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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/811

Authors: Samson, Gebremedhin
Advisors: Mulugeta Betre (MD, MPH)
Keywords: Fertility
Differentials of fertility
Proximate & Distal determinants of fertility
Copyright: 2006
Date Added: 22-Apr-2008
Publisher: Addis Ababa University
Abstract: Background information: Ethiopia is the second most populous country in Africa next to Nigeria. According to Central Statistics Authority of Ethiopia (2005) the population size of Ethiopia is 72 million and Total Fertility Rate (TFR) is 5.4. High fertility has also been reported in Southern Region where the study area is located. Objective: To assess the level of fertility and major proximate determinants of fertility in Awassa town; and, to identify factors associated with high fertility in the town. Methods and Materials: A cross sectional, descriptive study with element of internal comparison was conducted. Total of 1376 women of reproductive age were selected using random sampling technique from all sub cities of the town. The data was collected using pre-tested and structured questionnaire and analyzed using frequencies, percentages, mean, median, crude and adjusted odds ratio, P value of 0.05 was taken as a level of statistical significance. Result: The mean child ever born (CEB) was 1.72 among all respondents and 3.02 among married women. The observed TFR was 3.38 and accordingly TFR of the town has been declining on the rate of 0.13 children in the last 6 years. The mean age at first marriage was 17.75 years, duration of postpartum infecundability was calculated to be 12.3 months and contraceptive prevalence rate (CPR) among married women was 41.2%. Sociodemographic characteristics of mothers like poor educational status, absence of income, rural place of childhood residence, age at marriage before 18 years were shown to have significant association with risk of having 5 or more CEB. In addition, history of child death, negative husbands’ attitude towards contraceptive use, poor educational status of husbands, need for additional children, were also found to have association with outcome of interest. viii Conclusion and Recommendation The level and rate of decline of fertility of the town is well above the national urban values. Among the proximate determinants of fertility, age at first marriage has shown strongest association with fertility; thus it is worthful to give attention to ways of increasing it. A number of mothers’ sociodemographic characteristics have shown association with high fertility; accordingly, empowering mothers in education, income, fertility decision making and involving men in family planning programs could have a positive effect to lower fertility in urban areas too.
Description: A Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment of the Requirements for the Degree of Master’s of Public Health (MPH) in Department of Community Health.
URI: http://hdl.handle.net/123456789/811
Appears in:Thesis - Public Health

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