Sex Of Household Head Research Articles

Factors affecting school enrolment and attendance for children with disabilities in Bangladesh: Evidence from a cross-sectional survey

In Bangladesh, many disabled children are not attending school. Despite the country’s special policies, laws, and services, most disabled children face a barrier to enrollment in school. To increase the school attendance of children, particularly disabled children, research on barriers to school attendance is essential. It will help to ensure that all children, including those with disabilities, receive an education. This paper will investigate the factors associated with children with disabilities missing school. This study will utilize data from a large sample based on Nationally representative multiple indicator cluster survey 2019 in Bangladesh. The study group included 5024 disabled children ranging in age from 6 to 17 years. To determine the significant covariates for the multivariate analysis, a bivariate analysis was performed. The findings indicate that age of the child, gender, household head sex, education of the household head, area (urban/rural), husband age, whether the husband has more wives, and disability types are all associated with disabled children being absent from school. Using these findings, the government of Bangladesh and other stakeholders should advocate for policies and programs that reduce barriers to education and ensure that all disabled children attend school.

Food insecurity and its determinants in pastoralist and agrarian communities in South Omo Zone, Southern Ethiopia: a community-based cross-sectional study.

Despite the implementation of different interventions, food insecurity remains a major public health issue in rural areas of Ethiopia. However, there has been limited evidence regarding food insecurity and responsible factors in rural areas of Ethiopia, particularly in South Omo, Ethiopia. Hence, this study aimed to assess food insecurity and determinants in agrarian and pastoralist communities of South Omo Zone, Southern Ethiopia. A cross-sectional study was done among 605 randomly selected households in Benatsemay and South Ari districts from February 1 to 28, 2023. A standardized and validated Household Food Insecurity Access Scale (HFIAS) was used to measure food insecurity status. Data were entered using Epi-Info 7.1 and then transferred to SPSS V25 for analysis. To identify associated factors, a binary logistic regression model was employed. The strength of association was evaluated considering the adjusted odds ratio (AOR) and a 95% confidence interval (CI). A statistical significance was stated at p-value <0.05. A total of 597 participants were involved in the study with a response rate of 98.7%. The overall prevalence of food insecurity using HFIAS was 42.2% (95%CI: 38.2, 46.3%), among which mild, moderate, and severe food insecurity accounted for 17.4, 16.6, and 8.2%, respectively. Of pastoralists, 114 (47.1%) were food insecure whereas 138 (38.9%) were food insecure in the agrarian. Food insecurity was affected by household head sex (AOR = 1.73, 95%CI: 1.14, 2.62), high dependency ratio (AOR = 2.53, 95%CI: 1.53, 4.20), no formal maternal education (AOR = 2.11, 95%CI: 1.07, 4.18), productive safety net program (AOR = 2.00, 95%CI: 1.16, 3.46) and land ownership (AOR = 1.80, 95% CI: 1.19, 2.72). Food insecurity was a significant problem in the study areas. Thus, it is crucial to improve female education, advance agricultural technologies, advocate family planning, and broaden productive safety net programs.

Spatial distribution of teenage pregnancy and its associated factors in Ethiopia: spatial and multilevel analysis of EDHS 2019

BackgroundOne of the reasons for the high rates of maternal and child morbidity and mortality in Sub-Saharan Africa is the rising proportion of teenage pregnancy. Preventing teenage pregnancy is critical to meeting sustainable development goal number three which aims to reduce the global maternal mortality ratio to less than 70 per 100,000 live births. To support the achievement of this goal, this study aimed to assess the spatial variation and factors associated with teenage pregnancy in Ethiopia using the recent nationally representative data.MethodsA secondary data analysis of the 2019 Ethiopian mini Demographic and Health Survey was conducted with a total weighted sample of 2211 (unweighted 2100) teenagers. The Bernoulli model was fitted using SaTScan version 9.6 to identify hotspot areas and the geospatial pattern and prediction of teenage pregnancy were mapped using ArcGIS version 10.7. A multilevel logistic regression model was fitted to identify factors associated with teenage pregnancy among teenagers. Adjusted OR with 95% CI was calculated and variables having a p-value less than 0.05 were statistically significant factors of teenage pregnancy.ResultThe prevalence of teenage pregnancy among adolescents aged 15–19 years in Ethiopia was 12.89% (95% CI: 11.56%, 14.36%). The SaTScan analysis identified a primary cluster in the Gambella region of Ethiopia (log-likelihood ratio = 14.02, p < 0.001). A high prevalence of teenage pregnancy was observed in Somalia, Afar, Gambella, and the southern part of the Oromia regions of Ethiopia. Age, educational status- primary and secondary, religion- protestant, having television, contraceptive knowledge, household head-female, and region- Small peripheral were significant determinants of teenage pregnancy.ConclusionThe spatial distribution of teenage pregnancy in Ethiopia was nonrandom. Age, educational status, religion, having television, contraceptive knowledge, sex of household head, and region were significant determinants of teenage pregnancy. Therefore, concerned government bodies and other stakeholders should organize periodic educational campaigns and youth-friendly reproductive health services. Collaboration between healthcare professionals, and religious and community leaders could also form a strategic partnership that makes interventions more comprehensive, culturally sensitive, and effective in reducing teenage pregnancy.

Individual and community-level determinants of quality antenatal care in six South Asian countries

Maternal health is a global public health concern. The paucity of antenatal care (ANC) during pregnancy is directly associated with maternal mortality. This study assessed the individual and community-level determinants of quality ANC in six South-Asian countries. Data were obtained from a Demographic health survey of six South-Asian countries. This study included a sample of 180,567 (weighted) women aged 15–49 who had given birth in the preceding three years prior to the survey. The quality of ANC was determined by assessing whether a woman had received blood pressure monitoring, urine and blood sample screening, and iron supplements at any ANC visits. Frequency, percentage distribution, and inferential analysis (multilevel mixed-effects model) were conducted. The proportion of quality antenatal care utilization in South Asia was 66.9%. The multilevel analysis showed that women aged 35–49 years (AOR = 1.16; 95% CI = 1.09–1.24), higher education (AOR = 2.84; 95% CI = 2.69–2.99), middle wealth status (AOR = 1.55; 95% CI = 1.49–1.62), richest wealth status (AOR = 3.21; 95% CI = 3.04–3.39), unwanted pregnancy (AOR = 0.92; 95% CI = 0.89–0.95) and 2–4 birth order (AOR = 0.86; 95% CI = 0.83–0.89) were among the individual-level factors that were significantly associated with quality ANC utilization. In addition, rural residence (AOR = 0.77; 95% CI = 0.74–0.8), and big problem – distance to health facility (AOR = 0.63; 95% CI: 0.53–0.76) were the among community level factors there were also significantly associated with use of quality ANC. Meanwhile, women who lived in India (AOR: 22.57; 95% CI: 20.32–25.08) and Maldives (AOR: 33.33; 95% CI: 31.06–35.76) had higher odds of quality ANC than those lived in Afghanistan. Educational status, wealth status, pregnancy wantedness, sex of household head, birth order, place of residence, and distance to health facility were associated with quality ANC. Improving educational status, improving wealth status, reducing the distance to health facilities, and providing rural area-friendly interventions are important to increase the quality of ANC in South Asia.

Predictors of time to death among under-five children in pastoral regions of Ethiopia: A retrospective follow-up study.

In Ethiopia, the mortality rate for children under five is a public health concern. Regretfully, the problem is notably underestimated and underreported, making it impossible to fully recognize how serious the situation is in the nation's developing regions. Unfortunately, no single study has been conducted to reveal the rates and predictor factors of under-five child death in Ethiopia's pastoral regions. Therefore, the purpose of this study was to determine the critical variables that led to a shorter survival time to death for children in Ethiopia's pastoral regions under the age of five. Between January 18 and June 27, 2016, a retrospective follow-up study was done among under-five children in pastoral areas of Ethiopia. The statistically significant difference between categorical predictors was shown using the log-rank test, and the Kaplan-Meier survival curve was used to determine the survival time. In order to identify the time-to-death predictor factors in children under five, Cox proportional hazards (PH) model analyses of bivariable and multivariable variables were fitted. A total 7,677 children were included in the study. The overall incidence rate of under-five mortality was 8.4% (95% CI 7.77%, 9.0%). In the multivariable Cox PH model analysis, children vaccinated (AHR: 0.72, 95% CI: 0.59, 0.88), mothers aged 35-40 (AHR: 1.27; 95% CI: 1.06, 1.52), and above 41 (AHR: 2.18, 95% CI: 1.59, 2.98), not initiating exclusively breastfeeding (AHR: 1.26, 95% CI: 1.02, 1.55), the agriculture sector of the mother's occupation (AHR: 2.57, 95% CI: 1.74, 3.31), the male sex of the household head (AHR: 0.67, 95% CI: 0.56, 0.81), non-anemic child (AHR: 0.67, 95% CI: 0.55, 0.83), and rural residence (AHR: 3.27, 95% CI: 1.45, 7.38) were identified as main predictors of time to death among under-five children. In this study, the authors found a higher rate of under-five deaths than the national figure. A child vaccinated, exclusively breastfeeding, mother's occupation, sex of household head, anemic child, mother's age, and residence were found to be the most influential predictors for time-to-death. Therefore, to lower the high incidence of under-five mortality, the government should focus on the pastoral regional states of Ethiopia.

Evaluating community adoption and participation in water and sanitation interventions in the Bongo District, Ghana

Access to improved water and sanitation is a major conduit to meeting global development goals. This has resulted in the proliferation of various improved water and sanitation interventions in most communities of the world. Little evidence, however, exists in Ghana to reveal the extent to which these interventions are being adopted and sustained by the communities they are intended to benefit. This study, therefore, sought to assess the adoption of water and sanitation interventions and their sustainability. The mixed method approach, guided by the concurrent mixed method design was implemented in the Bongo District. Quantitative data were obtained from 389 sampled households in the District with the aid of a survey. Thereafter, univariate and bivariate statistics were used to analyze the quantitative data with the aid of STATA version 15. The qualitative data on the other hand was collected from officials of the District Water and Sanitation Management Team (DWSMT) and members of the water and sanitation management committees at the community level through key informant interviews and focus group discussions. The qualitative data was analyzed manually using thematic analysis. The study found a high adoption rate of both water and sanitation interventions in the Bongo District. The household demographic characteristics that were found to have a strong positive association with the adoption of improved water or sanitation interventions included the sex of household head, age, level of education and household size among others. Major factors influencing the adoption of water and sanitation interventions found included the knowledge of the derived benefits of the facilities and education on the use of the facilities. The study also found that as part of activities geared towards sustainability, most community members were involved in deciding the appropriateness of these water and sanitation facilities; siting of the facilities; and cash contributions. The study, therefore, concludes that the extent of adoption of water and sanitation in the Bongo District is relatively high and communities were involved to some extent to engender the sustainability of the facilities.

Predictors of insecticide-treated bed nets use among pregnant women in Sierra Leone: evidence from the 2019 Sierra Leone Demographic Health Survey

BackgroundMalaria remains a significant public health threat in Sierra Leone, particularly for pregnant women and their unborn children. Infection during pregnancy can lead to severe consequences, including maternal anaemia, low birth weight, premature birth, and even death. Therefore, preventing malaria during pregnancy is crucial for improving maternal and child health outcomes. This study investigated the predictors of insecticide-treated bed net (ITN) use among pregnant women in Sierra Leone.MethodsThe study analysed the 2019 Sierra Leone Demographic and Health Survey data (SLDHS). The study comprised a total of 900 pregnant women aged 15–49 years, representing the nationally representative sample. A multivariable binary regression analysis was used to explore the predictors of ITN use. The regression results were presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CI).ResultsThe study found that the prevalence of ITN use among pregnant women was 64.2 [60.4, 67.9] in Sierra Leone. Pregnant women who were married [aOR = 2.02, 95% CI 1.32, 3.07] had higher odds of bed net use than those who were unmarried. Pregnant women with five or more children [aOR = 1.69, 95% CI 1.01, 2.84] had higher odds of mosquito bed net use than those with four and below children. Pregnant women living in the Northern, Northwestern, Southern and Western regions all had lower odds of bed net use than those in the Eastern region, with the lowest odds among those living in the western region [aOR = 0.19, 95% CI 0.09, 0.40]. Pregnant women who were Muslims [aOR = 0.63, 95% CI 0.41, 0.95] had lower odds of mosquito bed net use than Christians. Pregnant women with female household heads [aOR = 0.65, 95% CI 0.44, 0.95] had lower odds of mosquito bed net use than those with male household heads.ConclusionITN use among pregnant women in Sierra Leone remains suboptimal. Marital status, parity, sex of household head, region and religion were associated with bed net use. The government and policymakers in Sierra Leone should integrate ITN education and distribution into prenatal care services, emphasizing the benefits for both mother and baby—partnering with healthcare providers to raise awareness and encourage consistent use. Involve local leaders, religious figures, and mothers' groups to promote the benefits of ITN during pregnancy. Educate husbands and partners on the importance of ITN use during pregnancy and encourage their support in its consistent use.

A random effect model for the determinants of modern family planning use among women of reproductive age in Uganda

Despite the fact that most people are aware of contemporary contraceptives, there is still a significant unmet need for family planning. Therefore, this study evaluated the variables linked to Ugandan women of reproductive age using contemporary contraceptives. Data from a cross-sectional 2016 Uganda Demographic and Health Survey was used in this study. The study employed quantitative approach where descriptive statistics were used to summarize the characteristics of the respondents and a random intercept model was run. This study found that women of reproductive age used contemporary contraceptives on average at a rate of 27.3% (95% CI: 26.3, 28.3), women aged 25 to 29 made up the largest percentage of users (AOR = 1.38, 95% CI: 1.10, 1.73), while those aged 15 to 19 made up the smallest percentage of users yet it is the most sexually active age bracket. Very few Ugandan women of reproductive age used contemporary contraceptives on a regular basis. This low rate was attributed to a variety of woman, household, and community factors, including age of the mother, education level (mother and husband), employment status of the mother, ever had a pregnancy terminated, access to television, frequency of internet use, possession of a personal phone, last birth being caesarean, wealth quintile, sex of household head, religion, and region, all of which were significantly associated with the use of modern family planning. Therefore, while pushing the shift to the use of contemporary contraceptives, all these issues must be taken into account.

Modeling the shared risks of malaria and anemia in Rwanda.

In sub-Saharan Africa, malaria and anemia contribute substantially to the high burden of morbidity and mortality among under-five children. In Rwanda, both diseases have remained public health challenge over the years in spite of the numerous intervention programs and policies put in place. This study aimed at understanding the geographical variations between the joint and specific risks of both diseases in the country while quantifying the effects of some socio-demographic and climatic factors. Using data extracted from Rwanda Demographic and Health Survey, a shared component model was conceived and inference was based on integrated nested Laplace approximation. The study findings revealed similar spatial patterns for the risk of malaria and the shared risks of both diseases, thus confirming the strong link between malaria and anaemia. The spatial patterns revealed that the risks for contracting both diseases are higher among children living in the districts of Rutsiro, Nyabihu, Rusizi, Ruhango, and Gisagara. The risks for both diseases are significantly associated with type of place of residence, sex of household head, ownership of bed net, wealth index and mother's educational attainment. Temperature and precipitation also have substantial association with both diseases. When developing malaria intervention programs and policies, it is important to take into account climatic and environmental variability in Rwanda. Also, potential intervention initiatives focusing on the lowest wealth index, children of uneducated mothers, and high risky regions need to be reinforced.

Determinants of household food expenditure in Tanzania: implications on food security

BackgroundFood expenditure in developing countries particularly those in sub-Saharan Africa constitutes about 65–70% of total household expenditure. Existing literature on the determinants of household food expenditure in developing countries have mixed results. Thus, this study aimed at examining the determinants of household food expenditure in Tanzania and their implications on food security using country representative data from the 2017/18 household budget survey. The Two-Stage least squares (2SLS) regression analysis was used as method of analysis.ResultsResults show that, on average, monthly household food expenditure in Tanzania is about TZS 159,072.80(≈ US $ 69.2). Food expenditure exhibited a non-linear relationship with age of household head with income elasticity of 0.72%. Expenditure also increases with household size, household head sex, education, asset ownership, group membership and marital status while being located in rural areas is negatively associated with food expenditure.ConclusionsTo increase household’s food expenditure with dietary diversity for improved health, strategies aiming at improving household income, family planning, gender equity, education and social cohesion are important which will further increase household’s food security.

The Influence of Social Capital and Farmers’ Specific Factors on the Poverty of Rural Farm Households in Akwa Ibom, State, Nigeria

This study analyzed the effect of social capital and other relevant factors on poverty of farm households and identified constraints militating against effective social capital formation among poor rural farm households belonging to associations in Akwa Ibom State, Nigeria. A multi-stage sampling technique was utilized to choose 180 rural farm households within the research location. The FGT methodology was used to generate indices of poverty. Descriptive statistics, Tobit model and factor analytical procedures were employed to analyze the objectives of the study. The estimated model showed high degree of fitness, thus justifying the estimation method used. The results revealed that, the following social capitals: farm size acquired from the association, income derived from membership of association, number of visits of extension agents, interest amount paid on loan acquired from association, fertilizer, seeds, pesticides and farm land acquired from the association have a significant negative relationship with the poverty of rural farm households in the study area. By implication, increase in the stock of these social capitals by poor farm households would significantly enhance the reduction of poverty depth among them. Moreover, other factors which affected farm household poverty status were sex of household heads, age, household size, years of formal education, farm income and ownership of assets. The results also found 8 categories of constraints militating against effective social capital formation among poor rural farm households. The constraints categories are: leadership, management style and low income; financial constraint and unconcerned attitude of members towards group activities; executive characters; ineffective coordination and unfair distribution of benefits to members; lack of seriousness of members; poverty; illiteracy and incompetence as well as defaults and partiality. From the result, it is concluded that social capital accumulations reduce the probability of being poor. Based on the high percentage of poverty prevalence in the State, it is concluded that poverty is endemic in the rural areas of Akwa Ibom State and specifically among farm households. This study lends support to recent emphasis on investing in social capital as a major means of poverty reduction in the rural areas.

Household Demand Analyses in Uyo Metropolis: A Study of Selected Determinants Responsiveness

The study is an attempt to evaluate household demand analyses in Uyo metropolis: a study of selected determinants responsiveness. The research employed survey data obtained from 200 households via individual interviews utilizing a meticulously designed questionnaire. Information on income, age, sex of household head, household size, educational background was collected to capture household demography. The data were also collected on household expenditure on the selected food and nonfood item, their respective prices and the quantity consumed in a given month. The study adopted the quadratic almost ideal demand system (QUAIDS) as a model. The result indicated that factors that affect household food expenditure on Rice, Beans and Garri are the prices of the goods, income, household size, level of education and the prices of other goods. Similarly, the study found negative compensated and uncompensated own price elasticity of demand for the food items rice, beans and garri while beer has a positive own price effect. All the goods were found to be price inelastic as their own price elasticity lies between -1 and 1. Again, all food items were found to have negative cross price elasticity and which is less than one indicating that they are substitutes and price inelastic. On the other hand, the study found evidence of complementary relationship between beer and food items like garri and beans. The study recommends that the government subsidize food prices, lower taxes on these goods, provide cash transfers to the poor, or promote the production of these food items by giving preference to farmers who produce them in order to lessen the impact of such price increases on the demand for these commodities.

Factors associated with sexual violence against reproductive-age women in Ghana: A multilevel mixed-effects analysis.

Sexual violence against women is a pervasive public health challenge and human rights violation, with global prevalence rates of approximately one in three women affected, notably prevalent in African countries. Understanding its multifaceted determinants is crucial for developing targeted intervention strategies. Thus, this study aimed to investigate factors associated with sexual violence against reproductive-age ever-married women in Ghana. A weighted sample of 3,816 reproductive-age ever-married women from the 2022 Ghana Demographic and Health Survey (DHS) was included. To accommodate the hierarchical nature of the DHS data and the binary outcome variable 'sexual violence', a multilevel mixed-effect logistic regression model was employed. The deviance value was utilized for selecting the best-fitted model. In the multivariable multilevel binary logistic regression analysis, adjusted odds ratios (AORs) along with their respective 95% confidence intervals (CIs) were utilized to gauge the association strength, with statistical significance set at a p-value < 0.05. The prevalence of sexual violence was found to be 8.80% (95% CI: 7.94-9.74). Factors positively associated with sexual violence included women's decision-making autonomy (AOR = 1.39, 95% CI: 1.08-1.74), husband/partner's alcohol consumption (AOR = 3.88, 95% CI: 2.98-5.06), sex of household head (AOR = 1.31, 95% CI: 1.02-1.68), and justification of beating (AOR = 1.35, 95% CI: 1.01-1.81). Conversely, women's age showed a negative association with sexual violence (AOR = 0.68, 95% CI: 0.48-0.98). In conclusion, prioritizing initiatives that empower women in decision-making roles, provide support for those struggling with alcohol consumption, and raise awareness about its impact on interpersonal relationships and the risk of sexual violence is essential. Furthermore, addressing harmful gender norms, particularly those justifying violence, and considering demographic characteristics are vital components of comprehensive strategies to prevent and mitigate sexual violence.

Prevalence of and factors associated with female child marriage in Indonesia.

Statistics from the 2018 National Social and Economic Survey revealed that one out of nine young females in Indonesia have been in female child marriage, and the prevalence remains high. Considering the serious consequences of female child marriage and that Sustainable Development Goal 5 on gender equality has targeted the elimination of female child marriage by 2030, a study concerning the prevalence and determinants of female child marriage needs to be conducted in Indonesia. In this paper, we examined the prevalence of and factors associated with female child marriage in Indonesia using binary logistic regression. We examined data from the Indonesia Demographic and Health Survey conducted in 2017. A sample of 9,333 young females aged 15-20 years was included in the study. Our analysis involved descriptive and binary logistic regression analysis. The results are presented in percentages and odds ratios (OR), with their respective confidence intervals. Our findings indicate that health insurance and sex of household head did not significantly influence female child marriage. The prevalence of female child marriage in Indonesia was quite high, reaching about 12.53%. Females with no education [OR = 76.448; (CI = 29.73-196.70)], not working [OR = 1.662; (CI = 1.41-1.94)], those with the poorest wealth index [OR = 3.215; (CI = 2.336-4.425)], those living in the east of Indonesia [OR = 1.451; (CI = 1.132-1.862)], and those living in rural areas [OR = 0.718; (CI = 0.609-0.844)] had the higher odds of experiencing female child marriage. Meanwhile, females with a secondary education level [OR = 16.296; (CI = 11.098-23.930)], those with a rich wealth index [OR = 1.940; (CI = 1.404-2.681)], and those living in the middle of Indonesia [OR = 1.263; (CI = 1.074-1.487)] were less likely to experience female child marriage. Educational background was the most significant factor influencing the high prevalence of female child marriage in Indonesia. Female empowerment through education as well as poverty alleviation were factors that could be strengthened to ensure that female child marriage is reduced or eliminated in Indonesia. Equality of access to information and better quality of education also need to be prioritized.

Fertility among Northern Nigeria women and associated factors: Negative binomial regression model approach

Objective: The 2020 sustainable development progress report shows that human population growth is a critical barrier to achieving the Sustainable Development Goals (SDG). There are very few studies on determinants of fertility particularly looking at the northern part of Nigeria that has a relatively high fertility level compared with the southern part of the country. This study therefore is aimed at identifying the factors associated with fertility among women in northern Nigeria. Methods: The data for this study was from the Nigeria Demographic and Health Survey (NDHS) 2018. The number of children ever born by women aged 15 – 49 years and other variables who lived in Northern Nigeria were extracted and analyzed using Negative Binomial Regression, where the level of significance was 0.05. Results: There were variations in factors associated with fertility among the geopolitical zones in Nigeria. Age of the respondents, sex of household head, wealth index, religion, ethnicity, use of family planning (FP) method, and child death experience were among the factors associated with fertility. Women with no/lower education, early marriage, being Muslim and Hausa/Fulani ethnic background experienced high fertility (p&lt;0.05). Conclusion: Attention to the factors mentioned above and intervention programmes designed to reduce fertility are indispensable. Education of female children should be given extra attention as this will empower them to be more informed. Hence, achieving SDGs will become a reality.

Spatial variation and determinants of solid fuel use in Ethiopia; Mixed effect and spatial analysis using 2019 Ethiopia Mini Demographic and Health Survey dataset.

According to UNSD, World Bank, and WHO, a 2020 joint report, 3 billion people who used solid fuel were found in low and middle-income countries. The burning of such type of fuel emits a variety of pollutants such as PM2.5, PM10, CO, NO2, organic compounds, and other substances which a had wide range of public health problems The evidence from the WHO report, indoor air pollution was attributed to around 3.2 million deaths each year in 2020, and more than 237 000 deaths of children under the age of five. This study aims to investigate solid fuel prevalence, predictors, and spatial variation in Ethiopia. This study was conducted in Ethiopia based on the fifth Ethiopian Demographic and Health Surveys 2019 dataset. 8,663 households were successfully interviewed at a response rate of 99%. Weighted by sampling weight was done to do a reliable statistical analysis. Fuel type was used as the outcome variable whereas sex of household head (male or female), wealth index (poor, middle, and rich), educational status (no education, primary, secondary, higher), having television and radio, a separate room used as a kitchen, were individual predictor variables and community level education(lower/higher), residence(urban/rural), community level media exposure (exposed/unexposed), region (pastoralist, semi-pastoralist, Agrarian, and City administration) were community level variables. All the above analyses were conducted using Excel Microsoft 2016, STATA 14, ArcGIS 10.7, and SaTScan 10.1 software. The majority (72.62%) of household heads were males. The overall national level of solid fuel use was 87.13% (95% CI (86.4%-87.82%)). From this 87.13% of solid fuel use, 18.60% accounts for urban and 68.53% for rural parts of the country. Educational status, having television, accessing electricity, and wealth index were individual-level variables community-level education, type of residence, and region were community-level variables significantly associated factors towards solid fuel use in our study. Global (z-score = 33.109144, P-value <0.0001), local (hot spot, cluster, and outlier), and Spatial Scan statistical analyses revealed that there was a major geographical variation in solid fuel use across Ethiopia. Based on this finding, the prevalence of solid fuel use was higher in Ethiopia. Educational status, having television, accessing electricity, and wealth index were individual-level variables and community-level education, type of residence, and region were community-level variables statistically significant factors in determining fuel choice for cooking. There was significant spatial variation in the prevalence of solid-fuel use across the country. In order to addressing such heavily dependent on solid fuel use, responsible bodies like health policy makers, national and international organizations, and public health researchers should work on showing health problems of solid fuel use and the means of increasing clean fuel use. Substantial policy modifications are desirable to reach access to clean fuels and technologies (SDG 7.1.2) by 2030 to address health inequities.

Household Food Insecurity and Its Determinant Factors in Eastern Ethiopia in 2021

Background: Many households in urban areas suffer from severe food insecurity. In Ethiopia, current economic recession, pandemic, locust invasion, and conflict, disproportionately aggravated the problems. This study aims to assess food insecurity in household and its factors in the Eastern Ethiopia. Methods: A community-based, cross-sectional study was conducted to assess 616 households in urban areas of Eastern Ethiopia using simple random sampling. FANTA Indicator Guide (v.3) Questionnaires were used as data collection tool. Then, the information was entered into Epi-data version 3.02 and exported to SPSS version 21. To determine factors affecting household food insecurity, binary regression analysis was performed, and a p-value of &lt; 0.05 at a 95% confidence interval was considered statistically significant. Model fitness was checked using the Hosmer-Lemeshow test. Results: The prevalence of household food insecurity was 41.7% (95% CI: 37.4–45.6). The following factors were determined as food insecurity predictors: household head's sex [Adjusted Odds Ratio (AOR)=1.75, 95% CI: 1.08–2.84], household head's education (AOR= 0.52, 95% CI: 0.33–0.99), mother's occupation [AOR= 0.3, 95% CI: 0.19–0.57], households with the medium wealth index (AOR =1.72, 95% CI: 1.06–2.78) and households with the lowest wealth index (AOR=4.01, 95% CI: 2.35–6.86). Conclusions: The prevalence of household food insecurity in urban areas of Eastern Ethiopia is high. The food insecurity was significantly affected by residency, education, occupation, and wealth index. The government should focus on socio-economic policies targeting the vulnerable and improve their economic status.

Socioeconomic inequality in teenage pregnancy in Papua New Guinea: a decomposition analysis

BackgroundTeenage pregnancy is a global public health issue, and it poses a serious threat to the health and socioeconomic status of mothers and their newborn children. Although Papua New Guinea has recorded one of the highest teenage pregnancy rates among Asia-Pacific countries, few studies have conducted research on the related inequality in the country. Therefore, this study aimed to assess socioeconomic inequality in teenage pregnancy and its contributing factors in Papua New Guinea.MethodsData for this cross-sectional study were obtained from the 2016–2018 Papua New Guinea Demographic and Health Survey. The analytical sample consisted of 2,864 girls aged 15–19 years. We employed Erreygers normalized concentration index (ECI) and concentration curves to measure and depict socioeconomic inequality in teenage pregnancy. Decomposition analysis was likewise performed to identify the contributions of determinants to the observed inequality.ResultsWeighted ECI for teenage pregnancy was − 0.0582 (P < 0.001), thereby indicating that teenage pregnancy in Papua New Guinea is disproportionately concentrated among poor girls. Decomposition analysis suggested that education level (65.2%), wealth index (55.2%), early sexual debut (25.1%), region (8.5%), and sex of household head (4.1%) are the main determinants explaining the pro-poor socioeconomic inequality in teenage pregnancy.ConclusionsA pro-poor socioeconomic inequality of teenage pregnancy was present in Papua New Guinea. This inequality may be alleviated by such interventions as ensuring that teenage girls receive education; implementing poverty alleviation projects, eliminating child, early, and forced marriages; strengthening promotion for household head to support teenagers in accessing sexual and reproductive health education; improving geographical accessibility to health facilities on contraceptive services, and taking necessary precautions and responses to sexual misconduct.

Family planning decision-making among young males in Southern Africa.

Male partners play a crucial role in reproductive health matters and seem to be identified as the main contributors responsible for the large proportion of poor reproductive health suffered by their female partners. Limited evidence exists, however, on effective strategies to increase male involvement in family planning. Therefore, this study aims to examine the prevalence and factors associated with male involvement in family planning decisions. Using recent data from Demographic and Health Surveys of seven countries in Southern Africa (Lesotho, Malawi, Mozambique, South Africa, Tanzania, Zambia and Zimbabwe), age, education, wealth index, religion, occupation, exposure to media, contraceptive knowledge, and sex of household head showed significant associations of male involvement in family planning, and these associations differed by country. By country, the adjusted odds ratio (AOR) showed that education (Malawi (primary) AOR: 1.12; 95% CI: 0.91-1.38; South Africa (secondary/ higher) AOR: 1.44; 95% CI: 0.95-2.19), religion (Lesotho (Muslim) AOR: 2.10; 95% CI: 0.54-8.12; Zambia (Muslim) AOR: 1.01; 95% CI: 0.69-1.49; Zambia (Traditional) AOR: 1.06; 95% CI: 0.77-1.47), marital status (Malawi (widowed) AOR: 1.06; 95% CI: 0.55- 2.05; Lesotho (divorced/separated) AOR: 1.18; 95% CI: 0.84-1.66; Mozambique (divorced/separated) AOR: 1.03; 95% CI: 0.80- 1.33), and sex of household head (South Africa (female) AOR: 1.11; 95% CI: 0.96-1.27) were significant predictors of male involvement in family planning decision-making in Southern African countries. Certain socio-economic factors such as wealth status (Malawi (middle) AOR: 1.04; 95% CI: 0.91-1.19, ρ< 0.05; South Africa (Rich) AOR: 1.06; 95% CI: 0.91-1.23), and occupational status (Mozambique (working) AOR: 1.12; 95% CI: 0.97-1.29) were found to be positively associated with males' participation in family planning decision-making in Malawi, South Africa and Mozambique. Suggested strategies include programmes targeting couples jointly and family planning education for men provided by male outreach workers, especially in communities at the grassroots level. Therefore, to encourage men's involvement and approval of family planning, community - based intervention programmes that openly target men are required to reduce stigma and misconceptions and boost consciousness of the advantages of family planning utilization.

Spatial multilevel analysis of age at death of under-5 children and associated determinants: EDHS 2000–2016

ObjectiveThis study examines trends, spatial distribution and determinants of age at death of under-5 children in Ethiopia.DesignThis study used secondary data from the 2000, 2005, 2011 and 2016 Ethiopian Demographic...