scholarly journals Underweight and associated factors among lactating women in Uganda: evidence from the Uganda demographic health survey 2016.

2020 ◽  
Author(s):  
quraish sserwanja ◽  
David Mukunya ◽  
Linet M. Mutisya ◽  
Milton Musaba ◽  
Mathew Kagwisagye ◽  
...  
Keyword(s):  
Health Survey ◽  
Northern Region ◽  
Lactating Women ◽  
Level Of Education ◽  
Post Secondary ◽  
Factors Associated ◽  
Child Morbidity ◽  
Increased Risk ◽  
The Government ◽  
Study Participants

Abstract BackgroundLactating mothers are at increased risk of underweight due to physiological changes that lead to disproportionately higher energy and nutrient requirements than non-pregnant and non-lactating women. Maternal underweight has been shown to negatively affect the secretion of nutrients in breast milk leading to increased risk of child morbidity and mortality. We aimed to determine the prevalence and factors associated with underweight among lactating women in Uganda.MethodsWe used the Uganda Demographic and Health Survey (UDHS) 2016 data of 1,356 women aged 20 to 49 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight among 20 to 49-year-old lactating women in Uganda.ResultsThe prevalence of underweight was 8.2% (111/1356) (95% CI: 7.0–10.0). Women who were working were more likely to be underweight compared to those who were not working (AOR = 0.51; 95% CI: 0.28–0.96). Women in the Northern region were more likely to be underweight compared to women in the Western (AOR = 0.14; 95% CI: 0.06–0.29), Eastern (AOR = 0.34; 95% CI: 0.18–0.64) and Central (AOR = 0.24; 95% CI: 0.10–0.57) regions. Women who had no education (AOR = 9.27; 95% CI: 1.61–53.52) or, primary education (AOR = 6.00; 95% CI: 1.13–31.98) were more likely to be underweight compared to those who had higher (post-secondary) education level.ConclusionOur study established that the factors associated with underweight among Ugandan lactating women were level of education, working status and region. Based on the findings of this and other studies, it is important for the government to design targeted underweight reduction programs with special emphasis on working, women from the Northern region and those whose highest level of education is primary.

scholarly journals Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eugene Budu
Keyword(s):  
Maternal Health ◽  
Health Survey ◽  
Rural Women ◽  
Rural Areas ◽  
Statistical Significance ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Home Births ◽  
Factors Associated

Abstract Background Home births is one of the factors associated with maternal mortality. This study examined the predictors of home births among rural women in Ghana. Methods Data for this study was obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. For the purpose of this study, a sample size of 2,101 women in the rural areas who had given birth within five years prior to the survey and had responses on variables was considered. Data processing, management and analysis were carried out using STATA version 14.0. This study carried out bivariate and multivariate analyses and results were tested at 95% confidence interval. The Adjusted odds ratios were used to present the results and the level of statistical significance was assessed using 95% confidence intervals. Results Home births was found to be high among women who resided in the Northern region compared to those in the Western region [AOR, 1.81 CI = 1.10–2.98]. Similarly, the likelihood of home birth was high among women with four or more births [AOR, 1.46 CI = 1.03–2.05] and Traditionalists [AOR, 2.50 CI = 1.54–4.06]. Conversely, giving birth at home was low among women with higher level of education [AOR = 0.58, CI = 0.43–0.78], those with rich wealth status [AOR = 0.19, CI = 0.10–0.38], those with four or more ANC visits [AOR = 0.11, CI = 0.15–0.23] and those who were covered by NHIS [AOR = 0.58, CI = 0.46–0.72]. Conclusions Over the years, there have been efforts by governments in Ghana to make maternal health services free in the country. However, a substantial proportion of women still undergo home births. To reduce the utilization of home births in Ghana, it is essential that government and non-governmental organisations make the cost of delivery services part of the free maternal health care policy and take into consideration the factors associated with the high rates of home births among rural women in Ghana.

scholarly journals Sociodemographic Factors Associated with Women’s Perspectives on Male Involvement in Antenatal Care, Labour, and Childbirth

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shamsudeen Mohammed ◽  
Ibrahim Yakubu ◽  
Issahaku Awal
Keyword(s):  
Antenatal Care ◽  
Junior High School ◽  
Male Partner ◽  
Male Involvement ◽  
Northern Region ◽  
Married Women ◽  
Cross Sectional ◽  
Level Of Education ◽  
Factors Associated ◽  
Men’S Involvement

Background. Evidence suggests that in patriarchal societies such as Ghana, access to and survival of maternal and child healthcare services require the active involvement of men. However, interventions to promote men’s involvement in maternal and child health care are less likely to succeed if the views and concerns of women are not considered. This study provides an understanding of women’s perspective on men’s involvement in antenatal care, labour, and childbirth in the Northern Region of Ghana. Methods. Data for this cross‐sectional study were collected from 300 pregnant women using a structured questionnaire. Logistic regression models were then used to determine the socio‐demographic factors associated with women’s perspectives on men’s involvement in antenatal care, labour, and childbirth. Results. The mean age of the participants was 28 (SD = 5.21) years. More than four-fifths of the women in this study express the desire for male partner involment in natenatal care (ANC) services (n = 258, 86%) and as companions during labour and child birth (n = 254, 84.7%). We found that married women were 9.8 times more likely (95%CI 1.59, 60.81) to encourage male involvement in ANC compared to women who were unmarried. The probability of encouraging male involvement in ANC decreased with increased level of education among the women while support for male companionship during childbirth increased significantly with an increased level of education. After accounting for the effect of other significant covariates, there was good evidence to suggest that married women (p = 0.002), women with only primary/Junior High School education (p = 0.048) and those with two (p = 0.010), three (p =  0.008), or ≥4 (p = 0.044) previous pregnancies had a desire for male partner involvement in ANC while women who attained secondary (p = 0.004) or tertiary (p = 0.001) level education expressed the desire for male companionship in labour and childbirth in the adjusted model. Conclusion. Male involvement in antenatal care, labour, and childbirth received overwhelming support from the women in this study.

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 HIV screening in men and women in Senegal: coverage and associated factors; analysis of the 2017 demographic and health survey

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ndeye Aïssatou Lakhe ◽  
Khardiata Diallo Mbaye ◽  
Khadime Sylla ◽  
Cheikh Tidiane Ndour
Keyword(s):  
Mobile Phone ◽  
Hiv Testing ◽  
Health Survey ◽  
Age Groups ◽  
Wealth Quintile ◽  
Household Wealth ◽  
Demographic And Health Survey ◽  
Sexually Active ◽  
Level Of Education ◽  
Factors Associated

Abstract Background Despite the adoption of the provider-initiated HIV testing strategy, the rate of HIV testing is still very low in sub-Saharan Africa. The aim of this study was to assess the factors associated with HIV testing among sexually active women and men in Senegal. Knowledge of HIV status is the gateway to antiretroviral treatment. Methods A secondary analysis of the 2017 Senegal Demographic and Health Survey (DHS) was performed, using data on sexually active women aged 15–49 and men aged 15–59. The outcome variable was the proportion of women and men who reported ever being tested for HIV in the last 12 months before the survey. Descriptive, bivariate, and multivariable logistic regression analyses were performed to identify the socio-demographic, HIV-knowledge, media exposure, and behavioral factors associated with HIV testing in Senegal. Results The study found that 61.1% (95%CI: 59.2–62.9) of women and 26.2% (95%CI: 24.2–28.3) of men were tested for HIV at the last 12 months. In multivariate analysis, among men the factors independently associated with being tested for HIV were: age groups 20–24 to 40–44 and age group 50–54; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having 2 or more lifetime sex partners and owning a mobile phone. Among women factors independently associated with HIV testing were: being in any age groups versus 15–19; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having any STI in last 12 months; fearing stigma; owning a mobile phone; and having any number of ANC visits, versus none. Conclusion Although HIV remains a public health threat, HIV testing’s prevalence is still low in Senegal, making it difficult to interrupt the transmission chain within the community and to reach the UNAIDS goal for 2020 of “90–90-90”. Innovative community-based strategies are needed to address barriers and improve access to HIV testing in Senegal, particularly for men and for the youngest and poorest populations.

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 Trend and factors associated with under-five mortality in Ethiopia further analysis of 2000-2016 Ethiopian demographic and health survey: A Multivariate decomposition analysis

2020 ◽  
Author(s):  
Wullo Sisay ◽  
Getayeneh Antehunegn Tesema ◽  
Misganaw Gebrie Worku ◽  
Dessie Abebaw Angaw
Keyword(s):  
Health Survey ◽  
Decomposition Analysis ◽  
Sampling Technique ◽  
Home Delivery ◽  
Fixed Number ◽  
Demographic And Health Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Factors Associated ◽  
The Government

Abstract Background: The under-five mortality rate is the probability that a newborn will die before reaching the age of five years. It is usually expressed as a rate per 1000 live births. Nearly 7 million children worldwide die before their fifth birthdays, with almost all of such death occurring in developing countries Objective: To assess the trend and factors associated with under-five mortality in Ethiopia further analysis of 2000-2016 Ethiopian demographic and health survey: a decomposition analysis Methods: A secondary serial cross-sectional analysis was conducted utilizing data from four rounds of EDHS administered in 2000, 2005, 2011 and 2016. The Ethiopian health and demographic survey in 2000-2016 used a two-stage stratified sampling technique to select a nationally representative sample. In the first stage the total number of enumeration areas was 539 in 2000, 540 in 2005, 624 in 2011 and 645 EAs in 2016 were selected with probability proportional to EA size and with independent selection in each sampling stratum. In the second stage of selection, a fixed number of 28 households per cluster were selected with an equal probability systematic selection from the newly created household listing. Result: Looking at the overall trend, Ethiopia has shown a significant decrease in under-five mortality over the study period from 166 per 1000 births in 2000 to 67 per 1000 birth in 2016 with annual rate of reduction of 3.7%. The trends in under-five mortality showed a variation according to their characteristics. Among home delivery, the largest decrement was observed around 6.5% decrease from 2000 to 2016 and in health facility delivery decreased by 8.3% The decomposition analysis shows that 100.74% of the decrease in under-five mortality was accredited to the difference in the effects of characteristics. Conclusion: Under-five mortality decreased significantly over the last one and a half decades. One of the remarkable findings from the decomposition analysis is the effect of education, place of delivery and maternal age. the government of Ethiopia shall do all daughters will be educated and to build health facilities the whole place of the country Keywords: Under-five mortality decomposition analysis, trend

scholarly journals Factors Associated With Undernutrition Among 20 to 49 Year Old Women in Uganda: A Secondary Analysis of the Uganda Demographic Health Survey 2016

2020 ◽  
Author(s):  
Quraish Sserwanja ◽  
David Mukunya ◽  
Theogene Habumugisha ◽  
Linet M. Mutisya ◽  
Robert Tuke ◽  
...  
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Index ◽  
Wealth Quintile ◽  
Northern Region ◽  
Reproductive Age ◽  
Obstetric Outcomes ◽  
Factors Associated ◽  
Maternal Undernutrition

Abstract Background Women are at risk of undernutrition due to biological, socio-economic, and cultural factors. Undernourished women have higher risk of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with undernutrition among women of reproductive age in Uganda.Methods We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4,640 women aged 20 to 49 years excluding pregnant and post-menopausal women. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight and stunting among 20 to 49 year old women in Uganda.Results The prevalence of underweight and stunting were 6.9% (n = 4640) and 1.3% (n = 4640) respectively. Women who belonged to the poorest wealth quintile (Adjusted Odds Ratio (AOR) 3.60, 95% CI 1.85–7.00) were more likely to be underweight compared to those who belonged to the richest wealth quintile. Women residing in rural areas were less likely to be underweight (AOR 0.63, 95%CI 0.41–0.96) compared to women in urban areas. Women in Western (AOR 0.30, 95% CI 0.20–0.44), Eastern (AOR 0.42, 95% CI 0.28–0.63) and Central regions (AOR 0.42, 95% CI 0.25–0.72) were less likely to be underweight compared to those in the Northern region. Women belonging to Central (AOR 4.37, 95% CI 1.44–13.20) and Western (AOR 4.77, 95% CI 1.28–17.78) regions were more likely to be stunted compared to those in the Northern region.Conclusion The present study showed wealth index, place of residence and region to be associated with undernutrition among 20 to 49 year old women in Uganda. There is need to address socio-economic determinants of maternal undernutrition mainly poverty and regional inequalities.

scholarly journals Prevalence and factors associated with double and triple burden of malnutrition among mothers and children in Nepal: evidence from 2016 Nepal Demographic and Health Survey

2019 ◽  
Author(s):  
Dev Ram Sunuwar ◽  
Devendra Raj Singh ◽  
Pranil Man Singh Pradhan
Keyword(s):  
Logistic Regression ◽  
Short Stature ◽  
Health Survey ◽  
Secondary Level ◽  
Anthropometric Measurements ◽  
Wealth Status ◽  
Normal Height ◽  
Level Of Education ◽  
Factors Associated ◽  
Mothers And Children

Abstract Background: Malnutrition among mothers and children is a major public health challenge in developing countries like Nepal. Although undernutrition among children has been gradually decreasing, the coexistence of different forms of malnutrition among mothers and children has continued to rise globally. There is a gap in knowledge of the coexistence of such multiple burdens of malnutrition in the Nepalese context. The aims of this study were to explore the coexistence of different forms malnutrition among children and associated factors among the mother-child pairs in the same household. Methods: A total sample of 2,261 mother-child pairs from the Nepal Demographic and Health Survey (NDHS) 2016 was included in the study. Anthropometric measurements and hemoglobin levels of the children and anthropometric measurements of their mothers were taken. The bivariate and multivariable logistic regression were performed to assess the factors associated with the double burden of malnutrition (DBM) and the triple burden of malnutrition (TBM). Results: Prevalence of DBM and TBM was 6.60(5.13-8.84) % and 7(5.42-8.99) % respectively in the same household. In the adjusted multivariable logistic regression, mothers with short stature compared to normal height (AOR=4.18, 95% CI: 2.04-8.52), from the richest wealth status compared to poor wealth status (AOR=2.46, 95% CI= 1.17-5.15), from age group of above 35 years compared to 15-24 years (AOR=3.08, 95% CI:1.20-7.86), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.03-4.07) were more likely to suffer from the DBM. Similarly, mothers with short stature compared to normal height (AOR=5.01, 95% CI:2.45-10.24), from the richest wealth status compared to poor wealth status (AOR=2.66, 95% CI=1.28-5.54), age groups of above 35 years compared to 15-24 years (AOR=3.41, 95% CI:1.26-9.17), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.00-4.18) were more likely to suffer from the TBM. Conclusions: There is a low prevalence of double and triple burden of malnutrition among mother-child pairs in Nepal. Mothers with short stature, belonging to the richest family and in older age were more prone to double and triple burden of malnutrition

scholarly journals Factors associated with female genital mutilation among women of reproductive age and girls aged 0–14 in Chad: a mixed-effects multilevel analysis of the 2014–2015 Chad demographic and health survey data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah
Keyword(s):  
Health Survey ◽  
Female Genital Mutilation ◽  
Employment Status ◽  
Mixed Effects ◽  
Demographic And Health Survey ◽  
Level Of Education ◽  
Genital Mutilation ◽  
Factors Associated ◽  
Women And Girls ◽  
Female Genital

Abstract Background Chad is one of the African countries with high prevalence of female genital mutilation (FGM). The aim of this study was to examine the factors associated with FGM among women aged 15–49 and girls aged 0–14 in Chad. Methods Data for the study were obtained from the 2014–2015 Chad Demographic and Health Survey. FGM among women aged 15–49 and girls aged 0–14 were the outcome variables. The prevalence of FGM among women and girls were presented using percentages while a mixed-effects multilevel multivariable logistic regression analysis was carried out to assess the factors associated with FGM. The results were presented using adjusted odds ratio with associated 95% confidence intervals. Results The results indicate that more than half (50.2%) of the women and 12.9% of girls in Chad had been circumcised. Among women aged 15–49, level of education, employment status, ethnicity, religion, wealth quintile and community literacy level were significant predictors of FGM. Age, partner’s level of education, marital status, employment status, ethnicity, religion and mother’s FGM status were associated with FGM among girls aged 0–14. Conclusion This study has identified several individual and contextual factors as predictors of FGM among women and girls in Chad. The findings imply the need to adopt strategies aimed at addressing these factors in order to help eliminate the practice of FGM. Government and non-governmental organisations in Chad need to implement policies that enhance media advocacy and community dialogue to help deal with FGM in the country.

scholarly journals Factors associated with undernutrition among 20 to 49 year old women in Uganda: a secondary analysis of the Uganda demographic health survey 2016

2020 ◽  
Author(s):  
Quraish Sserwanja ◽  
David Mukunya ◽  
Theogene Habumugisha ◽  
Linet M. Mutisya ◽  
Robert Tuke ◽  
...  
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Index ◽  
Wealth Quintile ◽  
Northern Region ◽  
Reproductive Age ◽  
Obstetric Outcomes ◽  
Factors Associated ◽  
Maternal Undernutrition

Abstract Background: Women are at risk of undernutrition due to biological, socio-economic, and cultural factors. Undernourished women have higher risk of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with undernutrition among women of reproductive age in Uganda.Methods: We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4,640 women aged 20 to 49 years excluding pregnant and post-menopausal women. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight and stunting among 20 to 49 year old women in Uganda.Results: The prevalence of underweight and stunting were 6.9% (318/4640) and 1.3% (58/4640) respectively. Women who belonged to the poorest wealth quintile (Adjusted Odds Ratio (AOR) 3.60, 95% CI 1.85–7.00) were more likely to be underweight compared to those who belonged to the richest wealth quintile. Women residing in rural areas were less likely to be underweight (AOR 0.63, 95%CI 0.41–0.96) compared to women in urban areas. Women in Western (AOR 0.30, 95% CI 0.20–0.44), Eastern (AOR 0.42, 95% CI 0.28–0.63) and Central regions (AOR 0.42, 95% CI 0.25–0.72) were less likely to be underweight compared to those in the Northern region. Women belonging to Central (AOR 4.37, 95% CI 1.44-13.20) and Western (AOR 4.77, 95% CI 1.28-17.78) regions were more likely to be stunted compared to those in the Northern region.Conclusion: The present study showed wealth index, place of residence and region to be associated with undernutrition among 20 to 49 year old women in Uganda. There is need to address socio-economic determinants of maternal undernutrition mainly poverty and regional inequalities.

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