iraq multiple indicator cluster survey mics4
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IRAQ Multiple Indicator Cluster survey MICS4 . Launch of the Final Report Baghdad, 12 December 2012. Iraq Multiple Indicator Cluster Survey (MICS ) in Iraq MICS1 1996 / MICS2 , 2000 / MICS3 , 2006 / MICS4 , 2011 MICS-4 Implementing partners Central Statistics Organization (CSO) - PowerPoint PPT PresentationTRANSCRIPT
IRAQMultiple Indicator Cluster survey MICS4
Launch of the Final Report
Baghdad, 12 December 2012
2
MICS Iraq – Overview
Iraq Multiple Indicator Cluster Survey (MICS) in Iraq– MICS1 1996 / MICS2, 2000 / MICS3, 2006 / MICS4, 2011
MICS-4– Implementing partners
• Central Statistics Organization (CSO) • Kurdistan Region Statistics Organization (KRSO).
– Financial support from Iraq Trust Fund and United Nations Children’s Fund (UNICEF).
– Technical support from UNICEF, MoH, MoE, WHO.
3
MICS4 Iraq Phases
Oct. 2009 - Apr. 2010
•Planning•Sample Design•Questionnaires adaptation and translation•Supplies
May 2010 – Nov. 2011
• Training for data processing• Training for data collection• Interviewing• Data processing• Data validation
Nov.2011Jan-Mar.2012
Nov-Apr.2012
•Weighting• Indicators definition• Tabulation• Estimating precision
May 2012 Aug. 2012Oct. 2012
•Preliminary Findings & Final Report•Information products•Further Analysis: Equity, Gov.Prof.
TIME PHASES QUALITY CONTROL
Planning & Design
Data collection & Processing
Analysis
Dissemination
•ICO, RO, HQ and partners•Partners, HQ•ICO, RO•ICO, RO
•ICO, RO•ICO, HQ•ICO, RO *•ICO, RO , HQ•ICO, RO, HQ
•ICO, RO, HQ•ICO, RO, JQ•ICO, HQ•ICO, RO, HQ
•ICO, RO, HQ, partners
4
Planning & DesignSample Design
• New sample frame from Census 2009 available• Sample coverage: all governorates (18), all districts (118)• Estimates with acceptable margin of error at district level, minimum at
governorate level, and high accuracy at urban/rural and national levels• Sample size: 36,580 households; 3,658 clusters, 10 HH/cluster• Interview mother/caretaker of all children U5, and all women 15-49 years
Interviewing• 35,701 households interviewed
• 55,194 women 15-49 years old interviewed• 36,307 children under five (mother/caretaker interviewed)
5
Planning & DesignQuestionnaires
Adaptations of standard questionnaires:• Household assets added to capture particular assets from poorer households, to improve
wealth index validity• FGM/C module added (shortened) / Water chlorine test and coverage of vaccination campaigns
included / Reverse Osmosis option added in Water sources questions
Household Questionnaire
Questionnaire for Individual Women (age 15-49)
Questionnaire for Children under Five
Household Listing FormEducation
Water and SanitationHousehold Characteristics
Child LabourChild DisciplineHandwashingSalt IodizationWater Chlorine
Woman’s BackgroundChild Mortality
Desire for Last Birth Maternal and New-born Health
Illness Symptoms Contraception Unmet Needs
Female Genital Mutilation/CuttingAttitudes Toward Domestic Violence
Marriage/UnionHIV/AIDS
Age Birth Registration
Early Childhood DevelopmentBreastfeedingCare of Illness Immunization
Anthropometry
6
Data Collection & ProcessingTraining
• Data Processing Training, May 2010• Translation of Questionnaires and Manuals, May 2010• Training of Trainers, June 2010• Postponment due to Census implementation• Training of Trainers refresher, January 2011• Updating budgets and Time Table, December 2010 – January 2011
Data collection, entry and cleaning• March 2011 – October 2011 (February 2012 for minor issues)
Validation• Overall data validation: November 2011, Final data validation: July 2012• Analysis: December 2011 – April 2012
Children and Women in Iraq
8
Infant Mortality:
32
U5 Mortality:
37
Mortality
Deaths per 1,000 live births
20
12
5
Iraq Mortality Rates, 2011
9
Mortality
Under-5 Infant Neonatal
32
28
21
37
32
20
38
33
20
Mortality Rates, 2011
Kurdistan Region Iraq Center-South
Dea
ths p
er 1
,000
live
birt
hs
10
Determinants of MortalityM
ale
Fem
ale
Urb
an
Rura
l
Non
e
Prim
ary
Seco
ndar
y+
Sex Residence Mother's Edu-cation
0
15
30
45
Deat
hs p
er 1
,000
live
birt
hs
Mal
e
Fem
ale
Urb
an
Rura
l
Non
e
Prim
ary
Seco
ndar
y+
Sex Residence Mother's Edu-cation
0
15
30
45
Deat
hs p
er 1
,000
live
birt
hs
Infant Mortality Children Under 5 Mortality
Mortality by GovernoratesMortality Rates, 2011
SuleimaniaWasit
BaghdadBasrah
KarbalaNajaf
AnbarSalahaddin
DiyalaBabil
20 25 30 35 40 45 50 55 60
Infant Mortality RateUnder-5 Mortality Rate
12
Nutrition0-
1
2-3
4-5
6-7
8-9
10-1
1
12-1
3
14-1
5
16-1
7
18-1
9
20-2
1
22-2
30%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Breastfeeding, Iraq 2011
Not breastfed
Breastfed and other foods
Breastfed and other milk/ formula
Breastfed and non-milk liquids
Breastfed and plain water only
Exclusively breastfed
Age in months
• A chronic restriction of vertical growth indicated by a low height for age
Stunting
• Acute weight loss indicated by a low weight for heightWasting
Stunting & Wasting Begin Early in Childhood
14
Kurd
istan
Iraq
Cent
er-S
outh
Kurd
istan
Iraq
Cent
er-S
outh
Kurd
istan
Iraq
Cent
er-S
outh
Underweight Stunted Wasted
0
10
20
30
40
7 8 915.4
22.6 23.6
5 7.4 7.7
Undernourishment, 2011
Perc
enta
geNutrition
15
Nutrition
Underweight Stunted Wasted0
5
10
15
20
25
9
23
7
4
10
4
Undernourishment, Iraq 2011
Moderate & Severe Severe only
Perc
ent
SulimaniaBabil
MisanThiqarDuhuk
AlbasrahNainwa
SalahaladinDiala
Anbar
0 5 10 15 20 25 30 35 40
WastedStuntedUnderweight
Undernourishment by Governorate
Kirkuk
Erbil
Dohuk
Ninewa
Diyala
16
Children and Mother’s Health
All vaccinations
Measles/MMR
Polio3Polio2Polio1
DPT3DPT2DPT1
HepB3HepB2HepB1
BCG
0 20 40 60 80 100
50.7
76.7
70.483.2
90.2
65.177.4
85.8
60.280.7
89.1
91.2
Children aged 18-29 months vaccinated by first birthday (by 18 months for Measles/MMR)
Percent
Immunization, vaccines
More than 500,000 children 18-29 months have not received all recommended vaccinations
18
Tetanus Immunization
About 45% (more
than 500,000)
pregnant women are
not protected against
neonatal tetanus
KarbalaSulimaniaAlbasrah
KakukBaghdad
BabilNajaf
MisanQadisya
IRAQKR
DuhukDiala
AlmuthanaNainwa
ThiqarArbil
AnbarSalahaladin
Wasit
0 10 20 30 40 50 60 70 80 90 100
Percentage of women age 15-49 years with a live birth in the last 2 years protected against neonatal tetanus
Percent
Kirkuk
Erbil
Dohuk
Ninewa
Diyala
19
Child Health
Urban
Rural
IRAQ
KR
0 20 40 60 80 100
27
24
26
30
26
27
26
25
Treatment for Children Under 5 who had di-arrhoea
No treatment or drug ORT with continued feeding
Percent
Urban Rural IRAQ KR0%
20%
40%
60%
80%
100%
Children U5 with suspected pneumonia that were treated with antibiotics
Not Treated
Treated
20
Maternal Health
At least 4 times by any provider
At least once by skilled personnel
0 50 100
50
78
Antenatal care coverage, Iraq, 2011
Percent
Institutional deliveries
Skilled attendant at delivery
0 50 100
77
91
Delivery care, Iraq, 2011
Percent
About 250,000 women deliver at home every year
21
Water and Sanitation
22
Water and Sanitation
AlbasrahDuhuk
NajafArbil
KRBaghdad
SulimaniaKakukMisanIRAQ
AnbarKarbala
ThiqarQadisyaNainwa
BabilAlmuthana
WasitSalahaladin
0% 20% 40% 60% 80% 100%
Percentage of household members using improved water sources
Not Im-provedImproved
Urban Rural IRAQ KR0
25
50
75
100 98
77
9197
Percentage of household members us-ing improved sources of drinking water,
Iraq, 2011
Perc
ent
23
Water and Sanitation
Baghdad
Karbala
Qadisy
aWasi
tKak
uk
Almuthan
aDial
aNaja
fBab
il
Nainwa
IRAQ
Salah
aladin
DuhukArbil KR
Misan
Sulim
aniaTh
iqarAnbar
Albasrah
0
20
40
60
80
100Households Levels of Water Chlorine (Parts per million)
More than 1
0.5 - 1
Less than 0.5
Percent of households with no chlorine
Perc
ent
24
Education
25
Education
GPI (primary) GPI (secondary)0.00
0.20
0.40
0.60
0.80
1.00
0.94
0.85
Gender parity index (GPI) in primary and secondary school
Ratio
Every year 365,000 children with Primary school completion age (11 years) do notcomplete Primary education or do not complete it in time
MisanNainwaQadisya
DialaDuhuk
30 40 50 60 70 80 90 100
SecondaryPrimary
Net School Attendance Ratio
Kirkuk
ErbilDohuk
Ninewa
Diyala
26
Education
Poorest Second Middle Fourth Richest Country 0
20
40
60
80
100
36
59
70
82
92
69
Literacy rates, young women age 15-24 years, by wealth quintiles
Perc
ent
27
Iraq
Urb
an
Rura
l
Kurd
istan
Re.
..
Cent
re/S
outh
Mal
e
Fem
ale
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
48.624895481178255.510630579197
33.9065414057338
71.8806432664759
44.441326388383152.4673407602683
44.58780813697
13.737052327809112.7224546261163
15.9057689579255
9.91831146554504
14.4240208309189
18.3766276564797
8.8624556891008
37.638052191012631.7669147946867
50.1876896363407
18.2010452679791
41.13465278069829.1560315832521
46.5497361739292
Education attendance among secondary age children (12-17 years)
Out of school
Attending Primary
Secondary attendance (NAR)
Education
28
Child Protection
29
Child Protection
Urban Rural KR IRAQ0
2
4
6
8
10
12
5
10
2
6
Percentage of children age 5-14 years who are involved in child labour
Perc
ent
Males Females KR IRAQ0
20
40
60
80
100
8177
7079
31 2523
28
Percentage of children age 2-14 years who experience violent discipline, by sex
Any Violent Discipline MethodSevere Physical Punishment
Perc
ent
9,6 million children 2-14 years suffer from any violent discipline method;one third of them (3.3m) suffer from severe physical punishment
30
Protection
None Primary Secondary+
FGM and Education
FGM/C among
women Approval for
FGM/C
Approval0
5
10
15
20
8 5
Perc
ent
1,3 million women 15-49 years suffer from any form of FGM
ErbilSuleimania
KRKakukIRAQ
DuhukSalahaladin
QadisyaNajaf
AlmuthanaBabil
WasitDiala
KarbalaNainwa
BaghdadAnbarThiqarMisan
0 25 50 75 100
5855
4320
82
Prevalence of FGM/C among women 15-49 years in each Governorate
Percent
Kirkuk
Dohuk
Ninewa
Diyala
31
Protection
Urban Rural KR IRAQ
20
40
60
80
100
51
69
30
56
Percentage of women age 15-49 years who be-lieve a husband is justified beating his wife
Perc
ent
32
Thank You.
Thank you