Epidemiology of High Fertility Status among Women of Reproductive Age in Wonago District, Gedeo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

Reda, Medhin Girmay; Bune, Girma Tenkolu; Shaka, Mohammed Feyisso

doi:10.1155/2020/2915628

Cited by 8 publications

(20 citation statements)

References 21 publications

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“…The hospital is currently serving more than 100,000 peoples, and annually 400 mothers were delivered. The fertility rate in this study area was 69.1% [ 25 ]. The common language spoken in this study area was Amharic and Gedeoffa.…”

Section: Methodsmentioning

confidence: 99%

The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

Kassaw¹,

Pandey²

2020

Heliyon

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Background: Coronavirus is rapidly increasing in Ethiopia, and the number of perinatal service users at the hospital decreased due to the fear of contracting the virus. The mental health of a pregnant mother is vital for preventing pregnancy and birth-related complications. This study aimed to determine the magnitude and associated factors of General anxiety disorder among perinatal service users in Dilla University referral hospital, Dilla, Ethiopia. Methods: A hospital-based cross-sectional study was conducted among 178 respondents from April 6-May 6, 2020. The sampling technique of this study was Consecutive sampling. Data were collected using a structured interview. General anxiety disorder (GAD-7) was used to determine the outcome variable. Logistic regression analysis and adjusted odd ratio at 95% CI and p < 0.05 was used to determine the statistically significant association between general anxiety disorder and its predictors. Result: A total of 178 respondents with a 100% response rate were enrolled in the study. The mean income of respondents was 1500 (AE700) Ethiopian birr. The overall prevalence of general anxiety disorder (GAD) was 32.2%. Living in Rural area [AOR ¼ 0.48; 95% CI: (0.25-0.9) P ¼ 0.02*], Primary level of education [AOR ¼ 0.41; 95%CI:(0.21-0.75), P ¼ 0.03*], poor social support [AOR ¼ 4.3995%CI:(2.29-12.53), P ¼ 0.001**] and primigravida [AOR ¼ 3.05; 95% CI: (1.53-6.08), P ¼ 0.001**] were variables significantly associated with general anxiety disorder at 95% confidence interval, p < 0.05. Conclusions: This study found that nearly one-third of the respondents had general anxiety disorder. Therefore, working on the mental health impact of the pandemic among perinatal service users is an urgent solution to promote their physical, mental, and psychological health of a mother and her baby.

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Section: Methodsmentioning

confidence: 99%

The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

Kassaw¹,

Pandey²

2020

Heliyon

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“…However, over half of the non-first birth remains to occur within 3 years of their prior birth ( 6 ). In contrast, although, the county has shown remarkable changes in fertility reduction over the past two decades ( 23 ), fertility remained high, especially in the pastoralist area where fertility is too high, with a total fertility rate of above six per woman ( 6 , 24 , 25 ). Consistent with high fertility, the majority of births in Ethiopia (62%) fall into one of the high-risk categories.…”

Section: Introductionmentioning

confidence: 99%

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Wakeyo

Kebira

Assefa

et al. 2022

Front. Glob. Womens Health

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BackgroundRecently, the concern with birth interval has acquired importance in public health and family planning because of its implication for fertility, maternal, and child health. A short birth interval is associated with adverse perinatal, maternal, and infant outcomes. Moreover, too short birth interval lead to high fertility, which in turn contributes to accelerated population growth and undermines development efforts. This study aimed to investigate the prevalence of short birth interval and its associated factors among multiparous women in the Mieso agro-pastoralist district, Oromia region, Eastern Ethiopia.MethodsA community-based cross-sectional study was conducted from 1 to 30 March 2020. The multistage sampling technique was used to select 490 multiparous women. Data were collected by face-to-face interviewer-administered structured questionnaires. Bivariate and multivariable logistic regression analyses were executed. Model fitness and multicollinearity were checked. Statistically significant associations of outcome and independent variables were declared at a P-value of < 0.05.ResultsThe prevalence of short birth interval was 56% (95% CI: 51.4–60.5) in the study area. Being married under 18 years (AOR = 3.78, 95% CI: 1.97–7.25), having formal education (AOR = 0.23, 95% CI: 0.11–0.47), having a husband with formal education (AOR = 0.46, 95% CI: 0.22–0.99), having awareness about optimum birth interval (AOR = 0.47, 95% CI: 0.24–0.91), having female index child (AOR = 1.78, 95% CI: 1.07–3.84), death of the index child (AOR = 0.34, 95% CI: 0.12–0.92), breastfeeding of the index child <24 months (AOR = 2.6, 95% CI: 1.53–4.41), use of modern contraceptive (AOR = 2.09, 95% CI: 1.12–3.89), and decision-making by a husband alone when to have a child (AOR = 3.86, 95% CI: 2.06–7.21) were significantly associated with short birth interval at a P-value <0.05.ConclusionThe overall prevalence of short birth interval among the study participants was high, as more than half of the women had practiced short birth interval, indicating that the majority of the mother and children in the study area are still at high risk of mortality and morbidity associated with short birth interval. Thus, the current findings suggest that interventions that involve the provision of contraceptives and information on its benefit at points need to be adopted to reach the national and global target of maternal and child mortality reduction attributed to short birth interval.

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“…This is similar to a community-based study conducted in Gedeo Zone (69.1%) and Tigray Region, Ethiopia (51%). 25 29 This figure was quite higher than the prevalence reported by other investigators ranging from 9.4% to 27% in Gambian, Cameroon, Nigeria, Tanzania and India. 2 33 34 41 42 The fact that later studies were all carried out in health facilities and urban catchment areas could explain these low prevalence rates.…”

Section: Discussionmentioning

confidence: 52%

“…A possible explanation is that women residing in the urban area stay longer in school, thereby postponing the time for marital engagement. 25 On the other hand, researchers found that education is an important factor for high parity, with several causal relationships from a theoretical perspective. 47 To sum up, education generally results in an improvement in the status of individuals in society in the form of a better understanding of health issues and employment status.…”

Section: Discussionmentioning

confidence: 99%

Multilevel analysis of grand multiparity: Trend and its determinants in the Sidama National Regional State of Ethiopia: a cross-sectional study design from demographic and health survey 2000–2016

2022

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ObjectiveThe study was aimed at examining the magnitude, trends and determinants of grand multiparity in the Sidama regional state of Ethiopia.DesignWe retrieved cross-sectional data from the Ethiopia Demographic and Health Survey from 2000 to 2016.SettingCommunity-based demographic and health survey (DHS) was conducted in Ethiopia.ParticipantsThe study population was women (aged 15–49 years) who had delivered children with the available DHS data set.OutcomesMultilevel multivariate logistic regression analyses assessed the relationship between grand multiparity and its determinants.ResultsThe magnitude of grand multiparity was 70.8% (95% CI 68.5% to 72.9%). The multilevel multivariable logistic regression model showed illiteracy (adjusted OR (AOR)=2; 95% CI 1.25 to 3.75), non-use of any contraceptive (AOR=3.8; 95% CI 1.2 to 12.2), early marriage (AOR=4.5; 95% CI 2.6 to 7.9), polygamous marriage (AOR=4.2; 95% CI 2.0 to 9.3), short birth intervals (AOR=2.3; 95% CI 1.4 to 3.5) and husband’s low education status (AOR=5.8; 95% CI 2.1 to 16.1) were significantly associated with grand multiparity.ConclusionsThis study revealed that 7 of 10 women were grand multipara, and the magnitude did not show significant change over the last 16 years. Early marriage and early age at first birth, low literacy level, low family planning utilisation, polygamy, short interbirth interval and unmet need for family planning were determinants of grand multiparity. We recommended the stakeholders to design new strategies to address the root cause of high fertility factors in communities.

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Epidemiology of High Fertility Status among Women of Reproductive Age in Wonago District, Gedeo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

Cited by 8 publications

References 21 publications

The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Multilevel analysis of grand multiparity: Trend and its determinants in the Sidama National Regional State of Ethiopia: a cross-sectional study design from demographic and health survey 2000–2016

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