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

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.

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

2021 ◽  
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 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.

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

2020 ◽  
Author(s):  
Nega Mihret Alazbih ◽  
Assefa Hailemariam Kaya ◽  
Mezgebu Yitayal Mengistu ◽  
Kassahun Alemu Gelaye
Keyword(s):  
Fertility Decline ◽  
Surveillance System ◽  
Decomposition Analysis ◽  
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 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. 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. 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 changing characteristics of women (78%)(P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (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 education. 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.

scholarly journals Suboptimal birth spacing practice and associated factors among women of reproductive age in West Badwacho district, Hadyia zone, South Ethiopia, 2020: Cross-sectional study design

2021 ◽  
Author(s):  
Alemu Workineh Wassihun ◽  
Yilkal Simachew Hunegnaw ◽  
Teshome Abuka Abebo ◽  
Alex Yeshaneh Bekele
Keyword(s):  
Logistic Regression ◽  
Birth Interval ◽  
Associated Factors ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Abstract Introduction: Birth spacing is the time gaps between two consecutive life births. One of the key strategies to reduce fertility and promote the health status of mothers and their children is optimal birth spacing. Recent evidences showed that the health of mothers and children with the birth interval of 3 to 5 years is safer than 2 years or less. However, women still have shorter birth intervals and studies addressing their associated factors were scarce. Objectives: To assess prevalence of suboptimal birth spacing practice and its associated factors among women of reproductive age in West Badwacho district, Hadyia Zone, South Ethiopia, 2020.Method and materials: Community based cross sectional study was conducted from February to March, 2020. Multi stage sampling technique was used to select samples of 626 women. Structured and pretested interview based questionnaire was used to collect the data. Data was checked for completeness and entered using EPI data version 3.1 and analyzed using SPSS version 25. Bivariable logistic regression was done and variables with a p-value of < 0.25 in bi-variable logistic regression were recruited as candidate variable for the final multivariable logistic regression model and P value less than 0.05 at 95 % confidence level was taken as statistically significant. Result: The prevalence of suboptimal birth interval in this study was 60.4 %. Independent predictors of suboptimal birth spacing were: age at first marriage less than 18 years (AOR: 2.18, 95% CI=1.34,3.53), HEWs education about birth sapcing (AOR: 1.89, 95% CI=1.02,3.48), non -formal maternal education (A0R: 2.25, 95%CI=1.31,3.87), non -formal husband education (AOR: 2.64, 95%CI=1.74,4.01), sex of index child being female (AOR:1.58, 95%CI=1.06, 2.38),, having poor knowledge on optimal birth interval (AOR: 2.96, 95%CI=1.64,5.37), duration of breast feeding for less than 24 months (AOR: 4.64, 95%CI=2.32,9.29), and modern contraceptive non users (AOR: 6.31, 95%CI=3.99,9.96),Conclusion and recommendation: More than half of the study respondents were practicing suboptimal birth interval. Educational status, age at first marriage, HEWs education about birth sapacing, short duration of breastfeeding was some of the factors associated with the outcome variable. Thus, to optimize birth spacing, strategies of providing information using HEWs, education and communication targeting associated variables should be improved.

scholarly journals Uterine prolapse and associated factors among reproductive age women in Dawro zone, southwest Ethiopia: a community based cross sectional study

2020 ◽  
Author(s):  
Abebe Sorsa Badacho ◽  
Mengistu Auro Lelu ◽  
Zegeye Gelan
Keyword(s):  
Logistic Regression ◽  
Uterine Prolapse ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage ◽  
Assisted Delivery ◽  
History Of

Abstract Background: Uterine Prolapse is an important but one of the most neglected public health problems causing maternal morbidity and mortality among women of reproductive age in developing countries including Ethiopia. However, yet few data are available with respect to uterine prolapse. The objective of this study was to assess the prevalence of, and factors associated with uterine prolapse among women of reproductive age.Methods: A community based cross-sectional study was conducted in Loma Woreda, Dawro southwest Ethiopia, from November to December 2019. A total of 422 randomly selected women of reproductive age were participated in the study. Data were collected by face-to-face interview with pre-structured questionnaire and clinical diagnoses were carried out. Epi data 3.2.1 and SPSS version 24 were used for data entry, processing and analysis. Binary Logistic regression was used to find out the association between dependent and independent variables. Variables with P-value less than 0.25 in bivariate logistic regression were further examined using multivariate logistic regression to investigate an association between dependent variable and independent variables. Results: The mean age of the respondents was 35.4 years (±7.994 SD). This study identified that the prevalence of symptomatic and anatomical uterine prolapse was 6.6 %(28) and 5.9%(25) respectively. The prevalence of anatomical prolapse was used as a reference when determining the associated factors. Age at first marriage (AOR: 0.25, 95%CI (0.07, 0.89), place of delivery (AOR: 3.33, 95%CI (1.21, 9.13), birth attendant assisted delivery (AOR 0.21; 95%CI (0.06, 0.71) and history of abortion (AOR: 2.94, 95%CI (1.08, 7.97) were found to have significantly and independently associated with prevalence of uterine prolapse. Conclusion: Uterine prolapse is common among women of reproductive age group age at first marriage, place of delivery, birth attendant assisted delivery, and history of abortion were found to be independent predictors of prevalence of uterine prolapse.

scholarly journals Hubungan Paritas dan Menikah Usia Dini dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IVA)

2020 ◽  
Vol 5 (2) ◽  
pp. 86-91
Author(s):  
Sri Sumarni ◽  
Laylatul Hasanah
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Community Health Center ◽  
Precancerous Lesion ◽  
Screening Tools ◽  
Early Marriage ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Cervical cancer is a neoplasm or malignancy in the cervix. The problem of cervical cancer in Indonesia is very distinctive, namely that many and more than 70% of cases are found at an advanced stage when they come to the hospital. One of the screening tools for cervical cancer is the IVA method. A positive IVA test is thought to be a precancerous lesion. IVA stands for Acetic Acid Visual Inspection. This method of examination is done by smearing the cervix or cervix with acetic acid. According to a preliminary study at Puskesmas Rubaru Kab. Sumenep found that from the results of the IVA examination, there were 10 women who tested positive for the IVA test (12%). The aim of this study was to analyze multiple children and sexual relations at a young age with the results of the IVA test. This research method is analytic with cross sectional approach. The total population is 72 people, the sample of this study is based on a sample size formula of 60 people who meet the inclusion criteria. The results showed that most of the age at first marriage were WUS ≤ 16 years, as many as 36 WUS (60%), almost half of WUS had children> 1 x, namely 18 WUS (30%), and a small proportion of WUS got positive results during the examination IVA tests were 10 WUS (16.7%). Based on the statistical test of each variable, it shows p value <α, so that H1 is rejected, meaning that there is a relationship between parity and early marriage with the results of the IVA test at the Rubaru Community Health Center, Rubaru District, Sumenep Regency.

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

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015496 ◽  
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.

scholarly journals THE INFLUENCE OF EDUCATION, WELFARE AND RESIDENTIAL AREA ON ADOLESCENT MARRIAGES

2021 ◽  
Vol 23 (1) ◽  
pp. 18
Author(s):  
Norma Yuni Kartika ◽  
Muhammad Efendi ◽  
Ellyn Normelani ◽  
Heru Heru ◽  
Sopyan Sopyan
Keyword(s):  
Rural Areas ◽  
Multivariable Analysis ◽  
Residential Area ◽  
Married Women ◽  
Cross Sectional ◽  
First Marriage ◽  
Poor Households ◽  
Age At First Marriage ◽  
Low Education ◽  
Age Of Marriage

The low median of age of first marriage in South Kalimantan is partly due to the high number of adolescent marriages that hinder the maturity age of marriage program. Adolescent marriages in this study is the age at first marriage for someone under the age of 20 years. This paper aims to analyze the factors that influence adolescent marriage in South Kalimantan. The study used a cross-sectional research design with data from the 2017 Indonesian Demographic and Health Survey (IDHS), South Kalimantan Province. The sample in this study were all married women aged 15-49 years who were respondents to the 2017 IDHS, which were divided into two categories as follows. (1) The category of adolescent marriage was the age of first marriage 15-19 years who met the criteria, amounting to 305 respondents. (2) The category of adult marriage is the age at first marriage of 20 years and over who meets the criteria, amounting to 328 respondents. The analysis in this study used univariable, bivariable and multivariable analysis. The results of the analysis show that 13.3 percent of women with low education, come from poor households and live in rural areas, cause adolescent marriages in South Kalimantan.

scholarly journals Married women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255021
Author(s):  
Azmeraw Ambachew Kebede ◽  
Endeshaw Admasu Cherkos ◽  
Eden Bishaw Taye ◽  
Getachew Azeze Eriku ◽  
Birhan Tsegaw Taye ◽  
...  
Keyword(s):  
Decision Making ◽  
Healthcare Utilization ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Married Women ◽  
P Value ◽  
Health Seeking ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Danger Signs

Background Women’s decision-making autonomy is very crucial for the improvement of women empowerment, and maternal, neonatal, and child healthcare utilization. As time immemorial, Ethiopian culture is largely gender stratified, and the position of women is subordinate to men in various household and health-seeking decision-making matters. However, there is a dearth of empirical evidence on women’s decision-making autonomy, especially in the household and on maternal and newborn healthcare utilization. Therefore, this study assessed married women’s decision-making autonomy in the household and on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. Methods A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A two-stage sampling technique was used to select 730 married women. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI INFO 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization. The adjusted odds ratio with its 95% confidence interval was computed to determine the level of significance at a p-value of ≤ 0.05. Results A total of 730 married women were included in the analysis. Thus, three-fourths (75.1%) of women had higher decision-making autonomy on their health, neonatal health, and other socio-economic aspects. Besides, the proportion of four and above antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years old (AOR = 2.08; 95% CI: 1.19, 3.62), monthly income of > 5000 ETB (AOR = 3.1; 95% CI: 1.36, 7.07), husband involvement (AOR = 2.36; 95% CI: 1.55, 3.43), and adequate knowledge of neonatal danger signs (AOR = 2.11; 95% CI: 1.4, 3.2) were factors independently associated with women’s decision-making autonomy on maternal and neonatal healthcare utilization and other socio-economic affairs. Conclusion Our findings show that women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization was optimal. Increasing household income level, promotion of husband’s involvement starting from the prenatal period, and increasing women’s knowledge of maternal and neonatal danger signs will have a great role in the improvement of women’s decision-making autonomy.

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