SEMINAR PRESENTATIONSSEMINAR PRESENTATIONS

Cambodia DHS and Measure DHS+ Survey Objectives and MethodologyHousing and Characteristics of the PopulationFertility and its DeterminantsFertility PreferencesFamily PlanningAbortionWomen’s Status Domestic ViolenceHIV/AIDS and Other STIsHealth Status and Utilization of Health ServicesInfant, Child and Maternal MortalityMaternal and Child Health Infant Feeding & Childhood and Maternal Nutrition

Fertility levels, differentials & trends

Fertility-related factors

4.04.0

Total Fertility Rate (TFR)

Cambodian women are giving birth Cambodian women are giving birth

to an average of 4 children during to an average of 4 children during

their reproductive yearstheir reproductive years

Fertility ratesby residence and education

4.2

3.1

2.9

4.5

4.0

4.0

Secondary and +

Primary

None

EDUCATION

Rural

Urban

RESIDENCE

CAMBODIA

Total Fertility Rate

4.0 4.0 to 4.5 4.6 and +

Fertility rates vary by region:

Phnom Penh (2.1)

Prey Veaeng

Svay Rieng

Kandal

CAMBODIA

Bantey Mean Chey

Kampong Cham

Kampong Thum

Kaoh Kong

Takaev

Bat Dambang/ Krong Pailin

Kampot/Krong K./ K.P. Sihanouk

Kampong Chhnang

Kampong Spueu

Pousat

Preah V./Stueng T./Kracheh

Mondol K./Rotanak K. (6.3)

Siem Reab/Otdar Mean Chey

Has the fertility rate changed since the 1998 NHS?

1998 NHS: 4.1 children1998 NHS: 4.1 children

2000 CDHS: 4.0 children2000 CDHS: 4.0 children

Has fertility declined over the last 20 years?

0

50

100

150

200

250

300

15-19 20-24 25-29 30-34 35-39 40-44

15-19 years 10-14 years 5-9 years 0-4 years

Age

Years preceding survey

Births per 1,000 women

FERTILITY

Fertility levels, differentials & trends

Fertility-related factors

Median age at first sexual intercourse for women age 25-49

19.1

20.4

19.6

20.4

19.9

19

20

21

22

23

45-49 40-44 35-39 30-34 25-29

Age cohort

Median age at first sex

Median age at first marriagefor women age 20-49

19.1

20.4

19.7

20.4

19.9

19

20

21

22

23

45-49 40-44 35-39 30-34 25-29

Age cohort

Median age at first marriage

Median age at first birthfor women age 20-49

21.4

22.4

21.6

22.3

21.5

19

20

21

22

23

45-49 40-44 35-39 30-34 25-29

Age cohort

Median age at first birth

Median age at first sexual intercourse, first marriage and first birth

21.4

22.4

21.6

22.3

21.5

19.1

20.4

19.7

20.4

19.9

19.1

20.4

19.6

20.4

19.9

19

20

21

22

23

45-49 40-44 35-39 30-34 25-29

Age cohort

First birth

First sexual intercourse

First marriage

Age at first marriage* by residence and education

21.4

19.8

19.7

19.9

20.6

20.0

Secondary and +

Primary

None

EDUCATION

Rural

Urban

RESIDENCE

CAMBODIA

Median Age

*For women age 25-49

Age of mother* at first birth, by residence and education

21.7

23.3

21.7

21.6

21.9

22.6

Secondary and +

Primary

None

EDUCATION

Rural

Urban

RESIDENCE

CAMBODIA

Median Age

*For women age 25-49

Birth intervals• Half the births occur 34 months after the Half the births occur 34 months after the

previous birth.previous birth.

• However, 21% of births occur within a too However, 21% of births occur within a too short interval (less than 2 years)short interval (less than 2 years)

• The shortest birth interval is in Mondol The shortest birth interval is in Mondol Kiri/Rotanak Kiri (29.3 months) and the Kiri/Rotanak Kiri (29.3 months) and the longest is in Phnom Penh (37.7 months)longest is in Phnom Penh (37.7 months)

15 16 17 18 19

Mothers Pregnant (1st child)

1 2

6

13

22

Age

Percent

Adolescent fertility

Main Findings• The total fertility rate is 4.0 births per woman.

• Urban women and those with higher education have less children than other women.

• The lowest levels of fertility are found in: Phnom Penh (2.1), Prey Veaeng (3.5), Svay Rieng (3.5), and Kandal (3.8).

• The highest level of fertility is found in Mondol Kiri and Rotanak Kiri (6.3).

• Fertility has declined significantly over the last 10 years.

• At the age of 20, half the women are already married.

• At the age of 21.9, half the women already gave birth to their first child.

• By age 19, over one-fifth of teenage women have begun childbearing.