Household Wealth, Decision-Making, and High-Parity Pregnancies in Nigeria

Solanke, Bola Lukman

doi:10.1080/23293691.2020.1861411

Cited by 5 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is partly attributed to limited access to family planning services and, in some cases, to higher son preference among the poor. Women in economically disadvantaged households often have less control over their reproductive decisions, leading to a pattern of rapid repeat pregnancies and larger family sizes [ 42 – 45 ].…”

Section: Discussionmentioning

confidence: 99%

Trends, patterns and predictors of high-risk fertility behaviour among Indian women: evidence from National Family Health Survey

Singh,

Singh

2024

BMC Public Health

View full text Add to dashboard Cite

Background Numerous studies have demonstrated that high-risk fertility behaviour (HRFB), which includes maternal age below 18 or above 34 years, short birth intervals (less than 24 months), and high parity (birth order above 4), is associated with adverse maternal and child health outcomes. There is a substantial research gap in the domain of high-risk fertility behaviour in the Indian context. Therefore, this study is designed to investigate the current trends and patterns in the prevalence of high-risk births among Indian women, with a primary focus on identifying contributing factors associated with this prevalence. Methods The study utilized data from the nationally representative National Family Health Survey (NFHS), which has been conducted in five rounds since 1992–93. Data from all rounds were used to assess the overall trend. However, data from the most recent round of NFHS, conducted during 2019–21, were employed to evaluate current levels and patterns of HRFB prevalence and to identify socio-economic and demographic predictors of HRFB using binomial and multinomial logistic regression models. Results The prevalence of HRFB has exhibited a consistent decreasing pattern from 1992 to 93 to 2019–21 in India. However, 29.56% of married women continue to experience high-risk births with notably higher rates in several states (e.g., 49.85% in Meghalaya and 46.41% in Bihar). Furthermore, socio-demographic factors like wealth index, educational level, social group, religion, mass media exposure, family size, age at marriage, type and region of residence, and reproductive factors like birth intention, place and type of delivery, ANC visits and current contraceptive use were identified as significant predictors of high-risk births among women in India. Conclusion Despite a 20.4 percentage point decline in HRFB prevalence over the past three decades, a significant proportion of women in specific regions and demographic subgroups continue to experience high-risk births. Therefore, the present study recommends interventions aimed at preventing high-risk births among women in India, with particular emphasis on states with high HRFB prevalence and women from socioeconomically disadvantaged backgrounds.

show abstract

Section: Discussionmentioning

confidence: 99%

Trends, patterns and predictors of high-risk fertility behaviour among Indian women: evidence from National Family Health Survey

Singh,

Singh

2024

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…The analytical tool adopted not only aligned with the theoretical position of the Andersen model but is also suitable for examining predictors of an outcome with hierarchical in uences such as individual and community levels. This tool is widely applied in multilevel studies [41][42][43][44][45]. The multilevel mixed-effects logistic model partitions in uences on an outcome into xed and random effects [47].…”

Section: Discussionmentioning

confidence: 99%

“…The community variables were generated from individual responses through aggregation at the cluster level, and then divided into three equal proportions (low, middle and high), using tertile value as cut off reference. This method is generally used for the generation of community variables using DHS data sets [41][42][43][44][45].…”

Section: Methodsmentioning

confidence: 99%

Using Andersen’s Behavioural Model of Health Services use to Examine usage of Intermittent Preventive Treatment of Malaria in Pregnancy in Nigeria

Solanke¹,

Adebayo²,

Oyeleye³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Studies in Nigeria and elsewhere in sub-Saharan Africa have explored factors influencing usage of intermittent preventive treatment of malaria in pregnancy (IPTp). However, most of the studies are not model or theory-based, which provides less satisfactory guidance to malaria control programming. This study fills the knowledge gap by adapting the Andersen’s behavioural model of health services use to IPTp usage in Nigeria.Methods: This study adopted a cross-sectional design that utilised secondary data extracted from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample of 4,772 women who had deliveries in the past year preceding the survey was analysed. The outcome variable was usage of IPTp dichotomised into optimal or otherwise. The explanatory variables cut across individual and community levels, and were divided into predisposing, enabling and need factors in line with the theoretical constructs of the Andersen model. Two multilevel mixed-effects logistic regression models were fitted to identify the factors influencing optimal usage of IPTp. Analyses were performed using Stata 14. Statistical significance was set at 5%. Results: The realised level of optimal IPTp usage was 21.8%. The factors that either predispose or enables a pregnant woman to take optimal doses of IPTp are age, education, being employed, being autonomous on own healthcare, health insurance enrolment, partner education, receiving antenatal care in public health facility, rural residence, being resident in northern geo-political zones, community literacy level, and community perception of the consequences of malaria. Two significant need factors affecting optimal usage of IPTp are timing of first antenatal care contact and actual sleeping under mosquito bed net. Conclusion: Optimal usage of IPTp is low among pregnant women in Nigeria. There is need to devise additional public health education programme promoting IPTp usage through the formation of Advocacy, Communication and Social Mobilisation (ACSM) core group in every ward in all the local government areas in the country. In addition, health planners in the country should adopt the use of the Andersen model for assessing key determinants of IPTp usage among childbearing women in the country.

show abstract

“…In view of placing a priority on health, there have been numerous plans by countries including Nigeria to implement international resolution through policy formulations and implementation to make forcible sexual intercourse against women socially and culturally unacceptable to minimise STIs. Despite previous studies on women’s decision-making power and safer sex negotiation in Nigeria [ 8 , 14 , 15 ], the comparison and measurement of the influence of family structure and decision-making autonomy on women’s attitudes towards negotiating safe sexual practices have been quite limited. This is evident in Nigeria where women are disproportionally affected by HIV accounting for about 56% of adults living with HIV, as well as the percentage of HIV-exposed infants tested for HIV before eight weeks of age standing at 18% in 2018 [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Women’s attitudes towards negotiating safe sexual practices in Nigeria: Do family structure and decision-making autonomy play a role?

2022

View full text Add to dashboard Cite

Background The risk of contracting sexually transmitted infections (STIs), including human immunodeficiency virus (HIV) is related to women’s sexual attitudes, beliefs, and power dynamics within marriages in developing countries. Despite the interventions towards improving women’s sexual health and well-being, women are disproportionately affected by the risk of STIs transmission compared with their male counterparts in most sub-Saharan African countries including Nigeria. This study examined the roles of family structure and decision-making autonomy on women’s attitudes towards negotiating safe sexual practices in Nigeria. Methods The study involved analyses of data from a nationally representative and weighted sample size of 28,219 ever-married/cohabiting women aged 15–49 years from the 2018 Nigeria Demographic and Health Survey. Descriptive and statistical analyses were carried out, including frequency tables, Pearson’s chi-square test, and multivariable binary logistic regression model. Results The overall prevalence of having positive attitudes towards negotiating safe sexual practices were 76.7% and 69.6% for a wife justified in asking the husband to use a condom if he has an STI and refusing to have sex with the husband if he had sex with other women, respectively. The results further showed that polygamous unions negatively influenced urban and rural women’s attitudes towards negotiating safe sexual practices, but women’s decision-making autonomy on how to spend their earnings was found to be a protective factor for having positive attitudes towards negotiating safe sexual practices with partners. Surprisingly, there were significant variations in attitudes towards negotiating safe sexual practices among urban and rural women who enjoyed decision-making autonomy on their healthcare (aOR 1.70; CI 1.32–2.18 and aOR 0.52; CI 0.44–0.62, respectively). Plausibly, such women might have constrained them to compromise their sexual relationships for fear of being neglected by partners. Conclusion The outcomes of this study have some policy implications for both maternal and child health. There is the need to intensify programmes aimed at improving women’s sexual health and rights towards achieving sustainable development goals of preventing deaths of newborns, ending STIs and creating gender in Nigeria.

show abstract

Household Wealth, Decision-Making, and High-Parity Pregnancies in Nigeria

Cited by 5 publications

References 35 publications

Trends, patterns and predictors of high-risk fertility behaviour among Indian women: evidence from National Family Health Survey

Trends, patterns and predictors of high-risk fertility behaviour among Indian women: evidence from National Family Health Survey

Using Andersen’s Behavioural Model of Health Services use to Examine usage of Intermittent Preventive Treatment of Malaria in Pregnancy in Nigeria

Women’s attitudes towards negotiating safe sexual practices in Nigeria: Do family structure and decision-making autonomy play a role?

Contact Info

Product

Resources

About