Background
Methods
Country | Survey data collection period | Total women (15–49) interviewed | Sample size by designa | Selected women sampleb | % of completed responses |
---|---|---|---|---|---|
Nigeria | August 14–December 29, 2018 | 41,821 | 6857 | 6709 | 97.8 |
Mali | August 6–November 18, 2018 | 10,519 | 2049 | 1937 | 94.5 |
Guinea | March 27–June 28, 2018 | 10,874 | 1708 | 1643 | 96.2 |
Zambia | July 17–January 24, 2019 | 13,683 | 1637 | 1526 | 93.2 |
Data management
Variables and measurements
Analytical steps and methods
Results
Variable | Nigeria | Mali | Guinea | Zambia |
---|---|---|---|---|
Frequency (%) | Frequency (%) | Frequency (%) | Frequency (%) | |
Demographic | ||||
Number of antenatal visits | ||||
< 8 | 5519 (82.3) | 1870 (96.5) | 1560 (97.3) | 1505 (98.6) |
≥ 8 | 1190 (17.7) | 67 (3.5) | 43 (2.7) | 21 (1.4) |
Number of antenatal visits | ||||
< 4 | 2983 (44.5) | 1084 (56.0) | 1071 (65.2) | 553 (36.2) |
≥ 4 | 3726 (55.5) | 853 (44.0) | 572 (34.8) | 973 (63.8) |
Time of first antenatal visit | ||||
≤ 3 months of gestation | 1184 (17.6) | 687 (35.5) | 5525 (26.2) | 583 (38.2) |
> 3 months of gestation | 5525 (82.4) | 1250 (64.5) | 1183 (73.8) | 943 (61.8) |
Age at child birth (years) | ||||
< 19 | 610 (9.1) | 240 (12.3) | 225 (13.7) | 164 (10.8) |
20–24 | 1519 (22.6) | 489 (25.3) | 349 (21.3) | 405 (26.6) |
25–29 | 1946 (29.0) | 508 (26.2) | 444 (27.0) | 364 (23.9) |
30–34 | 1393 (20.8) | 351 (18.2) | 308 (18.8) | 299 (19.6) |
35–39 | 841 (12.5) | 251 (12.9) | 207 (12.6) | 204 (13.4) |
40–44 | 398 (6.9) | 96 (5.0) | 109 (6.7) | 212 (8.9) |
Residence | ||||
Urban | 2488 (37.1) | 384 (19.8) | 414 (25.2) | 498 (32.7) |
Rural | 4221 (62.9) | 1553 (80.2) | 1229 (74.8) | 1028 (67.3) |
Religion | ||||
Christians | 2669 (33.8) | 61 (3.1) | 155 (9.5) | 1488 (97.5) |
Muslims | 4400 (65.6) | 1793 (92.6) | 1460 (88.8) | 12 (0.8) |
Others | 40 (0.6) | 83 (4.3) | 28 (1.7) | 26 (1.7) |
Birth order | ||||
1–2 | 2361 (35.2) | 630 (32.5) | 551 (33.5) | 577 (37.8) |
3–4 | 1931 (28.8) | 567 (29.3) | 551 (33.5) | 449 (29.4) |
≥ 5 | 2417 (36.0) | 740 (38.2) | 541 (33.0) | 500 (32.8) |
Pregnancy wanted | ||||
No (later/no more) | 759 (11.3) | 339 (17.5) | 259 (15.8) | 541 (35.5) |
Yes | 5950 (88.7) | 1598 (82.5) | 1384 (84.2) | 985 (64.5) |
Polygyny | ||||
Monogamous | 4692 (69.9) | 1282 (66.2) | 1007 (61.3) | 1362 (89.3) |
Polygamous as first wife | 742 (11.1) | 249 (12.8) | 218 (13.3) | 69 (4.5) |
Polygamous as 2nd or more | 1275 (19.1) | 406 (21.0) | 417 (25.4) | 95 (6.2) |
Wealth quintiles | ||||
Poorest | 1433 (21.4) | 411 (21.2) | 443 (26.9) | 389 (25.5) |
Poorer | 1554 (23.2) | 422 (21.8) | 373 (22.7) | 368 (24.1) |
Middle | 1420 (21.2) | 414 (21.4) | 325 (19.8) | 297 (19.5) |
Richer | 1239 (18.5) | 356 (18.4) | 309 (18.8) | 219 (14.3) |
Richest | 1063 (15.8) | 333 (17.2) | 194 (11.8) | 253 (16.6) |
Distance to health facility | ||||
Big problem | 1907 (28.4) | 587 (30.3) | 838 (51.0) | 568 (37.2) |
Not a big problem | 4802 (71.6) | 1350 (69.7) | 805 (49.0) | 958 (62.8) |
Covered by health insurance | ||||
No | 6574 (98.0) | 1840 (95.0) | 1625 (98.9) | 1497 (98.1) |
Yes | 135 (2.0) | 97 (5.0) | 17 (1.1) | 28.5 (1.9) |
Husband’s level of education | ||||
None | 2502 (37.3) | 1370 (70.8) | 1225 (74.6) | 100 (6.6) |
Primary | 861 (12.8) | 217 (11.2) | 111 (6.78) | 569 (37.3) |
Secondary | 2291 (34.2) | 257 (13.3) | 199 (12.14) | 719 (47.1) |
Higher | 1056 (15.7) | 93 (4.8) | 107 (6.5) | 138 (9.0) |
Difference in age between husband and wife | ||||
Wife older or same age | 103 (1.5) | 34 (1.7) | 24 (1.5) | 74 (4.8) |
Husband 1–5 years older | 1614 (24.1) | 409 (21.1) | 264 (16.1) | 829 (54.3) |
Husband 6–10 years older | 2424 (36.1) | 649 (33.5) | 514 (31.2) | 464 (30.4) |
Husband > 10 years older | 2568 (38.3) | 845 (43.6) | 841 (51.2) | 160 (10.5) |
Total | 6709 | 1937 | 1643 | 1526 |
Variable | Nigeria (N = 6709) | Mali (N = 1937) | Guinea (N = 1643) | Zambia (N = 1526) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n(%) | visit ≥ 8 | ≤ 3 months | n(%) | visit ≥ 8 | ≤ 3 months | n(%) | visit ≥ 8 | ≤ 3 months | n(%) | visit ≥ 8 | ≤ 3 months | |
Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | Prevalence, % (95% CI) | |||||
Total (Prevalence, %) | 17.7 (16.4–19.2) | 17.6 (16.4–19.0) | 3.5 (2.6–4.6) | 35.5 (32.8–38.3) | 2.7 (1.9–3.6) | 26.2 (23.3–29.4) | 1.4 (0.9–2.3) | 38.2 (34.6–41.9) | ||||
Labour force participation | p < 0.001 | p < 0.001 | p = 0.014 | p < 0.001 | p = 0.095 | p = 0.015 | p = 0.163 | p = 0.033 | ||||
Low | 2250 (33.5) | 10.4 (8.8–12.3) | 12.5 (10.9–14.4) | 817 (42.2) | 3.6 (2.3–5.6) | 36.3 (32.3–40.5) | 596 (36.3) | 3.1 (2.0–4.9) | 25.4 (21.7–29.7) | 715 (46.8) | 1.0 (0.5–2.1) | 38.5 (34.1–43.2) |
Middle | 2132 (31.8) | 14.3 (12.5–16.2) | 17.4 (15.5–19.4) | 455 (23.5) | 1.1 (0.4–3.0) | 25.2 (21.2–29.6) | 478 (29.1) | 1.3 (0.6–2.9) | 21.7 (17.4–26.8) | 352 (23.1) | 2.7 (1.3–5.5) | 44.5 (37.3–51.9) |
High | 2326 (34.7) | 28.0 (25.3–30.8) | 22.9 (20.5–25.4) | 665 (34.3) | 4.9 (3.4–7.0) | 41.6 (37.4–45.8) | 569 (34.6) | 3.3 (2.1–5.3) | 30.9 (26.2–36.1) | 459 (30.1) | 1.0 (0.3–3.7) | 32.9 (27.2–39.1) |
Disagreement to justification toward wife beating | p < 0.001 | p < 0.001 | p = 0.008 | p = 0.069 | p = 0.962 | p = 0.079 | p = 0.435 | p = 0.781 | ||||
Low | 1369 (20.4) | 6.3 (4.9–8.2) | 10.4 (8.6–12.6) | 758 (39.1) | 1.8 (1.0–3.2) | 31.9 (27.9–36.1) | 1608 (37.4) | 2.7 (1.5–4.7) | 28.2 (23.9–33.0) | 381 (24.9) | 0.7 (0.2–2.1) | 39.8 (33.2–46.6) |
Middle | 872 (13.0) | 10.2 (8.1–12.7) | 14.0 (11.5–17.0) | 604 (31.2) | 5.1 (3.4–7.6) | 37.2 (32.7–42.0) | 1415 (32.9) | 2.8 (1.6–5.1) | 21.4 (17.1–26.4) | 374 (24.5) | 1.9 (0.7–5.0) | 38.7 (32.4–45.4) |
High | 4468 (66.6) | 22.7 (20.8–24.7) | 20.6 (19.0–22.3) | 575 (29.7) | 4.0 (2.6–6.1) | 38.5 (33.9–41.1) | 1281 (29.7) | 2.5 (1.5–4.2) | 27.8 (23.2–32.9) | 772 (50.6) | 1.5 (0.7–2.9) | 37.2 (33.0–41.7) |
Health decision making power | p < 0.001 | p = 0.001 | P < 0.001 | p < 0.001 | p = 0.045 | p = 0.013 | p = 0.809 | p = 0.355 | ||||
Low | 1375 (20.5) | 14.6 (12.2–17.5) | 14.8 (12.5–17.5) | 527 (27.2) | 0.8 (0.3–2.0) | 26.7 (22.3–31.7) | 1024 (23.8) | 1.7 (0.1–3.2) | 21.8 (17.9–26.3) | 279 (18.3) | 1.4 (0.5–3.9) | 42.9 (35.6–50.6) |
Middle | 1981 (29.5) | 13.3 (11.5–15.4) | 16.0 (14.1–18.1) | 398 (20.6) | 2.7 (1.3–5.4) | 29.9 (24.9–35.5) | 870 (20.2) | 2.0 (0.8–4.6) | 28.1 (23.8–32.9) | 184 (12.0) | 2.0 (0.4–9.0) | 37.6 (28.3–47.9) |
High | 3353 (50.0) | 21.6 (19.6–23.8) | 19.8 (18.0–21.6) | 1012 (52.2) | 5.1 (3.8–7.0) | 42.3 (38.6–46.0) | 2409 (56.0) | 4.4 (2.9–6.6) | 29.9 (25.4–34.9) | 1063 (69.7) | 1.3 (0.7–2.4) | 37.1 (33.4–40.9) |
Household decision making power | p < 0.001 | p < 0.001 | p = 0.632 | p < 0.001 | p = 0.458 | p = 0.745 | p = 0.748 | p = 0.001 | ||||
Low | 2672 (39.8) | 7.9 (6.7–9.2) | 12.0 (10.6–13.6) | 1221 (63.0) | 3.2 (2.3–4.5) | 45.3 (42.0–48.6) | 2567 (59.6) | 3.3 (2.0–5.4) | 26.2 (22.2–30.6) | 490 (32.1) | 1.8 (0.8–3.9) | 46.5 (40.1–53.1) |
Middle | 1797 (26.8) | 15.4 (13.4–17.6) | 16.2 (14.2–18.3) | 81 (34.2) | 2.7 (0.7–10.5) | 36.1 (33.2–39.2) | 275 (6.4) | 2.0 (1.1–3.8) | 25.1 (20.7–30.0) | 608 (39.9) | 1.3 (0.6–3.2) | 36.1 (31.4–41.0) |
High | 2240 (33.4) | 31.4 (28.7–34.2) | 25.6 (23.2–28.1) | 635 (32.8) | 4.1 (2.6–6.2) | 34.3 (31.1–37.6) | 1462 (34.0) | 2.5 (1.5–4.3) | 27.3 (23.1–32.0) | 428 (28.0) | 1.1 (0.4–2.7) | 31.7 (26.3–37.8) |
Gender norm for sex negotiation | p < 0.001 | p < 0.001 | p = 0.121 | p = 0.020 | p = 0.233 | p = 0.011 | p = 0.411 | p = 0.500 | ||||
Low | 2789 (41.6) | 8.0 (6.7–9.4) | 10.6 (9.3–12.2) | 1180 (60.9) | 5.3 (2.8–9.9) | 32.7 (29.5–36.2) | 2507 (58.2) | 2.0 (1.2–3.3) | 24.2 (21.0–27.8) | 356 (23.3) | 0.6 (0.1–2.5) | 35.6 (28.8–43.0) |
Middle | 1183 (17.6) | 17.0 (14.5–19.9) | 20.6 (17.8–23.7) | 219 (11.3) | 4.4 (2.8–6.9) | 41.4 (34.0–49.1) | 615 (14.3) | 3.1 (1.7–5.5) | 23.8 (18.6–30.0) | 310 (20.3) | 1.8 (0.6–5.5) | 36.8 (30.1–44.0) |
High | 2737 (40.8) | 28.0 (25.6–30.6) | 23.5 (21.6–25.6) | 538 (27.8) | 3.5 (2.6–4.6) | 39.2 (34.5–44.0) | 1183 (27.5) | 3.7 (2.1–6.3) | 32.9 (27.6–38.6) | 860 (56.4) | 1.6 (0.9–2.7) | 39.8 (35.6–44.1) |
Knowledge level of survival | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p = 0.554 | p = 0.344 | ||||
Low | 2595 (38.7) | 3.4 (2.6–4.4) | 8.6 (7.3–10.1) | 823 (42.5) | 0.6 (0.3–1.6) | 24.5 (21.2–28.1) | 1836 (42.7) | 1.1 (0.6–2.1) | 20.9 (17.4–25.0) | 601 (39.4) | 1.3 (0.5–3.1) | 40.5 (34.5–46.7) |
Middle | 1946 (29.0) | 14.9 (12.9–17.2) | 16.8 (14.7–19.1) | 557 (28.8) | 3.0 (1.7–5.0) | 31.7 (27.7–36.0) | 1083 (25.2) | 2.0 (1.0–4.3) | 28.6 (23.7–34.0) | 416 (27.3) | 0.9 (0.3–2.6) | 38.5 (33.0–44.3) |
High | 2168 (32.3) | 37.4 (34.9–40.1) | 29.2 (26.9–31.7) | 557 (28.7) | 8.1 (5.9–11.2) | 55.6 (51.3–59.9) | 1385 (32.2) | 6.1 (4.1–8.9) | 33.0 (27.9–38.6) | 508 (33.3) | 1.9 (0.9–4.1) | 35.3 (30.7–40.2) |
Ownership of assets | p < 0.001 | p < 0.001 | p = 0.508 | p = 0.143 | p = 0.042 | p = 0.001 | p = 0.700 | p = 0.001 | ||||
Low | 5819 (86.7) | 16.9 (15.5–18.5) | 16.8 (15.5–18.2) | 1039 (53.6) | 3.9 (2.7–5.6) | 30.9 (24.8–37.8) | 2360 (54.8) | 3.4 (2.3–5.0) | 29.3 (25.5–33.5) | 670 (43.9) | 1.4 (0.8–2.6) | 32.1 (27.9–36.5) |
Middle | 132 (2.0) | 30.3 (22.5–39.3) | 33.8 (25.6–43.2) | 290 (15.0) | 2.4 (1.2–5.1) | 34.0 (29.4–38.8) | 684 (15.9) | 2.6 (1.5–4.6) | 25.6 (21.3–30.4) | 673 (44.1) | 1.2 (0.5–2.8) | 42.9 (37.3–48.6) |
High | 758 (11.3) | 21.9 (18.5–25.6) | 21.5 (18.4–24.9) | 607 (31.4) | 3.2 (2.0–5.2) | 35.5 (32.8–38.3) | 1260 (29.3) | 0.6 (0.2–2.6) | 18.1 (13.9–23.1) | 183 (12.0) | 2.2 (0.5–8.8) | 43.5 (35.4–52.0) |
Family planning knowledge | p < 0.001 | p < 0.001 | p = 0.190 | p = 0.565 | p = 0.012 | p < 0.001 | p = 0.913 | p = 0.164 | ||||
Low | 3640 (54.3) | 11.7 (10.4–13.2) | 13.9 (12.5–15.4) | 834 (43.0) | 2.6 (1.6–4.1) | 37.6 (33.8–41.6) | 531 (31.3) | 1.8 (0.9–3.7) | 19.6 (16.1–23.5) | 400 (26.2) | 1.2 (0.5–3.1) | 39.7 (33.5–46.3) |
Middle | 836 (12.5) | 15.1 (12.3–18.4) | 17.1 (14.4–20.2) | 821 (42.4) | 4.5 (3.0–6.6) | 38.9 (36.5–41.4) | 740 (45.0) | 2.1 (1.3–3.4) | 27.8 (23.6–32.5) | 883 (57.9) | 1.4 (0.7–2.7) | 36.1 (31.7–40.7) |
High | 2233 (33.3) | 28.6 (25.8–31.6) | 24.0 (21.8–26.4) | 282 (14.6) | 3.2 (1.6–6.6) | 38.6 (36.5–40.7) | 372 (22.7) | 4.9 (3.1–7.8) | 32.6 (27.1–38.6) | 243 (15.9) | 1.7 (0.7–4.1) | 43.6 (36.9–50.6) |