Continuity of maternal healthcare services utilisation in Indonesia: analysis of determinants from the Indonesia Demographic and Health Survey

ObjectiveWHO recommends that every pregnant woman and newborn receive quality care throughout the pregnancy, delivery and postnatal periods. However, Maternal Mortality Ratio in Indonesia for 2015 reached 305 per 100 000 live births, which exceeds the target of Sustainable Development Goals (<70 per 100 000 live births). Receiving at least four times antenatal care (ANC4+) and skilled birth attendant (SBA) during childbirth is crucial for preventing maternal and neonatal deaths. The study aims to assess the determinants of ANC4 +and SBA independently, evaluate the distribution of utilisation of ANC4 + and SBA services, and further investigate the associations of two levels of continuity of services utilisation in IndonesiaDesignData from the Indonesia Demographic and Health Survey, a cross-sectional and large-scale national survey conducted in 2017 were used.SettingThis study was set in Indonesia.ParticipantsThe study involved ever-married women of reproductive age (15–49 years) and had given birth in the last 5 years prior to the survey (n=15 288). The dependent variables are the use of ANC4 + and SBA. Individual, family and community factors, such as age, age at first birth, level of education, employment status, parity, autonomy in healthcare decision-making, level of education, employment status of spouses, household income, mass media consumption residence and distance from health facilities were also measured.ResultsResults showed that 11 632 (76.1%) women received ANC4 + and SBA during childbirth. Multivariate analysis revealed that age, age at first birth, and parity have a statistically significant association with continuity of services utilisation. The odds of using continuity of services were higher among women older than 34 years (adjusted OR (aOR) 1.54; 95% CI 1.31 to 1.80) compared with women aged 15–24 years. Women with a favourable distance from health facilities were more likely to receive continuity of services utilisation (aOR 1.39; 95% CI 1.24 to 1.57).ConclusionsThe continuity of services utilisation is associated with age, reproductive status, family influence and accessibility-related factors. Findings demonstrated the importance of enhancing early reproductive health education for men and women. The health system reinforcement, community empowerment and multisectoral engagement enhance accessibility to health facilities, reduce financial and geographical barriers, and produce strong quality care.

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Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2588-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Farhana Hasan ◽

Md. Mesbahul Alam ◽

Md. Golam Hossain

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Health Survey ◽

Married Women ◽

Demographic And Health Survey ◽

Reproductive Age ◽

Stepwise Logistic Regression ◽

Age At First Birth ◽

Individual Contribution ◽

First Birth

Abstract Background Caesarean section (CS) delivery has a significant effect on maternal and neonatal health especially in a developing country like Bangladesh. The aim of the study was to determine the risk factors and their individual contribution to CS delivery among Bangladeshi married women in reproductive age. Methods The cross sectional secondary data was used in this study. Data was extracted from Bangladesh Demographic and Health Survey (BDHS), 2014 dataset. BDHS-2014 collected data from all over Bangladesh. Stepwise logistic regression analysis and population attributable fractions (PAF) were utilized in this study. Results A total number of 4422 married Bangladeshi women having at least one child (age ≤ 5 years) were considered in this study. The prevalence of CS delivery among Bangladeshi women was 23.94%. The stepwise logistic regression model showed that location (division), type of residence, education of respondent and her husband, working status, age at first birth, number of children, wealth index and baby’s birth weight were most important predictors of CS delivery among Bangladeshi mothers. PAF demonstrated that overweight or obese women had highest contribution (23.36%) among the risk factors of CS delivery, followed by age at first birth (age > 20 years) (18.97%), highest wealth quintile (17.39%), higher education (15.93%), living in urban environment (14.39%), having lower number of ever born children (1–2 children) (13.58%), living in Dhaka division (12.11%), delivering large size of child at birth (11.13%) and housewife (6.55%). Conclusions In the present study, we have identified the important risk factors and their individual contribution to CS delivery in Bangladesh. Consequently, these factors can be considered for reducing the rate of CS delivery in Bangladesh.

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Factors associated with female genital mutilation among women of reproductive age and girls aged 0–14 in Chad: a mixed-effects multilevel analysis of the 2014–2015 Chad demographic and health survey data

BMC Public Health ◽

10.1186/s12889-021-10293-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bright Opoku Ahinkorah

Keyword(s):

Health Survey ◽

Female Genital Mutilation ◽

Employment Status ◽

Mixed Effects ◽

Demographic And Health Survey ◽

Level Of Education ◽

Genital Mutilation ◽

Factors Associated ◽

Women And Girls ◽

Female Genital

Abstract Background Chad is one of the African countries with high prevalence of female genital mutilation (FGM). The aim of this study was to examine the factors associated with FGM among women aged 15–49 and girls aged 0–14 in Chad. Methods Data for the study were obtained from the 2014–2015 Chad Demographic and Health Survey. FGM among women aged 15–49 and girls aged 0–14 were the outcome variables. The prevalence of FGM among women and girls were presented using percentages while a mixed-effects multilevel multivariable logistic regression analysis was carried out to assess the factors associated with FGM. The results were presented using adjusted odds ratio with associated 95% confidence intervals. Results The results indicate that more than half (50.2%) of the women and 12.9% of girls in Chad had been circumcised. Among women aged 15–49, level of education, employment status, ethnicity, religion, wealth quintile and community literacy level were significant predictors of FGM. Age, partner’s level of education, marital status, employment status, ethnicity, religion and mother’s FGM status were associated with FGM among girls aged 0–14. Conclusion This study has identified several individual and contextual factors as predictors of FGM among women and girls in Chad. The findings imply the need to adopt strategies aimed at addressing these factors in order to help eliminate the practice of FGM. Government and non-governmental organisations in Chad need to implement policies that enhance media advocacy and community dialogue to help deal with FGM in the country.

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Relationship between stunting in children 6 to 36 months of age and maternal employment status in Peru: A sub-analysis of the Peruvian Demographic and Health Survey

PLoS ONE ◽

10.1371/journal.pone.0212164 ◽

2019 ◽

Vol 14 (4) ◽

pp. e0212164 ◽

Cited By ~ 2

Author(s):

Airin Chávez-Zárate ◽

Jorge L. Maguiña ◽

Antoinette Danciana Quichiz-Lara ◽

Patricia Edith Zapata-Fajardo ◽

Percy Mayta-Tristán

Keyword(s):

Health Survey ◽

Maternal Employment ◽

Employment Status ◽

Demographic And Health Survey

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Under-Five Mortality and Associated Factors: Evidence from the Nepal Demographic and Health Survey (2001–2016)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16071241 ◽

2019 ◽

Vol 16 (7) ◽

pp. 1241

Author(s):

Pramesh Ghimire ◽

Kingsley Agho ◽

Osita Ezeh ◽

Andre Renzaho ◽

Michael Dibley ◽

...

Keyword(s):

Sustainable Development ◽

Health Survey ◽

Child Survival ◽

Common Factors ◽

Demographic And Health Survey ◽

Sustainable Development Goal ◽

Development Goal ◽

Live Births ◽

Under Five ◽

Factors Associated

Child mortality in Nepal has reduced, but the rate is still above the Sustainable Development Goal target of 20 deaths per 1000 live births. This study aimed to identify common factors associated with under-five mortality in Nepal. Survival information of 16,802 most recent singleton live births from the Nepal Demographic and Health Survey for the period (2001–2016) were utilized. Survey-based Cox proportional hazard models were used to examine factors associated with under-five mortality. Multivariable analyses revealed the most common factors associated with mortality across all age subgroups included: mothers who reported previous death of a child [adjusted hazard ratio (aHR) 17.33, 95% confidence interval (CI) 11.44, 26.26 for neonatal; aHR 13.05, 95% CI 7.19, 23.67 for post-neonatal; aHR 15.90, 95% CI 11.38, 22.22 for infant; aHR 16.98, 95% CI 6.19, 46.58 for child; and aHR 15.97, 95% CI 11.64, 21.92 for under-five mortality]; nonuse of tetanus toxoids (TT) vaccinations during pregnancy (aHR 2.28, 95% CI 1.68, 3.09 for neonatal; aHR 1.86, 95% CI 1.24, 2.79 for post-neonatal; aHR 2.44, 95% CI 1.89, 3.15 for infant; aHR 2.93, 95% CI 1.51, 5.69 for child; and aHR 2.39, 95% CI 1.89, 3.01 for under-five mortality); and nonuse of contraceptives among mothers (aHR 1.69, 95% CI 1.21, 2.37 for neonatal; aHR 2.69, 95% CI 1.67, 4.32 for post-neonatal; aHR 2.01, 95% CI 1.53, 2.64 for infant; aHR 2.47, 95% CI 1.30, 4.71 for child; and aHR 2.03, 95% CI 1.57, 2.62 for under-five mortality). Family planning intervention as well as promotion of universal coverage of at least two doses of TT vaccine are essential to help achieve child survival Sustainable Development Goal (SDG) targets of <20 under-five deaths and <12 neonatal deaths per 1000 births by the year 2030.

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Factors Associated with Duration of Breastfeeding in Bangladesh: Evidence from Bangladesh Demographic and Health Survey 2014

10.21203/rs.3.rs-48974/v2 ◽

2020 ◽

Author(s):

Ummay Ayesha ◽

ASMA Mamun ◽

Md. Abu Sayem ◽

Golam Hossain

Keyword(s):

Health Survey ◽

Mode Of Delivery ◽

Multiple Linear Regression Model ◽

Household Wealth ◽

T Test ◽

Demographic And Health Survey ◽

Reproductive Age ◽

Age At First Birth ◽

Optimum Duration ◽

Duration Of Breastfeeding

Abstract Background: Breastfeeding for optimum duration is one of the most effective ways to reduce infant morbidity and mortality and confirm expected growth and development of children. The aim of this study was to find out the effect of socio-demographic and anthropometric determinants on duration of breastfeeding among Bangladeshi mothers.Methods: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included in this study. Independent sample t-test and analysis of variance (ANOVA) were used to find the significance difference in duration of breastfeeding between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of some quantitative variables on duration of breastfeeding. Results: This study raveled that the mean and median duration of breastfeeding among Bangladeshi mothers was 18.91 (95% CI: 18.65-19.17) and 19.00 months respectively. Independent sample t-test and ANOVA showed that duration of breastfeeding among Bangladeshi mothers was significantly influenced by (i) ANC service, (ii) religion, (iii) mode of delivery, (iv) parents’ education, (v) geographical location and (vi) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, mothers’ body mass index, total number of children and mothers’ age at first birth were important predictors of duration of breastfeeding.Conclusions: Healthcare providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimum duration of breastfeeding practice in first two years of baby’s life.

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Changes in the reproduction of Vojvodina population

Zbornik Matice srpske za drustvene nauke ◽

10.2298/zmsdn0621197d ◽

2006 ◽

pp. 197-206

Author(s):

Mirjana Devedzic

Keyword(s):

Economic Situation ◽

Age At First Birth ◽

Fertility Rates ◽

First Birth ◽

Live Births ◽

Cohort Fertility

Important changes in the reproduction of Vojvodina population happened in the second half of XX century. In the end of the century, the society was ruined. A large inflow of refugees in that period, as well as a social and economic situation inappropriate for making birthgiving decisions, raised the questions like how such conditions have influenced the fertility in the population, and whether the trends have continued. This paper analyzes several fertility indicators in Vojvodina over the last five decades focusing especially on the 1990s and early 2000s, in order to explain the major tendencies and the intensity of changes. It shows changes in the number of live births, specific fertility rates, total fertility rates, cohort fertility, woman?s age at first birth, and divorce frequency.

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Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

BMC Health Services Research ◽

10.1186/s12913-020-05893-0 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Bright Opoku Ahinkorah

Keyword(s):

Health Facility ◽

Health Survey ◽

Formal Education ◽

Unplanned Pregnancy ◽

Facility Delivery ◽

Health Facilities ◽

Demographic And Health Survey ◽

Health Facility Delivery ◽

Childbearing Women ◽

At Home

Abstract Background Many childbearing women in sub-Saharan African countries like Guinea still face challenges accessing and utilizing health facility delivery services and opt to deliver at home. This study examined the non-utilization of health facility delivery and its associated factors among childbearing women in Guinea. Methods Data from the 2018 Guinea Demographic and Health Survey was used in this study. Data of 5406 childbearing women were analysed using STATA version 14.2 by employing a multilevel logistic regression approach. The results were presented using adjusted odds ratios (aOR) at 95% confidence interval (CI). Results More than three-quarters (47.6%) of childbearing women in Guinea did not deliver at health facilities. Women who had no formal education (aOR = 1.52, 95% CI = 1.09–2.12), those whose partners had no formal education (aOR = 1.25, 95% CI =1.01–1.56), those whose pregnancies were unintended (aOR = 1.40, 95% CI =1.13–1.74) and those who were Muslims (aOR = 2.87, 95% CI =1.17–7.08) were more likely to deliver at home. Furthermore, women with parity four or more (aOR = 1.78, 95% CI =1.34–2.37), those who listened to radio less than once a week (aOR = 5.05, 95% CI =1.83–13.89), those who never watched television (aOR = 1.46, 95% CI =1.12–1.91), those with poorest wealth quintile (aOR = 4.29, 95% CI =2.79–6.60), women in female-headed households (aOR = 1.38, 95% CI =1.08–1.78) and rural dwellers (aOR = 3.86, 95% CI =2.66–5.60) were more likely to deliver at home. Conclusion This study has identified low socio-economic status, inadequate exposure to media, having an unplanned pregnancy and religious disparities as key predictors of home delivery among childbearing women in Guinea. The findings call for the need to enhance advocacy and educational strategies like focus group discussions, peer teaching, mentor-mentee programmes at both national and community levels for women to encourage health facility delivery. There is also the need to improve maternal healthcare services utilization policies to promote access to health facility delivery by reducing costs and making health facilities available in communities.

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The Effect of Breastfeeding on Fertility in Bangladesh

International Quarterly of Community Health Education ◽

10.2190/8llq-ah7f-n2px-9h2f ◽

2002 ◽

Vol 21 (3) ◽

pp. 283-290

Author(s):

Ahmad Kabir ◽

Mohammad Fahimul Islam

Keyword(s):

Path Analysis ◽

Child Mortality ◽

Health Survey ◽

Demographic And Health Survey ◽

Live Births ◽

The Mean ◽

Significant Change ◽

Duration Of Breastfeeding ◽

The Relationship

This study, based on the 1996–97 Bangladesh Demographic and Health Survey, attempts to find the effect of breastfeeding on fertility. The study reveals that breastfeeding status of the mothers placed a considerable role in the determination of fertility. The mean number of live births was lower in case of mothers who gave full breastfeeding compared to others. The relationship between the duration of breastfeeding and mean number of live births was direct and negative. A significant change in the breastfeeding pattern was observed by parity and age of mothers. The path analysis suggests that the longer the duration of breastfeeding, the lower will be the incidence of child mortality, and hence the lower will be the fertility.

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HIV screening in men and women in Senegal: coverage and associated factors; analysis of the 2017 demographic and health survey

BMC Infectious Diseases ◽

10.1186/s12879-019-4717-5 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 11

Author(s):

Ndeye Aïssatou Lakhe ◽

Khardiata Diallo Mbaye ◽

Khadime Sylla ◽

Cheikh Tidiane Ndour

Keyword(s):

Mobile Phone ◽

Hiv Testing ◽

Health Survey ◽

Age Groups ◽

Wealth Quintile ◽

Household Wealth ◽

Demographic And Health Survey ◽

Sexually Active ◽

Level Of Education ◽

Factors Associated

Abstract Background Despite the adoption of the provider-initiated HIV testing strategy, the rate of HIV testing is still very low in sub-Saharan Africa. The aim of this study was to assess the factors associated with HIV testing among sexually active women and men in Senegal. Knowledge of HIV status is the gateway to antiretroviral treatment. Methods A secondary analysis of the 2017 Senegal Demographic and Health Survey (DHS) was performed, using data on sexually active women aged 15–49 and men aged 15–59. The outcome variable was the proportion of women and men who reported ever being tested for HIV in the last 12 months before the survey. Descriptive, bivariate, and multivariable logistic regression analyses were performed to identify the socio-demographic, HIV-knowledge, media exposure, and behavioral factors associated with HIV testing in Senegal. Results The study found that 61.1% (95%CI: 59.2–62.9) of women and 26.2% (95%CI: 24.2–28.3) of men were tested for HIV at the last 12 months. In multivariate analysis, among men the factors independently associated with being tested for HIV were: age groups 20–24 to 40–44 and age group 50–54; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having 2 or more lifetime sex partners and owning a mobile phone. Among women factors independently associated with HIV testing were: being in any age groups versus 15–19; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having any STI in last 12 months; fearing stigma; owning a mobile phone; and having any number of ANC visits, versus none. Conclusion Although HIV remains a public health threat, HIV testing’s prevalence is still low in Senegal, making it difficult to interrupt the transmission chain within the community and to reach the UNAIDS goal for 2020 of “90–90-90”. Innovative community-based strategies are needed to address barriers and improve access to HIV testing in Senegal, particularly for men and for the youngest and poorest populations.

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Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey

BMJ Open ◽

10.1136/bmjopen-2020-041545 ◽

2021 ◽

Vol 11 (2) ◽

pp. e041545

Author(s):

Dinah Amongin ◽

Anna Kågesten ◽

Özge Tunçalp ◽

A Nakimuli ◽

Mary Nakafeero ◽

...

Keyword(s):

Educational Attainment ◽

Adolescent Mothers ◽

Health Survey ◽

Household Wealth ◽

Demographic And Health Survey ◽

Reproductive Outcomes ◽

First Birth ◽

Birth History ◽

Adolescent Birth ◽

Number Of Births

ObjectivesTo describe the long-term socioeconomic and reproductive health outcomes of women in Uganda by adolescent birth history.DesignCross-sectional study.SettingUganda.ParticipantsWomen aged 40–49 years at the 2016 Uganda Demographic and Health Survey.Outcome measuresWe compared socioeconomic and reproductive outcomes among those with first birth <18 years versus not. Among those with a first birth <18 years, we compared those with and without repeat adolescent births (another birth <20 years). We used two-sample test for proportions, linear regression and Poisson regression.FindingsAmong the 2814 women aged 40–49 years analysed, 36.2% reported a first birth <18 years and 85.9% of these had a repeat adolescent birth. Compared with women with no birth <18 years, those with first birth <18 years were less likely to have completed primary education (16.3% vs 32.2%, p<0.001), more likely to be illiterate (55.0% vs 44.0%, p<0.001), to report challenges seeking healthcare (67.6% vs 61.8%, p=0.002) and had higher mean number of births by age 40 years (6.6 vs 5.3, p<0.001). Among women married at time of survey, those with birth <18 years had older husbands (p<0.001) who also had lower educational attainment (p<0.001). Educational attainment, household wealth score, total number of births and under-5 mortality among women with one adolescent birth were similar, and sometimes better, than among those with no birth <18 years.ConclusionsResults suggest lifelong adverse socioeconomic and reproductive outcomes among women with adolescent birth, primarily in the category with repeat adolescent birth. While our results might be birth-cohort specific, they underscore the need to support adolescent mothers to have the same possibilities to develop their potentials, by supporting school continuation and prevention of further unwanted pregnancies.

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