Women’s Decision-Making Power on Modern Family Planning Use and Its Associated Factors in Northwest Ethiopia

Abstract

Introduction. Poor decision-making power on family planning among married women is a public health concern. Despite this, there is a scarcity of research done on decision-making power of family planning use as one of their basic human rights. The study is aimed at determining the magnitude of married women’s decision-making power on family planning use and its associated factors. Methods. This was a community-based cross-sectional study that was conducted on married women from May, 01-30/2021. A multistage systematic random sampling technique was applied to select 620 eligible study participants. The study used semi-interviewer questionnaires to collect data, and the collected data were entered into EpiInfo version 3.7.2 and then exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression analyses were used. The strength of associations of variables was described by using odds ratio, 95% confidence level, and P values less than 0.05. Results. A total of 620 women were interviewed with 98% of the response rate. Overall, married women’s decision-making power on family planning was 440 (71.0%). Odds of decision-making power on family planning use were higher among women who have primary education ( AOR = 11.31 , CI: 4.90-26.09) and secondary and above ( AOR = 6.99 , CI: 3.89-12.56) as compared with those who have no education. Husbands with secondary and above educational level ( AOR = 3.27 , CI: 1.58-6.78), having good knowledge about family planning use ( AOR = 2.41 , CI: 1.48-3.95) and having a good attitude towards family planning ( AOR = 6.59 , CI: 4.01-10.75), had higher odds of decision-making power on family planning. Conclusion. Women’s educational status, knowledge, and attitude increased the odds of decision-making power on family planning. Therefore, the authors recommend awareness creation on family planning considering lower educational level as a priority to improve women’s decision-making power.

Assessment of integration of post-partum and post-abortion family planning with Reproductive, Maternal, Neonatal, Child, Adolescent health and Nutrition services in selected primary health care facilities in Somali Region, Ethiopia. A Qualitative study

“…The same was supported by a study done on emerging regions of Ethiopia (23). Similar ndings about lack of participation of women in decision making activities which hinder the use of PPPAFP services were also reported in other studies (24,25).…”

Association between women’s empowerment and demand for family planning satisfied among Christians and Muslims in multireligious African countries

“…The influence of women's decision-making power on contraceptive use has been previously explored, with joint decision-making being associated with higher contraceptive usage. [48][49][50][51] Our findings of a narrowing gap in DFPS among Muslims and Christians with the increase in the empowerment levels indicate that the effects of women's empowerment on DFPS were significantly higher among Muslims, with highly empowered Muslims showing the highest levels of DFPS. This finding shows that religion is not a unidimensional force that singularly oppresses women.…”

“…The SWPER decision-making domain includes the woman’s freedom to decide on visiting friends or relatives, on significant household purchases and on her own healthcare. The influence of women’s decision-making power on contraceptive use has been previously explored, with joint decision-making being associated with higher contraceptive usage 48–51…”

Pengaruh Budaya Patriarki terhadap Partisipasi Pasangan Usia Subur dalam Program Keluarga Berencana di Indonesia: Tinjauan Sistematis

“…Perempuan yang hidup di Indonesia dengan nilai patriarki yang kuat memiliki kesulitan mulai dari mengakses sekolah dan pendidikan seksual hingga tidak memiliki hak dalam menentukan jumlah anak yang diinginkan. Di negara dengan sistem patriarki yang kuat seperti Ethiophia Barat Laut, wanita yang memiliki tingkat pendidikan menengah ke atas sekitar sebelas kali lebih mungkin memiliki kekuatan pengambilan keputusan dalam penggunaan KB daripada mereka yang tidak dapat menulis dan membaca (Guracho, 2022). Selain pendidikan yang membantu perempuan untuk memiliki kekuatan dalam pengambilan keputusan, finansial yang lebih tinggi membuat perempuan juga memiliki kekuatan.…”