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THE RETURNS OF FAMILY PLANNING: MACRO-LEVEL ASSESSMENT OF THE EFFECT OF CONTRACEPTIVE USE ON WOMEN’S ANAEMIA AND CHILDHOOD UNDERNUTRITION

Published online by Cambridge University Press:  29 December 2016

MD Juel Rana  and
Srinivas Goli
MD Juel Rana
Affiliation:
Centre for the Study of Regional Development (CSRD), School of Social Sciences, Jawaharlal Nehru University (JNU), New Delhi, India
Srinivas Goli*
Affiliation:
Centre for the Study of Regional Development (CSRD), School of Social Sciences, Jawaharlal Nehru University (JNU), New Delhi, India
*
1Corresponding author. Email: sirispeaks2u@gmail.com
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Summary

This study investigated the effect of family planning on the levels of women’s anaemia and child undernutrition at the aggregate level using the compiled databases of the World Bank, UNICEF and the Economist Intelligence Unit. Correlation scatter matrix plots and multivariate OLS regression models were employed to assess the effect of family planning on women’s anaemia and child nutritional status across countries. At the aggregate level, the bivariate correlation estimates found that the Contraceptive Prevalence Rate (CPR) was negatively associated with women’s anaemia (r=−0.62, p<0.01), child underweight (r=−0.57, p<0.01) and child stunting (r=−0.63, p<0.01). The results of the OLS regression showed that the independent effect of CPR on women’s anaemia (β=−0.35, p<0.01), child underweight (β=−0.13, p<0.01) and child stunting (β=−0.18, p<0.05) was negative, even after controlling for child marriage, female literacy, per capita GDP, poverty ratio, health expenditure and food security. The synthesis of these findings with the existing literature based on micro-data suggests pathways through which family planning influences the nutritional status of women and children. Family planning helps in avoiding shorter birth intervals, unintended pregnancy and unsafe abortion, which would otherwise result in nutrient depletion among mothers and further increase the risk of undernutrition in their children.

Type
Research Article
Information
Journal of Biosocial Science , Volume 49 , Issue 6 , November 2017 , pp. 773 - 791
Copyright
Copyright © Cambridge University Press, 2016 

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References

Allison, A., Anthony-Kouyate, R., Blanchard, H., Deller, B., Foreman, M., Galloway, R., Kavle, J. et al. (2010) Maximising synergies between maternal, infant and young child nutrition and pregnancy prevention. Discussion paper prepared for the Maternal, Infant and Young Child Nutrition (MIYCN) and Family Planning (FP) Integration Technical Meeting, 14 th May 2010. URL: http://reprolineplus.org/system/files/resources/MIYCN_MaxSyn_PosPaper.pdf (accessed 30th March 2015).Google Scholar
Alom, J., Quddus, M. A. & Islam, M. A. (2012) Nutritional status of under-five children in Bangladesh: a multilevel analysis. Journal of Biosocial Science 44, 525–535.Google Scholar
Bentley, M. E. & Griffiths, P. L. (2003) The burden of anaemia among women in India. European Journal of Clinical Nutrition 57, 52–60.Google Scholar
Bharati, S., Pal, M. & Bharati, P. (2008) Determinants of nutritional status of pre-school children in India. Journal of Biosocial Science 40, 801–814.Google Scholar
Bongaarts, J. (1987) Does family planning reduce infant mortality rates? Population and Development Review 13(2), 323–334.CrossRefGoogle Scholar
Canning, D. & Schultz, T. P. (2012) The economic consequences of reproductive health and family planning. The Lancet 380(9837), 165–171.Google Scholar
DaVanzo, J., Hale, L., Razaque, A. & Rahman, M. (2008) The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: how they vary by the type of pregnancy outcome that began the interval. Population Studies 62(2), 131–154.Google Scholar
De Onis, M., Blössner, M., Borghi, E., Frongillo, E. A. & Morris, R. (2004) Estimates of global prevalence of childhood underweight in 1990 and 2015. Journal of the American Medical Association 291(21). URL: http://jama.jamanetwork.com/on (accessed 3rd September 2015).Google Scholar
Economist Intelligence Unit (2014) Global Food Security Index 2014. URL: http://foodsecurityindex.eiu.com/Downloads (accessed 27th March 2015).Google Scholar
Gold, R. B. (2009) Family planning and health care reform: the benefits and challenges of prioritizing prevention. Guttmacher Policy Review 12(1), 19–24.Google Scholar
Goli, S., Rammohan, A. & Singh, D. (2015) The effect of early child marriage and early childbearing on women’s nutritional status in India. Maternal and Child Health Journal 19(2), 1864–1880.CrossRefGoogle ScholarPubMed
Haddad, L., Alderman, H., Appleton, S., Song, L. & Yohannes, Y. (2003) Reducing child malnutrition: how far does income growth take us? World Bank Economic Review 17(1), 107–131.Google Scholar
Haidar, J. (2010) Prevalence of anaemia, deficiencies of iron and folic acid and their determinants in Ethiopian women. Journal of Health Population and Nutrition 28(4), 359–368.CrossRefGoogle ScholarPubMed
Jackson, M., Walker, S., Forrester, T., Cruickshank, J. K. & Wilks, R. (2003) Social and dietary determinants of body mass index of adult Jamaicans of African origin. European Journal of Clinical Nutrition 57, 621–627.Google Scholar
Jain, A. K. (2011) Measuring the effect of fertility decline on the maternal mortality ratio. Studies in Family Planning 42(4), 247–260.Google Scholar
Jesmin, A., Yamamoto, S. S., Malik, A. A. & Haque, M. A. (2011) Prevalence and determinants of chronic malnutrition among preschool children: a cross-sectional study in Dhaka city, Bangladesh. Journal of Health, Population and Nutrition 29(5), 494–499.Google Scholar
Kamiya, Y. (2011) Socioeconomic determinants of nutritional status of children in Lao PDR: effects of household and community factors. Journal of Health Population and Nutrition 29(4), 339–348.Google Scholar
King, J. C. (2003) The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. Journal of Nutrition 133(5), 1732S–1735S.CrossRefGoogle ScholarPubMed
Lin, B. H., Huang, C. L. & French, S. A. (2004) Factors associated with women’s and children’s body mass indices by income status. International Journal of Obesity 28, 536–542.Google Scholar
Miller, J. E. (1994) Birth order, interpregnancy interval and birth outcomes among Filipino infants. Journal of Biosocial Science 26, 243–259.Google Scholar
Naik, R. & Smith, R. (2015) Family planning improves nutrition: evidence from studies in low and middle income countries. Population Reference Bureau. URL: http://www.healthpolicy project.com/pubs/691_FPand Nutrition Brief.pdf (accessed 8th June 2015).Google Scholar
Ojiako, I. A., Victor, M. M. & Anthony, E. I. (2009) Determinants of nutritional status of preschool children from rural households in Kaduna and Kano States, Nigeria. Pakistan Journal of Nutrition 8(9), 1497–1505.Google Scholar
Pongou, R., Ezzati, M. & Salomon, J. A. (2006) Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Health 6(98), 1–19.Google Scholar
Prakash, R., Singh, A., Pathak, P. K. & Parasuraman, S. (2011) Early marriage, poor reproductive health status of mother and child well-being in India. Journal of Family Planning and Reproductive Health Care 37(3), 136–145.Google Scholar
Rah, J. H., Christian, P., Shamim, A. A., Arju, U. T., Labrique, A. B. & Rashid, M. (2008) Pregnancy and lactation hinder growth and nutritional status of adolescent girls in rural Bangladesh. Journal of Nutrition 132, 1505–1511.Google Scholar
Raj, A., Saggurti, N., Winter, M., Labonte, A., Decker, M. R., Balaiah, D. & Silverman, J. G. (2010) The effect of maternal child marriage on morbidity and mortality of children under 5 in India: a cross-sectional study of a nationally representative sample. British Medical Journal 340, b4258.Google Scholar
Rakic, L., Djokic, D., Drakulovic, M. B., Pejic, A., Radojicic, Z. & Marinkovic, M. (2013) Risk factors associated with anaemia among Serbian non-pregnant women 20 to 49 years old: a cross-sectional study. Hippokratia 17(1), 47–54.Google Scholar
Stover, J. & Ross, J. (2009) How increased contraceptive use has reduced maternal mortality. Maternal Child Health Journal 14(5), 687–695.Google Scholar
United Nations (2013) World Contraceptive Patterns. Department of Economic and Social Affairs, Population Division, United Nations. URL: http://www.un.org/en/development/desa/population/publications/pdf/family/worldContraceptivePatternsWallChart2013.pdf (accessed 29th March 2015).Google Scholar
UNICEF (2013) Improving Child Nutrition: The Achievable Imperative for Global Progress. URL: http://thousanddays.org/wpcontent/uploads/2013/05/Nutrition_Report_final_lo_res_8_April.pdf (accessed 29th March 2015).Google Scholar
UNICEF (2015a) Joint Malnutrition Dataset from UNICEF, World Bank and WHO. URL: http://data.unicef.org/nutrition/malnutrition.html #sthash.6xSz0Sor.dpuf (accessed 9th September 2016).Google Scholar
UNICEF (2015b) UNICEF Data: Monitoring the Situation of Children and Women. URL: http://data.unicef.org/child-protection/child-marriage#sthash.N2mPBTrE.dpuf (accessed 27/03/2015.Google Scholar
UNICEF, WHO & World Bank (2014) Levels and Trends in Child Malnutrition. UNICEF–WHO–The World Bank Joint Child Malnutrition Estimates. URL: http://www.who.int/nutgrowthdb/jme_unicef_who_wb.pdf (accessed 3rd April 2015).Google Scholar
USAID (2008) How Contraceptive Use Affects Maternal Mortality. URL: http://www.healthpolicyinitiative.com/Publications/Documents/668_1_TMIH_FINAL_12_19_08.pdf (accessed 30th March 2015).Google Scholar
Winikoff, B. & Maureen, S. (1987) Assessing the role of family planning in reducing maternal mortality. Studies in Family Planning 18(3), 128–143.Google Scholar
Winkvist, A., Rasmussen, K. M. & Habicht, J. P. (1992) A new definition of maternal depletion syndrome. American Journal of Public Health 82, 691–694.Google Scholar
WHO (2003) Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2003, 5th edition. URL: http://whqlibdoc.who.int/publications/2007/9789241596121_eng.pdf? ua=1 (accessed 12th May 2015).Google Scholar
WHO (2006) WHO Child Growth Standards. Department of Nutrition for Health and Development, WHO, Geneva.Google Scholar
WHO (2008a) Worldwide Prevalence of Anaemia 1993–2005: Vitamin and Mineral Nutrition Information System (VMNIS). Global Database on Anaemia. URL: http://www.who.int/vmnis/publications/anaemia_prevalence/en/ (accessed 26th April 2015).Google Scholar
WHO (2008b) Worldwide Prevalence of Anaemia 1993–2005: WHO Global Database on Anaemia. URL: http://apps.who.int/iris/bitstream/10665/43894/1/9789241596657_eng.pdf (accessed 11th October 2016).Google Scholar
WHO (2013) Family Planning/Contraception. Fact Sheet No. 351, Media Centre 2013. URL: http://www.who.int/mediacentre/factsheets/fs351/en/ (accessed 9th March 2015).Google Scholar
World Bank (2015) World Bank Data: Indicators, 2005–2013. URL: http://data.worldbank.org/indicator (accessed 28th April 2015).Google Scholar
World Health Assembly (2012) Comprehensive Implementation Plan on Maternal, Infant and Young Child Nutrition. Sixty-fifth World Health Assembly, Resolutions, Decisions, Annexes. WHO, Geneva. URL: http://apps.who.int/gb/ebwha/pdf_files/WHA65-REC1/A65_REC1-en.pdf (accessed 19th May 2015).Google Scholar