scholarly journals Fertility Determinants in Indonesia: Analysis of Indonesian Basic Health Survey Year 2017

2020 ◽  
Author(s):  
Philipus Prihantiko Kurniagung ◽  
◽  
Vitri Widyaningsih ◽  
Keyword(s):  
Health Insurance ◽  
Health Survey ◽  
Reproductive Age ◽  
High Fertility ◽  
Women Of Reproductive Age ◽  
Low Literacy ◽  
Child Birth ◽  
Basic Health ◽  
Private Agency ◽  
Low Education

ABSTRACT Background: The current fertility rate for Indonesia in 2020 is 2.28 births per woman. High fertility, particularly when it involves conception either too early or too late in the fertility cycle or when short birth intervals are involved, is known to pose higher risks for both mothers and infants. This study aimed to investigate fertility determinants in Indonesia. Subjects and Method: A cross-sectional study was carried out using Indonesian basic health survey year 2017. A sample of 34,199 women of reproductive age aged 15-49 years was selected for this study. The dependent variable was live birth children. The independent variables were education, knowledge toward contraception, employment status, literacy, family discussion, health insurance membership, child birth last year, contraceptive method, residence, province, and source of information. The data were analyzed by a multiple logistic regression. Results: The likelihood of women to have children >2 increased with low education (OR= 2.67; 95% CI= 2.53 to 2.81; p<0.001), low literacy (OR= 1.59; 95% CI= 1.44 to 1.75; p<0.001), and no family discussion (OR= 1.2; 95% CI= 1.13 to 1.24; p<0.001). The likelihood of women to have children >2 decreased with no health insurance membership (OR= 0.73; 95% CI= 0.69 to 0.76; p<0.001), use contraception (OR= 0.33; 95% CI= 0.31 to 0.34; p<0.001), child birth delivery last year (OR= 0.77; 95% CI= 0.71 to 0.83; p<0.001), lived in province in West Indonesia (OR= 0.69; 95% CI= 0.66 to 0.72; p<0.001), received information from private agency (OR= 0.83; 95% CI= 0.78 to 0.89; p<0.001), and worked (OR= 0.72; 95% CI= 0.69 to 0.75; p<0.001). Conclusion: The likelihood of women to have children >2 increases with low education, low literacy, and no family discussion. The likelihood of women to have children >2 decreases with no health insurance membership, use contraception, child birth delivery last year, lived in province in West Indonesia, received information from private agency, and worked. Keywords: fertility, women of reproductive age, demography Correspondence: Philipus Prihantiko Kurniagung. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 089688103450. DOI: https://doi.org/10.26911/the7thicph.03.120

Empowerment and IPV in Married Women of Reproductive Age: Evidence from Pakistan Demographic Health Survey 2017–2018

2021 ◽  
pp. 088626052098038
Author(s):  
Mohammad Vaqas Ali ◽  
Jawad Tariq
Keyword(s):  
Sexual Violence ◽  
Health Survey ◽  
Partner Violence ◽  
Physical Violence ◽  
Secondary Analysis ◽  
Married Women ◽  
Reproductive Age ◽  
Women Empowerment ◽  
Women Of Reproductive Age ◽  
Forms Of Violence

The study was an attempt to identify demographic, household, and women empowerment factors that predicted emotional, physical, and sexual violence in ever-married women of reproductive age (15–49 years, n = 3,965) in Pakistan by performing secondary analysis on Pakistan Demographic and Health Survey, 2017–2018. The analysis was done using SPSS (v.22) and binary and multivariate logistic regression techniques were performed for analyses. The analysis found that 30.2% of women experienced emotional, 24.1% reported less severe physical, 6.5% experienced severe physical, and 4.3% experienced sexual violence, respectively. The multivariate analysis found that husband’s age, education, wealth, and alcohol consumption were significant predictors of intimate partner violence (IPV). Additionally, womens’ age, education, and number of children also significantly predicted IPV. With respect to empowerment variables, ownership of house was a significant predictor of less severe physical violence, ownership of property significantly predicted emotional violence, and autonomy in household purchase decisions was significantly related to severe physical violence. The control on husband’s income as a measure of empowerment significantly predicted all four types of IPV. Belief in patriarchy also turned out to be an important factor in determining emotional and less severe physical violence. The study concludes that women empowerment in household context can prevent less serious forms of violence but to hinder serious forms of violence, interventions at family and community level will be required.

scholarly journals Inequalities in out-of-pocket health expenditure among women of reproductive age: after-effects of national health insurance scheme initiation in Ghana

2021 ◽  
Vol 96 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow
Keyword(s):  
Health Insurance ◽  
Healthcare Utilization ◽  
Health Expenditure ◽  
Concentration Index ◽  
Insurance Coverage ◽  
Healthcare Services ◽  
Socioeconomic Disadvantage ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Maternal Healthcare

Abstract Background Improvement in maternal healthcare is a public health priority. Unfortunately, in spite of the efforts made over time regarding universal coverage, there remain issues with accessibility and use of healthcare services up to now. In this study, we examined inequalities in out-of-pocket health expenditure among women of reproductive age in Ghana. We analyzed secondary data collected in Ghana Demographic and Health Survey (GDHS) - 2014. A total of 9,002 women of reproductive age were included in this study. Lorenz curves and the concentration index were used to examine neighborhood socioeconomic disadvantage inequalities in out-of-pocket expenditure for maternal healthcare utilization Results About two thirds (66.0%) of women of reproductive age in Ghana were covered by health insurance. In sum, women of high neighborhood socioeconomic disadvantage status had the least out-of-pocket expenditure for total healthcare utilization, laboratory investigations, antenatal care visits, post-natal care visits, care for new born for up to 3 months, and other healthcare services. The converse was however true for family planning service utilization. Using Concentration Index, we quantified the degree of neighborhood socioeconomic disadvantage inequalities in healthcare service utilizations. Conclusion This study showed a gap in health insurance coverage among women of reproductive age. There were also inequalities in out-of-pocket expenditure for healthcare services utilization. It is expedient for stakeholders in the healthcare system to make policies targeted at bridging the neighborhood socioeconomic differences in maternal healthcare use and develop programs to improve women’s financial protection. Moreover, enlightenment on health insurance availability and coverage should focus on women at risk of out-of-pocket expenditure.

scholarly journals Unawareness of health insurance expiration status among women of reproductive age in Northern Ghana: implications for achieving universal health coverage

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Edmund Wedam Kanmiki ◽  
Ayaga A. Bawah ◽  
James Akazili ◽  
Isaiah Agorinyah ◽  
John Koku Awoonor-Williams ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Reproductive Age ◽  
Northern Ghana ◽  
Women Of Reproductive Age ◽  
Insurance Scheme ◽  
Insurance Card

Abstract Background Ghana implemented a national health insurance scheme in 2005 to promote the provision of accessible, affordable, and equitable healthcare by eliminating service user fees. Termed the National Health Insurance Scheme (NHIS), its active enrollment has remained low despite a decade of program implementation. This study assesses factors explaining this problem by examining the correlates of insurance status unawareness among women of reproductive age. Methods In 2015, a random probability cross-sectional survey of 5914 reproductive-aged women was compiled in the Upper East Region, an impoverished and remote region in Northern Ghana. During the survey, two questions related to the NHIS were asked: “Have you ever registered with the NHIS?” and “Do you currently have a valid NHIS card?” If the answer to the second question was yes, the respondents were requested to show their insurance card, thereby enabling interviewers to determine if the NHIS requirement of annual renewal had been met. Results are based on the tabulation of the prevalence of unawareness status, tests of bivariate associations, and multivariate estimation of regression adjusted effects. Results Of the 5914 respondents, 3614 (61.1%) who reported that they were actively enrolled in the NHIS could produce their insurance cards upon request. Of these respondents, 1243 (34.4%) had expired cards. Factors that significantly predicted unawareness of card expiration were occupation, district of residence, and socio-economic status. Relative to other occupational categories, farmers were the most likely to be unaware of their card invalidity. Respondents residing in three of the study districts were less aware of their insurance card validity than the other four study districts. Unawareness was observed to increase monotonically with relative poverty. Conclusion Unawareness of insurance care validity status contributes to low active enrollment in Ghana’s NHIS. Educational messages aimed at improving health insurance coverage should include the promotion of annual renewal and also should focus on the information needs of farmers and low socio-economic groups.

scholarly journals Determinants for Choice of Home Birth over Health Facility Birth among Women of Reproductive Age in Tanzania: An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey

2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Christopher H. Mbotwa
Keyword(s):  
Health Survey ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Home Childbirth ◽  
Malaria Indicator Survey ◽  
Birth Attendants ◽  
Home Based ◽  
Antenatal Visits

Abstract Background While evidence has shown an association between place of childbirth and birth outcomes, still factors contributing to the choice of home childbirth have not been adequately investigated. Childbirth assisted by unskilled birth attendants has been cited as a contributing factor for the high maternal and neonatal mortalities in low resources countries. This study aimed at determining determinants of preference for home childbirth assisted by unskilled attendants in Tanzania Method The study used the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS) dataset. A total of 2286 women of reproductive age (15-49 years) who had childbirth within one year preceding the survey were included in the analysis. Both univariate and multivariable regression analysis was used to determine predictors for home-based childbirth. Results A total of 805(35.2%) of women had home childbirth assisted by unskilled providers. After adjusting for confounders, the determinants of preference for home childbirth were the level of education (primary education, AOR=0.666; p=0.001; secondary and higher education, AOR=0.417; p<0.001); not owning mobile phone, AOR= 1.312; p=0.018; parity (parity 2-4, AOR=1.594; p=0.004; Parity 5 and above, AOR=2.158; p<0.001); inadequate antenatal visits, AOR=1.406; p=0.001; wealth index (poorest, AOR=9.395; p<0.001; poorer, AOR=7.701; p<0.001; middle, AOR=5.961; p<0.001; richer, AOR=2.557; p<0.001) and Zones (Southern Highlands, AOR=0.189; p<0.001; Southern, AOR=0.225; p<0.001; Zanzibar, AOR=2.55; p<0.001). Conclusion There are large proportions of women who use home childbirth assisted by unskilled birth attendant’s mainly traditional birth attendants (TBA). Predictors for home-based childbirth were being illiterate women, poor access to communication, inadequate antenatal visits, low socio-economic status and those from Zanzibar. Innovative strategies targeting these groups are highly needed to increase the use of health facilities for childbirth and hence reduce maternal and neonatal mortalities in Tanzania.

scholarly journals Four out of ten married women utilized modern contraceptive method in Ethiopia: A Multilevel analysis of the 2019 Ethiopia mini demographic and health survey

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262431
Author(s):  
Sewunet Sako Shagaro ◽  
Teshale Fikadu Gebabo ◽  
Be’emnet Tekabe Mulugeta
Keyword(s):  
Health Survey ◽  
Contraceptive Method ◽  
Married Women ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Modern Contraceptive Method ◽  
Contraceptive Utilization

Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the most widely utilized modern contraceptive method (22.82%) followed by implants (9.65%) and pills (2.71%). Maternal age, educational level, wealth index, number of living children, number of births in the last three years, number of under 5 children in the household, religion, and geographic region were independent predictors of modern contraceptive utilization. Conclusion In the current study only four out of ten married non-pregnant women of reproductive age utilized modern contraceptive methods. Furthermore, the study has identified both individual and community-level factors that can affect the utilization of modern contraceptive methods by married women in the country. Therefore, concerned bodies need to improve access to reproductive health services, empower women through community-based approaches, and minimize region wise discrepancy to optimize the utilization.

scholarly journals Spatial Distribution and Analysis of Risk Factors Associated with Anemia Among Women of Reproductive Age: Case of 2014 Rwanda Demographic and Health Survey Data

2018 ◽  
Vol 11 (1) ◽  
pp. 425-437
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Survey Data ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Bed Net ◽  
Women Of Reproductive Age ◽  
Factors Associated ◽  
Health Survey Data

Background:Anemia is an important public health problem affecting all age groups of the population. The objective of this study was to identify the risk factors associated with anemia among women of childbearing age in Rwanda and map their spatial variation.Methods:The 2014/15 Rwanda Demographic and Health survey data was used and the structured logistic regression model was fitted to the data, where fixed effects were modeled parametrically, non-linear effects were modeled non-parametrically using second order random walk priors and spatial effects were modeled using Markov Random field priors.Results:The prevalence of anemia among non-pregnant women of reproductive age was 18.9%. Women from the households which use water from the unprotected well had a higher risk of having anemia than a woman from the household where they use water piped into dwelling or yard. The risk of anemia was higher among underweight women and women living in households without toilet facilities. The anemia was less pronounced among the women using contraception, literate women, women from the households which use a bed net and living in rich households.Conclusion:The findings from this study highlighted the districts with the highest number of anemic women and this can help the policymakers and other public health institutions to design a specific programme targeting these districts in order to improve the health status and living conditions of these women. The findings also suggest an improvement of toilet facilities, bed net use and source of drinking water in affected households.

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