South Africa ZA: Fertility Rate: Total: Births per Woman data was reported at 2.458 Ratio in 2016. This records a decrease from the previous number of 2.485 Ratio for 2015. South Africa ZA: Fertility Rate: Total: Births per Woman data is updated yearly, averaging 3.924 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 6.041 Ratio in 1960 and a record low of 2.458 Ratio in 2016. South Africa ZA: Fertility Rate: Total: Births per Woman data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Health Statistics. Total fertility rate represents the number of children that would be born to a woman if she were to live to the end of her childbearing years and bear children in accordance with age-specific fertility rates of the specified year.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average; Relevance to gender indicator: it can indicate the status of women within households and a woman’s decision about the number and spacing of children.

South Africa ZA: Birth Rate: Crude: per 1000 People data was reported at 20.981 Ratio in 2016. This records a decrease from the previous number of 21.297 Ratio for 2015. South Africa ZA: Birth Rate: Crude: per 1000 People data is updated yearly, averaging 30.616 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 40.222 Ratio in 1960 and a record low of 20.981 Ratio in 2016. South Africa ZA: Birth Rate: Crude: per 1000 People data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Crude birth rate indicates the number of live births occurring during the year, per 1,000 population estimated at midyear. Subtracting the crude death rate from the crude birth rate provides the rate of natural increase, which is equal to the rate of population change in the absence of migration.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average;

South Africa ZA: Completeness of Birth Registration data was reported at 85.000 % in 2012. This records a decrease from the previous number of 92.000 % for 2008. South Africa ZA: Completeness of Birth Registration data is updated yearly, averaging 85.000 % from Dec 2006 (Median) to 2012, with 3 observations. The data reached an all-time high of 92.000 % in 2008 and a record low of 78.000 % in 2006. South Africa ZA: Completeness of Birth Registration data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Completeness of birth registration is the percentage of children under age 5 whose births were registered at the time of the survey. The numerator of completeness of birth registration includes children whose birth certificate was seen by the interviewer or whose mother or caretaker says the birth has been registered.; ; UNICEF's State of the World's Children based mostly on household surveys and ministry of health data.; Weighted average;

South Africa ZA: Births Attended by Skilled Health Staff: % of Total data was reported at 96.700 % in 2016. This records an increase from the previous number of 94.300 % for 2008. South Africa ZA: Births Attended by Skilled Health Staff: % of Total data is updated yearly, averaging 87.800 % from Dec 1994 (Median) to 2016, with 6 observations. The data reached an all-time high of 96.700 % in 2016 and a record low of 82.000 % in 1995. South Africa ZA: Births Attended by Skilled Health Staff: % of Total data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Health Statistics. Births attended by skilled health staff are the percentage of deliveries attended by personnel trained to give the necessary supervision, care, and advice to women during pregnancy, labor, and the postpartum period; to conduct deliveries on their own; and to care for newborns.; ; UNICEF, State of the World's Children, Childinfo, and Demographic and Health Surveys.; Weighted average; Assistance by trained professionals during birth reduces the incidence of maternal deaths during childbirth. The share of births attended by skilled health staff is an indicator of a health system’s ability to provide adequate care for pregnant women.

South Africa ZA: Death Rate: Crude: per 1000 People data was reported at 9.793 Ratio in 2016. This records a decrease from the previous number of 10.102 Ratio for 2015. South Africa ZA: Death Rate: Crude: per 1000 People data is updated yearly, averaging 11.455 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 14.815 Ratio in 1960 and a record low of 8.199 Ratio in 1991. South Africa ZA: Death Rate: Crude: per 1000 People data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Crude death rate indicates the number of deaths occurring during the year, per 1,000 population estimated at midyear. Subtracting the crude death rate from the crude birth rate provides the rate of natural increase, which is equal to the rate of population change in the absence of migration.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average;

South Africa ZA: Sex Ratio at Birth: Male Births per Female Births data was reported at 1.030 Ratio in 2016. This stayed constant from the previous number of 1.030 Ratio for 2015. South Africa ZA: Sex Ratio at Birth: Male Births per Female Births data is updated yearly, averaging 1.030 Ratio from Dec 1962 (Median) to 2016, with 20 observations. The data reached an all-time high of 1.030 Ratio in 2016 and a record low of 1.030 Ratio in 2016. South Africa ZA: Sex Ratio at Birth: Male Births per Female Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Sex ratio at birth refers to male births per female births. The data are 5 year averages.; ; United Nations Population Division. World Population Prospects: 2017 Revision.; Weighted average;

The 2004 Malawi Demographic and Health Survey (MDHS) is a nationally representative survey of 11,698 women age 1549 and 3,261 men age 15-54. The main purpose of the 2004 MDHS is to provide policymakers and programme managers with detailed information on fertility, family planning, childhood and adult mortality, maternal and child health, as well as knowledge of and attitudes related to HIV/AIDS and other sexually transmitted infections (STIs). The 2004 MDHS is designed to provide data to monitor the population and health situation in Malawi as a followup of the 1992 and 2000 MDHS surveys, and the 1996 Malawi Knowledge, Attitudes, and Practices in Health Survey. New features of the 2004 MDHS include the collection of information on use of mosquito nets, domestic violence, anaemia testing of women and children under 5, and HIV testing of adults. The 2004 MDHS survey was implemented by the National Statistical Office (NSO). The Ministry of Health and Population, the National AIDS Commission (NAC), the National Economic Council, and the Ministry of Gender contributed to the development of the questionnaires for the survey. Most of the funds for the local costs of the survey were provided by multiple donors through the NAC. The United States Agency for International Development (USAID) provided additional funds for the technical assistance through ORC Macro. The Department for International Development (DfID) of the British Government, the United Nations Children's Fund (UNICEF), and the United Nations Population Fund (UNFPA) also provided funds for the survey. The Centers of Disease Control and Prevention provided technical assistance in HIV testing. The survey used a two-stage sample based on the 1998 Census of Population and Housing and was designed to produce estimates for key indicators for ten large districts in addition to estimates for national, regional, and urban-rural domains. Fieldwork for the 2004 MDHS was carried out by 22 mobile interviewing teams. Data collection commenced on 4 October 2004 and was completed on 31 January 2005. The principal aim of the 2004 MDHS project was to provide up-to-date information on fertility and childhood mortality levels, nuptiality, fertility preferences, awareness and use of family planning methods, use of maternal and child health services, and knowledge and behaviours related to HIV/AIDS and other sexually transmitted infections. It was designed as a follow-on to the 2000 MDHS survey, a national-level survey of similar scope. The 2004 MDHS survey, unlike the 2000 MDHS, collected blood samples which were later tested for HIV in order to estimate HIV prevalence in Malawi. In broad terms, the 2004 MDHS survey aimed to: Assess trends in Malawi's demographic indicators, principally fertility and mortality Assist in the monitoring and evaluation of Malawi's health, population, and nutrition programmes Advance survey methodology in Malawi and contribute to national and international databases Provide national-level estimates of HIV prevalence for women age 15-49 and men age 15-54. In more specific terms, the 2004 MDHS survey was designed to: Provide data on the family planning and fertility behaviour of the Malawian population and thereby enable policymakers to evaluate and enhance family planning initiatives in the country Measure changes in fertility and contraceptive prevalence and analyse the factors that affect these changes, such as marriage patterns, desire for children, availability of contraception, breastfeeding habits, and important social and economic factors Examine basic indicators of maternal and child health and welfare in Malawi, including nutritional status, use of antenatal and maternity services, treatment of recent episodes of childhood illness, and use of immunisation services. Particular emphasis was placed on malaria programmes, including malaria prevention activities and treatment of episodes of fever. Provide levels and patterns of knowledge and behaviour related to the prevention of HIV/AIDS and other sexually transmitted infections Provide national estimates of HIV prevalence Measure the level of infant and adult mortality including maternal mortality at the national level Assess the status of women in the country. MAIN FINDINGS Fertility Fertility Levels and Trends. While there has been a significant decline in fertility in the past two decades from 7.6 children in the early 1980s to 6.0 children per woman in the early 2000s, compared with selected countries in Eastern and Southern Africa, such as Zambia, Tanzania, Mozambique, Kenya, and Uganda, the total fertility rate (TFR) in Malawi is high, lower only than Uganda (6.9). Family planning Knowledge of Contraception. Knowledge of family planning is nearly universal, with 97 percent of women age 15-49 and 97 percent of men age 15-54 knowing at least one modern method of family planning. The most widely known modern methods of contraception among all women are injectables (93 percent), the pill and male condom (90 percent each), and female sterilisation (83 percent). Maternal health Antenatal Care. There has been little change in the coverage of antenatal care (ANC) from a medical professional since 2000 (93 percent in 2004 compared with 91 percent in 2000). Most women receive ANC from a nurse or a midwife (82 percent), although 10 percent go to a doctor or a clinical officer. A small proportion (2 percent) receives ANC from a traditional birth attendant, and 5 percent do not receive any ANC. Only 8 percent of women initiated ANC before the fourth month of pregnancy, a marginal increase from 7 percent in the 2000 MDHS. Adult and Maternal Mortality. Comparison of data from the 2000 and 2004 MDHS surveys indicates that mortality for both women and men has remained at the same levels since 1997 (11-12 deaths per 1,000). Child health Childhood Mortality. Data from the 2004 MDHS show that for the 2000-2004 period, the infant mortality rate is 76 per 1,000 live births, child mortality is 62 per 1,000, and the under-five mortality rate is 133 per 1,000 live births. Nutrition Breastfeeding Practices. Breastfeeding is nearly universal in Malawi. Ninety-eight percent of children are breastfed for some period of time. The median duration of breastfeeding in Malawi in 2004 is 23.2 months, one month shorter than in 2000. HIV/AIDS Awareness of AIDS. Knowledge of AIDS among women and men in Malawi is almost universal. This is true across age group, urban-rural residence, marital status, wealth index, and education. Nearly half of women and six in ten men can identify the two most common misconceptions about the transmission of HIV-HIV can be transmitted by mosquito bites, and HIV can be transmitted by supernatural means-and know that a healthy-looking person can have the AIDS virus.