scholarly journals Determinants of Change in Fertility among Women in Rural Areas of Uganda

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Paulino Ariho ◽  
Abel Nzabona

Fertility among rural women in Uganda continues to decline. Studies on fertility in Uganda have focused on the overall fertility in the country. In this study, we focus on determinants of change in fertility among rural women in Uganda using a multivariate Poisson decomposition technique to quantify the contribution of changes in the socioeconomic and demographic composition of women which we also refer to as the characteristic effects and changes in their fertility behavior (the coefficients’ effects or risk of childbearing) to the overall reduction in fertility among women in rural areas during the 2006–2016 period. The “characteristics effects” are used to mean the effect of changing composition of women by the socioeconomic and demographic characteristics between 2006 and 2016. On the other hand, fertility behavior also presented as coefficients’ effects mean changes in the risk or likelihood of giving birth to children by the rural women between the two survey years. Our findings indicate that the mean number of children ever born (MCEB) reduced from 4.5 to 3.9 in 2006 and this reduction was associated with both the changes in composition of women and fertility behavior. The composition of women contributed to 42% while the fertility behavior contributed to 58% of the observed reduction. The education level attained and the age at first sex showed significant contributions on both components of the decomposition. The observed decline in fertility is largely associated with the variation in the risk of childbearing among the rural women. The variation in the risk of childbearing by education and age at first sex of the rural women showed to be the biggest contribution to the observed change in fertility. Continued improvements in access, attendance, and completion of secondary schools by women in rural areas will be the key drivers to Uganda’s overall transition to low fertility. Furthermore, with improved access to mass media in the rural areas, there can be changes in attitudes and large family size preferences which can create a conducive environment for the utilization of family planning services in the rural communities. Efforts should therefore focus on applying appropriate methods to deliver packaged family planning messages to these communities.

Populasi ◽  
2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Pieter J. Soumokil

It has been argued by many demographers that socio economic development with its associated fundamental changes in the role of women and the value of children is the dominant factor in the transition from high to low fertility. Research in less developed countries has found lower fertility levels in urban population compared to rural population. It was therefore assumed that the modernizing role of urbanlife helped bring about a decline infertility levels.This study in Irian Jaya, however, convincingly shows that fertility of urban women in Irian Jaya is higher than that of rural women. This differential infertility in favour of urban women in Irian Jaya appears to be real and not a result of underreporting of total live births in rural areas.The reasons for lower fertility in the rural areas in IrianJaya remain unknown, and more research is therefore needed. However, this study strongly suggests that the traditional system of swidden agricultyure in Irian Jaya, which places a highvalue on the labour input of women, may play a major role in constraining fertility in rural area of this province. On the other hand, high fertility in urban areas takes place because urbanwomen have their first birth earlier thanwomen inthe rural areas.


Populasi ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Helly Prajitno Soetjipto ◽  
Sukamdi Sukamdi

This study is intended to pursue the previous attempts in examining the relationship between low fertility regime and the case of births which had been delivered unintendedly in Yogyakarta. Using an unweighted sample of 575 married women in the Indonesian Demographic and Health Survey 1991, this study found that 75 cases out of 474 last birth children were bom unintendedly (beyond the range of ideal number of children). Most of the 75 cases were bom by women who have 2 or 3 ideal number of children and by a devoted Family Planning acceptors. Most of the women have limited accesses in education and economic activities. The case of unwantednes were found predominantly among women older than 25 years. Even though only a tentative findings, this study shed some light to the fact that Family Planning program to some extent may contribute to the rate of unwantedness. Apolicy is needed especially in reducing the risk of unwantedness among the low-income women.


2020 ◽  
Vol 56 ◽  
pp. 17-25
Author(s):  
Rea Daellenbach ◽  
Lorna Davies ◽  
Mary Kensington ◽  
Susan Crowther ◽  
Andrea Gilkison ◽  
...  

Background: The sustainability of rural maternity services is threatened by underfunding, insufficient resourcing and challenges with recruitment and retention of midwives. Aims: The broader aim of this study was to gain knowledge to inform the optimisation of equitable and sustainable maternity care for rural communities within New Zealand and Scotland, through eliciting the views of rural midwives about their working conditions and practice. This article focuses on the New Zealand midwives’ responses. Method: Invitations to participate in an online questionnaire were sent out to midwives working in rural areas. Subsequently, themes from the survey results were followed up for more in-depth discussion in confidential, online group forums. 145 New Zealand midwives responded to the survey and 12 took part in the forums. Findings: The New Zealand rural midwives who participated in this study outlined that they are attracted to, and sustained in, rural practice by their sense of connectedness to the countryside and rural communities, and that they need to be uniquely skilled for rural practice. Rural midwives, and the women they provide care to, frequently experience long travel times and distances which are economically costly. Adverse weather conditions, occasional lack of cell phone coverage and variable access to emergency transport are other factors that need to be taken into account in rural midwifery practice. Additionally, many participants noted challenges at the rural/urban interface in relation to referral or transfer of care of a woman and/or a baby. Strategies identified that support rural midwives in New Zealand include: locum and mentoring services, networking with other health professionals, support from social services and community service providers, developing supportive relationships with other rural midwives and providing rural placements for student midwives. Conclusion: Midwives face economic, topographic, meteorological and workforce challenges in providing a service for rural women. However, midwives draw strength through their respect of the women, and the support of their midwifery colleagues and other health professionals in their community.


2013 ◽  
Vol 20 (Number 1) ◽  
pp. 40-51
Author(s):  
F Alam ◽  
B U Khan ◽  
M Shakil ◽  
MS Laskar

Violence against women is a common and menacing phenomenon in Bangladesh-and domestic violence is the most common form which includes pushing, shaking or throwing of any objects, slapping, punching with fist or something harmful, kicking or dragging, trying of choke or burn, threatening with knife/gun or other weapon, twisting arm or pulling hair. In the study mean age of the respondents were 30.66 (±8.904) and 62.5% respondents lived in Rural areas where higher prevalence of abuse has been observed. The reasons mentioned through out the country for abuse were inconsequential and included failure to perform household work and care of children, economic problems, food crisis, refusal to bring dowry, disobeying husband/elder, unemployment status of husband, suspected case of infidelity etc. Factors influencing domestic violence were lack of education both in respondents or their spouse, lack of exposure to magazine or source of information, current married, large number of children ever born etc. The majority of abused women remained silent about their experience because of the high acceptance of violence within society, only a few shared the matter with neighbor, father/mother or other relatives. A very small proportion of women approached institutional sources for help. Interestingly, violence increased with membership of women in any non government organization or mother club or relating to any income generating process. It is furthermore disgraceful to find that the women with lower body mass index are the higher group of population who are the high-flying victims of violence. In rural or urban Bangladesh, women's physical, mental, social and economic circumstances may influence their risk of domestic violence in multifaceted and paradoxical ways. Therefore findings suggest discussing policy propositions to overcome current realities.


1997 ◽  
Vol 77 (3) ◽  
pp. 345-357 ◽  
Author(s):  
Claudia P. Sanchez-Castillo ◽  
David Grubb ◽  
Maria De Lourdes Solano ◽  
Michael F. Franklin ◽  
W. Philip T. James

A study was performed in a rural Mexican community and in Mexico City to investigate possible differences in non-starch polysaccharide (NSP) intakes. One hundred and fourteen women (fifty-five rural and fitty-nine urban) and forty-three men (twenty-four rural and nineteen urban) completed 24 h recall questionnaires for three consecutive days with NSP intakes being estimated from a specially prepared set of new food composition tables. Potential underestimation of intakes was assessed by estimating individual BMR and dividing the estimated energy intakes by BMR to give a ratio. Excluding severe underrecording (ratio < 1·01) suggested NSP intakes of 21·8 and 17·3 g/d in rural men and women and 17·7 and 15·6 g/d in urban men and women respectively. NSP sources differed, with a marked fall in intake from pulses in the urban areas but a compensatory increase of tortilla intakes and a rise in NSP-rich fruit consumption. Both soluble- and insoluble-NSP intakes were higher in rural areas. NSP intakes scaled by probable energy intakes of moderately active adults in developing countries suggest that NSP intakes in Mexico are similar to adjusted values in Africa, i.e. 26·9 g/d in Mexico v. 28·5 g/d in Africa in rural men and 22·9 v. 21·0 g/d respectively in rural women. The NSP: energy density ratio (g/MJ) of the rural diet conformed with the World Health Organization (1990) goal. Data available on urban and rural communities for three countries showed that in each case the intake of NSP was lowest in the urban community.


Author(s):  
Keshav Raj Dhakal

 This paper highlights on fertility behavior of Bote women by calculating the mean children ever born (CEB) focusing the case of Chitawan district. Fertility behavior helps to know about the factors that influence on child birth and indirectly to control population growth. Relevant data were obtained from both primary and secondary sources. Primary data were collected through interview and field observation. For this, a total of 48 newly married women of Bote community between the age of 15 and 49 years were purposefully selected and interviewed. The study showed that the average number of children ever born in the study area is found 2.64. In recent years, mean CEB has been increasing in this community with the increase in age of marriage and education. The CEB also varies by types of occupation. Women involved in diversified occupations have lower fertility rate as compared to women involved in non-diversified traditional occupations. Nowadays, with the increase in level of education, number of women using contraceptive has been increasing. However, still a large section of fertile aged women do not use such birth controlling measures. Awareness programs/campaigns for increasing education and use of contraceptives and income generating activities further help to improve the situation.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Joshua O. Akinyemi ◽  
Clifford O. Odimegwu

Abstract Background Reduction in ideal number of children has been suggested as a necessary precursor for fertility decline especially in high fertility countries of Western and Central Africa. In this study, we explored the social contexts of fertility desires by documenting the effects of individual, household as well as contextual characteristics among young men and women in Nigeria. Methods Data source was the male and female recode file of 2018 Nigeria Demographic and Health Survey. Analytical sample comprised 2674 males and 9637 females aged 15–24 years. The main outcome variable was desire for large family size (DLFS) defined as ideal number of children greater than four. Analysis involved use of descriptive statistics and random-effect logit models fitted in four stages. Results DLFS was 71% among young men and 53% in women. Individual-level factors associated with DLFS among men includes Islam religion (OR = 3.95, CI 2.68–5.83), household size (OR = 1.05) and richer (OR = 0.47, CI 0.29–0.75) or richest wealth index (OR = 0.28, CI 0.16–0.75). Geo-political region and high level of negative attitude to family planning (OR = 1.72, CI 1.23–2.40) were the main contextual factors associated with DLFS. For women, individual-level correlates were education, religion, ethnicity, marital status, household size, and wealth index. Contextual factors include geo-political region, community education (OR = 0.68, CI 0.52–0.89), child mortality experience (OR = 1.29, CI 1.11–1.51) and negative attitude to family planning (OR = 1.36, CI 1.13–1.65). The influence of religion, household wealth and attitude to family planning differ between young men and women. Conclusion Active communication and programmatic interventions are needed so that desire for large family size by young men and women do not become a clog for fertility transition in Nigeria.


1970 ◽  
Vol 2 (2) ◽  
pp. 49-54 ◽  
Author(s):  
Amir Mohammad Sayem ◽  
Housne Ara Begum

Contraceptive prevalence rate (CPR) is lower while the fertility is higher among rural married women aged 15-29 in Bangladesh. Thus, this comparative study attempted to identify the socioeconomic and cultural determinants of contraceptive use in different rural settings. In this primary data based cross sectional study, a semi-structured questionnaire was applied to women aged 15-29 years in two rural areas who had at least one live birth on/before 20 December, 2006. The study areas were identified by multi-stage random sampling technique. Results showed that CPR was slightly higher in Dariadaulat (43.4%) than that of Chardigoldi union (41.6%) while the mean duration of use was slightly higher in Chardigoldi compared to Dariadaulat (5.04 v. 4.59 mo). Regression model for Dariadaulat (38.7% with P<0.001) better explained the use of contraception than that of Chardigoldi (30.0% with P<0.001). Among the determinants in Dariadaulat the most explanatory variable was mass media exposure (15.8%) while it was desired number of children in Chardigoldi (12.6%). Among others, joint decision of using contraception, familiarity with contraceptives before marriage, desired number of children, electricity, family interference and family size were found to have significant impact in Dariadaulat. On the other hand, the other explanatory variables in Chardigoldi were joint decision of using contraception, family interference and familiarity with contraceptives before marriage and age at present. It may be concluded that the CPR is markedly low in rural communities. The lack of accessibility to mass media, lack of joint decision with husband, premarital unawareness regarding contraceptive use, lack of post-marital planning and family interference are major contributory factors for the low CPR in the study population. Ibrahim Med. Coll. J. 2008; 2(2): 49-54 Key Words: Determinants, contraceptive use, marriage, first live birth, rural women   doi: 10.3329/imcj.v2i2.2937


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e044060
Author(s):  
Adugnaw Zeleke Alem ◽  
Chilot Desta Agegnehu

ObjectiveThis study was aimed to assess the magnitude and associated factors of unmet need for family planning among rural women in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsReproductive age group women.Primary outcomeUnmet need for family planning.MethodsThis study drew data from Ethiopian Demographic and Health Survey, which was conducted from 18 January to 27 June 2016. A total of 8327 rural reproductive-aged (15–49 years) women were included. A two-level multivariable logistic regression model was carried out to identify individual and community-level factors associated with unmet need for family planning. Adjusted OR (AOR) with a 95% CI was used to assess the strength of association between independent and dependent variables.ResultsThe overall unmet need for family planning among rural women was 24.08% (95% CI 23.17 to 25.01), of which 14.79% was for spacing and 9.29% for limiting. Number of children (AOR=1.15; 95% CI 1.07 to 1.24) and working status of women (AOR=1.18; 95% CI 1.02 to 1.37) were significantly associated with a higher odds of unmet need for family planning. However, women with primary education (AOR=0.87; 95% CI 0.74 to 0.94), women married at age 18 or later (AOR=0.82; 95% CI 0.70 to 0.96), women from households with high wealth index (AOR=0.77; 95% CI 0.64 to 0.94), women who deem distance to a health facility as not a big problem (AOR=0.85; 95% CI 0.73 to 0.99), women from communities with a high percentage of educated women (AOR=0.73; 95% CI 0.59 to 0.89) and women who live in communities with high media exposure (AOR=0.81, 95% CI 0.68 to 0.98) were significantly associated with a lower odds of unmet needs for family planning.ConclusionUnmet need for family planning among reproductive-aged women in rural Ethiopia was high. Number of children, working status of women, women’s education, age at first marriage, household wealth, distance to a health facility, community women’s education and community media exposure were significantly associated with unmet needs for family planning. Therefore, to reduce unmet need for family planning, public health policymakers should consider both individual and community-level factors when designing FP programmes and emphasis should be given to high-risk populations.


2021 ◽  
Vol 10 (1) ◽  
pp. 7-11
Author(s):  
V. Karthihai Selvi ◽  
S. Muthupandi

The socio-economic contributions of rural-women entrepreneurs in many countries have not been properly captured in the right perspective. Consequently, the economic potentials of this category of rural dwellers have been underutilized. This empirical study highlights some salient features of these entrepreneurs and their microenterprises. Their demographic characteristics as well as motivation factors, among others, were collected from a purposive sample of one hundred- and fifty-women micro-entrepreneurs from five rural areas in Aiyedire Local government Area (LGA) of Osun state using structured questionnaires. The interview technique, alongside a consideration of relevant extant literatures was also utilized to increase the richness of the data obtained. The information obtained in the survey was analyzed using simple descriptive statistical tools with the support of the computer statistical software SPSS 14.0.In conclusion, the women micro-entrepreneurs make significant contributions to the socio-economic well-being of their families, the rural communities as well as the country at large. It is recommended that for such contributions to be more substantial, the entrepreneurial capabilities of these women need to be further enhanced through gender specific supports that are rural friendly.


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