<p>Married Women’s Decision-Making Power in Family Planning Use and its Determinants in Basoliben, Northwest Ethiopia</p>

Abstract

Background: Women's decision-making power influences the use of family planning. It is one of the denied fundamental rights of women, particularly in developing countries. Objective: This study was aimed to assess married women's decision-making power in the use of family planning and its associated factors among married reproductive age women in Basoliben, Amhara, Ethiopia, 2018. Methods: A community-based cross-sectional study was conducted among married reproductive age women from March 1 to 30, 2018. A multistage simple random sampling technique was employed in selecting study participants. Data were collected using structured questionnaires and analyzed through SPSS 20 software. The binary and multiple variable logistic regression models were fitted to identify factors associated with women's decisionmaking power on family planning use. Statistical significance was declared at p-value less than 0.05. Results: A total of 734 married women aged 18-49 years are making a 98% response rate included in this study. The level of married women's decision-making power in family planning among married women was 80%; 95% CI (76.9, 82.8). Monthly income (AOR=2.2; 95% CI: 1.1, 4.2), husband's desired number of children of <3 (AOR=9.9; 95% CI: 3.6), husband's desired time for additional child after 3 years postbirth (AOR=4.0; 95% CI: 1.9, 8.5) and women's information on any contraceptive (AOR=9.6; 95% CI: 2.4, 39.0) were factors significantly associated with married women's decisionmaking power in family planning. Conclusion: Married women's decision-making power in family planning use was optimal. Household monthly income, husband's desired ideal number of children, husband's desired time when to have another child and information about any contraceptive methods were predictors of their decision-making power on family planning use. There should be awareness creation of family planning methods to increase its utilization.

Factors associated with decision making power of women to use family planning among married women in sub-Saharan Africa: A multilevel analysis of demographic health surveys

“…On the other hand, in this study we also observed that women whose husbands' had high desire number of children had poor decision making power to use FP. This nding was similar to a study conducted in Hondurans (44) and Ethiopia (28). This could be related to husbands might in uence women not to use FP especially in developing countries.…”

“…However, decisions for contraceptive use may be affected by unbalanced power relations between women and their partners, especially in more malecontrolled societies and cultural discrimination (20). Furthermore, previous studies showed that decisionmaking power of women to use family planning was associated with education (4,(21)(22)(23), age (4,(23)(24)(25)(26), better knowledge (24,27,28), working status of women (25,26,29), gender equitable attitude (27), number of living children (21,25,26), socio-economic status (22,23,(29)(30)(31), residence (25,26), husband desire number of children (28) and attitude towards family planning (24).…”

Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis

“…This might be due to married women may be likely to be having sex more regularly than unmarried women, which may explain their high post-abortion family planning utilization. Besides, currently, married women's decision-making power on family planning has been raised [61,62] and contraceptive prevalence continues to increase [63]. Similarly, multiparous women were more likely to utilize post-abortion family planning compared to their counterparts.…”

Women’s decision in family planning use and its determinants in Ethiopia. A systematic review and meta-analysis protocol

“…There is a lack of nationally representative data on women's decision-making on family planning use [10,11]. Moreover, there are studies conducted in different parts of the country on women's decision-making in family planning [14,15,[21][22][23][24][25]. However, there are inconsistent ndings on prevalence and its determinants women's decision-making on family planning use.…”