Women’s Decision-Making Autonomy In Maternal Health Service Utilization And Associated Factors Among Reproductive Age Women In Southern, Ethiopia

Abstract

Background: Women autonomy is the ability of women to make self-regulating decisions to meet their requirements without any one initiation. Women who can autonomously decide about their health utilized maternal health care is poor, even though a lot of effort has been made. Only less than 32% of developing countries, women have decision making power to visit maternal health service. Objective: To assess the women’s decision making autonomy in their maternal health service utilization and its associated factors among reproductive age group women in southern Ethiopia, from March1, 2019 to March 30, 2019.Methods and material: A cross-sectional study design was conducted. Data were analysed using descriptive statistical tests and binary logistic regression was used. All independent variables with p- value of < 0.25 at bivariate analysis were included in multivariate models to determine the predictors of the outcome variable, and to control the confounding factors. For all statistical tests, a P value of <0.05 was a cut off point for statistical significant. Results: Prevalence of women decision making autonomy in their maternal health service utilization was 58.2% [(AOR= 58.2% (95 %CI (54.2 – 62.0). Number of family size 2.2 [AOR (95% CI) =2.2, 95% CI (1.3-3.72)], occupation, 4.3 [AOR (95% CI) =4.3 95% CI (1.10-9.3)] economic status, 2.2[AOR (95% CI) =2.2, 95% CI (1.3-.3.72)] respondent age above 35 4.8[AOR(95%CI=4.8,95%CI(2.3-10)] were the factors significantly associated with decision making autonomy. Conclusion: prevalence of women’s decision making autonomy in their maternal health service utilization was 58.2% which were found to be low. Decision making autonomy was more common with low income, large family size, respondent age and lack women occupation. Improved the women’s decision making by giving Health education on the importance of maternal health services and gender equality recommended to reduce the problem.

Women decision-making autonomy on maternal health service and associated factors in low- and middle-income countries: Systematic review and meta-analysis

“…At the qualification stage, 70 articles were completely approved and evaluated for eligibility. Finally, this systematic review and meta-analysis included 19 studies 29,31–33,35,37,43,46,54–65 with 103,983 study participants (Figure 1).…”

“…At the qualification stage, 70 articles were completely approved and evaluated for eligibility. Finally, this systematic review and meta-analysis included 19 studies 29,[31][32][33]35,37,43,46,[54][55][56][57][58][59][60][61][62][63][64][65] with 103,983 study participants (Figure 1). All of the included studies were cross-sectional.…”

“…Olani et al 58 55. 13 43.76-66.49 Alemayehu and Meskel 35 54.97 43.57-66.37 Eshetu et al 55 54.98 43.60-66.36 Diriba et al 57 54.54 43.16-65.91 Tadesse 56 55. 16 43.79-66.54 Kebede et al 63 54.04 42.65-65.44 Duha and Adisah-Atta 31 54.04 42.34-65.70 Nigatu et al 29 55.91 44.56-67.27 Situ 37 56.27 44.99-67.56 Tesema et al 60 53.68 41.79-65.57 Adhikari 64 56.11 44.75-67.47 Ameyaw et al 43 57.00 46.47-67.54 Feijen-de Jong et al 32 54.77 43.39-66.15 Kassahun and Zewudie 54 54.85 43.48-66.23 Haque et al 65 56.50 45.22-67.77 Obsanoha et al 59 55.97 44.86-67.08 Chilinda et al 62 55.…”