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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
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    References listed on IDEAS

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    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. 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.
    3. 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.
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