Philippines Statistics 2003
Philippines Statistics 2003
Philippines Statistics 2003
Childbearing Preferences
Desire to delay or prevent childbearing..................................................................5 Unmet need for family planning................................................................................5
Family Planning
Current use of family planning ...................................................................................6 Variations in family planning use...............................................................................6 Contraceptive trends......................................................................................................7 Method mix........................................................................................................................7 Willingness to pay for contraceptive methods .....................................................7
HIV/AIDS
Knowledge and misconceptions related to HIV/AIDS .................................... 14 Premarital sex and use of condoms among youth........................................... 14
Page 2
HOUSEHOLD CHARACTERISTICS
The survey sample
In 2003, 13,633 women age 15-49 and 4,766 men age 15-54 were interviewed. The sample has been designed to produce estimates of major survey variables at the national level, for urban and rural areas, and for each of the seventeen regions.
Housing characteristics
Three in four Filipino households have electricity. Almost all homes (92 percent) in urban areas have electricity, compared with 60 percent in rural areas. The majority of households have ready access to safe drinking water, either through water piped into their homes (34 percent), from a protected well (27 percent), or from a public tap (13 percent). Households in rural areas are more likely to use a protected well, while urban residents most commonly have water piped directly into their dwelling. Almost all urban residents and 81 percent of rural residents are less than 15 minutes from their water source. Drinking water is regularly available in 90 percent of households. Approximately 46 percent of households make an effort to make their drinking water safer; 27 percent boil the water, 2 percent use chlorination, and 17 percent use some type of lter. Most households have a private ush toilet (77 percent in urban areas, compared with 54 percent in rural areas). About 15 percent of households in rural areas have no toilet facility, compared with only 4 percent of urban homes.
Page 3
Childbearing levels
Filipino women have an average of 3.5 children. This is one of the highest fertility levels in Asia. Rural women have at least one more child (4.3) on average than urban women (3.0). Fertility also varies by region with the lowest rate in the National Capital Region (2.8 children per woman) and the highest rates in Eastern Visayas (4.6 children) and MIMAROPA (5.0 children). Fertility also varies by education level and socioeconomic status. Women with a high school (3.5 children) or higher education (2.7 children) have 2 to 3 children fewer than women with no education (5.3 children). Similarly, women in the most economically advantaged group have only 2 children, compared with 6 children among the poorest women.
Fertility trends
Filipino women are having fewer children today compared with the 1970s, when the average woman had 6 children. The rate of decline has slowed dramatically since the early 1990s, however.
Page 4
Childbearing among youth
Filipino women marry at the age of 22, and have their rst birth at age 23, on average. However, a signicant number of women start childbearing in their teens. In 2003, 24 percent of young women were pregnant or had had a child by age 19. Teenage mothers and their babies have a higher risk of illness and death. More than 40 percent of poor young women already have a child by age 24, compared with only 11 percent of women from wealthier backgrounds.
Child spacing
Spacing children at least 3 years apart saves lives. NDHS data show that children born less than 24 months after a previous birth are twice as likely to die before age 5 as children born 3 years after a previous birth. Teenage mothers have much shorter birth intervals (19 months) than mothers age 20-29 (25 months) or mothers age 30-39 (34 months). Poor women also experience more difculties spacing their children. For example, only 17 percent of poor women wait 48 months or more before having another child, compared with 35 percent among the richest women.
Page 5
CHILDBEARING PREFERENCES
While Filipino women have 3.5 children on average, most want smaller families (about 2.5 children). If women had achieved their desired fertility, there would have been half a million births fewer in 2003 alone.
2.5
3.0 2.2
Actual number Average desired number of of births per woman births per woman
8 Philippines
8 Urban
9 Rural
Page 6
FAMILY PLANNING
Contraceptive prevalence has more than tripled in the last 35 years, from 15 percent in 1968 to 49 percent in 2003. However the rate of increase has dramatically slowed down in the last 5 years. The annual rate of increase for family planning use is now at its lowest since the late 1970s.
19 29 30 33 33 35 43 43 53 57 57 70
* From the 2004 ESCAP Population Data Sheet. All other data are from the Demographic and Health Surveys.
Contraceptive use increases with a womans education. Around 36 percent of women with a high school or higher education use a modern family planning method compared with only 12 percent of women with no education. Among the poorest women, only 24 percent use a modern method, compared with about 36 percent of wealthier women. The wealthiest women are four times more likely to adopt sterilization than the poorest women (16 versus 4 percent, respectively).
Page 7
Contraceptive trends
In the last 30 years, use of family planning has increased markedly. Use of all methods rose from 17 percent in 1973 to 49 percent in 2003, and use of modern methods increased from 11 to 33 percent. However, the rate of increase has recently slowed down dramatically. In the last 5 years, use of all methods increased by only 2 percentage points, from 47 to 49 percent, despite womens clearly stated desire to limit childbearing.
49 33
40 25 28
17 11
17
19
In the last 30 years, use of family planning has increased threefold. However, the rate of increase has slowed down dramatically in the last 5 years.
1973
1978
1983
1998
2003
All methods
Method mix
Approximately one-third of married women use a modern method of contraception. The pill is the most commonly used modern method, followed by female sterilization.
Pill 40%
Male condoms 6%
Page 8
Private Sector
40
43
Private hospital/clinic
Female Sterilization
Injectables
Page 9
Knowledge of the fertile period
Only 27 percent of all women correctly identied the fertile period of the menstrual cycle. The rate is somewhat higher (43 percent) for women using periodic abstinence methods. Not surprisingly, method failure (becoming pregnant) accounts for almost half of discontinuation cases among withdrawal and natural family planning users.
2 14 14 1 1 6 4 9 15 12 12 5
Percent of married women who are not using a family planning method and do not intend to
Opposition to use
Respondent opposed Wants as many children as possible Fertility Subfecund/infecund Related Menopausal/ Reasons had hysterectomy Infrequent sex
Page 10
Delivery Assistance
37
Percent distribution of live births in the 5 years preceding the survey
Delivery assistance
Most births are assisted by a health professional: 34 percent by a doctor, 25 percent by a midwife, and 1 percent by a nurse. Less than 2 in 5 births are delivered in a health facility, however. The majority of births (61%) occur at home with the assistance of a hilot.
1 1
No one/ missing
34 25
Page 11
Postnatal care
The DOH recommends that women receive a postpartum check-up within two days after delivery. Women delivering in a health facility routinely receive a postpartum check-up. However, only 1 in 3 women giving birth outside a health facility received a postnatal check-up within two days after delivery as recommended. Health Care Before, During and After Birth
88 91 84 Percentage of women with a live birth in the 5 years preceding the survey Received antenatal care from a medical professional 49 53 45 60 41 79 Philippines Urban Rural 34 34 34
88
82 61
No Elementary education
High school
College or higher
Page 12
Childhood mortality
Under-ve mortality levels declined from 54 deaths per 1,000 live births in 1993 to 40 per 1,000 in 2003. Corresponding results for infant mortality (under 12 months) are 34 and 24 per 1,000. Infant and child deaths are more common in rural areas and among the poorest and least educated families. In rural areas, the under-ve mortaliy rate is 52 deaths per 1,000 live births. This is 70 percent higher than the rate in urban areas (30 deaths per 1,000 live births). Mortality rates among children born of mothers with no education are six times as high (105 deaths per 1,000 live births) as those of children born to mothers with college or higher education (18 per 1,000). Closely spaced pregnancies endanger childrens lives. Children born less than 2 years apart are almost twice as likely to die before age 5 as children born 3 or 4 years apart. Factors Affecting Childhood Mortality
105 58
Deaths per 1,000 live births
30
3-4 years
Birth interval
Vaccination of Children
70 74 65 Philippines Urban Rural
Vaccination of children
Almost 3 in 10 children age 12-23 months have not received the recommended vaccinations. Full vaccination coverage has declined from around 73 percent in 1993 and 1998 to 70 percent in 2003. Immunization rates vary by region. Only 44 percent of children in ARMM have been fully vaccinated, compared to 81 percent in Western Visayas.
7 All vaccinations
Nutrition
More than half of children under age 3 consumed foods that were rich in Vitamin A in the week before the survey. More than three-quarters consumed Vitamin A supplements.
No vaccinations
Page 13
Treatment of Childhood Illnesses
Mothers are not using the recommended treatments for their ill children. More than 1 in 10 children under 5 had diarrhea in the two weeks preceding the survey. Of these sick children, 22 percent received absolutely no treatment. Over 80 percent were given less uid than usual, a practice that increases the risk of dehydration. While over 90 percent of mothers know about Oral Rehydration Salts (ORS) packets, only 2 in 5 children under 5 with diarrhea were treated with ORS. Three in 5 children received either ORS or a recommended home uid such as sugar-salt-water solution. Acute respiratory infections (ARI) are consistently one of the leading causes of death among children in the Philippines. One in 10 children had symptoms of ARI (cough accompanied by short, rapid breathing) in the two weeks before the survey. Another 24 percent of children had fever, which could be a symptom of measles, respiratory infections, typhoid, dengue, or other infectious diseases. Less than half of children with symptoms of ARI and/or fever were taken to a health facility or provider for treatment.
2000 Liz Gilbert/David and Lucile Packard Foundation, Couresy of Photoshare
Percentage treated with Oral Rehydration Salts (ORS), Recommended Home Fluids (RHF), or increased fluids
Page 14
HIV/AIDS
While almost all men and women have heard about AIDS, knowledge of prevention is low, misconceptions are common, and stigma and discrimination are high.
57 60 81 80 44 53
Percentage of men and women 15-49
Page 15
52
17
24
Knows TB is caused Knows TB is transby microbes/germs/ mitted through the air when coughing bacteria
Experiences of TB Symptoms
Men 19
Percentage
Treatment of TB
Roughly 20 percent of women and men have ever had either a cough that lasted at least 2 weeks or chest or back pain. Overall, 35 percent of male and female respondents have had at least one symptom. Of those, almost half sought treatment while over one-third said the symptoms were harmless and therefore decided not to seek treatment. Cost is a major reason for not seeking treatment (around 7 percent of respondents). Overall, 1 percent of women and men have been told by a health professional that they had TB.
Women 22 12 9 23
20
Cough for 2 Chest or back Fever for 2 pain weeks or more weeks or more
TB-related discrimination
More than 6 in 10 men and women report that they are willing to work with someone who has previously been treated for TB. The higher the respondents level of education and wealth, the more tolerant they are of those with a history of TB.
Page 16
KEY INDICATORS
National National Cordillera Capital Admin Region Region Cayagan Valley Central Luzon Total Urban Rural Ilocos
Fertility Total fertility rate Mean ideal number of children per woman Median age at rst marriage for women age 2549 Median birth intervals (months) Childhood Mortality and Child Health Deaths per 1,000 live births
(Figures are for the ten years before the survey, except for the national rate, which represents the ve years before the survey)
3.5 3.0 22 31
3.0 2.8 23 31
4.3 3.2 21 30
2.8 2.6 24 28
3.8 3.4 22 31
3.8 3.1 22 29
3.4 3.0 21 35
3.1 2.8 22 34
Infant mortality rate Under-ve mortality rate Children fully vaccinated (%) Children (under 3) receiving Vitamin A supplements Children with symptoms of ARI (%) Among those with ARI, children who sought treatment from a health facility/provider (%) Children with diarrhea in 2 weeks before survey (%) Among those with diarrhea, percentage taken to a health facility Among those with diarrhea, percentage treated with ORS, RHF or increased uids Maternal Health Percentage of women with a live birth in the ve years before the survey No antenatal care Received 2+ doses of tetanus toxoid Percentage of live births in the ve years before the survey Delivered in a health facility Assisted by a doctor, nurse or midwife at delivery Family Planning Percentage of currently married women age 1549 Currently using any method Currently using any modern method Unmet need for family planning HIV/AIDS and Tuberculosis Women who know that AIDS can be prevented by using condoms and limiting sex to one uninfected partner (%) Men who know that AIDS can be prevented by using condoms and limiting sex to one uninfected partner (%) Women who know that TB is caused by germs/ bacteria (%) Men who know that TB is caused by germs/bacteria (%) Women who have ever experienced symptoms of TB (%) Men who have ever experienced symptoms of TB (%)
30 42 70 76 10 46 11 32 59
24 30 74 80 8 51 11 36 68
36 52 65 82 12 43 11 29 50
24 31 78 81 4 51 10 34 61
14 34 67 75 17 50 20 33 44
29 39 72 75 7 55 13 47 63
28 35 77 65 11 44 7 22 22
25 31 75 83 8 47 10 39 70
6 37
5 37
7 38
4 35
11 29
7 37
7 48
4 32
38 60
54 79
22 41
70 88
45 60
29 74
26 53
49 86
49 33 17
50 34 15
47 33 20
49 32 15
46 32 19
51 35 15
52 48 14
55 40 15
45 56 24 17 35 36
46 57 26 19 30 29
43 55 21 15 42 43
42 46 27 25 21 19
47 61 35 27 54 58
51 68 13 12 38 48
47 45 21 47 22 16
54 64 22 15 24 25
Page 17
Region CALABARZON MIMAROPA Western Visayas Central Visayas Eastern Visayas Zamboanga Northern Peninsula Mindanao SOCCSKSARGEN
Bicol
Davao
Caraga
ARMM
3.2 2.8 23 33
5.0 3.2 21 31
4.3 3.1 21 29
4.0 2.9 22 31
3.6 2.9 22 30
4.6 3.2 21 28
4.2 3.0 21 33
3.8 3.0 22 35
3.1 2.9 21 33
4.2 3.1 21 32
4.1 3.1 21 30
4.2 4.7 20 25
25 31 66 82 7 49 11 32 74
44 68 70 69 19 38 18 22 38
28 43 65 71 10 38 11 26 56
39 50 81 77 20 47 15 23 46
28 39 66 78 12 46 9 37 69
36 57 70 76 16 52 10 44 72
27 43 56 64 5 42 4 40 40
38 49 59 77 15 55 10 20 44
38 47 73 72 16 41 10 29 70
27 37 71 80 12 38 11 31 44
35 49 78 80 17 40 10 26 61
41 72 44 51 5 49 12 42 68
7 36
9 43
5 29
5 40
4 46
3 35
11 37
8 37
3 49
6 43
4 42
5 23
46 75
16 29
22 48
33 47
40 68
21 36
16 31
29 41
41 48
23 37
26 43
11 22
48 33 16
43 31 17
47 24 24
46 30 20
52 36 17
44 27 28
43 32 22
55 35 16
59 42 12
51 38 17
55 34 18
19 12 27
42 56 25 11 24 31
38 40 23 8 41 59
45 67 23 14 28 20
38 53 14 12 54 53
46 58 25 21 51 37
40 61 20 23 30 49
45 78 32 16 35 48
43 58 27 19 54 42
58 65 18 10 70 63
36 39 21 5 45 44
56 64 36 32 61 66
30 41 30 6 30 8