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A cross-sectional study examining the association between litaracy and unmet need for contraception among women in Rwanda.Papaioannou, Antigoni January 2019 (has links)
Introduction:Rwanda is one of the countries in Sub-Saharan Africa with the most remarkable health achievements. However, Rwanda is still one of the countries with a high unmet need (34%) and high prevalence of unintended pregnancies. Objective: To examine the association between literacy and unmet need for contraception among women in reproductive age in Rwanda. Research design and methods: A cross-sectional study based on secondary data, derived from the Demographic and Health Survey (DHS) program. The study population was women in reproductive age (15- 49 years old) who lived in Rwanda. It included 13217 females out of the 13497 after the exclusion of females who are not residents of Rwanda, who are blind or visually impaired and who are need language card. The methodology involved cross tabulations, bivariate and multivariate logistic analyses. Results: There was a significant bivariate association between literacy and unmet need for contraception (OR=1.28; 95% CI 1.17-1.40; p < .001), in which literate females where more likely to have an unmet need for contraception. There was no association between literacy and unmet need when controlling other factors. Others factors such as age, current marital status and province had a strong impact on the unmet need for contraception in the adjusted analysis. Conclusions: Literacy may be associated with the outcome, however, socio-economic factors have a stronger influence on the dependent variable. Regulations, policies and other features such as socio-cultural norms may differ from country to country, therefore it is important to consider the current situation of each country.
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The effect of maternal education on breastfeeding initiation behavior of Ugandan mothers : Secondary analysis of DHS 2016 data using the COM-B modelPeyda Moore, Simon January 2019 (has links)
Background: The World Health Organization recommends early breastfeeding initiation, within the first hour of life. Ugandan mothers with no formal schooling appear superior in fulfilling this recommendation compared to mothers with primary, secondary, or higher education. Aim: This secondary analysis of Ugandan Demographic and Health Survey data from 2016 aimed to statistically analyze the association between maternal education and early breastfeeding initiation, to find socio-economic and health care determinants that promote the behavior. Methods: Ugandan mothers (n=9,209, 15 to 49 years) were included in statistical analysis. Chi-squared testing and logistic regression were used to assess associations between maternal education (exposure) and fulfillment of early breastfeeding initiation less than 1 hour after birth (outcome). Results: Out of the eligible mothers in a weighted sample, 68% (n=6,281) fulfilled early breastfeeding initiation and 32% (n=2,928) did not meet the criteria. Maternal primary education significantly predicted the outcome of early breastfeeding initiation (p ≤ 0.05, AOR: 0.80, with 95% CI 0.67-0.95) in a negative direction, compared to uneducated mothers. This result was adjusted for maternal residence, education, occupation, and parity, along with the husband/partner's education. Moreover, educational attainment beyond the primary level indicated a non-significant association to the criteria fulfillment when compared to uneducated mothers. Conclusions: Ugandan maternal education does not seem to significantly promote early BFI behavior. Primary level education only indicated a significantly negative association compared to uneducated Ugandan mothers. Traditional lifestyle factors (lower level education, and corresponding level of occupation, and larger families) appeared to be associated with the desired behavior.
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Women’s empowerment and use of Maternal Health Services in Zambia in 2010sMwale, Ackson Tyson January 2018 (has links)
This study investigates the influence of women’s empowerment measured via spousal educational difference and women’s completed education level on the use of maternal health services (Antenatal care and skilled birth assistance), and whether it varies by ethnicity. A theoretical framework based on Kabeer’s three dimension of empowerment combined with Zimmerman’s approach and the rational choice theory informs the analyses. Data from the 2013/2014 Zambia Demographic and Health survey are analysed focusing on women aged 15 -49 years who are married/ live with a partner and had a birth in the past five years. Multivariate logistic regression is the tool of analysis.The results indicate significant association between women’s completed education level and use of maternal health services. Spousal educational differences show no significant association with the use of MH services. For both ANC and SBA use, a relatively weak relationship is seen with ethnicity. In addition, women’s wealth level, the province they live in and region of residence type appear to be important with respect to the utilization of MH services. The findings are explained in relation to the theoretical framework as well as previous studies, concluding the study with suggestions for further research.
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