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Determinants of Short Interbirth Interval among Reproductive Age Mothers in Arba Minch District, Ethiopia.

Hailu D, Gulte T - Int J Reprod Med (2016)

Bottom Line: Result.Conclusion.Thus, to optimize birth spacing, strategies of providing information, education and communication targeting predictor variables should be improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, College of Medicine & Health Sciences, Arba Minch University, P.O. Box 21, Arba Minch, Ethiopia.

ABSTRACT
Background. One of the key strategies to reduce fertility and promote the health status of mothers and their children is adhering to optimal birth spacing. However, women still have shorter birth intervals and studies addressing their determinants were scarce. The objective of this study, therefore, was to assess determinants of birth interval among women who had at least two consecutive live births. Methods. Case control study was conducted from February to April 2014. Cases were women with short birth intervals (<3 years), whereas controls were women having history of optimal birth intervals (3 to 5 years). Bivariate and multivariable analyses were performed. Result. Having no formal education (AOR = 2.36, 95% CL: [1.23-4.52]), duration of breast feeding for less than 24 months (AOR: 66.03, 95% CI; [34.60-126]), preceding child being female (AOR: 5.73, 95% CI; [3.18-10.310]), modern contraceptive use (AOR: 2.79, 95% CI: [1.58-4.940]), and poor wealth index (AOR: 4.89, 95% CI; [1.81-13.25]) of respondents were independent predictors of short birth interval. Conclusion. In equalities in education, duration of breast feeding, sex of the preceding child, contraceptive method use, and wealth index were markers of unequal distribution of inter birth intervals. Thus, to optimize birth spacing, strategies of providing information, education and communication targeting predictor variables should be improved.

No MeSH data available.


Schematic presentation of sampling procedure for Quantitative study among child-bearing age group mothers in Arba Minch Zuria Woreda, SNNPs, Ethiopia, 2014.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Schematic presentation of sampling procedure for Quantitative study among child-bearing age group mothers in Arba Minch Zuria Woreda, SNNPs, Ethiopia, 2014.

Mentions: Regarding the sampling procedure, first, all the nine rural kebeles found in Arba Minch Zuria District DHS research site were selected (Figure 1). Then, house to house visit (census) was conducted in all the kebeles to identify women who fulfill the inclusion criteria (cases and controls) by having registered the birth date of the last two children of a family with their corresponding household identification number. To determine children's birth dates, immunization cards were used. For those who were not immunized, community based health extension workers were consulted. Using respective household identification number, frames of households containing study subjects defined as cases and controls were prepared for each kebele. Then, probability proportional to size allocation technique was employed to determine the study participants from each kebele as well as cases and controls. Finally, child-bearing age women who had at least two consecutive live births and whose last delivery was within the past five years prior to the survey were selected using simple random sampling technique from the existing sampling frame. Whenever more than one eligible respondent was found in the same selected household, only one respondent was chosen by lottery method. For participants who were not present at the time of data collection, at least three visits were made to trace them. Whenever more than one eligible respondent is found in the same selected household, only one respondent will be chosen by lottery method. If the participant in the selected household is not present at the time of data collection, at least three revisits will be made to interview the woman.


Determinants of Short Interbirth Interval among Reproductive Age Mothers in Arba Minch District, Ethiopia.

Hailu D, Gulte T - Int J Reprod Med (2016)

Schematic presentation of sampling procedure for Quantitative study among child-bearing age group mothers in Arba Minch Zuria Woreda, SNNPs, Ethiopia, 2014.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4863097&req=5

fig1: Schematic presentation of sampling procedure for Quantitative study among child-bearing age group mothers in Arba Minch Zuria Woreda, SNNPs, Ethiopia, 2014.
Mentions: Regarding the sampling procedure, first, all the nine rural kebeles found in Arba Minch Zuria District DHS research site were selected (Figure 1). Then, house to house visit (census) was conducted in all the kebeles to identify women who fulfill the inclusion criteria (cases and controls) by having registered the birth date of the last two children of a family with their corresponding household identification number. To determine children's birth dates, immunization cards were used. For those who were not immunized, community based health extension workers were consulted. Using respective household identification number, frames of households containing study subjects defined as cases and controls were prepared for each kebele. Then, probability proportional to size allocation technique was employed to determine the study participants from each kebele as well as cases and controls. Finally, child-bearing age women who had at least two consecutive live births and whose last delivery was within the past five years prior to the survey were selected using simple random sampling technique from the existing sampling frame. Whenever more than one eligible respondent was found in the same selected household, only one respondent was chosen by lottery method. For participants who were not present at the time of data collection, at least three visits were made to trace them. Whenever more than one eligible respondent is found in the same selected household, only one respondent will be chosen by lottery method. If the participant in the selected household is not present at the time of data collection, at least three revisits will be made to interview the woman.

Bottom Line: Result.Conclusion.Thus, to optimize birth spacing, strategies of providing information, education and communication targeting predictor variables should be improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, College of Medicine & Health Sciences, Arba Minch University, P.O. Box 21, Arba Minch, Ethiopia.

ABSTRACT
Background. One of the key strategies to reduce fertility and promote the health status of mothers and their children is adhering to optimal birth spacing. However, women still have shorter birth intervals and studies addressing their determinants were scarce. The objective of this study, therefore, was to assess determinants of birth interval among women who had at least two consecutive live births. Methods. Case control study was conducted from February to April 2014. Cases were women with short birth intervals (<3 years), whereas controls were women having history of optimal birth intervals (3 to 5 years). Bivariate and multivariable analyses were performed. Result. Having no formal education (AOR = 2.36, 95% CL: [1.23-4.52]), duration of breast feeding for less than 24 months (AOR: 66.03, 95% CI; [34.60-126]), preceding child being female (AOR: 5.73, 95% CI; [3.18-10.310]), modern contraceptive use (AOR: 2.79, 95% CI: [1.58-4.940]), and poor wealth index (AOR: 4.89, 95% CI; [1.81-13.25]) of respondents were independent predictors of short birth interval. Conclusion. In equalities in education, duration of breast feeding, sex of the preceding child, contraceptive method use, and wealth index were markers of unequal distribution of inter birth intervals. Thus, to optimize birth spacing, strategies of providing information, education and communication targeting predictor variables should be improved.

No MeSH data available.