IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0235329.html
   My bibliography  Save this article

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

Author

Listed:
  • Abdul-Aziz Seidu
  • Bright Opoku Ahinkorah
  • Edward Kwabena Ameyaw
  • Amu Hubert
  • Wonder Agbemavi
  • Ebenezer Kwesi Armah-Ansah
  • Eugene Budu
  • Francis Sambah
  • Vivian Tackie

Abstract

Introduction: Pregnancy termination is one of the key issues that require urgent attention in achieving the third Sustainable Development Goal (SDG) of ensuring healthy lives and promoting well-being for all at all ages. The reproductive health decision-making (RHDM) capacity of women plays a key role in their reproductive health outcomes, including pregnancy termination. Based on this premise, we examined RHDM capacity and pregnancy termination among women of reproductive age in sub-Saharan Africa (SSA). Materials and methods: We pooled data from the women’s files of the most recent Demographic and Health Surveys (DHS) of 27 countries in SSA, which are part of the DHS programme. The total sample was 240,489 women aged 15 to 49. We calculated the overall prevalence of pregnancy termination in the 27 countries as well as the prevalence in each individual country. We also examined the association between RHDM capacity, socio-demographic characteristics and pregnancy termination. RHDM was generated from two variables: decision-making on sexual intercourse and decision-making on condom use. Binary logistic regression analysis was conducted and presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals (CI). Statistical significance was declared p

Suggested Citation

  • Abdul-Aziz Seidu & Bright Opoku Ahinkorah & Edward Kwabena Ameyaw & Amu Hubert & Wonder Agbemavi & Ebenezer Kwesi Armah-Ansah & Eugene Budu & Francis Sambah & Vivian Tackie, 2020. "What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.
    • Handle: RePEc:plo:pone00:0235329
    DOI: 10.1371/journal.pone.0235329
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235329
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0235329&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0235329?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Samantha C Lean & Hayley Derricott & Rebecca L Jones & Alexander E P Heazell, 2017. "Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-15, October.
    2. Sophia Chae & Sheila Desai & Marjorie Crowell & Gilda Sedgh & Susheela Singh, 2017. "Characteristics of women obtaining induced abortions in selected low- and middle-income countries," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-19, March.
    3. Edward Kwabena Ameyaw & Eugene Budu & Francis Sambah & Linus Baatiema & Francis Appiah & Abdul-Aziz Seidu & Bright Opoku Ahinkorah, 2019. "Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shallon Atuhaire, 2019. "Abortion among adolescents in Africa: A review of practices, consequences, and control strategies," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1378-1386, October.
    2. Hvide, Hans K. & Salvanes, Kjell G & Johnsen, Julian, 2021. "Parental Age and Birth Defects: A Sibling Study," CEPR Discussion Papers 15836, C.E.P.R. Discussion Papers.
    3. Xiaoyu Zhang & Jun Zhang & Uma M Reddy, 2020. "Women’s Childbearing Age Associated with Optimal Fetal and Infant Outcomes: A Population-Based Study," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 8(1), pages 7-112:8, August.
    4. Jamaica Corker & Clémentine Rossier & Lonkila Moussa Zan, 2022. "Fertility among better-off women in sub-Saharan Africa: Nearing late transition levels across the region," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 46(29), pages 849-864.
    5. Wonjin Kim & Soo Kyung Park & Yoo Lee Kim, 2019. "Gestational diabetes mellitus diagnosed at 24 to 28 weeks of gestation in older and obese Women: Is it too late?," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-16, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0235329. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.