The prevelance of secondary infertility and its associated factors among women in Zambia.

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Choka, Nancy
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The University of Zambia
The experience of infertility can greatly affect the couple’s general health, marriage, family relationships, job performance and social interactions. Added to the emotional and physical toll exerted by infertility is the financial burden carried by some couples seeking treatment for their disease. Approximately, one in ten couples experience primary or secondary infertility. In Zambia very little is known about the status of secondary infertility and its associated factors. Therefore the objective of this study was to determine the prevalence of secondary infertility and its associated factors in Zambia using the nationally representative demographic 2013/14. This paper used data from 2013-14 Zambia Demographic Health Survey data and adopted a cross sectional study design. A representative sample of women who have had a child before, want another child and a have not had a child in the past five years was drawn. Descriptive analysis, binary logistic regression and Chi-square analysis were conducted to describe, test associations and establish the relationship between secondary infertility and socio-economic, demographic as well as lifestyle factors. A multivariate logistic regression analysis was further conducted to ascertain the determinants of secondary infertility. Findings from this study showed that the prevalence of secondary infertility in Zambia was 14% and the factors associated with secondary infertility were wealth index (AOR 0.47 CI: 0.223-0.975), a woman aged between 40-49 (AOR=0.46 CI: 0.208-0.856), the number of children she has had (AOR=0.55 CI 0.307-0.979), age difference between spouses (AOR=0.55 CI 0.307-0.979), living in a medium fertility belt (AOR =1.6 CI: 1.031-2.504), being HIV positive (AOR= 0.71 CI 0.578-1.042) as well as having a terminated pregnancy (1.53 CI:0.986-2.366) After adjusting for other factors (independent variables). It is evident that secondary infertility is very high in Zambia and is influenced by socio demographic factors. Infertility is not merely an individual concern, it is a public health problem such that new interventions aimed at reducing the incidence and social implications of infertility are needed
Infertility--Psychological aspects. , Infertility. , Conception. , Secondary infertility.