Unmet Need for Family Planning Among Women of Reproductive Age in Plateau State Nigeria

Mohammed, Amina; Envuladu, Esther Awazzi; Okoh, Elizabeth Onyi; Osagie, Ize Anuwolapo; Danimoh, Mustapha Abdulsalam; Zoakah, AI

doi:10.18535/ijsrm/v6i6.mp01

“…This study showed that the proportion of birth protected against neonatal tetanus among mothers who gave birth within six month found to be 58.57% which is in line with study done in Peshawar district Pakistan and Northern Ethiopia about 55.6% and 56.2% respectively (12,25) and it is somewhat higher than study conducted in different community of Nigeria (24%) (14) and study conducted in 2016…”

Section: Discussionsupporting

confidence: 86%

“…The study, which was conducted in a selected community in Nigeria, revealed that less than half of the respondents, or 24%, had been protected against neonatal tetanus during their previous pregnancy; nearly 88.6% had ever received one dose of tetanus vaccine (14), and 4.6% had never received any dose of tetanus vaccine in Cameroon (15). multilevel analysis conducted in demographic health survey of 10 east African country showed that 50.4% of rural women was protected against neonatal tetanus (16) and another study in Kenya showed that 90.5% of mothers received a second dose of tetanus vaccine during their pregnancy (17).…”

mentioning

confidence: 99%

Proportion of Births Protected Against Neonatal Tetanus and Its Associated Factors Among Mothers Who Gave Birth Within the Past 6 Months in Gozamn District, Northwest Ethiopia, 2022

Gashaw

¹

2022

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Introduction: An estimated 3.3 million newborn deaths occur each year around the world, with 9,000 babies dying every day in their first 28 days. Neonatal tetanus is tetanus that occurs within the first 28 days of life, and maternal immunization can reduce neonatal tetanus by 94%. However, not enough mothers were vaccinated to protect against neonatal tetanus globally, and only 49% of mothers in Ethiopia were protected. The proportion of mothers who were protected from neonatal tetanus was not determined yet in the study area. Because neonatal tetanus is such a serious disorder with such a high fatality rate and there is a need for more recent evidence on it, more research on birth protection against neonatal tetanus is needed. Objective To assess the proportion of births protected against neonatal tetanus and its associated factors among mothers who gave birth within the past 6 months in Gozamn district, Northwest Ethiopia, 2022. Method A community-based cross-sectional study was conducted in the Gozamn district, Northwest Ethiopia from April 1–30, 2022. A total sample size of 831 was used, and a two-stage stratified sampling technique was used. A structured and pre-tested questionnaire was used to collect the data, and the data was analysed by using StataV14. A logistic regression analysis was conducted, and the level of statistical significance was determined by a p-value of less than 0.05. Result The proportions of birth protected against neonatal tetanus were 58.57% in the study. Mother who had radio (AOR = 3.09,95%CI: 2.09, 4.56), mother who travel less than one hour to reach nearest health facility (AOR = 1.96,95%CI: 1.23,3.10), mother who gave birth of their last child in the health institution (AOR = 4.17,95%CI:2.39,7.28), mothers who had information from health professional (AOR = 2.56,95%CI:1.56,4.19) and > 4 ANC visit (AOR = 2.57,95%CI:1.55,4.26) were positive predictors of birth protected against neonatal tetanus. Conclusion In this study area, the proportion of mothers protected against neonatal tetanus was low. Professional based counselling related to TT vaccine, as well as interlinks and strength of different health care services such as ANC and delivery services are vital to increase proportion of birth protected against neonatal tetanus.

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“…We categorized the independent variables into individual and community factors. Individual factors recoded included woman's age (15-24, 25-34, and 35-49); level of education (no education, primary, secondary/higher); wealth index (poor, middle and rich); working status (working and not working); number of living children (0-1, 2-3, 4-5, 6+); husband's desire for children (Both want the same number of children, husband wants more, husbands wants few, don't know); decision-maker on a woman's health care (this is based on a question in the DHS that asks a person who usually decides on respondent's health care) and this was categorized as All women interviewed aged 15-49 years (62,538) Burundi (17,269), Rwanda (13,497), Tanzania (13,266), Uganda (18,506) Unmarried women (26,341) Burundi (7,487), Rwanda (6,515) Tanzania (5,056), Uganda (7,283) All married women (36,197) Burundi (9,782), Rwanda (6,982) Tanzania (8,210), Uganda (11,223) All sexually active and fecund Married women (32,945) Burundi (8,767), Rwanda (6,472), Tanzania (7,417), Uganda (10,288) Infecund married women (3,253) Burundi (1,015), Rwanda (510) Tanzania (793), Uganda (935) husband/partner alone, respondent alone, joint decision and others; history of child death (yes or no); access to family planning messages (this was measured using four questions that required whether a woman was exposed to family planning messages on radio, television, newspapers and phone in the last month). All the responses to these questions were merged and coded 0 for no exposure to all the media and 1 for those who heard FP messages from any of the four sources.…”

Section: Variables and Their Measurementsmentioning

confidence: 99%

“…Different studies on unmet need have been done in several developing countries like: Ghana [11], Ethiopia [12], Nigeria [13], Cameroon [14], Burundi [15], Kenya [16] and Uganda [17].…”

Section: Introductionmentioning

confidence: 99%

Multilevel Mixed Effects Analysis of Individual and Community Factors Associated With Unmet Need for Contraception Among Married Women in Four East African Countries

Kabagenyi

¹

,

Wasswa

²

,

Nsobya

³

et al. 2021

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Background: Although use of contraceptives is an expression of a woman’s reproductive control, unmet need for contraception remains high and a public concern among married women in East Africa. Limited literature has explored the associated factors in the region. This study examined the individual and community level factors associated with unmet need for contraception among married women in Burundi, Rwanda, Tanzania and Uganda. Methods: The study utilized data from the four most recent demographic and health surveys on the following selected samples of women in Burundi (8767), Rwanda (6472), Tanzania (7417) and Uganda (10288). Analyses were conducted using multilevel mixed effect logistic regressions with random community and country level effects.Results: Findings showed that: 20%, 22%, 28% and 33% of the married women in Rwanda Tanzania, Uganda and Burundi respectively had unmet need for contraception. Young married women, low education level, low wealth quintile, higher number of living children, couples that are not staying together, husband’s desire for more children, history of child death, women who are not working, no access to family planning messages, long distances to health facilities, and husbands as decision-makers on women’s health care were associated with high level of unmet need for contraception. Also, low community wealth, low community use of modern contraceptives, higher community age at marriage, higher community mean number of living children and lower community age at sexual debut were found to be significantly associated with high risk of unmet need for contraception in at least one of the countries. Conclusions: The findings suggest the need to design programs and policies that ensure awareness and access to modern contraceptive services among all disadvantaged communities and unique groups like couples who are not staying together through increased outreaches and increased mass media campaigns. In addition, concerted efforts aimed at raising the educational levels of people to bring about change in social and cultural norms that influence the husbands desire for higher number of children are much needed. Deliberate efforts of empowering women through education, job creation, and reproductive health decisions will significantly reduce the levels of unmet need for contraception in East Africa.

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“…The study, which was conducted in a selected community in Nigeria, revealed that less than half of the respondents, or 24%, had been protected against neonatal tetanus during their previous pregnancy; nearly 88.6% had ever received one dose of tetanus vaccine (14), and 4.6% had never received any dose of tetanus vaccine in Cameroon (15). multilevel analysis conducted in demographic health survey of 10 east African country showed that 50.4% of rural women was protected against neonatal tetanus (16) and…”

mentioning

confidence: 99%

Proportion of Births Protected Against Neonatal Tetanus and Its Associated Factors Among Mothers Who Gave Birth Within the Past 6 Months in Gozamn District, Northwest Ethiopia, 2022

Gashaw

¹

,

Tagele

²

,

Hunie

³

et al. 2023

Preprint

0

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Introduction: An estimated 3.3 million newborn deaths occur each year around the world, with 9,000 babies dying every day in their first 28 days. Neonatal tetanus is tetanus that occurs within the first 28 days of life, and maternal immunization can reduce neonatal tetanus by 94%. However, not enough mothers were vaccinated to protect against neonatal tetanus globally, and only 49% of mothers in Ethiopia were protected. The proportion of mothers who were protected from neonatal tetanus was not determined yet in the study area. Because neonatal tetanus is such a serious disorder with such a high fatality rate and there is a need for more recent evidence on it, more research on birth protection against neonatal tetanus is needed. Objective To assess the proportion of births protected against neonatal tetanus and its associated factors among mothers who gave birth within the past 6 months in Gozamn district, Northwest Ethiopia, 2022. Method A community-based cross-sectional study was conducted in the Gozamn district, Northwest Ethiopia from April 1–30, 2022. A total sample size of 831 was used, and a two-stage stratified sampling technique was used. A structured and pre-tested questionnaire was used to collect the data, and the data was analysed by using StataV14. A logistic regression analysis was conducted, and the level of statistical significance was determined by a p-value of less than 0.05. Result The proportions of birth protected against neonatal tetanus were 58.57% in the study. Mother who had radio (AOR = 3.09,95%CI: 2.09, 4.56), mother who travel less than one hour to reach nearest health facility (AOR = 1.96,95%CI: 1.23,3.10), mother who gave birth of their last child in the health institution (AOR = 4.17,95%CI:2.39,7.28), mothers who had information from health professional (AOR = 2.56,95%CI:1.56,4.19) and > 4 ANC visit (AOR = 2.57,95%CI:1.55,4.26) were positive predictors of birth protected against neonatal tetanus. Conclusion In this study area, the proportion of mothers protected against neonatal tetanus was low. Professional based counselling related to TT vaccine, as well as interlinks and strength of different health care services such as ANC and delivery services are vital to increase proportion of birth protected against neonatal tetanus.

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Unmet Need for Family Planning Among Women of Reproductive Age in Plateau State Nigeria

Cited by 5 publications

References 5 publications

Proportion of Births Protected Against Neonatal Tetanus and Its Associated Factors Among Mothers Who Gave Birth Within the Past 6 Months in Gozamn District, Northwest Ethiopia, 2022

Proportion of Births Protected Against Neonatal Tetanus and Its Associated Factors Among Mothers Who Gave Birth Within the Past 6 Months in Gozamn District, Northwest Ethiopia, 2022

Multilevel Mixed Effects Analysis of Individual and Community Factors Associated With Unmet Need for Contraception Among Married Women in Four East African Countries

Proportion of Births Protected Against Neonatal Tetanus and Its Associated Factors Among Mothers Who Gave Birth Within the Past 6 Months in Gozamn District, Northwest Ethiopia, 2022

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