Modeling on number of children ever born and its determinants among married women of reproductive age in Ethiopia: A Poisson regression analysis

Cherie, Niguss; Getacher, Lemma; Belay, Alemayehu Sayih; Gultie, Teklemariam; Mekuria, Aleme; Sileshi, Samrawit; Degu, Getu

doi:10.1016/j.heliyon.2023.e13948

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Similarly, the study showed that women from households with highest wealth index had lower number of children compared to those from the lowest wealth index. This was consistent with a study In Ethiopia and Kenya [ 48 ] where women in the fourth and highest indices had reduced number of children. Women from these households are likely to access to different family planning methods and information on the benefit of the same.…”

Section: Discussionsupporting

confidence: 93%

Trends and factors associated with declining lifetime fertility among married women in Kenya between 2003 and 2014: an analysis of Kenya demographic health surveys

et al. 2023

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Background Globally, fertility has declined in the last three decades. In sub-Saharan Africa Including Kenya, this decline started more recent and at a slower pace compared to other regions. Despite a significant fertility decline in Kenya, there are disparities in intra- and interregional fertility. Reduction in lifetime fertility has health benefits for both the mother and child, thus it is important to improve women and children health outcomes associated with high fertility. The study, therefore evaluated the factors associate with change in lifetime fertility among married women of reproductive age in Kenya between 2003 and 2014. Methods The study used the Kenya Demographic and Health Survey (KDHS) datasets of 2003, 2008 and 2014. Analysis of variance (ANOVA) was used to calculate the mean number of children ever born and to assess the change in fertility across different factors. Poisson regression model with robust standard errors was used to study the relationship between number of children ever born (lifetime fertility) and independent variables. A Poisson-based multivariate decomposition for the nonlinear response model was performed to identify and quantify the contribution of demographic, socioeconomic and reproductive correlates, to the change in lifetime fertility between 2003 and 2014. Results The study included 3,917, 4,002, and 7,332 weighted samples of women of reproductive age in 2003, 2008, and 2014, respectively. The mean number of children born declined from 3.8 (95% CI: 3.6–3.9) in 2003 to 3.5 (95% CI: 3.4–-3.7) in 2008 and 3.4 (95% CI: 3.3–3.4) in 2014 (p = 0.001). The expected number of children reduced with the age at first sexual intercourse, the age at first marriage across the survey years, and household wealth index. Women who had lost one or more children in the past were likely to have increased number of children. The changes in the effects of women’s characteristics between the surveys explained 96.4% of the decline. The main contributors to the change in lifetime fertility was the different in women level of education. Conclusion The lifetime fertility declined by one-tenth between 2003 and 2014; majorly as a result of the effects of characteristics of women in terms of level of education. These highlights a need to implement education policies that promotes women education focuses on gender equality and women empowerment. Continuous strengthening of the healthcare systems (access to quality antenatal care, skilled delivery, and postpartum care) to reduce child mortality is essential.

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Section: Discussionsupporting

confidence: 93%

Trends and factors associated with declining lifetime fertility among married women in Kenya between 2003 and 2014: an analysis of Kenya demographic health surveys

et al. 2023

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“…These differences could be explained by several socio-economic and cultural factors [26]. A study in Ethiopia reported that the high average age of mothers may be due to their level of education [27]. The schooling rate of 30.7% observed among mothers is close to that reported by [28] in the health district of Ouargaye.…”

Section: Discussionmentioning

confidence: 73%

Knowledge, attitudes and practices of mothers of children aged 6 to 12 months on breastfeeding in the province of Sissili in Burkina Faso

AGBOKOU,

Compaoré,

Traoré

et al. 2024

Preprint

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Background Breastfeeding practices during the first 1000 days of a child’s life are crucial for their health, development and survival. However, several factors influence mothers' sensitivity to breastfeeding. Objective The aim of this study was to assess the knowledge, attitudes and practices of mothers of children aged 6 to 12 months on colostrum, early breastfeeding and ablactation age. Methods A cross-sectional study with a descriptive aim was carried out from February 2021 to March 2022 in the province of Sissili in Burkina Faso. It consisted of an initial and final evaluation of 163 mother-child couples aged 6 to 12 months who participated in at least 5 consultation sessions for healthy infants in public health facilities. The chi-square test and the Wilcoxon rank test were used to analyze the associations of the variables and the difference between the levels of mothers' knowledge at the initial and final assessments respectively. Results Among surveyed mothers, colostrum was considered good for child health by 89.6% and 98.2% of mothers at initial and final assessments respectively. Almost all mothers (98.2%) gave colostrum and 3 out of 4 mothers breastfed their children in the first hour after childbirth. Colostrum donation and early breastfeeding by the mother are statistically associated with their occupations (P = 0.000) and their opinions on the effect of colostrum on infant health (P = 0.000). Awareness significantly increased mother’s knowledge on the benefits of colostrum, ablactation age, time and benefits of early breastfeeding (P = 0.000). It also had a positive impact on mother’s opinion of the effect of colostrum on infant health. Conclusion Data analysis sugest that it is necessary for health providers to be well trained or continously retrained to raise awareness among pregnant and parturient women about the optimal practice and benefits of breastfeeding.

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Comparison of univariate and bivariate Poisson regression methods in the analysis of determinants of female schooling and fertility in Malawi

Mponda,

Kaombe

2024

BMC Public Health

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Recent research has established existence of a correlation between women’s education and fertility, suggesting that they share similar risk factors. However, in many studies, the two variables were analysed separately, which could bias the conclusions by undermining the apparent correlations of such paired outcomes. In this article, the univariate and bivariate Poisson regression models were applied to nationally representative sample of 24,562 women from the 2015-16 Malawi demographic and health survey to examine the risk factors of women’s education levels and fertility. The R software version 4.1.2 was used for the analyses. The results showed that estimates from the bivariate Poisson model were consistent with those obtained from the separate univariate Poisson models. The sizes of estimates of coefficients, their standard errors, p-values, and directions were comparable in both bivariate and univariate Poisson models. Using either the univariate or bivariate Poisson model, it was found that the age of a woman at first sexual experience, her current age, household wealth index, and contraceptive usage were significantly associated with both the woman’s schooling and fertility. The study further revealed that ethnicity, religion, and region of residence impacted education level only and not fertility. Similarly, marital status and occupation impacted fertility only and not education. The study also found that higher education levels were linked to a lower number of children, with a strong negative correlation of -0.62 between the two variables. The study recommends using bivariate Poisson regression for analysing paired count response data, when there is an apparent covariance between the outcome variables. The results suggest that efforts by policymakers to achieve the desired women’s sexual and reproductive health in sub-Saharan Africa should be intertwined with improving women’s and girls’ education attainment in the region.

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Modeling on number of children ever born and its determinants among married women of reproductive age in Ethiopia: A Poisson regression analysis

Cited by 3 publications

References 18 publications

Trends and factors associated with declining lifetime fertility among married women in Kenya between 2003 and 2014: an analysis of Kenya demographic health surveys

Trends and factors associated with declining lifetime fertility among married women in Kenya between 2003 and 2014: an analysis of Kenya demographic health surveys

Knowledge, attitudes and practices of mothers of children aged 6 to 12 months on breastfeeding in the province of Sissili in Burkina Faso

Comparison of univariate and bivariate Poisson regression methods in the analysis of determinants of female schooling and fertility in Malawi

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