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  • Title: Low levels of family planning knowledge and use threaten Madagascar population goals.
    Journal: Newsl Macro Syst Inst Resour Dev Demogr Health Surv; 1995; 7(1):4-5. PubMed ID: 12319376.
    Abstract:
    1992 Madagascar Demographic and Health Survey (DHS) data indicate that Madagascar has a long way to go in order to realize its 1990 National Population Policy Law goal of reducing fertility from 6.1 to 4.0 by the year 2000. Madagascar DHS data are based upon a nationally representative sample of 6260 women aged 15-49. Only 62% of sampled women in union knew a modern method of contraception and 45% knew where they could obtain one. 56% of rural women and 38% of women with no education were similarly knowledgeable. Injection, the pill, and female sterilization are the best known modern methods. The infrequent airing and limited reach of family planning messages found only 6% of respondents reporting hearing a family planning message on the radio or television in the month preceding the survey. An aggressive and widespread information, education, and communication program is therefore needed to increase the level of knowledge about modern contraceptive methods. There is considerable unmet need for family planning in Madagascar. 40% of married women in 1992 reported that they did not want to have any more children, while another 30% reported wanting to space their next birth. Only 5% of married women, however, were then currently using modern methods, and 12% were using traditional methods, mainly periodic abstinence. As for maternal and child health, 163 children under five years old die per 1000 births, with the level of mortality inversely related to the level of education attained by the mother. The under-five mortality rate is 183/1000 in rural areas and 142/1000 in urban areas. In 1992, 78% of mothers received antenatal care from an health professional, and an health professional was present at delivery for 57% of births. Only 43% of children aged 12-23 months, however, have received all recommended vaccinations, such that childhood illnesses, particularly diarrhea, are common among young children. More than 50% of children under five are stunted, and 40% are underweight.
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