scholarly journals Factors Associated With Protection of Last Live Birth Against Neonatal Tetanus Among Mother Age 15-49 in Ethiopia: A Multilevel Analysis Using EDHS 2016

2021 ◽  
Author(s):  
Gebrezgiher Kalayu ◽  
Girmatsion Fisseha ◽  
Reda Shamie ◽  
Awtachew Berhe ◽  
Kebede Embaye
Keyword(s):  
Antenatal Care ◽  
Live Birth ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Contextual Effect ◽  
Neonatal Tetanus ◽  
Operating Characteristics ◽  
Final Model ◽  
Factors Associated

Abstract Background: Neonatal tetanus is still the major public health problem in about 25 countries, mainly in Africa. Ethiopia has the highest neonatal tetanus mortality and morbidity rates in the world due to low TT immunization coverage coupled with the high amount of deliveries taking place at home. In Ethiopia, only 49% of the pregnant mothers received TT2+ in 2016. Objective: The objective of this study is to identify individual and community level factors associated with protections of last live birth against neonatal tetanus among mothers 15-49 years age in Ethiopia, evidence from Ethiopia Demographic and Health Survey 2016. Methods: The data for this study was obtained from Ethiopia Demographic and Health Survey of 2016. Population based cross-sectional study was conducted. The data were analyzed using Stata version 14. Variables that were significant in the bivariate multilevel logistic regression analysis were entered to the final model. Variables with p-value of less than 0.05 in the final model were considered as statistically significant. Interclass correlation coefficient and proportional change in variance were used to quantify the magnitude of the general contextual effect. Receiver operating characteristics curve was used to assess general accuracy of the model. Relative goodness-of-fit test was conducted using akaike’s information criterion.Results: This study depicted that, a total of 7193 women nested in 643 clusters were included in the analysis. The odds of protection of last live birth against neonatal tetanus were 1.27 and 1.53 times higher in mothers with poorer and richer respectively than mothers with poorest wealth index. Mothers who had antenatal care visit one and above had 12.3 times higher odds of protections of neonatal tetanus than those who had no antenatal care visits. The other significantly associated factors were place of delivery, region and community media exposure.Conclusion and recommendation: It can be concluded from the current study that protection of last live birth against neonatal tetanus is affected both by the individual and community level factors. Therefore, efforts to increase protection of last live birth against neonatal tetanus need to target both at individual and community level factors.

scholarly journals Factors Associated with Protection of Last Live Birth against Neonatal Tetanus among Mother Age 15-49 in Ethiopia: A Multilevel Analysis Using EDHS 2016

2020 ◽  
Author(s):  
Gebrezgiher Kalayu ◽  
Girmatsion Fisseha ◽  
Reda Shamie ◽  
Awtachew Berhe ◽  
Kebede Embaye
Keyword(s):  
Live Birth ◽  
Goodness Of Fit ◽  
Community Level ◽  
Contextual Effect ◽  
Neonatal Tetanus ◽  
P Value ◽  
Goodness Of Fit Test ◽  
Mortality And Morbidity ◽  
Factors Associated ◽  
The Individual

Abstract BackgroundEthiopia has the highest neonatal tetanus mortality and morbidity rates in the world due to low TT immunization coverage coupled with the high amount of deliveries taking place at home. This study aimed to identify individual and community-level factors associated with protections of last live birth against neonatal tetanus among mothers age 15–49 in Ethiopia.MethodsThe P-value of less than 0.05 in the final model was considered as statistically significant. The interclass correlation coefficient and proportional change in variance were used to quantify the magnitude of the general contextual effect. The relative goodness-of-fit test was conducted using Akaike's information criterion.ResultHome delivery (AOR = 0.83; 95% CI: 0.72, 0.96), at least one ANC visits (AOR = 12.35; 95% CI: 10.42, 14.62) and wealth index (poorer (AOR = 1.27, 95% CI: 1.04, 1.54) and richer (AOR = 1.53, 95% CI: 1.21, 1.93). were the individual factors that had an association with the utilization of protection of last live birth against neonatal tetanus.ConclusionsUtilization of protection of last live birth against neonatal tetanus is affected both by the individual and community level factors with high state variation.

scholarly journals Reasons and multilevel factors associated with unscheduled contraceptive use discontinuation in Ethiopia: evidence from Ethiopian demographic and health survey 2016

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kibrom Taame Weldemariam ◽  
Kebede Embaye Gezae ◽  
Haftom Temesgen Abebe
Keyword(s):  
Health Survey ◽  
Odds Ratio ◽  
Model Comparison ◽  
Contraceptive Use ◽  
Contextual Effect ◽  
Health Concern ◽  
Utilization Rate ◽  
Operating Characteristics ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background Contraceptive discontinuations for reasons other than the desire for pregnancy are a public health concern because of their negative effect on reproductive health outcomes. In Ethiopia, the contraceptive discontinuation rate is increasing; however the factors associated are poorly understood. So this study was aimed at assessing reasons and multilevel factors for unscheduled contraceptive use discontinuation. Methods This is a cross-sectional study of Ethiopian women who participated in the Ethiopian demographic health survey from January 18, 2016, to June 27, 2016. Ever using any contraceptive with in the calendar of the survey were an inclusion criteria for which 3835 women were found eligible. The data were analyzed using multilevel binary logistic regression in STATA version 14. Variables with p-value less than 0.05 were considered as statistically significant, and reported using adjusted odds ratio and 95% confidence interval. Median odds ratio and interval odds ratio, to quantify the magnitude of the general and specific contextual effect respectively, were used. Receiver operating characteristics curve and akaike’s information criterion were used for model comparison. Result The prevalence of unscheduled contraceptive use discontinuation was 46.18% for the principal reason of method related problems (Side effects-45.3%, needing better method-33.6%, and inconvenience-21.1%,). Women heading a household (AOR = 1.281, 95%CI 1.079–1.520), women who had no work (AOR = 0.812, 95%CI 0.673, 0.979) compared to professionals, living in poorest house hold income (AOR = 0.753, 95%CI 0.567, 0.997) compared to middle, residing in community with low contraceptive utilization rate (AOR = 1.945, 95%CI 1.618, 2.339), residing in poor community (AOR = 0.763, 95%CI 0.596–0.997), and having more children, and region were found to be significant predictors of unscheduled contraceptive use discontinuation. Conclusion Method related problems were found to contribute for more than half of the contraceptive use discontinuation. Both individual and community level factors were found to significantly influence the Unscheduled contraceptive use discontinuation. The outcome was common in groups who could have more social interactions and knowledge on which myths and rumors are common. So strengthening the efforts to reduce contraceptive use discontinuation and quality of contraceptive service provision could be important.

scholarly journals Individual and community level factors associated with anemia among children 6—59 months of age in Ethiopia: A further analysis of 2016 Ethiopia demographic and health survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241720
Author(s):  
Menaseb Gebrehaweria Gebremeskel ◽  
Afework Mulugeta ◽  
Abate Bekele ◽  
Lire Lemma ◽  
Muzey Gebremichael ◽  
...  
Keyword(s):  
Health Survey ◽  
Logistic Regression Model ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Multilevel Logistic Regression ◽  
Factors Associated ◽  
Dire Dawa ◽  
Poverty Status ◽  
The Individual ◽  
Multilevel Logistic Regression Model

Background Anemia is a global public health problem; but its burden is disproportionately borne among children in the African Regions. The 2016 Ethiopia Demographic and Health Survey report showed that the prevalence of anemia among children 6–59 months of age was 57%; far exceeding the national target of 25% set for 2015. Although studies have been conducted in Ethiopia, multilevel analysis has rarely been used to identify factors associated with anemia among children. Therefore, this study aimed to identify individual and community-level factors associated with anemia among children 6–59 months of age by fitting a multilevel logistic regression model. Methods The data was obtained from the 2016 Ethiopia Demographic and Health Survey, conducted from January to June 2016, and downloaded from the website http://www.DHSprogram.com. The sample was taken using two-stage stratified sampling. In stage one, 645 Enumeration Areas and in stage two 28 households per Enumeration Area were selected. A sample of 7790 children 6–59 months of age was included. Data were analyzed using STATA version 14. A multilevel logistic regression model was fitted and an adjusted odds ratio with a 95% confidence interval was obtained. Result From the individual-level factors, anemia was associated most strongly with child age, wealth index, maternal anemia and child stunting followed by child underweight, child fever and birth order whereas from the community-level, the strongest odds of anemia occurred among children from Somali, Harari, Dire Dawa and Afar region followed by Oromia and Addis Ababa. Low community-poverty is a protective factor for anemia. The odds of anemia were 0.81 (95% CI: 0.66, 0.99) times lower for children who were living in communities of lower poverty status than children who were living in communities of higher poverty status. Children from Somali and Dire Dawa had 3.38 (95% CI: 3.25, 5.07) and 2.22 (95% CI: 1.42, 3.48) times higher odds of anemia, respectively than children from the Tigray region. Conclusions This study shows that anemia among children 6–59 months of age is affected both by the individual and community level factors. It is better to strengthen the strategies of early detection and management of stunted and underweight children. At the same time, interventions should be strengthened to address maternal anemia, child fever and poverty, specifically targeting regions identified to have a high risk of anemia.

scholarly journals What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244811
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Ebenezer Agbaglo ◽  
Francis Appiah ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Home Delivery ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Factors Associated ◽  
At Home

Background In Ghana, home delivery among women in urban areas is relatively low compared to rural areas. However, the few women who deliver at home in urban areas still face enormous risk of infections and death, just like those in rural areas. The present study investigated the factors associated with home delivery among women who live in urban areas in Ghana. Materials and methods Data for this study was obtained from the 2014 Ghana Demographic and Health Survey. We used data of 1,441 women who gave birth in the 5 years preceding the survey and were dwelling in urban areas. By the use of Stata version 14.2, we conducted both descriptive and multivariable logistic regression analyses. Results We found that 7.9% of women in urban areas in Ghana delivered at home. The study revealed that, compared to women who lived in the Northern region, women who lived in the Brong Ahafo region [AOR = 0.38, CI = 0.17–0.84] were less likely to deliver at home. The likelihood of home delivery was high among women in the poorest wealth quintile [AOR = 2.02, CI = 1.06–3.86], women who professed other religions [AOR = 3.45; CI = 1.53–7.81], and those who had no antenatal care visits [AOR = 7.17; 1.64–31.3]. Conversely, the likelihood of home delivery was lower among women who had attained secondary/higher education [AOR = 0.30; 0.17–0.53], compared to those with no formal education. Conclusion The study identified region of residence, wealth quintile, religion, antenatal care visits, and level of education as factors associated with home delivery among urban residents in Ghana. Therefore, health promotion programs targeted at home delivery need to focus on these factors. We also recommend that a qualitative study should be conducted to investigate the factors responsible for the differences in home delivery in terms of region, as the present study could not do so.

scholarly journals Individual/Household and Community-Level Factors Associated with Child Marriage in Mali: Evidence from Demographic and Health Survey

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Betregiorgis Zegeye ◽  
Comfort Z. Olorunsaiye ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Survey ◽  
Fixed Effects ◽  
Educational Status ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Child Marriage ◽  
Major Public Health Problem ◽  
Factors Associated ◽  
Individual Household

Background. Child marriage is a major public health problem globally, and the prevalence remains high in sub-Saharan African countries, including Mali. There is a dearth of evidence about factors associated with child marriage in Mali. Hence, this studyaimed at investigating the individual/household and community-level factors associated with child marriage among women in Mali. Methods. Using data from the 2018 Mali Demographic and Health Survey, analysis was done on 8,350 women aged 18-49 years. A Chi-square test was used to select candidate variables for the multilevel multivariable logistic regression models. Fixed effects results weree xpressed as adjusted odds ratios (aOR) at 95% confidence intervals (CI). Stata version 14 software was used for the analysis. Results. The results showed that 58.2% (95% CI; 56.3%-60.0%) and 20.3% (95%; 19.0%-21.6%) of women aged 18-49 years were married before their 18th and 15th birthday, respectively. Educational status of women (higher education: aOR = 0.25 , 95% CI; 0.14-0.44), their partner’s/husband’s educational status (higher education: aOR = 0.64 , 95% CI; 0.47-0.87), women’s occupation (professional, technical, or managerial: aOR = 0.50 , 95% CI; 0.33-0.77), family size (five and above: aOR = 1.16 , 95% CI; 1.03-1.30), and ethnicity (Senoufo/Minianka: aOR = 0.73 , 95% CI; 0.58-0.92) were the identified individual/household level factors associated with child marriage, whereas region (Mopti: aOR = 0.27 , 95% CI; 0.19-0.39) was the community level factor associated with child marriage. Conclusions. This study has revealed a high prevalence of child marriage in Mali. To reduce the magnitude of child marriage in Mali, enhancing policies and programs that promote education for both girls and boys, creating employment opportunities, improving the utilization of family planning services, and sensitizing girls and parents who live in regions such as Kayes on the negative effects of child marriage is essential. Moreover, working with community leaders so as to reduce child marriage in the Bambara ethnic communities would also be beneficial.

scholarly journals Prevalence and Factors Associated with Late Antenatal Care Visit in Ethiopia: A population-based study using the 2016 Ethiopia Demographic and Health Survey

2019 ◽  
Author(s):  
Eskeziaw Kassahun Abebe ◽  
Amanuel Addisu Dessie ◽  
Liknaw Bewket Zeleke
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Health Survey ◽  
Multivariable Analysis ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
P Value ◽  
Factors Associated ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Objectives Maternal health care services are important for the survival and wellbeing of both mother and infant. In 2015, an estimated 303,000 women died from pregnancy-related complications. The Ethiopian government has implemented strategies to enhance maternal health service utilization, and reduce maternal morbidity and mortality. However, only 20.4% of women initiated the first antenatal care visit before 16 weeks of gestation. Therefore, this study assessed factors associated with late antenatal care visit in Ethiopia. A community based cross-sectional study design was used to examine 4,740 women from the 2016 Ethiopia Demographic and Health Survey data. Odds ratios with corresponding 95% confidence intervals (CI) were computed to examine the strength of an association. In the multivariable analysis, variables with p-value <0.05 were considered as statistically significant. Result The prevalence of late initiation of first antenatal care visit in Ethiopia was 67.3% (65.0%,69.6%). Living in rural areas (AOR= 95% CI:1.19,2.56) and fifth or above birth order (AOR=1.5;95% CI:1.10,2.00) were significantly associated with late antenatal care visit. Consequently, increasing the access and utilization of family planning, and raise an awareness on the benefit of early initiation of first antenatal care visit is recommended.

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