High-Risk Advanced Maternal Age and High Parity Pregnancy: Tackling a Neglected Need Through Formative Research and Action

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A woman in West Africa with her 6 children. High parity pregnancies can lead to complications including anemia in the mother, postpartum hemorrhage, and fetal malpresentation. © 2014 Dieneba Ouedraogo.

TABLE 1.

Key Indicators for Niger and Togo

	Niger	Togo
Urban population (% of population living in urban areas)	18%	40%
Polygamy (% of married women in polygamous marriage)	36%	32%
Total fertility rate	7.6	4.8
Urban	5.6	3.7
Rural	8.1	5.7
Ideal number of children (among women)	9.2	4.3
Urban	7.4	3.6
Rural	9.6	4.9
Advanced maternal age (% of all women 35–49 who had a child at 35 years or older)	60%	46%
High parity (% of all women who had 5 or more births)	43%	22%

Source: Enquête Démographique et de Santé et à Indicateurs Multiples du Niger 2012¹³; Enquête Démographique et de Santé au Togo 2013–2014.¹⁵

TABLE 2.

Number of Participants (and Groups) by Qualitative Research Method and Location

TABLE 3.

Healthy Timing and Spacing of Pregnancies I-Kit Elements Implemented by Pilot Partner Organizations and Time Period of Each Pilot

MSI-Niger July to October 2016	ATBEF September 2016 to March 2017
Implementation manual for program managers	Implementation manual for program managers
Client brochure for more conservative audiences	Client brochure for less conservative audiences
Counseling and assessment guide for providers	Counseling and assessment guide for providers
Counseling and assessment guide for community health workers	Counseling and assessment guide for community health workers
Reminder poster for facility-based providers	Reminder poster for facility-based providers
Journalist guide	Infographics for policy and decision makers