Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis

Introduction: Ethiopia ranks twelfth globally and second in Africa by population size. High fertility rates, especially in rural areas, contribute to rapid population growth, impacting the country's economy. The decision of women to control the number of children they have is a crucial factor i...

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Main Authors: Atitegeb Abera Kidie, Setognal Birara Aychiluhm, Birtukan Gizachew Ayal, Tsion Kokeb Kodo, Elsa Awoke Fentie, Seteamlak Adane Masresha, Abayneh Tunta Boye
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024014038
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author Atitegeb Abera Kidie
Setognal Birara Aychiluhm
Birtukan Gizachew Ayal
Tsion Kokeb Kodo
Elsa Awoke Fentie
Seteamlak Adane Masresha
Abayneh Tunta Boye
author_facet Atitegeb Abera Kidie
Setognal Birara Aychiluhm
Birtukan Gizachew Ayal
Tsion Kokeb Kodo
Elsa Awoke Fentie
Seteamlak Adane Masresha
Abayneh Tunta Boye
author_sort Atitegeb Abera Kidie
collection DOAJ
description Introduction: Ethiopia ranks twelfth globally and second in Africa by population size. High fertility rates, especially in rural areas, contribute to rapid population growth, impacting the country's economy. The decision of women to control the number of children they have is a crucial factor influencing population growth and contributing to elevated health risks for both women and children.Objective: the purpose of this study was to assess women desire to limit childbearing and its associated factor among rural women in Ethiopia. Methods: A cross-sectional survey dataset of Ethiopian demographic and health survey 2016 was used for this study. A total of 12,019 rural women were included in the study. A multilevel binary logistic regression was used to identify the predictors of women's desire to limit childbearing. The adjusted odds ratio with respective 95 % confidence interval was used to declare statistically significant variables. Result: In rural Ethiopia, 33.04 % of women had a desired to limit their childbearing. Women in the age group of 25–34 years (AOR = 1.61, 95 % CI = 1.28,2.13), 35–49 years (AOR = 4.96, 95 % CI = 3.64, 6.65), had no children (AOR = 0.06, 95 % CI = 0.04, 0.09), having children 1–3 (AOR = 0.29, 95 % CI = 0.23, 0.36), married (AOR = 0.45, 95 % CI = 0.27, 0.75), living in small peripherals region (AOR = 0.33,95 % CI = 0.24, 0.45) and community level poverty (AOR = 0.72, 95 % CI = 0.57, 0.89) were significant predictors of women's desire to limit the number of children they bear. Conclusion: In rural Ethiopia, there is a limited inclination to control childbearing. Older women and those with higher number of children express a stronger desire to limit childbearing. Conversely, married women, from smaller peripheral regions and those residing in areas with a higher community poverty rate are less likely to have a desire to limit childbearing. Thus, promoting education on the advantages of smaller family sizes and offering family planning services could be crucial in fostering women's willingness to limit their childbearing.
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spelling doaj.art-7b27bc12305a441a93cbbeb2edecf43e2024-02-17T06:40:54ZengElsevierHeliyon2405-84402024-02-01103e25372Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysisAtitegeb Abera Kidie0Setognal Birara Aychiluhm1Birtukan Gizachew Ayal2Tsion Kokeb Kodo3Elsa Awoke Fentie4Seteamlak Adane Masresha5Abayneh Tunta Boye6School of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia; Corresponding author.Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health science, University of Gondar, Gondar, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaSchool of Medicine, College of Health Sciences, Woldia University, Woldia, EthiopiaIntroduction: Ethiopia ranks twelfth globally and second in Africa by population size. High fertility rates, especially in rural areas, contribute to rapid population growth, impacting the country's economy. The decision of women to control the number of children they have is a crucial factor influencing population growth and contributing to elevated health risks for both women and children.Objective: the purpose of this study was to assess women desire to limit childbearing and its associated factor among rural women in Ethiopia. Methods: A cross-sectional survey dataset of Ethiopian demographic and health survey 2016 was used for this study. A total of 12,019 rural women were included in the study. A multilevel binary logistic regression was used to identify the predictors of women's desire to limit childbearing. The adjusted odds ratio with respective 95 % confidence interval was used to declare statistically significant variables. Result: In rural Ethiopia, 33.04 % of women had a desired to limit their childbearing. Women in the age group of 25–34 years (AOR = 1.61, 95 % CI = 1.28,2.13), 35–49 years (AOR = 4.96, 95 % CI = 3.64, 6.65), had no children (AOR = 0.06, 95 % CI = 0.04, 0.09), having children 1–3 (AOR = 0.29, 95 % CI = 0.23, 0.36), married (AOR = 0.45, 95 % CI = 0.27, 0.75), living in small peripherals region (AOR = 0.33,95 % CI = 0.24, 0.45) and community level poverty (AOR = 0.72, 95 % CI = 0.57, 0.89) were significant predictors of women's desire to limit the number of children they bear. Conclusion: In rural Ethiopia, there is a limited inclination to control childbearing. Older women and those with higher number of children express a stronger desire to limit childbearing. Conversely, married women, from smaller peripheral regions and those residing in areas with a higher community poverty rate are less likely to have a desire to limit childbearing. Thus, promoting education on the advantages of smaller family sizes and offering family planning services could be crucial in fostering women's willingness to limit their childbearing.http://www.sciencedirect.com/science/article/pii/S2405844024014038DesireLimit childbearingWomenEthiopia
spellingShingle Atitegeb Abera Kidie
Setognal Birara Aychiluhm
Birtukan Gizachew Ayal
Tsion Kokeb Kodo
Elsa Awoke Fentie
Seteamlak Adane Masresha
Abayneh Tunta Boye
Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
Heliyon
Desire
Limit childbearing
Women
Ethiopia
title Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
title_full Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
title_fullStr Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
title_full_unstemmed Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
title_short Women's desire to limit child-bearing and its associated factors in rural Ethiopia: A multilevel analysis
title_sort women s desire to limit child bearing and its associated factors in rural ethiopia a multilevel analysis
topic Desire
Limit childbearing
Women
Ethiopia
url http://www.sciencedirect.com/science/article/pii/S2405844024014038
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