Regional Variations and the Risk Factors Among Teenager Childbearing in Ethiopia an Evidences From Ethiopian Demographic and Health Survey, 2016

2021 ◽  
Author(s):  
Abebe Debu Liga ◽  
Adane Erango Boyamo ◽  
Yasin Negash Jabir ◽  
Belete Adelo Wobse ◽  
Yohannes Haile Menuta
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Cluster Sampling ◽  
Teenage Childbearing ◽  
Ovulatory Cycle ◽  
African Countries ◽  
Middle Income ◽  
Regional Variations

Abstract Background: Childbearing is a teenage girl usually within the ages of 13-19, becoming fertile. Teenage childbearing and the consequences associated with it remain a major concern worldwide. In Sub-Saharan African countries like Ethiopia, teenage childbearing rates have high compared to the rest of the world. The study assessed risk-factors and regional-variations among teenage childbearing in Ethiopia.Method: The data were obtained from the 2016 Ethiopian Demographic and Health Survey. A two-stage cluster sampling design was applied to select the sample. Multilevel logistic regression models were used to assess' the risk-factors and regional-variation among teenage childbearing in Ethiopia.Results: In this study, 3498 teenagers from nine regional states and two administrative cities in Ethiopia were included. Over 10% of teenagers have been born children at the time of data collection. Shortage of education, poor-wealth index, knowing ovulatory cycle, non-usage of contraceptive-method, and non-exposure to media found to be determinants of teenager childbearing in Ethiopia. Conclusions: The incidence of teenage childbearing is high in Ethiopia then the concerned bodies provide awareness to the society on the risk of early pregnancy, encourage education, expand mass media and give special attention to poor and middle-income teenagers.

scholarly journals Households access to improved drinking water sources and toilet facilities in Ethiopia: a multilevel analysis based on 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042071
Author(s):  
Zewudu Andualem ◽  
Henok Dagne ◽  
Zelalem Nigussie Azene ◽  
Asefa Adimasu Taddese ◽  
Baye Dagnew ◽  
...  
Keyword(s):  
Drinking Water ◽  
Health Survey ◽  
Rural Households ◽  
Wealth Index ◽  
Water Sources ◽  
Demographic And Health Survey ◽  
P Value ◽  
Cluster Sampling ◽  
Drinking Water Source ◽  
Drinking Water Sources

ObjectiveThis study aimed to assess households access to improved drinking water sources and sanitation facilities and their associated factors in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsHousehold heads.Primary outcomesAccess to improved drinking water sources and toilet facilities.MethodsWe conducted an in-depth secondary data analysis of 2016 Ethiopian Demographic and Health Survey. Data from a total of 16 650 households and 645 clusters were included in the analysis. The households were selected using a stratified two-stage cluster sampling technique. Multilevel binary logistic regression analyses were performed to identify factors associated with access to an improved drinking water source and toilet facilities. Adjusted OR with a 95% CI was reported with p value <0.05 was used to declare a significant association between the covariates and the outcome variables.ResultsThe proportions of households’ access to improved sources of drinking water and toilet facilities were 69.94% (95% CI: 69.23% to 70.63%) and 25.36% (95% CI: 24.69% to 26.03%), respectively. Households headed by women and households with a better wealth index were positively associated with access to improved drinking water sources. Whereas rural households, ≥30 min round trip to obtain drinking water and region were factors negatively associated with households access to improved drinking water sources. A higher probability of having access to improved toilet facilities: households with heads who had attained higher education, households having better access to improved sources of drinking water and households with better wealth index. While the following households were less likely to have access to improved toilet facilities: households with heads were widowed, households with four to six members, rural households and region.ConclusionThe study found that the proportions of households’ access to improved drinking water sources and toilet facilities in Ethiopia were relatively low, which demands the need to tailor strategies to increase the coverage of access to improved drinking water sources and toilet facilities.

scholarly journals Risk factor of neonatal mortality in Ethiopia: multilevel analysis of 2016 Demographic and Health Survey

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Hailegebrael Birhan Biresaw ◽  
Kenaw Derebe Fentaw
Keyword(s):  
Neonatal Mortality ◽  
Health Survey ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Sub Saharan Africa ◽  
Multiple Birth ◽  
African Countries ◽  
Sub Saharan ◽  
Newborn Children

Abstract Background In sub-Saharan African countries, neonatal mortality rates remain unacceptably high. Ethiopia is one of the countries in Sub-Saharan Africa with the highest death rates of newborn children. Therefore, this study aimed to identify the risk factors associated with neonatal mortality in Ethiopia at the individual and community level. Methods The 2016 Ethiopian Demographic and Health Survey data was accessed and used for the analysis. A total of 2449 newborn children were included in the analysis. The multilevel logistic regression model was used to identify the significant factor of neonatal mortality. Adjusted odds ratio with a 95% confidence interval and p-value < 0.05 in the multilevel model was reported. Results A total of 2449 newborn children were included in this study. Multiple birth type (AOR = 3.18; 95% CI 2.78, 3.63), birth order of ≥ 5 (AOR = 2.15; 95% CI 1.75, 2.64), pre-term birth (AOR = 5.97; 95% CI 4.96, 7.20), no antenatal care (ANC) visit during pregnancy (AOR = 2.33; 95% CI 2.09, 2.61), not received TT injection during pregnancy (AOR = 2.28; 95% CI 1.92, 2.71), delivered at home (AOR = 1.99; 95% CI 1.48, 2.69), less than 24 months of preceding birth interval (AOR = 1.51; 95% CI 1.35,1.68), smaller birth size (AOR = 1.58; 95% CI 1.46, 1.71), never breastfeeding (AOR = 2.43; 95% CI 2.17, 2.72), poor wealth index (AOR = 1.29; 95% CI 1.17,1.41), non-educated mothers (AOR = 1.58; 95% CI 1.46, 1.71), non-educated fathers (AOR = 1.32; 95% CI 1.12, 1.54), rural residence (AOR = 2.71; 95% CI 2.23, 3.29), unprotected water source (AOR = 1.35; 95% CI 1.16, 1.58), and have no latrine facility (AOR = 1.78; 95% CI 1.50, 2.12) were associated with a higher risk of neonatal mortality. Neonates living in Amhara, Oromia, Somali, Harari, and Dire Dawa had a higher risk of neonatal mortality compared to Tigray. Moreover, the random effects result showed that about 85.57% of the variation in neonatal mortality was explained by individual- and community-level factors. Conclusions The findings suggest that attention be paid to education-based programs for mothers that would highlight the benefits of delivery care services, such as ANC visits, TT injections, and facility births. Meanwhile, public health initiatives should focus on expanding access to quality sanitation facilities, especially for latrines and drinking water that could improve neonatal health at the community-level as a whole.

scholarly journals Socio-demographic correlates and clustering of non-communicable diseases risk factors among reproductive aged women of Nepal: Results from Nepal Demographic Health Survey 2016

2019 ◽  
Author(s):  
Bihungum Bista ◽  
Raja Ram Dhungana ◽  
Binaya Chalise ◽  
Achyut Raj Pandey
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Vegetable Consumption ◽  
Wealth Index ◽  
Communicable Diseases ◽  
Current Smoker ◽  
Vulnerable Groups ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Non Communicable Diseases

AbstractGlobally, Non Communicable Diseases (NCDs) are the major killer diseases, majority of which are attributable to common risk factors like smoking, alcohol intake, physical inactivity and low fruits/vegetable consumption. Clustering of these risk factors increases the risk of developing NCDs. The occurrence of NCDs among women is alarmingly high, and this invites impact on upcoming generation too. So, this study aimed to assess the prevalence and clustering of selected risk factors and their socio-demographic determinants in Nepalese women using Nepal Demographic and Health Survey (NDHS) 2016 data.NDHS applied stratified multi-stage cluster sampling to reach to the individual respondent for representing the whole nation. This study included analysis of data of 6,396 women of age 15 to 49 years. Chi-square test for bivariate analysis and multiple poisson regression to calculate adjusted prevalence ratio was applied.A total of 8.91% participants were current smoker. Similarly, 22.19% and 11.45% of participants were overweight and hypertensive respectively. Around 6.02% of participants had a co-occurrence of two NCDs risk factors. Smoking, overweight and hypertension were significantly associated with age, education, province, wealth index and ethnicity. Risk factors were more likely to cluster in women aged 40-49 years (APR=2.95, CI: 2.58-3.38), widow/separated (APR=3.09, CI: 2.24-4.28) and Dalit) (APR=1.34, CI: 1.17-1.55).This study found that NCD risk factors were disproportionately distributed by age, education, socio-economic status and ethnicity and clustered in more vulnerable groups such as widow/separated, Dalit and Janajati.

scholarly journals Prevalence and Determinants of Home Delivery in Eastern Africa: Further Analysis of Countries Recent Demographic and Health Survey Data

2021 ◽  
Author(s):  
Lemma Demissie Regassa ◽  
Assefa Tola ◽  
Adisu Birhanu Weldesenbet ◽  
Biruk Shalmeno Tusa
Keyword(s):  
East Africa ◽  
Survey Data ◽  
Health Survey ◽  
Media Exposure ◽  
Wealth Index ◽  
Home Delivery ◽  
Demographic And Health Survey ◽  
Eastern Africa ◽  
East African ◽  
African Countries

Abstract Background: Despite the high proportion of maternal mortality ratio in East African countries primarily attributed to home delivery, overall magnitude of home delivery and its determinants remains unclear. Therefore, the current study aimed to determine magnitude of home delivery and its determinant factors in East Africa using Demographic and Health Survey (DHS) data.Methods: We pooled the DHS survey data of the 11 East African countries, and a total weighted sample of 125,786 women were included in the study. Generalized Linear Mixed Models (GLMM) was fitted to identify factors associated with home delivery. Variables with Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI), and p-value < 0.05 in the final GLMM model were reported to declare significantly associated factors with home delivery.Result: The weighted prevalence of home delivery was 23.79% [95% CI: 23.55 – 24.02] among women in East Africa countries. Home delivery was highest among Ethiopian women (72.5%) whereas, it was lowest among women from Mozambique (2.8%). In GMM, respondent’s age group, marital status, educational status, place of residence, living country, wealth index, media exposure and total children ever born were shown significantly associated with the home delivery in the East Africa countiesConclusion: Home delivery was varied between countries of East African zone. The home delivery was significantly increased among women aged 20-34 years, higher number of ever born children, rural residence, never married or formerly married participants. To the contrast home delivery was decreased with higher educational level, media exposure, and higher wealth index. Wide range interventions to decrease home delivery should focus on addressing inequities associated with maternal education, family wealth, increased access to media, as well as narrowing the gap between the rural and the urban areas, poor and rich families, and married and unmarried mothers.

scholarly journals Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Meal Frequency ◽  
Factors Associated ◽  
Minimum Dietary Diversity ◽  
Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

scholarly journals Association Between Household Air Pollution and Infant and Child Mortality in Myanmar: Evidence From The First Demographic and Health Survey

2021 ◽  
Author(s):  
Juwel Rana ◽  
Md Nuruzzaman Khan ◽  
Rakibul M Islam ◽  
Razia Aliani ◽  
Youssef Oulhote
Keyword(s):  
Air Pollution ◽  
Child Mortality ◽  
Health Survey ◽  
Rural Areas ◽  
Demographic And Health Survey ◽  
Household Air Pollution ◽  
Cluster Sampling ◽  
High Exposure ◽  
Under Five ◽  
Under Five Children

Abstract Background: Household air pollution (HAP) from solid fuel use (SFU) for cooking has been considered a public health threat, particularly for women and children in low and middle-income countries (LMICs), with limited evidence. This study was undertaken to investigate the effects of HAP on neonatal, infant, and under-five child mortality in Myanmar. Methods: This cross-sectional study employed data from the Myanmar Demographic and Health Survey (MDHS), the first nationally representative survey conducted in 2016. Data were collected from MDHS based on stratified two-stage cluster sampling design applied in urban and rural areas. The sample consists of 3249 under-five children in the household with a 98% response rate. Exposure measures were HAP (coal and biomass) and level of exposure to HAP (no exposure, moderate and high exposure). The main outcomes were neonatal, infant, and under-five child mortality reported by mothers presented in rates and risk ratios with 95% confidence intervals, accounting for survey weight and cluster variation. Results: The prevalence of SFU was 79.0%. The neonatal, infant and under-five child mortality rates were 26, 45, and 49 per 1,000 live births, respectively. The risks of infant (aRR 2.02; 95% CI: 1.01-4.05) and under-five mortality (aRR 2.16; 95% CI: 1.07-4.36) mortality were higher among children from households with SFU compared to children from households using clean fuel. When applying an augmented measure of exposure to HAP by incorporating SFU and the kitchen's location, the likelihoods of infant and under-five mortality were even higher among moderate and highly exposed children than unexposed children with similar trends. Neonatal mortality was not associated with either HAP exposure or levels of exposure to HAP.Conclusion: Infants and under-five children are at higher risk of mortality from exposure to HAP. Increasing access to cookstoves and clean fuels is imperative to reduce the risk of infant and under-five child mortality in LMICs, including Myanmar.

scholarly journals KNOWLEDGE OF HEPATITIS PREVENTION AMONG REPRODUCTIVE AGE GROUP WOMEN FROM PAKISTAN DEMOGRAPHIC HEALTH SURVEY DATA 2012-13

2020 ◽  
Vol 9 (3) ◽  
pp. 135-138
Author(s):  
Faiz Rasul Awan ◽  
Muhammad Safdar Baig ◽  
Atiq ur Rehman Khan
Keyword(s):  
International Development ◽  
Survey Data ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
P Value ◽  
Cluster Sampling ◽  
Age Group ◽  
Significant Difference ◽  
Reproductive Age Group

Background: Pakistan and Egypt bear more than 80% of the burden of disease as more than 12 million people are suffering from hepatitis B or C infection and there is addition of about 150000 new cases each year.Methods: We have used secondary data PDHS - Pakistan Demographic and Health Survey, DHS has become the gold standard of survey data in developing countries, a project by ORC Macro with financial support from the USAID for the International Development carried out as multistage, cluster sampling for its data collection on multiple questions, most pertinent from our study point view the maternal and child health related to knowledge attitude and practices of hepatitis and its prevention. Results:The final multivariate model six variables came out to be statistically significant with their adjusted odd's ration p-value and 95% confidence interval i.e., use of new disposable syringe every time for therapeutic injection purpose, the respondent being rich as wealth index, reading newspapers and magazines, watching television as source of information, area of residence being urban and with higher educational level came out to be most important variable which are making statistically significant difference for prevention of hepatitis among females of reproductive age group as our study population from Pakistan Demographic and Health Survey 2012-13. Conclusion: It is quite evident from the results of our study that use of new disposal syringes, being rich , being educated, having access to information resources like watching television, listening radio, reading newspaper & magazine and being as an urban dwellers are significant factor among women of reproductive age groups for prevention of hepatitis.

scholarly journals High prevalence of under-five child mortality in the pastoralist communities of Ethiopia: Evidence from the 2016 Ethiopian demographic and health survey data

2020 ◽  
Author(s):  
Mesfin Wudu Kassaw ◽  
Aele Mamo ◽  
Biruk Abate ◽  
Ayelign Kassie ◽  
Seteamlak Masresha
Keyword(s):  
Survey Data ◽  
Child Mortality ◽  
Health Survey ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Under Five ◽  
Khat Chewing ◽  
High Prevalence ◽  
Health Survey Data ◽  
The Government

Abstract Objective: The aim of this study was to assess the prevalence and association of child mortality in the pastoralist regions of Ethiopia. The study is a further analysis from 2016 Ethiopian Demographic and Health Survey data. Results: The prevalence of under-five child mortality in the pastoralist’s regions was 23.2%, 95%CI (21.4%, 24.6%). The prevalence of mortality among daughters was 15.4%, 95%CI (14.2, 16.6%), and sons 16.8%, 95%CI (15.6, 18.1%).In logistic regression, wealth index, head of household, Khat chewing, type of child birth, husband education, and child age in months were associated with under-five mortality irrespective of the deceased children’s gender. The prevalence of under-five child mortality in the pastoralist regions of Ethiopia was high, which was far highest in relative to the national under-five mortality prevalence. In assessing the effect of variables on under-five child mortality by gender, almost all the variables that have an effect on female or male child are similar. The government should emphasize on the pastoralists’ regions to decrease the high prevalence of under-five child mortality.

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