scholarly journals Factors Influencing the Uptake of Short Term Contraceptives Among Women in Afghanistan: Further Analysis of Afghanistan Demographic and Health Survey 2015 (A Cross Sectional Study)

2021 ◽  
Author(s):  
Ahmad Siyar Noormal ◽  
Volker Winkler ◽  
Ali Maisam Eshraqi ◽  
Andreas Deckert ◽  
Iftekhar Sadaat ◽  
...  
Keyword(s):  
Health Survey ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Short Term ◽  
Cross Sectional ◽  
Afghan Women ◽  
Effective Counseling ◽  
Middle Socioeconomic Status

Abstract Objective: The aim of this study is to assess factors that influence the uptake of short term contraceptives among married women aged between 15-49 years in Afghanistan.Method: The cross sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short term contraceptives.Results: 95% of Afghan women knew at least one type of contraception but only 16% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of users were living in the western parts of Afghanistan and belong to Balooch and Pashtun ethnic groups. Media exposure and women empowerment were also positively associated with the use of short term contraceptives. However, we did not find an association with living in urban or rural settings.Conclusion: FP in Afghanistan requires multisectorial efforts, tailored to the needs of women stemming from low and middle socioeconomic status. Health promotion 5 activities, empowering women, strengthening education, and training of FP service providers on effective counseling are good options to address the issue.

scholarly journals Factors Influencing the Uptake of Short-term Contraceptives Among Women of Reproductive Age in Afghanistan Further Analysis of Afghanistan Demographic and Health Survey 2015 (A Cross Sectional Study)

2021 ◽  
Author(s):  
Ahmad Siyar Noormal ◽  
Volker Winkler ◽  
Ali Maisam Eshraqi ◽  
Andreas Deckert ◽  
Shinkay Noormal ◽  
...  
Keyword(s):  
Health Survey ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Short Term ◽  
Cross Sectional ◽  
Afghan Women ◽  
Middle Socioeconomic Status

Abstract ObjectiveThe aim of this study is to assess factors that influence the uptake of short term contraceptives among married women aged between 15-49 years in Afghanistan.MethodThe cross sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short term contraceptives.Results95% of Afghan women knew at least one type of contraception but only 16% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of users were living in the western parts of Afghanistan and belong to Balooch and Pashtun ethnic groups. Media exposure and women empowerment were also positively associated with the use of short term contraceptives. However, we did not find an association with living in urban or rural settings.ConclusionFP in Afghanistan requires multisectoral efforts, tailored to the needs of women stemming from low and middle socioeconomic status. Health promotion activities, empowering women, strengthening education, and training of Family Planning service providers on effective counseling are good options to address the issue.

The Associations between Age, Occupation, Income, and Contraceptive Uptake in Women of Reproductive Age in Indonesia

2020 ◽  
Author(s):  
Lailatul Rohmah ◽  
◽  
Vitri Widyaningsih ◽  
Keyword(s):  
Health Survey ◽  
Low Income ◽  
Contraceptive Use ◽  
Social Factor ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Contraceptive Uptake

ABSTRACT Background: Personal and social factor play role in individual behavior, including women choice toward contraceptive uptake. Age, education, religious beliefs, knowledge of fertile days, and culture were factors that significantly predicted contraceptive use. The purpose of this study was to examine the associations between age, occupation, income, and contraceptive uptake in women of reproductive age in Indonesia. Subjects and Method: This was a cross sectional study. A sample of 49,627 women of reproductive age was selected for this study. The dependent variable was contraceptive uptake. The independent variables were age, occupation, and income. The data were obtained from Indonesian Demographic and Health Survey (IDHS) year 2017. The data were analyzed by a multiple logistic regression. Results: Contraceptive uptake in Indonesia was 59.7%. Contraceptive was used by women aged 15-49 years. Contraceptive uptake decreased with age <35 or ≥35 (OR= 0.52; 95% CI= 0.50 to o.55; p= 0.001), employed (OR= 0.72; 95% CI= 0.68 to 0.75; p<0.001), low education (OR= 1.77; 95% CI= 1.54 to 2.05; p<0.001), and low income (OR= 0.98; 95% CI= 0.94 to 1.02; p= 0.474). Conclusion: Age, employment, and education are associated with contraceptive uptake in women of reproductive age. Keywords: contraceptive uptake, Indonesian Demographic and Health Survey Correspondence: Lailatul Rohmah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6289691804847. DOI: https://doi.org/10.26911/the7thicph.03.108

scholarly journals Association Between Maternal High-risk Fertility Behavior and Pregnancy Intention Among Women Aged 15 to 49 in Rwanda: Analysis of the 2014-15 Rwanda Demographic and Health Survey

2021 ◽  
Author(s):  
Aurore Nishimwe ◽  
Philomene Uwimana ◽  
Liberee Rumagihwa ◽  
Alfred Rutagengwa ◽  
Laetitia Nyirazinyoye ◽  
...  
Keyword(s):  
High Risk ◽  
Unintended Pregnancy ◽  
Health Survey ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Pregnancy Intention ◽  
Fertility Behavior ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Cross Sectional

Abstract Background: Maternal high-risk fertility behaviors have been linked to negative maternal and child health outcomes that include anaemia, undernutrition, and child mortality. In this context, we examined the association between maternal high-risk fertility behavior and pregnancy intention among women of reproductive age in Rwanda.Methods: This cross-sectional study is based on secondary data from the 2014–15 Rwanda Demographic and Health Survey (n=5661). The outcome of interest was pregnancy intention of the last child defined as intended or unintended. Maternal high-risk fertility behaviors were measured using maternal age at delivery, birth order, and birth interval. Chi-square test and multivariable regression models were performed. Results: The prevalence of unintended pregnancy was 46.8% (n=2652). Overall, 35.8% (n=2017) of women experienced single high-risk fertility behavior, while 23.1% (n=1282) of women experienced multiple high-risk fertility behaviors. Compared to women who have not experienced high-risk fertility behavior, the multivariable odds ratio (95% CI) of unintended pregnancy among women in single-risk and multiple-risk fertility behaviors were 2.00 (1.75, 2.28; p <0.001) and 2.49 (2.09, 2.95; p <0. 001.), respectively.Conclusion: Exposure to high-risk fertility behaviors is positively associated with unintended pregnancy among women in Rwanda. Therefore, reproductive and sexual health services should pay special attention to women who are <18 years or >34 years old; who have more than three children already; or have children with less than 24 months’ interval between giving birth.

scholarly journals Determinants of immunisation coverage of children aged 12–59 months in Indonesia: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e015790 ◽  
Author(s):  
Putri Herliana ◽  
Abdel Douiri
Keyword(s):  
Health Survey ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Immunisation Coverage ◽  
Design Data ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Mean ◽  
Immunisation Status

ObjectivesDespite the adoption of WHO’s Expanded Programme on Immunisation in Indonesia since 1977, a large proportion of children are still completely unimmunised or only partly immunised. This study aimed to assess factors associated with low immunisation coverage of children in Indonesia.SettingChildren aged 12–59 months in Indonesia.ParticipantThe socioeconomic characteristics and immunisation status of the children were obtained from the most recent Demographic and Health Survey, the 2012 Indonesia Demographic and Health Survey. Participants were randomly selected through a two-stage stratified sampling design. Data from 14 401 children aged 12–59 months nested within 1832 census blocks were included in the analysis. Multilevel logistic regression models were constructed to account for hierarchical structure of the data.ResultsThe mean age of the children was 30 months and they were equally divided by sex. According to the analysis, 32% of the children were fully immunised in 2012. Coverage was significantly lower among children who lived in Maluku and Papua region (adjusted OR: 1.94; 95% CI 1.42 to 2.64), were 36–47 months old (1.39; 1.20 to 1.60), had higher birth order (1.68; 1.28 to 2.19), had greater family size (1.47; 1.11 to 1.93), whose mother had no education (2.13; 1.22 to 3.72) and from the poorest households (1.58; 1.26 to 1.99). The likelihood of being unimmunised was also higher among children without health insurance (1.16; 1.04 to 1.30) and those who received no antenatal (3.28; 2.09 to 5.15) and postnatal care (1.50; 1.34 to 1.69).ConclusionsSocioeconomic factors were strongly associated with the likelihood of being unimmunised in Indonesia. Unimmunised children were geographically clustered and lived among the most deprived population. To achieve WHO target of protective coverage, public health interventions must be designed to meet the needs of these high-risk groups.

scholarly journals Predictive accuracy of perceived baby birth size for birth weight: a cross-sectional study from the 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031986
Author(s):  
Dabere Nigatu ◽  
Demewoz Haile ◽  
Bereket Gebremichael ◽  
Yordanos M Tiruneh
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Survey ◽  
Predictive Accuracy ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Birth Size ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

ObjectivesThe study was designed to evaluate the accuracy of maternally perceived baby birth size assessments as a measure of birth weight and examine factors influencing the accuracy of maternal size assessments.Study designCross-sectional study.SettingThe study is based on national data from the 2016 Ethiopian Demographic and Health Survey.ParticipantsWe included 1455 children who had both birth size and birth weight data.Main outcome measuresPredictive accuracy of baby birth size for low birth weight. Level of discordance between maternally perceived birth size and birth weight including factors influencing discordance.ResultsMother-reported baby birth size had low sensitivity (57%) and positive predictive value (41%) to indicate low birth weight but had high specificity (89%) and negative predictive values (94%). The per cent of agreement between birth weight (<2500 g vs ≥2500 g) and maternally perceived birth size (small size vs average or above) was 86% and kappa statistics indicated a moderate level of agreement (kappa=0.41, p<0.001). Maternal age, wealth index quintile, marital status and maternal education were significant predictors of the discordance between birth size and birth weight.ConclusionsMaternal assessment of baby size at birth is an inaccurate proxy indicator of low birth weight in Ethiopia. Therefore, a mother’s recall of birth size should be used as a proxy indicator for low birth weight with caution and should take maternal characteristics into consideration.

scholarly journals Association of breast feeding and birth interval with child mortality in Pakistan: a cross-sectional study using nationally representative Demographic and Health Survey data

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e053196
Author(s):  
Rafi Amir-ud-Din ◽  
Hafiz Zahid Mahmood ◽  
Faisal Abbas ◽  
Muhammad Muzammil ◽  
Ramesh Kumar ◽  
...  
Keyword(s):  
Child Mortality ◽  
Breast Feeding ◽  
Health Survey ◽  
Birth Interval ◽  
Lower Risk ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Sectional Study ◽  
Cross Sectional

ObjectivesThis study analysed the association between breast feeding (BF) and birth interval (BI) (both succeeding and preceding) with neonatal mortality (NM), infant mortality (IM) and under-5 mortality (U5M).DesignThis cross-sectional study used data from the Pakistan Demographic and Health Survey 2017–2018.SettingsAll provinces, Islamabad and Federally Administered Tribal Areas were included in the analysis.ParticipantsA total of 12 769 children born to ever-married multiparous women aged 30–49 years who gave live birth within 5 years preceding the interview. Multiple births are not included.Data analysisMultivariate logistic regression analysis was used.ResultsWe found that BF was associated with nearly 98% lower risk of NM (OR 0.015; 95% CI: 0.01 to 0.03; p<0.001), 96% lower risk of IM (OR 0.038; 95% CI: 0.02 to 0.06; p<0.001) and 94% lower risk of U5M (OR 0.050; 95% CI: 0.03 to 0.08; p<0.001). Compared with optimal preceding birth interval (PBI) (36+ months), short PBI (<18 months) was associated with around six times higher risk of NM (OR 5.661; 95% CI: 2.78 to 11.53; p<0.001), over five times risk of IM (OR 4.704; 95% CI: 2.70 to 8.19; p<0.001) and over five times risk of U5M (OR 4.745; 95% CI: 2.79 to 8.07; p<0.001). Disaggregating the data by child’s gender, place of residence and mother’s occupational status showed that being ever breast fed was associated with a smaller risk of NM, IM and U5M in all three disaggregations. However, the risk of smaller PBI <18 months was generally more pronounced in female children (NM and U5M) or when the children lived in rural areas (NM, IM and U5M). PBI <18 months was associated with greater risk of NM and IM, and smaller risk of U5M when mothers did a paid job.ConclusionThis study’s significance lies in the fact that it has found BF and BI to be consistent protective factors against NM, IM and U5M. Given Pakistan’s economic constraints, optimal BF and BI are the most cost-effective interventions to reduce child mortality.

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