Summary measures of socioeconomic and area-based inequalities in fertility rates among adolescents: evidence from Ethiopian demographic and health surveys 2000–2016

Yaya, Sanni; Ameyaw, Edward Kwabena; Idriss-Wheeler, Dina; Shibre, Gebretsadik; Zegeye, Betregiorgis

doi:10.1186/s12889-021-10729-5

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…In this study, we examined trends in absolute and relative inequalities in VAS among children 6-59 months using five commonly used inequality dimensions. [36][37][38] The findings show the overall national coverage rates of VAS coverage in 2000, 2005, 2011 and 2016 were 59.9%, 46%, 53.1%, and 44.7%, respectively. Our finding is lower compared with other African countries such as Senegal (88.4%), Rwanda (86.4%), Sierra Leone (83.2%), and Togo (81.7), respectively.…”

Section: Discussionmentioning

confidence: 93%

Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

Zegeye¹,

Olorunsaiye

Ameyaw

et al. 2022

SAGE Open Medicine

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Objectives: There is a dearth of evidence on inequalities in vitamin A supplementation in Ethiopia. The goal of this study was to assess the magnitude and overtime changes of inequalities in vitamin A supplementation among children aged 6–59 months in Ethiopia. Methods: We extracted data from four waves of the Ethiopia Demographic and Health Surveys (2000, 2005, 2011, and 2016). The analysis was carried out using the 2019 updated World Health Organization’s Health Equity Assessment Toolkit software that facilitates the use of stored data from World Health Organization’s Health Equity Monitor Database. We conducted analysis of inequality in vitamin A supplementation by five equity stratifiers: household economic status, educational status, place of residence, child’s sex, and subnational region. Four summary measures—population attributable fraction, ratio, difference, and population attributable risk—were assessed. We computed 95% uncertainty intervals for each point estimate to ascertain statistical significance of the observed vitamin A supplementation inequalities and overtime disparities. Results: The findings suggest marked absolute and relative pro-rich (population attributable fraction = 29.51, 95% uncertainty interval; 25.49–33.53, population attributable risk = 13.18, 95% uncertainty intervals; 11.38–14.98) and pro-urban (difference = 16.55, 95% uncertainty intervals; 11.23–21.87, population attributable fraction = 32.95, 95% uncertainty intervals; 32.12–33.78) inequalities. In addition, we found education-related (population attributable risk = 18.95, 95% uncertainty intervals; 18.22–19.67, ratio = 1.54, 95% uncertainty intervals; 1.37–1.71), and subnational regional (difference = 38.56, 95% uncertainty intervals; 29.57–47.54, ratio = 2.10, 95% uncertainty intervals; 1.66–2.54) inequalities that favored children from educated subgroups and those living in some regions such as Tigray. However, no sex-based inequalities were observed. While constant pattern was observed in subnational regional disparities, mixed but increasing patterns of socioeconomic and urban–rural inequalities were observed in the most recent surveys (2011–2016). Conclusion: In this study, we found extensive socioeconomic and geographic-based disparities that favored children from advantaged subgroups such as those whose mothers were educated, lived in the richest/richer households, resided in urban areas, and from regions like Tigray. Government policies and programs should prioritize underprivileged subpopulations and empower women as a means to increase national coverage and achieve universal accessibility of vitamin A supplementation.

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Section: Discussionmentioning

confidence: 93%

Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

Zegeye¹,

Olorunsaiye

Ameyaw

et al. 2022

SAGE Open Medicine

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“…These findings are consistent with a large body of literature from SSA, which indicates that the impoverished population have unequal access to modern contraceptive methods [ 28 ], and are in greater danger of not using sexual and reproductive health services, including contraception [ 19 ]. Basically, disadvantaged groups with elevated poverty and low educational levels frequently have greater levels of inequity in modern contraceptive use among women [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in modern contraceptive use among women in Benin: a decomposition analysis

Budu,

Dadzie,

Salihu

et al. 2023

BMC Women's Health

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Background Contraceptive use is crucial to achieving Sustainable Development Goal 3. Evidence of socioeconomic inequality in the use of modern contraceptives is essential to address the developing inequality in its utilisation given the low prevalence of contraceptive use among women in Benin. This study examined the socioeconomic inequalities in modern contraceptive use among women in Benin. Methods We performed a cross-sectional analysis of the 2017-18 Benin Demographic and Health Survey data. A weighted sample of 7,360 sexually active women of reproductive age was included in the study. We used a concentration curve to plot the cumulative proportion of women using modern contraception. Decomposition analysis was conducted to determine factors accounting for the socioeconomic disparities in modern contraceptive use. Results We noted that the richest women had higher odds of modern contraceptive use (adjusted odds ratio [aOR] = 1.67, CI = 1.22–2.30) compared to the poorest women. Other factors that showed significant associations with modern contraception use were age, marital status, religious affiliation, employment status, parity, women’s educational level, and ethnicity. We found that modern contraceptive use is highly concentrated among the rich, with rich women having a higher propensity of using modern contraception relative to the poor. Also, the disadvantaged to modern contraceptive use included the poor, those aged 45–49, married women, those working, those with four or more live births, rural residents, and women of Bariba and related ethnicity. Conversely, favourable concentration in modern contraceptive use was found among the rich, women aged 20–24, the divorced, women with two live births, the highly educated, those with media exposure, and women of Yoruba and related ethnicity. Conclusion The study has shown that wealthy women are more likely to utilize contraceptives than the poor. This is because wealthy women could afford both the service itself and the travel costs to the health facility, hence overcoming any economic barriers to using modern contraception. Other factors such as age, marital status, religion, employment status, parity, mother’s educational level, and ethnicity were associated with contraceptive use in Benin. The Benin government and other stakeholders should develop family planning intercession techniques that address both the supply and demand sides of the equation, with a focus on reaching the illiterate and under-resourced population without admittance to modern contraception.

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“…Further, heterogeneous purposive sampling, which allows for collecting data that can ensure maximum variation within the sample in different settings, contexts, countries, and backgrounds, was used to select the survey respondents [59,62,63]. As stated by [97], ten to twenty experts should contribute in the first round to generate a solid result from a Delphi survey. Figure 1 illustrates the flowchart of the research process followed.…”

Section: Delphi Expert Selectionmentioning

confidence: 99%

Integrating Circular Economy Principles in Modular Construction to Enhance Sustainability

Garusinghe,

Perera,

Weerapperuma

2023

Sustainability

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Modular construction (MC) has gained attention due to its potential for fast construction, reduced construction waste, and lower environmental impact while having several other issues on stimulating sustainability. The circular economy (CE) focuses on better resource management through a closed-loop system. Even though MC enhances sustainable practice, several pitfalls barricade sustainability in MC (high initial investment, design consideration, and technology challenges). Nevertheless, the synergy between CE and MC has not been investigated in past studies to address the issues in MC to achieve sustainability. This study investigates the integration of CE principles in MC to enhance sustainability. This study used a qualitative approach via the Delphi technique by conducting three semi-structured expert interview rounds with the use of a purposive sampling method. The collected data were analysed using manual content analysis. This study identified nine notable issues in MC to achieve sustainability, and all CE 9-R (rethink, refuse, reduce, reuse, repair, refurbish, remanufacture, recycle, and recover) principles could address those identified issues. Accordingly, thirty implementation strategies were recognised to fill the gap between the problems in MC and the potential of CE principles to solve the issues. The results provide insights for construction practitioners, policymakers, and researchers on integrating CE principles into MC processes to achieve sustainability goals. Ultimately, this study highlights the significance of a holistic approach by theoretically combining MC and CE principles as a benchmark for future studies. As a contribution, CE strives to make the planet a safe place to live by combatting resource depletion.

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Summary measures of socioeconomic and area-based inequalities in fertility rates among adolescents: evidence from Ethiopian demographic and health surveys 2000–2016

Cited by 6 publications

References 27 publications

Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

Socioeconomic inequalities in modern contraceptive use among women in Benin: a decomposition analysis

Integrating Circular Economy Principles in Modular Construction to Enhance Sustainability

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