scholarly journals Individual/Household and Community-Level Factors Associated with Child Marriage in Mali: Evidence from Demographic and Health Survey

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Betregiorgis Zegeye ◽  
Comfort Z. Olorunsaiye ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Survey ◽  
Fixed Effects ◽  
Educational Status ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Child Marriage ◽  
Major Public Health Problem ◽  
Factors Associated ◽  
Individual Household

Background. Child marriage is a major public health problem globally, and the prevalence remains high in sub-Saharan African countries, including Mali. There is a dearth of evidence about factors associated with child marriage in Mali. Hence, this studyaimed at investigating the individual/household and community-level factors associated with child marriage among women in Mali. Methods. Using data from the 2018 Mali Demographic and Health Survey, analysis was done on 8,350 women aged 18-49 years. A Chi-square test was used to select candidate variables for the multilevel multivariable logistic regression models. Fixed effects results weree xpressed as adjusted odds ratios (aOR) at 95% confidence intervals (CI). Stata version 14 software was used for the analysis. Results. The results showed that 58.2% (95% CI; 56.3%-60.0%) and 20.3% (95%; 19.0%-21.6%) of women aged 18-49 years were married before their 18th and 15th birthday, respectively. Educational status of women (higher education: aOR = 0.25 , 95% CI; 0.14-0.44), their partner’s/husband’s educational status (higher education: aOR = 0.64 , 95% CI; 0.47-0.87), women’s occupation (professional, technical, or managerial: aOR = 0.50 , 95% CI; 0.33-0.77), family size (five and above: aOR = 1.16 , 95% CI; 1.03-1.30), and ethnicity (Senoufo/Minianka: aOR = 0.73 , 95% CI; 0.58-0.92) were the identified individual/household level factors associated with child marriage, whereas region (Mopti: aOR = 0.27 , 95% CI; 0.19-0.39) was the community level factor associated with child marriage. Conclusions. This study has revealed a high prevalence of child marriage in Mali. To reduce the magnitude of child marriage in Mali, enhancing policies and programs that promote education for both girls and boys, creating employment opportunities, improving the utilization of family planning services, and sensitizing girls and parents who live in regions such as Kayes on the negative effects of child marriage is essential. Moreover, working with community leaders so as to reduce child marriage in the Bambara ethnic communities would also be beneficial.

scholarly journals Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0239855
Author(s):  
Michael Ekholuenetale ◽  
Faith Owunari Benebo ◽  
Ashibudike Francis Idebolo
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Factors Associated ◽  
Individual Household

scholarly journals Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data

2011 ◽  
Vol 15 (5) ◽  
pp. 827-839 ◽  
Author(s):  
Charmaine S Ng ◽  
Michael J Dibley ◽  
Kingsley E Agho
Keyword(s):  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Meal Frequency ◽  
Factors Associated ◽  
Individual Household ◽  
Minimum Dietary Diversity

AbstractObjectiveThe present study aimed to assess complementary feeding practices and identify the potential risk factors associated with inappropriate complementary feeding in Indonesia for a nationally representative sample of births from 2004 to 2007.DesignThe data source for the analysis was the 2007 Indonesia Demographic and Health Survey. Multiple logistic regression was performed to analyse the factors associated with complementary feeding, using individual-, household- and community-level determinants.SettingIndonesia.SubjectsChildren (n 4604) aged 6–23 months.ResultsMultivariate analysis revealed that infants from poor households were significantly less likely to be introduced to complementary feeding (adjusted odds ratio, AOR = 4·32; 95 % CI 1·46, 12·80) and meet the minimum dietary diversity (AOR = 1·76; 95 % CI 1·16, 2·68). Mother's education (AOR for no education in dietary diversity = 1·92; 95 % CI 1·09, 3·38; AOR for no education in meal frequency = 2·03; 95 % CI 1·13, 3·64; AOR for no education in acceptable diet = 3·84; 95 % CI 2·07, 7·12), residence and decreased age of the infant were negatively associated with minimum dietary diversity, minimum meal frequency and an acceptable diet. Infants aged 6–11 months were also significantly less likely to meet minimum dietary diversity (AOR = 6·36; 95 % CI 4·73, 8·56), minimum meal frequency (AOR = 2·30; 95 % CI 1·79, 2·96) and minimum acceptable diet (AOR = 2·27; 95 % CI 1·67, 3·09). All geographical regions compared with Sumatra were more likely to give the recommended meal frequency and an acceptable diet to breast-fed children.ConclusionsPublic health interventions to improve complementary feeding should address individual-, household- and community-level factors which significantly influence the introduction of complementary feeding. Complementary feeding intervention programmes in Indonesia should ensure that restraints on families with low socio-economic status are addressed. Infants aged 6–11 months and mothers with low education levels may also need special focus. Promotion strategies should also target the health-care delivery system and the media.

scholarly journals Individual and community level factors associated with anemia among children 6—59 months of age in Ethiopia: A further analysis of 2016 Ethiopia demographic and health survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241720
Author(s):  
Menaseb Gebrehaweria Gebremeskel ◽  
Afework Mulugeta ◽  
Abate Bekele ◽  
Lire Lemma ◽  
Muzey Gebremichael ◽  
...  
Keyword(s):  
Health Survey ◽  
Logistic Regression Model ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Multilevel Logistic Regression ◽  
Factors Associated ◽  
Dire Dawa ◽  
Poverty Status ◽  
The Individual ◽  
Multilevel Logistic Regression Model

Background Anemia is a global public health problem; but its burden is disproportionately borne among children in the African Regions. The 2016 Ethiopia Demographic and Health Survey report showed that the prevalence of anemia among children 6–59 months of age was 57%; far exceeding the national target of 25% set for 2015. Although studies have been conducted in Ethiopia, multilevel analysis has rarely been used to identify factors associated with anemia among children. Therefore, this study aimed to identify individual and community-level factors associated with anemia among children 6–59 months of age by fitting a multilevel logistic regression model. Methods The data was obtained from the 2016 Ethiopia Demographic and Health Survey, conducted from January to June 2016, and downloaded from the website http://www.DHSprogram.com. The sample was taken using two-stage stratified sampling. In stage one, 645 Enumeration Areas and in stage two 28 households per Enumeration Area were selected. A sample of 7790 children 6–59 months of age was included. Data were analyzed using STATA version 14. A multilevel logistic regression model was fitted and an adjusted odds ratio with a 95% confidence interval was obtained. Result From the individual-level factors, anemia was associated most strongly with child age, wealth index, maternal anemia and child stunting followed by child underweight, child fever and birth order whereas from the community-level, the strongest odds of anemia occurred among children from Somali, Harari, Dire Dawa and Afar region followed by Oromia and Addis Ababa. Low community-poverty is a protective factor for anemia. The odds of anemia were 0.81 (95% CI: 0.66, 0.99) times lower for children who were living in communities of lower poverty status than children who were living in communities of higher poverty status. Children from Somali and Dire Dawa had 3.38 (95% CI: 3.25, 5.07) and 2.22 (95% CI: 1.42, 3.48) times higher odds of anemia, respectively than children from the Tigray region. Conclusions This study shows that anemia among children 6–59 months of age is affected both by the individual and community level factors. It is better to strengthen the strategies of early detection and management of stunted and underweight children. At the same time, interventions should be strengthened to address maternal anemia, child fever and poverty, specifically targeting regions identified to have a high risk of anemia.

scholarly journals Socio-economic inequalities in malnutrition among children and adolescents in Colombia: the role of individual-, household- and community-level characteristics

2012 ◽  
Vol 16 (9) ◽  
pp. 1703-1718 ◽  
Author(s):  
Sandra Garcia ◽  
Olga L Sarmiento ◽  
Ian Forde ◽  
Tatiana Velasco
Keyword(s):  
Children And Adolescents ◽  
Health Survey ◽  
Age Groups ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Household Characteristics ◽  
Individual Household ◽  
Economic Inequalities

AbstractObjectiveTo examine socio-economic inequalities in malnutrition among Colombian children and adolescents, and to assess the contribution of individual-, household- and community-level factors to those inequalities.DesignCross-sectional data were used from two sources: 2005 Colombian Demographic and Health Survey and 2005 Colombian census. Malnutrition outcomes included stunting and overweight. Multilevel Poisson models were used to estimate the association between individual, household and contextual characteristics and malnutrition. Changes in prevalence ratios of the poorest quintile (v. richest) were compared to assess the contribution of different characteristics to inequalities in malnutrition.SettingPopulation-based, representative of Colombia.SubjectsChildren and adolescents <18 years of age (n 30 779) from the Colombian Demographic and Health Survey.ResultsChildren and adolescents living in the poorest households were close to five times more likely to be stunted, while those from the richest households were 1·3–2·8 times more likely than their poorest counterparts to be overweight. Care practices and household characteristics, particularly mother's education, explained over one-third of socio-economic inequalities in stunting. The proportion explained by access to services was not negligible (between 6 % and 14 %). Access to sanitation was significantly associated with a lower prevalence of stunting for all age groups. Between 14 % and 32 % of socio-economic disparities in overweight were explained by maternal and household characteristics. Mother's overweight was positively associated with overweight of the child.ConclusionSocio-economic inequalities in stunting and overweight coexist among children and adolescents in Colombia. Malnutrition inequalities are largely explained by household characteristics, suggesting the need for targeted interventions.

scholarly journals Spatial distribution and determinants of childhood stunting among under-five children in Ethiopia: evidence from the 2019 Ethiopian demographic and health survey

2021 ◽  
Author(s):  
Delelegn Emwodew ◽  
Binyam Tariku ◽  
Getanew Aschalew ◽  
Elias Seid ◽  
Samuel Hailegebreal ◽  
...  
Keyword(s):  
Health Survey ◽  
Maternal Education ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Feeding Practice ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children ◽  
The World ◽  
Childhood Stunting

Abstract Background: Childhood stunting is a major challenge to the growth and development of nations by affecting millions of children across the world. Although Ethiopia has made steady progress in reducing stunting, the prevalence of stunting is still one of the highest in the world. This study aims to investigate the spatial variation and factors associated with childhood stunting in Ethiopia.Methods: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). A total of 4,971 children aged 0–59 months were included in the analysis. The Getis-Ord statistics tool has been used to identify areas with high and low hotspots of stunting. A multilevel logistic regression model was used to identify factors associated with stunting.Results: The prevalence of stunting was found to be 36.86% in Ethiopian under-five children. Statistically significant hotspots of stunting were found in northern parts of Ethiopia. Both individual and community-level factors determined the odds childhood stunting among under-five children. Children in the age group between 24–35 months were more likely to be stunted than children whose age was less than one year [AOR = 3.74; 95 % CI: (3.04–4.59)]. Children with mothers who had completed higher education had lower odds of being stunted compared to children whose mothers had no formal education [AOR = 0.55; 95%CI: (0.38–0.82)]. Children from the poorest wealth quintile had higher odds of being stunted compared to children from the richest wealth quintiles [AOR = 2; 95 % CI: (1.46–2.73)]. Children living in Tigray (AOR =3.64; 95 % CI: 2.17–6.11), Afar (AOR 2.02; 95 % CI 1.19-3.39), Amhara (AOR =2.29; 95 % CI: 1.37–3.86), Benishangul Gumz (AOR=1.87; 95% CI: 1.10-3.17) and Harari (AOR=1.95; 95% CI: 1.17-3.25) regions were more likely to be stunted compared to children living in Addis Ababa.Conclusion: This study showed that both individual and community-level factors were significant predictors of childhood stunting. Improving maternal education, improving the economic status of households, improving age-specific child feeding practice, and providing additional resources to regions with high hotspots of childhood stunting are recommended.

scholarly journals Factors Associated With Protection of Last Live Birth Against Neonatal Tetanus Among Mother Age 15-49 in Ethiopia: A Multilevel Analysis Using EDHS 2016

2021 ◽  
Author(s):  
Gebrezgiher Kalayu ◽  
Girmatsion Fisseha ◽  
Reda Shamie ◽  
Awtachew Berhe ◽  
Kebede Embaye
Keyword(s):  
Antenatal Care ◽  
Live Birth ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Contextual Effect ◽  
Neonatal Tetanus ◽  
Operating Characteristics ◽  
Final Model ◽  
Factors Associated

Abstract Background: Neonatal tetanus is still the major public health problem in about 25 countries, mainly in Africa. Ethiopia has the highest neonatal tetanus mortality and morbidity rates in the world due to low TT immunization coverage coupled with the high amount of deliveries taking place at home. In Ethiopia, only 49% of the pregnant mothers received TT2+ in 2016. Objective: The objective of this study is to identify individual and community level factors associated with protections of last live birth against neonatal tetanus among mothers 15-49 years age in Ethiopia, evidence from Ethiopia Demographic and Health Survey 2016. Methods: The data for this study was obtained from Ethiopia Demographic and Health Survey of 2016. Population based cross-sectional study was conducted. The data were analyzed using Stata version 14. Variables that were significant in the bivariate multilevel logistic regression analysis were entered to the final model. Variables with p-value of less than 0.05 in the final model were considered as statistically significant. Interclass correlation coefficient and proportional change in variance were used to quantify the magnitude of the general contextual effect. Receiver operating characteristics curve was used to assess general accuracy of the model. Relative goodness-of-fit test was conducted using akaike’s information criterion.Results: This study depicted that, a total of 7193 women nested in 643 clusters were included in the analysis. The odds of protection of last live birth against neonatal tetanus were 1.27 and 1.53 times higher in mothers with poorer and richer respectively than mothers with poorest wealth index. Mothers who had antenatal care visit one and above had 12.3 times higher odds of protections of neonatal tetanus than those who had no antenatal care visits. The other significantly associated factors were place of delivery, region and community media exposure.Conclusion and recommendation: It can be concluded from the current study that protection of last live birth against neonatal tetanus is affected both by the individual and community level factors. Therefore, efforts to increase protection of last live birth against neonatal tetanus need to target both at individual and community level factors.

scholarly journals Individual and community level factors associated with unmet need for contraception among married reproductive age women in Ethiopia. A multilevel analysis using 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Melaku Yalew Anagaw ◽  
Bezawit Adane Desta ◽  
Bereket Kefale Abitew ◽  
Yitayish Damtie Sinishaw
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Care Providers ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children ◽  
Unmet Need For Contraception

Abstract Background: There is limited evidence on unmet need to contraceptive among married reproductive age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community level factors associated with unmet need for contraception among married women of reproductive age in Ethiopia, EDHS 2016 dataset, 2019. Method: A secondary analysis was done on Ethiopian Demographic and Health Survey (2016) dataset by using cross sectional study design. A total of 9125 women who were married, fecund and/or sexually active were included in the analysis. Multilevel mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages between 15-19 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual level factors; ages of women, number of living children, religion, married more than once and wealth of house hold and from community level variables; region was significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many number of living children and married more than once to decrease unmet need to contraceptive.

scholarly journals Individual and community level factors associated with unmet need for contraception among married reproductive age women in Ethiopia. A multilevel analysis using 2016 Ethiopian Demographic and Health Survey

2019 ◽  
Author(s):  
Melaku Yalew Anagaw ◽  
Bezawit Adane Desta ◽  
Bereket Kefale Abitew ◽  
Yitayish Damtie Sinishaw
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Care Providers ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children ◽  
Unmet Need For Contraception

Abstract Background: There is limited evidence on unmet need to contraceptive among married reproductive age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community level factors associated with unmet need for contraception among married women of reproductive age in Ethiopia, EDHS 2016 dataset, 2019. Method: A secondary analysis was done on Ethiopian Demographic and Health Survey (2016) dataset by using cross sectional study design. A total of 9125 women who were married, fecund and/or sexually active were included in the analysis. Multilevel mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages between 15-19 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual level factors; ages of women, number of living children, religion, married more than once and wealth of house hold and from community level variables; region was significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many number of living children and married more than once to decrease unmet need to contraceptive.

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