Contraceptive use in Cambodia: does household decision-making power matter?

Lai, Siow Li; Tey, Nai Peng

doi:10.1080/13691058.2019.1685683

Cited by 15 publications

(18 citation statements)

References 29 publications

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“…This was defined as the percentage of married women aged 15–49 years who are currently using contraceptives. If a woman used any of the following she was considered to be using contraceptives; pills, IUDs, injectables, condoms, sterilisation, implants/Norplant, periodic abstinence and withdrawal [ 33 ]. The outcome was in a binary form coded as ‘1’ = using modern contraception and ‘0’ = non-use of modern contraception.…”

Section: Methodsmentioning

confidence: 99%

“…Women’s autonomy which incorporated women’s control over their earnings and that of their husbands, the decision on their healthcare, decision on purchasing large household items and decisions on visiting family/relatives formed the main independent variables. These variables were recoded into “women only’, ‘joint with husband’ and ‘husband only’ as decision makers to indicate the level of involvement in decision-making in the household [ 33 ]. Other socio-demographic and economic variables such as age, residence, number of living children, educational level, work status and wealth were included in the study.…”

Section: Methodsmentioning

confidence: 99%

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Women’s household decision-making power and contraceptive use in Mali

et al. 2022

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Background Utilization of contraceptives remains low in several countries in sub-Saharan Africa despite evidence of its benefits. Several factors are associated with contraceptive use. However, little is known about the association between women’s decision-making capacity and the utilization of contraceptives in Mali. This study sought to determine the effect of women’s household decision-making power on contraceptive use in Mali. Methods This study involved a cross-sectional analysis of data from the 2018 Mali Demographic and Health Survey. A total of 7893 married women were included in the final analysis. A binary logistic regression analysis was conducted with statistical significance set at p < 0.05. Results Contraceptive use among married women in Mali was 17.1%. The odds of using contraceptives were higher among women with joint decision-making with their husbands on how to spend respondent’s earnings [aOR = 1.79; 95% CI = 1.12, 2.85], joint decision-making with their husbands on what to do with their husband’s earnings [aOR = 1.43; 95% CI = 1.12, 1.83], and joint decision-making with husband on large household purchases [aOR = 1.32; 95% CI = 1.10, 1.59]. Deciding alone on a visit to family or relatives was associated with lower odds of contraceptive use [AOR = 0.72; 95% CI = 0.58, 0.89]. Conclusion The study has revealed that joint household decision-making is positively associated with contraceptive use. Therefore, to achieve Sustainable Development Goal 3, the ministry for the advancement of women, children and families and related stakeholders must unearth strategies to empower women in joint decision-making and encourage men’s involvement in contraceptive decision-making.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Women’s household decision-making power and contraceptive use in Mali

et al. 2022

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“…Mothers who had more knowledge considered the benefits of HIV testing which was followed with acceptance of the service unlike those without any knowledge [ 35 ]. In Cambodia, all women are involved in household decision-making [ 36 ] hence male partner involvement might not influence the uptake of service unlike in Malawi where men are the core decision-makers [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Male involvement enhances the uptake of early infant diagnosis of HIV services in Thyolo, Malawi: A non-equivalent control group quasi-experimental study

2023

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Background Poor retention of HIV-exposed infants (HEIs) in the Early Infant Diagnosis (EID) programme remains a significant challenge and impedes progress towards the elimination of Mother to Child Transmission (eMTCT). Suboptimal involvement of a father in his child’s participation in the EID of HIV services is one of the reasons for delayed initiation and poor retention in EID. This study compared the uptake of EID of HIV services at 6weeks from 6 months pre and post-implementation of the Partner invitation card and Attending to couples first (PA) strategy for male involvement (MI) at Bvumbwe Health Centre in Thyolo, Malawi. Methods We conducted a non-equivalent control group quasi-experimental study from September 2018 to August 2019 and enrolled 204 HIV positive women with HIV exposed infants who delivered at Bvumbwe health facility. 110 women were in the period before MI in EID of HIV services from September 2018 to February 2019 whereas 94 of them were in the period of MI in EID of HIV services from March to August 2019 receiving PA strategy for MI. Using descriptive and inferential analysis we compared the two groups of women. As age, parity and education levels of women were not associated with the uptake of EID, we proceeded to calculate unadjusted odds ratio. Results We observed an increase in the proportion of women that took up EID of HIV services such that 64/94 (68.1%) came for EID of HIV services at 6weeks from 44/110 (40%) in the period before MI. The uptake of EID of HIV services had an odds ratio of 3.2(95%CI: 1.8–5.7) P = 0.001) compared to the uptake of EID of HIV services before MI OR of 0.6(95%CI: 0.46–0.98) P = 0.037). Age, parity, and education levels of women were statistically insignificant. Conclusion The uptake of EID of HIV services at 6 weeks increased during the implementation of MI compared to the period before. Age, parity, and education levels of women were not associated with the EID uptake of HIV services at 6 weeks. Further studies on male involvement and uptake of EID should continue to be carried out to contribute to understanding of how high levels of EID uptake of HIV services can be achieved.

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“…But those who had no exposure might not have enough knowledge about contraceptives and they might decide either by themselves or jointly with their husband for contraceptive non-use. There is evidence that shows women with mass media exposure are highly interested in contraceptive use unless their husband prohibits them ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

“…From the evidence, the decision-maker at the household level for contraceptive use can be women independently, husbands/partners independently, both women and husbands or, other relatives ( 25 – 27 ). When the decision-maker for contraceptive use is woman at the household level the probability to use contraceptive is high ( 28 ). There is also other evidence that shows contraceptive use coverage can be achieved through cultivating the culture of joint decision-making at the household level ( 27 ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Contraceptive Non-use Due to Husbands/Partners Influence Among Married Women in Ethiopia: A Multilevel Analysis Using Demographic and Health Survey 2016 Data

Asratie

Kassie

Belay

2022

Front. Reprod. Health

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BackgroundIn Ethiopia women with their husbands/partners are the decision-makers for contraceptives non-use suffered either due to the consequence of unintended pregnancy or due to the indirect impact of the secret use of contraceptives from their husbands/partners. Despite this challenge, there is a dearth of evidence about the magnitude of husbands/partners' decision-makers on contraceptives n non-used in Ethiopia.ObjectiveThis study was aimed to assess the magnitude of husbands'/partners decisions on contraceptive non-use and associated factors among married and non-contraceptive user reproductive-age women in Ethiopia.MethodsThe study was conducted based on Ethiopian demographic and health survey 2016 data which was a cross-sectional survey from 18 January 2016 to 27 June 2016. A total weighted sample size of 5,458 married and non-contraceptive user reproductive-age women were taken. A multilevel logistic regression model was used because of the data nature hierarchical, and variables with p ≤ 2 in the bivariable multilevel analysis were taken to multivariable multilevel analysis. Adjusted odds ratio with 95% CI was used to declare both the direction and strength of association and variables with p < 0.05 were considered statistically significant with the outcome variable.ResultsHusband decision-making power on contraceptive non-use was 10.44% [9.65–11.28%]. Husband's educational level higher (adjusted odds ratio (AOR = 2.6; CI 1.4–4.7), being Muslim, protestant, and others in religion (AOR = 2.4; CI 1.7–3.5), (AOR = 2.1; CI 1.4–3.1), (AOR = 4.5; CI 2.3–8.5), respectively, media exposure (AOR = 1.4; CI 1.0–1.8), husband wants more children (AOR = 3.7; CI 2.8–4.8), husband desire did not know (AOR = 1.4; CI 1.1–1.9), information about family planning (AOR = 0.6; CI 0.4–0.8), visited by field worker (AOR = 0.7; CI 0.5–0.9), visited health facility (AOR = 0.6; CI 0.4–0.7), and community husband education high (AOR = 1.6; CI 1.1–2.4) were statistically significant with husband decision making power on contraceptive non-use.ConclusionIn Ethiopia 1 out of 10 married and non-pregnant women is influenced by their husband/partner's decision-making power of non-use contraceptives. Husband's educational level high, religion (Muslim, protestant, and others), media exposure, husband's desire for children (husband wants more and does not know), and community husband education were variables positively associated with the outcome variable; whereas having information about family planning, visited by field worker, and visited health facility were negatively associated husband decision making power for non-use contraceptive in Ethiopia.

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Contraceptive use in Cambodia: does household decision-making power matter?

Cited by 15 publications

References 29 publications

Women’s household decision-making power and contraceptive use in Mali

Women’s household decision-making power and contraceptive use in Mali

Male involvement enhances the uptake of early infant diagnosis of HIV services in Thyolo, Malawi: A non-equivalent control group quasi-experimental study

Prevalence of Contraceptive Non-use Due to Husbands/Partners Influence Among Married Women in Ethiopia: A Multilevel Analysis Using Demographic and Health Survey 2016 Data

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