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  • Title: Dramatic changes in Kenya.
    Journal: Newsl Macro Syst Inst Resour Dev Demogr Health Surv; 1995; 7(1):5. PubMed ID: 12319377.
    Abstract:
    The 1993 Kenya Demographic and Health Survey (DHS) is a nationally representative survey of 7540 women aged 15-49. Interviews were also conducted with a subsample of 2336 men aged 20-54. The data show the rate of total fertility to have fallen from 6.7 children per woman in 1984-88 to 5.4 in 1990-92, while the use of family planning among married women increased from 17% to 33% over the period 1984-1993. Family planning methods seem to be readily accessible to the vast majority of women amid generally favorable attitudes toward family planning. Even with these successes, 17% of recent births were unwanted and 33% were mistimed. Total fertility per woman would probably be only 3.4 children if all unwanted births could be avoided. Regional disparities in fertility and family planning must also be reduced. The rate of total fertility is 6.4 in Western Province compared to 3.9 in Central Province, while contraceptive prevalence is 56% in Central Province compared to 20% in Coast Province. Kenya has made remarkable progress in child survival, but 10% of children still die before reaching age five years, declines in childhood mortality have stagnated, and 33% of children under five are stunted. Infant and child mortality are particularly high in Nyanza Province. With regard to the prevention of HIV infections and AIDS, knowledge seems high, condom use is low, and having multiple partners is common, with 33% of men reporting having more than one sex partner in the six months before the survey.
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