scholarly journals Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Kenneth Setorwu Adde ◽  
Shadrach Dare ◽  
Sanni Yaya
Keyword(s):  
Rural Communities ◽  
Pregnant Women ◽  
Health Survey ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Insecticide Treated Nets ◽  
Lower Odds ◽  
North West ◽  
The North ◽  
Itn Use

Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.

scholarly journals Ownership and disuse of bed nets in Kenyan children under five years of age

2012 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Kacey Ernst ◽  
Mona Arora ◽  
Stephen Munga
Keyword(s):  
Rural Communities ◽  
Marital Status ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Bed Nets ◽  
Bed Net ◽  
Insecticide Treated Nets ◽  
Under Five ◽  
Net Use ◽  
Llin Use

Recent campaigns to increase the percentage of households owning a bed net have been very successful yet there remains a subset of the population who do not sleep under bed nets. We used data from the 2008 Kenya Demographic and Health Survey (KDHS) to compare children under the age of five years of age who slept under any bed net to children sleeping without a bed net who resided in households with: i) no bed net; ii) all bed nets used (intra-household access); and iii) at least one unused bed net. Ownership, intra-household access, and non-use of available bed nets were all associated with the child’s age and the mother’s relationship to the head of the household. Intra-household access was strongly associated with provincial residence, where the child was born and frequency of reading newspapers. Furthermore, disuse of available nets for children was associated with marital status, bed net use of the head of the household, and residing in rural communities at higher elevations. Improving bed net/long-lasting insecticide treated nets (LLIN) use in Kenya requires a multi-faceted approach that addresses the complexity of the behavioral, social and economic drivers of non-use.

scholarly journals Challenges and Prospects of Sustaining Donor-Funded Projects in Rural Cameroon

2019 ◽  
Vol 11 (24) ◽  
pp. 6990
Author(s):  
Gregory Nguh Muluh ◽  
Jude Ndzifon Kimengsi ◽  
Ngwa Kester Azibo
Keyword(s):  
Rural Communities ◽  
Rural Development ◽  
Scientific Information ◽  
Binary Logistic Regression ◽  
Rural Landscape ◽  
Investment Fund ◽  
Application Process ◽  
Sustainable Rural Development ◽  
North West ◽  
The North

For more than five decades, developing countries (including Cameroon) have been primary beneficiaries of donor-funded projects targeting many sectors, including agriculture and rural development. Cameroon’s rural landscape witnessed a series of project interventions which emphasized sustainability. Although research efforts have been directed towards understanding the planning, implementation and impacts of donor-funded projects, not enough scientific information exists on the determinants, challenges and prospects of sustaining donor-funded projects in rural communities in Cameroon. For this study, the Investment Fund for Communal and Agricultural Micro-projects (FIMAC I) scheme, was used to diagnose the determinants, challenges and prospects for sustaining development projects in the North West Region (NWR) of Cameroon. A representative sample of 150 beneficiaries drawn from 20 farming groups in the NWR was conducted, to generate data which was complemented by interviews. The binary logistic regression results reveal the following: Although there is a significant change in the level of incomes for the FIMAC I project beneficiaries, its sustainability (mirrored through continuity) is dependent upon a myriad of socio-economic factors including family size, length of stay in the community, gender, education and the status of the beneficiary. Furthermore, the less transparent loan application process and the lack of collateral security were the main challenges faced by project beneficiaries. We argue that the introduction of soft loans with minimal demands for collateral security could increase beneficiary participation in projects, while beneficiary groups should further diversify their sources of capital and productive activities. The study does not only contribute to existing theoretical constructs on sustainable rural development, but also makes a succinct request for future studies to unbundle the conditions, under which donor-funded projects are rendered sustainable in rural contexts.

Trends in and determinants of neonatal and infant mortality in Nigeria based on Demographic and Health Survey data

2020 ◽  
pp. 1-11
Author(s):  
Kamalesh Kumar Patel ◽  
Jang Bahadur Prasad ◽  
Rajeshwari A. Biradar
Keyword(s):  
Infant Mortality ◽  
Health Survey ◽  
Mortality Rates ◽  
Demographic And Health Survey ◽  
Infant Mortality Rate ◽  
North West ◽  
Infant Deaths ◽  
Live Births ◽  
The North ◽  
West Region

Abstract This study aimed to assess the changes in neonatal and infant mortality rates in Nigeria over the period 1990 to 2018 using Nigerian Demographic and Health Survey (NDHS) data, and assess their socio-demographic determinants using data from the most recent survey conducted in 2018. The infant mortality rate was 87 per 1000 live births in 1990, and this increased to 100 per 1000 live births in 2003 – an increase of around 15% over 13 years. Neonatal and infant mortality rates started to decline steadily thereafter and continued to do so until 2013. After 2013, neonatal morality rose slightly by the year 2018. Information for 27,465 infants under 1 year of age from the NDHS-2018 was analysed using bivariate and multivariate analysis and the Cox proportional hazard technique. In 2018, infant deaths decreased as wealth increased, and the incidence of infant deaths was greater among those of Islam religion than among those of other religions. A negative association was found between infant deaths and the size of a child at birth. Infant mortality was higher in rural than in urban areas, and was higher among male than female children. Both neonatal and infant death rates varied by region and were found to be highest in the North West region and lowest in the South region. An increasing trend was observed in neonatal mortality in the 5-year period from 2013 to 2018. Policy interventions should be focused on the poor classes, women with a birth interval of less than 2 years and those living in the North West region of the country.

scholarly journals A multilevel analysis of overweight and obesity among non-pregnant women of reproductive age in Malawi: evidence from the 2015–16 Malawi Demographic and Health Survey

2018 ◽  
Vol 11 (6) ◽  
pp. 496-506 ◽  
Author(s):  
Peter Austin Morton Ntenda ◽  
Jane Flora Kazambwe
Keyword(s):  
Pregnant Women ◽  
Health Survey ◽  
Media Coverage ◽  
White Collar ◽  
Overweight And Obesity ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
The Individual ◽  
Maternal Overweight

Abstract Background Overweight and obesity are well-known risk factors for non-communicable diseases such as cardiovascular disease, diabetes, some cancers and musculoskeletal disorders. In Malawi, the proportion of women who are overweight/obese has doubled, from 10% in 1992 to 21% in 2015–16. Therefore we aimed to explore the individual- and community-level factors associated with overweight and obesity among non-pregnant women of child-bearing age. Methods Secondary analysis of the 2015–16 Malawi Demographic and Health Survey was conducted. Overweight was defined as a body mass index (BMI) of 25 to <30 kg/m2, while obesity was defined as a BMI ≥30 kg/m2. Two-level multilevel multivariable logistic regression models were constructed using a logit-link function with a binomial distribution on 7326 women living in 850 different communities. Results At the individual level, the adjusted multilevel regression results showed that women 15–19 y of age as well as women from the poorest households had reduced odds of being overweight/obese. However, women with white collar jobs and women who were affiliated with the Church of Central Africa Presbyterian and the Roman Catholic church had increased odds of being overweight/obese. At the community level, women from urban areas and women who resided in communities with a low percentage of media exposure had increased odds of being overweight or obese. While women from poor communities had reduced odds of being overweight and obese, the proportion change in variance showed that 56, 77 and 78% of total variations in the odds of overweight, obese and overweight/obese across the communities were explained by both individual- and community-level factors. The median odds ratio showed that the likelihood of maternal overweight, obese and overweight/obese increased by 63, 39 and 84% when the women moved from low- to high-risk neighbourhoods. Conclusions Older women, Christian women, women with white collar jobs and women from the richest households should be targeted during policy formulation. At the community level, media coverage should be spread evenly so that health awareness messages, consequences and means of overweight and obesity prevention are getting to the targeted women. Our study revealed evidence of clustering effects of overweight and obesity at the community level, hence neighbourhood variations with respect to maternal overweight and obesity should be taken into account when designing nutritional policies.

scholarly journals Regional Differences in Postnatal Care Service Utilisation and Child Morbidity in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey (NDHS)

2020 ◽  
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro
Keyword(s):  
Socioeconomic Factors ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
The South ◽  
North Central ◽  
North West ◽  
North East ◽  
South West ◽  
Child Morbidity

Abstract Introduction: Modern Postnatal Care Services (PNC) in Nigeria is vital tool for providing quality health for mothers and newborns. Nonetheless, many regions in Nigeria are still struggling to achieve optimum utilisation of modern PNC services due to variation in associated socioeconomic factors of mothers based on their regions. This study aims at assessing regional socioeconomic factors associated with PNC services utilisation and its relationship with child morbidity in Nigeria. Methods Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30713 women (aged 15–49). Data were analysed using descriptive statistics, Chi-Square Test and logistic regression. The main predictor variable was the region, while others included the type of PNC service utilised and various demographic variables of the respondents – age, education, type of residence, religion, ethnicity among others. Results The average age of the respondents was 29.5 ± 6.8. The use of modern PNC services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR = 1.46), South-East (OR = 1.50), North-Central (OR = 1.13), North-East (OR = 2.31) and North-West (OR = 1.35) compared to the South-West. Conclusion Majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and socio-demographic characteristics of mothers influence child morbidity in Nigeria. There is need for regional-specific context sensitisation for mothers in the use of modern PNC services.

scholarly journals Vitamin D Status in Preeclamptic and Non-preeclamptic Pregnant Women: A Case-Con­trol Study in the North West of Iran

2015 ◽  
Vol 5 (3) ◽  
pp. 183-190 ◽  
Author(s):  
Bita Sadin ◽  
Bahram Pourghassem Gargari ◽  
Fatemeh Pourteymour Fard Tabrizi
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Vitamin D Status ◽  
North West ◽  
The North

scholarly journals Evaluation of Factors Influencing the Inclusion of Indigenous Plants for Food Security among Rural Households in the North West Province of South Africa

2020 ◽  
Vol 12 (22) ◽  
pp. 9562
Author(s):  
Abiodun Olusola Omotayo ◽  
Adeyemi Oladapo Aremu
Keyword(s):  
South Africa ◽  
Logistic Regression ◽  
Food Security ◽  
Food System ◽  
Rural Households ◽  
Binary Logistic Regression ◽  
Indigenous Plants ◽  
North West ◽  
The North ◽  
North West Province

Underutilised indigenous plants can support and strengthen the existing food system, as they are considered as socio-economically and environmentally appropriate. These plants generally adapt to marginal conditions, which is essential for a resilient agriculture and sustainable food systems. The current study relied on food security and indigenous plants data collected from some selected rural households from the North West Province of South Africa. The utilised data were collected through a multi-stage sampling technique with the aid of a pre-tested semi-structured questionnaire, while descriptive methods Foster–Greer–Thorbecke (FGT) and binary logistic regression were used for data analysis. The models produced a good fit for the data, and the computed F-value was statistically significant (p < 0.01). The study examined socio-economic and food security status based on the knowledge and the perception of indigenous plants by the households. The incidence of food insecurity (θ0) was 0.4060, indicating that 40.6% of the participants were food insecure while 59.4% were food secured. Binary logistic regression results indicate that factors such as age, gender, educational attainment, inclusion of indigenous plants in diet, food expenditure, and access in the study area impacted results. It was also evident that the participants had considerable knowledge of indigenous plants. However, these indigenous plants were not cultivated or included in the diet by the majority of the participants. The formulation of appropriate holistic policies that support the incorporation of the indigenous plants into the food system is recommended.

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 Reproductive and Obstetric Factors Are Key Predictors of Maternal Anemia during Pregnancy in Ethiopia: Evidence from Demographic and Health Survey (2011)

Anemia ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Taddese Alemu ◽  
Melaku Umeta
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Survey ◽  
Health Problem ◽  
Previous History ◽  
Public Health Problem ◽  
Demographic And Health Survey ◽  
Under Five ◽  
History Of ◽  
Anemia During Pregnancy

Anemia is a major public health problem worldwide. In Ethiopia, a nationally representative and consistent evidence is lacking on the prevalence and determinants during pregnancy. We conducted an in-depth analysis of demographic and health survey for the year 2011 which is a representative data collected from all regions in Ethiopia. Considering maternal anemia as an outcome variable, predicting variables from sociodemographic, household, and reproductive/obstetric characteristics were identified for analyses. Logistic regression model was applied to identify predictors atP<0.05. The prevalence of anemia among pregnant women was 23%. Maternal age, region, pregnancy trimester, number of under five children, previous history of abortion (termination of pregnancy), breastfeeding practices, and number of antenatal care visits were key independent predictors of anemia during pregnancy. In conclusion, the level of anemia during pregnancy is a moderate public health problem in Ethiopia. Yet, special preventive measures should be undertaken for pregnant women who are older in age and having too many under five children and previous history of abortion. Further evidence is expected to be generated concerning why pregnant mothers from the eastern part of the country and those with better access to radio disproportionately develop anemia more than their counterparts.

scholarly journals Low Utilization of Insecticide-Treated Bed Net among Pregnant Women in the Middle Belt of Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Grace Manu ◽  
Ellen Abrafi Boamah-Kaali ◽  
Lawrence Gyabaa Febir ◽  
Emmanuel Ayipah ◽  
Seth Owusu-Agyei ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Premature Birth ◽  
Preventive Strategies ◽  
Insecticide Treated Nets ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Missed Opportunities ◽  
Malaria Burden ◽  
Itn Use ◽  
Depth Interviews

Background. Malaria in pregnancy leads to low birth weight, premature birth, anaemia, and maternal and neonatal mortality. Use of insecticide-treated nets (ITNs) during pregnancy is one of the proven interventions to reduce the malaria burden. However, Ghana has not achieved its target for ITN use among pregnant women. Methods. A qualitative study was conducted in seven communities purposively selected from the middle belt of Ghana. Participants who had delivered in the six months prior to this study were selected. In all, seven focus group discussions and twenty-four in-depth interviews were conducted between June and August 2010. Results. Respondents knew of the importance of ITNs and other malaria-preventive strategies. Factors such as financial access and missed opportunities of free distribution denied some pregnant women the opportunity to own or use an ITN. Reasons for not using ITNs during pregnancy included discomfort resulting from heat, smell of the net, and difficulty in hanging the net. Participants maintained their ITNs by preventing holes in the nets, retreatment, and infrequent washing. Conclusion. Pregnant women know about the causes and prevention of malaria. However, this knowledge is not transformed into practice due to lack of access to ITNs and sleeping discomforts among other logistical constraints.

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