Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.

<h4>Background</h4>In low-income nations, high-risk fertility behavior is a prevalent public health concern that can be ascribed to unmet family planning needs, child marriage, and a weak health system. As a result, this study aimed to determine the factors that influence high-risk ferti...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Koku Sisay Tamirat, Getayeneh Antehunegn Tesema, Zemenu Tadesse Tessema
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1c5530055da84e02bd36865f2d885451
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1c5530055da84e02bd36865f2d885451
record_format	dspace
spelling	oai:doaj.org-article:1c5530055da84e02bd36865f2d8854512021-12-02T20:15:43ZDeterminants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.1932-620310.1371/journal.pone.0253736https://doaj.org/article/1c5530055da84e02bd36865f2d8854512021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253736https://doaj.org/toc/1932-6203<h4>Background</h4>In low-income nations, high-risk fertility behavior is a prevalent public health concern that can be ascribed to unmet family planning needs, child marriage, and a weak health system. As a result, this study aimed to determine the factors that influence high-risk fertility behavior and its impact on child stunting and anemia.<h4>Method</h4>This study relied on secondary data sources from recent demography and health surveys of nine east African countries. Relevant data were extracted from Kids Record (KR) files and appended for the final analysis; 31,873 mother-child pairs were included in the final analysis. The mixed-effect logistic regression model (fixed and random effects) was used to describe the determinants of high-risk fertility behavior (HRFB) and its correlation with child stunting and anemia.<h4>Result</h4>According to the pooled study about 57.6% (95% CI: 57.7 to 58.2) of women had at least one high-risk fertility behavior, with major disparities found across countries and women's residences. Women who lived in rural areas, had healthcare access challenges, had a history of abortion, lived in better socio-economic conditions, and had antenatal care follow-up were more likely to engage in high-risk fertility practices. Consequently, Young maternal age at first birth (<18), narrow birth intervals, and high birth orders were HRFBs associated with an increased occurrences of child stunting and anemia.<h4>Conclusion</h4>This study revealed that the magnitude of high-risk fertility behavior was higher in east Africa region. The finding of this study underscores that interventions focused on health education and behavioral change of women, and improvement of maternal healthcare access would be helpful to avert risky fertility behaviors. In brief, encouraging contraceptive utilization and creating awareness about birth spacing among reproductive-age women would be more helpful. Meanwhile, frequent nutritional screening and early intervention of children born from women who had high-risk fertility characteristics are mandatory to reduce the burden of chronic malnutrition.Koku Sisay TamiratGetayeneh Antehunegn TesemaZemenu Tadesse TessemaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253736 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Koku Sisay Tamirat Getayeneh Antehunegn Tesema Zemenu Tadesse Tessema Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
description	<h4>Background</h4>In low-income nations, high-risk fertility behavior is a prevalent public health concern that can be ascribed to unmet family planning needs, child marriage, and a weak health system. As a result, this study aimed to determine the factors that influence high-risk fertility behavior and its impact on child stunting and anemia.<h4>Method</h4>This study relied on secondary data sources from recent demography and health surveys of nine east African countries. Relevant data were extracted from Kids Record (KR) files and appended for the final analysis; 31,873 mother-child pairs were included in the final analysis. The mixed-effect logistic regression model (fixed and random effects) was used to describe the determinants of high-risk fertility behavior (HRFB) and its correlation with child stunting and anemia.<h4>Result</h4>According to the pooled study about 57.6% (95% CI: 57.7 to 58.2) of women had at least one high-risk fertility behavior, with major disparities found across countries and women's residences. Women who lived in rural areas, had healthcare access challenges, had a history of abortion, lived in better socio-economic conditions, and had antenatal care follow-up were more likely to engage in high-risk fertility practices. Consequently, Young maternal age at first birth (<18), narrow birth intervals, and high birth orders were HRFBs associated with an increased occurrences of child stunting and anemia.<h4>Conclusion</h4>This study revealed that the magnitude of high-risk fertility behavior was higher in east Africa region. The finding of this study underscores that interventions focused on health education and behavioral change of women, and improvement of maternal healthcare access would be helpful to avert risky fertility behaviors. In brief, encouraging contraceptive utilization and creating awareness about birth spacing among reproductive-age women would be more helpful. Meanwhile, frequent nutritional screening and early intervention of children born from women who had high-risk fertility characteristics are mandatory to reduce the burden of chronic malnutrition.
format	article
author	Koku Sisay Tamirat Getayeneh Antehunegn Tesema Zemenu Tadesse Tessema
author_facet	Koku Sisay Tamirat Getayeneh Antehunegn Tesema Zemenu Tadesse Tessema
author_sort	Koku Sisay Tamirat
title	Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
title_short	Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
title_full	Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
title_fullStr	Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
title_full_unstemmed	Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.
title_sort	determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the east africa region: a pooled analysis of nine east african countries.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1c5530055da84e02bd36865f2d885451
work_keys_str_mv	AT kokusisaytamirat determinantsofmaternalhighriskfertilitybehaviorsanditscorrelationwithchildstuntingandanemiaintheeastafricaregionapooledanalysisofnineeastafricancountries AT getayenehantehunegntesema determinantsofmaternalhighriskfertilitybehaviorsanditscorrelationwithchildstuntingandanemiaintheeastafricaregionapooledanalysisofnineeastafricancountries AT zemenutadessetessema determinantsofmaternalhighriskfertilitybehaviorsanditscorrelationwithchildstuntingandanemiaintheeastafricaregionapooledanalysisofnineeastafricancountries
_version_	1718374509747109888

Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries.

Ejemplares similares