More women in Zambia are receiving antenatal care (ANC) in the first trimester and making 4+ ANC visits since 2013-14. Health facility deliveries have increased from 67% in 2013-14 to 84% in 2018.

Women in Zambia have an average of 4.7 children. Fertility has declined from 6.5 children per woman in 1992.

Half of married women age 15-49 in Zambia use a method of family planning – 48% use a modern method and 2% use a traditional method. The most popular methods are injectables (26%), the pill (8%), and implants (8%).

Overall, 11.1% of adults age 15-49 are HIV positive. HIV prevalence is about three times higher in Copperbelt (15.4%) and Lusaka (15.1%) than in Muchinga (5.4%) and Northern (5.6%) provinces.

Fertility

Maternal Health Care

Infant and under-5 mortality rates have declined since 1992. Currently, about 1 in 16 children in Zambia does not survive to their 5th birthday.

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In Zambia, 78% of households own at least one insecticide-treated net (ITN). ITN ownership has drastically increased from 12% in 2001-02 to 78% in 2018.

Malaria

2018 Demographic and Health Survey

ZAMBIAZAMBIA

HIV Prevalence by ProvincePercent of women and men age 15-49 who are HIV positive

North Western

6.1%

Western10.6%

Southern12.4%

Central12.4%

Copperbelt15.4%

Lusaka15.1%

Eastern7.4%

Muchinga5.4%

Northern5.6%

Luapula7.9%

Zambia11.1%

Trends in ITN Ownership Percent of households that own at least one ITN

*The de�nition of an ITN in surveys conducted prior to 2018 included nets that had been soaked with insecticides within the past 12 months.

2001-02ZDHS*

2013-14 ZDHS*

2018 ZDHS

12

5368

2007 ZDHS*

78

Trends in Childhood MortalityDeaths per 1,000 live births for the �ve-year period before the survey

1992ZDHS

1996 ZDHS

2001-02 ZDHS

2007 ZDHS

2013-14ZDHS

2018 ZDHS

Under-5 mortalityInfant mortality

191 197168

6175

119109107

42

7045

95

272434373543

Neonatal mortality

Trends in Maternal Health CarePercent of women age 15-49 who had a live birth in the �ve

years before the survey

1992ZDHS

1996 ZDHS

2001-02ZDHS

2007 ZDHS

2013-14ZDHS

2018 ZDHS

Health facility delivery*

ANC in 1st trimester

44

19

37

67

48

24

84

11 14

4751

* % of live births in the �ve years before the survey

10

4+ ANC visits

69 71 7260

56

64

Family PlanningPercent of married women age 15-49 using family planning

Any method

Any modern method

Injectables

Pill

Implants

Any traditional method

48

50

8

26

8

2

Trends in Total Fertility RateBirths per woman for the three-year

period before the survey

1992ZDHS

1996ZDHS

6.5 6.1 5.9 6.25.3 4.7

2001-02ZDHS

2007ZDHS

2013-14ZDHS

2018ZDHS