Title: Family Planning and Child Survival Survey, Ecuador 1989. Final English language report.

POPLINE Document Number: 081267

Author(s):

Monteith RS
Stupp P
Morris L
Montana E

Source citation:

Atlanta, Georgia, Centers for Disease Control [CDC], National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health, 1992 Aug. xxiv, 311, 52 p.

Abstract:

In Ecuador in mid-1989, the Center for the Study of Population and Responsible Fatherhood and the Ministry of Health (MOH) interviewed 7961 15-49 year old women as part of the USAID-supported Demographic and Health Surveys. The total fertility rate fell 13% between 1987 and 1989 (from 4.3 to 3.8). The coastal region accounted for almost all of the decline. Fertility control within marriage accounted for this decrease in both urban and rural coastal areas, except in Guayaquil, where increased marriage age was responsible. Improved educational levels increased demand for contraception among younger women and decreased fertility. 89% of the women knew at least 1 contraceptive method. Contraceptive prevalence increased steadily between 1982 to 1989 (40-53%) with 66% of the increase occurring between 1987 and 1989. Female sterilization accounted for 35% of all contraceptive use among married women. The MOH supplied 27% of all modern contraceptives followed by private clinics (26%), pharmacies (17%), and the Ecuadorean affiliate of International Planned Parenthood Federation (APROFE) (12%). MOH mainly provided sterilization while APROFE mainly provided IUDs. Almost 25% of married women were at risk of an unplanned pregnancy (30% in the rural Sierra). The infant mortality rate was 53/1000 live births and the mortality rate for children under 5 years old was 70 (in 1982, 58, and 82, respectively). Leading causes of postneonatal and child mortality were diarrhea (33.3% and 29.8%, respectively) and acute respiratory infections (31.9% and 28/2%, respectively). Just 39% used well baby services, prenatal services, and postpartum services. Immunization coverage varied from 73% to 75% for DPT and polio, 76% for measles, and 91% for BCG. The primary treatment for diarrhea was oral rehydration therapy. 23% of 15-24 year olds had has premarital sexual intercourse. 21.6% of these women who had ever been in as union experienced premarital pregnancy.

Keywords:

Ecuador
Research Report
Demographic and Health Surveys
Child Survival
Total Fertility Rate
Knowledge
Contraceptive Prevalence
Pregnancy, Unplanned
Premarital Pregnancy
Premarital Sex Behavior
Infant Mortality
Child Mortality
Causes of Death
Maternal-Child Health Services
Immunization
Diarrhea
Oral Rehydration
Respiratory Infections
Treatment
South America, Western
South America
Latin America
Americas
Developing Countries
Demographic Surveys
Population Dynamics
Demographic Factors
Population
Survivorship
Length of Life
Mortality
Fertility Rate
Birth Rate
Fertility Measurements
Fertility
Contraceptive Usage
Contraception
Family Planning
Reproductive Behavior
Sex Behavior
Behavior
Primary Health Care
Health Services
Delivery of Health Care
Health
Diseases
Infections