Factors associated with antenatal care services utilisation patterns amongst reproductive age women in Benin Republic: An analysis of 2011/2012 benin republic's demographic and health survey data

2017 ◽  
Vol 24 (2) ◽  
pp. 67 ◽  
Author(s):  
Justin Dansou ◽  
AdeyemiO Adekunle ◽  
AyodeleO Arowojolu
2018 ◽  
Vol 11 (1) ◽  
pp. 425-437
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop

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.


2021 ◽  
Author(s):  
Zau Ring ◽  
Zaw Myo Tun ◽  
Clarence C Tam

AbstractBackgroundTetanus toxoid vaccination is a life-saving maternal and child health intervention. Understanding gaps in maternal vaccination coverage is key to informing progress towards universal health coverage. We assessed maternal tetanus vaccination coverage in Myanmar and investigated factors associated with being unvaccinated.MethodWe analysed 2015-16 Demographic and Health Survey data including women aged 15-49 years with at least one childbirth in the last five years. The outcome was self-reported receipt of tetanus vaccine at least once during the last pregnancy. We used logistic regression models to assess factors associated with being unvaccinated.ResultsOverall maternal tetanus vaccination coverage was 85.7%. Sub-national coverage was lowest in the predominantly ethnic minority states of Shan, Kayin, and Chin at 69.6%, 77.4%, and 79.9%, respectively. Factors associated with a lack of vaccination were: not receiving antenatal care (odds ratio (OR): 18.99, 95% confidence interval (CI): 14.21, 25.39); receiving antenatal care at home (OR: 2.05, 95% CI: 1.46, 2.88), private and non-governmental organization clinics (OR: 2.88, 95% CI: 1.81, 4.58, compared to public facilities); and not wanting to go to a health facility alone (OR: 1.53, 95% CI: 1.14, 2.06). Higher educational attainment was associated with lower odds of being unvaccinated (OR: 0.48, 95% CI: 0.32, 0.70 for secondary relative to no education).InterpretationWe identified regional, structural, and individual differences in maternal tetanus vaccination coverage. Achieving universal coverage of maternal tetanus vaccination will largely depend on the ability to provide accessible antenatal care to most women who do not currently receive it.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243148
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie

Background Women with chronic-energy malnutrition persists in many developing countries, including Ethiopia. To avert this problem identifying the predictor variables for a high magnitude of underweight is paramount. Consequently, this study aimed to assess the factors associated with chronic energy malnutrition among reproductive-age women in Ethiopia. Methods We used the 2016 Ethiopia demographic health survey data. The survey was a community-based cross-sectional study conducted from January 18 to June 27, 2016. A two-stage stratified cluster sampling technique was employed to select Participants. A total of 13,451 reproductive-age group women (age 15–49 years and who were not pregnant and < 2 months of postpartum) were included in the analysis. Both descriptive and analytical analyses were performed. A P-value of less than 0.05 was used to declare statistical significance. Results About 22.6% (95%CI: 21.5%-23.6%) of reproductive-age women were underweight. The magnitude of underweight is highest in the Afar region (39.6%) and lowest in Addis Ababa city administration (13.5%). Women who lived in the rural area (AOR = 1.59; 95%CI: 1.19–2.12), those who did not attend formal education (AOR = 1.23; 95%CI: 1.01–1.50), unemployed women (AOR = 1.28; 95%CI:1.13–1.44), women who belong to the poorest household wealth index (AOR = 1.42; 95%CI:1.04–1.94), women who were not married (AOR = 1.41; 95%CI: 1.18–2.69), women who lived in Tigray and the pastoral regions have higher odds of underweight. On the other hand, women who lived in southern nations nationalities and people’s region, and women whose age group 25–34 years had lower odds of underweight. Conclusions Chronic-energy malnutrition among reproductive-age women is high in Ethiopia. Improving the food security of rural, never married, and unemployed women would reduce the magnitude of underweight. Moreover, strengthening girls’ education, creating employment opportunities for women, and enhancing household income can further reduce the problem of chronic energy malnutrition.


2020 ◽  
Author(s):  
Zemenu Tessema Tadesse

Abstract Background Besides, the presence of national law, the country has to set up its own mid-term and long term goals to bring about a significant reduction in child marriages in Ethiopia. To achieve this, determining the spatial pattern of early marriage and factors associated is important for government, other concerned bodies, program implementers and policy developers to end up early childhood marriage. Thus, the aim of this study was to assess the spatial patterns and associated factors of Early marriage among reproductive-age women in Ethiopia. Methods This study analyzed retrospectively a cross-sectional data on a weighted sample of 11,646 women aged 15-49 years after requesting from Ethiopian Demographic and Health Survey 2016 via the link www.measuredhs.com . ArcGIS version 10.7 software was used to visualize spatial distribution for Early marriage. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for Early marriage in Ethiopia multiple logistic regression analysis was used to identify factors associated with early marriage. Finally, variables with a p-value<0.05 were considered as statistically significant. Results In this analysis, about 62.8% (95%CI: 61.9, 63.74%) of the study participants were married before they reached 18 years. The overall median age at first marriage was 17.1 with IQR 5 years. The high clustering of early marriage was located in Amhara, Afar, and Gambella Regions. In spatial Scan statistics 87 clusters (RR = 1.28, P-value < 0.001) significant primary clusters were identified. The associated factors of early marriage were lesser among women’s attending primary (AOR=0.60; 95%CI: 0.51, 0.71), secondary (AOR=0.19; 95%CI: 0.13, 0.26) and tertiary education (AOR=0.11; 95%CI: 0.07, 0.18). Similarly, women found in Addis Ababa were at a lesser risk of early marriage compared to other regions of the country. Conclusion Marriage below age 18 was high in Ethiopia. High-risk area of early marriage was located in Amhara, Afar, and Gambella and special attention should be given for identified risk areas. Therefore, providing educational opportunities to young girls was important in addition to inhibiting the marriage of girls under 18 years.


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