Exploring health insurance and knowledge of the ovulatory cycle: evidence from Demographic and Health Surveys of 29 countries in Sub-Saharan Africa
- Zegeye, Betregiorgis, Idriss-Wheeler, Dina, Yaya, Sanni
- Authors: Zegeye, Betregiorgis , Idriss-Wheeler, Dina , Yaya, Sanni
- Date: 2023/09
- Subjects: health insurance , ovulactory cycle , Sub-Saharan Africa
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13311 , vital:78423 , DOI: https://doi.org/10.1186/s12978-023-01675-z
- Description: Background Unplanned pregnancy continues to be a major public health concern in Sub-Saharan Africa (SSA). Understanding the ovulatory cycle can help women avoid unplanned pregnancy. Though a wide range of factors for ovulatory cycle knowledge in SSA countries has not been well assessed, the infuence of health insurance on ovu‑ latory cycle knowledge is largely unknown. As a result, we set out to investigate the relationship between health insurance enrollment and knowledge of the ovulatory cycle among women of childbearing age. This study aims to investigate the relationship between health insurance enrollment and knowledge of the ovulatory cycle among women of childbearing age in sub-Saharan Africa (SSA). Methods Demographic and Health Surveys (DHSs) data from 29 SSA countries were analyzed. The association between health insurance and ovulatory cycle knowledge was investigated using bivariate and multivariate multi‑ level logistic regression models among 372,692 women of reproductive age (15–49). The fndings were presented as adjusted odds ratios (AOR) with 95% confdence intervals (CI). A p-value of 0.05 was considered statistically signifcant. Results The pooled result shows that the prevalence of knowledge of ovulatory cycle in the studied 29 SSA countries was 25.5% (95% CI; 24.4%-26.6%). Findings suggest higher odds of ovulatory cycle knowledge among women cov‑ ered by health insurance (AOR=1.27, 95% CI; 1.02–1.57), with higher education (higher-AOR=2.83, 95% CI; 1.95– 4.09), from the richest wealth quintile (richest-AOR=1.39, 95% CI; 1.04–1.87), and from female headed households (AOR=1.16, 95% CI; 1.01–1.33) compared to women who had no formal education, were from the poorest wealth quintile and belonged to male headed households, respectively. We found lower odds of ovulatory cycle knowledge among women who had 2–4 parity history (AOR=0.80, 95% CI; 0.65–0.99) compared to those with history of one parity. Conclusions The fndings indicate that the knowledge of the ovulatory cycle is lacking in SSA. Improving health insurance enrollment should be considered to increase ovulatory cycle knowledge as an approach to reduce the region’s unplanned pregnancy rate. Strategies for improving opportunities that contribute to women’s empower‑ ment and autonomy as well as sexual and reproductive health approaches targeting women who are in poorest quin‑ tiles, not formally educated, belonging to male headed households, and having high parity should be considered.
- Full Text:
- Date Issued: 2023/09
- Authors: Zegeye, Betregiorgis , Idriss-Wheeler, Dina , Yaya, Sanni
- Date: 2023/09
- Subjects: health insurance , ovulactory cycle , Sub-Saharan Africa
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13311 , vital:78423 , DOI: https://doi.org/10.1186/s12978-023-01675-z
- Description: Background Unplanned pregnancy continues to be a major public health concern in Sub-Saharan Africa (SSA). Understanding the ovulatory cycle can help women avoid unplanned pregnancy. Though a wide range of factors for ovulatory cycle knowledge in SSA countries has not been well assessed, the infuence of health insurance on ovu‑ latory cycle knowledge is largely unknown. As a result, we set out to investigate the relationship between health insurance enrollment and knowledge of the ovulatory cycle among women of childbearing age. This study aims to investigate the relationship between health insurance enrollment and knowledge of the ovulatory cycle among women of childbearing age in sub-Saharan Africa (SSA). Methods Demographic and Health Surveys (DHSs) data from 29 SSA countries were analyzed. The association between health insurance and ovulatory cycle knowledge was investigated using bivariate and multivariate multi‑ level logistic regression models among 372,692 women of reproductive age (15–49). The fndings were presented as adjusted odds ratios (AOR) with 95% confdence intervals (CI). A p-value of 0.05 was considered statistically signifcant. Results The pooled result shows that the prevalence of knowledge of ovulatory cycle in the studied 29 SSA countries was 25.5% (95% CI; 24.4%-26.6%). Findings suggest higher odds of ovulatory cycle knowledge among women cov‑ ered by health insurance (AOR=1.27, 95% CI; 1.02–1.57), with higher education (higher-AOR=2.83, 95% CI; 1.95– 4.09), from the richest wealth quintile (richest-AOR=1.39, 95% CI; 1.04–1.87), and from female headed households (AOR=1.16, 95% CI; 1.01–1.33) compared to women who had no formal education, were from the poorest wealth quintile and belonged to male headed households, respectively. We found lower odds of ovulatory cycle knowledge among women who had 2–4 parity history (AOR=0.80, 95% CI; 0.65–0.99) compared to those with history of one parity. Conclusions The fndings indicate that the knowledge of the ovulatory cycle is lacking in SSA. Improving health insurance enrollment should be considered to increase ovulatory cycle knowledge as an approach to reduce the region’s unplanned pregnancy rate. Strategies for improving opportunities that contribute to women’s empower‑ ment and autonomy as well as sexual and reproductive health approaches targeting women who are in poorest quin‑ tiles, not formally educated, belonging to male headed households, and having high parity should be considered.
- Full Text:
- Date Issued: 2023/09
The evolution of African music and its function in the present day
- Authors: Tracey, Hugh
- Subjects: African Music Society , International Library of African Music , Evolution , African music , Styles , Beauty , Instruments , Perishable material , Lithophones , Nigeria , Stones , Bushman paintings , Chopi , Limpopo , Birds , Imitation , Onomatopaeia , Zimbabwe , Bird calls , Long eared owl , Temple , Nile , Egyptian civilization , Sub-Suharan Africa , Stringed instrument , Indonesian theory , Langauge , Mission , Catholic music , Arabs , Swahili , Portuguese , Brazilian , Guitar , Father Andre Fernandes , Missionary , Dove , Nile Basin Theory , Egypt , Slaves , Musicians , Harps , Lyres , Loots , North East , Sub-Saharan Africa , String , Tanganyika , Sea farers , Xylophone , Congo , Participation , Dance music , Repetitive , Rhythmic , Tradition , Relocation , Intergration , Continuity , English music , Afrikaans music , Sarie Marie , Change , Static , Classics , Popular music , Greensleeves , A Bicycle made for Two , Latin singing , Latin chant , Chant , British Empire , Negro Spiritual , Folk songs , Anti-slavery movements , David Livingstone , Musical migrtatiatioh , Hand piano , Zambezi Valley , Nyasaland , Nguni , Kampala , Bands , Chitimkhulu , Bemba , Blindness , Court band , Blinded musician , South Africa , Choral , Forests , Drums , Xylophones , Fighting song , Agriculture , Semi-nomadic , Politicians , Hastings Banda , Fooding and drinking party , European hymns , Ghana , Degree , Complexity , Simplicity , Poly-rhythms , Rural areas , Churches , Competitions , Eisteddfodd , Inferiority , Johannesburg , Drama , King Kong , Jazz importations , Voice , Skill , Instrument makers , Commercialisation , Gramophone , Radio , Creolisation , Modern Jazz , Louisiana , French , Spanish , Genius , Town songs , Country songs , Social climbers , Patriotism , Kwela , Penny-whistle , America , Politics , Pitch , Archive , BP Southern Africa , Evangelists , Indoor music , Mine , Continuation , Notation , Migration , Study of Man in Africa , Mr. Michael Lane
- Language: English
- Type: Sound , Lecture , Music
- Identifier: vital:15104 , http://hdl.handle.net/10962/d1008532 , Reel number: BC160
- Description: Lecture by Hugh Tracey given for the Institute for the Study of Man in Africa (ISMA) , For further details refer to the ILAM Document Collection: Hugh Tracey Broadcasts
- Full Text: false
- Authors: Tracey, Hugh
- Subjects: African Music Society , International Library of African Music , Evolution , African music , Styles , Beauty , Instruments , Perishable material , Lithophones , Nigeria , Stones , Bushman paintings , Chopi , Limpopo , Birds , Imitation , Onomatopaeia , Zimbabwe , Bird calls , Long eared owl , Temple , Nile , Egyptian civilization , Sub-Suharan Africa , Stringed instrument , Indonesian theory , Langauge , Mission , Catholic music , Arabs , Swahili , Portuguese , Brazilian , Guitar , Father Andre Fernandes , Missionary , Dove , Nile Basin Theory , Egypt , Slaves , Musicians , Harps , Lyres , Loots , North East , Sub-Saharan Africa , String , Tanganyika , Sea farers , Xylophone , Congo , Participation , Dance music , Repetitive , Rhythmic , Tradition , Relocation , Intergration , Continuity , English music , Afrikaans music , Sarie Marie , Change , Static , Classics , Popular music , Greensleeves , A Bicycle made for Two , Latin singing , Latin chant , Chant , British Empire , Negro Spiritual , Folk songs , Anti-slavery movements , David Livingstone , Musical migrtatiatioh , Hand piano , Zambezi Valley , Nyasaland , Nguni , Kampala , Bands , Chitimkhulu , Bemba , Blindness , Court band , Blinded musician , South Africa , Choral , Forests , Drums , Xylophones , Fighting song , Agriculture , Semi-nomadic , Politicians , Hastings Banda , Fooding and drinking party , European hymns , Ghana , Degree , Complexity , Simplicity , Poly-rhythms , Rural areas , Churches , Competitions , Eisteddfodd , Inferiority , Johannesburg , Drama , King Kong , Jazz importations , Voice , Skill , Instrument makers , Commercialisation , Gramophone , Radio , Creolisation , Modern Jazz , Louisiana , French , Spanish , Genius , Town songs , Country songs , Social climbers , Patriotism , Kwela , Penny-whistle , America , Politics , Pitch , Archive , BP Southern Africa , Evangelists , Indoor music , Mine , Continuation , Notation , Migration , Study of Man in Africa , Mr. Michael Lane
- Language: English
- Type: Sound , Lecture , Music
- Identifier: vital:15104 , http://hdl.handle.net/10962/d1008532 , Reel number: BC160
- Description: Lecture by Hugh Tracey given for the Institute for the Study of Man in Africa (ISMA) , For further details refer to the ILAM Document Collection: Hugh Tracey Broadcasts
- Full Text: false
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