Maternal Education, Fertility, and Child Survival in Comoros

Oyekale, Abayomi Samuel; Maselwa, Thonaeng Charity

doi:10.3390/ijerph15122814

Cited by 18 publications

(19 citation statements)

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“…knowledge, awareness) [13,25]. This protective effect of maternal education adjusted for more covariates than in the study at hand, was also reported in Ghana [30], and Comoros [31]. Some assumptions suggested in a study on the factors associated with U5MR in rural Ghana were: educated mothers are more likely to receive antenatal care [32] (though the gap seems to be closing over time [33]), and motherhood could be delayed, decreasing the total number of children [34].…”

Section: Resultssupporting

confidence: 71%

Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis

et al. 2019

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Background In sub-Saharan Africa, socioeconomic factors such as place of residence, mother’s educational level, or household wealth, are strongly associated with risk factors of under-five mortality (U5M) such as health behavior or exposure to diseases and injuries. The aim of the study was to assess the relative contribution of four known socioeconomic factors to the variability in U5M in sub-Saharan countries. Methods The study was based on birth histories from the Demographic and Health Surveys conducted in 32 sub-Saharan countries in 2010–2016. The relative contribution of sex of the child, place of residence, mother’s educational level, and household wealth to the variability in U5M was assessed using a regression-based decomposition of a Gini-type index. Results The Gini index – measuring the variability in U5M related to the four socioeconomic factors – varied from 0.006 (95%CI: 0.001–0.010) in Liberia 2013 to 0.034 (95%CI: 0.029–0.039) in Côte d’Ivoire 2011/12. The main contributors to the Gini index (with a relative contribution higher than 25%) were different across countries: mother’s educational level in 13 countries, sex of the child in 12 countries, household wealth in 11 countries, and place of residence in 8 countries (in some countries, more than one main contributor was identified). Conclusions Factors related to socioeconomic status exert varied effects on the variability in U5M in sub-Saharan African countries. The findings provide evidence in support of prioritizing intersectoral interventions aiming at improving child survival in all subgroups of a population.

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Section: Resultssupporting

confidence: 71%

Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis

et al. 2019

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“…Based on the results of previous studies above, the high fertility rate that occurs is of course not only caused by factors of marriage, use of contraceptives, deliberate abortion, and breastfeeding (Harrison, 2016;Glasier, 2019). Demographic, social, economic, and cultural factors affect fertility through proximate determinants that directly affect fertility rates (Davis and Blake, 1956;Oyekale, 2018). Therefore, it is important to carry out further analysis of trends or patterns of changes in determinants of fertility using data from the 2002/2003 and 2017 IDHS results in NTT Province, so as to get a picture of taking a more appropriate approach in reducing the fertility rate in this province.…”

Section: Resultsmentioning

confidence: 99%

Breastfeeding Patterns as a Determinant of Fertility in the Province of East Nusa Tenggara, Indonesia

Utomo

Catursaptani

Irawaty

et al. 2020

Kemas

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Although the fertility rate in East Nusa Tenggara Province has decreased over the last 10 years, the birth rate is still higher than other provinces in Indonesia. Interestingly, the infertility index for breastfeeding in East Nusa Tenggara Province is the lowest compared to other provinces in Indonesia, which means that women of childbearing age in East Nusa Tenggara Province breastfeed their children with the longest breastfeeding period. Therefore, this study aims to determine the fertility decomposition and characteristics of breastfeeding mothers in East Nusa Tenggara Province in 2017. The data source of this study uses the results of the 2017 Indonesian Demographic and Health Survey (IDHS) using women of childbearing age who have given birth. The analysis used in this study included fertility decomposition analysis and continued with univariable, bivariable, logistic regression analysis. The results of this study indicate that breastfeeding as a proxy for infertility towards fertility in the province of East Nusa Tenggara has an index value (Ci) of 0.72 and after controlling for maternal characteristics variables, age, education and work status of mothers are the factors most related to breastfeeding behavior in East Nusa Tenggara in 2017. Promotion of good breastfeeding techniques and the benefits of breastfeeding needs to be improved in order to improve the quality of life of infants, spacing pregnancies and reduce the incidence of tengkes (stunting).

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“…Lack of women's schooling was another indicator that proved to be a strong and consistent predictor of under-five mortality. The significant influence of maternal education on a child's health and survival is thus an important area of research 23 . Maternal education contributes to the mother's awareness of good health practices, in situations of the children's illness and availability of health services, so that it is considered a factor that positively affects the child's health.…”

Section: Discussionmentioning

confidence: 99%

Objetivos de Desenvolvimento do Milênio: impacto de ações assistenciais e mudanças socioeconômicas e sanitárias na mortalidade de crianças

et al. 2020

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No ano 2000, foram estabelecidos os Objetivos de Desenvolvimento do Milênio (ODM), que tiveram como quarta meta a redução da mortalidade na infância (em menores de 5 anos). Desde 2010, o Brasil alcançou a meta proposta. O objetivo deste estudo foi analisar o comportamento da mortalidade na infância e a correlação com os indicadores assistenciais, socioeconômicos e sanitários das regiões brasileiras que contribuíram para o país atingir os ODM. Trata-se de um estudo ecológico, com o uso de dados secundários do Brasil, por Regiões Intermediárias de Articulação Urbana (RIAU), no período de 2001 a 2017. Foram realizadas análises de tendência por meio do joinpoint e modelos de regressão linear múltipla. Constatou-se uma tendência de redução da taxa de mortalidade em menores de 5 anos nos períodos estudados, com maior inflexão estatisticamente significativa entre os anos de 2001 a 2010 (AAPC = -3,95; IC95%: -4,3; -3,6), com menores valores de 2011 a 2015 (AAPC = -2,35; IC95%: -3,7; -1,0) e estabilização em 2016 e 2017 (AAPC = -0,07; ICC = -4,2; +4,3). A baixa renda (extrema pobreza) das famílias das crianças e a ausência de escolaridade feminina foram as variáveis que mais se correlacionaram com a taxa da mortalidade na infância (r = 0,649, p < 0,001 e r = 0,640, p < 0,001, respectivamente). O cumprimento da quarta meta dos ODM pelo Brasil fez com que o país alcançasse um evidente progresso na redução da taxa de mortalidade na infância, porém percebe-se uma possibilidade de estabilização nesta taxa nos últimos anos. Por outro lado, indicadores sociais e ações assistenciais de saúde foram de grande importância nessa redução, constituindo um desafio ao país a manutenção e evolução das políticas públicas.

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Maternal Education, Fertility, and Child Survival in Comoros

Cited by 18 publications

References 73 publications

Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis

Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis

Breastfeeding Patterns as a Determinant of Fertility in the Province of East Nusa Tenggara, Indonesia

Objetivos de Desenvolvimento do Milênio: impacto de ações assistenciais e mudanças socioeconômicas e sanitárias na mortalidade de crianças

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