The influence of wives’ and husbands’ fertility preferences on progression to a third birth in Nepal, 1997–2009

Jennings, Elyse A.; Pierotti, Rachael S.

doi:10.1080/00324728.2016.1140806

Cited by 12 publications

(7 citation statements)

References 63 publications

(90 reference statements)

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“…Other studies show that partners’ approval influences woman’s decision to use contraceptive methods and contributes to achieving their fertility desire [41–43]. However, there is also evidence that the influence of a woman and her partner was equal, and in some studies the wife’s preference was found to exert a greater influence than that of her partner [44, 45]. For example, the cross-sectional analysis from 18 national surveys reported few differences in family planning use between couples in whom the wife, but not the husband, wanted more children and vice versa [46].…”

Section: Discussionmentioning

confidence: 99%

Childbearing desires and behaviour: a prospective assessment in Nairobi slums

Machiyama

Mumah

Mutua

et al. 2019

BMC Pregnancy Childbirth

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Background Advancing an understanding of childbearing desires is an important precursor to achievement of the policy goal of reducing unintended pregnancies. It has been long debated that concepts of fertility desires and planning may be particularly problematic in sub-Saharan Africa. However, examination of the utility of fertility preference measures and their link to reproductive behaviour is still rare in the region. The aim of this study is to assess the predictive validity of future childbearing desires on subsequent reproduction among women living in the highly unpredictable circumstances of Nairobi slums. Methods We used data from a longitudinal study (2007–2010) nested in the Nairobi Urban Health Demographic Surveillance System that is located in two slums in Nairobi, Kenya. We analysed baseline fertility desires among 4577 postpartum women. Cox proportional hazard model was employed to examine the effect of fertility desires on subsequent reproduction. Results One-third of the women wanted no more children and 37% wanted to wait for at least five years at baseline. While two-thirds of the women who wanted to have a child soon became pregnant within three years, less than one-third of those wanting no more children became pregnant. The multivariable analysis shows that the probability of becoming pregnant among women who expressed desires to stop or delay childbearing at least for five years was 50% less than among women who wanted to have a child in two to four years. In addition to prospective fertility desires, level of woman’s education, residence and ethnicity exerted important influences on implementation of baseline preferences. Conclusions Our study finds a strong link between baseline fertility desires and subsequent reproduction. A large difference in pregnancy risk was observed between those who wanted no more children and those who wanted another child. The link between a woman’s stated desire to stop childbearing and subsequent childbearing is just as strong in the Nairobi slums as elsewhere. In addition, the findings revealed a pronounced gradient in pregnancy risk according to preferred spacing length, which support other evidence on the important contribution of long-term spacing or postponement to fertility decline in sub-Saharan Africa.

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Section: Discussionmentioning

confidence: 99%

Childbearing desires and behaviour: a prospective assessment in Nairobi slums

Machiyama

Mumah

Mutua

et al. 2019

BMC Pregnancy Childbirth

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“…NDHS 2016 found mean ideal number of children among currently married women to be 2.1 and among currently married men to be 2.2 [3]. However, fertility intention and fertility behavior frequently do not match in Nepal with couples often surpassing their intended family size [25]. A previous study based on NDHS 2001 data found that more than two-thirds of men who had at least 1 child did not want to have more children [15].…”

Section: Discussionmentioning

confidence: 99%

Fertility Limiting Intention and Contraceptive Use among Currently Married Men in Nepal: Evidence from Nepal Demographic and Health Survey 2016

Paudel¹,

Acharya

2018

BioMed Research International

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Introduction Less is known about fertility intention of men and family planning (FP) use pattern among men or their spouses who do not want to have more children in Nepal. The objective of the current research was to assess whether number and sex composition of living children determine contraceptive use and method mix among Nepalese men who expressed not wanting to have more children. Methods We used couple dataset from NDHS 2016 for the analysis. The sample consisted of 1551 (weighted) men aged 20 or older who had at least one living child and said they wanted no more children. Multinomial logistic regression analysis was conducted to identify determinants of sterilization, traditional, temporary contraceptive use. Analysis was conducted considering clustering and stratification in NDHS 2016 survey. Results Of the total respondents, more than 80% mentioned they do not want to have any more children. However, only one-third of the men or their spouses who expressed desire not to have children were using sterilization methods at the time of survey. Contraceptive use showed a strong association with number and sex composition of children with men favouring to have at least 1 or 2 sons. Multinomial logistic regression analysis showed that use of sterilization method (especially female sterilization) was strongly associated with having at least 1 or 2 sons. Men with daughters only and one son with daughters were more likely to use temporary methods. Conclusion Among men who do not want to have more children, FP use was associated with number and sex composition of living children. Use of sterilization methods was associated with having at least 1 or 2 sons. Nepal's family planning program can be further strengthened by joining hands with initiatives aimed at promoting the value of girl child.

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“…While there is a strong female sex preference among the Garo of Bangladesh because of their matrilineal culture (Islam et al, 2009), preference for sons is most peculiar to patrilineal societies (Isiugo-Abanihe, 1994;Osmani et al, 2015;Calhoun et al, 2013;Channon, 2015), including Nigeria. Essentially, what drives sex preference is cultural ideation stemming from family composition and it varies from one place to another (Isiugo-Abanihe, 1994;Addai, 1999;Bankole & Audam, 2011;Calhoun et al, 2013;Adebowale & Palamuleni, 2015;Jennings & Pierotti, 2016). These determinants of contraceptive use have been less explored in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Latent and Under-explored Determinants of Contraceptive Use in Nigeria

Odimegwu

Adewoyin

2020

Sex Res Soc Policy

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Introduction The Nigerian population policy targeted a 30.2% prevalence of modern contraceptives among its population by the year 2015. In spite of the widespread knowledge of contraceptive use among the population, the prevalence stood at 12% in 2018. This study, riding on several previous studies on the determinants of contraceptive use in Nigeria, investigates the latent and under-explored determinants against the background that what is known has not significantly translated to the realization of the country's population policy targets. Methods Using data on 27,274 married and in-union women aged 15-49 from the 2013 Nigerian Demographic and Health Survey, the relationships between sex preference, family composition, intimate partner violence, and coital frequency and contraceptive use were analyzed using bivariate statistics and logistic regression. Results The prevalence of contraceptive use was 9.9%, and in both the unadjusted and adjusted regression models with other known sociodemographic confounders of contraceptive use, family composition, and active coital frequency predicted increased odds of utilization (P < 0.001). Preference for sons was latent and implicated in family composition and contraceptive use. Conclusions The study concludes that ethnic differences and cultural attributes of the ethnic groups which underlie issues of family composition should be given prominence in efforts at scaling up contraceptive use in Nigeria. Policy Implications With the findings from this study, population control policies in Nigeria and efforts at scaling up contraceptive utilization in particular, should be tailor-made to accommodate ethnic differences and inherent cultural attributes of the more than 380 ethnic groups in the country as this was found to underlie fertility preferences and how family composition is viewed.

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The influence of wives’ and husbands’ fertility preferences on progression to a third birth in Nepal, 1997–2009

Cited by 12 publications

References 63 publications

Childbearing desires and behaviour: a prospective assessment in Nairobi slums

Childbearing desires and behaviour: a prospective assessment in Nairobi slums

Fertility Limiting Intention and Contraceptive Use among Currently Married Men in Nepal: Evidence from Nepal Demographic and Health Survey 2016

Latent and Under-explored Determinants of Contraceptive Use in Nigeria

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