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DO THE SEX COMPOSITION OF LIVING CHILDREN AND THE DESIRE FOR ADDITIONAL CHILDREN AFFECT FUTURE INTENTION TO USE CONTRACEPTION IN ETHIOPIA?

Published online by Cambridge University Press:  10 January 2017

Rajesh Kumar Rai
Rajesh Kumar Rai*
Affiliation:
Society for Health and Demographic Surveillance, Suri, West Bengal, India
*
1Corresponding author. Email: rajesh.iips28@gmail.com
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Summary

Information on future intention to use contraceptives is a potential programme indicator for family planning services. Using three consecutive rounds of Ethiopian Demographic and Health Survey (EDHS) data collected in 2000, 2005 and 2011, this study examined whether the sex composition of living children and future desire for additional children were associated with the intention to use contraceptives among Ethiopian women aged 15–49 years who were not using any method of contraception at the time of the survey. The pooled multivariate binary logistic regression analysis indicated that between 2000 and 2011, the intentions of non-users to use contraceptives in the future increased significantly. Women who had at least one child (with an equal number of boys and girls, more boys than girls or more girls than boys) who did not want any more children, and those who were unsure about their desire for additional children, showed an increased intention to use contraceptives in the future, compared with those with an equal number of boys and girls who expressed a desire for additional children. Women with no children and who did not want children, or those who were unclear about their future desire, showed a lower intention to use contraceptives, compared with women with an equal number of boys and girls who wanted a child in the future.

Type
Research Article
Information
Journal of Biosocial Science , Volume 49 , Issue 6 , November 2017 , pp. 757 - 772
Copyright
Copyright © Cambridge University Press, 2017 

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References

Alemayehu, M., Belachew, T. & Tilahun, T. (2012) Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy Childbirth 12, 6.Google Scholar
Bankole, A. (1995) Desired fertility and fertility behaviour among the Yoruba of Nigeria: a study of couple preferences and subsequent fertility. Population Studies 49(2), 317–328.Google Scholar
Bhargava, A. (2007) Desired family size, family planning and fertility in Ethiopia. Journal of Biosocial Science 39(3), 367–381.Google Scholar
Bongaarts, J., Cleland, J., Townsend, J. W., Bertrand, J. T. & DasGupta, M. (2012) Family Planning Programs for the 21st Century: Rationale and Design. Population Council, New York.Google Scholar
Bongaarts, J., Mauldin, W. P. & Phillips, J. (1990) The demographic impact of family planning programs. Studies in Family Planning 21(6), 299–310.Google Scholar
Casterline, J. B. & Sinding, S.W. (2000) Unmet need for family planning in developing countries and implications for population policy. Population and Development Review 26(4), 691–723.Google Scholar
Cates, W. Jr, Karim, Q. A., El-Sadr, W., Haffner, D. W., Kalema-Zikusoka, G., Rogo, K. et al. (2010) Family planning and the Millennium Development Goals. Science 329(5999), 1603.CrossRefGoogle ScholarPubMed
Corsi, D. J., Neuman, M., Finlay, J. E. & Subramanian, S. V. (2012) Demographic and Health Surveys: a profile. International Journal of Epidemiology 41(6), 1602–1613.Google Scholar
CSA [Ethiopia] & ICF International (2012) Ethiopia Demographic and Health Survey 2011. Central Statistical Agency and ICF International, Addis Ababa, Ethiopia, and Calverton, MD, USA.Google Scholar
CSA [Ethiopia] & ORC Macro (2006) Ethiopia Demographic and Health Survey 2005. Central Statistical Agency and ORC Macro, Addis Ababa, Ethiopia, and Calverton, MD, USA.Google Scholar
CSA [Ethiopia] & ORC Macro (2001) Ethiopia Demographic and Health Survey 2000. Central Statistical Agency and ORC Macro, Addis Ababa, Ethiopia, and Calverton, MD, USA.Google Scholar
Darroch, J. E. & Singh, S. (2013) Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys. The Lancet 381(9879), 1756–1762.Google Scholar
Davis, K. (1967) Population policies: will current programs succeed? Science 158(3802), 730–739.Google Scholar
Dynes, M., Stephenson, R., Rubardt, M. & Bartel, D. (2012) The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health and Place 18(4), 766–773.Google Scholar
Erfani, A. (2013) Levels, trends, and determinants of unintended pregnancy in Iran: the role of contraceptive failures. Studies in Family Planning 44(3), 299–317.Google Scholar
GBD 2015 SDG Collaborators (2016) Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015. The Lancet 388(10053), 1813–1850.Google Scholar
Gebreselassie, T. (2011) The fertility transition in sub-Saharan Africa, 1990–2005: how unique is Ethiopia? In Teller, C. (ed.) The Demographic Transition and Development in Africa: The Unique Case of Ethiopia. Springer, The Netherlands.Google Scholar
Gurmu, E. & Mace, R. (2008) Fertility decline driven by poverty: the case of Addis Ababa, Ethiopia. Journal of Biosocial Science 40(3), 339–358.Google Scholar
Halperin, D. T. (2014) Scaling up of family planning in low-income countries: lessons from Ethiopia. The Lancet 383(9924), 1264–1267.Google Scholar
Hosmer, D. & Lemeshow, S. (2000) Applied Logistic Regression (Second Edition). John Wiley & Sons, New York.CrossRefGoogle Scholar
Khan, S., Mishra, V., Arnold, F. & Abderrahim, N. (2007) Contraceptive Trends in Developing Countries. DHS Comparative Reports No. 16. Macro International, Calverton, MD, USA.Google Scholar
Kinfu, Y. (2000) Below-replacement fertility in tropical Africa? Some evidence from Addis Ababa. Journal of Population Research 17(1), 63–82.Google Scholar
Kirk, D. (1996) Demographic transition theory. Population Studies 50(3), 361–387.Google Scholar
Korra, A. (2002) Attitudes Toward Family Planning, and Reasons for Non-Use Among Women with Unmet Need for Family Planning in Ethiopia. ORC Macro, Calverton, MD, USA.Google Scholar
Kumar, S. & Sathyanarayana, K. M. (2012) District-level estimates of fertility and implied sex ratio at birth in India. Economic and Political Weekly 47(33), 66–72.Google Scholar
Lapham, R. J. & Mauldin, W. P. (1985) Contraceptive prevalence: the influence of organized family planning programs. Studies in Family Planning 16(3), 117–137.CrossRefGoogle ScholarPubMed
Lindstrom, D. P. & Woubalem, Z. (2003) The demographic components of fertility decline in Addis Ababa, Ethiopia: a decomposition analysis. Genus 59(3/4), 147–158.Google Scholar
Lopez, L. M., Tolley, E. E., Grimes, D. A. & Chen-Mok, M. (2011) Theory-based interventions for contraception (Review). Cochrane Database of Systematic Reviews 3, CD007249.Google Scholar
Magadi, M. A., Zulu, E. M. & Brockerhoff, M. (2003) The inequality of maternal health care in urban sub-Saharan Africa in the 1990s. Population Studies 57(3), 347–366.Google Scholar
May, J. F. (2016) The politics of family planning policies and programs in sub-Saharan Africa. Population and Development Review doi: 10.1111/j.1728–4457.2016.00165.x.Google Scholar
Ministry of Health (2011) National Guideline for Family Planning Services in Ethiopia. Federal Democratic Republic of Ethiopia, Addis Ababa.Google Scholar
Mwaikambo, L., Speizer, I. S., Schurmann, A., Morgan, G. & Fikree, F. (2011) What works in family planning interventions: a systematic review. Studies in Family Planning 42(2), 67–82.Google Scholar
Oddens, B. J. & Lehert, P. (1997) Determinants of contraceptive use among women of reproductive age in Great Britain and Germany I: demographic factors. Journal of Biosocial Science 29(4), 415–435.Google Scholar
Olson, D. J. & Piller, A. (2013) Ethiopia: an emerging family planning success story. Studies in Family Planning 44(4), 445–459.Google Scholar
Phillips, J. F., Simmons, R., Koenig, M. A. & Chakraborty, J. (1988) Determinants of reproductive change in a traditional society: evidence from Matlab, Bangladesh. Studies in Family Planning 19(6), 313–334.Google Scholar
Prata, N., Gessessew, A., Cartwrigh, A. & Fraser, A. (2011) Provision of injectable contraceptives in Ethiopia through community-based reproductive health agents. Bulletin of the World Health Organization 89(8), 556–564.Google Scholar
Pritchett, L. H. (1994) Desired fertility and impact of population policies. Population and Development Review 20(1), 1–55.Google Scholar
Rai, R. K. (2015) Future intention of contraceptive use among Comorian women, 2012. Journal of Public Health 23(5), 289–296.Google Scholar
Rai, R. K. & Unisa, S. (2013) Dynamics of contraceptive use in India: apprehension versus future intention among non-users and traditional method users. Sexual and Reproductive Healthcare 4(2), 65–72.Google Scholar
Sibanda, A., Woubalem, Z., Hogan, D. P. & Lindstrom, D. P. (2003) The proximate determinants of the decline to below-replacement fertility in Addis Ababa, Ethiopia. Studies in Family Planning 34(1), 1–7.Google Scholar
StataCorp (2011) Stata Statistical Software: Release 12. StataCorp LP, College Station, TX, USA.Google Scholar
Stephenson, R., Baschieri, A., Clements, S., Hennink, M. & Madise, N. (2006) Contextual influences on the use of health facilities for childbirth in Africa. American Journal of Public Health 96(1), 84–93.Google Scholar
Tilahun, T., Coene, G., Luchters, S., Kassahun, W., Leye, E., Temmerman, M. & Degomme, O. (2013) Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia. PLoSOne 8(4), e61335.Google Scholar
Titaley, C. R., Dibley, M. J. & Roberts, C. L. (2010) Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007. BMC Public Health 10, 485.CrossRefGoogle ScholarPubMed
UNICEF & Ethiopia Ministry of Health (2010) HEWs and Health Post Performance and Community Satisfaction and Perception: HEP Evaluation in Rural Ethiopia. UNICEF and Ethiopia Ministry of Health, Addis Ababa.Google Scholar
UNICEF & World Health Organization (2015) Countdown 2015: Maternal, Newborn and Child Survival. World Health Organization, Geneva.Google Scholar
UNFPA (2012) A Decade of Change in Contraceptive Use in Ethiopia: In-depth Analysis of the EDHS 2000–2011. United Nations Population Fund, Addis Ababa.Google Scholar
United Nations (1978) Methods of Measuring the Impact of Family Planning Programmes on Fertility: Problems and Issues. Department of Economic and Social Affairs, Population Studies No. 61. UN, New York.Google Scholar
United Nations (1979) Manual IX, Methodology of Measuring the Impact of Family Planning Programmes on Fertility. Department of Economic and Social Affairs, Population Studies No. 66. UN, New York.Google Scholar
United Nations (2015) Resolution Adopted by the General Assembly on 25 September 2015. General Assembly (A/RES/70/1) Seventieth session agenda items 15 and 116. UN, New York.Google Scholar
Upadhyay, U. D. & Karasek, D. (2010) Women’s Empowerment and Achievement of Desired Fertility in Sub-Saharan Africa. DHS Working Paper No. 80. ICF Macro, Calverton, MD, USA.Google Scholar
Watkins, S. (1991) From Provinces into Nations: Demographic Integration in Western Europe 1870–1960. Princeton University Press, Princeton, NJ, USA.Google Scholar
Westoff, C. F., Koffman, D. A. & Moreau, C. (2011) The Impact of Television and Radio on Reproductive Behavior and on HIV/AIDS Knowledge and Behavior. DHS Analytical Studies No. 24. ICF International, Calverton, MD, USA.Google Scholar