Determinant of factors associated with child health outcomes and service utilization in Ghana: multiple indicator cluster survey conducted in 2011

Abstract Background Timely initiation of breastfeeding is putting the newborn to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors associated with timely initiation of breastfeeding among mothers in Ghana. Methods We used data from the 2017–2018 Ghana multiple indicator cluster survey and our analysis was restricted to 15,305 mothers who had a live birth within 2 years. Multivariable logistic regression was used to estimate the factors associated with timely initiation of breastfeeding whilst adjusting for potential confounders, and accounted for clustering, stratification, and sample weights. Results The prevalence of timely initiation of breastfeeding was 51.3% (95% CI 48.1, 54.6%). Mothers who received antenatal care were twice as likely to timely initiate breastfeeding compared to mothers who did not receive antenatal care (Adjusted prevalence odds ratios [aPOR] 2.01, 95% CI 1.03, 3.95). Mothers who were assisted by a skilled attendant at birth had 90% higher odds of timely initiation of breastfeeding compared to mothers who were not assisted by a skilled attendant (aPOR 1.90, 95% CI 1.41, 2.55). Mothers who delivered by caesarean section had 76% lower odds of timely initiation of breastfeeding compared to mothers who had a vaginal delivery (aPOR 0.24, 95, 95% CI 0.16, 0.36). Mothers who had planned their pregnancy had 45% higher odds of timely initiation of breastfeeding compared to mothers who had an unplanned pregnancy (aPOR 1.45, 95% CI 1.09, 1.92). There were also 84% and 55% higher odds of timely initiation of breastfeeding among mothers who perceived their baby was large (aPOR 1.84, 95% CI 1.32, 2.58), and of average size (aPOR 1.55, 95% CI 1.11, 2.17) at birth respectively, compared to mothers who perceived their baby was small. Conclusions Interventions to increase timely initiation of breastfeeding should provide breastfeeding support to mothers who have had a caesarean section or small sized babies, prevent unplanned pregnancies, and promote antenatal care attendance among pregnant women.

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Multiple Indicator Cluster Survey 2003 in Afghanistan: Outdated Sampling Frame and the Effect of Sampling Weights on Estimates of Maternal and Child Health Coverage

Journal of Health Population and Nutrition ◽

10.3329/jhpn.v29i4.8456 ◽

2011 ◽

Vol 29 (4) ◽

Cited By ~ 2

Author(s):

Shivam Gupta ◽

Muhammad Shuaib ◽

Stan Becker ◽

Md Mokhlesur Rahman ◽

David H Peters

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Health Coverage ◽

Sampling Frame ◽

Sampling Weights ◽

Cluster Survey ◽

Multiple Indicator Cluster Survey ◽

Multiple Indicator ◽

And Child Health

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Factors Associated with Utilization of Antenatal Care Services in Balochistan province of Pakistan: An Analysis of the Multiple Indicator Cluster Survey (MICS) 2010

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.316.8181 ◽

1969 ◽

Vol 31 (6) ◽

Author(s):

Abdul Ghaffar ◽

Sathirakorn Pongpanich ◽

Najma Ghaffar ◽

Tahir Mehmood

Keyword(s):

Antenatal Care ◽

Cluster Survey ◽

Factors Associated ◽

Care Services ◽

Multiple Indicator Cluster Survey ◽

Multiple Indicator

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Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017–2018 multiple indicator cluster survey

International Breastfeeding Journal ◽

10.1186/s13006-021-00383-3 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Paschal Awingura Apanga ◽

Maxwell Tii Kumbeni

Keyword(s):

Caesarean Section ◽

Skilled Attendant ◽

Prevalence Odds Ratio ◽

Timely Initiation ◽

Cluster Survey ◽

Factors Associated ◽

Multiple Indicator Cluster Survey ◽

Multiple Indicator ◽

Timely Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Abstract Background Timely initiation of breastfeeding is putting the newborn baby to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors associated with timely initiation of breastfeeding among mothers in Ghana. Methods We used data from the 2017–2018 Ghana multiple indicator cluster survey and our analysis was restricted to 3466 mothers who had a live birth within 2 years. Multivariable logistic regression was used to estimate the factors associated with timely initiation of breastfeeding whilst adjusting for potential confounders, and accounted for clustering, stratification, and sample weights. Results The prevalence of timely initiation of breastfeeding was 52.3% (95% CI 49.7%, 54.9%). Mothers who were assisted by a skilled attendant at birth had 65% higher odds of timely initiation of breastfeeding compared to mothers who were not assisted by a skilled attendant (adjusted prevalence odds ratio [aPOR] 1.65; 95% CI 1.28, 2.13). Mothers who delivered by Caesarean section had 74% lower odds of timely initiation of breastfeeding compared to mothers who had vaginal delivery (aPOR 0.26; 95% CI 0.18, 0.36). Mothers who had planned their pregnancy had 31% higher odds of timely initiation of breastfeeding compared to mothers who had an unplanned pregnancy (aPOR 1.31; 95% CI 1.05, 1.63). There were also 74% and 51% higher odds of timely initiation of breastfeeding among mothers who perceived their baby was large (aPOR 1.74; 95% CI 1.34, 2.26), and of average size (aPOR 1.51, 95% CI 1.16, 1.97) at birth respectively, compared to mothers who perceived their baby was small. Conclusions Interventions to increase timely initiation of breastfeeding should provide breastfeeding support to mothers who have had a Caesarean section, small sized babies and unplanned pregnancies, and to promote birthing by skilled birth attendants.

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Factors associated with skilled attendants at birth among married adolescent girls in Nigeria: evidence from the Multiple Indicator Cluster Survey, 2016/2017

International Health ◽

10.1093/inthealth/ihz017 ◽

2019 ◽

Vol 11 (6) ◽

pp. 545-550 ◽

Cited By ~ 3

Author(s):

Babayemi O Olakunde ◽

Daniel A Adeyinka ◽

Bertille O Mavegam ◽

Olubunmi A Olakunde ◽

Hidayat B Yahaya ◽

...

Keyword(s):

Adolescent Girls ◽

Skilled Birth Attendant ◽

Outcome Variable ◽

Skilled Birth Attendants ◽

Cluster Survey ◽

Factors Associated ◽

Birth Attendants ◽

Multiple Indicator Cluster Survey ◽

Multiple Indicator ◽

Skilled Attendants

AbstractBackgroundThis study examines the factors associated with skilled birth attendants at delivery among married adolescent girls in Nigeria.MethodsThe study was a secondary data analysis of the fifth round of the Multiple Indicator Cluster Survey conducted between September 2016 and January 2017. Married adolescent girls aged 15–19 y who had live births in the last 2 y preceding the survey were included in the analysis. We performed univariate and multivariate logistic regression analyses with a skilled birth attendant (doctor, nurse or midwife) at delivery as the outcome variable and sociodemographic, male partner- and maternal health-related factors as explanatory variables.ResultsOf the 789 married adolescent girls, 387 (27% [95% CI=22.8–30.7]) had a skilled birth attendant at delivery. In the adjusted model, adolescent girls who were aged ≥18 y (ref: <18 y), primiparous (ref: multiparous), had antenatal care (ANC) provided by skilled healthcare providers (ref: no ANC), belonged to at least the poor and middle wealth index quintiles (ref: poorest), and resided in the south west zone (ref: north central), independently had a significantly higher likelihood of having a skilled birth attendant at delivery.ConclusionsInterventions that will reduce pregnancy in younger adolescent girls, poverty, and increase ANC provided by skilled attendants, are likely to improve deliveries assisted by skilled birth attendants among married adolescent girls in Nigeria.

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Facility distance and child mortality: a multi-country study of health facility access, service utilization, and child health outcomes

International Journal of Epidemiology ◽

10.1093/ije/dyw062 ◽

2016 ◽

pp. dyw062 ◽

Cited By ~ 5

Author(s):

Mahesh Karra ◽

Günther Fink ◽

David Canning

Keyword(s):

Child Health ◽

Health Outcomes ◽

Health Facility ◽

Child Mortality ◽

Service Utilization ◽

Child Health Outcomes ◽

Country Study ◽

Access Service ◽

And Child Health

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Can Community-Based, Group Prenatal Care Promote Positive Maternal--Child Health Outcomes?

PsycEXTRA Dataset ◽

10.1037/e660392012-001 ◽

2012 ◽

Author(s):

Alana Marquez Roth ◽

Kathryn Mclean ◽

Sally S. Canning ◽

Kate Barse ◽

Sarah Wiggin

Keyword(s):

Child Health ◽

Prenatal Care ◽

Health Outcomes ◽

Maternal Child Health ◽

Group Prenatal Care ◽

Community Based ◽

Child Health Outcomes ◽

Maternal Child

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ASSOCIATION OF SOCIO-DEMOGRAPHIC FACTORS WITH DIARRHEA IN CHILDREN LESS THAN FIVE YEARS: A SECONDARY ANALYSIS OF MULTIPLE INDICATOR CLUSTER SURVEY SINDH 2014

Pakistan Journal of Public Health ◽

10.32413/pjph.v7i2.39 ◽

1970 ◽

Vol 7 (2) ◽

pp. 85-89

Author(s):

Muhammad Irfan ◽

Syed Mustansir Hussain Zaidi ◽

Hira Fatima Waseem

Keyword(s):

Rural Areas ◽

Demographic Factors ◽

Wealth Index ◽

Household Wealth ◽

Cluster Survey ◽

Multiple Indicator Cluster Survey ◽

Increased Risk ◽

Multiple Indicator ◽

Mother Education ◽

Socio Demographic Factors

Background: Diarrhea founds to be the major cause of morbidity and mortality in children less than five years. Various factors are associated with diarrhea but socio-demographic factors are the main key elements, which associated with diarrhea. Methods: This study was examined association of socio-demographic factors with diarrhea in children less than five years of age of Sindh, Pakistan, using data from the Multiple Indicator Cluster Survey (MICS) conducted from January 2014 to August 2014. Data were collected for 18,108 children in whom 16,449 children had complete data of demographic variables being included in the analysis. Bivariate analysis was done using Pearson's Chi square test and multivariate analysis being done using binary logistic regression. Results: We found increased risk of diarrhea among children lives in rural areas while household wealth index quintile was also associated with diarrhea. Children in the poor, middle and fourth wealth index quintiles being at increased risk of diarrhea compared to children in the richest wealth index quintile. The highest risk of diarrhea was found for the child having mother with no education as well as children aged 12-23 months. Conclusion: Age of child, mother education and wealth index found significant with diarrhea while Male children, child aged 12-23 months, child with no mother education, child from rural areas and child from poor households found with high risk of diarrhea.

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