Spatial Distribution And Determinant Factors Of Birth Interval Among Reproductive Age Group Women, Based On Edhs 2016, Ethiopia, 2019.

Regasa, Zegeye; Tilahun, Biniyam chakilu; Araya, Mesfin

doi:10.21203/rs.3.rs-21607/v1

Cited by 3 publications

(7 citation statements)

References 5 publications

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“…Our finding is not similar with previous studies in Ethiopia [16,21,22] and other countries like sub-Saharan Africa [37], India [38] on which contraceptive use is not significantly associated with birth interval. The reason for this difference might arise because of study population, sample size, methodology, sociodemographic, health service access for family planning, and awareness of women's on contraceptive use.…”

Section: Discussioncontrasting

confidence: 99%

“…The sample size of included studies was ranged from 7740 for the National Ethiopian Demographic Health Survey in the crossectional study from Ethiopia [16] to 314 Serbo Town [17] (table 1). Out of 13 studies included in the meta-analysis, 16311 women were involved.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…(Table 1). From thirteen studies, Ten of them were showed a statistically significant association between contraceptive use and short of birth interval [17][18][19][20][23][24][25][26][27][28] while, three studies did not showed a statistically significant association between contraceptive use and short of birth interval [16,21,22].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

Assefa¹,

Tegegne²,

Tegegne³

et al. 2021

JFMHC

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Background: Children born soon after previous birth are at high risk for health problems and died at a younger age, especially if the interval between the births is less than two years. The purpose of this review is to summarize the evidence whether contraceptive use is associated with birth interval among women in Ethiopia. Methods: Studies for this meta-analysis were accessed through main databases searches (PUBMED and Advanced Google Scholar) that were published from 2010 onwards. Three blinded reviewers evaluated the abstracts as well as the full texts and performed the data extraction. To assess external and internal validity, a risk-of-bias tool was used. Pooled effect size of birth interval was estimated from the reported proportion of eligible studies using RevMan V. 5.3 software. Results: Thirteen studies were found to be eligible and included in the meta-analysis. A total of 16311 women were involved. Of which, 6112 (37.5%) women had contraceptive users and 5873 (36%) of women had experienced short birth interval. The final pooled effect size after trim and fill analysis in random effect model was found to be -0.67 (95%CI: -0.74, -0.59). This indicated that presence of a significant association between contraceptive use and the length of birth interval. Conclusions: This meta-analysis found that, in Ethiopia, promoting contraceptive use was associated with decreasing short birth interval by 33%. Thus, the existing efforts of optimizing birth interval should be enhanced through modern contraceptive use.

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Section: Discussioncontrasting

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

Assefa¹,

Tegegne²,

Tegegne³

et al. 2021

JFMHC

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“…According to the study, women with higher economic status act positively to attain greater coverage by assuring 3E of women. Therefore, it can be concluded that the likelihood of having a short birth interval is lower for women who are economically rich which is consistent with the findings of some previous studies [ 60 , 69 , 71 ]. A recent study conducted under some rural areas in Bangladesh also showed that socio-economically disadvantageous women are more likely to have a short birth interval [ 6 ].…”

Section: Discussionsupporting

confidence: 91%

Can women’s 3E index impede short birth interval? evidence from Bangladesh Demographic and Health Survey, 2017–18

et al. 2022

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Background Women’s empowerment, education, and economic status are jointly introduced as women’s 3E. A number of studies found the significant association of these three variables with maternal health outcomes, but no studies, to the best of knowledge, have been found to justify the joint influence of women’s 3E on the birth interval. As several studies have revealed that the short birth interval increases the risk of adverse maternal, perinatal, and infant outcomes and it is also responsible for increasing the country’s population size, more research is needed on the birth interval. Therefore, the present study aimed to investigate the influence of women’s 3E on the short birth interval after controlling the other selected covariates. Methods Data from the Bangladesh Demographic and Health Survey (BDHS), 2017–18 have been used to serve the purpose of the study. To measure the birth interval, at least two live births for non-pregnant mothers and at least one live birth for currently pregnant mothers born in the 5 years before the survey were included in the study. The Chi-Square test was applied to know the unadjusted association of the selected covariates including women’s 3E with the short birth interval. In order to find out the adjusted association of women’s 3E with the short birth interval, sequential binary logistic regression models have been used. Results The study found that about 23% of births in Bangladesh were born in a short birth interval. The likelihood of subsequent births of women decreases with an increase in the score of women’s 3E before or after controlling the characteristics of women, child, and households. The results of the final model show that mothers with the coverage of 50% - 75%, 75% - 100%, and full coverage (100%) in 3E have a 23%, 41%, and 42% lower odds of having short birth interval compared to mothers with coverage of below 50% in 3E, respectively. Conclusion and recommendation Bangladesh still lags behind in meeting the minimum requirements for inter-birth intervals set by the World Health Organization. The study has shown that the 3E in women can contribute in prolonging the duration of subsequent births in Bangladesh. Policy-making interventions are needed to raise awareness among uneducated, under-empowered and economically poor reproductive women through family planning and fertility control programs so that the country can achieve the desired fertility rate.

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“…The majority of health risks are related to SBIs between pregnancies. There are health risks due to both widely spaced and closely spaced pregnancies ( 2 ). Poorly spaced pregnancies have been linked to poor mother and child health outcomes across the world.…”

Section: Introductionmentioning

confidence: 99%

Spatial variation of short birth intervals and their determinant factors among reproductive women in Ethiopia using a geographically weighted regression model

Arega,

Mitku,

Mohammed Hussen

et al. 2024

Front. Med.

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BackgroundIn low- and middle-income nations, a significant proportion of maternal and infant deaths are caused by a short birth interval (SBI). In Ethiopia, it is the main factor contributing to maternal and infant mortality. Understanding the spatial distribution of SBIs, i.e., birth intervals of less than 33 months, and the factors that influence them is important for categorizing and promoting targeted interventions. This study used a geographically weighted regression model to evaluate the factors associated with SBIs in hot areas of Ethiopia.MethodsThe 2019 Ethiopian Mini Demographic and Health Survey, which is nationally representative, provided the data for this study. The first step in the two-stage cluster design used to collect the data was enumeration areas, and the second stage was households. The survey was conducted between 21 March 2019 and 28 June 2019. A hot spot analysis (local Getis-Ord Gi* statistics) was initially used to investigate spatial variation in SBIs. Geographically weighted regression was used to examine the regional variation in the relationship between SBIs and the factors that cause them.ResultThe study indicated that the overall proportion of SBIs among women in Ethiopia was 43.2%. The values for Global Moran’s I (Moran’s I = 0.773 and p < 0.001) showed the presence of significant SBIs clustering in Ethiopian administrative zones in Ethiopia. High-risk areas of the SBIs include Jarar, Doolo, Shabelle, Afder, Liben, Korahe, Nogob, West Harerge, Guji, Sidama, and Assosa zones.ConclusionLiving in a geographic region with a high proportion of uneducated women, women lacking breastfeeding practices, and followers of Orthodox religions increased the proportion of SBIs. Our full map of hot spots for short birth spacing and the factors that affect them helps in the implementation of precise public health measures for decision-makers.

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Spatial Distribution And Determinant Factors Of Birth Interval Among Reproductive Age Group Women, Based On Edhs 2016, Ethiopia, 2019.

Cited by 3 publications

References 5 publications

Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

Can women’s 3E index impede short birth interval? evidence from Bangladesh Demographic and Health Survey, 2017–18

Spatial variation of short birth intervals and their determinant factors among reproductive women in Ethiopia using a geographically weighted regression model

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