Couple’s concordance and discordance in household decision-making and married women’s use of modern contraceptives in Bangladesh

Ciurana, Anna Maria Geli de; Hossin, Muhammad Zakir; Pulok, Mohammad Habibullah

doi:10.1186/s12905-017-0462-3

Cited by 30 publications

(33 citation statements)

References 49 publications

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“…However, providers view concerning young women FP counseling when they come to the health facilities was not considered in this study although evidence indicated as provider related biases hamper young women's access to contraceptive information and services in sub-Saharan Africa. 51 Despite evidence identified considerable disagreement between the couple regarding who exercises more in the household decision-making power, 47 husband's view was not asked in this study. Moreover, responses to the outcome and independent variables measurement might be affected by the recall and social desirability bias.…”

Section: Discussionmentioning

confidence: 98%

“…However, many young women in a patriarchal society like Ethiopia, particularly in a rural setting, have lesser decisionmaking power on major household issues due to economic dependence, lesser negotiation skills, and other existing culture. 47 These findings depict the need for strategies that empower young women to develop negotiation skills to choose the number of children they desire and challenge the traditional male dominance that limits their access to contraceptive services. Qualitative studies suggested the importance of factual information that describes the contraceptive methods for young married women in developing countries since most of them are married at an early age with limited knowledge of contraception.…”

Section: Discussionmentioning

confidence: 99%

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<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

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Purpose: Addressing the contraceptive needs of young married women is critical to improve their health and well-being. In patriarchal societies, young married women are under intense pressure to demonstrate their fecundity. Therefore, research that specifically address the needs for contraception of young married women have been generally given less emphasis in Ethiopia. This study assessed the extent of unmet needs for contraception and its associated factors among young married women in Eastern Ethiopia. Methods: A community-based cross-sectional study was conducted among young married women (14-24 years of age) in Eastern Ethiopia. Data were collected using a structured questionnaire. The prevalence ratio (PR) with 95% confidence intervals (CIs) was calculated, and factors associated with unmet needs for contraception were identified using log-binomial regression statistical model. Results: Among 2933 young women interviewed, the unmet need for contraception was 1014 (34.6%; 95% CI, 32.9%-36.4%). The prevalence of unmet needs for contraception decreased with increased young women's household decision-making autonomy score (APR= 0. 76; CI=0.62-0.94). Exposure to family planning (FP) information during the last 12 months (APR= 1.24; CI=1.1-1.42), age 18 or more years (APR=1.25; CI=1.04-1.5), multiparty (APR= 1. 9; CI=1.7-2.1) and desire to have 5 children or lesser than 5 children (APR= 1. 2; CI=1.06-1.32) were associated with higher prevalence of unmet needs for contraception. Conclusion: One-third of married young women had unmet needs for contraception. More efforts to empower women to make decisions that affect their own life and providing appropriate family planning information are necessary to reduce the burden of unmet needs among young married women in rural settings in Ethiopia.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

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“…This is not surprising as a mother’s decision to seek care during pregnancy depends, to some extent, on the level of education. Several studies have identified education as a major determinant of maternal health and health seeking behavior [6, 10, 16, 19]. Unfortunately, in developing countries like Ghana, women from poorer household also have lower educational attainments relative to their counterparts from rich households.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in maternal health care utilization in Ghana

Novignon

Ofori

Tabiri

et al. 2019

Int J Equity Health

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Background Improving maternal and child health remains a public health priority in Ghana. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. This study examined socioeconomic inequalities in maternal health care utilization related to pregnancy and identified factors that account for these inequalities. Methods We used data from three rounds of the Ghana Demographic and Health Surveys (2003, 2008 and 2014). Two health care utilization measures were used; (i) four or more antenatal care (ANC) visits and (ii) delivery by trained attendants (DTA). We first constructed the concentration curve (CC) and estimated concentration indices (CI) to examine the trend in inequality. Secondly, the CI was decomposed to estimate the contribution of various factors to inequality in these outcomes. Results The CCs show that utilization of at least four ANC visits and DTA were concentrated among women from wealthier households. However, the trends show the levels of inequality decreased in 2014. The CI of at least four ANC visits was 0.30 in 2003 and 0.18 in 2014. Similarly, the CIs for DTA was 0.60 in 2003 and 0.42 in 2014. The decomposition results show that access to National Health Insurance Scheme (NHIS) and women’s education levels were the most important contributors to the reduction in inequality in maternal health care utilization. Conclusions The findings highlight the importance of the NHIS and formal education in bridging the socioeconomic gap in maternal health care utilization.

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“…20 This definition has been used to guide data collection and analysis in several similar studies. [21][22][23][24]…”

Section: Study Population and Data Sourcementioning

confidence: 99%

Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study

et al. 2020

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ObjectiveTo assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.DesignCross-sectional study.SettingWe used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.ParticipantsData on 1 177 459 women aged 15–49 years old.MethodsMultivariable logistic regression was used to identify factors associated with modern CP use, while controlling simultaneously for independent variables, and accounting for clustering, stratification and sample weights from the complex sampling design. We used random effects meta-analysis to pool adjusted estimates across the 20 countries.ResultsThe overall prevalence of modern CP use was 26% and ranged from 6% in Guinea to 62% in Zimbabwe. Overall, injectable (32%) was the most preferred method of CP, followed by oral pill (27%) and implants (16%). Women were more likely to use a modern CP if they: had a primary (adjusted prevalence odds ratios (aPORs): 1.68, 95% CI: 1.47 to 1.91)) or secondary/higher education (aPOR: 2.16, 95% CI: 1.80 to 2.59) compared with women with no formal education; had no delivery in the last 2 years (aPOR: 3.89, 95% CI: 2.76 to 5.47) compared with women who delivered in the last 2 years; were aged 25–34 years (aPOR: 1.33, 95% CI: 1.20 to 1.47) compared with women aged 15–24 years; were of middle-income status (aPOR: 1.25, 95% CI: 1.11 to 1.39) or rich (aPOR: 1.53, 95% CI: 1.27 to 1.84) compared with poor women and had two or more antenatal care visits compared with women without a visit. Perceived domestic violence was not associated with modern CP use (aPOR: 0.98, 95% CI: 0.92 to 1.05).ConclusionOur findings are relevant in a global context, particularly in the African region, and improve our understanding on relevant factors essential to increasing modern CP use.

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Couple’s concordance and discordance in household decision-making and married women’s use of modern contraceptives in Bangladesh

Cited by 30 publications

References 49 publications

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Socioeconomic inequalities in maternal health care utilization in Ghana

Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study

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