 60.6 (2,230) Never had sex 89.2 58.2 61.9 48.8 (808) In union 93.5 55.9 64.3 46.9 (6,309) Divorced/separated/widowed 97.4 63.7 68.6 51.8 (713) Residence Rural 91.8 52.0 59.1 42.6 (4,890) Urban 96.7 67.4 73.9 57.8 (5,170) Education None 90.7 50.2 58.4 41.4 (5,351) Partial or complete primary 97.1 63.5 70.2 52.7 (2,552) Partial or complete secondary 99.8 79.6 83.0 70.2 (2,157) Wealth-index quintile Lowest 90.4 48.2 57.2 38.9 (1,727) Second 93.7 53.4 59.2 42.3 (1,780) Middle 92.2 57.2 62.0 48.7 (1,910) Fourth 95.9 63.7 71.6 54.7 (2,123) Highest 97.7 71.4 77.9 61.8 (2,520) Total 94.3 59.9 66.7 50.4 (10,060)
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KNOWLEDGE OF HIV/AIDS (continued) 11.2 Percentage of women surveyed who know that HIV/AIDS can be transmitted from mother to child by breastfeeding, and percentage who know that the risk of transmission can be reduced if the mother takes special drugs during pregnancy, by selected characteristics Characteristic
Knows HIV can be transmitted by breastfeeding
Knows risk of MTCT can be reduced with drugs
(Weighted N)
Age 15–19 59.4 55.0 (2,023) 20–24 69.3 63.7 (1,953) 25–29 71.6 67.1 (1,922) 30–39 72.7 62.2 (2,637) 40–49 69.9 57.1 (1,524) Marital status Single 69.2 68.3 (3,038) Ever had sex 73.7 73.7 (2,230) Never had sex 56.6 53.6 (808) In union 67.8 56.8 (6,309) Divorced/separated/widowed 74.6 70.0 (713) Residence Rural 63.3 47.0 (4,890) Urban 73.9 74.6 (5,170) Education None 61.0 47.5 (5,351) Partial primary 73.9 68.9 (2,552) Complete primary 81.8 86.2 (2,157) Wealth-index quintile Lowest 61.9 41.4 (1,727) Second 64.1 54.0 (1,780) Middle 64.4 54.0 (1,910) Fourth 73.1 67.3 (2,123) Highest 76.3 80.2 (2,520) Total 68.7 61.2 (10,060) MTCT = Mother-to-child transmission.
REFERENCES Institut National de la Statistique (INS) and ICF International. 2012. Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011–12. Abidjan, Côte d’Ivoire: INS and Calverton, MD: ICF International. United Nations (UN) Department of Economic and Social Affairs, Population Division. 2013. World Population Prospects, 2012 Revision, Volume I: Comprehensive Tables. New York. (Publication ST/ESA/SER.A/316) World Bank. 2013a. World Development Indicators 2013. Washington, DC. ———. 2013b. World Development Indicators. data.worldbank.org/indicator/SE.ADT.LITR.ZS.
This information was compiled by the Population Council in cooperation with ICF International from the results of the 2011–12 Côte d’Ivoire Demographic and Health and Multiple Cluster Indicator Survey.
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Côte d’Ivoire 2011–12 Introduction The Côte d’Ivoire Demographic and Health and Multiple Cluster Indicator Survey 2011–12 (DHSMICS) or Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011–12 (EDS-MICS) was conducted by the Institut National de la Statistique (INS) with technical assistance from ICF International. Data for this nationally representative survey were collected from 10,413 households, and complete interviews were conducted with 10,060 women aged 15−49 and 5,135 men aged 15–59. The fieldwork took place from 5 December 2011 to 11 May 2012. The summary statistics presented below were taken from the 2011 Côte d’Ivoire DHS-MICS (INS and ICF International 2012), with exceptions as noted.
OVERVIEW 1.1 General characteristics of the population Percent Characteristic 1980–85 2005–10 change
Demographic Population size (mil.) 9.3 18.2 +95.7 Crude birth rate (/1,000) 46.4 36.1 –22.2 Crude death rate (/1,000) 14.6 15.5 +6.2 Population growth rate (%/year) 4.1 1.7 –58.5 Life expectancy (years) 51.6 48.7 –5.6 Socioeconomic GNI per capita ($) na 1,220a — Adult literacy rate (% aged 15 and older) na 57b —
1.2 Percentage distribution of women surveyed, by highest educational level attained, according to residence Educational level
None Partial primary Complete primary Partial secondary Complete secondary Higher Total (Weighted N)
Residence Rural Urban
Total
66.3 40.8 53.2 18.2 14.6 16.4 8.2 9.8 9.0 6.4 24.8 15.9 0.7 4.9 2.8 0.2 5.1 2.7 100.0 100.0 100.0 (4,890) (5,170) (10,060)
GNI = Gross national income. na = Not available. — = Not applicable. a GNI per capita is given for 2012 (World Bank 2013a). b National estimate based on survey data for adult literacy for those aged 15 and older is given for 2011 (World Bank 2013b). SOURCES: All data except a and b are drawn from World Population Prospects (UN 2013).
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Results from the DHS
FERTILITY 2.1 Fertility trends
2.2 Fertility differentials, 2009–12
UN estimate 7.8
8
7.3
6.7
Survey estimate
6.1
6
5.6
5.2
5.0
4.9
4
6 Total fertility rate
Total fertility rate
10
6.3
5.8 5.0
4
3.7 2.6
2
2 0
2 –1
2.3 Trends in age-specific fertility Years prior to survey 0–4 5–9 10–14 15–19
15–19 125 136 141 139 20–24 216 220 250 237 25–29 221 236 250 261 30–34 187 230 232 (241) 35–39 140 159 (208) na 40–44 75 (105) na na 45–49 (26) na na na
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher. NOTE: Fertility rates are for the period 1–36 months prior to the survey.
2.4 Differentials in median age at first birth among women aged 25–49 25 20
23.1 19.6
19.0
20.4
19.2
19.2
15
Age
0
Year
Mother’s age at birth
a c b 1 Mother’s educational level
Rural Urban Residence
09
–1
20
05 20
–0
5
0 20
00
00
5
–2
–9
19
95
0
90
–9
19
5
85
–8
19
80 19
19
75
–8
0
0
10
na = Not available. NOTE: Age-specific fertility is measured in births per 1,000 women per year in each age group. Numbers in parentheses are partially truncated rates.
5 0
All women
Rural Urban Residence
a b c 1 Mother’s educational level
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
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FERTILITY PREFERENCES 3.1 Mean ideal number of children among women surveyed, by age and number of living children
Ideal number of children
8 7.2 7
6.4
6 5 4 3
•5.1
•
• 4.5
4.8
•5.5 •5.7
•
4.4
15–19 20–24 25–29 30–34 35–39 40–44 45–49 Age
3.2 Desire to stop childbearing among women in union, by number of living children Percentage who want no more (including sterilized women)
100
57
60 40
26
20
March 2014
•
•
4.7
0
1
0.1 0
2 1
6
33
13
6+ 2 3 4 5 Number of living children (including current pregnancy)
21
•4.9
•5.5
•5.9
•6.5
2 3 5 4 Number of living children (including current pregnancy)
6+
3.3 Percentage distribution of births in the five years preceding the survey, by planning status, according to birth order Planning status
80
0
•6.5
•
Birth order (including current pregnancy) 1 2 3 4+
All
Wanted then 69.1 76.3 77.8 76.0 74.8 Wanted later 29.3 21.5 19.4 16.5 20.9 Wanted no more 0.7 0.9 1.7 6.6 3.3 Missing 0.9 1.3 1.1 0.9 1.0 Total 100.0 100.0 100.0 100.0 100.0 (Weighted N) (1,923) (1,748) (1,396) (3,455) (8,523)
Total
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CONTRACEPTION 4.1 Percentage of women in union, by method, according to their knowledge and current use of contraceptives Method
Any method Any modern method Female sterilization Male sterilization Pill IUD Injectable Diaphragm Foam/jelly Male condom Female condom Implant Emergency contraception Lactational amenorrhea method Other Any traditional method Periodic abstinence Withdrawal Other
Know Currently method using
93.7 93.2 27.1 13.2 85.7 23.6 66.8 6.4 7.2 88.3 49.0 18.7 20.0 30.9 0.0 58.5 46.7 43.4 10.6
18.2 12.5 0.1 0.0 7.1 0.1 2.4 0.0 0.0 1.8 0.0 0.2 0.0 0.6 0.3 5.7 3.9 0.6 1.2
4.2 Percentage distribution of current users of modern contraceptive methods, by most recent source of supply, according to method Method Male Source Pill Injectable condom
Public sector Government hospital Government health center Family planning clinic Mobile clinic Community health worker Other Private medical sector Hospital/private clinic Pharmacy Private doctor Mobile clinic Community health worker Other Other source Store/market Religious institution Parents/friends Other Missing Total (Weighted N)
Totala
22.5 88.3 4.0 26.3 7.8 28.4 1.4 9.0 11.8 48.6 1.7 13.5 2.4 9.4 0.0 2.6 0.3 0.5 0.0 0.2 0.2 1.1 0.0 0.3 0.0 0.2 1.0 0.8 59.5 9.2 44.8 45.7 1.7 0.9 0.6 1.2 56.9 1.2 43.7 42.7 0.3 0.9 0.3 0.5 0.3 0.0 0.2 0.2 0.0 2.8 0.0 0.4 0.4 3.3 0.0 0.7 1.4 1.4 38.0 15.3 0.5 0.0 26.1 10.0 0.0 1.4 0.1 0.3 0.9 0.0 11.9 5.0
12.6 0.1 9.0 9.2 4.0 1.0 4.2 3.5 100.0 100.0 100.0 100.0 (611) (189) (499) (1,333)
a Includes other modern methods but excludes lactational amenorrhea method.
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CONTRACEPTION (continued)
Percentage of women in union reporting current contraceptive use
4.3 Contraceptive prevalence differentials Any method Traditional or folk methods
40
Modern methods
30 23 20
30
26
18
15
13
6
10 13
0
Urban Rural Residence
a c b Woman’s educational level1
Total
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
4.4 Contraceptive prevalence, by age and number of living children Percentage of women in union reporting current contraceptive use
40
30 20
20
10
•
17 11
0
•
•
20
•
21
•
21
20
•
18
• 11
15–19 20–24 25–29
30–34 35–39 Age
40–44 45–49
•
•
20
•
•7 0
1–2 3–4 5+ Number of living children
4.5 Percentage distribution of women in union who are nonusers, by intention to practice contraception in the future, according to number of living children Intention
Intends to use Unsure Does not intend to use Missing Total (Weighted N)
March 2014
Number of living children (including current pregnancy) 0 1 2 3 4+ Total
30.6 43.1 45.1 42.2 37.3 40.0 13.0 11.5 10.7 10.1 10.3 10.7 54.6 44.2 42.4 46.0 50.9 47.6 1.8 1.3 1.8 1.7 1.6 1.6
100.0 100.0 100.0 100.0 100.0 100.0 (344) (854) (941) (868) (2,155) (5,161)
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MARITAL STATUS 5.1 Percentage distribution of women, by current marital status, according to age Age Marital status 15–19 20–24 25–29 30–34 35–39 40–44 45–49 Total
Single 78.4 40.3 21.3 9.6 5.4 3.8 2.8 30.2 Married 10.4 31.1 42.5 49.9 57.3 60.5 60.3 39.3 Living together 10.3 24.9 29.6 30.4 27.4 23.0 18.8 23.4 Divorced/separated/widowed 0.9 3.7 6.6 10.1 9.9 12.6 18.0 7.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (Weighted N) (2,023) (1,953) (1,922) (1,508) (1,129) (852) (672) (10,060)
ASSISTANCE DURING DELIVERY 6.1 Percentage distribution of births in the five years prior to the survey, by type of assistance during delivery, according to residence Type of assistance
Rural
Doctor Nurse/midwife Auxiliary nurse/auxiliary midwife Traditional birth attendant Parent/other No one Does not know/missing Total (Weighted N)
Urban
Total
3.0 7.2 4.6 39.0 74.5 52.3 2.5 2.7 2.6 27.9 6.5 19.9 23.0 6.9 17.0 3.6 0.8 2.6 1.0 1.3 1.1 100.0 100.0 100.0 (4,690) (2,802) (7,492)
POSTPARTUM VARIABLES 7.1 Differentials in median duration of breastfeeding among children born in the three years preceding the survey
7.2 Median duration of breastfeeding and postpartum insusceptibility
Median number of months
20
19.8
17.6
20.0
17.2
18.9 15.3
20
18.9
0 Rural Urban Residence
a b c Mother’s educational level1
Total
1 Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
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12.4
9.7
10
10
0
Median number of months
30
30
6.1
Any breastfeeding
Amenorrhea Abstinence
Insusceptibility*
Postpartum status *Amenorrhea and/or abstinence.
March 2014
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Côte d’Ivoire 2011–12
INFANT MORTALITY 8.1 Infant mortality trends 200
UN estimates
Infant mortality rate
175 150
125
125
113
107
100
Survey estimate
103
99
94
87 68
75 50 25
2 20
07
–1
0 –1
20
–0 20
00
–2
05
5
0 00
5
95
90
–9
19
0 19
–9 85
5 19
–8 80 19
19
75
–8
0
0
Year
8.2 Infant mortality differentials, 2001–12
Infant mortality rate
90 80 70 60 50 40 30 20 10 0
82
80 66
74
68 52
Rural Urban Residence
a b c Mother’s educational level1
Total 2007–12
1
Key: a = none; b = partial or complete primary; c = partial or complete secondary and higher.
8.3 Children ever born, children surviving, and ratio of dead to ever born among all women Age of woman
Mean number of children Ever born Surviving
Ratio of dead/ ever born
15–19 0.28 0.26 20–24 1.24 1.11 25–29 2.33 2.07 30–34 3.55 3.11 35–39 4.70 4.03 40–44 5.55 4.72 45–49 6.13 5.10 Total 2.68 2.32
March 2014
0.07 0.10 0.11 0.12 0.14 0.15 0.17 0.13
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HEALTH: DISEASE, PREVENTION, AND TREATMENT 9.1 Percentage of children 12 to 23 months of age who have received specific vaccines at any time before the survey, by residence and mother’s educational level Characteristic
BCG
Residence Rural Urban Mother’s educational level None Partial or complete primary Partial or complete secondary Total
Pentavalent(3)
Percent receiving vaccines Polio(3) Measles
All vaccines
76.1 55.7 66.7 56.9 42.2 94.2 76.0 72.8 75.9 63.0 78.7 89.5 94.9 83.4
55.8 64.2 57.0 43.8 74.2 78.1 72.7 57.9 84.5 75.4 87.0 71.1 63.8 69.2 64.5 50.5
NOTE: Pentavalent (3) contains vaccines for diphtheria, tetanus, pertussis, hepatitis B, and influenza type B.
9.2 Percentage of children younger than five years with diarrhea in the two weeks prior to survey, and of those, percentage for whom a health provider was consulted and percentage receiving oral rehydration therapy (ORT), by residence and mother’s educational level Diarrhea in Characteristic past two weeks
Consulted health provider
ORT therapy ORS Home packets solution
Increased fluids
No treatment
Rural 17.5 26.2 14.4 4.8 38.9 27.2 Urban 18.6 28.7 21.6 8.6 37.3 27.6 Mother’s educational level None 16.2 20.5 12.1 5.0 37.1 29.5 Partial or complete primary 22.0 34.6 24.8 8.4 38.5 26.5 Partial or complete secondary 17.9 41.4 22.0 7.0 44.3 18.0 Total 17.9 27.2 17.2 6.3 38.3 27.3 ORS = Oral rehydration salts.
NUTRITIONAL STATUS: ANTHROPOMETRIC MEASURES 10.1 Percentage malnourished among children younger than five years, according to children’s weight-for-height measure and height-for-age measure, by residence and mother’s educational level Malnutrition Weight-for-height measure Height-for-age measure Characteristic Severe Moderate/severe Severe Moderate/severe
Residence Rural Urban Mother’s educational level None Partial or complete primary Partial or complete secondary Total
1.9 1.3
7.4 7.8
15.2 6.7
1.7 2.3 0.7 1.7
8.0 13.8 8.9 9.5 4.1 3.7 7.5 12.2
34.9 20.5 31.8 28.7 16.2 29.8
NOTES: Based on comparison with the WHO Child Growth Standards adopted in 2006. Children two or more standard deviations below the median of the reference (2.3 percent expected) are considered moderately or severely malnourished; those three or more standard deviations below the reference (0.1 percent expected) are considered severely malnourished.
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Côte d’Ivoire 2011–12
KNOWLEDGE OF HIV/AIDS 11.1 Percentage of women surveyed who have heard of AIDS and who, when prompted, indicate that they know ways related to sexual behavior to avoid acquiring or transmitting the infection, by selected characteristics
Ways to avoid AIDS Use condoms Limit sex to and limit sex Has heard Use one faithful to one faithful Characteristic of AIDS condoms uninfected partner uninfected partner (Weighted N) Age 15–19 91.6 57.8 62.9 48.0 (2,023) 20–24 94.7 64.3 68.6 54.0 (1,953) 25–29 95.2 62.6 69.4 53.3 (1,922) 30–39 95.5 60.6 67.9 51.6 (2,637) 40–49 94.2 52.5 63.8 43.3 (1,524) Marital status Single 95.3 67.4 71.1 57.5 (3,038) Ever had sex 97.5 70.7 74.5 60.6 (2,230) Never had sex 89.2 58.2 61.9 48.8 (808) In union 93.5 55.9 64.3 46.9 (6,309) Divorced/separated/widowed 97.4 63.7 68.6 51.8 (713) Residence Rural 91.8 52.0 59.1 42.6 (4,890) Urban 96.7 67.4 73.9 57.8 (5,170) Education None 90.7 50.2 58.4 41.4 (5,351) Partial or complete primary 97.1 63.5 70.2 52.7 (2,552) Partial or complete secondary 99.8 79.6 83.0 70.2 (2,157) Wealth-index quintile Lowest 90.4 48.2 57.2 38.9 (1,727) Second 93.7 53.4 59.2 42.3 (1,780) Middle 92.2 57.2 62.0 48.7 (1,910) Fourth 95.9 63.7 71.6 54.7 (2,123) Highest 97.7 71.4 77.9 61.8 (2,520) Total 94.3 59.9 66.7 50.4 (10,060)
March 2014
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KNOWLEDGE OF HIV/AIDS (continued) 11.2 Percentage of women surveyed who know that HIV/AIDS can be transmitted from mother to child by breastfeeding, and percentage who know that the risk of transmission can be reduced if the mother takes special drugs during pregnancy, by selected characteristics Characteristic
Knows HIV can be transmitted by breastfeeding
Knows risk of MTCT can be reduced with drugs
(Weighted N)
Age 15–19 59.4 55.0 (2,023) 20–24 69.3 63.7 (1,953) 25–29 71.6 67.1 (1,922) 30–39 72.7 62.2 (2,637) 40–49 69.9 57.1 (1,524) Marital status Single 69.2 68.3 (3,038) Ever had sex 73.7 73.7 (2,230) Never had sex 56.6 53.6 (808) In union 67.8 56.8 (6,309) Divorced/separated/widowed 74.6 70.0 (713) Residence Rural 63.3 47.0 (4,890) Urban 73.9 74.6 (5,170) Education None 61.0 47.5 (5,351) Partial primary 73.9 68.9 (2,552) Complete primary 81.8 86.2 (2,157) Wealth-index quintile Lowest 61.9 41.4 (1,727) Second 64.1 54.0 (1,780) Middle 64.4 54.0 (1,910) Fourth 73.1 67.3 (2,123) Highest 76.3 80.2 (2,520) Total 68.7 61.2 (10,060) MTCT = Mother-to-child transmission.
REFERENCES Institut National de la Statistique (INS) and ICF International. 2012. Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011–12. Abidjan, Côte d’Ivoire: INS and Calverton, MD: ICF International. United Nations (UN) Department of Economic and Social Affairs, Population Division. 2013. World Population Prospects, 2012 Revision, Volume I: Comprehensive Tables. New York. (Publication ST/ESA/SER.A/316) World Bank. 2013a. World Development Indicators 2013. Washington, DC. ———. 2013b. World Development Indicators. data.worldbank.org/indicator/SE.ADT.LITR.ZS.
This information was compiled by the Population Council in cooperation with ICF International from the results of the 2011–12 Côte d’Ivoire Demographic and Health and Multiple Cluster Indicator Survey.
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