scholarly journals Summary measures of socioeconomic and area-based inequalities in fertility rates among adolescents: evidence from Ethiopian demographic and health surveys 2000–2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanni Yaya ◽  
Edward Kwabena Ameyaw ◽  
Dina Idriss-Wheeler ◽  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye
Keyword(s):  
Reproductive Health ◽  
Health Surveys ◽  
Sexual And Reproductive Health ◽  
Economic Status ◽  
Demographic And Health Surveys ◽  
Fertility Rates ◽  
The World ◽  
Adolescent Fertility ◽  
Adolescent Pregnancies ◽  
Summary Measures

Abstract Background One of the highest rates of adolescent pregnancies in the world is in sub-Saharan Africa. Most adolescent pregnancies in the region are unintended or unwanted, due to poor access to information and services on sexual and reproductive health for adolescents. Ethiopia has high adolescent fertility rates (AFR) with disparities across socioeconomic subgroups and regions. This study assessed the magnitude and trends of socioeconomic and area-based AFR inequalities in Ethiopia. Methods The 2000 and 2016 Ethiopia Demographic and Health surveys (EDHS) was analyzed using the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) software. Adolescent fertility rates were disaggregated using three equity stratifiers (economic status, education and residence) and analyzed through four summary measures (Difference (D), Population Attributable Risk (PAR), Ratio (R) and Population Attributable Fraction (PAF)) to assess inequality. To measure statistical significance, point estimates were constructed using a 95% Uncertainty Interval (UI). Results Large socio-economic and urban-rural inequalities were observed within the 16-year period. Adolescents in less well-off socio-economic groups (PAF: -62.9 [95% UI; − 64.3, − 61.4], D: 96.4 [95% UI; 47.7, 145.1]), uneducated (R: 8.5 [95% UI; 4.8, 12.2], PAR: -76.4 [95% UI;-77.7, − 75.0]) and those from rural areas (D: 81.2 [95% UI; 67.9, 94.6], PAF: -74.2 [95% UI, − 75.7, − 72.7]) had a higher chance of pregnancy and more births than their counterparts. Conclusions Socioeconomic (education and economic status) and place of residence determine adolescents’ pregnancy and childbearing. Policies and programs should be directed at preventing child marriage and early fertility so that adolescents continue to access education, sexual and reproductive health care as well as access employment opportunities. More emphasis should be placed on subpopulations with disproportionately higher adolescent pregnancy and childbirth.

scholarly journals Building evidence on what works (and what does not): practical guidance from the World Health Organization on post-project evaluation of adolescent sexual and reproductive health projects

2021 ◽  
Author(s):  
Susan Igras ◽  
Marina Plesons ◽  
Venkatraman Chandra-Mouli
Keyword(s):  
Reproductive Health ◽  
World Health Organization ◽  
Sexual And Reproductive Health ◽  
Project Evaluation ◽  
World Health ◽  
The Public ◽  
What Works ◽  
The World ◽  
Practical Guidance ◽  
Health Organization

Abstract Over the past 25 years, there has been significant progress in increasing the recognition of, resources for, and action on adolescent health, and adolescent sexual and reproductive health (ASRH) in particular. As with numerous other health areas, however, many of the projects that aim to improve ASRH are implemented without well-thought-out plans for evaluation. As a result, the lessons that projects learn as they encounter and address policy and programmatic challenges are often not extracted and placed in the public arena. In such cases, post-project evaluation (PPE) offers the possibility to generate learnings about what works (and does not work), to complement prospective studies of new or follow-on projects. To fill the gap in the literature and guidance on PPE, the World Health Organization developed The project has ended, but we can still learn from it! Practical guidance for conducting post-project evaluations of adolescent sexual and reproductive health projects. This article provides an overview of the guidance by outlining key methodological and contextual challenges in conducting PPE, as well as illustrative solutions for responding to them.

Using survey data: towards valid estimates of poverty in the South

2019 ◽  
pp. 79-90
Author(s):  
Roy Carr-Hill
Keyword(s):  
Developing Countries ◽  
Survey Data ◽  
Health Surveys ◽  
Urban Slums ◽  
Demographic And Health Surveys ◽  
Household Surveys ◽  
Death Registration ◽  
East African ◽  
African Countries ◽  
The World

It is important to be cautious about making inferences from survey data. This chapter focuses on one very important but unexamined problem, that of the undercount of the poorest in the world. This arises both by design (excluding the homeless, those in institutions and nomadic populations) and in practice (those in fragile households, urban slums, insecure areas and servants/slaves in rich households). In developing countries, it is difficult to make inter-censal estimates because essential data like birth and death registration are not systematically collected. Donors have therefore promoted the use of international standardized household surveys. A possible alternative is Citizen surveys initiated by an Indian NGO (Pratham). Comparisons are made between citizen surveys and contemporaneous Demographic and Health Surveys in three East African countries

scholarly journals HIV EPIDEMIC HETEROGENEITY IN ZIMBABWE: EVIDENCE FROM SUCCESSIVE DEMOGRAPHIC AND HEALTH SURVEYS

2018 ◽  
Vol 50 (6) ◽  
pp. 840-852
Author(s):  
Zainab Oseni ◽  
Farah Seedat ◽  
Ngianga-Bakwin Kandala
Keyword(s):  
Risk Factors ◽  
Regional Variation ◽  
Health Surveys ◽  
Mixed Model ◽  
Policy Design ◽  
Regional Level ◽  
Demographic And Health Surveys ◽  
Hiv Epidemic ◽  
Regression Framework ◽  
The World

SummaryZimbabwe has one of the worst HIV epidemics in the world. This study investigated data from two successive Zimbabwe Demographic and Health Surveys (ZDHS) conducted in 2005–06 and 2010–11. A random representative sample of 30,000 men aged 15–59 and women aged 15–49 was selected from the two surveys. The HIV prevalence was mapped with a flexible, coherent regression framework using a geo-additive semi-parametric mixed model. HIV indicator prevalence maps were constructed at the regional level, and at the administrative level relevant for policy design, planning and decision-making. Substantial regional variation was found, not only in the burden of HIV, but also in its risk factors. The results suggest that responses/policies should vary at the regional level to ensure that the often diverse needs of populations across a country are met and incorporated into planning the HIV response. The use of geographically referenced data in two successive ZDHS provides crucial new insights into the spatial characteristics of the HIV epidemic in Zimbabwe. In particular, it highlights the HIV heterogeneity across Zimbabwe, with substantial regional variation, not only in the burden of HIV, but also in its risk factors.

scholarly journals Determinants of newborn care utilization in Pakistan: Findings from the Demographic and Health Surveys

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1061
Author(s):  
Sathirakorn Pongpanich ◽  
Abdul Ghaffar ◽  
Najma Ghaffar ◽  
Hafiz Abdul Majid
Keyword(s):  
Postnatal Care ◽  
Health Surveys ◽  
Economic Status ◽  
Newborn Care ◽  
Wealth Index ◽  
Postpartum Care ◽  
Care Utilization ◽  
Demographic And Health Surveys ◽  
Public Health Action ◽  
Cross Sectional

Background: Information on determinants of postpartum care is essential for public health action, yet this information is scarce in Pakistan. Hence, the current study aimed to determine the factors of newborn postpartum care utilization from the Pakistan Demographic and Health Surveys conducted from 2006–2018. Methods: We analyzed data from three rounds of cross-sectional, nationally representative Pakistan Demographic and Health Surveys (PDHS) 2006–07, 2012–13, and 2017–18. Multivariable logistic regression models were applied to explore factors associated with utilization of newborn postpartum care within two months. Results: This study included 5724 women from the 2006–07 PDHS, 7461 from the 2012–13 survey, and 8287 from the 2017–18 survey. The proportion of women receiving newborn postnatal care within the first two months of delivery increased from 13% in 2006–07 to 43% in 2012–13 but dropped to 27% in 2017–18. Respondent’s occupation and prenatal care utilization of maternal health services were common factors that significantly influenced newborn postnatal care utilization within two months. The utilization of postnatal care was greater among women having educated husbands and where the first child was a male in PDHS 2007 round. Higher wealth index and educated respondent had higher postnatal care utilization odds in DHS 2012 and DHS 2018. However, the odds of using postnatal care decreased with the number of household members and total number of children ever born in DHS 2012 and 2018 rounds. Conclusions: There was a general increase in the proportion of women who utilized postnatal care for their newborns during 2006–2013 but a decrease in 2018. The decreased utilization in 2018 warrants further investigation. Improving women’s economic status, education, employment, and antenatal care attendance and reducing parity may increase newborn postnatal care utilization.

scholarly journals Knowledge, attitudes, practices, and the effects of COVID-19 on health seeking behaviors and social-economic status among young people in Kenya 

2020 ◽  
Author(s):  
Evalin Karijo ◽  
Sylvia Wamugi ◽  
Samuel Lemanyishoe ◽  
Jenny Njuki ◽  
Faith Boit ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Social Economic ◽  
Economic Status ◽  
Education Level ◽  
Health Seeking ◽  
Social Economic Status ◽  
Preventive Practices

Abstract Background: Cases of the Corona Virus Disease of 2019 (COVID-19) in Kenya have continued to increase rapidly, since the first case in the country was confirmed in March 2020. In the wake of the pandemic, the health and socio-economic challenges experienced by the youth in Kenya are likely to be elevated. We assessed knowledge, practices, perceived risk, adoption of recommended behaviour and the effect of COVID-19 on health seeking behaviour related to sexual and reproductive health and social economic status among the youth.Methods: A cross sectional descriptive study was conducted between April 30th to May 7th, 2020 among 2,153 youth across all 47 counties in Kenya, through a combined online survey and phone interviews. All survey responses analyzed using STATA v15 were tabulated by gender, age, and education level to generate basic descriptive tables and tested for differences by category using chi-square tests. Where applicable, linear and logistic regression analysis model was conducted using covariates such as employment status, gender, and education level. Results: Knowledge on symptoms of COVID-19 was generally high. Female respondents were more likely to identify more symptoms correctly compared to men; p<0.001. However, youth reported very low levels of anyone being at risk of infection (7%). Most youth have adopted behavior necessary to slow down the infection. There were generally very low reported levels of inability to access health services related to sexual and reproductive health. About 50% of respondents reported significant decline in income during the pandemic period, nearly a third reported living in fear while 27% reported feeling stressed. Conclusion: There was high knowledge of COVID-19 symptoms, preventive strategies, and adoption of preventive practices. Despite the low reported inability to access health services related to sexual and reproductive health, response measures should include continuity of services. The reported adverse socioeconomic effects of the pandemic show the need for interventions to meet the health and socioeconomic needs of the youth and minimize the long term consequences of the pandemic. Strategies to sustain behaviors positively adopted among young people will be critical to reduce the spread of COVID-19.

Adolescent Sexual and Reproductive Health

2020 ◽  
Author(s):  
Ndola Prata ◽  
Karen Weidert
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Disease Burden ◽  
Sexual And Reproductive Health ◽  
High Quality ◽  
Middle Income ◽  
Sexually Transmitted ◽  
Pregnancy And Childbirth ◽  
Middle Income Countries ◽  
The World

Adolescence, spanning 10 to 19 years of age, begins with biological changes while transitioning from a social status of a child to an adult. For millions of adolescents in low- and middle-income countries (LMICs), this is a period of exposure to vulnerabilities and risks related to sexual and reproductive health (SRH), compounded by challenges in having their SHR needs met. Globally, adolescent sexual and reproductive ill-health disease burden is concentrated in LMICs, with sexually transmitted infections and complications from pregnancy and childbirth accounting for the majority of the burden. Adolescents around the world are using their voices to champion access to high-quality, comprehensive SRH information and services. Thus, it is imperative that adolescents’ SRH and rights be reinforced and that investments in services be prioritized.

scholarly journals Sexual and Reproductive Health of Adolescent in Nepal

2018 ◽  
Vol 1 (2) ◽  
pp. 65-66
Author(s):  
Sharmila Shrestha
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Knowledge ◽  
Economic Status ◽  
Age Groups ◽  
Reproductive Health Services ◽  
Global Comparison ◽  
Access To Health ◽  
The Government ◽  
Reproductive Health Knowledge

Every fifth person in the world i.e. around 20% of global population is adolescents and slightly more than this, in Nepal, adolescents comprise of 24 percentage. Adolescents in Nepal often face limited access to health information and services. Different factors like poverty, gender inequality, socio-economic status, social norms and tradition play crucial role indetermining adolescent’s access to sexual and reproductive health knowledge and available sexual and reproductive health services. Especially women in this context are more disadvantaged with regards to literacy, health and overall wellbeing. In Nepal adolescents comprise of 24 percentage and young people comprise of 33 percentage, which is a larger proportion to the global comparison. Though the government of Nepal has recognized adolescents and youth as under-served and vulnerable population with specific sexual and reproductive health needs, however only limited number for program has been implemented targeting these age groups.

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