Women's decision-making autonomy in the household and the use of maternal health services: An Indonesian case study

Rizkianti, Anissa; Afifah, Tin; Saptarini, Ika; Rakhmadi, Mukhammad Fajar

doi:10.1016/j.midw.2020.102816

Cited by 59 publications

(66 citation statements)

References 28 publications

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“…Though the majority (66.4%) of women indicated their husbands were the sole decision-maker for healthcare, those who were also involved in decision-making were more likely to receive a greater number of quality components than those that did not. A number of previous studies have found women's decision-making power to be positively associated with the number of ANC visits they received [22,[58][59][60][61], though Ghose et al [62] found that this difference was mediated by rural versus urban residence. Almost all these studies operationalized decision-making as a composite of a woman's ability to make decisions about household purchases, visiting family, and personal healthcare.…”

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

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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.

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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

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“…This can be explained by the fact that in Tanzania most women require husband/partner's approval to use family planning, and due to fear of refusal or serious conflict, including violence or divorce if they went against their husbands' wishes openly, most women use family planning without their partners' knowledge [27]. Further analysis (see Appendix A revealed that these women are from families with lower wealth status and participate less in decision-making in health care for themselves and their children, undermining their autonomy and confidence to participate in health care [52][53][54]. Considering the variables reported in TDHS, our findings add important insight into the extent of gender inequity in relation to access to family planning, exploring power dynamics at play between women and their male partners.…”

Section: Discussionmentioning

confidence: 99%

Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey

Massenga

Noronha²,

Awadhi³

et al. 2021

IJERPH

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In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.

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“…Women who control the social or organizational aspects of household decisions do not necessarily influence the financial decisions, and even education and employment are rendered largely insignificant in determining household affairs relegated to women (Malhotra & Mather, 1997). Decisions in a household are often the collaborative outcome of discussions between all family members, not merely individual women (Rizkianti et al, 2020). H03 Legal empowerment leads to women empowerment.…”

Section: Methodsmentioning

confidence: 99%

“…In a similar vein, Sharaunga et al (2019) seek to measure the role of self‐agency among women as a determining factor behind empowerment; the model discusses the dimensions of self‐agency to be voice, freedom of movement, and the ability to make decisions, as the key contributors to feelings of empowerment across multiple cultural contexts. Other theoretical models have also contributed to the direction of this research by bringing forth the importance of variables like decision‐making autonomy and participation in discussions (Rizkianti et al, 2020), awareness programmes and training (Kapiga et al, 2019), education about women's rights (Agarwala, 2019; Samari, 2019), and infrastructural inputs and reforms (Sharaunga et al, 2019) that could lead to women empowerment. A thorough analysis of these studies and models has illuminated the course adopted for achieving the objectives of the present study.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Integrated model for women empowerment in rural India

Sharma

Das

2021

J of Intl Development

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The current study aims to develop an integrated model for women empowerment in rural India using primary data collected from 3000 women across 60 villages from East, West, South, North, and Central India. Exploratory factor analysis came out with the three main dimensions of women empowerment, namely, economic, social and human, and legal empowerment. A conceptual model is thus devised, which throws light on key areas that can be developed. Reforms are required to make rural women economically independent, providing them social freedom and utilities and ensuring a strict and favourable judiciary system for ensuring women empowerment.

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Women's decision-making autonomy in the household and the use of maternal health services: An Indonesian case study

Cited by 59 publications

References 28 publications

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

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

Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey

Integrated model for women empowerment in rural India

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