scholarly journals Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

2021 ◽  
Author(s):  
Mohammad Zahidul Islam ◽  
M Mofizul Islam ◽  
Md Mostafizur Rahman ◽  
Md Nuruzzaman Khan
Keyword(s):  
Health Facility ◽  
Rural Women ◽  
Birth Interval ◽  
Wealth Quintile ◽  
World Health ◽  
Short Intervals ◽  
Live Births ◽  
Factors Associated ◽  
Modern Contraceptives ◽  
Short Birth Interval

Background: The Sustainable Development Goals target significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth interval (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate programmes to reduce these adverse consequences. This study aimed to determine the factors associated with SBI in Bangladesh. Methods: The Bangladesh Demographic and Health Survey 2017/18 and Bangladesh Health Facility Data 2017 were linked and analysed. SBI was defined as an interval between consecutive births of 33 months or less, as recommended by the World Health Organization. We used descriptive statistics to summarise characteristics of respondents and multilevel Poisson regression to assess the predictors of SBI. Results: Around 26% of live births occurred in short intervals, with a further higher prevalence among younger, uneducated, or rural women. The likelihoods of SBI were lower among women aged 20-34 years (PR, 0.14, 95% CI, 0.11-0.17) and more than or equal to 35 years (PR, 0.03, 95% CI, 0.02-0.05) as compared to the women aged 19 years or less. Women from households with the richest wealth quintile experienced lower odds of SBI (PR, 0.61, 95% CI, 0.45-0.85) compared to those from the poorest wealth quintile. The prevalences of SBI were higher among women for whom the children born from the second most pregnancies died (PR, 5.23, 95% CI, 4.18-6.55), those who were living in Chattogram (PR, 1.52, 95% CI, 1.12-2.07) or Sylhet (PR, 2.83, 95% CI, 2.08-3.86) divisions. Availability of modern contraceptives at the nearest healthcare facilities was 66% protective to the occurrence of SBI (PR, 0.34, 95% CI, 0.22-0.78). Also, the prevalence of SBI increased around 85% (PR, 1.85, 95% CI, 1.33-2.18) for every kilometer increase in the distance of nearby health facilities from homes of women. Conclusion: More than a quarter of live births in Bangladesh occurred in short intervals. This relatively high prevalence is a challenge for Bangladesh in reducing pregnancy-related adverse consequences, including maternal and child mortality. Policies and programmes are needed to increase awareness of SBI and associated adverse health outcomes and expand access to modern contraceptives.

Factors Associated with Malaria Care-Seeking for Among Children Under 5 Years of Age in Mozambique: A Secondary Analysis of the 2018 Malaria Indicator Survey

2021 ◽  
Author(s):  
Annette Cassy ◽  
Sergio Chicumbe ◽  
Abuchahama Saifodine ◽  
Rose Zulliger
Keyword(s):  
Health Facility ◽  
Secondary Analysis ◽  
Secondary Data ◽  
Wealth Quintile ◽  
Care Seeking ◽  
Older Children ◽  
Factors Associated ◽  
Malaria Indicator Survey ◽  
Weighted Analysis ◽  
Malaria Knowledge

Abstract BackgroundMozambique is ranked fourth in a list of the 29 countries that accounted for 95% of all malaria cases globally in 2019. The aim of this study was to identify factors associated with care-seeking for fever, to determine the association between knowledge about malaria and care-seeking and to describe the main reasons for not seeking care among children under five years of age in Mozambique.MethodsThis is a quantitative, observational study based on a secondary data analysis of the 2018 Malaria Indicatory Survey. This weighted analysis was based on data reported by surveyed mothers or caregivers of children aged 0-59 months who had fever in the two weeks prior to the survey.ResultsCare was reportedly sought for 69.1% [95% CI 63.5-74.2] of children aged 0-59 months old with fever. Care-seeking was significantly higher among younger children, <6 months old (AOR=2.47 [95% CI 1.14-5.31]), 6-11 months old (AOR=1.75 [95% CI 1.01-3.04]) and 12-23 months old (AOR=1.85 [95% CI 1.19-2.89]), as compared with older children (48-59 months old).In adjusted analysis, mothers from the middle (AOR=1.66 [95% CI 0.18-3.37]) and richest (AOR=3.46 [95% CI 1.26-9.49]) wealth quintiles were more likely to report having sought care for their febrile children than mothers from the poorest wealth quintile. Additionally, mothers with secondary or higher education level were more likely to seek care (AOR=2.16 [95% CI 1.19-3.93]) than mothers with no education. There was no association between maternal malaria knowledge or reported exposure to malaria messages and care-seeking behaviors.The main reasons reported for not seeking care included distance to health facility (46.3% of respondents), perception that the fever was not severe (22.4%) and the perception that treatment was not available at the health facility (15%).ConclusionHealth facility access and socioeconomic barriers continue to be important constraints on malaria service utilization in Mozambique.

scholarly journals Community And Individual Factors Associated With Maternal And Neonatal Care Practices In Low Resource Settings. A Case Of Zimbabwe

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
E. Chiwawa ◽  
M. Mhlanga ◽  
A. Munodawafa ◽  
F. Mukora-Mutseyekwa
Keyword(s):  
Neonatal Mortality ◽  
Health Facility ◽  
Breast Feeding ◽  
Newborn Care ◽  
Neonatal Care ◽  
Care Seeking ◽  
District Health ◽  
Live Births ◽  
Factors Associated ◽  
Care Practices

Neonatal mortality has been increasing in Zimbabwe from 20/1,000 live births between 2000 and 2004 to 29 /1,000 live births between 2010 and 2014.Suboptimal newborn care practices are the predisposing factors to neonatal mortality. In Manicaland Province, care seeking behaviours for fever which is the main symptom of majority of infections in children and knowledge levels of danger signs that should cause the mother to take a child immediately to a health facility remains unacceptably lower than the national averages. A cross sectional descriptive and analytic design was carried out to explore the factors associated with the practice of the recommended newborn care practices by women of child bearing age in Mutare District. Health facilities were purposively sampled and participants were systematically sampled. Structured interviews were used to collect data which was analysed in Epi-Info version 7.2. Descriptive and multivariate analysis was performed on data collected from 349 participants. Practice of the five assessed recommended newborn care practices was high. Exclusive breast feeding (62%), early initiation of Breast feeding (74%), good code care (73%), care seeking for neonatal illness within 24hrs of onset of fever (82%) and keeping baby warm was at 58%. Statistically significant independent factors associated with the recommended newborn care practices were post-natal stay for more than 72 hours at the clinic (AOR=0.56; 95%CI: 0.12-0.87, p=0.000), and delivery at the health facility (AOR=0.43; 95%CI: 0.21-0.77; p=0.000). Cultural practices that impact negatively on neonatal care in Mutare district include; asking for permission to seek treatment for the child when ill, feeding the baby immediately after delivery and applying substances and mixed traditional herbs on the cord stump of the newborn. Improving newborn care outcomes require approaches addressing demand and supply factors to reach communities with correct information on good newborn care.

scholarly journals Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Neima Endris ◽  
Henok Asefa ◽  
Lamessa Dube
Keyword(s):  
Nutritional Status ◽  
Birth Interval ◽  
Composite Index ◽  
Public Health Problem ◽  
Rural Children ◽  
Wealth Status ◽  
Factors Associated ◽  
Rural Ethiopia ◽  
Short Birth Interval ◽  
Nutritional Status Of Children

Background. Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0–59 months in rural Ethiopia. Methods. Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. Result. The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. Conclusion. The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished.

scholarly journals Factors associated with short birth interval in low- and middle-income countries: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Juan Pimentel ◽  
Umaira Ansari ◽  
Khalid Omer ◽  
Yagana Gidado ◽  
Muhd Chadi Baba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Birth Interval ◽  
Middle Income ◽  
Factors Associated ◽  
Middle Income Countries ◽  
Short Birth Interval ◽  
Low And Middle Income

scholarly journals What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Kwamena Sekyi Dickson ◽  
Kenneth Setorwu Adde ◽  
Hubert Amu
Keyword(s):  
Health Facility ◽  
Rural Women ◽  
Rural Areas ◽  
Maternal Education ◽  
Wealth Quintile ◽  
Empirical Literature ◽  
Ecological Zone ◽  
Wealth Status ◽  
Place Of Delivery ◽  
Rural Ghana

Background. There is a paucity of empirical literature in Ghana on rural areas and their utilisation of health facilities. The study examined the effects of the sociodemographics of rural women on place of delivery in the country. Methods. The paper made use of data from the 2014 Ghana Demographic and Health Survey. Women from rural areas who had given birth within five years prior to the survey were included in the analysis. Descriptive analyses and binary logistic regression were used to analyse the data. Results. Wealth, maternal education, ecological zone, getting money for treatment, ethnicity, partner’s education, parity, and distance to a health facility were found as the determinants of place of delivery among women in rural Ghana. Women in the richest wealth quintile were three times (OR = 3.04, 95% CI = 0.35–26.4) more likely to deliver at a health facility than the poorest women. Conclusions. It behoves the relevant stakeholders including the Ghana Health Service and the Ministry of Health to pay attention to the wealth status, maternal education, ecological zone, ethnicity, partner’s education, parity, and distance in their planning regarding delivery care in rural Ghana.

scholarly journals Factors associated with health facility utilization during childbirth among 15 to 49-year-old women in Uganda: evidence from the Uganda demographic health survey 2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Quraish Sserwanja ◽  
David Mukunya ◽  
Milton W. Musaba ◽  
Joseph Kawuki ◽  
Freddy Eric Kitutu
Keyword(s):  
Mass Media ◽  
Health Facility ◽  
Health Survey ◽  
Low Income ◽  
Tertiary Education ◽  
Wealth Quintile ◽  
Northern Region ◽  
Health Facilities ◽  
Low Income Countries ◽  
Factors Associated

Abstract Background Almost all maternal deaths and related morbidities occur in low-income countries. Childbirth supervised by a skilled provider in a health facility is a key intervention to prevent maternal and perinatal morbidity and mortality. Our study aimed to establish the factors associated with health facility utilization during childbirth in Uganda. Methods We used the Uganda Demographic and Health Survey 2016 data of 10,152 women aged 15 to 49 years. The study focused on their most recent live birth in 5 years preceding the survey. We applied multistage stratified sampling to select study participants and we conducted multivariable logistic regression to establish the factors associated with health facility utilization during childbirth, using SPSS (version 25). Results The proportion of women who gave birth at a health facility was 76.6% (7780/10,152: (95% confidence interval, CI, 75.8–77.5). The odds of women aged 15–19 years giving birth at health facilities were twice as those of women aged 40 to 49 years (adjusted odds ratio, AOR = 2.29; 95% CI: 1.71–3.07). Residing in urban areas and attending antenatal care (ANC) were associated with health facility use. The odds of women in the northern region of Uganda using health facilities were three times of those of women in the central region (AOR = 3.13; 95% CI: 2.15–4.56). Women with tertiary education (AOR = 4.96; 95% CI: 2.71–9.11) and those in the richest wealth quintile (AOR = 4.55; 95% CI: 3.27–6.32) had higher odds of using a health facility during child birth as compared to those with no education and those in the poorest wealth quintile, respectively. Muslims, Baganda, women exposed to mass media and having no problem with distance to health facility had higher odds of utilizing health facilities during childbirth as compared to Catholic, non Baganda, women not exposed to mass media and those having challenges with distance to access healthcare. Conclusion Health facility utilization during childbirth was high and it was associated with decreasing age, increasing level of education and wealth index, urban residence, Northern region of Uganda, ANC attendance, exposure to mass media, tribe, religion and distance to the nearby health facility. We recommend that interventions to promote health facility childbirths in Uganda target the poor, less educated, and older women especially those residing in rural areas with less exposure to mass media.

scholarly journals Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Francis Appiah ◽  
Eugene Budu ◽  
Collins Adu ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Young Women ◽  
Contraceptive Use ◽  
Wealth Quintile ◽  
Mixed Effects ◽  
Community Level ◽  
Modern Contraceptive ◽  
Factors Associated ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

Abstract Background Unintended pregnancy constitutes a significant public health challenge in sub-Saharan Africa and particularly among young people, who are more likely to closely space births and experience adverse obstetric outcomes. Studies on modern contraceptive use have mostly focused on women of reproductive age in general with limited attention to factors associated with modern contraceptive use among adolescents and young women (aged 15–24) in Mali. We examined the individual and community-level factors associated with modern contraceptive use among this age cohort using the 2018 Mali demographic and health survey data. Methods We analyzed data from 2639 adolescent girls and young women, and our outcome of interest was current use of modern contraceptives. We performed descriptive analysis using frequencies and percentages and inferential analysis using mixed-effects multilevel logistic regression. The results of the mixed-effects multilevel logistic regression were presented as adjusted odds ratios with their corresponding 95% confidence intervals. Results The prevalence of modern contraceptive use among adolescent girls and young women in Mali was 17.1% [95% CI, 15–19%]. Adolescent girls and young women who were married [aOR = 0.20, CI = 0.09–0.41], had no formal education [aOR = 0.43, CI = 0.32–0.59], in the poorest wealth quintile [aOR = 0.38, CI = 0.19–0.79] and had no children [aOR = 0.38, CI = 0.27–0.53] were less likely to use modern contraceptives. Similarly, those who had low knowledge of modern contraception [aOR = 0.60, CI = 0.42–0.85] and whose ideal number of children was six or more [aOR = 0.66, CI = 0.43–0.99] were less likely to use modern contraceptives. However, those with four or more births were more likely to use modern contraceptives [aOR = 1.85, CI = 1.24–2.77]. Conclusion Modern contraceptive use among adolescent girls and young women in Mali has improved slightly relative to the prevalence of 2012, though the prevalence is still low, compared to the prevalence in other sub-Saharan African countries and the prevalence globally. Individual-level factors such as marital status, educational level, wealth quintile, parity, ethnicity and ideal number of children were associated with the use of modern contraceptive among adolescent girls and young women in Mali. Community knowledge of modern contraceptives was found as a community-level factor associated with modern contraceptive use among adolescent girls and young women. Therefore, Mali’s Ministry of Health and Public Hygiene's Health Promotion and Education unit should prioritise and intensify contraceptive education to increase coverage of modern contraceptive use and address disparities in the use of modern contraceptives. Such education should be done, taking into consideration factors at the individual and community-level of the target population.

scholarly journals Determinants of comprehensive knowledge of HIV/AIDS among women of the reproductive age (15-49) in Uganda

2017 ◽  
Vol 4 (10) ◽  
pp. 3530 ◽  
Author(s):  
Diana Ankunda ◽  
John Bosco Asiimwe
Keyword(s):  
Rural Women ◽  
Hiv Transmission ◽  
Hiv Infections ◽  
Wealth Quintile ◽  
Unprotected Sex ◽  
Reproductive Age ◽  
Factors Associated ◽  
Comprehensive Knowledge ◽  
High Knowledge ◽  
Hiv Women

Background: Globally, HIV is the leading cause of death among women of the reproductive age and unprotected sex is the main driver of HIV transmission. Lack of accurate and complete knowledge is one of the major causes of increase in the number of new HIV infections among women in Africa. This study was aimed at finding out factors associated with comprehensive knowledge among women in the reproductive age group of 15-49 years in Uganda. Methods: Data used was drawn from 2011 Uganda Demographic Health Survey (UDHS). Logistic regression model was used for analysis. Results: Only (38%) of the respondents had comprehensive knowledge of HIV. Women in lower wealth quintile had less comprehensive knowledge compared to those in the highest quintile (OR=1.28). The study also found out that the older women aged 45-49 were more knowledgeable to HIV (OR=1.46) than young ones. Women who had access to radio were associated with increased odds (OR=1.11) of high knowledge on HIV than those without. High knowledge to HIV was also associated with women who had ever tested for HIV (OR=1.20) and also increased with level of education (OR=1.63 for primary and OR=3.6 for secondary). Conclusions: Factors associated with comprehensive knowledge on HIV include: age of the woman, residence, education level, access to information and HIV response to testing. Programs designed should target young women below 19 years of age, rural women, poor women and uneducated women. Increasing campaigns to encourage more women to have HIV tests and messages using radios will increase comprehensive knowledge. 

scholarly journals Factors associated with changes in adequate antenatal care visits among pregnant women aged 15-49 years in Tanzania from 2004 to 2016.

2020 ◽  
Author(s):  
ELIZABETH KASAGAMA ◽  
Jim Todd ◽  
Jenny Renju
Keyword(s):  
Population Structure ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Decomposition Analysis ◽  
Secondary Data ◽  
Wealth Quintile ◽  
First Trimester ◽  
World Health ◽  
Continuous Variables ◽  
Factors Associated

Abstract Background: Antenatal care (ANC) is crucial for the health of the mother and the unborn child as it delivers highly–effective health interventions that can prevent maternal and newborn deaths and morbidity. In 2002, the World Health Organization (WHO) recommended a minimum of four ANC visits for a pregnant woman with a positive pregnancy during the entire gestational period. Tanzania has sub-optimal adequate (four or more) ANC visits and the trend has been fluctuating over time. An understanding on the factors that have been contributing to the fluctuating trend over years is crucial in increasing the proportions of pregnant women attaining adequate ANC visits in Tanzania.Methods: The study used secondary data from Tanzania Demographic Health Survey (TDHS) from 2004 to 2016. The study included 17976 women aged 15-49 years. Data were analyzed using stata version 13. Categorical and continuous variables were summarized using descriptive statistics and using the weighted proportions. A Poisson regression analysis was done to determine factors associated with adequate antenatal. A multivariable Poisson decomposition analysis was done to determine factors associated with changes in adequate ANC visits among pregnant women in Tanzania from 2004 to 2016.Results: The overall proportion of women who had adequate ANC visits in 2004/05, 2010 and 2015/16 was 62%, 43% and 51% respectively. The identified determinants of adequate ANC visits were: early ANC initiation, zones, having more than one child, being aged 20 years and above, wanting pregnancy later, belonging to a richer and richest wealth quintile, having secondary and higher education, reporting distance to health facility not a big problem and watching TV at least once per week. Comparing 2004/05 and 2010 surveys, changes in the population structure contributed 4.2% of changes in adequate antenatal care visits while changes in coefficients contributed 95.8% of the changes. Also, comparing 2015/16 to 2010 surveys, changes in population structure and coefficients contributed 66.2% and 33.8% respectively. Conclusion: Early ANC initiation has greatly contributed to increased proportion of pregnant women who attain four or more ANC visits overtime. More effort should focus on pregnant women to initiate ANC in the first trimester in order to increase proportion of women with adequate ANC visit.

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