Childhood mortality, intra-household bargaining power and fertility preferences among women in Ghana

Novignon, Jacob; Djossou, Nadege Gbetoton; Enemark, Ulrika

doi:10.1186/s12978-019-0798-2

Cited by 13 publications

(10 citation statements)

References 20 publications

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“…The observed prevalence of desire for more children in this population is higher than what has been reported in most studies [ 20 , 38 ]. They are much higher than the prevalence of 60% recorded in Ghana [ 17 ] and 63.1% recorded in Rakai, Uganda [ 20 ]. The high desire for more children could be a contributory factor to the high fertility rate in Niger [ 39 ].…”

Section: Discussionmentioning

confidence: 69%

“…Research has revealed some association between fertility and other variables such as reproductive behaviour [ 14 ], contraceptive use [ 15 , 16 ], unmet need for family planning [ 16 ], childhood mortality, intra-house bargaining power [ 17 ], and educational background [ 18 ]. Some studies have also focused generally on the predictors of fertility desire [ 19 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Which factors predict fertility intentions of married men and women? Results from the 2012 Niger Demographic and Health Survey

et al. 2021

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Introduction Niger is the country with the highest total fertility rate in the world. In the present study, we investigated factors associated with the desire for more children among married men and women in Niger. Materials and methods We utilised data from the 2012 Niger Demographic and Health Survey. The outcome variable for the study was fertility intentions. The data were analysed with Stata version 14.0. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. Results Desire for more children was 97.2% and 87.2% among men and women respectively. Women aged 45–49 were less likely to desire more children, compared to those aged 25–39 [aOR = 0.13, CI = 0.11–0.16]. The odds of desire for more children were high in rural areas, compared to urban areas [aOR = 1.61, CI = 1.20–2.17]. Childbearing women with seven or more births were less likely to desire more children, compared to those with 1–3 births [aOR = 0.09, CI = 0.06–0.14]. Men aged 50–59 were less likely to desire more children, compared to those aged 25–39 [aOR = 0.13, CI = 0.05–0.35]. Men with secondary/higher level of education were less likely to desire more children, compared to those with no formal education [aOR = 0.24, CI = 0.11–0.52]. Childbearing men with seven or more births were less likely to desire more children, compared to those with 1–3 births [aOR = 0.06, CI = 0.01–0.30]. Conclusion This study shows high fertility desire among men and women in Niger. However, the prevalence of fertility desire among men is higher than that of women. A number of socio-economic and demographic factors were found to be associated with desire for more children among men and women in Niger. This calls for a collective effort to educate women and men in Niger on the negative consequences of rapid population growth and large family sizes.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Which factors predict fertility intentions of married men and women? Results from the 2012 Niger Demographic and Health Survey

et al. 2021

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“…The current demographic changes have witnessed unprecedented reduction in the level of fertility in all regions of the world [ 2 ]. This is relevant in low- and middle-income countries where population growth has adverse effects on poverty situation and wellbeing of the nations [ 3 ]. Fertility is the major determinant of high population growth and on a larger scale, population growth could hinder a country’s economic performance as this may put pressure on the already limited infrastructure and government funds [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…A phenomenon that has received minimal attention in Ghana is the association between socio-economic status and fertility preferences among women of reproductive age. While several studies have been carried out on childhood mortality, intra-household bargaining power and fertility preferences among women in Ghana [ 3 , 19 , 20 ], to the best of our knowledge, very little evidence exist on the association between socio-economic status and fertility preferences among women of reproductive age in Ghana. Hence, in this study, we sought to examine the association between socio-economic and fertility preferences among women of reproductive age in Ghana, while controlling for relevant demographic factors.…”

Section: Introductionmentioning

confidence: 99%

Socio-economic and demographic factors associated with fertility preferences among women of reproductive age in Ghana: evidence from the 2014 Demographic and Health Survey

et al. 2021

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Background Understanding women’s desire to have more children is critical for planning towards future reproductive health behaviour. We examined the association between socio-economic and demographic factors and fertility preferences among women of reproductive age in Ghana. Methods This study used data from the 2014 Ghana Demographic and Health Survey. The sample consisted of 5389 women of reproductive age. We fitted Binary logistic regression models to assess the association between socio-economic status and fertility preferences, whiles controlling for demographic factors. The results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs) together with their corresponding 95% confidence intervals. Results Approximately 60% of women of reproductive age in Ghana desired for more children. Women with no formal education were more likely to desire for more children compared to those with higher level of education (aOR = 2.16, 95% CI 1.29–3.48). The odds of desire for more children was higher among women who lived in rural areas compared to those who lived in urban areas (aOR = 1.24, 95% CI 1.01–1.53). With region, women who lived in the Northern region were more likely to desire for more children compared to those who lived in the Ashanti region (aOR = 4.03, 95% CI 2.69–6.04). Similarly, women who belonged to other ethnic groups were more likely to desire for more children compared to Akans (aOR = 1.78, 95% CI 1.35–2.35). The desire for more children was higher among women with 0–3 births compared to those with four or more births (aOR = 7.15, 95% CI 5.97–8.58). In terms of religion, Muslim women were more likely to desire for more children compared to Christians (aOR = 1.87, 95% CI 1.49–2.34). Conclusion This study concludes that women in high-socio economic status are less likely to desire more children. On the other hand, women in the Northern, Upper East and those belonging to the Islamic religious sect tend to desire more children. To aid in fertility control programmes designing and strengthening of existing ones, these factors ought to be critically considered.

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“…The NR tend to share similar causes of low use of FP coupled with other factors like poverty, low education among women and religious/cultural beliefs (Akpandjar, Puozaa, & Quartey, 2018). The population Council is supporting Government of Ghana in reaching its Millennium Development Goals (MDG) 5, which is to improve maternal health by 2015, with much focus on reducing maternal morbidity and mortality due to unsafe abortion by improving access to contraceptive services (Novignon, Djossou, & Enemark, 2019). Unsafe abortions account for around 15% of maternal deaths in Ghana (Prinsloo, 2011).…”

Section: Resultsmentioning

confidence: 99%

Reducing the unmet needs of family planning among women of reproductive age in Northern Region of Ghana

Mohammed

Ullah

2020

J. Heal. Technol. Assess. Midwifery

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The recent Ghana Demographic and Health Survey 2014, estimated that 30 % of currently married women have an unmet need for family planning services, with 17% having an unmet need for spacing and 13% having an unmet need for limiting. The objective of the study was to review the unmet need of family planning in order to make appropriate recommendation to improve family planning use in the Northern Region of Ghana. A conceptual framework which outlines the factors that interplay to determine the use of family planning services in Northern Region of Ghana was designed and used for the study. The data were sought from unpublished documents from the Regional Health Directorate of Northern Ghana, websites of Ghana Health Service, online international publications and University of Leeds Library. The unmet needs of family planning in the region was found to result from a number of factors including inaccessibility to family planning services, non-availability of some type of contraceptive methods in the communities, religious beliefs that contradict the use of family planning, traditional and cultural belief system which promotes high fertility preferences, high illiteracy level, non-approval of family planning by men who are the decision makers, misconception about the use of contraception and high poverty in the region. The identified possible strategies for tackling the factors responsible for unmet need of family planning in the Northern Region, community-based family planning services, family planning health education outreach, peer education and religious-based education were found to be considerably effective, feasible and sustainable.

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Childhood mortality, intra-household bargaining power and fertility preferences among women in Ghana

Cited by 13 publications

References 20 publications

Which factors predict fertility intentions of married men and women? Results from the 2012 Niger Demographic and Health Survey

Which factors predict fertility intentions of married men and women? Results from the 2012 Niger Demographic and Health Survey

Socio-economic and demographic factors associated with fertility preferences among women of reproductive age in Ghana: evidence from the 2014 Demographic and Health Survey

Reducing the unmet needs of family planning among women of reproductive age in Northern Region of Ghana

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