ArticleBMC women's health2022
Fertility decision and its associated factors in Sub-Saharan Africa: a multilevel multinomial logistic regression analysis.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Meta-analysis of Pregnancy Events in Biomedical HIV Prevention Trials in Sub-Saharan Africa: Implications for Gender Transformative Trials.AIDS and behavior · 2024Pooled it
- Fertility desire and its determinants among pregnant women in Ethiopia.Contraception and reproductive medicine · 2026Article
- Scars of birth: caesarean delivery and fertility intentions among women of reproductive age in sub-Saharan Africa.Reproductive health · 2026Article
- Socioeconomic and demographic determinants of children ever born among ever-married women in Somalia: a multilevel negative binomial regression analysis.Frontiers in reproductive health · 2026Article
- Gendered cultural context as a structural determinant of sexual and reproductive health.Reproductive health · 2025Article
- A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Impacts of inequalities in utilization of key maternal health service on fertility preference among high parity women in four selected regions of Ethiopia.BMC women's health · 2024Article
- Correlates of fertility desires in women with urogenital fistula in the Democratic Republic of Congo: a cross-sectional study of 1,646 women.Reproductive health · 2024Article
- Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria.Frontiers in digital health · 2024Article
- Multilevel bivariate analysis of the association between high-risk fertility behaviors of birth and stunting with associated risk factors in Ethiopia.Frontiers in nutrition · 2024Article
- Fertility Intention and Influencing Factors for Having a Second Child among Floating Women of Childbearing Age.International journal of environmental research and public health · 2022Article
- Female Perceptions of Male Involvement in Family Planning and Agreement on Desired Number of Children: Evidence from a National Survey in Peru, 2019.American journal of men's healthArticle
- Menstrual hygiene management and fertility in Togo: Exploring the causal pathways.Women's health (London, England)Article
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3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFertility desire is one of the predictors of contraceptive behavior and fertility-related outcomes. However, information is scarce on individual and community-level factors of women's fertility decisions in sub-Saharan Africa.
objectiveTo assess fertility decisions and their associated factors in Sub-Saharan Africa.
methodsThe 35 Sub-Saharan African country's most recent demographic and health surveys (DHS) data conducted from 2008 to 2020 was used. A total of 284,744 (weighted) married women were used for analysis. The proportion of fertility decisions with their 95%CI was estimated. To assess the factors associated with fertility decisions, both random effect and fixed effect analyses were conducted. In the fixed analysis, particularly in the multivariable analysis, adjusted relative risk ratio (aRRR) with its 95% confidence interval (CI) was reported and variables with a p-value < 0.05 were considered significant predictors of fertility decisions.
resultsIn this study, 64.35% (95%CI: 64.2%, 64.5%) of the study participants had fertility desire. However, 5.4% (95%CI: 5.3, 5.5) of the study participants had undecided fertility behavior. In the multivariable analysis, desire for more children and undecided fertility desire were relatively lower among older women, women with primary, secondary, and higher education, working women, women who currently use contraceptives, women with a higher number of living children, women with higher parity, women from eastern and southern Africa, and women from wealthy households. While, the ideal number of children, women who had decision-making autonomy, and women from the rural residence were all associated with a relatively higher desire for more children and undecided fertility desire. Furthermore, respondents' education and sex of household head were associated with the desire for more children while media exposure was associated with undecided fertility desire.
conclusionIn this study, around two-thirds of women had a desire for more children and only 5.4% of women had undecided fertility desires. Both individual and community-level factors were associated with both desires for more children and undecided fertility desires. As a result, the aforementioned factors should be considered while developing reproductive health programs.
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