scholarly journals Vaccine stockouts and vaccination rate: examination of unique administrative data from Nigeria

2019 ◽  
Vol 12 (3) ◽  
pp. 170-176
Author(s):  
Ryoko Sato
Keyword(s):  
Logistic Regression ◽  
Health Facility ◽  
Administrative Data ◽  
Vaccination Coverage ◽  
Health Survey ◽  
Negative Correlation ◽  
Vaccine Coverage ◽  
Universal Access ◽  
Vaccination Rate ◽  
Demographic And Health Survey

Abstract Background Universal access to vaccines is crucial in protecting the population from deadly diseases. This study presents the prevalence of vaccine stockouts in Nigeria and examines the correlation between the vaccine stockouts and vaccine take-up. Methods We use the unique administrative data of monthly vaccine stockouts at each health facility in Nigeria. To evaluate the correlation between the stockouts and the vaccine take-up, the administrative data were merged with the Nigeria Demographic and Health Survey conducted in 2013. We used logistic regression for the correlational study. Results The prevalence of vaccine stockouts in Nigeria is high: 82.7% between 2012 and 2013. We find a negative correlation between vaccine stockouts and vaccine take-up. However, we observe the differential correlational pattern depending on the regional vaccine coverage, which we consider as the proxy of the level of demand for vaccines. Conclusions We find that, while vaccine stockouts are correlated with the low vaccine take-up on average, this negative correlation between stockouts and vaccination rate is observed only in regions with low demand for vaccines. Reducing vaccine stockouts in regions with the low vaccination coverage might be an effective way to increase the overall vaccination rate.

scholarly journals Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Hailegebrael Birhan Biresaw ◽  
Kenaw Derebe Fentaw ◽  
Shewayiref Geremew Gebremichael
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Health Facility ◽  
Health Survey ◽  
Logistic Regression Model ◽  
Immunization Coverage ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Childhood Immunization ◽  
Sub Saharan

Abstract Background Sub-Saharan Africa is one of the highest under-five mortality and low childhood immunization region in the world. Children in Sub-Saharan Africa are 15 times more likely to die than children from high-income countries. In sub-Saharan Africa, more than half of under-five deaths are preventable through immunization. Therefore, this study aimed to identify the determinant factors of full childhood immunization among children aged 12–23 months in sub-Saharan Africa. Methods Data for the study was drawn from the Demographic and Health Survey of nine sub-Saharan African countries. A total of 21,448 children were included. The two-level mixed-effects logistic regression model was used to identify the individual and community-level factors associated with full childhood immunization Result The prevalence of full childhood immunization coverage in sub-Saharan Africa countries was 59.40% (95% CI: 58.70, 60.02). The multilevel logistic regression model revealed that secondary and above maternal education (AOR = 1.38; 95% CI: 1.25, 1.53), health facility delivery (AOR = 1.51; 95% CI: 1.41, 1.63), fathers secondary education and above (AOR = 1.28, 95% CI: 1.11, 1.48), four and above ANC visits (AOR = 2.01; 95% CI: 1.17, 2.30), PNC visit(AOR = 1.55; 95% CI: 1.46, 1.65), rich wealth index (AOR = 1.26; 95% CI: 1.18, 1.40), media exposure (AOR = 1.11; 95% CI: 1.04, 1.18), and distance to health facility is not a big problem (AOR = 1.42; 95% CI: 1.28, 1.47) were significantly associated with full childhood immunization. Conclusion The full childhood immunization coverage in sub-Saharan Africa was poor with high inequalities. There is a significant variation between SSA countries in full childhood immunization. Therefore, public health programs targeting uneducated mothers and fathers, rural mothers, poor households, and those who have not used maternal health care services to promote full childhood immunization to improve child health. By enhancing institutional delivery, antenatal care visits and maternal tetanus immunization, the government and other stakeholders should work properly to increase child immunization coverage. Furthermore, policies and programs aimed at addressing cluster variations in childhood immunization need to be formulated and their implementation must be strongly pursued.

scholarly journals Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249793
Author(s):  
Brhane Ayele ◽  
Mulugeta Woldu ◽  
Haftom Gebrehiwot ◽  
Tsegay Wellay ◽  
Tsegay Hadgu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Health Facilities ◽  
Demographic And Health Survey ◽  
Community Level ◽  
P Value ◽  
Multilevel Logistic Regression ◽  
Explanatory Variables

Introduction Returning to health facility for postnatal care (PNC) use after giving birth at health facility could reflect the health seeking behavior of mothers. However, such studies are rare though they are critically important to develop vigorous strategies to improve PNC service utilization. Therefore, this study aimed to determine the magnitude and factors associated with returning to health facilities for PNC among mothers who delivered in Ethiopian health facilities after they were discharged. Methods This cross-sectional study used 2016 Ethiopian Demographic and Health Survey data. A total of 2405mothers who gave birth in a health facility were included in this study. Multilevel mixed-effect logistic regression model was fitted to estimate both independent (fixed) effects of the explanatory variables and community-level (random) effects on return for PNC utilization. Variable with p-value of ≤ 0.25 from unadjusted multilevel logistic regression were selected to develop three models and p-value of ≤0.05 was used to declare significance of the explanatory variables on the outcome variable in the final (adjusted) model. Analysis was done using IBM SPSS statistics version 21. Result In this analysis, from the total 2405 participants, 14.3% ((95%CI: 12.1–16.8), (n = 344)) of them returned to health facilities for PNC use after they gave birth at a health facility. From the multilevel logistic regression analysis, being employed (AOR = 1.51, 95%CI: 1.04–2.19), receiving eight and above antenatal care visits (AOR = 2.90, 95%CI: 1.05–8.00), caesarean section delivery (AOR = 2.53, 95%CI: 1.40–4.58) and rural residence (AOR = 0.56, 95%CI: 0.36–0.88) were found significantly associated with return to health facilities for PNC use among women who gave birth at health facility. Conclusion Facility-based PNC utilization among mothers who delivered at health facilities is low in Ethiopia. Both individual and community level variables were determined women to return to health facilities for PNC use. Thus, adopting context-specific strategies/policies could improve PNC utilization and should be paid a due focus.

scholarly journals HIV knowledge and associated factors among young Ethiopians: application of multilevel order logistic regression using the 2016 EDHS

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Teshome Kabeta Dadi ◽  
Merga Belina Feyasa ◽  
Mamo Nigatu Gebre
Keyword(s):  
Logistic Regression ◽  
Survey Data ◽  
Health Survey ◽  
Statistical Significance ◽  
Insurance Coverage ◽  
Mobile Telephone ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Hiv Knowledge ◽  
Health Survey Data

Abstract Background Human Immunodeficiency virus continues to be a major global health problem infecting 75 million and killing 32 million people since the beginning of the epidemic. It badly hit Sub Saharan Africa than any country in the world and youths are sharing the greatest burden. The study aims to assess the level of HIV-knowledge and its determinants among Ethiopian youths using the 2016 Ethiopia Demographic and Health Survey data. Methods A nationally representative 2016 Ethiopian Demographic and Health Survey data were used. A total of 10,903 youths comprising 6401 females and 4502 males were included in the study. Descriptive statistics and multilevel order logistic regression were used and confidence interval was used to declare statistical significance in the final model. Results The mean age and SD of youths included in this study was 19.10 (±2.82). Among Ethiopian youths, 20.92% (95% CI: 18.91, 23.09%) had low knowledge of HIV whereas, 48.76% (95% CI: 47.12, 50.41%) and 30.31% (95% CI: 28.51, 32.18%) of them had moderate and comprehensive HIV knowledge respectively. Being male, access to TV and radio, ever tested for HIV/AIDS, owning a mobile telephone, and attending primary school and above compared to non-attendants were associated with having higher HIV knowledge. But, dwelling in rural Ethiopia, being in the Protestant and Muslim religious groups as compared to those of Orthodox followers and being in married groups were associated with having lower HIV knowledge. Approximately, 12% of the variation in knowledge of HIV was due to regions. Conclusion Only one-third of Ethiopian youths have deep insight into the disease, whereas, nearly one-fifth of them have lower HIV-knowledge. There is a significant disparity in HIV-related knowledge among Ethiopian youths living in different regions. Rural residents, less educated, female, and married youths have less knowledge of HIV as compared to their counterparts. Youths who do not have a mobile phone, who lack health insurance coverage, and who have limited access to media have less knowledge about HIV. Therefore, the due focus should be given to the aforementioned factors to minimize the disparities between regions and to enhance Ethiopian youths’ HIV-knowledge.

scholarly journals Predictors to HIV testing among youth women in Ethiopia: 2016 Ethiopian Demographic and Health Survey

2019 ◽  
Author(s):  
Gedefaw Diress ◽  
Mohammed Ahmed ◽  
Seteamlak Adane ◽  
Melese Linger ◽  
Birhan Aleminew
Keyword(s):  
Logistic Regression ◽  
Hiv Testing ◽  
Health Survey ◽  
Multivariate Logistic Regression Analysis ◽  
Demographic And Health Survey ◽  
Outcome Variable ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Infected People ◽  
Treatment Cascade

Abstract Background HIV testing is the critical first step in identifying and linking HIV infected people to the treatment cascade and it also provides an important opportunity to reinforce HIV prevention among the negatives. The aim of this study was examine factors associated with HIV testing among youth women. Methods A community-based cross-sectional study design was used and a nationally representative secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey(EDHS). A total of 6401 youth women were eligible in the study. The data were analyzed by SPSS version 20. Frequencies and weighted percentage of the variables were calculated. Chi-square tests and logistic regression models were used to assess predictors of HIV testing. Multivariate logistic regression analysis was conducted to control confounders and to identify the independent contribution of each variable to the outcome variable. Result A total of 6401 youth women aged 15 to 24 years of age were included. Only 37.7% (95% CI:(33.6-39.1%)) of participants were ever tested for HIV in their life. In the final multivariable model age, marital status, level of educational, media access, number of sexual partner, STIs in Past 12 months and comprehensive knowledge to HIV, were significantly associated with ever been tested for HIV. Youth women who were in the age group between 20 to 24 (AOR=2.18; 95CI:(1.800-2.652), who were married (AOR=4.70; 95% CI:(3.674-6.008)), were divorced (AOR=6.16; 95% CI (3.976-9.541)), who had no access to media (AOR = 0.69; 95 CI %: (0.540-0.870)), who had no comprehensive HIV knowledge (AOR = 0.68; 65% CI: (0.530-0.861)) and having one or more sexual partners (AOR=2.48; 95% CI:(1.350-4.551)) were significantly associated with ever been tested for HIV.

scholarly journals Prevalence and predictors of alcohol use among adult males in Ethiopia: multilevel analysis of Ethiopian Demographic and Health Survey 2016

2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Zemenu Tadesse Tessema ◽  
Tadele Amare Zeleke
Keyword(s):  
Logistic Regression ◽  
Alcohol Use ◽  
Health Survey ◽  
Social Issues ◽  
Multivariable Analysis ◽  
Media Exposure ◽  
Demographic And Health Survey ◽  
Multilevel Logistic Regression ◽  
Nested Models ◽  
Khat Chewing

Abstract Background Alcohol is a psychoactive substance that is widely consumed in the world. Alcohol use is one of the world’s leading risk factors for disease and disability. It affects individuals’ physical, mental, economic, and social issues. To our knowledge, there is limited study on alcohol consumption and associated factors. Therefore, this study aimed to determine the prevalence and predictors of alcohol use in Ethiopia by using the 2016 Ethiopian Demographic and Health Survey. Methods This study was based on the most recent Ethiopian Demographic and Health Survey 2016. A total of 12,594 men at the age of 15 to 59 were included in this study. Considering the hierarchical nature of EDHS data, a multilevel logistic regression model was applied. The ICC, MOR, and the LR test were done to assess the presence of a significant clustering effect. Besides, deviance was used for model comparison since the models were nested models. Variables with a p value ≤ 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multilevel logistic regression, the adjusted odds ratio (AOR) with 95% confidence interval (CI) was reported to declare the strength and significance of the association between the dependent variable and independent variables. Results The prevalence of alcohol drinking in this study was 46.64% with a 95% CI of 45.00 to 47.00%. Age groups 30–44 (AOR = 1.30, 95% CI 1.08, 1.56) and 45–59 (AOR = 1.38, 95% CI 1.10, 1.74), Orthodox religion follower (AOR = 0.36, 95% CI 0.24, 0.55), media exposure (AOR = 1.67, 95% CI 1.41, 2.20), khat chewing (AOR = 3.08, 95% CI 2.54, 3.74), smoking (AOR = 2.18, 95% CI 1.71, 2.79), having no occupation (AOR = 0.34, 95% CI 0.22, 0.51), and region were the predictors of alcohol use in Ethiopia. Conclusions Nearly half of the Ethiopian population reported alcohol use at least once in their lifetime. Old age, Orthodox religion followers, media exposure, khat chewing, smoking, and having no occupation were predictors of alcohol use in Ethiopia. Therefore, health education about the risk of alcohol used is highly recommended. In addition, khat chewing and smoking control mechanisms should be designed and given special attention. Advertising alcohol through media is better to be controlled. Job opportunities should also be created for those who have no occupation to mitigate alcohol use in Ethiopia.

scholarly journals Does Antenatal Care Translate into Skilled Birth Attendance? Analysis of 2014 Ghana Demographic and Health Survey

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Linus Baatiema ◽  
Edward Kwabena Ameyaw ◽  
Aliu Moomin ◽  
Mukaila Mumuni Zankawah ◽  
Doris Koramah
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Health Survey ◽  
Tertiary Education ◽  
Binary Logistic Regression ◽  
Skilled Birth Attendance ◽  
Demographic And Health Survey ◽  
Rural Setting ◽  
Binary Logistic Regression Analysis ◽  
Birth Attendance

Background. Despite the high antenatal care attendance rate in Ghana, skilled birth attendance is relatively low. There is limited evidence on whether antenatal care attendance translates into skilled birth attendance in the Ghanaian research discourse. This study investigates whether antenatal care attendance translates into skilled birth. Methods. We extracted data from the 2014 Ghana Demographic and Health Survey. Data were analysed using descriptive and binary logistic regression analyses at 5% confidence interval. Results. The descriptive findings indicated a vast variation between antenatal care attendance and skilled birth attendance. Skilled birth attendance was consistently low across almost all sociodemographic characteristics as compared to antenatal care attendance. The binary logistic regression analysis however indicated higher inclination toward skilled birth attendance among women who had at least four antenatal care visits [OR=5.87, CI=4.86-7.08]. The category of women noted to have higher tendencies of skilled birth attendance was those with higher/tertiary education [OR=9.13, CI=2.19-37.93], the rich [OR=4.27, CI=3.02-6.06], urban residents [OR=2.35, CI=1.88-2.93], women with maximum of four children [OR=1.36, CI=1.08-1.72], and those using modern contraceptives [OR=1.24, CI=1.03-1.50]. Conclusion. We recommend that interventions to enhance skilled birth attendance must target women who do not achieve at least four antenatal visits, those with low wealth standing, those not using contraceptives, and women without formal education. Again, an in-depth qualitative study is envisaged to deepen the understanding of these dynamics in the rural setting.

scholarly journals Magnitude and Associated Factors of Antenatal Care Utilization in Western Regions of Ethiopia: A study Based on Demographic and Health Survey Data

2021 ◽  
pp. 23-29
Author(s):  
Mekonin Abera Negeri
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Survey Data ◽  
Health Survey ◽  
Associated Factors ◽  
Maternal Education ◽  
Demographic And Health Survey ◽  
Multiple Logistic Regression ◽  
Health Survey Data ◽  
To Receive

Antenatal care (ANC) service is used to ensure the best health conditions for both mother and baby during pregnancy. There are marked disparities in the utilization of ANC utilization among regions of Ethiopia. Hence, this study was intended to analyze the magnitude and associated factors of ANC utilization in Western Regions of Ethiopia. The study was conducted based on 2019 Ethiopian Mini Demographic and Health Survey data. A total of 1200 women representing the three regions (Oromiya, Benishangul Gumuz and Gambela), who gave birth two years preceding the survey were included and the analysis was done by SPSS version 20. Multiple logistic regression was used to assess the net effect of associated factors of ANC utilization. Among the studied participants, 39.9%, 51.0% and 27.8%of women in Oromiya, Benishangul Gumuz and Gambela regions, respectively, received a minimum of four ANC visits from the skilled health personnel. The result from multiple logistic regression depicted that age in 5- year group, region, place of residence, maternal education and wealth index were significantly associated with the utilization of ANC service. The utilization of ANC service was higher among young women than old women while women in Benishangul Gumuz were more likely to receive ANC service than women in Gambela region. Better education attainment increases the likelihood of receiving ANC service from the skilled personnel. Urban women as well as rich women were more likely to receive ANC service than their respective rural and poor counterparts in the studied regions. Providing awareness creation on ANC utilization for women of fertile age is a best instrument to minimize maternal and child mortality.

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