I F Afghanistan - Demographic and Health Survey 2015

Fertility Preferences • 101 Table 6.6 Wanted fertility rates Total wanted fertility rates and total fertility rates for the 3 years preceding the survey, by background characteristics, Afghanistan 2015 Background characteristic Total wanted fertility rate Total fertility rate Residence Urban 3.7 4.8 Rural 4.6 5.4 Province 1 Kabul 3.5 4.6 Kapisa 4.1 4.8 Parwan 4.5 5.7 Wardak 3.7 4.2 Logar 3.2 4.2 Nangarhar 5.6 6.4 Laghman 6.3 7.3 Panjsher 2.6 3.2 Baghlan 3.6 4.4 Bamyan 4.7 5.4 Ghazni 2.5 2.8 Paktika 4.7 5.3 Paktya 4.4 5.2 Khost 4.8 5.6 Kunarha 6.6 6.8 Nooristan 8.8 8.9 Badakhshan 4.8 5.3 Takhar 4.8 5.7 Kunduz 4.0 4.4 Samangan 4.0 5.1 Balkh 4.8 5.5 Sar-E-Pul 4.6 4.8 Ghor 5.1 5.8 Daykundi 2.9 5.2 Urozgan 6.6 8.8 Kandahar 5.1 6.5 Jawzjan 2.6 3.9 Faryab 5.2 6.2 Helmand 4.1 4.7 Badghis 4.3 6.6 Herat 3.6 4.8 Farah 4.6 5.4 Nimroz 4.1 5.4 Education No education 4.6 5.5 Primary 3.8 4.7 Secondary 3.6 4.3 More than secondary 3.0 3.6 Wealth quintile Lowest 4.5 5.3 Second 4.6 5.4 Middle 4.9 5.8 Fourth 4.4 5.3 Highest 3.4 4.6 Total 4.4 5.3 Note: Rates are calculated based on births to women age 15-49 in the period 1-36 months preceding the survey. The total fertility rates are the same as those presented in Table 5.2. 1 Estimates for Zabul are not presented separately due to sample coverage issues; however, they are included in the total national estimates. Family Planning • 103 FAMILY PLANNING 7 Key Findings  Contraceptive use: Twenty-three percent of currently married women use a method of family planning, with 20 using a modern method. The most popular methods are the pill 7 and injectables 5.  Source of modern methods: The public and private health sectors are equally popular as sources of modern contraception in Afghanistan. Most users get pills and condoms from the private medical sector mainly pharmacies, while the public sector is more often the source for female sterilization, IUDs, and injectables.  Contraceptive discontinuation: One out of every four times 26 that women began using a contraceptive method in the 5 years before the survey, they discontinued the method in less than 12 months. The most common reason for discontinuation was the desire to become pregnant 54, followed by method-related side effects and health concerns 13.  Unmet need for family planning: Overall, 25 of currently married women have an unmet need for family planning.  Demand for family planning: Total demand for family planning satisfied by use of modern methods is 42 among currently married women. ouples can use contraceptive methods to limit or space the number of children they have. This chapter presents information on the use and sources of contraceptive methods, informed choice of methods, and rates and reasons for discontinuing contraceptives. It also examines the potential demand for family planning and how much contact nonusers have with family planning providers. Afghanistan is a “Focus FP2020 Country,” meaning that it is part of a global movement to provide an additional 120 million women in the poorest countries of the world with access to voluntary family planning by the year 2020. The Ministry of Public Health is especially committed to achieving reductions in unmet need for family planning Ministry of Public Health 2015a. C 104 • Family Planning

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ONTRACEPTIVE K NOWLEDGE AND