Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-25T06:20:26.927Z Has data issue: false hasContentIssue false
  • English
  • Français

Estimating Post-Emergency Fertility Among Disaster-Affected Adolescents: Findings From a Case-Control Study in Aceh Province, Indonesia

Published online by Cambridge University Press:  22 September 2015

Mari Kinoshita ,
Suhardan Suhardan ,
Damsyik Danila Danila ,
Chifa Chiang  and
Atsuko Aoyama
Mari Kinoshita*
Affiliation:
AIDS Clinical Center, National Center for Global Health and Medicine, Tokyo, Japan
Suhardan Suhardan
Affiliation:
Ujong Fatihah Hospital, Nagan Raya District, Aceh Province, Indonesia
Damsyik Danila Danila
Affiliation:
Regional Family Planning and Population Board of Ogan Ilir Regency, Indralaya, South Sumatera, Indonesia
Chifa Chiang
Affiliation:
Nagoya University Graduate School of Medicine, Department of Public Health and Health Systems, Nagoya, Japan.
Atsuko Aoyama
Affiliation:
Nagoya University Graduate School of Medicine, Department of Public Health and Health Systems, Nagoya, Japan.
*
Correspondence and reprint requests to Mari Kinoshita, RN, PHN, MPH, AIDS Clinical Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan, 162-8655 (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

We aimed to retrospectively estimate adolescent fertility rates before and after a large-scale natural disaster.

Methods

A case-control study was conducted in Aceh Province, Indonesia, 2 years after the Indian Ocean tsunami in 2004. The age-specific fertility rates of 15–19-year-old-women (ASFR 15–19) was estimated each year from 2004 to 2006 by creating hypothetical age cohorts. The results were compared with data from the closest edition of the Indonesian Demographic Health Survey (IDHS).

Results

The pre-disaster ASFR 15–19 (4.4% in 2004) was not significantly different from the 2002–2003 IDHS data (P=0.49), whereas the post-disaster ASFR 15–19 (1.1% in 2005–2006) was significantly lower than the provincial estimation in the 2007 IDHS (P<0.01). ASFR 15–19 was reduced by 76% in the post-disaster period compared with the pre-disaster period (rate ratio: 0.24, P=0.02).

Conclusions

The creation of hypothetical age cohorts enabled valid and useful estimation of the ASFR in disaster-affected areas where reliable vital statistics are not available. For pre-disaster fertility estimation, however, we suggest excluding data from the 40-week period preceding the disaster, because the data may be biased by excess mortality in childbearing mothers and newborn babies in the disaster. (Disaster Med Public Health Preparedness. 2016;10:80–86)

Keywords

pre/post-disasteradolescent fertilitysurvivor effect
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Issue 1 , February 2016 , pp. 80 - 86
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Menacker, F, Martin, JA, MacDorman, MF, et al. Birth to 10-14 year-old mothers, 1990-2002: Trends and health outcomes. PHS 2005-1120. Natl Vital Stat Rep. 2004;53(7):19.Google Scholar
2. Wellings, K, Wadsworth, J, Johnson, A, et al. Teenage fertility and life chances. Rev Reprod. 1999;4(3):184-190.Google Scholar
3. United Nations Children’s Fund. Early Marriage Child Spouses. Innocenti Digest No. 7. Florence, Italy: Innocenti Research Centre; 2001.Google Scholar
4. McGinn, T. Reproductive health of war-affected populations: what do we know? Int Fam Plan Perspect. 2000;26(4):174-180.Google Scholar
5. United Nations Population Fund. Reproductive health for communities in crisis. In: The State of World Population 2004. New York, NY: United Nations Population Fund; 2004:81-85.Google Scholar
6. WHO, UNFPA, UNHCR. Reproductive Health of Young People. In: Reproductive Health in Refugee Situations. An Interagency Manual. New York, NY: United Nations High Commissioner for Refugees; 1999:89-94.Google Scholar
7. Rehn, E, Sirleaf, EJ. Women, War and Peace: The Independent Experts’ Assessment of the Impact of Armed Conflict on Women and Women’s Role in Peace-building. New York, NY: United Nations Development Fund for Women; 2002.Google Scholar
8. Chynoweth, SK. The need for priority reproductive health services for displaced Iraqi women and girls. Reprod Health Matters. 2008;16(31):93-102.Google Scholar
9. Hynes, M, Sheik, M, Wilson, HG, et al. Reproductive health indicators and outcomes among refugee and internally displaced persons in postemergency phase camps. JAMA. 2002;288(5):595-603.CrossRefGoogle ScholarPubMed
10. Badan Pusat Statistik. Berapa Indikator Penting Sosial-Ekonomi Indonesia Edisi Juli 2006 (Selected Indicators Social-Economic Indonesia, July 2006 Edition) [in Bahasa Indonesia]. Jakarta: Badan Pusat Statistik; 2006.Google Scholar
11. Shie, TR. Indonesia’s Aceh conflict in perspective, security considerations for tsunami relief and U.S.-Indonesia relations. Institute for National Strategic Studies Background Paper. Washington, DC: National Defense University; 2005.Google Scholar
12. Cohen, D, Nababan, A, Widjaya, A. Indonesia. In: After the Tsunami: Human Rights of Vulnerable Populations. Berkeley, CA: Human Rights Center, University of California, Berkeley; 2005:27-42.Google Scholar
13. BPS, UNFPA, CIDA, AusAID, NZaid. Dissemination of Population Census Data of Nanggroe Aceh Darussalam and Nias 2005. http://www.bps.go.id/. Badan Pusat Statistik. Published November 29 2005.Google Scholar
14. United Nations Children’s Fund. Early Marriage: A Harmful Traditional Practice, 2005, A Statistical Exploration. New York, NY: United Nations Children’s Fund; 2005.Google Scholar
15. Statistics Indonesia, National Family Planning Coordination Board, Ministry of Health. Indonesia Demographic Health Survey Final Report 2002-2003. Jakarta, Indonesia: ORC Macro; 2003.Google Scholar
16. Utomo, ID. Adolescent and Youth Reproductive Health in Indonesia: Status, Issues, Policies and Programs. POLICY Project. http://www.policyproject.com/byTopic.cfm/ARH. Published 2003. Accessed August 31, 2015.Google Scholar
17. Kanwil BKKBN, IPADUI Propinsi Daerah Istimewa Aceh. Peningkatan Oendgetahuan Remaja Terhadap Kesehatan Peroduksi Remaja Di Lingkungan Siswa SMU (Reproductive Health Knowledge among Senior High School Student in Aceh) [in Bahasa Indonesia]. Banda Aceh, Indonesia: BKKBN; 2001.Google Scholar
18. Simon, S, Paxton, SJ. Sexual risk attitudes and behaviors among young adult Indonesians. Cult Health Sex. 2004;6(5):393-409.CrossRefGoogle Scholar
19. Statistics Indonesia, National Family Planning Coordination Board, Ministry of Health. Indonesia Demographic Health Survey Final Report 2007. Jakarta, Indonesia: ORC Macro; 2008.Google Scholar
20. Aceh Province. University of Washington website. http://courses.washington.edu/larescue/aceh6.htm. Accessed February 21, 2015.Google Scholar
21. Doocy, S, Rofi, A, Moodie, C, et al. Tsunami mortality in Aceh Province, Indonesia. Bull World Health Organ. 2007;85:273-278.Google Scholar
22. Nobuyuki, N, Tomoko, A, Dehiwala, GM, et al. Who died as a result of the tsunami? Risk factors of mortality among internally displaced persons in Sri Lanka: a retrospective cohort analysis. BMC Public Health. 2006;6:73. http://www.biomedcentral.com/1471-2458/6/73/.Google Scholar
23. United Nations Information Management Service, Badan Rehabilitasi dan Rekonstruksi (BRR, Rehabilitation and Reconstruction Agency). Tsunami Recovery Status Report. Office of the UN Recovery Coordinator for Aceh and Nias, Aceh. http://reliefweb.int/sites/reliefweb.int/files/resources/84D4D7659153EE79492570D800203196-unorc-idn-6dec.pdf. Published December 8, 2005. Accessed August 31, 2015.Google Scholar
24. Fitzpatrick, D. Housing for the landless: resettlement in Tsunami-affected Aceh, Indonesia. Aceh Working Paper No. 1. Singapore: Asia Research Institute; 2007.Google Scholar
25. Inter-agency rapid health assessment. End of mission report, from the offshore platform-USS Abraham Lincoln. World Health Organization website. http://www.who.int/hac/crises/international/asia_tsunami/final_report/en/. Publislhed January 13-19, 2005. Accessed February 28, 2015.Google Scholar
26. Human Rights Watch. Country summary: Indonesia. New York: Human Rights Watch; 2006.Google Scholar
27. Agadjanian, V, Prata, N. War, peace, and fertility in Angola. Demography. 2002;39:215-231.Google Scholar
28. Blanc, AK. The role of conflict in the rapid fertility decline in Eritrea and prospects for the future. Stud Fam Plann. 2004;35:236-245.CrossRefGoogle ScholarPubMed
29. Lindstrom, DP, Berhanu, B. The impact of war, famine, and economic decline on marital fertility in Ethiopia. Demography. 1999;36:247-261.Google Scholar
30. News from Asia Watch. Indonesia: human rights abuses in Aceh. Human Rights Watch website. http://www.hrw.org/reports/pdfs/i/indonesa/indonesi90d.pdf. Published December 27, 1990. Accessed August 31, 2015.Google Scholar