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Year : 2018  |  Volume : 6  |  Issue : 2  |  Page : 228-231

Factors associated with higher fertility in South India: Evidence from district-level household survey 4

Department of Pediatrics, Safdarjung Hospital, New Delhi, India

Correspondence Address:
Dr. Manas Pratim Roy
Department of Pediatrics, Safdarjung Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/amhs.amhs_95_18

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Background: As we aim to embark on a world free of preventable deaths in maternal health, the importance of regulating fertility claims more attention. In India, a country with low resources, this approach is crucial in facing the challenge amid population burst. Chasing the same aim, the country is yet to register targeted total fertility rate of 2.1 at some of its pockets. Aim: This study, analyzing data from District-Level Household Survey 4, tried to assess the association between high birth order (HBO, defined as birth order three or more among women aged between 15 and 49 years) and major sociodemographic factors in South India. Materials and Methods: District was the unit for analysis. From South India, 98 districts were considered. Correlation coefficient was determined to know the association between HBO and six variables: marriage <18 years, married illiterate women, use of modern contraceptives, pregnant women who had three or more antenatal care visits, consumption of 100 or more iron tablets/syrup equivalent, and institutional delivery (ID). Scatter plot was used to show the effect of demographic variables on HBO. Results: Proportion of marriage <18 years (r = 0.671) and proportion of illiterate married women (r = 0.400) were two the factors positively associated with HBO, whereas use of modern contraceptives, consumption of 100 or more iron tablets/syrup equivalent, and percentage of ID had a significant negative association. Conclusion: As evident, HBO is not only related to illiteracy and use of contraceptives but also related with consumption of iron folic acids, age at marriage, and ID. For effective control of population burden, the target for policymakers should be on education, antenatal services, and ID.

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