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Key Findings Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Key Findings Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

The 2014 -15 Rwanda Demographic and Health Survey (RDHS) was implemented by the National The 2014 -15 Rwanda Demographic and Health Survey (RDHS) was implemented by the National Institute of Statistics of Rwanda (NISR) ) in collaboration with the Ministry of Health and Rwanda Biomedical Center (RBC) from November 9, 2014 to April 8, 2015. The funding for the RDHS was provided by the Government of Rwanda, the United States Agency for International Development (USAID), the One United Nations (One UN), the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), World Vison International, the Swiss Agency for Development and Cooperation (SDC), and the Partners in Health (PIH). ICF International provided technical assistance through The DHS Program, a USAID-funded project providing support and technical assistance in the implementation of population and health surveys in countries worldwide.

Outline • Introduction and Survey Methodology • Household and Respondent Characteristics • Fertility • Outline • Introduction and Survey Methodology • Household and Respondent Characteristics • Fertility • Family Planning • Maternal Health • Child Health and Early Development • Mortality

Introduction and Survey Methodology Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 Introduction and Survey Methodology Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Objectives • 2014 -15 RDHS provides reliable estimates of fertility levels, marriage, sexual activity, Objectives • 2014 -15 RDHS provides reliable estimates of fertility levels, marriage, sexual activity, fertility preferences, family planning methods, breastfeeding practices, nutrition, childhood and maternal mortality, maternal and child health, early childhood development, malaria, domestic violence, and HIV/AIDS and other STIs.

Survey Methodology • Data are obtained using different tools and techniques: • Questionnaires: Household, Survey Methodology • Data are obtained using different tools and techniques: • Questionnaires: Household, Woman’s, Man’s • Anthropometry: Height and weight for women, and children • Biomarker testing: Anemia, HIV, and Malaria testing

Results of the Household and Individual Interviews Households selected 12, 793 Households occupied 12, Results of the Household and Individual Interviews Households selected 12, 793 Households occupied 12, 717 Households interviewed 12, 699 Response rate >99% Interviews with Women age 15 -49 Eligible women 13, 564 Women interviewed 13, 497 Response rate >99% Interviews with Men age 15 -59 Eligible men 6, 249 Men interviewed 6, 217 Response rate >99%

Household and Respondent Follow along on Twitter! Characteristics #Rwanda. DHS @statistics. RW @DHSprogram 2014 Household and Respondent Follow along on Twitter! Characteristics #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Electricity Percent of households Electricity Percent of households

Household Durable Goods and Possessions Percent of households with: Household Durable Goods and Possessions Percent of households with:

Educational Attainment of Respondents Age 15 -49 Percent of women and men age 15 Educational Attainment of Respondents Age 15 -49 Percent of women and men age 15 -49

Exposure to Mass Media Percent of women and men age 15 -49 with access Exposure to Mass Media Percent of women and men age 15 -49 with access to media at least once a week

Tobacco Use Percent of women and men age 15 -49 Tobacco Use Percent of women and men age 15 -49

Fertility and Family Planning Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 Fertility and Family Planning Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Fertility Trends Births per woman for the 3 -year period before the survey Fertility Trends Births per woman for the 3 -year period before the survey

Fertility Comparison Births per woman for the 3 -year period before the survey Fertility Comparison Births per woman for the 3 -year period before the survey

Trends in Teenage Pregnancy Percent of young women age 15 -19 who are mothers Trends in Teenage Pregnancy Percent of young women age 15 -19 who are mothers or pregnant with their first child

Current Use of Contraception Percent of women age 15 -49 Current Use of Contraception Percent of women age 15 -49

Current Use of Modern Contraception byage 15 -49 using any modern method of contraception Current Use of Modern Contraception byage 15 -49 using any modern method of contraception Province Percent of currently married women Rwanda 48% North 55% Kigali 50% West 41% South 48% East 47%

Trends in Use of Contraception Percent of currently married women age 15 -49 Any Trends in Use of Contraception Percent of currently married women age 15 -49 Any method Any modern method

Unmet Need Women are considered as having an unmet need for family planning if Unmet Need Women are considered as having an unmet need for family planning if they are fecund and wish: to space their next birth OR to limit childbearing altogether BUT are not using contraception 19% of currently married women have an unmet need for family planning: 11% for spacing 8% for limiting

Demand for Family Planning Percent of currently married women age 15 -49 Demand for Family Planning Percent of currently married women age 15 -49

Trends in Unmet Need for Family Planning Percent of currently married women age 15 Trends in Unmet Need for Family Planning Percent of currently married women age 15 -49

Maternal Health Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Maternal Health Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Antenatal Care (ANC) • 99% of women received ANC from a skilled provider (doctor, Antenatal Care (ANC) • 99% of women received ANC from a skilled provider (doctor, nurse, medical assistant, and midwife). • 56% of women went to their first ANC visit during the 1 st trimester of pregnancy, as recommended. • 44% of women had 4 or more ANC visits.

Place of Delivery Percent distribution of live births in the 5 -year period before Place of Delivery Percent distribution of live births in the 5 -year period before the survey

Delivery in a Health Facility by Province Percent of live births in the 5 Delivery in a Health Facility by Province Percent of live births in the 5 -year period before the survey delivered in a health facility Rwanda 91% North 92% Kigali 94% West 91% South 90% East 89%

Assistance during Delivery by Province Percent of live births in the 5 -year period Assistance during Delivery by Province Percent of live births in the 5 -year period before the survey delivered by a skilled provider Rwanda 91% North 92% Kigali 95% West 91% East 90% South 90% *Skilled provider includes doctor, nurse, medical assistant, and midwife.

Trends in Maternal Health Percent of live births in the 5 -year period before Trends in Maternal Health Percent of live births in the 5 -year period before the survey ANC by a skilled provider* Delivery assisted by a skilled provider *% of women age 15 -49 for most recent birth Delivery in a health facility

Child Health & Early Development Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram Child Health & Early Development Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Child Health In the 2 weeks before the survey, 6% of children under 5 Child Health In the 2 weeks before the survey, 6% of children under 5 were ill with cough and rapid breathing, symptoms of ARI. • Among these children, 54% were taken to a health facility or provider for advice or treatment. In the 2 weeks before the survey, 12% of children under 5 had diarrhea. • Among these children, 44% were taken to a health facility or provider for advice or treatment.

Basic Childhood Vaccinations Percent of children age 12 -23 months vaccinated Pentavalent Polio Basic Childhood Vaccinations Percent of children age 12 -23 months vaccinated Pentavalent Polio

Basic Vaccination Coverage by Province Percent of children age 12 -23 months with all Basic Vaccination Coverage by Province Percent of children age 12 -23 months with all basic vaccinations Rwanda 93% North 95% Kigali 96% West 90% South 95% East 91%

Trends in Basic Vaccination Coverage Percent of children age 12 -23 months with all Trends in Basic Vaccination Coverage Percent of children age 12 -23 months with all basic vaccinations

Basic Vaccination Coverage Comparison Percent of children age 12 -23 months with all basic Basic Vaccination Coverage Comparison Percent of children age 12 -23 months with all basic vaccinations

Early Childhood Education by Residence Percent of children age 36 -59 months who are Early Childhood Education by Residence Percent of children age 36 -59 months who are attending an organized early childhood education program

Inadequate Care Percent of children under 5 left alone or left in the care Inadequate Care Percent of children under 5 left alone or left in the care of another child younger than 10 for one hour or more at least once during the past week

Early Child Development Index The Early Child Development Index (ECDI) determines if children are Early Child Development Index The Early Child Development Index (ECDI) determines if children are developmentally on track in 4 domains – literacy-numeracy, physical, social-emotional, and learning. The ECDI identifies children who are developmentally on track in at least 3 of the 4 domains.

Early Child Development Index Percent of children age 36 -59 months who are developmentally Early Child Development Index Percent of children age 36 -59 months who are developmentally on track in the following categories:

Mortality Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic Mortality Follow along on Twitter! #Rwanda. DHS @statistics. RW @DHSprogram 2014 -15 Rwanda Demographic and Health Survey (RDHS)

Childhood Mortality Deaths per 1, 000 live births for the 5 -year period before Childhood Mortality Deaths per 1, 000 live births for the 5 -year period before the survey

Under-5 Mortality by Province Deaths per 1, 000 live births for the 10 -year Under-5 Mortality by Province Deaths per 1, 000 live births for the 10 -year period before the survey North 60 Kigali 42 West 62 South 66 East 86

Trends in Childhood Mortality Deaths per 1, 000 live births for the 5 -year Trends in Childhood Mortality Deaths per 1, 000 live births for the 5 -year period before the survey

Maternal Mortality Maternal mortality includes all deaths that occur to women during pregnancy, during Maternal Mortality Maternal mortality includes all deaths that occur to women during pregnancy, during birth, and up to 2 months after birth or the end of the pregnancy. Maternal mortality ratio (MMR) for the 5 -year period before the survey = 210 deaths per 100, 000 live births

Maternal Mortality Ratio Has Significantly Declined Maternal deaths per 100, 000 live births Maternal Mortality Ratio Has Significantly Declined Maternal deaths per 100, 000 live births

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