Tim V Dubé, Annabelle Cumyn, Mariem Fourati, Martine Chamberland, Sharon Hatcher, Michel Landry
Pathways, journeys and experiences: Integrating curricular activities related to social accountability within an undergraduate medical curriculum
Medical education
lowincome nations highrisk fertility behavior prevalent public health concern ascribed unmet family planning needs child marriage weak health system result study aimed determine factors influence highrisk fertility behavior impact child stunting anemia study relied secondary data sources recent demography health surveys nine east african countries relevant data extracted kids record kr files appended final analysis 31873 motherchild pairs included final analysis mixedeffect logistic regression model fixed random effects used describe determinants highrisk fertility behavior hrfb correlation child stunting anemia according pooled study 576 95 ci 577 582 women least one highrisk fertility behavior major disparities found across countries womens residences women lived rural areas healthcare access challenges history abortion lived better socioeconomic conditions antenatal care followup likely engage highrisk fertility practices consequently young maternal age first birth 18 narrow birth intervals high birth orders hrfbs associated increased occurrences child stunting anemia study revealed magnitude highrisk fertility behavior higher east africa region finding study underscores interventions focused health education behavioral change women improvement maternal healthcare access would helpful avert risky fertility behaviors brief encouraging contraceptive utilization creating awareness birth spacing among reproductiveage women would helpful meanwhile frequent nutritional screening early intervention children born women highrisk fertility characteristics mandatory reduce burden chronic malnutrition