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Demographic and Health Survey 2012

Kyrgyz Republic, 2012
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KGZ_2012_DHS_v01_M
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National Statistical Committee (NSC), Ministry of Health
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Questionnaires
2012 Kyrgyz Republic Demographic and Health Survey, Household Questionnaire
Download [PDF, 121.14 KB]
Author(s) Ministry of Health National Statistical Committee
Country Kyrgyz Republic
Language English
Download https://datacatalog.ihsn.org//catalog/7176/download/85938
2012 Kyrgyz Republic Demographic and Health Survey, Woman's Questionnaire
Download [PDF, 372.25 KB]
Author(s) Ministry of Health National Statistical Committee
Country Kyrgyz Republic
Language English
Download https://datacatalog.ihsn.org//catalog/7176/download/85939
2012 Kyrgyz Republic Demographic and Health Survey, Man's Questionnaire
Download [PDF, 138.87 KB]
Author(s) Ministry of Health National Statistical Committee
Country Kyrgyz Republic
Language English
Download https://datacatalog.ihsn.org//catalog/7176/download/85940
Reports
Kyrgyz Republic Demographic and Health Survey 2012, Report
External link
Author(s) National Statistical Committee of the Kyrgyz Republic, Bishkek, Kyrgyz Republic Ministry of Health, Bishkek, Kyrgyz Republic MEASURE DHS, ICF International, Calverton, Maryland, U.S.A.
Date 2013-12-01
Country Kyrgyz Republic
Language English
Table of contents LIST OF TABLES AND FIGURES ................................................................................................................... ix
ACKNOWLEDGMENTS ................................................................................................................................. xv
MILLENNIUM DEVELOPMENT GOAL INDICATORS ................................................................................. xvii
MAP OF KYRGYZ REPUBLIC ................................................................................................................... xviii

1 INTRODUCTION
1.1 Geography and Population ................................................................................................. 1
1.2 History of the Kyrgyz Republic .......................................................................................... 2
1.3 Economy ............................................................................................................................. 2
1.4 Health Care System ............................................................................................................ 3
1.5 Health Policies and Programs ............................................................................................. 4
1.6 Demographic and Health Data Collection System in the Kyrgyz Republic ....................... 6
1.7 Objectives and Organization of the Survey ........................................................................ 6
1.7.1 Sample Design and Implementation ..................................................................... 7
1.7.2 Questionnaires ...................................................................................................... 7
1.7.3 Training of Field Staff .......................................................................................... 8
1.7.4 Hemoglobin Testing.............................................................................................. 9
1.7.5 Fieldwork and Data Processing............................................................................. 9
1.8 Response Rates ................................................................................................................. 10

2 HOUSING CHARACTERISTICS AND HOUSEHOLD POPULATION
2.1 Housing Characteristics .................................................................................................... 12
2.1.1 Drinking Water ................................................................................................... 12
2.1.2 Sanitation Facilities ............................................................................................. 14
2.1.3 Other Dwelling Characteristics ........................................................................... 15
2.2 Household Possessions ..................................................................................................... 18
2.3 Household Wealth ............................................................................................................ 19
2.4 Hand Washing .................................................................................................................. 21
2.5 Household Population by Age and Sex ............................................................................ 22
2.6 Household Composition ................................................................................................... 23
2.7 Birth Registration ............................................................................................................. 24
2.8 Children’s Living Arrangements ...................................................................................... 25
2.9 Education of Household Members ................................................................................... 27
2.9.1 Educational Attainment ...................................................................................... 27
2.9.2 School Attendance .............................................................................................. 30
2.9.3 Early Childhood Education ................................................................................. 32
2.9.4 Distance from Home to School ........................................................................... 33

3 BACKGROUND CHARACTERISTICS OF RESPONDENTS
3.1 Background Characteristics of Survey Respondents ........................................................ 36
3.2 Educational Attainment by Background Characteristics .................................................. 37
3.3 Media Exposure ................................................................................................................ 39
3.4 Computer and Internet Use ............................................................................................... 41
3.5 Employment ..................................................................................................................... 45
3.5.1 Employment Status ............................................................................................. 45
3.5.2 Occupation .......................................................................................................... 48
3.5.3 Type of Employment .......................................................................................... 51
3.6 Health Insurance ............................................................................................................... 52
3.7 Tobacco Use ..................................................................................................................... 54
3.8 Alcohol Consumption ....................................................................................................... 56
3.8.1 Use of Alcohol .................................................................................................... 56
3.8.2 Quantity of Alcohol Consumed .......................................................................... 56
3.8.3 Frequency of Alcohol Use .................................................................................. 56
3.8.4 Age at First Alcoholic Drink ............................................................................... 58
3.9 Tuberculosis ..................................................................................................................... 58
3.9.1 Knowledge and Attitudes about Tuberculosis .................................................................. 59
3.9.2 Knowledge of Tuberculosis Symptoms ............................................................................ 61
3.10 High Blood Pressure ......................................................................................................... 65
3.10.1 History and Treatment of High Blood Pressure................................................................ 65
3.10.2 Prevalence of High Blood Pressure .................................................................................. 67

4 MARRIAGE AND SEXUAL ACTIVITY
4.1 Current Marital Status ...................................................................................................... 71
4.2 Age at First Marriage ........................................................................................................ 72
4.3 Age at First Intercourse .................................................................................................... 74
4.4 Recent Sexual Activity ..................................................................................................... 77

5 FERTILITY
5.1 Current Fertility ................................................................................................................ 82
5.2 Fertility Differentials ........................................................................................................ 84
5.3 Fertility Trends ................................................................................................................. 86
5.4 Children Ever Born and Living ........................................................................................ 87
5.5 Birth Intervals ................................................................................................................... 88
5.6 Postpartum Amenorrhea, Abstinence, and Insusceptibility .............................................. 89
5.7 Menopause ........................................................................................................................ 91
5.8 Age at First Birth .............................................................................................................. 92
5.9 Teenage Pregnancy and Motherhood ............................................................................... 93

6 FERTILITY PREFERENCES
6.1 Desire for More Children ................................................................................................. 95
6.2 Desire to Limit Childbearing ............................................................................................ 97
6.3 Ideal Family Size .............................................................................................................. 99
6.4 Fertility Planning ............................................................................................................ 101
6.5 Wanted Fertility Rates .................................................................................................... 102

7 FAMILY PLANNING
7.1 Knowledge of Contraceptive Methods ........................................................................... 106
7.2 Current Use of Contraception ......................................................................................... 107
7.3 Current Contraceptive Use by Background Characteristics ........................................... 109
7.4 Trends in Current Contraceptive Use ............................................................................. 111
7.5 Source of Modern Contraceptive Methods and Use of Social Marketing Brand Pills ... 112
7.6 Informed Choice ............................................................................................................. 113
7.7 Contraceptive Discontinuation ....................................................................................... 115
7.8 Knowledge of the Fertile Period ..................................................................................... 117
7.9 Unmet Need for Family Planning ................................................................................... 118
7.10 Future Use of Family Planning ....................................................................................... 120
7.11 Exposure to Family Planning Messages ......................................................................... 120
7.12 Contact of Nonusers with Family Planning Providers .................................................... 121
7.13 Men’s Attitudes toward Use of Contraception by Women ............................................. 123

8 ABORTION
8.1 Collection of Abortion Data ........................................................................................... 125
8.2 Pregnancies Ending in Induced Abortion ....................................................................... 126
8.3 Lifetime Experience with Induced Abortion .................................................................. 127
8.4 Rates of Induced Abortion .............................................................................................. 128
8.4.1 Abortion Level .................................................................................................. 128
8.4.2 Abortion Differentials ....................................................................................... 130
8.4.3 Abortion Trends ................................................................................................ 131
8.5 Use of Contraception before Abortion ........................................................................... 133
8.6 Reasons for Abortion ...................................................................................................... 134
8.7 Method of Abortion ........................................................................................................ 134
8.8 Cost of Abortion ............................................................................................................. 135
8.9 Counseling on Post-Abortion Use of Family Planning .................................................. 136

9 INFANT AND CHILD MORTALITY
9.1 Source and Assessment of Mortality Data ...................................................................... 139
9.1.1 Source of the Data ............................................................................................. 139
9.1.2 Data Quality ...................................................................................................... 140
9.2 Levels and Trends in Childhood Mortality ..................................................................... 141
9.3 Socioeconomic Differentials in Childhood Mortality .................................................... 143
9.4 Demographic Differentials in Childhood Mortality ....................................................... 144
9.5 Perinatal Mortality .......................................................................................................... 145
9.6 High-risk Fertility Behavior ........................................................................................... 147
9.7 Registration of Child Deaths .......................................................................................... 148

10 MATERNAL HEALTH
10.1 ANTENATAL CARE .................................................................................................... 150
10.1.1 Antenatal Care Coverage .................................................................................. 150
10.1.2 Number of Antenatal Care Visits and Timing of First Visit ............................. 151
10.1.3 Components of Antenatal Care ......................................................................... 152
10.2 Delivery Care .................................................................................................................. 154
10.2.1 Place of Delivery............................................................................................... 154
10.2.2 Assistance at Delivery ....................................................................................... 155
10.3 Trends in Antenatal and Delivery Care Indicators ......................................................... 156
10.4 Postnatal Care for Mothers and Children ....................................................................... 157
10.4.1 Postnatal Checkup for Mother .......................................................................... 158
10.4.2 Postnatal Checkup for the Newborn ................................................................. 159
10.5 Problems in Accessing Health Care ............................................................................... 161
10.6 Hospital Admissions ....................................................................................................... 163

11 CHILD HEALTH
11.1 Child’s Size at Birth ....................................................................................................... 165
11.2 Vaccination of Children .................................................................................................. 167
11.2.1 Vaccination Coverage ....................................................................................... 167
11.2.2 Differentials in Vaccination Coverage .............................................................. 168
11.2.3 Trends in Vaccination Coverage ....................................................................... 170
11.3 Childhood Illness and Treatment .................................................................................... 172
11.3.1 Acute Respiratory Infections (ARI) .................................................................. 172
11.3.2 Fever ................................................................................................................. 174
11.3.3 Diarrhea ............................................................................................................ 175
11.3.4 Knowledge of ORS ........................................................................................... 177
11.4 Stool Disposal ................................................................................................................. 179
11.5 Knowledge of Danger Signs of Childhood Illness ......................................................... 180

12 NUTRITION OF CHILDREN AND WOMEN
12.1 Nutritional Status of Children ......................................................................................... 184
12.1.1 Measurement of Nutritional Status among Young Children ............................. 184
12.1.2 Levels of Child Malnutrition ............................................................................ 185
12.1.3 Trends in Children’s Nutritional Status ............................................................ 188
12.2 Breastfeeding and Complementary Feeding ................................................................... 189
12.2.1 Initiation of Breastfeeding ................................................................................ 189
12.2.2 Breastfeeding Status by Age ............................................................................. 191
12.2.3 Duration of Breastfeeding ................................................................................. 194
12.2.4 Types of Complementary Foods ....................................................................... 194
12.2.5 Infant and Young Child Feeding Practices ....................................................... 196
12.3 Anemia in Children ........................................................................................................ 199
12.4 Micronutrient Intake among Children ............................................................................ 202
12.4.1 Consumption of Micronutrient-rich Foods ....................................................... 202
12.4.2 Micronutrient Supplementation ........................................................................ 204
12.4.3 Deworming ....................................................................................................... 204
12.5 Household Iodized Salt Consumption ............................................................................ 205
12.6 Nutritional Status of Women .......................................................................................... 205
12.7 Anemia in Women .......................................................................................................... 207
12.8 Micronutrient Intake among Mothers ............................................................................. 209

13 HIV/AIDS-RELATED KNOWLEDGE, ATTITUDES, AND BEHAVIOR
13.1 Knowledge of HIV/AIDS and Transmission and Prevention Methods .......................... 214
13.1.1 Knowledge of AIDS ......................................................................................... 214
13.1.2 Sources of Knowledge about AIDS .................................................................. 215
13.1.3 Knowledge of HIV Prevention Methods .......................................................... 216
13.1.4 Comprehensive Knowledge about AIDS .......................................................... 218
13.2 Knowledge of Prevention of Mother-to-Child Transmission of HIV ............................. 221
13.3 Attitudes toward People Living with HIV ...................................................................... 223
13.4 Attitudes toward Negotiating Safe Sexual Relations with Husbands ............................. 225
13.5 Attitudes toward Condom Education for Youth ............................................................. 226
13.6 Multiple Sexual Partners ................................................................................................ 227
13.7 Concurrent Sexual Partners ............................................................................................ 229
13.8 Paid Sex .......................................................................................................................... 230
13.9 Coverage of HIV Counseling and Testing ...................................................................... 231
13.10 Male Circumcision ......................................................................................................... 235
13.11 Self-reported Prevalence of Sexually Transmitted Infections and STI Symptoms......... 235
13.12 Prevalence of Medical Injections.................................................................................... 237
13.13 HIV/AIDS Knowledge and Sexual Behavior among Youth .......................................... 239
13.13.1 HIV/AIDS-Related Knowledge among Young Adults ..................................... 239
13.13.2 Age at First Sexual Intercourse among Young Adults ...................................... 240
13.13.3 Abstinence and Premarital Sex among Young Adults ...................................... 241
13.13.4 Multiple Sexual Partners among Young Adults ................................................ 242
13.13.5 Cross-Generational Sexual Partners .................................................................. 242
13.13.6 Voluntary HIV Counseling and Testing among Young Adults ........................ 243

14 DOMESTIC VIOLENCE
14.1 Measurement of Violence ............................................................................................... 245
14.1.1 Use of Valid Measures of Violence .................................................................. 245
14.1.2 Ethical Considerations in Measuring Violence ................................................. 246
14.2 Experience of Physical Violence .................................................................................... 247
14.3 Experience of Sexual Violence ....................................................................................... 249
14.4 Experience of Different Forms of Violence ................................................................... 251
14.5 Violence during Pregnancy ............................................................................................ 251
14.6 Marital Control by Husband ........................................................................................... 252
14.7 Forms of Spousal Violence ............................................................................................. 254
14.8 Differentials in Spousal Violence ................................................................................... 257
14.9 Recent Experience of Spousal Violence ......................................................................... 259
14.10 Onset of Spousal Violence ............................................................................................. 260
14.11 Physical Consequences of Spousal Violence ................................................................. 261
14.12 Violence by Women against Their Spouse ..................................................................... 262
14.13 Help-seeking Behavior by Women Who Experience Violence ...................................... 264

15 WOMEN’S EMPOWERMENT AND DEMOGRAPHIC AND HEALTH OUTCOMES
15.1 Employment and Form of Earnings ................................................................................ 268
15.2 Women’s and Men’s Control over Cash Earnings ......................................................... 269
15.2.1 Women’s Control over Their Own Cash Earnings ........................................... 269
15.2.2 Women’s Control over Their Husband’s Earnings ........................................... 270
15.2.3 Control over How Earnings Are Used by Relative Magnitude of Earnings ..... 272
15.3 Ownership of Assets ....................................................................................................... 273
15.4 Women’s Empowerment ................................................................................................ 275
15.5 Attitudes toward Wife Beating ....................................................................................... 279
15.6 Indicators of Women’s Empowerment ........................................................................... 282
15.7 Current Use of Contraception by Women’s Empowerment ........................................... 283
15.8 Ideal Family Size and Unmet Need by Women’s Empowerment .................................. 283
15.9 Infant and Child Mortality and Women’s Empowerment .............................................. 284

REFERENCES ...................................................................................................................................... 287
APPENDIX A SAMPLE DESIGN
A.1 Introduction ................................................................................................... 293
A.2 Sample Frame ................................................................................................ 293
A.3 Sample Design and Implementation .............................................................. 295
A.4 Sample Probabilities and Sample Weights .................................................... 296
A.5 Survey Results ............................................................................................... 297

APPENDIX B ESTIMATES OF SAMPLING ERRORS .......................................................................... 299
APPENDIX C DATA QUALITY TABLES ............................................................................................ 315
APPENDIX D PERSONS INVOLVED IN THE 2012 KYRGYZ REPUBLIC DEMOGRAPHIC
AND HEALTH SURVEY ............................................................................................... 321
APPENDIX E QUESTIONNAIRES ....................................................................................................... 325
Download http://dhsprogram.com/pubs/pdf/FR283/FR283.pdf
Kyrgyz Republic 2012 Demographic and Health Survey, Key Findings
External link
Author(s) MEASURE DHS
Date 2013-12-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/SR204/SR204.pdf
Kyrgyz Republic 2012 Demographic and Health Survey, Atlas of Key Indicators
External link
Author(s) MEASURE DHS
Date 2013-12-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/ATR15/ATR15.pdf
HIV/AIDS: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-12-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/HF50/HF50.pdf
2012 Kyrgyz Republic Demographic and Health Survey (KgDHS), Fact Sheet
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/GF31/GF31.pdf
Adult Health: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/OF21/OF21.pdf
Women’s Status and Domestic Violence: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/OF21/OF21.WS.DV.pdf
Nutrition: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/OF21/OF21.NUT.pdf
Fertility, Family Planning, and Abortion: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/OF21/OF21.FF.pdf
Maternal and Child Health: Results from the 2012 KgDHS
External link
Author(s) MEASURE DHS
Date 2013-11-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/OF21/OF21.MCH.pdf
Kyrgyz Republic 2012 Demographic and Health Survey, Policy Briefs
External link
Author(s) MEASURE DHS
Date 2013-12-01
Country Kyrgyz Republic
Language English
Download http://dhsprogram.com/pubs/pdf/PB9/PB9.pdf
Other Materials
Standard Recode Manual for DHS 6
External link
subtitle Version 1.0
Author(s) MEASURE DHS
Date 2013-03-22
Language English
Download http://www.dhsprogram.com/pubs/pdf/DHSG4/Recode6_DHS_22March2013_DHSG4.pdf
Standard Recode Map DHS-VI - Data Dictionary
External link
Author(s) MEASURE DHS
Date 2012-01-26
Language English
Download http://www.dhsprogram.com/pubs/pdf/DHSG4/Recode6_Map_22March2013_DHSG4.pdf
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