Skilled Assistance during Delivery

150 • Maternal Health Care Table 9.7 Place of delivery Percent distribution of live births in the 5 years preceding the survey by place of delivery and percentage delivered in a health facility, according to background characteristics, Afghanistan 2015 Background characteristic Health facility Home Other Missing Total Percentage delivered in a health facility Number of births Public sector Private NGO sector Mothers age at birth 20 43.0 5.4 50.4 0.5 0.7 100.0 48.3 4,521 20-34 43.3 5.2 50.6 0.6 0.4 100.0 48.5 23,246 35-49 41.2 4.6 53.4 0.4 0.3 100.0 45.8 4,035 Birth order 1 52.5 6.3 40.0 0.7 0.6 100.0 58.8 6,119 2-3 43.7 5.6 49.6 0.6 0.4 100.0 49.3 10,348 4-5 40.2 4.1 54.9 0.4 0.4 100.0 44.3 7,357 6+ 37.3 4.5 57.3 0.6 0.3 100.0 41.8 7,978 Antenatal care visits 1 None 27.1 2.6 69.5 0.5 0.4 100.0 29.7 7,492 1-3 51.7 6.8 40.8 0.8 0.0 100.0 58.4 8,260 4+ 69.6 8.7 21.0 0.7 0.0 100.0 78.3 3,494 Dont knowmissing 49.2 9.9 39.7 1.0 0.3 100.0 59.1 386 Residence Urban 63.0 12.9 23.3 0.3 0.5 100.0 75.8 7,246 Rural 37.1 2.8 59.0 0.6 0.4 100.0 39.9 24,555 Province 2 Kabul 73.2 9.2 16.3 0.5 0.8 100.0 82.4 3,769 Kapisa 48.4 0.4 49.9 0.0 1.4 100.0 48.7 219 Parwan 46.3 2.3 50.7 0.0 0.7 100.0 48.7 728 Wardak 53.4 4.4 23.3 18.8 0.1 100.0 57.8 345 Logar 60.9 6.0 32.4 0.1 0.6 100.0 66.9 439 Nangarhar 60.1 4.5 34.8 0.6 0.1 100.0 64.6 1,028 Laghman 57.6 0.8 41.6 0.0 0.0 100.0 58.4 809 Panjsher 64.0 0.1 34.9 0.0 1.0 100.0 64.1 40 Baghlan 29.1 0.2 69.6 0.0 1.1 100.0 29.4 751 Bamyan 45.2 1.0 53.1 0.2 0.6 100.0 46.2 328 Ghazni 56.7 7.8 33.7 0.0 1.8 100.0 64.4 834 Paktika 34.5 1.3 63.3 0.0 0.9 100.0 35.8 874 Paktya 57.1 3.2 36.2 1.5 2.0 100.0 60.3 601 Khost 49.6 8.0 35.9 6.4 0.1 100.0 57.6 1,024 Kunarha 42.4 0.6 57.0 0.0 0.0 100.0 43.0 725 Nooristan 0.8 0.0 98.8 0.0 0.4 100.0 0.8 355 Badakhshan 22.0 0.4 75.9 1.7 0.0 100.0 22.4 939 Takhar 43.7 5.5 50.7 0.0 0.0 100.0 49.3 1,254 Kunduz 47.8 8.2 43.9 0.0 0.2 100.0 55.9 1,222 Samangan 29.2 2.2 68.6 0.0 0.0 100.0 31.4 359 Balkh 40.2 7.8 51.6 0.0 0.4 100.0 48.0 1,943 Sar-E-Pul 39.8 1.3 58.1 0.0 0.8 100.0 41.1 625 Ghor 14.8 0.0 85.2 0.0 0.0 100.0 14.8 913 Daykundi 22.3 0.4 77.2 0.0 0.2 100.0 22.7 315 Urozgan 11.6 0.8 86.6 0.0 0.9 100.0 12.5 407 Kandahar 22.1 13.4 64.3 0.0 0.2 100.0 35.5 2,989 Jawzjan 57.2 14.2 27.6 0.2 0.7 100.0 71.5 599 Faryab 54.4 2.1 43.5 0.0 0.0 100.0 56.4 2,398 Helmand 20.6 5.3 73.9 0.0 0.2 100.0 25.9 898 Badghis 5.9 0.0 93.0 0.0 1.1 100.0 5.9 775 Herat 37.1 2.2 60.6 0.0 0.1 100.0 39.3 2,149 Farah 42.1 0.2 57.6 0.0 0.0 100.0 42.4 825 Nimroz 64.2 1.1 34.3 0.1 0.3 100.0 65.3 295 Mothers education No education 38.7 4.2 56.2 0.6 0.4 100.0 42.9 26,567 Primary 60.6 9.5 29.0 0.6 0.4 100.0 70.1 2,504 Secondary 66.0 10.0 22.7 0.4 0.9 100.0 76.0 2,242 More than secondary 81.4 10.6 7.4 0.6 0.0 100.0 92.0 489 Wealth quintile Lowest 21.0 1.2 77.1 0.3 0.4 100.0 22.2 6,127 Second 33.0 1.5 64.5 0.6 0.4 100.0 34.5 6,506 Middle 37.7 3.3 57.9 0.7 0.4 100.0 41.0 6,779 Fourth 56.5 6.1 36.1 0.8 0.4 100.0 62.6 6,605 Highest 68.2 14.3 16.6 0.3 0.5 100.0 82.5 5,786 Total 43.0 5.1 50.9 0.6 0.4 100.0 48.1 31,802 1 Includes only the most recent birth in the 5 years preceding the survey 2 Estimates for Zabul are not presented separately due to sample coverage issues; however, they are included in the total national estimates. Maternal Health Care • 151 Table 9.8 Assistance during delivery Percent distribution of live births in the 5 years preceding the survey by person providing assistance during delivery, percentage of births assisted by a skilled provider, and percentage delivered by cesarean section, according to background characteristics, Afghanistan 2015 Person providing assistance during delivery Per- centage delivered by a skilled provider 1 Per- centage delivered by C- section Number of births Background characteristic Doctor Nurse midwife Auxiliary nurse midwife Other health worker Tra- ditional birth atten- dant Relative other No one Dont know missing Total Mothers age at birth 20 17.1 27.2 5.8 0.2 35.4 13.2 0.4 0.7 100.0 50.1 1.9 4,521 20-34 17.1 27.6 6.2 0.4 32.6 14.7 1.0 0.4 100.0 50.9 2.7 23,246 35-49 17.2 26.7 4.7 0.5 33.9 15.8 1.0 0.3 100.0 48.6 3.8 4,035 Birth order 1 20.7 33.7 6.9 0.2 25.7 11.6 0.6 0.6 100.0 61.3 3.9 6,119 2-3 17.5 27.8 6.0 0.3 32.4 14.7 1.0 0.4 100.0 51.3 2.6 10,348 4-5 16.4 25.1 5.6 0.5 35.6 15.5 0.9 0.4 100.0 47.1 2.5 7,357 6+ 14.4 24.3 5.3 0.6 37.6 16.2 1.2 0.3 100.0 44.1 2.1 7,978 Antenatal care visits 2 None 9.2 17.0 5.6 0.4 45.8 20.5 1.3 0.3 100.0 31.7 1.7 7,492 1-3 18.6 35.2 7.3 0.2 26.9 10.8 1.0 0.0 100.0 61.1 2.8 8,260 4+ 33.6 43.3 4.9 0.1 11.5 6.3 0.2 0.0 100.0 81.8 8.5 3,494 Dont knowmissing 31.6 19.1 13.3 0.0 30.2 5.0 0.5 0.3 100.0 64.0 3.8 386 Place of delivery Health facility 34.0 54.6 10.9 0.1 0.3 0.1 0.0 0.1 100.0 99.5 5.6 13,702 Elsewhere 4.2 7.0 2.2 0.7 58.4 25.8 1.6 0.1 100.0 13.4 0.6 17,966 Missing 8.3 2.8 0.0 0.0 8.1 3.2 0.0 77.7 100.0 11.1 0.0 133 Residence Urban 34.4 39.8 4.8 0.0 12.6 7.4 0.6 0.5 100.0 78.9 6.7 7,246 Rural 12.0 23.8 6.3 0.5 39.2 16.8 1.0 0.4 100.0 42.1 1.5 24,555 Province 3 Kabul 44.5 36.1 3.9 0.1 6.4 7.8 0.5 0.7 100.0 84.5 9.1 3,769 Kapisa 0.6 48.1 1.1 0.0 1.7 46.8 0.1 1.6 100.0 49.8 1.5 219 Parwan 10.4 33.4 8.7 0.0 13.4 31.7 0.9 1.4 100.0 52.5 3.2 728 Wardak 4.5 35.3 20.9 0.3 18.1 19.4 0.8 0.6 100.0 60.7 3.0 345 Logar 33.0 36.5 0.1 0.9 13.8 15.3 0.0 0.4 100.0 69.6 4.9 439 Nangarhar 55.7 10.3 0.3 0.0 4.3 29.1 0.2 0.1 100.0 66.3 1.9 1,028 Laghman 28.8 23.3 10.0 0.0 15.4 21.6 0.9 0.0 100.0 62.2 2.2 809 Panjsher 43.2 21.3 0.3 0.0 9.4 24.2 1.2 0.4 100.0 64.8 3.1 40 Baghlan 2.5 25.7 3.1 0.2 23.3 44.2 0.0 1.0 100.0 31.3 3.9 751 Bamyan 3.3 42.2 1.4 0.0 16.9 35.7 0.2 0.3 100.0 46.9 3.1 328 Ghazni 10.2 48.8 13.3 0.8 12.3 12.6 0.4 1.5 100.0 72.3 6.5 834 Paktika 3.3 7.0 25.7 8.7 22.0 30.3 2.3 1.0 100.0 35.9 0.8 874 Paktya 3.4 2.0 55.4 0.0 2.8 21.0 13.2 2.1 100.0 60.9 1.1 601 Khost 27.1 22.6 14.8 0.1 15.7 19.6 0.0 0.2 100.0 64.5 1.2 1,024 Kunarha 14.9 3.3 23.7 0.1 19.8 38.2 0.0 0.0 100.0 41.8 1.0 725 Nooristan 0.1 0.6 0.4 0.1 14.3 84.3 0.0 0.2 100.0 1.1 0.0 355 Badakhshan 15.7 8.2 1.4 0.1 30.6 43.6 0.1 0.2 100.0 25.4 1.2 939 Takhar 13.8 35.8 0.0 0.0 10.5 39.8 0.0 0.0 100.0 49.7 2.0 1,254 Kunduz 15.5 43.7 0.4 0.0 20.6 9.5 10.1 0.1 100.0 59.7 1.6 1,222 Samangan 1.1 30.2 1.6 0.0 51.6 14.8 0.7 0.0 100.0 32.8 1.1 359 Balkh 22.5 25.2 2.9 0.0 45.7 2.9 0.4 0.4 100.0 50.6 3.4 1,943 Sar-E-Pul 1.7 53.1 1.2 2.8 39.6 1.3 0.0 0.3 100.0 56.0 0.5 625 Ghor 0.6 9.7 6.1 0.7 82.7 0.2 0.0 0.0 100.0 16.4 0.2 913 Daykundi 0.4 21.3 0.9 0.0 68.4 5.8 3.1 0.0 100.0 22.6 1.3 315 Urozgan 2.0 3.8 7.0 0.0 85.3 0.2 1.1 0.6 100.0 12.8 0.2 407 Kandahar 3.7 25.6 7.1 0.0 55.4 8.0 0.1 0.1 100.0 36.4 1.0 2,989 Jawzjan 15.4 56.8 3.2 0.2 18.4 5.2 0.1 0.7 100.0 75.3 1.2 599 Faryab 21.6 37.9 0.4 0.2 38.6 1.4 0.0 0.0 100.0 59.9 0.6 2,398 Helmand 7.8 13.1 5.7 0.0 73.0 0.2 0.0 0.2 100.0 26.6 0.5 898 Badghis 0.3 5.8 0.1 0.0 92.8 0.0 0.0 0.9 100.0 6.3 0.6 775 Herat 15.5 24.3 0.4 0.3 53.8 5.6 0.0 0.2 100.0 40.2 4.0 2,149 Farah 4.7 37.2 2.0 0.1 48.4 7.6 0.0 0.0 100.0 43.9 0.5 825 Nimroz 0.4 65.9 0.0 0.0 22.4 10.9 0.2 0.3 100.0 66.2 3.1 295 Mothers education No education 13.7 24.9 6.4 0.5 36.9 16.1 1.1 0.4 100.0 45.0 2.1 26,567 Primary 32.4 37.3 3.6 0.3 16.7 9.3 0.1 0.5 100.0 73.2 5.1 2,504 Secondary 32.8 42.8 3.6 0.0 13.7 6.2 0.0 0.9 100.0 79.1 5.6 2,242 More than secondary 51.7 43.5 2.1 0.0 1.8 0.9 0.0 0.0 100.0 97.3 11.0 489 Continued…