Highlights and Key Findings of 2003 NDHS: SOCCSKSARGEN Region
The Survey Sample
A total of 739 households were selected as samples for the 2003 National Demographic and Health Survey in SOCCSKSARGEN Region. The recorded household response rate is 99.7%. In the households interviewed, 663 women were identified as eligible respondents for the individual interview and the response rate is 98.8%. On the other hand, 275 male members of the interviewed households were identified as eligible respondent, of which the response rate is 92.7%.

Education Of Household Population
Most household population in Region XII has some formal education. Among women, only 11% have had no formal education. Around 42% for women and 48% for men had elementary school only, 32% women and 29% men attended high school only. Approximately 16% of women and 13% of men have completed college or higher education.

Gender parity index for primary (1.03) and secondary (1.26) indicated that girls are more likely to be in school than boys. Among Mindanao regions, Northern Mindanao has the highest secondary gender parity index of 1.50, while CARAGA has the lowest at 1.04.

FIGURE 1. Percentage Distribution of Males and Females by
Highest Grade Completed, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

EXPOSURE TO MASS MEDIA. In SOCCSKSARGEN, only 12.8% of women and 7.1% of men do not have exposure to any form of mass media. Radio remains as the most popular mass media exposure (77% for women & 81% for men) followed by television, with 70% for women and 73% for men. Newspaper and magazine reading is not popular as compared to the other two media; 23% of women and 30% of men read newspaper and magazine weekly.

FIGURE 2. Percentage Distribution of Males and Females by
Exposure to Mass Media, SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

EMPLOYMENT AND OCCUPATION. The percentage of currently employed men preceding the survey recorded at 74% is still higher compared to that of females with 51%. In terms of occupation, men dominate the agricultural workers while women usually work as sales & services workers. A number of men are engage as unskilled manual laborers.

FIGURE 3. Percentage Distribution of Males and Females by Employment
and Occupation Preceding the Survey, SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

Fertility & Childbearing Experience

CHILDBEARING LEVELS.
Women in SOCCSKSARGEN region would have an average 4.2 children in her entire life. Among the Mindanao regions, SOCCSKSARGEN, Zamboanga Peninsula & ARMM registered the highest fertility level and Davao region as the lowest with 3.1 children per woman. Women in the region who have reached the end of their childbearing period (40-49) have born a total of 5.0 children on the average.

FIGURE 4. Childbearing Levels by Mindanao Regions: 2003

Source: National Statistics Office, 2003 NDHS

CHILDBEARING AMONG YOUTH. Thirty-five percent of SOCCSKSARGEN's adolescent women have begun childbearing. An average woman experiences the onset of childbearing at the age of 22.2. As compared to other regions in Mindanao, Region XII posted the highest percentage of young mothers. In addition, those women ages 35-39 have begun childbearing at the age of 23.5. This figure is a little bit higher compared to women ages 25-34 which begun childbearing at their earlier age of 21.8.

FIGURE 5. Percentage of Women Aged 15-24 Who Have Begun
Childbearing by Mindanao Regions: 2003

Source: National Statistics Office, 2003 NDHS

Childbearing Preferences

IDEAL NUMBER OF CHILDREN.
Taking their average age, the survey found out that SOCCSKSARGEN women ages 15-49 wants to have a mean ideal number of three (3.1 to be exact) children. Women ages 45-49 wants one child more than teenage women. Those women ages 35-44 has higher mean ideal number of children compared to other reproductive ages. In general, it was observed that the mean ideal number of children increases as women's age increases though there is only a slight decrease of 0.1% between women age 40-44 and 45-49.

FIGURE 6. Ideal Number of Children by Age Cohort of Women
Respondents, SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

DESIRE TO LIMIT CHILDBEARING. Almost three out of five presently married women in the region wished for no more children. Approximately 14% of married women with more than five living children still expressed their desire to have additional children. An estimate of 50% of currently married women with 2 living children expressed the need to have more children.

FIGURE 7. Percentage of Currently Married Women by Number
of Children Desired, SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

WANTED FERTILITY. Based on the reported total fertility rat, statistics show that in the Philippines, a Filipino woman will have a total of 3.5 children in her entire life. However, only 2.5 children are actually planned. The rest are considered unplanned or unwanted. In Region XII, women have 1.2 unplanned pregnancies.

FIGURE 8. Total and Wanted Fertility Rate,
Philippines vs. SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

NEED FOR FAMILY PLANNING. Although 7 out of 10 Filipino women respondents in SOCCSKSARGEN want to delay or prevent childbearing, but still 17.4% of them are not doing something to keep away or refrain from being pregnant this group of women who are at threat of unwanted pregnancy have unmet need for family planning. All in all, seventy-five percent of family planning needs in the region are satisfied.

FIGURE 9. Percentage Distribution of Unmet and
Met Needs of Family Planning, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

FAMILY PLANNING. One of the most widely used indicators to assess the progress of a national family planning program is the level of current use of contraception. In the region, the overall contraceptive prevalence rate or the proportion of married women age 15-49 who were using some method of family planning is 50.7% - 37.8% using modern methods and 13.0% using traditional methods.

FIGURE 10. Percentage Distribution of Family Planning
Methods,Philippines vs. SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

METHOD MIX. In the SOCCSKSARGEN region, 37.8% of married women use modern method of contraception. Of these modern methods, pill is the frequently used contraceptive, which recorded 14.7%. Not to be left behind are those married women (8.9%) who prefers female sterilization as the safest way to avoid pregnancy.

Those who prefer IUD amounting to 8.4% closely followed them. Moreover, some married women are in no doubt that injectables (3.9%) and male condom (1.3%) can keep them away from pregnancy. A minimal percentage of 0.3% and 0.2% choose male sterilization and Lactational Amenorrhea Method (LAM) respectively. No record is reported about the use of mucus/ billings/ ovulation method. Among traditional method, most married women resort to calendar/ rhythm/ periodic abstinence, which posted 8.2%. There are still those who decide on traditional withdrawal method (3.9%).

FIGURE 11. Use of Contraception among Currently Married
Women Age 15-49 years old, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

EXPOSURE TO FAMILY PLANNING MESSAGES. Radio and television are the most promising medium to which family planning messages are heard or seen by women in the region with 56 and 54 percent, respectively. Poster comes next with 35 percent. A few or 25 percent women express they read on pamphlets.

FIGURE 12. Percentage Distribution of Contraception Use Among Currently
Married Women Age 15-49 years old, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

Marriage And Sexual Intercourse

Age at first marriage.
In view of the fact that most births in the Philippines occur in the bounds of marriage, the age of women when they got first got married is a valuable determinant of fecundity. In the Philippines, women got married for the first time in their lives at age 22. Meanwhile, SOCCSKSARGEN women get married earlier, at age 21. Muslim women were the earliest marriers, specifically those residing in ARMM, who marry when they are nearly 20 years old.

Age at first intercourse. Generally, women encounter first intercourse soon before marriage. However, an exception is noted in Muslim regions where pre-marital sex is unanimously being strictly prohibited. In ARMM, for instance, women experience the first sexual intercourse at the age of 20, a little after they marry at age 19.9. Similarly, Zamboanga women have their first intercourse at age 21, shortly after their first marriage at age 20.9. In SOCCSKSARGEN, women experienced their first sexual intercourse during their first marriage at the age of 21.

FIGURE 13. First Marriage and First Intercourse, Philippines and Mindanao Regions: 2003

Source: National Statistics Office, 2003 NDHS

Maternal Health Care

COVERAGE OF ANTENATAL CARE.
The Department of Health (DOH) recommended a minimum of four antenatal visits with at least one visit during each trimester of pregnancy for all pregnant women. The majority women in SOCCSKSARGEN received some antenatal care during pregnancy from a trained health professional - 16.4 percent from a doctor and 65.7 percent from a nurse or midwife. About 6 percent pregnant women receive no care at all.

Among the Mindanao regions, antenatal care varies. Majority of the regions received antenatal care from a health professional except in ARMM where almost half of the women received antenatal care from a traditional birth attendant.

FIGURE 14. Percentage Distribution of Antenatal Care Among Women with
Live Birth in the Past 5 Years, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

CONTENT OF ANTENATAL CARE. High-quality antenatal care includes educating pregnant women about conditions during pregnancy that they should recognize as dangerous to them or to their baby so as to allow early intervention. It is recommended by DOH that weight, height and blood pressure were measure, or samples of urine be taken during antenatal visits of pregnant women. About 82 percent of the pregnant women in SOCCSKSARGEN have their blood pressure measured. Other recommended practices such as weight measurement, height measurement, urine sampling and blood sampling posted 78.1, 54.4, 27.7 and 18.8 percent, respectively.

Around 48 percent of the pregnant women in the region during their antenatal care visits are informed of pregnancy complications such as; vision, swollen face, swollen hands, and paleness or anemia. Among women in Mindanao, women in CARAGA are likely to be more informed of pregnancy complications (71 percent), while women in ARMM are least likely to be informed (35 percent).

PLACE OF DELIVERY. Twenty-three percent of live births in the five years preceding the survey were delivered in a health facility, and 76.2 percent were born at home. About thirteen percent of births took place in a government hospital or health center, and almost 10 percent occurred in private facility. Among the Mindanao regions, delivery in a government health facility is most common in Caraga and Davao with 22.2 and 21.6 percent, respectively.

DELIVERY ASSISTANCE.
Most births in the region are assisted by hilot (58.7 percent) while 37.2 percent assisted by health professional: 19.7 percent by a doctor, 17.2 percent by a midwife, and 0.3 percent by a nurse. Davao region posted the highest percentage in delivery assistance of doctors while ARMM have only 8.5 percent.

FIGURE 15. Place of Delivery in the Past 5 Years Preceding the
Survey, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

POSTNATAL CARE. The DOH recommends that women receive a postpartum check-up within two days after delivery. Women who delivered in a health facility are assumed to have received a postnatal check-up within two days after delivery. Of the 162 women in the region giving birth outside a health facility, 44 percent received a postnatal check-up within two days after delivery. About 34 percent received postnatal check-up after 3-41 days. However, 21 percent of the women who give birth outside a health facility do not receive any postnatal check-up.

FIGURE 16. Timing of Postnatal Check Among Women Respondents,
SOCCSKSARGEN: 2003


Source: National Statistics Office, 2003 NDHS

Child Survival And Children's Health
Mortality levels among young children in Region XII (SOCCSKSARGEN) have shown good figures against nearby regions during the 2003 NDHS. That is, only 37 children die for every 1,000 live births before reaching the age of 5. More children in this region also have received the basic vaccines needed for child health that is 71 percent.

CHILDHOOD MORTALITY. Five indicators are presented here, namely (a) infant mortality, which is the number of infant deaths per 1,000 live births during the first 12 months of life; (b) neonatal mortality (NN), which is the probability of dying within the first month of life; (c) postneonatal mortality (PNN), which is the probability of dying after the first month of life but before age one year; (d) child mortality (CMR), which is the probability of dying between exact age one and age five per 1,000 live births; and (e) under-five mortality rate, which is the probability of dying between birth and exact age five.

FIGURE 17. Early Childhood Mortality Indicators, Mindanao Regions: 2003

Source: National Statistics Office, 2003 NDHS

Under-five mortality level in SOCCSKSARGEN posted 37 deaths for every 1,000 live births in the 2003 NDHS. Of which, 27 deaths belonging to IMR and the remaining 10 belong to CMR. Most deaths on infants happen during neonatal period (from birth to first month of life), resulting to 15 per 1,000 live births.

Nearby regions, as observed on the table, marked bigger numbers except on the neonatal mortality wherein Region IX - Zamboanga Peninsula only has 6 deaths per 1,000 live births against Region XII of 15 deaths for every 1,000 live births. In the same way, although Region XI and Region XII have a common CMR of 10 but Region XI has an IMR of 38, which resulted to higher under-five mortality (47), compared to Region XII of only 27 IMR and under-five mortality of 37 deaths for every 1,000 live births. ARMM under-five mortality (72) almost doubles the figure of Region XII that has only 37 deaths for every 1,000 live births. This is also because of higher figures on the IMR and CMR of this region, 41 and 33 deaths per 1,000 live births respectively.

VACCINATION OF CHILDREN. The Expanded Program on Immunization (EPI) of the Philippine government is looking forward of having a universal immunization against seven diseases (tuberculosis, poliomyelitis, diphtheria, pertussis, tetanus, measles, and hepatitis B). It recommends that children be given the following basic vaccines: one dose of Bacillus Calmette-Guerin (BCG) at birth or at first clinical contact, vaccine against measles at nine months or after but before reaching one year of age, and three doses each of diphtheria, pertussis, tetanus (DPT) vaccine and oral polio vaccine (OPV) at monthly intervals starting six weeks of age. Having received all these vaccines, a child is then considered fully immunized.

In Region XII, almost seventy-one (71) percent of the children aged 12-23 months have completed the basic vaccines, as recommended by EPI. High percentage were obvious on the first doses of DPT, which is 91.7 percent, followed by the first doses of OPV, 91 percent and BCG of 88.1 percent. There are 7.5 percent of the children in the region who have not received any of those mentioned vaccines. All over Mindanao regions, ARMM gave the least percentage of children to have received the complete basic vaccines of only 44 percent with Caraga on top at 77.6 percent.

FIGURE 18. Percentage of children age 12-23 months who received specific vaccinations, SOCCSKSARGEN: 2003

Source: National Statistics Office, 2003 NDHS

TREATMENT OF CHILDHOOD ILLNESS. The 2003 NDHS indicated that SOCCSKSARGEN have children under age of five with 11.5 percent to have symptoms of acute respiratory infection (ARI), (cough accompanied by short, rapid breathing; which is consistently one of the leading causes of death among children in the Philippines), and 24.6 percent to have fever, (which could be a symptom of measles, respiratory infections, typhoid, dengue, or other infectious diseases), two weeks before the survey. Among the reported children to have these only 38.2 percent were taken to a health facility or health provider, as reported.

Among the 11.4 percent of the children reported in SOCCSKSARGEN to have diarrhea two weeks preceding the survey, only 31.2 percent were taken to a health facility for diarrhea treatment. Mother's knowledge about oral rehydration salts (ORS), as a diarrhea treatment, marked only to 85.4 percent, which is followed by ARMM at 79.9%.

HIV/AIDS AWARENESS. Although awareness about HIV/AIDS in the region is extremely high but knowledge on its prevention is low. More than half of the respondents cited misconception on this and stigma and discrimination is extensive.

KNOWLEDGE AND MISCONCEPTIONS RELATED TO HIV/AIDS IN THE REGION. Almost 92 percent of women and over 96 percent of men in the 2003 NDHS respondents in the region have heard of AIDS. Moreover, most men in the region believe that there is a way to avoid HIV/AIDS, with 86.8 percent of male respondents as against to only 83.4 percent of the female respondents.

Result on the knowledge of HIV prevention methods also show that women in the region are less knowledgeable than men about the two major methods, only 36 percent of women compared to 39 percent of men, as recorded. These methods are using condoms and limiting sex to one uninfected partner. And considering other regions in Mindanao, these results would give an impact that very few people in SOCCSKSARGEN knew both of the major methods.

FIGURE 19. Percentage Distribution of Knowledge on HIV/AIDS,
Female vs. Male: SOCCSKSARGEN 2003

Source: National Statistics Office, 2003 NDHS

Misconception about AIDS and HIV transmission is one of the factors that contribute to discrimination and stigmatization. The 2003 NDHS asked respondents about common misconceptions in the region. Respondents were asked whether AIDS can be transmitted by mosquito bites; whether AIDS can be transmitted by supernatural means; and whether a person can be infected through sharing food with a person who has AIDS. The 2003 NDHS result would show that more than half of men and women respondents know that AIDS cannot be transmitted by mosquito bites that is 61 percent and 66 percent respectively. On the other hand, lesser proportions of men and women respondents (46 percent and 39 percent, respectively) know that a person cannot be infected by sharing food with person with AIDS. In addition, the corresponding percentages that correctly rejected the two most common misconceptions were 45 percent for women and much lesser for men, only 27 percent.

FIGURE 20. Percentage Distribution of Knowledge on HIV/AIDS Prevention,
Female vs. Male: SOCCSKSARGEN 2003

Source: National Statistics Office, 2003 NDHS

STIGMA AND DISCRIMINATION ASSOCIATED WITH HIV/AIDS IN THE REGION. Only 3 out of every 10 women and 2 out of every 10 men are willing to care for family member with HIV at home. And most of the respondents agree that HIV-positive status should not necessarily be kept confidential, that is 8 for every 10 women and almost 9 for every 10 men in the region.

Discrimination against person with AIDS is also high in this region. Respondents were asked, "If a female teacher has the AIDS virus, should she be allowed to continue teaching?" Only 10.4 percent of women and 9.3 percent for men respondents agreed on this.

FIGURE 21. Percentage Distribution of Accepting Attitudes Toward Those Infected with HIV/AIDS,
Female vs. Male: SOCCSKSARGEN 2003

Source: National Statistics Office, 2003 NDHS

PREMARITAL SEX AND USE OF CONDOMS AMONG YOUTH. Among never-married respondents age 15-24 years, 56 percent of the men said they had sex in the 12 months preceding the survey, compared with nearly none of women (0.6 percent). Six percent of young men also report had sex with two or more partners in the past 12 months preceding the survey. Condom use at first sex is very low among young men, age 15-24, in the region, as reported. And more young women (7 out 10), age 15-24, in SOCCSKSARGEN has knowledge of a source for condoms than young men (6 out of10).

Tuberculosis: Knowledge, Treatment And Discrimination
Knowledge of tuberculosis in the region is high but the knowledge regarding its causes and its mode of transmission is very low. Very least respondents diagnosed with TB seek for treatment but almost half of the respondents were found to have at least one symptom of TB.

KNOWLEDGE OF TB.
Awareness of tuberculosis for men and women is very high in the region, but knowledge of its causes and transmission modes is very low. Only 21 percent from women and 5.1 percent from men know that microbes, germs or bacteria cause TB. Knowledge of its transmission through the air when coughing marked only to 37.5 percent for women and 27.6 for men.

FIGURE 22. Percentage Distribution of Knowledge on Tuberculosis,
Female vs. Male: SOCCSKSARGEN 2003

Source: National Statistics Office, 2003 NDHS

TREATMENT OF TUBERCULOSIS. Only 0.6 percent of the women have been diagnosed with tuberculosis in the five years preceding the survey, while exactly 3 percent of men were diagnosed of the same case which is second highest in the Philippines.

FIGURE 23. Percentage Distrbution of Respondents Who Experienced
TB Symptoms, Female vs. Male: SOCCSKSARGEN 2003

Source: National Statistics Office, 2003 NDHS

Women respondents from SOCCSKSARGEN reported that nearly half (45.4 percent) of them have at least one symptom of TB while only 43.8 percent came out from men respondents. As reported, these people not seeking consultation or treatment thought (1) symptoms are harmless and (2) consultation is quite expensive. Only 40 percent from women and 50 percent from men seek for treatment.



For more information or data request on the final report of the 2003 National Demographic and Health Survey, send us email or visit NSO SOCCSKSARGEN Regional and its Provincial Offices near you.


              

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