Rank, number of deaths, percentage of deaths, and age-specific mortality rates for the leading causes of death, by age group and sex, 2000 to most recent year.

Statistics on maternal mortality are produced based on the database of causes of death. "Maternal deaths" are selected from the database via a complex procedure, which takes into account the definition given by the WHO and is described in detail in the metadata. The tenth revision of the International Classification of Diseases (ICD-10) defines maternal death as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes." "Maternal deaths should be subdivided into two groups. Direct obstetric deaths: those resulting from obstetric complications of the pregnant state (pregnancy, labour and puerperium), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect obstetric deaths: those resulting from previous existing disease or disease that developed during pregnancy and which was not due to direct obstetric causes, but which was aggravated by physiologic effects of pregnancy." Furthermore, the ICD-10 also defines late maternal death as "the death of a woman from direct or indirect obstetric causes more than 42 days but less than one year after termination of pregnancy." The "maternal mortality rate" is the ratio between the number of recorded direct and indirect maternal deaths over one year and the number of live birth in the same year, expressed per 100,000 live births. Late maternal deaths are not taken into account in the calculation of this ratio. Given the small and markedly variable number of cases recorded each year in Belgium, it has been decided to calculate this ratio based on the cumulated maternal deaths and live births of five consecutive years, with the ratio calculated being recorded in the middle year. When identifying these maternal deaths, the ad hoc working group, bringing together the Belgian statistical office and all data producing federated entities, did not exclude the risk of an underestimation of these deaths, based on the only statistical bulletin used as main source. It therefore asks for continued efforts to further improve the follow-up of maternal deaths, and supports the recent initiative of the College of physicians for Mother and Newborn to consider the creation of a maternal mortality register.

The goal of the Chicago Women's Health Risk Study (CWHRS) was to develop a reliable and validated profile of risk factors directly related to lethal or life-threatening outcomes in intimate partner violence, for use in agencies and organizations working to help women in abusive relationships. Data were collected to draw comparisons between abused women in situations resulting in fatal outcomes and those without fatal outcomes, as well as a baseline comparison of abused women and non-abused women, taking into account the interaction of events, circumstances, and interventions occurring over the course of a year or two. The CWHRS used a quasi-experimental design to gather survey data on 705 women at the point of service for any kind of treatment (related to abuse or not) sought at one of four medical sites serving populations in areas with high rates of intimate partner homicide (Chicago Women's Health Center, Cook County Hospital, Erie Family Health Center, and Roseland Public Health Center). Over 2,600 women were randomly screened in these settings, following strict protocols for safety and privacy. One goal of the design was that the sample would not systematically exclude high-risk but understudied populations, such as expectant mothers, women without regular sources of health care, and abused women in situations where the abuse is unknown to helping agencies. To accomplish this, the study used sensitive contact and interview procedures, developed sensitive instruments, and worked closely with each sample site. The CWHRS attempted to interview all women who answered "yes -- within the past year" to any of the three screening questions, and about 30 percent of women who did not answer yes, provided that the women were over age 17 and had been in an intimate relationship in the past year. In total, 705 women were interviewed, 497 of whom reported that they had experienced physical violence or a violent threat at the hands of an intimate partner in the past year (the abused, or AW, group). The remaining 208 women formed the comparison group (the non-abused, or NAW, group). Data from the initial interview sections comprise Parts 1-8. For some women, the AW versus NAW interview status was not the same as their screening status. When a woman told the interviewer that she had experienced violence or a violent threat in the past year, she and the interviewer completed a daily calendar history, including details of important events and each violent incident that had occurred the previous year. The study attempted to conduct one or two follow-up interviews over the following year with the 497 women categorized as AW. The follow-up rate was 66 percent. Data from this part of the clinic/hospital sample are found in Parts 9-12. In addition to the clinic/hospital sample, the CWHRS collected data on each of the 87 intimate partner homicides occurring in Chicago over a two-year period that involved at least one woman age 18 or older. Using the same interview schedule as for the clinic/hospital sample, CWHRS interviewers conducted personal interviews with one to three "proxy respondents" per case, people who were knowledgeable and credible sources of information about the couple and their relationship, and information was compiled from official or public records, such as court records, witness statements, and newspaper accounts (Parts 13-15). In homicides in which a woman was the homicide offender, attempts were made to contact and interview her. This "lethal" sample, all such homicides that took place in 1995 or 1996, was developed from two sources, HOMICIDES IN CHICAGO, 1965-1995 (ICPSR 6399) and the Cook County Medical Examiner's Office. Part 1 includes demographic variables describing each respondent, such as age, race and ethnicity, level of education, employment status, screening status (AW or NAW), birthplace, and marital status. Variables in Part 2 include details about the woman's household, such as whether she was homeless, the number of people living in the household and details about each person, the number of her children or other children in the household, details of any of her children not living in her household, and any changes in the household structure over the past year. Variables in Part 3 deal with the woman's physical and mental health, including pregnancy, and with her social support network and material resources. Variables in Part 4 provide information on the number and type of firearms in the household, whether the woman had experienced power, control, stalking, or harassment at the hands of an intimate partner in the past year, whether she had experienced specific types of violence or violent threats at the hands of an intimate partner in the past year, and whether she had experienced symptoms of Post-Traumatic Stress Disorder related to the incidents in the past month. Variables in Part 5 specify the partner or partners who were responsible for the incidents in the past year, record the type and length of the woman's relationship with each of these partners, and provide detailed information on the one partner she chose to talk about (called "Name"). Variables in Part 6 probe the woman's help-seeking and interventions in the past year. Variables in Part 7 include questions comprising the Campbell Danger Assessment (Campbell, 1993). Part 8 assembles variables pertaining to the chosen abusive partner (Name). Part 9, an event-level file, includes the type and the date of each event the woman discussed in a 12-month retrospective calendar history. Part 10, an incident-level file, includes variables describing each violent incident or threat of violence. There is a unique identifier linking each woman to her set of events or incidents. Part 11 is a person-level file in which the incidents in Part 10 have been aggregated into totals for each woman. Variables in Part 11 include, for example, the total number of incidents during the year, the number of days before the interview that the most recent incident had occurred, and the severity of the most severe incident in the past year. Part 12 is a person-level file that summarizes incident information from the follow-up interviews, including the number of abuse incidents from the initial interview to the last follow-up, the number of days between the initial interview and the last follow-up, and the maximum severity of any follow-up incident. Parts 1-12 contain a unique identifier variable that allows users to link each respondent across files. Parts 13-15 contain data from official records sources and information supplied by proxies for victims of intimate partner homicides in 1995 and 1996 in Chicago. Part 13 contains information about the homicide incidents from the "lethal sample," along with outcomes of the court cases (if any) from the Administrative Office of the Illinois Courts. Variables for Part 13 include the number of victims killed in the incident, the month and year of the incident, the gender, race, and age of both the victim and offender, who initiated the violence, the severity of any other violence immediately preceding the death, if leaving the relationship triggered the final incident, whether either partner was invading the other's home at the time of the incident, whether jealousy or infidelity was an issue in the final incident, whether there was drug or alcohol use noted by witnesses, the predominant motive of the homicide, location of the homicide, relationship of victim to offender, type of weapon used, whether the offender committed suicide after the homicide, whether any criminal charges were filed, and the type of disposition and length of sentence for that charge. Parts 14 and 15 contain data collected using the proxy interview questionnaire (or the interview of the woman offender, if applicable). The questionnaire used for Part 14 was identical to the one used in the clinic sample, except for some extra questions about the homicide incident. The data include only those 76 cases for which at least one interview was conducted. Most variables in Part 14 pertain to the victim or the offender, regardless of gender (unless otherwise labeled). For ease of analysis, Part 15 includes the same 76 cases as Part 14, but the variables are organized from the woman's point of view, regardless of whether she was the victim or offender in the homicide (for the same-sex cases, Part 15 is from the woman victim's point of view). Parts 14 and 15 can be linked by ID number. However, Part 14 includes five sets of variables that were asked only from the woman's perspective in the original questionnaire: household composition, Post-Traumatic Stress Disorder (PTSD), social support network, personal income (as opposed to household income), and help-seeking and intervention. To avoid redundancy, these variables appear only in Part 14. Other variables in Part 14 cover information about the person(s) interviewed, the victim's and offender's age, sex, race/ethnicity, birthplace, employment status at time of death, and level of education, a scale of the victim's and offender's severity of physical abuse in the year prior to the death, the length of the relationship between victim and offender, the number of children belonging to each partner, whether either partner tried to leave and/or asked the other to stay away, the reasons why each partner tried to leave, the longest amount of time each partner stayed away, whether either or both partners returned to the relationship before the death, any known physical or emotional problems sustained by victim or offender, including the four-item Medical Outcomes Study (MOS) scale of depression, drug and alcohol use of the victim and offender, number and type of guns in the household of the victim and offender, Scales of Power and Control (Johnson, 1996) or Stalking and Harassment (Sheridan, 1992) by either intimate partner in the year prior to the death, a modified version of the Conflict Tactics Scale (CTS)

The relatively high incidence of cervical cancer in women at older ages is an issue in countries performing cervical screening for decades. Controversy remains on when and how to cease screening. Existing population-based studies on effectiveness of cervical screening at older ages have not considered women’s screening history. We performed a nationwide cohort study to investigate the incidence of cervical cancer after age 60 and its association with cervical screening at ages 61-65, stratified by screening history at ages 51-60. Using the Total Population Register, we identified women born between January 1919 and December 1945, resident in Sweden since age 51. According to the year that each county started the electronic record of cervical screening and women’s resident county, we further identified 569,132 women that have cervical screening record available since age 51. Women’s screening records, cervical cancer occurrence, and level of education were retrieved from the Swedish National Cervical Screening Registry, the National Cancer Register, and LISA (Longitudinal integration database for health insurance and labour market studies) respectively. We presented the cumulative incidence of cervical cancer from age 61-80 by using competing risk regression models, and compared the hazard ratio of cervical cancer by screening status at ages 61-65 from Cox models, adjusted for birth cohort and level of education, conditioning on screening history in their 50s. We find that Cervical screening at ages 61-65 is associated with a statistically significant reduction of subsequent cervical cancer risk for women unscreened, or screened with abnormalities, in their 50s. In women screened negative in their 50s, the risk for future cancer is not sizeable, and the risk reduction associated with continued screening appears limited. These findings should inform the current debate regarding age and criteria to discontinue cervical screening.

Purpose:

In order to provide evidence for age and criteria to discontinue cervical screening, we use this data to investigate the impact of cervical screening at ages 61-65 on cervical cancer incidence and stage at ages 61-80, stratifying by screening history at ages 51-60.

This data comprises women born between January 1919 and December 1945, resident in Sweden since age 51, and having cervical screening record available since age 51. It contains the following variables: - Seq_nr: sequence number indicating each individual woman, from 1 to 569,132. - Edu_cat: level of education in three categories: 1=low (less than high school); 2=high school; 3=university exam and above; .=missing. Data are retrieved from LISA (Longitudinal integration database for health insurance and labour market studies). - Birth_cat: five categories of birth-year: 1=1919-1925; 2=1926-1930; 3=1931-1935; 4=1936-1940; 5=1941-1945. - Scr_51_60: Screening history at ages 51-60, in five categories: 1=adequately screened, negative; 2=inadequately screened, negative; 3=unscreened; 4=having low-grade abnormality; 5=having high-grade abnormality. Data are retrieved from the Swedish National Cervical Screening Registry. - Age_first_scr_6165: age at having the first screening test at ages 61-65. (Missing value indicates there is no screening test at ages 61-65). Data are retrieved from the Swedish National Cervical Screening Registry. - Orgscr_county: If in the county that had more than 40% women being screened at ages 61-65: 0=no; 1=yes. - Age_entry: age when entering the cohort, which is 61 for all women. - Age_exit: age when the follow-up is finished. - Cx_fail: the event of finishing follow-up: 1=having cervical cancer; 2=competing events (death or having total hysterectomy); 3=censoring (emigration, turning age 81, or 2011-12-31). The information is retrieved from the Swedish National Cancer Registry (cervical cancer), Cause of Death Register (death), Patient Register (hysterectomy), and Migration Register (emigration). The dataset also includes three variables created by Swedish National Dataservice (SND-study, SND-dataset, SND-version).

The 1993 National Demographic Survey (NDS) is a nationally representative sample survey of women age 15-49 designed to collect information on fertility; family planning; infant, child and maternal mortality; and maternal and child health. The survey was conducted between April and June 1993. The 1993 NDS was carried out by the National Statistics Office in collaboration with the Department of Health, the University of the Philippines Population Institute, and other agencies concerned with population, health and family planning issues. Funding for the 1993 NDS was provided by the U.S. Agency for International Development through the Demographic and Health Surveys Program. Close to 13,000 households throughout the country were visited during the survey and more than 15,000 women age 15-49 were interviewed. The results show that fertility in the Philippines continues its gradual decline. At current levels, Filipino women will give birth on average to 4.1 children during their reproductive years, 0.2 children less than that recorded in 1988. However, the total fertility rate in the Philippines remains high in comparison to the level achieved in the neighboring Southeast Asian countries. The primary objective of the 1993 NDS is to provide up-to-date inform ation on fertility and mortality levels; nuptiality; fertility preferences; awareness, approval, and use of family planning methods; breastfeeding practices; and maternal and child health. This information is intended to assist policymakers and administrators in evaluating and designing programs and strategies for improving health and family planning services in 'the country. MAIN RESULTS Fertility varies significantly by region and socioeconomic characteristics. Urban women have on average 1.3 children less than rural women, and uneducated women have one child more than women with college education. Women in Bicol have on average 3 more children than women living in Metropolitan Manila. Virtually all women know of a family planning method; the pill, female sterilization, IUD and condom are known to over 90 percent of women. Four in 10 married women are currently using contraception. The most popular method is female sterilization ( 12 percent), followed by the piU (9 percent), and natural family planning and withdrawal, both used by 7 percent of married women. Contraceptive use is highest in Northern Mindanao, Central Visayas and Southern Mindanao, in urban areas, and among women with higher than secondary education. The contraceptive prevalence rate in the Philippines is markedly lower than in the neighboring Southeast Asian countries; the percentage of married women who were using family planning in Thailand was 66 percent in 1987, and 50 percent in Indonesia in 199l. The majority of contraceptive users obtain their methods from a public service provider (70 percent). Government health facilities mainly provide permanent methods, while barangay health stations or health centers are the main sources for the pill, IUD and condom. Although Filipino women already marry at a relatively higher age, they continue to delay the age at which they first married. Half of Filipino women marry at age 21.6. Most women have their first sexual intercourse after marriage. Half of married women say that they want no more children, and 12 percent have been sterilized. An additional 19 percent want to wait at least two years before having another child. Almost two thirds of women in the Philippines express a preference for having 3 or less children. Results from the survey indicate that if all unwanted births were avoided, the total fertility rate would be 2.9 children, which is almost 30 percent less than the observed rate, More than one quarter of married women in the Philippines are not using any contraceptive method, but want to delay their next birth for two years or more (12 percent), or want to stop childbearing (14 percent). If the potential demand for family planning is satisfied, the contraceptive prevalence rate could increase to 69 percent. The demand for stopping childbearing is about twice the level for spacing (45 and 23 percent, respectively). Information on various aspects of maternal and child health-antenatal care, vaccination, breastfeeding and food supplementation, and illness was collected in the 1993 NDS on births in the five years preceding the survey. The findings show that 8 in 10 children under five were bom to mothers who received antenatal care from either midwives or nurses (45 percent) or doctors (38 percent). Delivery by a medical personnel is received by more than half of children born in the five years preceding the survey. However, the majority of deliveries occurred at home. Tetanus, a leading cause of infant deaths, can be prevented by immunization of the mother during pregnancy. In the Philippines, two thirds of bitlhs in the five years preceding the survey were to mothers who received a tetanus toxoid injection during pregnancy. Based on reports of mothers and information obtained from health cards, 90 percent of children aged 12-23 months have received shots of the BCG as well as the first doses of DPT and polio, and 81 percent have received immunization from measles. Immunization coverage declines with doses; the drop out rate is 3 to 5 percent for children receiving the full dose series of DPT and polio. Overall, 7 in 10 children age 12-23 months have received immunization against the six principal childhood diseases-polio, diphtheria, ~rtussis, tetanus, measles and tuberculosis. During the two weeks preceding the survey, 1 in 10 children under 5 had diarrhea. Four in ten of these children were not treated. Among those who were treated, 27 percent were given oral rehydration salts, 36 percent were given recommended home solution or increased fluids. Breasffeeding is less common in the Philippines than in many other developing countries. Overall, a total of 13 percent of children born in the 5 years preceding the survey were not breastfed at all. On the other hand, bottle feeding, a widely discouraged practice, is relatively common in the Philippines. Children are weaned at an early age; one in four children age 2-3 months were exclusively breastfed, and the mean duration of breastfeeding is less than 3 months. Infant and child mortality in the Philippines have declined significantly in the past two decades. For every 1,000 live births, 34 infants died before their first birthday. Childhood mortality varies significantly by mother's residence and education. The mortality of urban infants is about 40 percent lower than that of rural infants. The probability of dying among infants whose mother had no formal schooling is twice as high as infants whose mother have secondary or higher education. Children of mothers who are too young or too old when they give birth, have too many prior births, or give birth at short intervals have an elevated mortality risk. Mortality risk is highest for children born to mothers under age 19. The 1993 NDS also collected information necessary for the calculation of adult and maternal mortality using the sisterhood method. For both males and females, at all ages, male mortality is higher than that of females. Matemal mortality ratio for the 1980-1986 is estimated at 213 per 100,000 births, and for the 1987-1993 period 209 per 100,000 births. However, due to the small number of sibling deaths reported in the survey, age-specific rates should be used with caution. Information on health and family planning services available to the residents of the 1993 NDS barangay was collected from a group of respondents in each location. Distance and time to reach a family planning service provider has insignificant association with whether a woman uses contraception or the choice of contraception being used. On the other hand, being close to a hospital increases the likelihood that antenatal care and births are to respondents who receive ANC and are delivered by a medical personnel or delivered in a health facility.

BackgroundStudies on the barriers migrant women face when trying to access healthcare services in South Africa have emphasized economic factors, fear of deportation, lack of documentation, language barriers, xenophobia, and discrimination in society and in healthcare institutions as factors explaining migrants’ reluctance to seek healthcare. Our study aims to visualize some of the outcome effects of these barriers by analyzing data on maternal death and comparing the local population and black African migrant women from the South African Development Countries (SADC) living in South Africa. The heightened maternal mortality of black migrant women in South Africa can be associated with the hidden costs of barriers migrants face, including xenophobic attitudes experienced at public healthcare institutions.MethodsOur analysis is based on data on reported causes of death (COD) from the South African Department of Home Affairs (DHA). Statistics South Africa (Stats SA) processed the data further and coded the cause of death (COD) according to the WHO classification of disease, ICD10. The dataset is available on the StatsSA website (http://nesstar.statssa.gov.za:8282/webview/) for research and statistical purposes. The entire dataset consists of over 10 million records and about 50 variables of registered deaths that occurred in the country between 1997 and 2018. For our analysis, we have used data from 2002 to 2015, the years for which information on citizenship is reliably included on the death certificate. Corresponding benchmark data, in which nationality is recorded, exists only for a 10% sample from the population and housing census of 2011. Mid-year population estimates (MYPE) also exist but are not disaggregated by nationality. For this reason, certain estimates of death proportions by nationality will be relative and will not correspond to crude death rates.ResultsThe total number of female deaths recorded from the years 2002 to 2015 in the country was 3740.761. Of these, 99.09% (n = 3,707,003) were deaths of South Africans and 0.91% (n = 33,758) were deaths of SADC women citizens. For maternal mortality, we considered the total number of deaths recorded for women between the ages of 15 and 49 years of age and were 1,530,495 deaths. Of these, deaths due to pregnancy-related causes contributed to approximately 1% of deaths. South African women contributed to 17,228 maternal deaths and SADC women to 467 maternal deaths during the period under study. The odds ratio for this comparison was 2.02. In other words, our findings show the odds of a black migrant woman from a SADC country dying of a maternal death were more than twice that of a South African woman. This result is statistically significant as this odds ratio, 2.02, falls within the 95% confidence interval (1.82–2.22).ConclusionThe study is the first to examine and compare maternal death among two groups of women, women from SADC countries and South Africa, based on Stats SA data available for the years 2002–2015. This analysis allows for a better understanding of the differential impact that social determinants of health have on mortality among black migrant women in South Africa and considers access to healthcare as a determinant of health. As we examined maternal death, we inferred that the heightened mortality among black migrant women in South Africa was associated with various determinants of health, such as xenophobic attitudes of healthcare workers toward foreigners during the study period. The negative attitudes of healthcare workers toward migrants have been reported in the literature and the media. Yet, until now, its long-term impact on the health of the foreign population has not been gaged. While a direct association between the heightened death of migrant populations and xenophobia cannot be established in this study, we hope to offer evidence that supports the need to focus on the heightened vulnerability of black migrant women in South Africa. As we argued here, the heightened maternal mortality among migrant women can be considered hidden barriers in which health inequality and the pervasive effects of xenophobia perpetuate the health disparity of SADC migrants in South Africa.

The Ukraine Demographic and Health Survey (UDHS) is a nationally representative survey of 6,841 women age 15-49 and 3,178 men age 15-49. Survey fieldwork was conducted during the period July through November 2007. The UDHS was conducted by the Ukrainian Center for Social Reforms in close collaboration with the State Statistical Committee of Ukraine. The MEASURE DHS Project provided technical support for the survey. The U.S. Agency for International Development/Kyiv Regional Mission to Ukraine, Moldova, and Belarus provided funding. The survey is a nationally representative sample survey designed to provide information on population and health issues in Ukraine. The primary goal of the survey was to develop a single integrated set of demographic and health data for the population of the Ukraine. The UDHS was conducted from July to November 2007 by the Ukrainian Center for Social Reforms (UCSR) in close collaboration with the State Statistical Committee (SSC) of Ukraine, which provided organizational and methodological support. Macro International Inc. provided technical assistance for the survey through the MEASURE DHS project. USAID/Kyiv Regional Mission to Ukraine, Moldova and Belarus provided funding for the survey through the MEASURE DHS project. MEASURE DHS is sponsored by the United States Agency for International Development (USAID) to assist countries worldwide in obtaining information on key population and health indicators. The 2007 UDHS collected national- and regional-level data on fertility and contraceptive use, maternal health, adult health and life style, infant and child mortality, tuberculosis, and HIV/AIDS and other sexually transmitted diseases. The survey obtained detailed information on these issues from women of reproductive age and, on certain topics, from men as well. The results of the 2007 UDHS are intended to provide the information needed to evaluate existing social programs and to design new strategies for improving the health of Ukrainians and health services for the people of Ukraine. The 2007 UDHS also contributes to the growing international database on demographic and health-related variables. MAIN RESULTS Fertility rates. A useful index of the level of fertility is the total fertility rate (TFR), which indicates the number of children a woman would have if she passed through the childbearing ages at the current age-specific fertility rates (ASFR). The TFR, estimated for the three-year period preceding the survey, is 1.2 children per woman. This is below replacement level. Contraception : Knowledge and ever use. Knowledge of contraception is widespread in Ukraine. Among married women, knowledge of at least one method is universal (99 percent). On average, married women reported knowledge of seven methods of contraception. Eighty-nine percent of married women have used a method of contraception at some time. Abortion rates. The use of abortion can be measured by the total abortion rate (TAR), which indicates the number of abortions a woman would have in her lifetime if she passed through her childbearing years at the current age-specific abortion rates. The UDHS estimate of the TAR indicates that a woman in Ukraine will have an average of 0.4 abortions during her lifetime. This rate is considerably lower than the comparable rate in the 1999 Ukraine Reproductive Health Survey (URHS) of 1.6. Despite this decline, among pregnancies ending in the three years preceding the survey, one in four pregnancies (25 percent) ended in an induced abortion. Antenatal care. Ukraine has a well-developed health system with an extensive infrastructure of facilities that provide maternal care services. Overall, the levels of antenatal care and delivery assistance are high. Virtually all mothers receive antenatal care from professional health providers (doctors, nurses, and midwives) with negligible differences between urban and rural areas. Seventy-five percent of pregnant women have six or more antenatal care visits; 27 percent have 15 or more ANC visits. The percentage is slightly higher in rural areas than in urban areas (78 percent compared with 73 percent). However, a smaller proportion of rural women than urban women have 15 or more antenatal care visits (23 percent and 29 percent, respectively). HIV/AIDS and other sexually transmitted infections : The currently low level of HIV infection in Ukraine provides a unique window of opportunity for early targeted interventions to prevent further spread of the disease. However, the increases in the cumulative incidence of HIV infection suggest that this window of opportunity is rapidly closing. Adult Health : The major causes of death in Ukraine are similar to those in industrialized countries (cardiovascular diseases, cancer, and accidents), but there is also a rising incidence of certain infectious diseases, such as multidrug-resistant tuberculosis. Women's status : Sixty-four percent of married women make decisions on their own about their own health care, 33 percent decide jointly with their husband/partner, and 1 percent say that their husband or someone else is the primary decisionmaker about the woman's own health care. Domestic Violence : Overall, 17 percent of women age 15-49 experienced some type of physical violence between age 15 and the time of the survey. Nine percent of all women experienced at least one episode of violence in the 12 months preceding the survey. One percent of the women said they had often been subjected to violent physical acts during the past year. Overall, the data indicate that husbands are the main perpetrators of physical violence against women. Human Trafficking : The UDHS collected information on respondents' awareness of human trafficking in Ukraine and, if applicable, knowledge about any household members who had been the victim of human trafficking during the three years preceding the survey. More than half (52 percent) of respondents to the household questionnaire reported that they had heard of a person experiencing this problem and 10 percent reported that they knew personally someone who had experienced human trafficking.