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 Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Ebenezer Agbaglo ◽  
Collins Adu ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Wealth Quintile ◽  
Skilled Birth Attendance ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Level Of Education ◽  
Services Utilization ◽  
Birth Attendance ◽  
Childbearing Women

Abstract Background Globally, maternal health remains a major priority. Most of maternal deaths globally occur in sub-Saharan Africa, with most of these deaths linked to lack of access to antenatal care and skilled assistance during delivery. This study assessed the determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea. Methods Data for this study were obtained from the 2018 Guinea Demographic and Health Survey (GDHS). Data of 4,917 childbearing women were considered as our analytical sample. The outcome variables for the study were utilization of antenatal care and skilled birth attendance. Analysis was carried out using chi-square tests and multivariable logistic regression. Results The results showed that women aged 15-24 (AOR=1.29, CI=1.03-1.62), women who had secondary/higher level of education (AOR=1.70, CI=1.33-2.19), and those whose partners had secondary/higher level of education (AOR=1.46, CI=1.22-1.75), women in the richest wealth quintile (AOR=5.09, CI=3.70-7.00), those with planned pregnancies (AOR=1.50, CI=1.23-1.81), Muslim women (AOR=1.65, CI=1.38-2.12), those who take healthcare decisions alone (AOR=1.53, CI=1.24-1.89), and those who listened to radio less than once a week (AOR= 1.30, CI=1.10-1.53) had higher odds of antenatal care uptake. Also, women with secondary/higher level of education (AOR=1.83, CI=1.25-2.68), those whose partners had secondary/higher level of education (AOR=1.40, CI=1.11-1.76), those in the richest wealth quintile (AOR=10.79, CI=6.64-17.51), those with planned pregnancies (AOR=1.25, CI=1.03-1.52), Christian women (AOR=4.13, CI=3.17-5.39), those living in urban areas (AOR=3.00, CI=2.29-3.94), women with one birth (AOR= 1.58, CI=1.20-2.06), those who take healthcare decisions alone (AOR=1.87, CI=1.46-2.39), those who read newspaper at least once a week (AOR= 1.19, CI=1.01-1.40), those who watched television at least once week (AOR=1.69, CI=1.30-2.19), and those in female-headed households (AOR=1.52, CI=1.20-1.92) were more likely to utilize the services of skilled birth attendants. Conclusion The study proved that various socio-economic and contextual factors influence antenatal care and skilled birth attendance in Guinea. These findings suggest the need to design community-based interventions (e.g., miniature local ANC clinics, early screening services) that prioritize women’s education and vocational training, media accessibility, especially among the poor, and those residing in rural settings. Such interventions should not ignore the influence of other socio-cultural norms that hinder the utilization of antenatal care and skilled birth attendance services in Guinea.

Medical Perspective of Childhood Marriage in Nigeria: Body of Evidence from 2013 Nigeria Demographic and Health Survey

2019 ◽  
Vol 15 (3) ◽  
pp. 188-195
Author(s):  
Audu Alayande ◽  
Bahijjatu Bello-Garko ◽  
Zubaida Abubakar ◽  
Hafsat Kagara ◽  
Islamiyat A. Nuhu
Keyword(s):  
Health Survey ◽  
Female Circumcision ◽  
Child Survival ◽  
Antenatal Clinic ◽  
Skilled Birth Attendance ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Child Marriage ◽  
Reproductive Health Services ◽  
Birth Attendance

Background: Available data from South Asia and sub-Saharan Africa indicates that 12% and 34% of girls were married at age 15years and 18years respectively. This practice of child marriage may debar countries from achieving the Sustainable Development Goals. Objective: To extract and present disaggregated indices in the 2013 Nigeria Demographic and Health Survey (NDHS) on the effect of child marriage on health. Method: This desk review study extracted disaggregated maternal and child health indices on married females aged 15-19 years from the 2013 NDHS. Results: The result showed that married females aged 15-19 years were short, thin, and least likely to receive prophylactic Vitamin A dose postpartum and deworming medication at last pregnancy. Also, while awareness for Family Planning (FP) was high, its utilization was poor at only 1.2%. Their Antenatal clinic attendance, facility delivery, skilled birth attendance at delivery and post natal service utilization were lowest. Similarly, mortality of children under 5 was highest amongst these mothers. Although violence during pregnancy was highest amongst this group, nevertheless more than 20% of them agreed that the practice of female circumcision should be continued. Conclusion: These findings depict some of the negative outcomes of child marriage on maternal and child survival which require integrated multisectoral interventions to ensure that all girls have access to timely sexual reproductive health services and information.</P>

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.

scholarly journals Prevalence of malnutrition and associated risk factors among under-five children in Amhara Region, Ethiopia: evidence from 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Damitie Kebede Mengesha ◽  
Yidnekachew Merkeb
Keyword(s):  
Health Survey ◽  
Household Head ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Binary Logistic Regression Analysis ◽  
Amhara Region ◽  
Under Five ◽  
Childhood Malnutrition ◽  
Under Five Children ◽  
Associated Risk Factors

Abstract Background Childhood malnutrition is the most widely prevalent among under-five children in Amhara Region, Ethiopia. This study intended to explore the major determinants of malnutrition and its association with anemia among under-five children in Amhara Region, Ethiopia.Methods The data from the 2016 Ethiopian Demographic and Health Survey were used. A total of 977 under-five children were included in this analysis. A multivariable binary logistic regression analysis was used at a 5% level of significance to determine the individual- and community-level factors associated with childhood malnutrition. Results The prevalence of stunting, wasting, and underweight were 46.3%, 9.8%, and 28.4%, respectively. About 23.1% of children were both stunting and underweight, 7.3% were both underweight and wasting, and only 4.5% of children had all the three conditions. Among the factors considered in this study, Age of child in months, size of child at birth, mother highest education level, sex of household head, sources of drinking water, and type of toilet facility were significantly associated with malnutrition in Amhara Region. Conclusion Malnutrition among under-five children was one of the public health problems in the Amhara Region. The influence of these factors should be considered to develop strategies for reducing malnutrition in Amhara Region. Finally improving the living standards of the children is important to get better health care, to enhance the child’s nutritional status, and reduce child mortality.

scholarly journals Prevalence of undernutrition and potential risk factors among children below five years of age in Somali region, Ethiopia: evidence from 2016 Ethiopian demographic and health survey

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Damitie Kebede ◽  
Alebel Aynalem
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Potential Risk ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Binary Logistic Regression Analysis ◽  
Somali Region ◽  
Under Nutrition ◽  
Potential Risk Factors ◽  
The Impact

Abstract Background Childhood under-nutrition is far-reaching in low and middle-income nations. Undernutrition is one of the major open wellbeing concerns among newborn children and youthful children in Ethiopia. The present study aimed to explore the potential risk factors of undernutrition among children under 5 years of age in Somali Region, Ethiopia. Methods The data for this study was extricated from the Ethiopian Demographic and Health Survey (EDHS) 2016. The data collected from 1339 children born 5 years before was considered within the analysis. A multivariable binary logistic regression analysis was utilized at a 5% level of significance to decide the individual and community-level variables related to childhood malnutrition. Results The prevalence of stunting, underweight and wasting were 27.4, 28.7 and 22.7%, respectively. About 16.1% of children were both stunted and underweight; the extent of both being underweight and wasted was 11.7%, the prevalence of both stunted and wasted children was 5.5%, and all three malnutrition conditions were 4.7% children. Among the variables considered in this study, age of the child in months, type of birth, anemia level, size of child at birth, sex of the child, mothers’ BMI and sources of drinking water were significantly related to stunting, underweight and wasting in Somali Region. Conclusions The prevalence of stunting, underweight and wasting was relatively high. Undernutrition is one of the major open wellbeing concerns among children in Somali region. The impact of these variables ought to be considered to develop strategies for decreasing the lack of healthy sustenance due to undernutrition in the study areas. Hence, intercession should be centered on making strides for the under-nutrition determinant variables of the children to be solid, to improve the child’s wholesome status, and decrease child mortality quickly.

scholarly journals Prevalence of Malnutrition and Associated Risk Factors Among Children Under Five Years of age in Amhara Region, Ethiopia: Evidence from 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Damitie Kebede Mengesha ◽  
Yidnekachew Merkeb
Keyword(s):  
Health Survey ◽  
Household Head ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Binary Logistic Regression Analysis ◽  
Amhara Region ◽  
Children Under Five ◽  
Under Five ◽  
Childhood Malnutrition ◽  
Associated Risk Factors

Abstract Background: Under-nutrition is the outcome of insufficient food intake and recurrent infectious diseases. Childhood malnutrition is most widely prevalent among children under the age of five in Amhara Region, Ethiopia. This study explored the major determinants of malnutrition and its association with anemia among children under five years of age in Amhara Region, Ethiopia.Methods: Data from the 2016 Ethiopian Demographic and Health Survey (EDHS) was used. A total of 974 children under five years of age were used. A multivariable binary logistic regression analysis was used at a 5% level of significance to determine the individual- and community-level factors associated with childhood malnutrition.Results: The prevalence of stunting, wasting, and underweight were 46.3%, 9.8%, and 28.4%, respectively. About 23.1% of children were both stunting and underweight, 7.3% were both underweight and wasting, and 4.5% of children had all the three conditions. Among the factors considered in this study, Age of child in months, birth weight of the child at birth, mother’s highest education level, sex of household head, sources of drinking water, and type of toilet facility were significantly associated with malnutrition in Amhara Region.Conclusion: Malnutrition among under-five children was one of the public health problems in the Amhara Region. The influence of these factors should be considered to develop strategies for reducing malnutrition in Amhara Region. Finally improving the living standards of the children is important to get better health care, to enhance the child’s nutritional status, and reduce child mortality.

scholarly journals Prevalence and Risk Factors of Anaemia Among Children Under Five Years in Ghana: Analysis From the Ghana Demographic and Health Survey

2021 ◽  
Author(s):  
Ebenezer Opoku ◽  
Shirley Crankson ◽  
Nana Kwame Anokye
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Health Survey ◽  
Maternal Education ◽  
Tertiary Education ◽  
Household Wealth ◽  
Demographic And Health Survey ◽  
Multivariate Logistic Regression Model ◽  
Children Under Five ◽  
Under Five

Abstract Background: Childhood anaemia remains a public health challenge in developing countries, mostly in children under five years in Sub-Sharan Africa. Anaemia in children is a preventable condition; however, it has serious consequences including growth retardation, low cognitive functioning, poor immune system causing an increased susceptibility to diseases, and death. This study determined the prevalence and associated risk factors of anaemia among children under five years in Ghana. Methods: Data from the most recent Ghana Demographic and Health Survey (DHS-VIII) was analysed in this study. Anaemia was examined as a binary variable- anaemic (coded as 1) and non-anaemic (coded as 0). The explanatory variables included age, child’s malaria vaccination status, mother’s number of antenatal visits and household source of drinking water. Bivariate and multivariate logistic regression model were conducted to identify the risk factors of anaemia in the defined population. Results: 2,434 children aged 6-59 months were included in this analysis. The majority were males (50.5%), aged from 24-42 months (36.1%), and had received malaria vaccine (94.3%). The prevalence of anaemia in the population was 58.35% (95%CI=52.72-63.96). The logistic regression indicated that female children under five years in Ghana are less likely to have anaemia than male children under five years [aOR= 0.74, 95% CI=0.62-0.88, p<0.001]. Also, children with malaria had about two times the odds of anaemia than those without malaria [95% CI = 1.28-1.87, p<0.001]. Further, children whose mothers had received tertiary education were less likely to have anaemia [aOR= 0.60, 95% CI=0.38-0.96, p=0.03] than those whose mothers had no formal education.Conclusion: The prevalence of anaemia is high among children under five years in Ghana, and this prevalence is determined by child’s age and malaria status, maternal education, household wealth index, and place of residence. Consequently, anaemia prevention and management strategies must prioritise these factors to reduce the anaemia prevalence in this population.

scholarly journals Nutritional Status and Associated Factors Among Children Below Five Years of Age in Somali Region, Ethiopia: Evidence From 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Damitie Kebede ◽  
Hayat Aragaw ◽  
Eyerusalem Worku
Keyword(s):  
Health Survey ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Binary Logistic Regression Analysis ◽  
Middle Income ◽  
Somali Region ◽  
Under Nutrition ◽  
Level Of Significance ◽  
The Individual ◽  
The Impact

Abstract Background: Childhood under-nutrition is far-reaching in low and middle-income nations. Under-nutrition is one of the major open wellbeing concerns among newborn children and youthful children in Ethiopia. This study aimed to assess the prevalence of under-nutrition and its related variables among under-five children in Somali Region, Ethiopia.Methods: The data for this study was extricated from the Ethiopian Demographic and Health Survey (EDHS) 2016. The data collected from 1339 children born 5 years before was considered within the analysis. A multivariable binary logistic regression analysis was utilized at a 5% level of significance to decide the individual and community-level variables related to childhood malnutrition.Results: the incidences of stunting, underweight and wasting were 27.4%, 28.7% and 22.7%, respectively. About 16.1% of children were both stunted and underweight; the extent of both being underweight and wasted was 11.7%, the prevalence of both stunted and wasted children was 5.5%, and all three malnutrition conditions were 4.7% children. Among the variables considered in this study, age of the child in months, type of birth, anemia level, size child at birth, sex of the child, mothers’ BMI and sources of drinking water were significantly related to stunting, underweight and wasting in Somali Region.Conclusions: The prevalence of stunting, underweight and wasting was relatively high. Under-nutrition is one of the major open wellbeing concerns among children in Somali region. The impact of these variables ought to be considered to develop strategies for decreasing the lack of healthy sustenance due to malnutrition in the study areas. Hence, intercession should be centered on making strides the under-nutrition determinant variables of the children to be solid, to improve the child’s wholesome status, and decrease child mortality quickly.

scholarly journals Do educated women in Sierra Leone support discontinuation of female genital mutilation/cutting? Evidence from the 2013 Demographic and Health Survey

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Sanni Yaya ◽  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Linus Baatiema ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sierra Leone ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Formal Education ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Odds Ratios ◽  
Genital Mutilation ◽  
Female Genital

Abstract Introduction Female genital mutilation/cutting (FGM/C) comprises all procedures that involve the total or partial elimination of the external genitalia or any injury to the female genital organ for non-medical purposes. More than 200 million females have undergone the procedure globally, with a prevalence of 89.6% in Sierra Leone. Education is acknowledged as a fundamental strategy to end FGM/C. This study aims to assess women's educational attainment and how this impacts their views on whether FGM/C should be discontinued in Sierra Leone. Methods We used data from the 2013 Sierra Leone Demographic and Health Survey. A total of 15,228 women were included in the study. We carried out a descriptive analysis, followed by Binary Logistic Regression analyses. We presented the results of the Binary Logistic Regression as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with 95% confidence intervals (CIs). Results Most of the women with formal education (65.5%) and 15.6% of those without formal education indicated that FGM/C should be discontinued. Similarly, 35% of those aged 15–19 indicated that FGM/C should be discontinued. Women with a higher education level had a higher likelihood of reporting that FGM/C should be discontinued [AOR 4.02; CI 3.00–5.41]. Christian women [AOR 1.72; CI 1.44–2.04], those who reported that FGM/C is not required by religion [AOR 8.68; CI 7.29–10.34], wealthier women [AOR 1.37; CI 1.03–1.83] and those residing in the western part of Sierra Leone [AOR 1.61; CI 1.16–2.23] were more likely to state that FGM/C should be discontinued. In contrast, women in union [AOR 0.75; CI 0.62–0.91], circumcised women [AOR 0.41; CI 0.33–0.52], residents of the northern region [AOR 0.63; CI 0.46–0.85] and women aged 45–49 [AOR 0.66; CI 0.48–0.89] were less likely to report that FGM/C should be discontinued in Sierra Leone. Conclusion This study supports the argument that education is crucial to end FGM/C. Age, religion and religious support for FGM/C, marital status, wealth status, region, place of residence, mothers' experience of FGM/C and having a daughter at home are key influences on the discontinuation of FGM/C in Sierra Leone. The study demonstrates the need to pay critical attention to uneducated women, older women and women who have been circumcised to help Sierra Leone end FGM/C and increase its prospects of achieving Sustainable Development Goals (SDG) three and five.

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