Figure - uploaded by Babatunde Adeshina Adelekan
Content may be subject to copyright.
Source publication
Background: Family planning (FP) refers to a conscious effort by a couple to limit or space the number of children they want using contraceptive methods. This study examined the determinants for child spacing among women of reproductive age at the family planning clinic of the UngwanRimi Primary Health Care facility, Kaduna North LGA, North western...
Context in source publication
Similar publications
Background: Hepatitis B virus (HBV) infection is a major cause of morbidity and mortality across the world, and it is associated with high risk of maternal and fetal complications in pregnant women. Aim: This study aimed to determine the knowledge of HBV transmission, and seroprevalence of hepatitis B surface antigen (HBsAg) among pregnant women in...
Citations
... Recent studies in Africa on fertility desires and the relationship between fertility preferences and actual fertility among women have reported the influence of sociodemographic factors (Ahinkorah et al., 2020;Atake & Gnakou Ali, 2019;Kebede et al., 2022;Kodzi et al., 2010;Matovu et al., 2017;Muluneh & Moyehodie, 2021;Ndahindwa et al., 2014;Odusina et al., 2020;Oyefabi et al., 2019;Teshale et al., 2022;Van Lith et al., 2013;Yeboah et al., 2021). Studies have also shown that socioeconomic status and cultural practices influence the fertility desires of people (Götmark & Andersson, 2020;Wang & Sun, 2016), including the influence of men on women's fertility desires (Bankole, 1995;Yeboah et al., 2021) and emphasize the importance of spousal influence on the understanding of fertility desires (Baynes et al., 2021;Church et al., 2023;Kahansim et al., 2013), especially as religious and traditional systems grant men powers on fertility decisions to their partners and such partners are expected to comply with these practices (Odusina et al., 2020;Oyediran, 2006). ...
Nigeria has a high fertility rate, averaging 5.1 children per woman. The desire for large families, especially by men from the northern region, is a crucial driver of the country's high total fertility rate. There is, however, a shortage of evidence on the sociodemographic determinants of men's fertility desires despite being essential stakeholders in fertility decisions in the family. This study, therefore, estimates men's desired family sizes and the sociodemographic and contextual factors influencing their desires in the northern region of Nigeria. Data from the men's recoded 2018 Nigeria Demographic and Health Survey dataset were used with a sample of 7,822 men. The chi-square test and ordinal logistic regression analysis were used to test the association and estimate the relationship between the outcome and predictor variables. The findings revealed that 71% of men desired to have at least six children, which was high irrespective of sociodemographic characteristics. However, the desire for six or more children was lower (65%) among the youngest cohort than among the oldest (80%). Being a Muslim (AOR = 4.50, 95% CI [3.86, 5.24], p < .05), having two or more wives (AOR = 2.41, 95% CI [1.68, 3.45], p < .05), having 3-5 (AOR = 2.28, 95% CI [1.89, 2.76], p < .05) and six or more (AOR = 6.03, 95% CI [4.48, 8.13], p < .05) living children, and living in the northeast (AOR = 2.03, 95% CI [1.75, 2.37], p < .05) and northwest (AOR = 1.44, 95% CI [1.20, 1.72], p < .05) zones were the most significant predictors of high fertility desire by men. Policymakers should target these categories of men in fertility and family planning programs to promote lowering and slowing the rate of fertility and population growth.
... Family planning (FP) is defined as a way of thinking and living that is adopted voluntary upon the basis of knowledge, attitude, and responsible decisions by individuals and couples [6,7]. It is a conscious effort by a couple to limit or space the number of children they have through the use of contraceptive methods [8,9]. Family planning deals with the reproductive health of the mother, having adequate birth spacing, avoiding unwanted pregnancies and abortions, preventing sexually transmitted diseases, and improving the quality of life of the mother, fetus, and family as a whole [10]. ...
Introduction
HIV/AIDS poses a significant health challenge in sub-Saharan African countries, with a disproportionate impact on women of reproductive age. The disparities in knowledge, attitudes, and practices related to family planning among women living with HIV can be intricate and multi-faceted. This study aimed to assess the knowledge, attitude, practice, and associated factors regarding family planning among the women living with HIV at the University of Gondar specialized hospital, Gondar, Ethiopia.
Method
A cross-sectional study was carried out at the University of Gondar Teaching Referral Hospital, focusing on HIV-positive women of reproductive age who visited the ART unit from July 8–28, 2022. Data collection involved the use of pre-tested, structured questionnaires administered through interviews. The gathered data were entered into the electronic Kobo Collect platform and subsequently exported for analysis using SPSS version 26. Descriptive summaries, including frequencies, means, and percentages, were presented through tables and figures. Logistic regression was employed to identify potential predictors, presenting adjusted odds ratios with a 95% confidence interval and a significance level set at a P-value of 0.05.
Results
A total of 328 study participants were included. About 93% of the study population had good knowledge about modern contraceptives, and about 94% of the study population had good knowledge about safer conception. Only 30.2% of the study population had knowledge of the dual contraceptive method. The attitude and practice of women towards family planning (FP) were 71.0% and 55.8%, respectively. The study revealed that the most commonly employed contraceptive method was injectable contraceptives, constituting 34.2% of usage. Having one and a greater number of children (AOR = 2.25, 95% CI: 1.10, 4.49), having discussions on fertility plans with healthcare providers (AOR = 2.20, 95% CI: 1.02, 4.761), and having good family planning practices (AOR = 2.15, 95% CI: 1.19, 3.87) were significantly associated with the attitude toward family planning. Married women (AOR = 1.88, 95% CI = 1.11, 3.1), able to read and write (AOR = 2.12, 95% CI:1.04,4.32), college and above educational level (AOR = 4.51, 95% CI:1.93,10.87), had discussion on fertility plan with healthcare providers (AOR = 5.09, 95% CI: 1.96, 13.24), knowledge about dual method (AOR = 1.95, CI: 1.08, 3.50), and knowledge about modern contraceptive methods (AOR = 7.24, 95% CI: 1.56, 33.58) were significantly associated with good practice of family planning.
Conclusion
Women living with HIV exhibited notably high levels of knowledge regarding modern contraceptive methods and safer conception. The knowledge of the dual method was low. More than half of the study population had good practice in family planning. More than two-thirds of HIV-positive reproductive-age women had a good attitude about family planning. Having one or a greater number of children, having a discussion on a fertility plan with a healthcare provider, and having a good practice of family planning were significantly associated with a good attitude toward family planning. Married women, education status, discussions on fertility plans with healthcare providers, knowledge about dual methods, and knowledge about modern contraceptive methods were significantly associated with good family planning practices. The stakeholders should design interventions based on the aforementioned factors to improve the attitude and practice of family planning.
... Considering what has been reported in the literature by previous studies (Ahinkorah et al., 2020;Matovu et al., 2017;Muhoza et al., 2014;Oyefabi, et al., 2019;Schoemaker, 2005;Shrestha et al., 2020;Yaya et al., 2018) with respect to the influence of socio-demographic factors on fertility desires of both men and women and family planning adoption, we hypothesised that older adult men, those with no or less education, Muslims, Hausa and Fulani, and those who reside in rural areas will desire to have higher number of children and not adopt family planning than their counterparts. ...
This study was conducted to identify the socio-demographic determinants of men's fertility intentions (desired number of children) and use of contraceptives in Kebbi State, northwestern Nigeria. Data was collected from 583 married men from rural and urban areas in three local government areas of the State using interviewer-administered questionnaire. Descriptive and bivariate analyses were used to estimate and understand the influence of socio-demographic factors on men's fertility intentions and use of contraceptives. The result reveals that men in Kebbi State have high desire for children with an overwhelming 84% desiring to have six or more children. Contraceptive knowledge is high with 66% of respondents being aware of any method but the use of contraceptives is very low with only 30% that have ever used any method. Age, education, religion and ethnicity were all significantly associated (p-value < 0.05) with men's fertility intentions and awareness and use of contraceptives. Government and policymakers that are working to reduce the high fertility rate and to improve contraceptive use in Nigeria, especially in the northern region, should consider men as critical stakeholders and should be included in programmes towards slowing down the rate of fertility and increasing family planning adoption in the country.
... The empirical literature on child-timing desires in the region is scanty, perhaps because of a relative lack of longitudinal data availability in the region (Hayford and Agadjanian, 2012). Available empirical studies that closely allude to the issue are predominantly focused on changes in fertility preferences (Kodzi et al., 2010;Sennott and Yeatman, 2012;Trinitapoli and Yeatman, 2018) or birth-spacing practices (Oyefabi et al., 2019;RamaRao et al., 2006). ...
Even though global fertility levels are falling, the sub-Saharan African region is a relatively high fertility zone. This study examined and compared women's preferred fertility timing in two contrasting contexts-Malawi and South Africa, using the most recent nationally representative data from the Demographic and Health Survey. A multinomial logistic regression was employed to understand the factors responsible for differentials in women's fertility timing preference in both countries. Relationship status, parity and age at sexual debut are common predictors of fertility timing in both countries. While contraceptive use was protective against early desired fertility timing for South Africans, increased education and urban residence emerged as important predictors for Malawian women. Women in both countries have considerable differences in their desired fertility timing. There is a need for improved and targeted family planning services and programmes to increase contraceptive uptake in these countries.
... The empirical literature on child-timing desires in the region is scanty, perhaps because of a relative lack of longitudinal data availability in the region (Hayford and Agadjanian, 2012). Available empirical studies that closely allude to the issue are predominantly focused on changes in fertility preferences (Kodzi et al., 2010;Sennott and Yeatman, 2012;Trinitapoli and Yeatman, 2018) or birth-spacing practices (Oyefabi et al., 2019;RamaRao et al., 2006). ...
... Majority of studies on fertility desire over the world have adopted a country-specific focus, paying attention to Nigeria [23], Iran [24], Nepal [25], and Uganda [2], with a few focusing on broader geographical areas such as East Africa [26], and Nigeria and Ghana [12]. Despite this extensive research, there is a relative paucity of literature on the fertility desires in SSA, as most countries in SSA are yet to feature in studies of this kind. ...
... These variables were considered because of their statistically significant relationships with desire for more children in previous studies [2,29,30]. Details of how each of these variables were coded can be found in Table 2. Based on the findings of previous studies [2,12,[21][22][23][24][25][26], we hypothesized that older women would be less likely to desire for more children compared to younger women; women with higher levels of education would be less likely to desire for more children compared to those with no formal education; women whose partners have higher levels of education would have lower odds of desiring for more children compared to those whose partners have no formal education. Other hypotheses that guided the analysis and results of the study were that the odds of desire for more children would decrease with increasing parity, wealth quintile, higher number of living children, contraceptive use and exposure to media. ...
Background
Despite the extensive research on fertility desires among women the world over, there is a relative dearth of literature on the desire for more children in sub-Saharan Africa (SSA). This study, therefore, examined the desire for more children and its predictors among childbearing women in SSA.
Methods
We pooled data from 32 sub-Saharan African countries’ Demographic and Health Surveys. A total of 232,784 married and cohabiting women with birth history, who had complete information on desire for more children made up the sample for the study. The outcome variable for the study was desire for more children. Multilevel logistic regression analysis was conducted. Results were presented using adjusted odds ratios (aOR), with their corresponding 95% confidence intervals (CI).
Results
The overall prevalence of the desire for more children was 64.95%, ranging from 34.9% in South Africa to 89.43% in Niger. Results of the individual level predictors showed that women aged 45–49 [AOR = 0.04, CI = 0.03–0.05], those with higher education [AOR = 0.80, CI = 0.74–0.87], those whose partners had higher education [AOR = 0.88; CI = 0.83–0.94], women with four or more births [AOR = 0.10, CI = 0.09–0.11], those who were using contraceptives [AOR = 0.68, CI = 0.66–0.70] and those who had four or more living children [AOR = 0.09 CI = 0.07–0.12] were less likely to desire for more children. On the other hand, the odds of desire for more children was high among women who considered six or more children as the ideal number of children [AOR = 16.74, CI = 16.06–17.45] and women who did not take decisions alone [AOR = 1.58, CI = 1.51–1.65]. With the contextual factors, the odds of desire for more children was high among women who lived in rural areas compared to urban areas [AOR = 1.07, CI = 1.04–1.13].
Conclusions
This study found relatively high prevalence of women desiring more children. The factors associated with desire for more children are age, educational level, partners’ education, parity, current contraceptive use, ideal number of children, decision-making capacity, number of living children and place of residence. Specific public health interventions on fertility control and those aiming to design and/or strengthen existing fertility programs in SSA ought to critically consider these factors.
