scholarly journals Factors associated with decision making power of women to use family planning among married women in sub-Saharan Africa: A multilevel analysis of demographic health surveys

2021 ◽  
Author(s):  
Getu Debalkie Demissie ◽  
Yonas Akalu ◽  
Abebaw Addis Gelagay ◽  
Wallelign Alemnew ◽  
Yigizie Yeshaw
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Media Exposure ◽  
Wealth Index ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Fertility Preference ◽  
Factors Associated ◽  
Contraceptive Usage ◽  
Sub Saharan

Abstract Background: In sub-Saharan Africa there are several socio-economic and cultural factors which affect women’s ability to make decision regarding their own health including contraceptive usage. The main aim of this study was to determine factors associated with decision making power of women to use family planning in sub-Saharan Africa.Methods: The appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision making power of women to use family planning in SSA. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model. Results: Those married women with primary education (AOR=1.24; CI:1.16,1.32),secondary education (AOR=1.31; CI:1.22,1.41), higher education (AOR=1.36; CI:1.20,1.53),media exposure(AOR=1.08; CI: 1.03, 1.13), currently working (AOR=1.27; CI: 1.20, 1.33), antenatal care visit of 1-3 (AOR=1.12; CI:1.05,1.20) and ≥ 4 ANC visit (AOR=1.14;CI:1.07,1.21), women who were informed about family planning (AOR=1.09; CI: 1.04, 1.15), women who had less than 3 children(AOR=1.12; CI: 1.02, 1.23) and 3-5 children (AOR=1.08; CI: 1.01, 1.16) had higher odds of decision making power to use family planning than their counter parts. Besides, mothers with age of 15-19 (AOR=0.61; CI: 0.52, 0.72), 20-24 (AOR= 0.69; CI: 0.60, 0.79), 25-29 (AOR=0.74; CI: 0.66, 0.84), and 30-34 years (AOR=0.82; CI: 0.73, 0.92) had reduced chance of decision making power of women to use family planning. Conclusion: Age, women’s level of education, occupation of women and their husband, wealth index, media exposure, ANC visit, fertility preference, husband’s desire number of children, region and information about family planning were factors associated with decision making power to use family planning among married women.

scholarly journals Prevalence of anemia and its associated factors among married women in 19 sub-Saharan African countries

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Felix Emeka Anyiam ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Associated Factors ◽  
Wealth Index ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
African Countries ◽  
Factors Associated ◽  
Sub Saharan ◽  
Prevalence Of Anemia

Abstract Background Sub-Saharan Africa (SSA) remains the region with the highest burden of anemia globally. Since anemia has both health and non-health-related consequences, its reduction is one of the Sustainable Development Goals. Therefore, this study aimed to examine the prevalence of anemia and its associated factors among married women in SSA. Methods Using Stata version-14 software, the analysis was done on 89,029 married women from the Demographic and Health Surveys of 19 countries in SSA. Pearson Chi-Square test and Binary logistic regression analyses were used to examine the factors associated with anemia. The results were presented using adjusted Odds Ratio (aOR) at a 95% Confidence Interval (CI). A p-value less than or equal to 0.05 (p ≤ 0.05) was considered statistically significant. Results The pooled analysis showed that 49.7% of married women were anemic. Of these, 1.04% and 15.05% were severely and moderately anemic respectively, and the rest 33.61% were mildly anemic. Husband education (primary school-aOR = 0.84, 95% CI; 0.71–0.99), wealth index (middle-aOR = 0.81, 95% CI; 0.68–0.96, richer-aOR = 0.69, 95% CI; 0.57–0.84, richest-aOR = 0.68, 95% CI; 0.51–0.91), modern contraceptive use (yes-aOR = 0.68, 95% CI; 0.56–0.81) and religion (Muslim-aOR = 1.27, 95% CI; 1.11–1.46, others-aOR = 0.73, 95% CI; 0.59–0.90) were factors associated with anemia among married women. Conclusion The findings show that nearly half of the married women are affected by anemia. Enhancing partners’ educational levels, and economic empowerment of women, strengthening family planning services, and working with religious leaders to reduce the perception and religious beliefs related to food restrictions can be the main focus to reduce the burden of anemia among married women in SSA.

scholarly journals Currently married women with an unmet need for contraception in Eritrea: Profile and determinants

2011 ◽  
Vol 38 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Gebremariam Woldemicael ◽  
Roderic Beaujot
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Economic Status ◽  
Unmet Need ◽  
Married Women ◽  
Sub Saharan Africa ◽  
The Status ◽  
Sub Saharan ◽  
Using Data ◽  
Unmet Need For Contraception

Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS), this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need, and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.

scholarly journals Factors Associated with Over-Nutrition Among Men 15-54 years in Uganda: A National Survey

2021 ◽  
Vol 14 ◽  
pp. 117863882110168
Author(s):  
Ivan Kato Arinda ◽  
Quraish Sserwanja ◽  
Sylvia Nansubuga ◽  
David Mukunya ◽  
Phiona Akampereza
Keyword(s):  
Wealth Index ◽  
Married Couples ◽  
Northern Region ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
Factors Associated ◽  
Married Men ◽  
Sub Saharan ◽  
Old Men ◽  
Study Participants

Background: Globally and in Sub-Saharan Africa (SSA), the prevalence of overweight and obesity are on the rise. Data on overweight and obesity among men are scarce. Objective We aimed to determine the prevalence and factors associated with over-nutrition among men in Uganda. Methods: We used Uganda Demographic and Health Survey (UDHS) 2016 data of 5,408 men aged 15 to 45 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Multivariable logistic regression was used to determine factors associated with over-nutrition among 15 to 54-year-old men in Uganda. Results: The prevalence of over nutrition was 9.1%, where that of overweight was 7.9% (95% CI 7.2-8.7 and obesity was1.2% (95% CI 0.9-1.5). Men who were aged 25 to 34 (AOR = 3.28; 95% CI: 1.92-5.59), 35-44 (AOR = 4.51; 95% CI: 2.61-7.82) and 45 to 54 (AOR = 4.28; 95% CI: 2.37-7.74) were more likely to have over-nutrition compared to those aged 15 to 24 years. Married men (AOR=2.44; 95% CI: 1.49-3.99) were 2 times more likely to have over-nutrition than men who were not married. Men in the central region (AOR = 1.78; 95% CI: 1.22-2.60) were 1.78 times more likely to have over-nutrition than men in the northern region. Men who were in the richest wealth index quintiles were 10 times more likely to have over-nutrition compared to those in the poorest wealth index quintile (AOR = 9.38: 95 % CI 5.14-17.10). Conclusion: The factors associated with over-nutrition among Ugandan men in our study were increasing age, marital status, increasing wealth and region of origin. This shows the need for measures to abate the regional development inequalities, need to promote physical activity among older men and need to improve on the knowledge of nutrition and dietetic practices for married couples and men of different social classes.

scholarly journals Utilization of deworming medication and its associated factors among pregnant married women in 26 sub-Saharan African countries: a multi-country analysis

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Mpho Keetile ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Abdul-Aziz Seidu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
African Countries ◽  
Related Factors ◽  
Factors Associated ◽  
Software Analysis ◽  
Sub Saharan

Abstract Background Deworming is one of the strategies to reduce the burden of anemia among pregnant women. Globally, pregnant women in sub-Saharan Africa are more affected by anemia. Therefore, this study examined both the coverage and demographic, socioeconomic, and women empowerment-related factors associated with the utilization of deworming medication among pregnant married women in sub-Saharan Africa. Methods We used data from the most recent Demographic and Health Surveys of 26 countries in sub-Saharan Africa conducted between 2010 and 2019. Using Stata version-14 software, analysis was done on 168,910 pregnant married women. Bivariate and multivariable logistic regression analyses were conducted to examine the factors associated with the utilization of deworming medication. The results were presented using adjusted odds ratios (aORs) at 95% confidence intervals (CIs). Results The pooled results showed that about 50.7% (95% CI 48.2–53.3%) of pregnant married women in the studied countries took deworming medications, and this varied from as high as 84.1% in Sierra Leone to as low as 2% in Angola. Regarding sub-regional coverage, the highest and lowest coverages were seen in East Africa (67.6%, 95% CI 66.0–69.1%) and West Africa (24.3%, 95% CI 22.4–26.4%) respectively. We found higher odds of utilization of deworming medication among older pregnant married women (aOR=1.93, 95% CI 1.32–2.84), women with educated husbands (aOR=1.40, 95% CI 1.11–1.77), wealthier women (aOR=3.12, 95% CI 1.95–4.99), women exposed to media (aOR=1.46, 95% CI 1.18–1.80), and those who had four or more antenatal care visits (aOR=1.51, 95% CI 1.24–1.83). Conclusions Enhancing women’s education, disseminating information about maternal healthcare services through mass media, and ensuring that women from economically disadvantaged households benefit from national economic growth can be considered as deworming medication improvement strategies in sub-Saharan Africa. Moreover, providing more attention to adolescents or young pregnant women and increasing the number of antenatal care visits could be considered to increase deworming uptake among pregnant married women.

scholarly journals Unmet Need For Family Planning Among Married Women In Sub-Sahara Africa: A Meta-Analysis of DHS Data (1995 – 2020)

2021 ◽  
Author(s):  
Million Phiri ◽  
Clifford Odimegwu ◽  
Chester Kalinda
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Central Africa ◽  
Married Women ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Women Of Reproductive Age ◽  
Sub Saharan

Abstract Background: Closing the gap of unmet needs for family planning (FP) in sub-Saharan Africa remains critical in improving maternal and child health outcomes. Determining the prevalence of unmet needs for family planning among married women in the reproductive age is vital for designing effective sexual reproductive health interventions and programmes. Here, we use nationally representative data drawn from sub-Saharan countries to estimate and examine heterogeneity of unmet needs for family planning among currently married women of reproductive age. Methods: This study used secondary data from Demographic and Health Surveys (DHS) conducted between January 1, 1995 to December 31, 2020 from 37 countries in sub-Saharan African. An Inverse Heterogeneity model (IVhet) in MetaXL application was used to estimate country and sub-regional level pooled estimates and confidence intervals of unmet needs for FP in SSA. Results: The overall prevalence of unmet need for family planning among married women of reproductive age in the sub-region for the period under study was 22.9% (95% CI: 20.9–25.0). The prevalence varied across countries from 10% (95% CI: 10–11%) in Zimbabwe to 38% (95% CI: 35–40) and 38 (95% CI: 37–39) (I2 = 99.8% and p-value < 0.0001) in Sao Tome and Principe and Angola, respectively. Unmet needs due to limiting ranged from 6%; (95% CI: 3–9) in Central Africa to 9%; (95% CI: 8–11) in East Africa. On the other hand, the prevalence of unmet needs due to spacing was highest in Central Africa (Prev: 18; 95% CI: 16–21) and lowest in Southern Africa (Prev: 12%; 95% CI: 8–16). Our study indicates that there was no publication bias because the Luis Furuya-Kanamori index (0.79) was within the symmetry range of -1 and +1. Conclusion: The prevalence of unmet need for FP remains high in sub-Saharan Africa suggesting the need for health policymakers to consider re-evaluating the current SRH policies and programmes with the view of redesigning the present successful strategies to address the problem.

scholarly journals Individual and community level factors associated with use of iodized salt in sub-Saharan Africa: A multilevel analysis of demographic health surveys

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251854
Author(s):  
Yigizie Yeshaw ◽  
Alemneh Mekuriaw Liyew ◽  
Achamyeleh Birhanu Teshale ◽  
Tesfa Sewunet Alamneh ◽  
Misganaw Gebrie Worku ◽  
...  
Keyword(s):  
Community Education ◽  
Media Exposure ◽  
Wealth Index ◽  
Education Level ◽  
Iodized Salt ◽  
Community Level ◽  
Sub Saharan Africa ◽  
Poverty Level ◽  
Community Media ◽  
Sub Saharan

Introduction Iodine deficiency disorder a common problem in sub-Saharan Africa (SSA). It affects not only the health of the affected individual but also the economic development of the country. However, to the best of our knowledge, there is a scarcity in literature about the associated factors of iodized salt utilization in sub-Saharan Africa. Therefore, this study aimed to identify both individual and community level determinants of iodized salt utilization in sub-Saharan Africa. Methods This study used the appended datasets of the most recent demographic and health survey from 31 sub-Saharan countries. A total weighted sample of 391,463 households was included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of iodized salt utilization in SSA. P value ≤ 0.05 was used to declare statistically significant variables. Results Those households with primary (AOR  =  1.53, 95% CI  =  1.50–1.57), secondary (AOR  = 1.81, 95% CI  =  1.76–1.86) and higher education level (AOR  =  2.28, 95% CI  =  2.17–2.40) had higher odds of iodized salt utilization. Households with middle (AOR  =  1.05, 95% CI  =  1.02–1.08), richer (AOR  = 1.13, 95% CI  =  1.09–1.17) and richest wealth index (AOR  =  1.23, 95% CI  =  1.18–1.28) also had an increased chance of using iodized salt. Households from high community media exposure (AOR  =  2.07, 95% CI  =  1.71–2.51), high community education level (AOR  =  3.78, 95% CI  =  3.14–4.56), and low community poverty level (AOR = 1.29, CI  =  1.07–1.56) had higher odds of using salt containing iodine. Conclusion Both individual and community level factors were found to be associated with use of salt containing iodine in sub-Saharan Africa. Education level, media exposure, community poverty level, wealth index, community education, and community media exposure were found to be associated with use of salt containing iodine in SSA. Therefore, to improve the use of iodized salt in the region, there is a need to increase access to media sources and develop the socioeconomic status of the community.

scholarly journals Fertility transition in selected sub-Saharan African countries: the role of family planning programs

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1748
Author(s):  
Vincent Otieno ◽  
Alfred Agwanda ◽  
Anne Khasakhala
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Fertility Transition ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Fertility Preferences ◽  
Fertility Preference ◽  
Current Fertility ◽  
Sub Saharan

Background: Change in fertility rate across societies is a complex process that involves changes in the demand for children, the diffusion of new attitudes about family planning and greater accessibility to contraception. Scholars have concentrated on a range of factors associated with fertility majorly at the national scale. However, considerably less attention has been paid to fertility preference - a pathway through which various variables act on fertility. It is understood that women have inherent fertility preferences which each they seek to achieve over her reproductive cycle. However, the service delivery enhancement levels and capacity across countries as integral pathways to this goal accomplishment stand on their way towards eventual outcomes. Precisely, the Sub-Saharan African countries’ disparities amid similarities in their population policies is a cause of concern. Methods: Using Bongaarts reformulation of Easterlin conceptual scheme of 1985 on DHS data, the understanding of the current fertility transition in general would provide explanations to the observed fertility dynamics. This study therefore is an attempt to explain the current fertility transition through women’s fertility preference. Results: Results reveal that fertility transition is diverse across sub-Saharan Africa; generally, on a decline course in most of the countries. The huge disparities in fertility preferences among women of reproductive age and its non-significant change in the implementation indices points at the service delivery performance underneath regarding the proportion of demand to family planning commodities satisfied. Service delivery indicators are integral to fertility preference achievement within households as well as a country’s overall positioning regarding fertility transition at the macroscale. Conclusions: It is therefore plausible to conclude that the improvement of service delivery in general; precisely touching on the availability and the uptake of quality birth control technologies is one of the most feasible means through which countries can fast track their fertility transitions.

scholarly journals The relationship between shared-decision making in contraceptive counseling and satisfaction in Accra and Kumasi, Ghana

2021 ◽  
Vol 5 ◽  
pp. 180
Author(s):  
Sarah Compton ◽  
Adom Manu ◽  
Ernest Maya ◽  
Emmanuel Morhe ◽  
Vanessa Dalton
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Longitudinal Survey ◽  
Sub Saharan Africa ◽  
Decision Making Process ◽  
Shared Decision ◽  
Method Choice ◽  
Contraceptive Usage ◽  
Sub Saharan ◽  
The Relationship

Background:  Current use of modern methods of contraception remain low in many parts of sub-Saharan Africa, including Ghana. One way to improve both satisfaction with and continuation of contraceptive usage is to increase the level of shared decision-making around method choice. In this study, we sought to evaluate the extent to which patients in urban Ghana experienced shared decision-making and if this was associated with method chosen, satisfaction, or continuation of the method at three-months post-visit. Methods: We conducted a longitudinal survey. Women were recruited when they were starting a new method of contraception and followed-up with at three-months post-initiation from five family planning clinics in Accra and Kumasi, Ghana. Participants were asked who made the decision about their method choice, the patient herself, the provider, or the patient and provider together. Our outcomes included measures of satisfaction and three months’ continuation. Results: Fifty-eight percent of our participants reported making the decision of which method to use themselves, and eighty percent reported being satisfied to be leaving with their chosen method. At three months, those who reported they engaged in shared decision-making were more likely to report they would choose the same method again (p=.003), a measure of satisfaction. Patients who reported they made the decision of which method to use (p=.002) and those who left with an injection or pill (p=.019) rated their provider less favorably, while participants who had used a method before (p=.024) and those who reported they received their method of choice (p=.000) rated their providers more favorably. Conclusions: Measured in multiple ways, women who made the decision of which method to use were less satisfied. These results show the importance of providers engaging with patients during the contraceptive decision-making process.

Is Decision-Making For Health Care Related To Health Facility Delivery Among Married Women In Uganda? Analysis From DHS 2016

2021 ◽  
Author(s):  
Harriet Akello
Keyword(s):  
Decision Making ◽  
Older Women ◽  
Health Facility ◽  
Odds Ratio ◽  
Wealth Index ◽  
Married Women ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Factors Associated ◽  
The Relationship

Abstract Background Most maternal and neonatal deaths occur in low and middle incomes, and more than half takes place within the first day of birth. These deaths could be prevented if delivery was attended to by skilled health professionals in the health facilities. Empirical studies have reported several factors associated with low facility-based delivery. Limited literature is available on the relationship between women autonomy and health facility delivery in Uganda. This study aims to establish the relationship between decision-making for health care and health facility delivery among married women in Uganda. Method: The data used for the cross-sectional study was from the Uganda Demographic Health Survey 2016. The study used a sample of 1541 women who gave birth within five years before the survey. Proportions, odds ratio and 95% confidence interval were used to estimate the health facility delivery for each independent variable using the level of significance of p < 0.05. Binary logistics regression was used to calculate the odds ratio for the different variables. Results: 49% of the women could decide by themselves to seek care. Although 94% of the women attended ANC during the last pregnancy, only 75% of the married women delivered their most recent child in the hospital/health facility. There was regional variation for facility-based delivery (Western AOR 0.441, CI 0.285-0.684; Eastern 0.568, CI 0.395-0.816; Central 0.587, CI 0.361-0.952). Older women are less likely to deliver in a health facility compared to younger ones (25-29years AOR 0.559, CI 0.356-0.877; 30-34years AOR 0.530, CI 0.342-0.823, 35-39years AOR 0.406, CI 0.252-0.652; 40-44year AOR 0 .569, CI 0.345-0.938; 45-49years AOR 0.485, CI 0.288-0.814). Women who were aged 20-29years were more likely to deliver in a health facility (AOR 1.55 CI 1.141-2.109). Women in the middle, richer and richest wealth index have higher odds of delivering in the hospital compared to women in the poorest wealth index (Middle AOR 1.544, CI 1.053-2.264; richer AOR 1.863, CI 1.211-2.866; Richest AOR 4.104, CI 2.051-8.213). Women who do not have problems with transport are more likely to deliver in the hospital (AOR 1.503, CI 1.168-1.935). Conclusion: Decision-making for health has no association with health facility delivery. The factors associated with health facility delivery among married women were the current age of the woman, age of the woman at the birth of the first child, distance to the facility, wealth, region and place of residence. The government needed to develop strategies that will improve health facility distribution per capita, invest in infrastructure that will reduce the distance to the health facility, invest in projects that will improve wealth index and carry out health promotion targeting older women and considers geographical variations.

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