Factors influencing the desire to limit childbearing among in-union women in selected Southern African countries: A pooled analysis
Abstract
Full Text:
PDFReferences
Adebowale AS. Ethnic disparities in fertility and its
determinants in Nigeria. Fertility Research and
Practice 2019;5(1):3. doi: 10.1186/s40738-019-0055
y
Cleland JG. Trends in human fertility. Reference Module in
Biomedical Sciences: Elsevier 2023.
Ewemooje OS, Biney E, and Amoateng AY. Determinants of
fertility intentions among women of reproductive age
in South Africa: evidence from the 2016 demographic
and health survey. Journal of Population Research
;37(3):265-89.
Beaujouan É, and Sobotka T. Is 40 the new 30? Increasing
reproductive intentions and fertility rates beyond age
Optimizing the management of fertility in women
over 2022;40:3-18.
Jarzebski MP, Elmqvist T, Gasparatos A, Fukushi K,
Eckersten S, Haase D, Goodness J, Khoshkar S, Saito
O, and Takeuchi K. Ageing and population shrinking:
Implications for sustainability in the urban century.
Npj Urban Sustainability 2021;1(1):17.
Miles D. Macroeconomic impacts of changes in life
expectancy and fertility. The Journal of the
Economics of Ageing 2023;24:100425.
Dudel C, and Klüsener S. Male–female fertility differentials
across 17 high-income countries: Insights from a new
data resource. European Journal of Population
;37:417-41.
Haq SMA, Chowdhury MAF, Ahmed KJ, and Chowdhury
MTA. Environmental quality and its impact on total
fertility rate: an econometric analysis from a new
perspective. BMC Public Health 2023;23(1):2397.
Upadhyay UD, Gipson JD, Withers M, Lewis S, Ciaraldi EJ,
Fraser A, Huchko MJ, and Prata N. Women's
empowerment and fertility: a review of the literature.
Soc
Sci
Med
;115:111-20.
1016/j.socscimed.2014.06.014 [published Online
First: 20140611]
Chowdhury S, Rahman MM, and Haque MA. Role of
women's empowerment in determining fertility and
reproductive health in Bangladesh: A systematic
literature review. AJOG Global Reports 2023:100239.
Ngotie TK, Kaura DKM, and Mash B. Exploring women's
experiences with cultural practices during pregnancy
and birth in Keiyo, Kenya: A phenomenological
study. International Journal of Africa Nursing
Sciences
;20:100701.
https://doi.org/10.1016/j.ijans.2024.100701
Iyanda AE, Dinkins BJ, Osayomi T, Adeusi TJ, Lu Y, and
Oppong JR. Fertility knowledge, contraceptive use
and unintentional pregnancy in 29 African countries:
a cross-sectional study. International Journal of
Public
Health
;65(4):445-55.
1007/s00038-020-01356-9
Ravindran TS, and Govender V. Sexual and reproductive
health services in universal health coverage: a review
of recent evidence from low-and middle-income
countries. Sexual and reproductive health matters
;28(2):1779632.
Aventin Á, Rabie S, Skeen S, Tomlinson M, Makhetha M,
Siqabatiso Z, Lohan M, Clarke M, Lohfeld L, and
Thurston A. Adaptation of a gender-transformative
sexual and reproductive health intervention for
adolescent boys in South Africa and Lesotho using
intervention mapping. Global Health Action
;14(1):1927329.
Ahinkorah BO, Kang M, Perry L, and Brooks F. Prevention
of adolescent pregnancy in Anglophone sub-Saharan
Africa: a scoping review of national policies.
International
journal of health policy and
management 2022;11(6):726.
Balogun OO, Tomo CK, Mochida K, Mikami M, da Rosa
Vasconcelos H, Neves I, Hiraoka H, Aiga H, Mori R,
and Takehara K. Impact of the Maternal and Child
Health handbook in Angola for improving continuum
of care and other maternal and child health indicators:
study protocol for a cluster randomised controlled
trial. Trials 2020;21(1):1-16.
Mbizvo MT, Kasonda K, Muntalima N-C, Rosen JG,
Inambwae S, Namukonda ES, Mungoni R, Okpara N,
Phiri C, and Chelwa N. Comprehensive sexuality
education linked to sexual and reproductive health
services reduces early and unintended pregnancies
among in-school adolescent girls in Zambia. BMC
public health 2023;23(1):1-13.
Motshegwa G, Tsawe M, Legotlo O, Malatji M, Mathabatha
S, Phateng R, Tshabalala KP, Seima J, Berries M, and
Seokamo T. Factors Determining Intention to Use
Contraception Among Sexually Active Women in
South Africa: A Multilevel Modelling Approach.
Advances in Public Health 2024;2024(1):4967485.
doi: https://doi.org/10.1155/2024/4967485
doi:
doi:
doi:
Zulu R, Musonda E, Ugwu NH, and Phiri M. Determinants
of the desire to limit childbearing among married
women in sub-Saharan African countries. IJPS 2025
doi: 10.36922/ijps.5584
Tripathi S. Does Higher Economic Development Reduce
Household Size? Evidence from India. Munich
Personal RePEc Archive 2018, https://mpra.ub.uni
muenchen.de/86684/1/MPRA_paper_86684.pdf
Kugler AD, and Kumar S. The Fewer the Merrier: Family
Size and Education in India. SSRN 2016,
https://ssrn.com/abstract=3448302
Starbird E, Norton M, and Marcus R. Investing in Family
Planning: Key to Achieving the Sustainable
Development Goals. Global Health: Science and
Practice doi:2016;4(2):191-210.
https://doi.org/10.9745/GHSP-D-15-00374
[published Online First: 20160627]
United Nations. World Family Planning 2022: Meeting the
Changing Needs for Family Planning: Contraceptive
Use by Age and Method. New York: UN/Department
of Economic and Social Affairs 2023.
Sidamo NB, Kerbo AA, Gidebo KD, and Wado YD. Socio-Ecological Analysis of Barriers to Access and
Utilization of Adolescent Sexual and Reproductive
Health Services in Sub-Saharan Africa: A Qualitative
Systematic Review. Open Access Journal of
Contraception
;14:103-18.
doi:
https://doi.org/10.2147/OAJC.S411924
Sahoo M, Som M, and Pradhan J. Perceived Barriers in
Accessing the Reproductive Health Care Services in
Odisha. Indian Journal of Community Health
;29(3):229-38.
doi:
47203/IJCH.2017.v29i03.004
Nmadu AG, Mohammed S, and Usman NO. Barriers to
adolescents’ access and utilisation of reproductive
health services in a community in north-western
Nigeria: A qualitative exploratory study in primary
care.
;12(1)
doi:
4102/phcfm.v12i1.2307 [published Online First:
-01-16]
Instituto Nacional de Estatística - INE/Angola, Minstério da
Saúde - MINSA/Angola, and ICF. Angola Inquérito
de Indicadores Múltiplos e de Saúde (IIMS) 2015
Luanda, Angola: INE, MINSA, and ICF, 2017.
Ministry of Health/Lesotho, and ICF International. Lesotho
Demographic and Health Survey 2014. Maseru,
Lesotho: Ministry of Health/Lesotho and ICF
International, 2016.
National Department of Health, and ICF. South Africa
Demographic and Health Survey 2016. Pretoria:
National Department of Health - NDoH - ICF, 2019.
Chirambira P, Madiba S, and Ntuli B. Societal and individual
drivers of fertility desires and intentions among people
living with HIV: a cross sectional study of HIV clinic
attendees in Soweto, South Africa. AIMS Public
Health 2022;9(1):173.
Ahinkorah BO, Seidu A-A, Armah-Ansah EK, Budu E,
Ameyaw EK, Agbaglo E, and Yaya S. Drivers of
desire for more children among childbearing women
in sub-Saharan Africa: implications for fertility
control.
BMC
Pregnancy
and
Childbirth
;20(1):778. doi: 10.1186/s12884-020-03470-1
Shrestha N, Pokharel R, Poudyal A, Subedi R, Mahato NK,
Gautam N, Dirghayu KC, and Dhungana GP. Fertility
Desire and Its Determinants Among People Living
with HIV in Antiretroviral Therapy Clinic of Teku
Hospital, Nepal. HIV AIDS-RESEARCH AND
PALLIATIVE
CARE
2147/HIV.S235502
;12:41-46.
doi:
Hayford SR, and Agadjanian V. Spacing, stopping, or
postponing? Fertility desires in a sub-Saharan setting.
Demography 2019;56(2):573-94.
Bongaarts J. Trends in fertility and fertility preferences in
sub-Saharan Africa: the roles of education and family
planning programs. Genus 2020;76(1):32. doi:
1186/s41118-020-00098-z
Stata Statistical Software: Release 16 [program]. College
Station, TX: StataCorp LLC, 2019.
Sobhan A, Moinuddin M, and Hossain MM. Investigating
time to first birth among women of reproductive age
in Bangladesh: a survival analysis of nationwide
cross-sectional survey data. Journal of Health,
Population and Nutrition 2024;43(1):2.
Biney E, Amoateng A, and Ewemooje O. Patterns of fertility
in contemporary South Africa: Prevalence and
associated
factors.
;7(1):1858575.
Cogent Social Sciences
Teshale AB, Wang VQ, Biney GK, Ameyaw EK, Adjei NK,
and Yaya S. Contraceptive use pattern based on the
number and composition of children among married
women in sub-Saharan Africa: a multilevel analysis.
Contracep Reprod Med 2023;8(1):39.
Habyarimana F, and Ramroop S. Spatial analysis of socio
economic and demographic factors associated with
contraceptive use among women of childbearing age
in Rwanda. International journal of environmental
research and public health 2018;15(11):2383.
Alemu YM, and Gobena MG. Determinants of Time to First
Birth Among Women in Ethiopia Using Cox
Proportional Hazards Model. Available at SSRN
2022,
Phiri M, Shasha L, Musonda E, Muhanga M, and Lemba M.
Choice of desired family size among young women in
Zambia: what matters? Journal of Population
Research 2023;40(3):18.
Delbaere I, Verbiest S, and Tydén T. Knowledge about the
impact of age on fertility: a brief review. Ups J Med
Sci
;125(2):167-74.
doi:
1080/03009734.2019.1707913 [published Online
First: 20200122]
Alexander KA, Perrin N, Jennings JM, Ellen J, and Trent M.
Childbearing Motivations and Desires, Fertility
Beliefs, and Contraceptive Use among Urban African
American Adolescents and Young Adults with STI
Histories. J Urban Health 2019;96(2):171-80. doi:
1007/s11524-018-0282-2
Ama NO, and Olaomi JO. Family planning desires of older
adults (50 years and over) in Botswana. South African
Family Practice 2019;61(1):30-38.
Götmark F, and Andersson M. Human fertility in relation to
education, economy, religion, contraception, and
family planning programs. BMC Public Health
;20(1):265. doi: 10.1186/s12889-020-8331-7
Razzaq S, Jessani S, Ali SA, Abbasi Z, and Saleem S. Desire
to limiting child birth and the associated determinants
among married females: Sukh Survey-Karachi,
Pakistan. J Pak Med Assoc 2021;71(Suppl 7)(11):S70
s77.
https://www.archive.jpma.org.pk/PdfDownloadsuppl
ements/657
Rashid MM, Roy TK, and Rahman M. Prevalence and
Factors Affecting the Intention of Women to Limit
Childbearing in Bangladesh: A Cross-Sectional
Study. International Journal of Social Science
Research
and
Review
;6(9):260-70.
https://ijssrr.com/journal/article/view/1642
Negash WD, Belachew TB, Asmamaw DB, and Bitew DA.
Predictors of desire to limit childbearing among
reproductive age women in high fertility regions in
Ethiopia. A multilevel mixed effect analysis. BMC
Public Health 2023;23(1):1011. doi: 10.1186/s12889
-15952-w
Kidie AA, Aychiluhm SB, Ayal BG, Kodo TK, Fentie EA,
Masresha SA, and Boye AT. Women's desire to limit child-bearing and its associated factors in rural
Ethiopia: A multilevel analysis. Heliyon 2024;10(3)
doi: 10.1016/j.heliyon.2024.e25372
Lemessa R, and Wencheko E. Factors affecting the intention
of women to limit childbearing in rural Ethiopia. The
Ethiopian Journal of Health Development 2016;28(2),
https://www.ejhd.org/index.php/ejhd/article/view/32
Mazibuko N. Cohabitation among young people in Durban,
South Africa: Exploring perspectives and experiences.
[University of KwaZulu-Natal, 2022.
United Nations Population Fund. State of World Population
: Seeing the Unseen - The Case for Action in the
Neglected Crisis of Unintended Pregnancy: United
Nations Fund for Population Activities 2022.
Acharjee MK, Forhad MN, and Das KP. Prevalent Factors
Influencing
Childbearing:
Women’s
Empirical
Intention
to
Limit
Evidence Based on
Bangladesh Demography and Health Surveys. Asian
Journal of Pregnancy and Childbirth 2020;3(1):195
doi: 10.9734/ajpcb/2020/v3i139
Muhumuza C, Sileo KM, Wanyenze RK, Kershaw TS, Lule
H, Sekamatte S, and Kiene SM. Development of a
multi-level family planning intervention for couples in
rural Uganda: key findings & adaptations made from
community engaged research methods. BMC
Women's
Health
;23(1):545.
1186/s12905-023-02667-8
doi:
Al-Worafi YM. Contraception-Related Issues in Developing
Countries. In: Al-Worafi YM, ed. Handbook of
Medical and Health Sciences in Developing
Countries: Education, Practice, and Research. Cham:
Springer International Publishing 2023:1-30.
López JD, Sriprasert I, and Wilson ML. Editorial: Inequities
and disparities in reproductive health: reproductive
epidemiology. Frontiers in Reproductive Health
;Volume
3389/frph.2024.1419178 -
doi:
UNFPA. Empowering Women in Lesotho: The Power of
Choice through Family Planning 2024 [Available
from: https://lesotho.unfpa.org/en/news/empowering
women-lesotho-power-choice-through-family
planning.
Aliyu AA. Family Planning Services in Africa: The
Successes and Challenges. In: Amarin ZO, ed. Family
Planning. Rijeka: IntechOpen 2018.
Yaya S, and Ghose B. Prevalence of unmet need for
contraception and its association with unwanted
pregnancy among married women in Angola. PLOS
ONE doi: 2019;13(12):e0209801.
1371/journal.pone.0209801
Nieto-Andrade B, Fidel E, Simmons R, Sievers D, Fedorova
A, Bell S, Weidert K, and Prata N. Women's Limited
Choice and Availability of Modern Contraception at
Retail Outlets and Public-Sector Facilities in Luanda,
Angola, 2012–2015. Global Health: Science and
Practice 2017;5(1):75. doi: 10.9745/GHSP-D-16
Refbacks
- There are currently no refbacks.






