scholarly journals DETERMINANT FACTORS OF FERTILITY IN REPRODUCTIVE AGE WOMEN IN WEST JAVA PROVINCE INDONESIA

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Rindang Ekawati ◽  
Laili Rahayuwati ◽  
Ikeu Nurhidayah ◽  
Habsyah Saparidah Agustina ◽  
Endah Rahayu

The target of the 2015 Medium-Term National Development Plan is the fertility rate of 2.1 children. However, based on The Indonesian National Demographic and Health Survey 2017, the fertility rate of West Java Province is similar to the national, which is 2.4 children. West Java is a barometer of the national fertility rate since one-fifth of Indonesia's population is in West Java. This study aims to analyze the factors that influence fertility (number of children ever born). Data derived from the 2018 Survey of Accountability Programs Performance covered 12,350 women aged 15-49 years. Eligible sample was 9,814 ever married women. The statistical test utilized univariate, bivariate, and multivariate (significance level p=0.05). Bivariate results found that five variables that affected fertility were the age of first marriage, frequency of marriage, use of contraceptive, ideal family size, and wealth index, while the area of residence was not related to fertility. Indeed there are three most dominant factors that have been related to fertility were age of first marriage, frequency of marriage, and use of contraceptive. The conclusion was that women who marry at an elderly age and use contraception have lower fertility rates.  This study can be considered in population policies.

2019 ◽  
Author(s):  
Habitu Liyew Molla ◽  
Essey Kebede Muluneh

Abstract Background: Desired family size, the number of children wanted in one’s lifetime, is one of the major factors influencing the population dynamics. Knowledge of factors influencing the desired family size is crucial in regulating the population growth. This study assesses the desired family size and its determinants among Ethiopian women. Methods: The study was based on the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total of 13,941 women with complete information were considered in the study. Count regression models, a family of generalized linear models, were used to identify determinant factors for the desired number of children among women in Ethiopia. Results: Results showed that the average number of children per women was 4.5. The highest average was recorded in Somali region (10.58) and the lowest in Addis Ababa city administration (3.56). The random intercept negative binomial regression model was found to be the most appropriate model for the data. Women’s age, household head, contraception using, wealth index, women’s education, religion, marital status, husband’s work, family size and age at first marriage were significantly associated with the desired number of children by women at reproductive age. The study also showed that there was significant regional variation in desired number of children among Ethiopian women. Conclusions: Variables such as women’s age and family size were positively associated with the desired number of children by women at reproductive age while age at first marriage, contraception using, wealth index and women’s education were negatively associated with the desired number of children by women. Women who attained higher level of education preferred small family size compared to women with no formal education. Desire for children was high among mothers from rural areas, women in the poorest economic level and woman having no work. Keywords: Desired number of children, statistical weight, EDHS, Count regression models, multilevel analysis.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Medhin Girmay Reda ◽  
Girma Tenkolu Bune ◽  
Mohammed Feyisso Shaka

Background. High fertility remains one of the most important public health issues hampering the health and welfare of mothers and the survival of their children in developing nations. In Ethiopia, the high fertility rate has been seen for a long historical period with some pocket areas of high fertility still showing poor improvement. Hence, this study was aimed at determining the magnitude of high fertility status (number of children ever born alive≥5) and associated factors among women of the reproductive age group in Wonago district. Methods. A community-based cross-sectional study was conducted on randomly selected 512 women in Wonago district. Data were collected using a pretested structured interviewer administered questionnaire. Data was entered into EpiData version 3.1 and then analyzed by SPSS version 25. Logistic regression was used to analyze the data, and the adjusted odds ratio with the 95% confidence interval was computed, and a significant association was declared at p value ≤ 0.05. Result. This study revealed that 354 (69.1%) of the respondents have high fertility. High fertility is independently associated with residing in rural area [AOR=4.88, 95% CI: 3.21, 7.86], desire for children [AOR=6.97, 95% CI: 3.24, 11.40], history of under-five child mortality [AOR =5.32, 95% CI: 2.59, 8.43], poor knowledge of contraception [AOR=2.67, 95% CI: 1.66, 4.04], and low wealth tertile [AOR=2.21, 95% CI: 1.51, 3.58]. On the other hand, women with age at first birth above 18 years [AOR=0.34, 95% CI: 0.17, 0.68] and those with birth interval≥24 months [AOR=0, 26, 95% CI: 0.14, 0.49] were less likely to have high fertility. Conclusion and Recommendation. The substantial number of women in the study area has high fertility status far away from the country’s costed implementation plan of reducing the total fertility rate to 3.0. Considering these, much is needed to be done among poor, rural residents, who have not yet attained their desired number of children, and on enhancing the knowledge of mothers towards contraceptive methods.


POPULATION ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 26-39
Author(s):  
Alexander Sinelnikov

In Russia, as in other developed countries, the number of registered marriages is de- creasing, and the number of cohabitations and divorces is increasing. Chances of divorced women entering into a new legal and stable marriage are low. Remarriages are no more stable than the first marriages. All this leads to a further decrease in the birth rate. On the basis of the data from the sample survey of reproductive plans of the population conducted by the Federal State Statistics Service in 2017, the author shows that women in registered marriages have more children by the end of the reproductive age than women in unregistered partnerships. Women who remarried have more children than in the first marriage. But even they have the average number of children significantly less than the minimum required for a simple replacement of generations. Only one in five women of reproductive age, who ended their first marriage, was in legal marriage at the time of the survey. The average number of children of women in unregistered unions is higher than that of never married and divorced women, but less than that of married women. Doubts about the reliability of relationships with unofficial partners lead to postponement of giving birth to children. The demographic policy in Russia up to 2018 was mainly aimed at stimulating second and subsequent births in existing families, rather than creating new ones. Only in 2018 there were introduced significant benefits for children under the age of one and a half years. However, creation of a family begins not with the birth of a child, but with the entry into a legal marriage. According to the author, it is necessary to encourage registration of marriages.


2021 ◽  
pp. annrheumdis-2021-220709
Author(s):  
Luis Fernando Perez-Garcia ◽  
Esther Röder ◽  
Robbert J Goekoop ◽  
Johanna M W Hazes ◽  
Marc R Kok ◽  
...  

ObjectivesThe impact of inflammatory arthritis (IA) on male fertility remains unexplored. Our objective was to evaluate the impact of IA on several male fertility outcomes; fertility rate (number of biological children per man), family planning, childlessness and fertility problems.MethodsWe performed a multicentre cross-sectional study (iFAME-Fertility). Men with IA 40 years or older who indicated that their family size was complete were invited to participate. Participants completed a questionnaire that included demographic, medical and fertility-related questions. To analyse the impact of IA on fertility rate, patients were divided into groups according to the age at the time of their diagnosis: ≤30 years (before the peak of reproductive age), between 31 and 40 years (during the peak) and ≥41 years (after the peak).ResultsIn total 628 participants diagnosed with IA were included. Men diagnosed ≤30 years had a lower mean number of children (1.32 (SD 1.14)) than men diagnosed between 31 and 40 years (1.60 (SD 1.35)) and men diagnosed ≥41 years (1.88 (SD 1.14)).This was statistically significant (p=0.0004).The percentages of men diagnosed ≤30 and 31–40 years who were involuntary childless (12.03% vs 10.34% vs 3.98%, p=0.001) and who reported having received medical evaluations for fertility problems (20.61%, 20.69% and 11.36%, p=0.027) were statistically significant higher than men diagnosed ≥41 years.ConclusionsThis is the first study that shows that IA can impair male fertility. Men diagnosed with IA before and during the peak of reproductive age had a lower fertility rate, higher childlessness rate and more fertility problems. Increased awareness and more research into the causes behind this association are urgently needed.


Author(s):  
Nancy Dalla Darsono ◽  
◽  
Sri Wahyuningsih ◽  
Agneta Irmarahayu ◽  
◽  
...  

ABSTRACT Background: One of strategic goals of the Population and Family Planning Board for the 2015-2019 period is to increase active family planning participants using the Long-Term Contraception Method (MKJP). This method is emphasized by the government because it is the most effective way to reduce the birth rate. However, the data show that the interest in using MKJP by women of fertile age is still lower than that of using non-MKJP. This study aimed to determine the factors that influence the selection of MKJP among fertile aged women at public health center, Depok, West Java. Subjects and Methods: This was an analytic observational study with a cross sectional design. The study was conducted at Sukmajaya public health center, Depok, West Java, Indonesia, from March to May 2019. A sample of 84 reproductive-age women was selected for this study. The dependent variable was choice of long term contraception. The independent variables were age, education, knowledge, income, employment status, number of children, and husband support. The data were collected by a questionnaire and analyzed using a multiple logistic regression. Results: The choice of long-term contraceptive method increased with age > 35 years (OR = 2.84; 95% CI= 0.86 to 9.42), high education (OR= 3.40; 95% CI = 0.51 to 22.67), the number of children ≥ 3 (OR = 1.25; 95% CI= 0.36 to 4.38), working mothers (OR= 4.98; 95% CI= 1.06 to 23.40), income> Minimum Regional Wage (OR= 0.21; 95% CI= 0.05 to 0.85), high knowledge (OR= 5.01; 95% CI= 1.33 to 18.85), and strong husband support (OR= 2.04, 95% CI= 0.34 to 11.44). Conclusion: Factors that influence the choice of long term contraception methods are age, education, number of children, employment status, income, knowledge and support of husbands. Keywords: long-term contraceptive, reproductive-age women Correspondence: Nancy Dalla Darsono. FK UPN Veteran Jakarta. South Jakarta. [email protected]. 08179986446 DOI: https://doi.org/10.26911/the7thicph.03.38


2017 ◽  
Vol 12 (1) ◽  
pp. 69 ◽  
Author(s):  
Mugia Bayu Raharja

Indonesia is known as a country that has the largest ethnic groups in the world with 1,128 ethnic groups as reported on the 2010 Population Census. Ethnic diversity is one of the important factors that determine the amount and distribution of the population in Indonesia. This study aimed to determine variations and patterns of fertility by ethnic groups in Indonesia and its association with their socioeconomic characteristics. By using the 2010 Population Census raw data that obtained from the IPUMS website, this study calculated the average number of children born alive born to ever married women aged 15-49. The results show a relationship between fertility and ethnic groups. Among fifteen major ethnic groups analyzed in this study, Batak ethnic has the highest fertility rate followed by Acehnese and Bantenese, while ever married Maduranese women have the lowest fertility rate. The high level of fertility in some of the major ethnic groups in Indonesia is associated with the desire to have many children, the low age at first marriage of women, and the existed perception that those with many children would get higher social value. Low level of education and rural residential areas also contribute to high fertility rates.


Populasi ◽  
2016 ◽  
Vol 24 (2) ◽  
pp. 67
Author(s):  
Lely Indrawati ◽  
Dwi Hapsari ◽  
Olwin Nainggolan

Total Fertility Rate (TFR) is the average number of children born alive by a number of women at the end of their reproductive period. TFR is one indicator of health development, especially maternal health in the country. Therefore, target of reducing the birth rate is still prioritized in RPJMN 2015-2019. Indirect method is more appropriate to calculate TFR, such as own-method children. Population of this study is women and their children in the same househoold with women of childbearing aged 15-49 years and children under five who live with their parents as sampling unit. Children under five in this analysis are the biological children while step children will be included in order to enhance the number children. The calculation based on 2013 Riskesdas (Riset Kesehatan Dasar) shows higher TFR compared to 2012 DHS (Demographic and Health Survey) which was 3.2 at national level. ASFR (Age Specific Fertility Rate) pattern shows highest fertility rate for age of 20-24, while it was second for age 15-19. The important implication is that family planning program has to concentrate on this age groups, such as by increasing age of the first marriage. 


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257664
Author(s):  
Ayenew Kassie Tesema ◽  
Alemneh Mekuriaw Liyew ◽  
Adugnaw Zeleke Alem ◽  
Yigizie Yeshaw ◽  
Getayeneh Antehunegn Tesema ◽  
...  

Introduction Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the household, improper food storage and preparation, dietary taboos, infectious diseases, and care. Therefore, this study aimed to assess the spatial distribution and determinants of undernutrition among reproductive age of Ethiopia. Methods The study was based on the 2016 Ethiopian Demographic and Health Survey. The study included a total sampled weight of 15,139 women aged 15–49 years. The ArcGIS version 10.7 and SaTScan version 9.6 statistical software were used for exploring the spatial distribution of undernutrition. A multilevel logistic regression model was fitted to determine the individual and community level factors associated with women undernutrition. Finally, the factors which were significant at 95% confidence interval were reported. Result The spatial analysis revealed that women undernutrition was significantly varied across the country. The SaTScan analysis identified a total of 144 significant hotspot areas of maternal undernutrition with three significant spatial windows. Of these, 134 clusters were primary. The primary spatial window was identified in the southeast Tigray, northwest Afar, central and north Amhara regions (LLR = 57.48, P<0.01, RR = 1.51). Age at first marriage (AOR = 1.57: CI 1.33, 1.99), middle wealth index (AOR = 3.15: CI 1.4, 6.97), rural residence (AOR = 2.82: CI 1.22, 6.52), being in Afar region, Tigray region and Harari region (AOR = 4.88: CI 1.71, 13.91), (AOR = 4.17: CI 1.57, 11.06) and (AOR = 3.01: CI 1.05, 8.68) respectively were significantly associated with women undernutrition. Conclusion In Ethiopia, undernutrition had significant spatial variations across the country. Residence, age at first marriage, wealth index and region were significantly associated with undernutrition. Therefore, public health interventions that reduce reproductive age women undernutrition and enhance women awareness towards undernutrition in hotspot areas of undernutrition is crucial.


Author(s):  
Turnwait O. Michael ◽  
Alfred S. Ekpenyong

Contraceptive use and an ideal number of children are among the factors that significantly influence the fertility of a country. Sub-Saharan Africa in general and Nigeria in particular are noted for polygynous marriages. The relationship between polygyny and fertility is well documented in literature. However, the influence of polygyny on fertility in Nigeria is yet to receive adequate academic attention. This paper sets out to re-examine the polygyny-fertility hypothesis. Data were sourced from the 2013 Nigeria Demographic and Health Survey, which was a nationally representative survey of women of reproductive age (15-49). The survey interviewed women on fertility, family planning, marriage history, and maternal and child health. The 26,403 married women that provided responses on questions concerning marital unions and fertility behavior constitute the sample for the study. The findings show that although marriage type has no significant effect on the fertility of married women, rank among wives in polygynous unions significantly influence fertility with the first wife being more prolific than subsequent wives. Population policies aimed at reducing high fertility should factor in the role of polygyny and competition among wives for higher number of children.


Author(s):  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Abdul-Aziz Seidu ◽  
Sanni Yaya

Background and Objective: In some African countries like Guinea, female genital mutilation/cutting (FGM/C) has been considered as an essential social norm in ensuring girls’ and women’s virginity by reducing their sexual desires. This study aimed at examining the factors associated with FGM/C among daughters of women aged 15-49 in Guinea. Methods: Using the 2018 Guinea Demographic and Health Survey, we analyzed data on 10,721 women of reproductive age (15-49 years) who had at least one daughter. A two-level multi-level logistic regression analysis was fitted and the random and fixed effects together with their corresponding 95% credible intervals (95% CrIs) were presented. Results: Women of all age categories had higher odds of having circumcised daughters with the substantially highest odds among those aged 35-39 (aOR=26.10, CrI=11.22-53.94) compared to those aged 15-19. “FGM/C was higher among daughters of circumcised mothers (aOR=5.50, CrI=3.11-9.72), compared to those who were not circumcise. Compared to Muslims, women who were either animists or had no religion were more likely to circumcise their daughters (aOR=2.13, CrI=1.12-4.05). Conversely, women with secondary/higher education, whose partners had secondary/higher education, Christians, women of richest wealth index and those who lived in the Faranah and N’zerekore regions were less likely to circumcise their daughters. Conclusion and Implications for Translation: The current study revealed that individual and contextual factors are associated with FGM/C among daughters of women aged 15-49 in Guinea. The findings imply that eliminating FGM/C in Guinea requires multifaceted interventions such as advocacy and educational strategies like focus group discussions, peer teaching, mentor-mentee programs in regions noted with the FGM/C practice. This will help achieve the Sustainable Development Goal 5.3 which focuses on eliminating all harmful practices, such as child, early and forced marriage and female genital mutilation by 2030.   Copyright © 2021 Ahinkorah. et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.


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