Tuberculosis and HIV are the leading causes of adult death in northwest Ethiopia: evidence from verbal autopsy data of Dabat health and demographic surveillance system, 2007–2013

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 640.69 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5 to -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (76%) (P-value < 0.001; 95%CI: -524.74, -453.13, and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (24%) (P-value <0.001; 95% CI: -224.36 to -79.14). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

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Mothers' education and ANC visit improved exclusive breastfeeding in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0179056 ◽

2017 ◽

Vol 12 (6) ◽

pp. e0179056 ◽

Cited By ~ 23

Author(s):

Amare Tariku ◽

Kassahun Alemu ◽

Zemichael Gizaw ◽

Kindie Fentahun Muchie ◽

Terefe Derso ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Surveillance System ◽

Northwest Ethiopia ◽

Demographic Surveillance System

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Trend and causes of adult mortality in Kersa health and demographic surveillance system (Kersa HDSS), eastern Ethiopia: verbal autopsy method

Population Health Metrics ◽

10.1186/s12963-017-0144-2 ◽

2017 ◽

Vol 15 (1) ◽

Cited By ~ 6

Author(s):

Wondimye Ashenafi ◽

Frehywot Eshetu ◽

Nega Assefa ◽

Lemessa Oljira ◽

Melkamu Dedefo ◽

...

Keyword(s):

Verbal Autopsy ◽

Surveillance System ◽

Adult Mortality ◽

Demographic Surveillance System ◽

Eastern Ethiopia ◽

Kersa Hdss

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Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

10.21203/rs.3.rs-21347/v2 ◽

2020 ◽

Author(s):

Nega Mihret Alazbih ◽

Assefa Hailemariam Kaya ◽

Mezgebu Yitayal Mengistu ◽

Kassahun Alemu Gelaye

Keyword(s):

Fertility Decline ◽

Surveillance System ◽

Northwest Ethiopia ◽

Married Women ◽

Demographic Surveillance System ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

First Marriage ◽

Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 641 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5, -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (78%) (P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (22%) (P-value <0.001; 95% CI: -214.56 to -67.368). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

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Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, Northwest Ethiopia: Decomposition Analysis

International Journal of Women s Health ◽

10.2147/ijwh.s334112 ◽

2021 ◽

Vol Volume 13 ◽

pp. 1197-1206

Author(s):

Nega Alazbih ◽

Assefa Hailemariam Kaya ◽

Mezgebu Mengistu ◽

Kassahun Gelaye

Keyword(s):

Fertility Decline ◽

Surveillance System ◽

Decomposition Analysis ◽

Northwest Ethiopia ◽

Demographic Surveillance System ◽

First Marriage ◽

Age At First Marriage

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The prevalence of non-communicable diseases in northwest Ethiopia: survey of Dabat Health and Demographic Surveillance System

BMJ Open ◽

10.1136/bmjopen-2016-015496 ◽

2017 ◽

Vol 7 (10) ◽

pp. e015496 ◽

Cited By ~ 12

Author(s):

Solomon Mekonnen Abebe ◽

Gashaw Andargie ◽

Alemayehu Shimeka ◽

Kassahun Alemu ◽

Yigzaw Kebede ◽

...

Keyword(s):

Alcohol Consumption ◽

Surveillance System ◽

Economic Status ◽

Population Based ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Demographic Surveillance System ◽

Northwestern Part ◽

Binary Logistic Regression Model ◽

Cross Sectional

ObjectiveThe main objective of this study was to investigate the magnitude and associated factors of non-communicable chronic diseases (NCDs) at the Dabat Health and Demographic Surveillance System (DHDSS) site in the northwestern part of Ethiopia.DesignA population-based cross-sectional study was conducted from October to December 2014.SettingHDSS site, Ethiopia.ParticipantsA total population of 67 397 living in 16 053 households was included in the study.MeasuresStructured interviewer-administered questionnaire was used to collect data. Self-reported morbidity was used to ascertain NCD. A binary logistic regression model was employed to identify the determinants of NCDs.ResultOne thousand one hundred sixty (1.7%) (95% CI 1.62 to 1.82) participants were found with at least one type of NCD. Heart disease and hypertension which accounted for 404 (32.2%) and 401 (31.9%), of the burden, respectively, were the most commonly reported NCDs, followed by 347 (27.7%) asthma, 62 (4.9%) diabetes mellitus and 40 (3.2%) cancer cases. Advanced age (≥65 year) (adjusted OR (AOR)=19.6; 95% CI 5.83 65.70), urban residence (AOR=2.20; 95% CI 1.83 to 2.65), household food insecurity (AOR=1.71; 95% CI 1.37 to 2.12) and high income (AOR=1.28; 95% CI 1.02 to 1.59) were significantly associated with the reported history of NCDs, whereas low (AOR=0.36; 95% CI 0.31 to 0.42) and moderate (AOR=0.33; 95% CI 0.22 to 0.48) alcohol consumption, farming occupation (AOR=0.72; 95% CI 0.57 to 0.91), and work-related physical activities (AOR=0.66; 95% CI 0.50 to 0.88) were inversely associated with NCDs.ConclusionThere is a high burden of NCDs at the Dabat HDSS site. Promotion of regular physical exercise and reducing alcohol consumption are essential to mitigate the burden of NCDs. In addition, preventive interventions of NCDs should be strengthened among urban dwellers, older age people and people of higher economic status.

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