Social contexts of fertility desire among non-childbearing young men and women aged 15–24 years in Nigeria

Akinyemi, Joshua O.; Odimegwu, Clifford

doi:10.1186/s12978-021-01237-1

Cited by 16 publications

(17 citation statements)

References 36 publications

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“…Consistent with the literature, women's religion was found to be associated with fertility desire [19,36,38,52,61,70]. The likelihood of fertility desire to have a child was higher among women of Muslim religion.…”

Section: Discussionsupporting

confidence: 79%

Determinants of fertility desire among reproductive age married/cohabiting women in Ethiopia; an analysis of PMA-ET 2021 data

Fantaye,

Damtew,

Sene

2024

Preprint

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Background In Ethiopia, although many activities have been done to control the rapid population growth and reduce the average number of births per woman, in the last ten years it has not been feasible to achieve the desired level of change as was planned and intended in the national health sector transformation plan (HSTP) and reproductive health (RH) strategies. The annual growth of the population and fertility rates continue to be higher at 2.7 and 4.6, respectively. Fertility is one of the fundamental aspects affecting population dynamics, while fertility desire of women to have children is one of the key elements of fertility, which can be precursors to actual fertility performance, a useful tool for understanding aggregate fertility trends, and important for understanding future reproductive behavior. Women's fertility desire is the number of children they want to have in the next few years, based on their assessment of the costs and benefits of childbearing. Methods This analysis used cross-sectional data from Performance Monitoring for Action Ethiopia (PMA-ET) 2021. A total of 4138 married or cohabiting individual women between the ages of 15 and 49 who were not pregnant were include in this analysis. Sampling weighting factors and design based were applied in this analysis, chi-square test statistics were computed to see the overall association and used to check cell sample size adequacy. Multilevel binary logistic regression was used to identify important predictors of women’s fertility desire. Results were presented in the form of percentages and odds ratios with a 95% confidence interval (CI). Statistical significance was declared at a significance level of 0.05. Results The study revealed that about three-quarters 74.1% (95% CI; 71.5% − 76.6%), reproductive age married/cohabiting women in Ethiopia, desired to have a child. Women who reported forced pregnancy by their spouse, being of the Muslim religion, those aged 19 and above at first sex, and women who attained secondary or higher education were found to be positively and significantly associated with the likelihood of fertility desire to have a child. Whereas those women who reported 40 and above of age, 45 and above of her partner’s age, those who have three or more live births, a family size of five or more members, and those who had ever used FP were found to have a lower odds of fertility desire to have a child. Conclusion The prevalent high fertility desire to have a child in Ethiopia hinders the quick reduction of fertility rates and calls up on implementing multifaceted strategies that preserve this high fertility desire. Accordingly, socio-cultural and demographic variables were determined to influence the desire for children. Understanding these determinants is vital to developing successful fertility programs and policies specifically designed for different populations, prioritize and adopting interventions that increase everyone's access to and use of family planning options, and messaging that speak to a range of religious and cultural groups.

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Section: Discussionsupporting

confidence: 79%

Determinants of fertility desire among reproductive age married/cohabiting women in Ethiopia; an analysis of PMA-ET 2021 data

Fantaye,

Damtew,

Sene

2024

Preprint

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Section: Discussionsupporting

confidence: 75%

Determinants of fertility desire among reproductive-aged married/cohabiting women in Ethiopia: an analysis of PMA-ET 2021 data

Fantaye,

Damtew,

Sene

2024

Preprint

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Background: In Ethiopia, although many activities have been performed to control rapid population growth and reduce the average number of births per woman, in the last ten years, it has not been feasible to achieve the desired level of change, as was planned and intended in the National Health Sector Transformation Plan (HSTP) and reproductive health (RH) strategies. The annual growth of the population and fertility rates continue to increase at 2.7 and 4.6, respectively. Fertility is one of the fundamental aspects affecting population dynamics, while the fertility desire of women to have children is one of the key elements of fertility and can be a precursor to actual fertility performance, a useful tool for understanding aggregate fertility trends, and important for understanding future reproductive behavior. Women's fertility desire is the number of children they want to have in the next few years, based on their assessment of the costs and benefits of childbearing. Methods: This analysis used cross-sectional data from Performance Monitoring for Action Ethiopia (PMA-ET) 2021. A total of 4138 married or cohabiting individual women between the ages of 15 and 49 who were not pregnant were included in this analysis. Sampling weighting factors and design were applied in this analysis, and chi-square test statistics were computed to determine the overall association and used to assess the adequacy of the cell sample size. Multilevel binary logistic regression was used to identify important predictors of women’s fertility desire. The results are presented as percentages and odds ratios with 95% confidence intervals (CIs). Statistical significance was declared at a significance level of 0.05. Results: Approximately three-quarters (74.1%, 95% CI; 71.5% - 76.6%) of reproductive-aged married/cohabiting women in Ethiopia desired to have a child. Women who reported having a forced pregnancy by their spouse, being of the Muslim religion, being aged 19 and above at first sex, and having attained secondary or higher education were found to be positively and significantly associated with the likelihood of fertility desire to have a child. However, women who reported 40 years of age or older, partner’s age 45 years of or older, who had three or more live births, who had a family size of five or more members, and who had ever used FPs were found to have lower odds of having a fertile desire to have a child. Conclusion: The prevalent high-fertility desire to have a child in Ethiopia hinders the quick reduction of fertility rates and calls for the implementation of multifaceted strategies that preserve this high-fertility desire. Accordingly, sociocultural and demographic variables were determined to influence the desire for children. Understanding these determinants is vital to developing successful fertility programs and policies specifically designed for different populations, prioritizing and adopting interventions that increase everyone's access to and use of family planning options, and messaging that speaks to a range of religious and cultural groups.

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“…We also included women’s type of marriage, which was coded as monogamous (1) and polygamous (2), this is followed by a variable on the ideal number of children that was a count variable and a non-numeric response. Women with the ideal number of children that were 5 or less were coded as “1” Whilst those with 5 or more and those with non-numeric responses were coded as “2”, this measurement is based on previous studies where it has been suggested that women with non-numeric responses invariably prefer large family sizes [ 35 ]. Fertility desire of couple was recoded as 1 – Both want same, 2 – Husband wants more than woman, 3 – Husband wants fewer than woman and 4 - Don’t know.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa

et al. 2022

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Background Sub-Saharan Africa, characterised by high fertility and low contraceptive use prevalence, remains one of the settings with the poorest maternal and child health indices globally. Studies have established that grand-multiparous women are at increased risk of these adverse maternal health outcomes, and contraceptive use is important to averting these adverse outcomes. Thus, this study examines the prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in 10 sub-Saharan African countries with high fertility rates. Materials and methods The study utilized data from the last installments of the Demographic and Health Survey from the 10 leading countries with the highest total fertility rates in sub-Saharan Africa. These countries include: Angola, Benin, Burundi, Chad, Cote d’Ivoire, the Republic of the Congo, Democratic Republic of Congo, Mali, Niger, and Nigeria. Data analysis of 23,500 grand-multiparous women was done at three univariate levels involving a frequency table and bar chart. We employed bivariate logit and multivariate logit regression at the bivariate and multivariate levels to achieve the study objectives. A significant level was determined at p < 0.05. Results Our study found that less than 40% of grand-multiparous women in these high fertility countries in sub-Saharan Africa, have the intention to use modern contraceptives (39%), but country variations exist with as low as 32.8% in Angola to as high as 71.2% in the Republic of the Congo. The study found that modern contraceptives use intention among grand-multiparous women in these high fertility countries was predicted by a history of contraceptive use and pregnancy termination, exposure to family planning messages on social media, and knowledge of family planning methods. Others were women’s fertility planning status, ideal family size, number of marriages (remarriage), couple’s fertility desire, current age, and level of education. Conclusion In the high fertility context of sub-Saharan Africa, characterized by low contraceptive use, improving contraceptive use intention among grand-multiparous women is vital for preventing adverse maternal and child health outcomes, including mortality, resulting from a high-risk pregnancy. Hence, interventions should be more innovative in targeting this group of women to increase the contraceptive prevalence rate in line with Family Planning 2030 goals, and ultimately reduce high fertility rates in the region.

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Social contexts of fertility desire among non-childbearing young men and women aged 15–24 years in Nigeria

Cited by 16 publications

References 36 publications

Determinants of fertility desire among reproductive age married/cohabiting women in Ethiopia; an analysis of PMA-ET 2021 data

Determinants of fertility desire among reproductive age married/cohabiting women in Ethiopia; an analysis of PMA-ET 2021 data

Determinants of fertility desire among reproductive-aged married/cohabiting women in Ethiopia: an analysis of PMA-ET 2021 data

Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa

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