Demographic and Socioeconomic Determinants of Fertility Intention among Reproductive Age Women in Sabata District, Oromia Region, Ethiopia
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Date
2023-01
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Addis Ababa University
Abstract
Background: Fertility intention is an important indicator for future fertility trends and to improve health status of the population particularly through reducing maternal mortality rate (MMR). The fertility rate in Ethiopia is quite different across different customs, cultures and practices of people living in different regions. Additionally, there is a dearth of studies to understand demographic and socioeconomic determinants of fertility intention among women of reproductive age in our country.
Objective: To assess demographic and socioeconomic determinants of fertility intention among women in reproductive age of Sabata District, Oromia Region, Ethiopia.
Method and Materials: A community based cross-sectional study was conducted using both qualitative and quantitative methods among 587 women of reproductive age in Sabata District. Data was collected using face to face interviews using standard questionnaire by trained data collectors. The collected data was entered into Epi-data version 3.1 and exported to statistical package for social sciences (SPSS) version 23 for data cleaning and analysis. In the analysis process, frequency distribution of variables was calculated. Binary and multiple logistic regression analyses were computed to indicate the association between the study variables. Factors influencing fertility intentions were assessed by computing adjusted odds ratios at 95% confidence interval (CI) with statistical significant p-value <0.05.
Result: Participants who are 15-24 years were about twelve times more (AOR, 11.91; 95% CI: 4.85, 29.23) likely to have fertility intention compared to those who are 35 and above years old. Those who are unable to read and write were less (AOR, 0.15; 95% CI: 0.03, 0.67) likely to have fertility intention compared to those who have higher than college or university educational status. Similarly those participants who are richer were less (AOR, 0.28; 95% CI: 0.12, 0.65) likely to have fertility intentions compared to those who are poorer.
Conclusion and Recommendations: Age of the participants in years, the wealth index, and educational status were factors significantly associated with the fertility intentions. Fertility intention is higher among younger, poorer, and more educated than older, richer, and less educated women respectively. Therefore it is recommended that, multi-sectorial coordination should be strengthened and all stakeholders should work on fertility intention for program development, implementation and evaluation.
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Keywords
Intention, contraceptives, fertility, women.