학술논문
Pregnancy intention data completeness, quality and utility in population-based surveys: EN-INDEPTH study
Document Type
article
Author
Judith Yargawa; Kazuyo Machiyama; Victoria Ponce Hardy; Yeetey Enuameh; Edward Galiwango; Kassahun Gelaye; Kaiser Mahmud; Sanne M. Thysen; Damazo T. Kadengye; Vladimir Sergeevich Gordeev; Hannah Blencowe; Joy E. Lawn; Angela Baschieri; John Cleland; the Every Newborn-INDEPTH Study Collaborative Group
Source
Population Health Metrics, Vol 19, Iss S1, Pp 1-18 (2021)
Subject
Language
English
ISSN
1478-7954
Abstract
Abstract Background An estimated 40% of pregnancies globally are unintended. Measurement of pregnancy intention in low- and middle-income countries relies heavily on surveys, notably Demographic and Health Surveys (DHS), yet few studies have evaluated survey questions. We examined questions for measuring pregnancy intention, which are already in the DHS, and additional questions and investigated associations with maternity care utilisation and adverse pregnancy outcomes. Methods The EN-INDEPTH study surveyed 69,176 women of reproductive age in five Health and Demographic Surveillance System sites in Ghana, Guinea-Bissau, Ethiopia, Uganda and Bangladesh (2017–2018). We investigated responses to survey questions regarding pregnancy intention in two ways: (i) pregnancy-specific intention and (ii) desired-versus-actual family size. We assessed data completeness for each and level of agreement between the two questions, and with future fertility desire. We analysed associations between pregnancy intention and number and timing of antenatal care visits, place of delivery, and stillbirth, neonatal death and low birthweight. Results Missing data were