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Abstract

The relationship of reproductive patterns, some socio-economic factors and child survival was studied in 766 rural Somali women. A structured questionnaire was the method of data collection. Teenage marriage was the norm for the women, and divorce was very common. The mean number of live births was 5.2, and the mean number of surviving children was 3.7. 2/3 of the women aged 45+ had a parity of 6 or more, about one third had had at least one miscarriage and one fifth had experienced one stillbirth. Primary infertility was observed in 7% of the women aged 45+, while 20% were considered subfertile. Verbal autopsy showed that mortality was highest among infants and accounted for 63% of the child deaths. Major causes of death were neonatal tetanus, diarrhoea and respiratory diseases. Child survival and reproductive outcome ratios were found to be negatively related to the increasing age of the mother and parity. Divorce and widowhood were also found to be associated with low child survival.

Keywords

infertility fertility natality infant deaths survival

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References

1. Royston E, Armstrong S, Eds. Geneve: WHO, 1989.

2. Fathalla MF. The challenges of safe motherhood. In: Wallace HM , Giri K , eds. Health care of women and children in developing countries. Oakland: Third Party Publishing Company, 1990.

3. Belsey MA. The epidemiology of infertility: a review with particular reference to Sub-Saharan Africa. Bull World Health Organ, 1976, 54: 319–41

4. Persson Lå , ed. Health problems and potentials for change in rural African community. The Lamadoonka-Buulalow study. Umeå: University of Umeå, 1994.

5. Aden AS. , Bergström B. , et al. Epidemiology in the planning for primary health care. Points of departure for a transcultural research collaboration in rural Somalia. Mogadishu, Department of Community Health, Faculty of Medicine, Somali National University, 1989 (Research Report no. 8).

6. WHO. The Epidemiology of Infertility. WHO Scientific Group on the Epidemiology of Infertility. WHO Technical Report Series No. 582. Geneva, 1975.

7. Blom DHJ. Retrospective determination of a child survival ratio suited to Third World situations. In: Abelin T , ed. WHO Regional Publications, World Health Organization and The International Epidemiologic Association, 1987.

8. SWEDO, AIDOS . Female Circumcision: Strategies to bring about change. Proceedings of the International Seminar on Female Circumcision, 13–16 June 1988, Mogadishu. Italian Association for women in Deveopment (AIDOS), Rome, 1988: 49–50.

9. Dirie MA. , Lindmark G . Female circumcision in Somalia and womenss motives. Acta Obstet Gynecol Scand, 1991, 70: 581–5

10.

10. Newell C. Models in demography. London: Belhaven Press, 1988.

11.

11. Högberg U , Åkerman S . Reproductive pattern among women in 19th century Sweden. J Biosoc Sci, 1990, 22: 13–18

12.

12. Liljestrand J. Maternal morbidity in Mozambique. Uppsala: Uppsala University, 1985.

13.

13. Cantrelle P , Ferry B , Mondot J . Relationships between fertility and mortality in Tropical Africa. In: Preston SH , ed. The effects of infant and child mortality on fertility. London: Academic Press, 1978: 1812–205.

14.

14. Cantrelle P , Leridon H . Breastfeeding, mortality in childhood and fertility in a rural zone of Senegal. Pop Stud, 1971, 25: 503–33

15.

15. Blom DJH. Objective indicators of health in Western Zambia. Soc Sci Med, 1981, 15: 395–8

16.

16. Paul BK. Maternal mortality in Africa: 1980–87. Soc Sci Med, 1993, 37: 745–52

17.

17. Myntti C , Said AA , Asplan G , Al-Rubagh S . Using post-mortem interviews at the community level: An example from Yemen. Health Policy and Planning, 1991, 6: 282–90

18.

18. Margolis S , Pacque M , et al. Application of the verbal autopsy during a clinical trial. Soc Sci Med, 1990, 3: 585–91

19.

19. Suow B , Marsk K . How useful are verbal autopsies to estimate childhood causes of death. Health Policy and Planning, 1992, 7: 22–9

20.

20. UNICEF . Women and children - A situation analysis. Mogadishu, UNICEF, 1987.

21.

21. Infertility and sexually transmitted diseases: A public health challenge. Population Reports. Series L, Number 4, July 1983.

22.

22. Retel-Laurentin A . Infertility in Black Africa: diseases and social consequences. Paris: Masson, 1974.

23.

23. Henin RA. Fertility and subfertility in Eastern Africa. Papers of the 19th General conference of the International Union For The Scientific Study of Population. Liege: Ordina Editions, 1981: 667–97.

24.

24. Lantum D. Population dynamics of rural Cameroon and its public health repercussions. Yaounde, Cameroon, Public Health Unit, University Centre For Health Sciences, University of Yaounde, 1979: 314.

Fertility,Infertility and Child Survival of Somali Women

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