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This study, therefore, examined the desire for more children and its predictors among childbearing women in SSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We pooled data from 32 sub-Saharan African countries\u2019 Demographic and Health Surveys. A total of 232,784 married and cohabiting women with birth history, who had complete information on desire for more children made up the sample for the study. The outcome variable for the study was desire for more children. Multilevel logistic regression analysis was conducted. Results were presented using adjusted odds ratios (aOR), with their corresponding 95% confidence intervals (CI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall prevalence of the desire for more children was 64.95%, ranging from 34.9% in South Africa to 89.43% in Niger. Results of the individual level predictors showed that women aged 45\u201349 [AOR\u2009=\u20090.04, CI\u2009=\u20090.03\u20130.05], those with higher education [AOR\u2009=\u20090.80, CI\u2009=\u20090.74\u20130.87], those whose partners had higher education [AOR\u2009=\u20090.88; CI\u2009=\u20090.83\u20130.94], women with four or more births [AOR\u2009=\u20090.10, CI\u2009=\u20090.09\u20130.11], those who were using contraceptives [AOR\u2009=\u20090.68, CI\u2009=\u20090.66\u20130.70] and those who had four or more living children [AOR\u2009=\u20090.09 CI\u2009=\u20090.07\u20130.12] were less likely to desire for more children. On the other hand, the odds of desire for more children was high among women who considered six or more children as the ideal number of children [AOR\u2009=\u200916.74, CI\u2009=\u200916.06\u201317.45] and women who did not take decisions alone [AOR\u2009=\u20091.58, CI\u2009=\u20091.51\u20131.65]. With the contextual factors, the odds of desire for more children was high among women who lived in rural areas compared to urban areas [AOR\u2009=\u20091.07, CI\u2009=\u20091.04\u20131.13].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found relatively high prevalence of women desiring more children. The factors associated with desire for more children are age, educational level, partners\u2019 education, parity, current contraceptive use, ideal number of children, decision-making capacity, number of living children and place of residence. Specific public health interventions on fertility control and those aiming to design and\/or strengthen existing fertility programs in SSA ought to critically consider these factors.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12884-020-03470-1","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T12:05:22Z","timestamp":1607947522000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["Drivers of desire for more children among childbearing women in sub-Saharan Africa: implications for fertility control"],"prefix":"10.1186","volume":"20","author":[{"given":"Bright Opoku","family":"Ahinkorah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul-Aziz","family":"Seidu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebenezer Kwesi","family":"Armah-Ansah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Budu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward Kwabena","family":"Ameyaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebenezer","family":"Agbaglo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"issue":"1","key":"3470_CR1","first-page":"513","volume":"4","author":"S Aziz Ali","year":"2016","unstructured":"Aziz Ali S, Khuwaja N. 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Family Planning:2018:69.","DOI":"10.5772\/intechopen.72224"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-03470-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12884-020-03470-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-03470-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T02:31:58Z","timestamp":1724034718000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-020-03470-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":60,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["3470"],"URL":"https:\/\/doi.org\/10.1186\/s12884-020-03470-1","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"27 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 December 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 December 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The DHS surveys obtain ethical clearance from the Ethics Committee of ORC Macro Inc. as well as Ethics Boards of partner organisations of the various countries such the Ministries of Health. During each of the surveys, either written or verbal consent was provided by the women. This was a secondary analysis of data and, therefore, we did not need further approval for this study since the data is available in the public domain. However, we sought permission from MEASURE DHS website and access to the data was provided after our intent for the request was assessed and approved on 3rd April, 2019. Further information about the DHS data usage and ethical standards is available at.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Competing interests"}}],"article-number":"778"}}