Linkages between autonomy, poverty and contraceptive use in two sub-Saharan African countries

Bamiwuye, Samson Olusina; Wet, Nicole De; Adedini, Sunday A.

doi:10.11564/27-2-438

Cited by 27 publications

(32 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some limitations of this study should be mentioned, however. First, poverty has been found to be one of the pivotal determinants of contraceptive use [62]. It would have been better to include the average household income in the regression analysis.…”

Section: Resultsmentioning

confidence: 99%

Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

2020

View full text Add to dashboard Cite

This study advances current knowledge on contraceptive use in Bangladesh by providing new insights into the extent of regional variations in contraceptive use across rural and urban areas of Bangladesh. We examined the regional variations in contraceptive use among 15,699 currently married women ages 15-49 years using data from the 2014 Bangladesh Demographic and Health Survey (BDHS). Multivariate logistic regression models of contraceptive use were calibrated with sociodemographic attributes and cultural factors. Based on the aggregate sample (i.e., rural and urban combined), we found significant regional variations in contraceptive use across the administrative divisions in Bangladesh. Based on a disaggregate sample (i.e., rural and urban separately), we found that there were significant differences in divisional variations in contraceptive use in rural areas. In contrast, no significant variation in contraceptive use across divisions in urban areas of Bangladesh was found. More specifically, among women living in rural areas, the Rajshahi and Rangpur divisions had higher odds of contraceptive use than the Barisal division, whereas the Chittagong and Sylhet divisions had much lower odds of contraceptive use even after adjusting for selected sociodemographic attributes and cultural factors. A separate analysis of the divisional variations in usage of modern methods of contraception also revealed similar findings with only one exception. Findings of this study provide an evidence-based direction for adapting a pragmatic approach to reducing the divisional disparity of contraceptive use in rural areas of Bangladesh.

show abstract

Section: Resultsmentioning

confidence: 99%

Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

2020

View full text Add to dashboard Cite

show abstract

“…A response of 0 in all 6 questions and 1 in 1–2 questions was less autonomy; response of 1 in 3–4 questions was more autonomy, and a response of 1 in 5–6 questions was much autonomy. Women’s participation in household decision-making, her health care, mobility, and ownership of land among others have been used in many previous studies as measures of women’s autonomy [ 34 – 36 ].…”

Section: Methodsmentioning

confidence: 99%

Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria

Okonofua

Ntoimo

Ogungbangbe³

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundAlthough Primary Health Care (PHC) was designed to provide universal access to skilled pregnancy care for the prevention of maternal deaths, very little is known of the factors that predict the use of PHC for skilled maternity care in rural parts of Nigeria - where its use is likely to have a greater positive impact on maternal health care. The objective of this study was to identify the factors that lead pregnant women to use or not use existing primary health care facilities for antenatal and delivery care.MethodsThe study was a cross-sectional community-based study conducted in Esan South East and Etsako East LGAs of Edo State, Nigeria. A total of 1408 randomly selected women of reproductive age were interviewed in their households using a pre-tested structured questionnaire. The data were analyzed with descriptive and multivariate statistical methods.ResultsThe results showed antenatal care attendance rate by currently pregnant women of 62.1%, and a skilled delivery of 46.6% by recently delivered women at PHCs, while 25% of women delivered at home or with traditional birth attendants. Reasons for use and non-use of PHCs for antenatal and delivery care given by women were related to perceptions about long distances to PHCs, high costs of services and poor quality of PHC service delivery. Chi-square test of association revealed that level of education and marital status were significantly related to use of PHCs for antenatal care. The results of logistic regression for delivery care showed that women with primary (OR 3.10, CI 1.16–8.28) and secondary (OR 2.37, CI 1.19–4.71) levels education were more likely to receive delivery care in PHCs than the highly educated. Being a Muslim (OR 1.56, CI 1.00–2.42), having a partner who is employed in Estako East (OR 2.78, CI 1.04–7.44) and having more than five children in Esan South East (OR 2.00, CI 1.19–3.35) significantly increased the odds of delivery in PHCs. The likelihood of using a PHC facility was less for women who had more autonomy (OR 0.75, CI 0.57–0.99) as compared to women with higher autonomy.ConclusionWe conclude that efforts devoted to addressing the limiting factors (distance, costs and quality of care) using creative and innovative approaches will increase the utilization of skilled pregnancy care in PHCs and reduce maternal mortality in rural Nigeria.

show abstract

“…While the traditional DHS composite measure of decision making was not statistically significant in the bivariate analyses in the present study, women's healthcare decision-making was. Given its importance in women's health and empowerment, and its previous demonstrated links to autonomy [63][64][65], it was included in the present study and was a significant predictor of quality ANC. This further supports the literature demonstrating the importance of women's empowerment and autonomy over her healthcare in promoting positive health outcomes.…”

Section: Decision-makingmentioning

confidence: 99%

Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea

Merrell

Blackstone

2020

IJERPH

View full text Add to dashboard Cite

Improving maternal outcomes and reducing pregnancy morbidity and mortality are critical public health goals. The provision of quality antenatal care (ANC) is one method of doing so. Increasing women’s empowerment is associated with positive women’s health outcomes, including the adequate timing and amount of ANC use. However, little is known about the relationship between women’s empowerment and quality ANC care. Despite a history of political instability, low women’s equality and poor maternal health, the Republic of Guinea has committed to improving the status of women and access to health. However, the 2014 Ebola outbreak may have had a negative impact on achieving these goals. This study sought to examine factors in the relationship between women’s empowerment and the receipt of quality ANC (indicated by the number of health components) within the context of the Ebola outbreak. This study conducted multiple logistic regressions examining associations between covariates and the number of ANC components received using data from the 2012 and 2018 Guinea Demographic Health Surveys. Several aspects of women’s empowerment (healthcare decision-making, literacy/access to magazines, monogamous relationship status, contraceptive use, socio-economic status/employment) were significantly linked with the receipt of a greater number of ANC components, highlighting the importance of women’s empowerment in accessing quality maternity care.

show abstract

Linkages between autonomy, poverty and contraceptive use in two sub-Saharan African countries

Abstract: The paper presents the interaction effect of poverty-wealth status and autonomy on modern contraceptive use in Nigeria and

Cited by 27 publications

References 8 publications

Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria

Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea

Contact Info

Product

Resources

About