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Public health
Original research
Multilevel analysis of grand multiparity: Trend and its determinants in the Sidama National Regional State of Ethiopia: a cross-sectional study design from demographic and health survey 2000–2016
  1. Tamirat Tesfaye Dasa1,2,
  2. Michael A Okunlola3,
  3. Yadeta Dessie4
  1. 1Institute of Life and Earth Sciences (including Agriculture and Health), Pan-African University, Ibadan, Oyo, Nigeria
  2. 2Midwifery, Hawassa University College of Medicine and Health Sciences, Hawassa, Southern Nations, Nationalities, and Peoples’ Region, Ethiopia
  3. 3Obstetrics and Gynecology, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria
  4. 4Public Health, Haramaya University College of Health and Medical Sciences, Haramaya, Oromia, Ethiopia
  1. Correspondence to Tamirat Tesfaye Dasa ; tamirathenna{at}gmail.com

Abstract

Objective The study was aimed at examining the magnitude, trends and determinants of grand multiparity in the Sidama regional state of Ethiopia.

Design We retrieved cross-sectional data from the Ethiopia Demographic and Health Survey from 2000 to 2016.

Setting Community-based demographic and health survey (DHS) was conducted in Ethiopia.

Participants The study population was women (aged 15–49 years) who had delivered children with the available DHS data set.

Outcomes Multilevel multivariate logistic regression analyses assessed the relationship between grand multiparity and its determinants.

Results The magnitude of grand multiparity was 70.8% (95% CI 68.5% to 72.9%). The multilevel multivariable logistic regression model showed illiteracy (adjusted OR (AOR)=2; 95% CI 1.25 to 3.75), non-use of any contraceptive (AOR=3.8; 95% CI 1.2 to 12.2), early marriage (AOR=4.5; 95% CI 2.6 to 7.9), polygamous marriage (AOR=4.2; 95% CI 2.0 to 9.3), short birth intervals (AOR=2.3; 95% CI 1.4 to 3.5) and husband’s low education status (AOR=5.8; 95% CI 2.1 to 16.1) were significantly associated with grand multiparity.

Conclusions This study revealed that 7 of 10 women were grand multipara, and the magnitude did not show significant change over the last 16 years. Early marriage and early age at first birth, low literacy level, low family planning utilisation, polygamy, short interbirth interval and unmet need for family planning were determinants of grand multiparity. We recommended the stakeholders to design new strategies to address the root cause of high fertility factors in communities.

  • Community child health
  • Epidemiology
  • Maternal medicine
  • Prenatal diagnosis
  • Antenatal

Data availability statement

Data are available upon reasonable request.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2022-061697

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    Data availability statement

    Data are available upon reasonable request.

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    Footnotes

    • Contributors TTD, MAO and YD conceptualised the idea and designed the study. TTD and YD carried out the execution, data acquisition, analysis and interpretation, and wrote the draft manuscript. MAO and YD provided intellectual comments and contributed to revising the manuscript. All authors contributed to the revision of the manuscript content and approved the final version. TTD accepts responsibility for the conduct of the study, has access to the data and has control over the decision to publish and the overall content of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.