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. 2021 Sep 27;16(9):e0255021.
doi: 10.1371/journal.pone.0255021. eCollection 2021.

Married women's decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia

Azmeraw Ambachew Kebede  1 , Endeshaw Admasu Cherkos  2 , Eden Bishaw Taye  1 , Getachew Azeze Eriku  3 , Birhan Tsegaw Taye  4 , Wagaye Fentahun Chanie  5
Affiliations

Married women's decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia

Azmeraw Ambachew Kebede et al. PLoS One. .

Abstract

Background: Women's decision-making autonomy is very crucial for the improvement of women empowerment, and maternal, neonatal, and child healthcare utilization. As time immemorial, Ethiopian culture is largely gender stratified, and the position of women is subordinate to men in various household and health-seeking decision-making matters. However, there is a dearth of empirical evidence on women's decision-making autonomy, especially in the household and on maternal and newborn healthcare utilization. Therefore, this study assessed married women's decision-making autonomy in the household and on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia.

Methods: A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A two-stage sampling technique was used to select 730 married women. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI INFO 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women's decision-making autonomy in the household and maternal and neonatal healthcare utilization. The adjusted odds ratio with its 95% confidence interval was computed to determine the level of significance at a p-value of ≤ 0.05.

Results: A total of 730 married women were included in the analysis. Thus, three-fourths (75.1%) of women had higher decision-making autonomy on their health, neonatal health, and other socio-economic aspects. Besides, the proportion of four and above antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years old (AOR = 2.08; 95% CI: 1.19, 3.62), monthly income of > 5000 ETB (AOR = 3.1; 95% CI: 1.36, 7.07), husband involvement (AOR = 2.36; 95% CI: 1.55, 3.43), and adequate knowledge of neonatal danger signs (AOR = 2.11; 95% CI: 1.4, 3.2) were factors independently associated with women's decision-making autonomy on maternal and neonatal healthcare utilization and other socio-economic affairs.

Conclusion: Our findings show that women's decision-making autonomy in the household and maternal and neonatal healthcare utilization was optimal. Increasing household income level, promotion of husband's involvement starting from the prenatal period, and increasing women's knowledge of maternal and neonatal danger signs will have a great role in the improvement of women's decision-making autonomy.

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Conflict of interest statement

We have no conflicts of interest to disclose.

Figures

Fig 1
Fig 1. Maternal and neonatal healthcare service utilization among autonomous women in Debretabor northwest Ethiopia, 2019.
See this image and copyright information in PMC

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References

    1. Nigatu D, Gebremariam A, Abera M, Setegn T, Deribe K. Factors associated with women ‘ s autonomy regarding maternal and child health care utilization in Bale Zone: a community based cross-sectional study. BMC Womens Health. 2014;14(79). - PMC - PubMed
    1. Jahan F, Hossain S, Mahmud KF. Factors influencing women’ s decision making power: evidence from Bangladesh urban health survey data. Int J Res Appl. 2015;3(3):133–50.
    1. Pratley P. Associations between quantitative measures of women’s empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world. Soc Sci Med. 2018;169(August 2016):119–31. - PubMed
    1. Hou X, Ma N. The effect of women ‘ s decision-making power on maternal health services uptake: evidence from Pakistan. Health Policy Plan. 2013;5(April 2012):176–84. - PubMed
    1. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2019: Licence: CC BY-NC-SA 3.0 IGO.; 2017.