# Structured additive distributional hurdle Poisson modelling of individual fertility levels in Nigeria

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## Abstract

Fertility is one of the dynamic components of population and has been modelled through children ever born per woman, which is a count variable that can be characterized with excessive zeros origination from women without any births. In order to examine the spatial variation across states of Nigeria, we proposed the use of hurdle models that classifies the data into a truncated count and point mass of zeros. We adopt distributional regression model that allows all parameters of the hurdle model to be linked to covariates of different types so as to allow for accessing the spatial variations and nonlinear forms of metrical covariates on the level of fertility and in the likelihood of having no child. Data was sourced from the 2013 Nigeria Demographic and Health Survey. Findings reveal the existence of north-south divide in the average level of fertility and in the likelihood of a woman not giving birth to any child. Women with higher level of education and those from richer or richest households have higher likelihood of having no child, but this is not the case for women with primary or secondary education, users of traditional or modern contraceptive, ever-married women and those working. There is therefore the need to strengthen family planning policies so that investment in contraceptive would yield the expected results in Nigeria.

## Keywords

Fertility Distributional regression Hurdle Poisson Spatial analysis Nigeria## Background

Fertility rates in sub-Saharan African countries are still high when considered by what is obtainable in other developing countries. About 60% of the world population growth between 2017 and 2050 is projected to take place in Africa based on the observed annual growth rate of about 2.6% between 2010 and 2015. Nigeria is currently ranked the seventh most populous nation in the world and, based on the current total fertility rate of 5.5 and a rapid annual growth rate of 2.4*%*, it is projected that the country’s human population would exceed that of the USA by 2050 and thus becoming the third most populous nation in the world (United-Nation 2017). However, population growth without corresponding expansion in per capita income and social amenities is usually characterized by food insecurity, high unemployment rate, poor economic growth, increased violence, prolonged disease prevalence and poverty, as currently being witnessed in some sub-Saharan African countries. Populations policies and measures to ensure reduction in fertility levels are now being put in place in most sub-Saharan African countries including Nigeria (Bongaarts and Casterline 2013; NPC 2014).

Effective measures of reducing fertility rates must be based on appropriate identification and evaluation of the major determinants and the spatial distributions. Previous studies classified factors that determine fertility levels into background and proximate in nature (Davis and Blake 1956). Socioeconomic and demographic factors such as education, wealth index, type of residence, age of respondents and age at first marriage constitute background factors while the proximate factors feature biological and behavioural variables such as contraceptive use, postpartum amenorrhoea, postpartum abstinence, menopausal age, induced abortion, frequency of sexual intercourse and intrauterine mortality (Bongaarts et al. 1984; Bongaarts 2015).

## Introduction

Analytically, children ever born (CEB) by each woman of reproductive age have been used as proxy for modelling fertility (Becker and Lewis 1973; Kazembe 2009). Being a count variable, CEB is normally modelled through appropriate count models such as the log-linear Poisson or negative binomial model. However, due to the presence of a large proportion of women who would not have given birth to any child, the variable is often characterized with excessive zeros and sometimes over- or under-dispersion, a situation where the mean is not equal to the variance. Hence, the basic assumptions of the standard count models would be violated thereby rendering them unsuitable for consideration. Hurdle count model, which is a discrete mixture of two components, a point mass at zero and a truncated count distribution for the non-zero observations, can be considered a suitable alternative to cater for the unique property of the fertility data (Hu et al. 2011). The Poisson hurdle model assumes that the zero observations are realized through structural source and follow binary distribution, while the non-zero observations originate from sampling sources and assumed to have truncated Poisson distribution (Neelon et al. 2013).

Fertility data collected through survey are usually realized through stratified cluster sampling techniques, giving rise to similarities in fertility behaviour among women within clusters, due to shared behavioural and cultural beliefs, but substantial variations could exist between clusters due to possible differences in fertility risk exposure. This important property of the data needs to be accounted for in any modelling framework to ensure, among others, proper parameter estimation and inference. Therefore, a latent variable that could account for these unobserved covariates as random effects needs to be introduced into the modelling process (Dunson 2008). It is also possible that geographical locations are spatially formulated such that there are similarities in the fertility behaviour of individuals from locations that share common boundaries or lie within the same neighbourhood, leading to spatial autocorrelation. To investigate this, a structured spatial component needs to be introduced into the analytical model. Furthermore, a large number of categorical and metrical covariates can be available for consideration as the determinants of fertility. The categorical covariates can be reasonably assumed to have linear effects on the response variable and thus, modelled parametrically, but nonlinear smooth functions need to be assumed for the metrical covariates in order to estimate them nonparametrically, more so studies have confirmed that these variables do not always have linear relationships with demographic indicators (Cameron and Trivedi 2013; Gayawan and Adebayo 2013).

Investigations into the spatial distributions of fertility have revolved around modelling of the average fertility levels of women in Africa (Kazembe 2009; Alaba et al. 2017). However, information from other higher moments of the distribution assumed for the demographic indicator, which is not considered, could provide useful information that can assist in policy formulation. Within the concept of distributional regression (Klein et al. 2014; Rigby and Stasinopoulos 2005), it is possible to link different covariates to parameters of the response distribution beyond just the mean, as this would allow us to establish how the covariates impart on other moments of the distribution. In the case of Poisson hurdle model, one can link the available covariates to the zero-truncated and mean parameters of the model thereby allowing us to examine the likelihood of having zero birth and the average level of fertility. Further, the possibilities of extending the linear parameters of the regression model to structured additive predictors (Fahmeir et al. 2013) renders it possible to consider spatial structured and unstructured random effects, smooth functions for nonlinear effects of metrical covariates and the usual linear effects for categorical variables in a single framework. Thus, the goal of this study is to simultaneously investigate the spatial distributions, at a disaggregated level of state, of the likelihood of having no births and in the average level of fertility among women of reproductive age in Nigeria.

The rest of this article is structured as follows: the next session presents the data and statistical methodology followed by the results and discussion session. Lastly, we present some concluding remarks.

## Methods

### Data

Data for this study were obtained from the 2013 Nigeria Demographic and Health Survey (NDHS) available upon request at https://dhsprogram.com/. Nigeria is made up of 36 states and a Federal Capital Territory (FCT), Abuja. Each state is divided into Local Government Areas (LGAs) and the LGAs are subdivided into localities called enumeration areas (EAs). The EAs formed the basis on which the primary sampling units, known as clusters, were developed for the survey. A stratified triple-stage cluster design was adopted for the survey. Altogether, 904 clusters comprising of 372 in urban and 532 in rural areas were selected. The sampling frame was the list of all the non-institutional houses in each cluster. A sample comprising of 45 households was selected from each cluster and all women aged 15−49 years that resided permanently or came to visit on the night before the survey were eligible for interview. Out of the 40,320 households that were selected, 38,904 were found to be occupied. A total of 39,902 women were eligible for individual interview and 38,948 were successfully interviewed. Detailed report about the sampling scheme of the survey can be found in NPC (2014).

Descriptive statistics of children ever born and women with no children

CEB (all women) | Women with zero CEB | |||||
---|---|---|---|---|---|---|

Covariates | Respondents | Percent | Mean | SD | Respondents | Percent |

Place of residence | ||||||

Rural | 23403 | 60.1 | 3.44 | 3.14 | 5730 | 49.8 |

Urban | 15545 | 39.9 | 2.50 | 2.75 | 5767 | 50.2 |

Education level | ||||||

No education | 13740 | 35.3 | 4.42 | 3.25 | 1788 | 15.6 |

Primary | 7104 | 18.2 | 3.93 | 2.91 | 1151 | 10.0 |

Secondary | 14407 | 37.0 | 1.69 | 2.22 | 6932 | 60.3 |

Higher | 3697 | 9.5 | 1.70 | 2.06 | 1626 | 14.1 |

Wealth index | ||||||

Poorest | 6602 | 17.0 | 4.33 | 3.40 | 1059 | 9.2 |

Poorer | 7515 | 19.3 | 3.64 | 3.19 | 1679 | 14.6 |

Middle | 8001 | 20.5 | 3.07 | 3.01 | 2413 | 21.0 |

Richer | 8450 | 21.7 | 2.62 | 2.76 | 2952 | 25.7 |

Richest | 8380 | 21.5 | 1.99 | 2.27 | 3394 | 29.5 |

Use of contraceptives | ||||||

Ever used | 9420 | 24.2 | 3.07 | 2.61 | 2204 | 19.2 |

Never used | 29528 | 75.8 | 3.06 | 3.15 | 9293 | 80.8 |

Contraceptives by method | ||||||

No method | 32723 | 84.0 | 3.09 | 3.10 | 9773 | 85.0 |

Traditional | 1799 | 4.6 | 3.35 | 2.54 | 320 | 2.8 |

Modern | 4426 | 11.4 | 2.79 | 2.66 | 1404 | 12.2 |

Marriage status | ||||||

Never married | 9820 | 25.2 | 0.10 | 0.42 | 9076 | 78.9 |

Currently married | 27274 | 70.0 | 4.07 | 2.88 | 2287 | 19.9 |

Formerly married | 1854 | 4.8 | 4.02 | 2.69 | 134 | 1.2 |

Employment status | ||||||

Not employed | 14942 | 38.4 | 1.91 | 2.73 | 7423 | 64.6 |

Employed | 24006 | 61.6 | 3.78 | 2.98 | 4074 | 35.4 |

### Hurdle Poisson model

*y*is the response variable indicating CEB in this case,

*π*is the probability for the binary component that indicates whether or not the CEB for a particular woman is zero and

*λ*is the mean CEB. The model is therefore a discrete mixture of two components that comprise of a point mass at zero and a truncated Poisson distribution for the non-zero observations. Each of the two components can be expressed as follows:

where *Y*_{i} denotes the response for woman *i*, *i*=1,⋯,38,948. The mean and variance are given as \(E(Y_{i})=\frac {(1-\pi)\lambda }{1-e^{-\lambda }}\) and \(\text {Var}(Y_{i})=\frac {(1-\pi)\lambda }{1-e^{-\lambda }}+ \frac {\lambda ^{2}(1-\pi)(\pi -e^{-\lambda })}{1-e^{-\lambda ^{2}}}\), 0<*π*<1 and *λ*>0, respectively.

Given that *π* is the probability of zero-CEB, whenever (1−*π*)>*e*^{(−λ)}, the data set is said to be zero-inflated with respect to a standard Poisson distribution, but if (1−*π*)<*e*^{(−λ)}, then we have a zero-deflated issue. It is said to be equi-dispersed if (1−*π*)=*e*^{(−λ)} (Hu et al. 2011; Neelon et al. 2013). In situations where *π*=1, it signifies that every woman had zero-CEB, resulting to a point mass distribution, but when *π*=0, every woman in the system is fertile, and the hurdle model reduces to a truncated Poisson distribution.

*y*

_{i}, CEB, a generic vector of covariates of different types,

**v**_{i},

*i*=1,…,

*n*has been made available. In structured additive distributional regression, each parameter of the response distribution

*𝜗*

_{l}where

*𝜗*

_{1}=

*π*and

*𝜗*

_{2}=

*λ*in the case of the hurdle Poisson is related to a semiparametric predictor \(\eta _{i}^{\vartheta _{l}}\) defined in terms of the vector of covariates

**v**_{i}. A suitable response function is used to map the predictor to the parameter of interest, \(\vartheta _{il}=h^{\vartheta _{l}}(\eta _{i}^{\vartheta _{l}})\). The superscript entails that the

*l*

^{th}parameters or functions of parameters of the distribution of the response variable, rather than just the mean, are linked to covariates. For the observation

*i*=1,…

*n*, a suitable structured additive predictor for the

*l*

^{th}parameter

*𝜗*

_{l}is given as follows:

where *z*_{ij} is the *j*^{th} metrical covariates such as the woman’s age and years of marriage and \(f_{j}^{\vartheta _{l}}\) is a smooth function assumed for the covariate; \(x^{\prime }_{i}\) is a vector of categorical covariates such as the woman’s education and contraceptive use and *β* is a vector of regression coefficients; \(f_{s}^{\vartheta _{l}}(s)\) is the spatial effect for state *s* where the woman resides, and \(u_{i}^{\vartheta _{l}}\) accounts for unstructured random effects at cluster level.

The Bayesian method is the natural choice for estimation models of this nature. This is due to the capability of the technique to analyse complex statistical models with the aid of the computer-based Markov chain Monte Carlo (MCMC) technique. It assumes all parameters to be random variables upon which suitable prior distributions are assigned.

*f*

_{j}as a linear combination of B-splines (basis splines)

*B*

_{g}(

*z*) are B-spline basis functions that are constructed from piecewise polynomials of a certain degree upon an equidistant grid of knots and the coefficients

*α*

_{g}are further defined to follow a random walk of certain order. Relying on findings from previous studies (Brezger and Lang 2006; Lang and Brezger 2004), cubic splines, 20 equidistance knots and second order random walk, i.e

*α*

_{g}=2

*α*

_{g−1}−

*α*

_{g−2}+

*ε*

_{g}with identically distributed noise \(\epsilon _{g} \sim N(0,\tau ^{2}_{\epsilon _{g}})\) have been considered appropriate. For the random effect component of the model, an exchangeable normal prior was considered

where *N*_{s}=∣*Δ*_{s}∣ is the number of neighbouring states of *s* and *r*∈*Δ*_{s} denotes that the state *r* is a neighbour to the state *s* and \(\tau _{d}^{2}\) is a spatial variance that controls for smoothness. For all the smoothing variances, inverse gamma hyperprior, e.g. \(\tau _{d}^{2} \sim IG(a, b)\) are assigned in order to obtain data-driven amount of smoothness. Possible choices for the hyperparameters are *a*=*b*=0.001 or *a*=1 and *b*=0.005. In this study, we performed sensitivity analysis by varying the choice of the hyperprior, but the results turn out to have only minimal differences. Results reported are for *a*=*b*=0.001.

The complex nature of the likelihood functions of non-standard distributions utilized in distributional regression often lead to full conditionals for the unknown regression coefficients that are not analytically tractable. Thus, (Klein et al. 2014) developed a generic Metropolis-Hastings algorithm based on iteratively weighted least squares (IWLS) approximations for sampling from the full conditionals.

where \(\bar {D(\theta)}\) is the posterior mean of the deviance and *pD* is the effective number of parameters, which is similar but not equal to degrees of freedom. Small values of \(\bar {D(\theta)}\) indicate a good fit while small values of *pD* indicate a parsimonious model, but small values of DIC imply a better model.

## Results

Values of the deviance information criterion (DIC)

Model | Description | | | DIC |
---|---|---|---|---|

M1 | Linear effects | 116,109.3 | 53.262 | 116,211.8 |

M2 | Nonlinear + linear effects | 109,782.3 | 91.677 | 109,965.7 |

M3 | Nonlinear effects + linear + spatial effects | 107,736.6 | 635.35 | 109,007.3 |

Posterior summaries for hurdle Poisson modelling of the number of CEB per woman at 95% credible interval

Truncated-Poisson component: number of CEB per woman | Bernoulli component: probability of zero-CEB per woman | |||||
---|---|---|---|---|---|---|

Covariates | Mean | SD | 95% CI | Mean | SD | 95% CI |

Constant | 0.935 | 0.422 | 0.167, 1.818 | 0.183 | 1.777 | - 0.533, 2.384 |

Place of residence | ||||||

Rural | 0.000 | |||||

Urban | - 0.001 | 0.010 | - 0.020, 0.020 | 0.010 | 0.075 | - 0.164, 0.137 |

Education level | ||||||

No education | 0.000 | |||||

Primary | - 0.001 | 0.009 | - 0.017, 0.019 | - 0.450 | 0.091 | - 0.627, - 0.263 |

Secondary | - 0.077 | 0.012 | - 0.100, - 0.055 | - 0.296 | 0.092 | - 0.475, - 0.121 |

Higher | - 0.208 | 0.018 | - 0.244, - 0.172 | 0.315 | 0.116 | 0.091, 0.540 |

Wealth index | ||||||

Poorest | 0.000 | |||||

Poorer | 0.004 | 0.009 | - 0.014, 0.022 | 0.151 | 0.086 | - 0.012, 0.323 |

Middle | - 0.003 | 0.012 | - 0.025, 0.020 | 0.134 | 0.097 | - 0.063, 0.316 |

Richer | - 0.040 | 0.013 | - 0.066, - 0.014 | 0.389 | 0.110 | 0.166, 0.593 |

Richest | - 0.131 | 0.017 | - 0.163, - 0.098 | 0.691 | 0.121 | 0.455, 0.921 |

Contraceptives by method | ||||||

No method | 0.000 | |||||

Traditional | 0.101 | 0.015 | 0.073, 0.132 | - 0.728 | 0.118 | - 0.953, - 0.489 |

Modern | 0.087 | 0.011 | 0.066, 0.109 | - 0.511 | 0.080 | - 0.663, - 0.353 |

Marriage status | ||||||

Never married | 0.000 | |||||

Currently married | 0.050 | 0.398 | - 0.798, 0.780 | - 3.527 | 0.786 | - 4.683, - 1.609 |

Formerly married | - 0.149 | 0.398 | - 0.991, 0.596 | - 2.635 | 0.788 | - 3.811, - 0.737 |

Working status | ||||||

No | 0.000 | |||||

Yes | 0.023 | 0.008 | 0.008, 0.037 | - 0.179 | 0.051 | - 0.277, - 0.080 |

Random effects: variance component | ||||||

State (unstructured) | 0.011 | 0.005 | 0.004, 0.021 | 0.459 | 0.168 | 0.202, 0.845 |

State (structured) | 0.002 | 0.001 | 0.000, 0.005 | 0.015 | 0.020 | 0.001, 0.070 |

Community effects | 0.003 | 0.001 | 0.002, 0.004 | 0.214 | 0.036 | 0.146, 0.292 |

Results for the Bernoulli component show that the likelihood of having no child is significantly higher among women who attained higher level of education and those in the richer or richest wealth index. However, the likelihood of having no child is significantly lower among women with primary or secondary education, those currently using traditional or modern contraceptives and currently working women when compared with their other colleagues in their respective reference categories. The random components show higher estimates with wider credible intervals in the case of the Bernoulli component when compared with the truncated Poisson part. The community (cluster) random effect was 0.003 (CI 0.002,0.005) and 0.036 (CI 0.146,0.286) for the truncated Poisson and Bernoulli components, respectively, and 0.002 (CI 0.000,0.005) and 0.015 (CI 0.001,0.071), respectively, for the structured spatial effect.

## Discussion

This study proposes the adoption of structured additive hurdle models for analysis of fertility data represented by CEB, which are often characterized by excessive zeros emanating from the structure of the data. The model formulation builds on existing methodological considerations in the analysis of the important demographic variable by simultaneously considering the non-zero part through a truncated Poisson model and then a zero point mass component through a Bernoulli distribution, thus allowing for the examination of available covariates on the two components. The choice method also allows for assessing the impart of different types of covariates both at individual and area levels, on the two parts of the fertility data. Results from the spatial components reveal some striking variations, indicating north-south divide, in fertility behaviour among the different states of Nigeria.

The interesting residual geographical differentials observed from the spatial effects, which persist after accounting for observed covariates, are surrogate of other unobserved factors which have exact strong spatial influence on fertility behaviour in Nigeria. For instance, the high fertility sustaining norms in parts of the country could be a major force. These could include some cultural and ethnic norms that inhibit women from implementing their desires for fewer number of children due to the regimental control of women by men in most northern states, a behaviour that is not rampart in other parts of the country (Health Communication 2015). Studies have equally reported that women in most northern Nigerian states deliberately give birth to many children to discourage their partners’ tendency to divorce or to engage in plural marriage (Izugbara and Ezeh 2010). Insecurity and the huge disproportional level of poverty being experienced in Nigeria can also be a major driving force for the high differentials in the level of fertility across the country (Mbacké 2017). Further, the unequal distribution of reproductive health and family planning services across various locations within the country could as well breed lopsided fertility behaviour. In the northern states where CEB are observed to be high, there have been reported cases of strong resistance to family planning services. The prevalence of modern contraceptive use was estimated to be 3.2 and 4.3 for the states in North East and North West, respectively, as against 29.3 and 38 for South East and South West states, respectively (NPC 2014).

A number of findings from the other covariates considered in the study can as well be elaborated. Educated women are found to have fewer numbers of children and were more likely to have no children when compared with women with lesser or no education. This has similarly been observed in previous studies and could be attributed to the fact that women, in pursuit of educational achievements, focus more on their career than producing offspring (Alaba et al. 2017; Kravdal 2002; Becker and Lewis 1973; Olopha and Aladeniyi 2015). Education has been identified as a vital determinant of fertility with several causal relationships from a theoretical point of view (Leone 2004). The pathway through which it affects fertility include delayed marriage and first birth (Gayawan and Adebayo 2013; 2014), increase bargaining power with husband, low regard for high fertility sustaining norms and appropriate use of contraceptives (Adebayo et al. 2013). These attributes can also hold true for women in the high wealth quantile. The findings therefore further strengthens the calls for encouraging girl child education up to at least secondary level as this could have multiplying effects not only on fertility but also on other maternal health outcomes.

Contraceptive use should normally be seen to reduce fertility levels, but this study found the users to have higher number of children. Though there are evidence of wide spread knowledge of family planning methods in Nigeria, the knowledge has not been translated to appropriate usage (Otoide et al. 2001). Family planning services are still regarded as exclusive for married women but sexually active unmarried women turn out to be the major users of modern contraceptive in the country. These women use it to differ pregnancy until later in the future (Abiodun and Balogun 2009; Tsui et al. 2017). The majority of the married women who use contraceptives in sub-Saharan Africa do so to space their children rather than for limiting (Westoff and Koffman 2010). Until this pattern of usage is changed in the country, the target of reducing fertility levels through contraceptive use would be difficult to achieve. Our findings further show working women to have higher number of children than the non-working ones. This is similar to findings in Malawi by Kazembe (2009). Participation in labour force ought to be an opportunity cost to childbearing because of the possible incompatibility between child rearing and formal work setting, but African women do not seem to be seeing participation in labour market as a threat to childbearing. There are also evidence that demonstrate that rising wage of skilled workers sometimes leads to rise in fertility of such workers (Day 2016). Moreover, the fact that the survey whose data was used considers women who practise subsistence farming as working women could however be a reason for our findings because these women pay high premium on children due to the perceived assistance they derived on their farms.

Marriage is supposed to be the estimated period of regular sexual relationship, but due to adolescent fertility transformation in Africa that see considerable proportion of fertility taking place outside marriage (Orubuloye et al. 1991; Smith-Greenaway 2016); increase in de-facto polygamy, modernized and dynamic nature of legalizing union, marriage institution had been reduced to a mere event instead of a life process, thus making it difficult to define when marriage has actually been consummated (Bledsoe 1990; Bledsoe and Cohen 1993). Premarital childbearing has become rampart not only in Nigeria but in other sub-Saharan African countries and there are signs that this may become increasingly due to rise in women’s age at first marriage (Smith-Greenaway 2016). These factors could account for the non-significant estimates obtained for marital status based on the average number of children. Our findings on zero birth which reveal significantly less likelihood among the ever-married women is expected because childbearing expectations for married women in all parts of Nigeria remains high and thus women are expected to begin having children moments after they have been married (Solanke 2015).

Using Bayesian smooth functions to estimate the relation between CEB and metrical covariates has rendered it possible to observe the form of relationships among these variables and how they vary as time evolve. For instance, women who marry early and those who have spent longer periods in marriage would have elongated coital frequency which would enhance their number of CEB in the face of low contraceptive use as evident from Figs. 3 a, b and 4 a, b. Also, CEB increases proportionally with age while the likelihood of zero-CEB reduce. This is due to the early childbearing as well as sustained childbearing within much of the reproductive life span (Caldwell et al. 1992). These are evidence of marked difference between the fertility behaviour of Nigeria and some developed countries, where fertility levels are only higher among younger women or largely confined with marriage (Caldwell et al. 1992; Bongaarts and Casterline 2013). Findings from the plots of random effects estimated at community levels are indications that cultural and socioeconomic factors of neighbouring geographical locations influence their collective behaviour such that whenever fertility transition begins within a location, neighbouring communities sharing similar language or culture adjust to the new fertility pattern, which could be a reason for the approximately normal distribution observed from the plots in Fig. 5 (Kazembe 2009; Bongaarts 2017).

It is worthy of pointing out that the least spatial unit that was considered in this research is the state of residence, which is naturally composed of many geographical compartments. Consequently, within state variability in fertility can be expected, and thus, an analysis that considers smaller units might be desirable. Hence, further study should go into examining the spatial variation using a continuous spatial approach that utilizes point reference spatial data that are capable to identifying the exact locations where data were collected. This would unravel the spatial variations at more subdivided geographical entity rather than area level analysis. Also, since fertility is a dynamic component of population (NPC 2014), there is a need to include time scales as part of covariates for further study.

## Conclusion

Spatial modelling remains an appropriate approach that presents easy to understand and to measure demographic variables among women across different geographical locations. This may be intractable with other quantitative and qualitative data analysis. Findings from the present study suggest the need for contextual area effects and individual-level factors in tackling the high fertility levels in Nigeria. The maps generated from the study and results of the covariates could be useful to policymakers in further designing evidence-based strategy for cutting down the levels of fertility at various locations in the country. The modelling approach that saw the simultaneous consideration levels of CEB through a truncated Poisson component and possibility of having zero child via a point mass of zero can also be extended to other research situations where the data suffers from excessive zero and over-dispersion in which case a truncated negative binomial model would replace the Poisson component.

## Notes

### Acknowledgments

The authors’ appreciation goes to the DHS Program that granted access to use the data analysed in the study.

### Authors’ contributions

EG conceived the idea. OS collated the data. EG and OS participated in data analysis and report writing. Both authors read and approved the final manuscript.

### Funding

The research did not benefit from any funding source.

### Competing interests

The authors declare that they have no competing interests.

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