Upload
priscilla-day
View
226
Download
0
Tags:
Embed Size (px)
Citation preview
Unintended childbearing Unintended childbearing and family welfare in and family welfare in
rural Malawirural Malawi
Angela Baschieri,
John Cleland, Albert Dube, Neil French,
Anna Molesworth, Sian Floyd, Judith Glynn
Date: 16-17 January, Dublin, Ireland.Third Annual Research Conference on Population, Reproductive Health,
and Economic Development
Hewlett/ESRC Joint Proposal Scheme
Unintended childbearing and family welfare in rural Malawi
Project scope, aims and objectives Background Malawi Karonga Prevention Study Data: Karonga DSS This study Progress so far: data collection Progress so far: analysis. Next steps.
Unintended childbearing and family welfare in rural Malawi
THE BIG QUESTION in development! We all agree: accumulation of human capital
sustainable economic growth
FAMILY WELFARE: Child nutritional growth Schooling outcomes Mother’s nutritional status
To What extent greater contraceptive use and lower fertility will enhance investments in human capitalWhat are the consequences of unwanted or unintended childbearing on children’s life chances
OBJECTIVES:
Conduct a study linked to an on-going Demographic Surveillance Site in Karonga District in Northern Malawi
Ideal setting to study the relationship between family planning and fertility and investments in children schooling and nutrition
Longitudinal data and methodologies (event history, survival, IVR, simultaneous..) to deepen understanding of the causal linkages b/w demographic dynamics, FP and investment in future generation
Unintended childbearing and family welfare in rural Malawi
Aims
To gain a better understanding of the consequences of the ‘intendness’ status on the survival and growth of the index child as well as the effect of a short birth interval on the growth of the index child.
To assess the consequences of unintended and intended births on the physical growth and schooling outcomes of older siblings.
To measure the effects of an ‘unintended’ birth on mother’s health
Background: Malawi
One of the poorest countries in the world. In 2006, ranked 166 out of 177, HDI.
TFR 6, 26.3 % using any method of contraception ½ women with 6 children said would ideally
have liked less than 6.
80% children 6-13 attend school BUT 11 % of 14-17 years old attend a secondary
50% are moderately stunted to short for their age (20% severely stunted)
Karonga Prevention Study
Karonga: district northern Malawi Approx. 236,000 people live in 280 villages Subsistence agriculture Fish Lake Malawi
its History in a nutshell:1979-85 LEP 1)1986-89 (LEP 2)1990-1996 vaccine trial follow up1996-2001 Welcome trust 2002-2004 baseline census
DSS cover 30,000 populationIn 135 KM2
DSS SITE
Data: Continuous Registration System
Schedule of staggered start ofreporting groups and their monthly reporting session
VILLAGE INFORMANT
Data: DSS and the census sero-survey already contains info on:
Vital events: (birth and death) (on-going). Demographic: information of each member of the hh (on-
going). The identification number of each individual Data on children’s schooling.: school attendance,
reasons for non-attendance, attainment of school leaving certificate, who is paying for each child’s school fees, (annually).
Socio-economic status of the household: livestock assets, household assets, characteristics of dwelling, source of income, food and nutrition security information, subjective poverty measure (annually).
Economic activities of each hh member aged 10+ (annually).
It is possible to link childrenTo their biological parents
Data: This project:
Strengthen the measures of fertility preferences for women and add similar questions to the men’s questionnaire. To the added to the Adult behavioral Survey (MEN and WOMEN).
The collection of anthropometric measures (height and weight) of children under 10 years old over three waves (2008, 2009, 2010). (with the Socio-Economic questionnaire).
The collection of mid-upper arm circumference for women, over the three waves.
Improve measures of school drop out/attendance.
Measures of Fertility Preference
Retrospective measures Prospective measures Men Women
This will allow:
1. The comparison of responses between couples.
2. The comparison of their predictive power.
3. The identification of births unwanted by both of the parents.
Proposed methods
Careful study of the temporal sequencing of events will help to identify causal relationship
Survival analysis, event history
instrumental variables methods
simultaneous equation modeling technique
Collaboration with APHRC in Nairobi
Collaboration with APHRC in Nairobi
Nairobi Urban Demographic Surveillance Site
Two workshops will be organized (Y1 and Y3) and a research from the APHRC will work on the NUDSS providing doc. and preparing data for comparative analysis b/w the two sites.
Expected Outcomes
New evidence concerning the effect of unintended (and intended) births on the nutritional status of mothers and on the growth and schooling of older siblings.
New robust measures of unwanted fertility and unmet need for family planning.
Information on the physical growth of children especially in the understudies 5-9 yrs old (remedial policy; free or subsidised school meals).
Analysis of school enrolment, poverty-school drop out.
Progress so far:
Recruitment of interviewers and research scientist. Shipment of motorcycles, equipments. Ethical approval from NSRC of Malawi, and LSHTM
ethical committee.
DATA COLLECTION: Logistics of data collection. Questionnaire design, pilot, start of data collection
ANALYSIS OF DATA: Fertility Monograph, Indepth Network Analysis of couple’s agreement and disagreement on
fertility intention in polygamous community.
Next steps:
Monitor data collection.
Carry out analysis on couple’s agreement and disagreement on fertility intention.
Carry out analysis of anthropometric failure.
Share findings with the Malawian National Science and Research Committee, Malawian Governments.
Organize 1st workshop with Nairobi partners.
Etc..