Multiple Indicator Cluster Surveys Data dissemination and further analysis workshop Further Analysis: Youth and Adolescents MICS4 Data dissemination and Further Analysis Outline • • • • Terminology Why study youth and adolescents? What MICS already has to offer Ideas for further analysis (using Bhutan MICS4 data for examples) • Further thoughts about producing thematic analysis reports Terminology: who are they? • Adolescents (UN): 10-19 years – (early 10-14, late 15-19) • Youth (UN GA): 15-24 years • Young people (UN GA): 10-24 years • Children (UNICEF): 0-17 years • Adolescents (UNICEF): 10-19 years Why study youth and adolescents? • Gains in young child survival but later loss in youth and adolescent years • Key focus of programmatic intervention in many countries – A keener focus on the development and human rights of adolescents to enhance and accelerate the fight against poverty, inequality and gender discrimination – State of the Worlds Children 2011 Adolescents account for nearly one fifth of the world’s population Population of adolescents 10-19 years old as a proportion of the total population, by region, 2010 More than half of the world’s adolescents live in Asia Population of adolescents 10-19 years old by region, 2010 Source: United Nations, Department of Economic and Social Affairs, Population Division, World Population Prospects: The 2010 revision, CD-ROM edition, 2011. By 2050, Sub-Saharan Africa is projected to have more adolescents than any other region Population of adolescents 10-19 years old in millions, by region, 1950-2010 Injuries and neuropsychiatric disorders are major causes of mortality and morbidity among adolescents in all regions Major causes of disease burden in disability-adjusted life years (DALYs) per 1,000 adolescents 10-19 years old, by region and by sex Source: WHO, The Global Burden of Disease: 2004 update, 2008/ How did we arrive at data on youth and adolescents? Data collected in Household Questionnaire Direct interviewing Individual Women Questionnaire administered to women age 15 – 49, a subset of which is 15-24 When applicable Individual Male Questionnaire administered to men age 15 – 49, a subset of which is 1524 • Retrospective data from Women’s questionnaire – find out about past events that occurred at younger ages e.g. marriage before age 15 What MICS can offer 1. MICS indicators and tables already available covering adolescents and youth (age groups 15-19, 20-24) 2. In MICS Reports: Information already available in existing MICS standard tables for age groups 15-49, 2-14, 5-14, 0-17, etc. 3. Additional information that can be extracted from MICS datasets not covered in the main MICS reports Additional information that can be extracted from MICS datasets • Percentage of children age 10-17 years not living with a biological parent • Educational attendance for adolescents/youth 10-24 (Adolescents/youth out of school) • Percentage of household members age 10-24 without access to improved drinking water • Percentage of household members age 10-24 without access to improved sanitation facilities MICS 4 - Added Modules for Youth • Access to media and use of information/ communication technology • Use of alcohol and tobacco • Life satisfaction Ideas for further analysis Thematic Analysis on Youth and Adolescents Understanding who youth and adolescents are: • Where they live • How they live: affected by poverty? • With whom they live: alone, nuclear families, extended families Thematic Analysis on Youth and Adolescents Studying the outcomes for youth and adolescents in health, protection, education, and other issues: • Key: Are they different to adults? Further Analysis: Living arrangements against other outcomes Percentage of women age 15-17 with comprehensive knowledge of HIV/AIDS by living arrangements, Bhutan, 2010 30 25 Percentage 20 15 10 5 0 Living with Both Parents Living with one parent Not living with a biological parent Living Arrangements One or both parents dead Education: Further analysis ideas No Formal Education Percentage of individuals age 15-24 who have never attended formal education by sex, Bhutan, 2010 Male Area Age Wealth index quintiles Total Urban Rural 15-19 20-24 Poorest Second Middle Fourth Richest Never been to school 5.5 26.7 15.8 27.0 39.6 32.5 20.2 8.2 1.8 20.9 Number of individuals age 15-24 1687 4447 3349 2785 1258 1266 1250 1177 1183 6134 Female Never been to school 16.4 37.4 19.7 41.1 57.0 42.1 33.8 20.4 10.5 30.4 Number of individuals age 15-24 2112 4256 3181 3187 1061 1112 1228 1387 1580 6368 Total Never been to school 11.6 31.9 17.7 34.5 47.6 37.0 26.9 14.8 6.8 25.7 Number of individuals age 15-24 3798 8704 6530 5972 2318 2378 2478 2564 2764 12502 Education: Further analysis ideas Tertiary Level Education Attendance Attendance ratios of young men and women in tertiary education, Bhutan, 2010 Area Wealth index quintiles Total Urban Gender Tertiary Tertiary parity Tertiary education education index (GPI) education net Total net Total net Total for tertiary attendance number attendance number of attendance number of school ratio (NAR), of men ratio (NAR), women ratio (NAR), youth age adjusted boys 18-24 girls 18-24 all 18-24 NAR 8.9 1086 8.1 1527 9.9 2613 .92 Rural 5.8 2910 3.3 2888 4.6 5798 .57 Poorest 2.2 805 .3 704 1.2 1509 .14 Second 4.7 834 1.9 751 3.1 1584 .41 Middle 5.1 847 3.7 860 4.4 1706 .72 Fourth 6.6 780 4.7 1020 6.4 1801 .72 Richest 15.5 730 11.5 1080 16.1 1810 .74 6.6 3995 5.0 4415 6.1 8410 .75 Early marriage: Further Analysis Secondary school attendance among women age 15-18 by marital status, Bhutan, 2010 70% 60% 59.4% Percentage 50% 40% 30% 20% 10% 0.5% 0% Never married/in union Ever married/in union Reproductive and newborn health indicators by age of woman at birth, Bhutan, 2010 100 90 80 Percentage 70 60 50 40 30 20 10 0 Received Received Protected against Received skilled Delivered in antenatal care at antenatal care 4+ neonatal tetanus birth assistance health facility least once by times skilled provider Indicators by Age Group 15-19 20-24 25-49 Received Child weight at postnatal care birth below 2500 within two days grams Early child bearing: further analysis ideas Early childbearing and mother’s education: YATA18B: Literacy rate of mothers age 20-24 by whether they gave birth before age 18 Percentage of mothers who Had first birth after age 18 Number of nonearly mothers age 20-24 Literacy Area Education Literacy 55.6 292 31.8 91 383 Rural 30.3 669 15.5 292 962 None 4.2 532 6.6 278 810 38.4 141 37.3 77 219 100.0 288 100.0 27 315 Poorest 12.3 189 5.7 85 274 Second 21.6 169 12.6 73 242 Middle 35.4 207 21.3 84 291 Fourth 45.2 242 22.6 105 347 Richest 79.5 154 51.5 36 191 38.0 961 19.4 383 1344 Secondary + Total Number of early Number of mothers age 20- mothers age 2024 24 Urban Primary Wealth index quintiles Had first birth before age 18 Sexual behavior and HIV: Further Analysis Ideas Use of contraception Percentage of women age 15-24 who have had sex in last 12 months who are using (or whose partner is using) a contraceptive method, Bhutan, 2010 Percent of women age 15-24 who are using: Associations between sexual behavior in the past 12 month and use of contraception, knowledge of HIV, HIV testing etc. Area Age Number of living children Marital status Education Wealth index quintiles Total No method 32.1 Any modern method 52.9 Rural 36.5 50.6 50.6 1410 15-19 53.7 28.1 28.1 338 20-24 31.4 56.1 56.1 1600 0 58.4 11.9 12.0 537 1 28.8 62.2 62.2 905 2 21.3 74.5 74.5 422 3 29.0 67.3 67.3 68 Currently married/in union 33.3 52.7 52.8 1843 Formerly married/in union or never married 75.3 21.2 21.2 95 None 34.7 52.5 52.5 1103 Primary 33.9 53.8 53.8 305 Secondary + 37.5 46.9 47.1 530 Poorest 36.1 53.1 53.1 387 Second 42.5 45.3 45.5 395 Middle 37.1 49.8 49.8 430 Fourth 27.6 56.8 56.8 461 Richest 33.9 49.7 49.7 264 35.3 51.2 51.2 1938 Urban Any Number of method women 52.9 528 Attitudes towards domestic violence Percentage of women age 15-49 who believe a husband is justified in beating his wife for any of five reasons by age group, Bhutan, 2010 80 75 Percentage 70 70.1 70.3 68.8 68.3 68.6 30-34 35-39 40-44 67.7 65.4 65 60 55 50 15-19 20-24 25-29 Age 45-49 Further analysis • Special sub-populations among youth • Eg. 1: Are Urban youth more at risk for poor health outcomes? • Eg. 2: Are children in youth-headed households more deprived of basic needs? Keep in mind the limitations of the data related to sample design and sample size Thank you