Effects of birth spacing on adverse childhood health outcomes: evidence from 34 countries in sub-Saharan Africa

Yaya, Sanni; Uthman, Olalekan A.; Ekholuenetale, Michael; Bishwajit, Ghose; Adjiwanou, Vissého

doi:10.1080/14767058.2019.1576623

Cited by 43 publications

(44 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, the triggers identified for contraceptive use include; appointment cards, phone calls, text message reminders, partner’s reminder and home visits by health worker or community volunteers. The findings of this study suggest the need for interventions to promote healthy interpregnancy intervals to reduce adverse child health outcomes [ 24 ]. In addition, health care stakeholders would find the findings of this study interesting and a base for policy formulation and implementation.…”

Section: Discussionmentioning

confidence: 99%

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Osinowo

Ekholuenetale

Ojomo

et al. 2020

Contracept Reprod Med

Self Cite

View full text Add to dashboard Cite

Background Women have unfair share in the burden of unintended pregnancy outcome and unhealthy interpregnancy intervals. An understanding of the triggers, ideation and motivational factors influencing utilization of modern contraceptives is relevant for efforts aimed at increasing utilization among the general public, specifically sexually active women. The objective of this study is to explore the triggers, ideation and motivational factors influencing the use of modern family planning methods including depot-medroxyprogesterone acetate subcutaneous (DMPA-SC). Methods Qualitative methods which include; Focus Group Discussions (FGDs) and In-depth Interviews (IDIs) were used to elicit information from women of reproductive age and gate-keepers in selected Nigerian states; Rivers, Ogun, Kwara, Niger, Anambra, Delta, Lagos, Enugu and Oyo. The categories of respondents include; unmarried women aged 18-25 years, women in union aged 18-24 years using modern family planning (FP), women in union aged 25-49 years using modern FP, women in union aged 26-49 years non-users of modern FP, community leaders, health facility focal person, husbands of current users of modern FP, husbands of non-users of modern FP, religious leaders, state FP coordinators and women aged 18-49 years who currently use DMPA-SC. Maximum variation sampling techniques was used to enlist participants to participate in both FGDs and IDIs. Results Respondents reported being motivated to use FP for reasons such as benefits of the method, economic situation, suitability of the methods, fear of unwanted pregnancy and its convenience. Further analysis showed that the unmarried respondents discussed more about fear of unwanted pregnancy and accessibility and affordability as a key motivator; while women in union discussed more on economic situations, encouragement from partners and benefits of FP when compared with the unmarried. In addition, respondents reported that their partners, health workers and friends influenced their decisions to use FP. Partners’ encouragement, personal experience, accessibility and availability, awareness of FP and its benefits; willingness to space children and costs were notable enablers of FP use. The triggers for FP use were; appointment cards, phone calls from health workers, reminders (text messages, phone alarms and partners’ support). Conclusion Increasing utilization therefore requires a well-planned horizontal approach that considers all enabling factors influencing utilization including women’s empowerment. Family planning programmes that are client centered, address socio-cultural and gender norms and ensure access to contraceptive mix methods are recommended to improve utilization rate. This study recommends improved care-seeking behaviour through community-based awareness creation to address myths and misconceptions of family planning use, establishment of contraceptive delivery teams to prevent challenges of availability and accessibility, value clarification and tasks shifting among others to deal with the issue of inadequate family planning utilization.

show abstract

Section: Discussionmentioning

confidence: 99%

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Osinowo

Ekholuenetale

Ojomo

et al. 2020

Contracept Reprod Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, previous studies suggest that the birth intervals of specific ranges, < 36 months and > 60 months, are associated with higher hazards of mortality and morbidity among infants. 22,23 The birth size of the child was measured as a categorical variable. Three groups were formed: very small; small; and average or larger.…”

Section: Crucial Predictorsmentioning

confidence: 99%

Crucial predicting factors of under-five mortality in Sierra Leone

Naz

Patel

Uzoma

2020

Clinical Epidemiology and Global Health

View full text Add to dashboard Cite

includes in countries which exhibit the highest prevalence of under-five mortality in the world. A range of factors are known to have challenged the under-five survival in the country; some comprise outbreak of epidemics, socioeconomic inequalities, regional disparities, and unsuccessful implementation of healthcare initiatives. The present study aims to identify crucial predictors of under-five survival. Methods: This paper used the Sierra Leone Demographic and Health Survey (SLDH, 2013). A Cox Proportional Hazards Model was applied to the sample of 24,742 children to analyze the adjusted and unadjusted hazards ratio of crucial risk factors of under-five mortality. Results: The results show that birth interval and birth size are leading risk factors of under-five mortality in Sierra Leone. A birth spacing exceeding three years is associated with the lowest risk compared to 2-3 years and lesser than two years. The average or larger birth size has the lowest hazards followed by smaller than average, and the magnitude of the effect remains the same in adjusted and unadjusted models. The wealth status is a crucial predictor only in the unadjusted model. Mother's age, sex of the child, and a number of children in the household are significant covariates. Conclusion: Given the research findings, this study recommends for reorientation of reproductive healthcare strategies to target the younger mother and birth-spacing, and integration of nutrition-related interventions with the maternal healthcare initiatives to influence the child birth-size.

show abstract

“…Detailed information on countries, together with years of survey are shown in Table 1. 2.5 kg) and "Normal" (≥ 2.5 kg) (see, Yaya et al, 2019). Also, the observations for household source of drinking water and type of toilet facility were classi ed into "improved" and "unimproved" using the revised de nitions by the WHO/UNICEF Joint Monitoring Programme (JMP) report (World Health Organization & UNICEF, 2017).…”

Section: Study Countriesmentioning

confidence: 99%

Household Cooking Fuel Type and Child Anaemia in Sub-saharan Africa: Insights From Demographic and Health Surveys

Amadu

Seidu

Afitiri

2020

Preprint

View full text Add to dashboard Cite

Background Childhood anaemia is one of the major public health concerns in low and middle-income countries, contributing substantially to childhood mortality and morbidity. This study, therefore, sought to investigate the association between household cooking fuel type, and the joint impact of household cooking fuel type and urbanicity on anaemia among children under the age of 5 in sub-Saharan Africa. Methods We analysed cross-sectional data of 95,056 children under the age of 5 from 29 sub-Saharan African countries. Bivariate and multivariate analyses were performed using chi-square test of independence and negative log-log regression respectively at p < 0.05. Results were presented as Adjusted Odds Ratios for the negative log-log regression analysis. Results The percentage of children who had anaemia was 57%. Children from rural households that depend on unclean cooking fuels were more likely to be anaemic [AOR = 1.042; 95% CI = 1.010–1.074] compared to children from urban households using unclean cooking fuel. We also found that children in female headed households [AOR = 1.047; CI = 1.019–1.076], children in large households [AOR = 1.066; CI = 1.021–1.113]; those in households with improved source of drinking water [AOR = 1.035; CI = 1.006–1.065] had higher odds of suffering from anaemia. However, children with normal weight [AOR = 0.946;CI = 0.916–0.976], children aged 4 [AOR = 0.900; CI = 0.868–0.934], children whose mothers are aged 45–49 [AOR = 0.866; CI = 0.778–0.963] and those aged 30–34 [AOR = 0.868; CI = 0.815–0.925], children whose mothers had tertiary level of education [AOR = 0.865; CI = 0.809–0.925], children in rich households [AOR = 0.935; CI = 0.904–0.968] and those in households with improved type of toilet facility [AOR = 0.955; CI = 0.929–0.981] had lower odds of being anaemic. Conclusion Our study established an association between the joint effect of type of household cooking fuel and urbanicity and anaemia among children under the age of 5 in SSA. Childs’ birthweight, current age, maternal age, sex of household head, age of household head, maternal education, wealth status, size of household, type of source of drinking water and country of residence are associated with childhood anaemia. It is therefore critical to promote the usage of clean cooking fuels among households and women in rural areas. This could be done by governments in various countries subsidising the cost of liquefied petroleum gases and cylinders. Stakeholders that seek to improve maternal and child health should also take these associated factors into consideration.

show abstract

Effects of birth spacing on adverse childhood health outcomes: evidence from 34 countries in sub-Saharan Africa

Cited by 43 publications

References 19 publications

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Crucial predicting factors of under-five mortality in Sierra Leone

Household Cooking Fuel Type and Child Anaemia in Sub-saharan Africa: Insights From Demographic and Health Surveys

Contact Info

Product

Resources

About