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Socio-economic determinants of achieved fertility in Egypt.

The authors investigate socioeconomic determinants of fertility in Egypt. The paper "begins with the intermediate variables and then moves to [a] wider range of social, demographic and environmental influences....The results have shown that age and age related indicators (years since first union and age at first union) are the best group of independent indicators to explain number of children...."

Africa↗

The socio-economic determinants of contraceptive use in Jordan.

"The objective of this paper...is to identify the socio-economic determinants of contraceptive use in a multivariate context, in order to determine their combined predictive power, as well as their importance when controlling for other variables (i.e. demographic variables)....The study investigates the fertility differentials of the various contraceptive categories." Data are from the 1976 Jordanian Fertility Survey.

Asia↗

Association between birth weight and birth arm circumference of neonates in rural Egypt.

In many developing countries including Egypt, the birth weights (BWs) of most babies go unrecorded because they are born at home. Since it is difficult to record BW in the community setting, birth arm circumference (BAC) has been used as a valid proxy for BW to identify at risk babies with low birth weight (LBW). However, the validity of BAC as an indicator of the actual BW has not been assessed fully. We did this study among neonates in rural Bilbeis, Egypt, to examine the association between BW and BAC, to assess whether BAC can serve as an indicator of the actual BW, and to determine the validity indices of 3 different cut-off levels of BAC as indicators of LBW. During 1987-88, the weights and arm circumference of 148 neonates were recorded within 2 weeks of birth. We observed a strong and highly significant positive linear correlation between BW and BAC (r = 0.6188, p = 0.0001). The BAC cut-off value of < 9.5 cm was associated with the optimal combination of sensitivity (50%) and specificity (88.4%) as an indicator of LBW. In linear regression analysis BAC was found to be a significant (p = 0.00001) predictor of BW. The means of the model predicted weights for males, females, and both genders together were identical to the corresponding means of the observed values. In contingency table analysis, for 78 (52.7%) of the 148 neonates studied the observed and predicted BW categories were identical. For another 59 (39.9%) neonates, agreement with the next lower or higher BW category was observed. We feel that BAC can be used as an indicator of the actual BW in settings where routine recording of BW is currently not practicable.

Arm↗

Paediatric care and immunisation among Jordanian children.

This paper investigates the behavioural aspects of health care use for Jordanian children from birth to 3 years using data from a national survey. Statistical analyses indicate differences in the determinants of the use of paediatric care and immunisation: whereas immunisation coverage was already good in 1983 (and has improved subsequently), paediatric care is used for fewer than half of the children under 1 year of age. Socioeconomic and demographic characteristics of the population, especially female education, and maternal health care use, are important determinants of these patterns of child health care. The absence of differences in paediatric care and immunisation by sex of the child are discussed.

Adolescent↗

The consistency and validity of reproductive attitudes: evidence from Morocco.

Information on reproductive attitudes is now routinely collected in fertility surveys in developing countries, and has become very important for understanding fertility behaviour. The quality of this information, however, is rarely assessed, partly due to lack of necessary data. In this paper, the recently completed panel survey in Morocco by the Demographic and Health Surveys (DHS) was used to investigate the consistency of reporting of ideal number of children, reproductive intentions and the planning status of the last birth. The validity of reproductive intentions for subsequent fertility behaviour was also examined. The findings indicate that the three measures of reproductive attitudes are subject to different degrees of measurement error. The measure of reproductive intentions is the most consistent of the three, followed by ideal number of children. The latter is much more consistent at the aggregate level than at the individual level. The reliability of the planning status of the last birth is marred, mainly by an unwanted child being reclassified as 'wanted' with time since the birth of the child. The reproductive intentions of women were also found to be positively related to their subsequent fertility.

Adolescent↗