Women Decision Making Autonomy as a Facilitating Factor for Contraceptive Use for Family Planning in Pakistan

Nadeem, Muhammad Ather; Malik, Muhammad Irfan; Anwar, Mumtaz Ali; Khurram, Sobia

doi:10.1007/s11205-021-02633-7

Cited by 25 publications

(20 citation statements)

References 20 publications

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“…The findings of this study established that lack of women's autonomy in making decisions on their healthcare issues, large household purchases and visits to family or relatives was found not to be a facilitating and protective factor for using any contraceptive method, which validates the previous observation of Nadeem, Malik, Anwar and Khurram, (2021). For instance, women whose husbands/partners made independent decisions, as well as those who jointly made decisions with husbands/partners on their healthcare were less likely to use any of the contraceptive methods across the three surveys years.…”

Section: Discussionsupporting

confidence: 82%

Trends and Determinants of Contraceptive Use among Women in Nigeria: Does Decision Making Involvement Within the Family Count?

Imo

2021

NJSA

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Contraceptive use has remained low among women despite family planning intervention programmes by government and non-governmental organisations in the period of public health preference, plausibly because of power dynamics within the family in Nigeria. This study examined the role of decision-making involvement in using contraceptive methods among childbearing women with data from three continuously Nigeria Demographic and Health Surveys conducted in 2008, 2013 and 2018. The study established that the lack of women’s decision-making autonomy on their healthcare issues, large household purchases and visits to family or relatives adversely affected their use of contraceptive methods. Besides, women having autonomy on how to spend their earnings were negatively associated with contraceptive use compared to those in the reference categories across the three survey years. There should be further integrated policy interventions and strategies aimed at community-based empowerment programmes of childbearing women towards achieving population equilibrium; and better maternal and child health outcomes in Nigeria

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Section: Discussionsupporting

confidence: 82%

Trends and Determinants of Contraceptive Use among Women in Nigeria: Does Decision Making Involvement Within the Family Count?

Imo

2021

NJSA

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“… 27 Furthermore, it is supported by the finding of a study in Pakistan that reported a positive relationship between women’s decision-making autonomy and their awareness about family planning. 51 The possible explanation for this finding is women exposed to family planning information might have better understanding of reproductive health rights and the advantages of contraceptives that encourages their participation in reproductive health decisions.…”

Section: Discussionmentioning

confidence: 99%

Married women’s decision-making autonomy on contraceptive use and its associated factors in Ethiopia: A multilevel analysis of 2016 demographic and health survey

et al. 2022

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Introduction: Women’s decision-making autonomy has a positive effect on the scale-up of contraceptive use. In Ethiopia, evidence regarding women’s decision-making autonomy on contraceptive use and associated factors is limited and inconclusive. Therefore, this study was intended to assess married women’s decision-making autonomy on contraceptive use and associated factors in Ethiopia using a multilevel logistic regression model. Methods: The study used data from the 2016 Ethiopia Demographic and Health Survey that comprised of a weighted sample of 3668 married reproductive age women (15–49 years) currently using contraceptives. A multilevel logistic regression model was fitted to identify factors affecting married women’s decision-making autonomy on contraceptive use. Akaike’s information criterion was used to select the best-fitted model. Results: Overall, 21.6% (95% confidence interval = 20.3%–22.9%) of women had decision-making autonomy on contraceptive use. Community exposure to family planning messages (adjusted odds ratio = 2.22, 95% confidence interval = 1.67–3.05), media exposure (adjusted odds ratio = 2.13, 95% confidence interval = 1.52–3.23), age from 35 to 49 years (adjusted odds ratio = 2.09, 95% confidence interval = 1.36–4.69), living in the richer households (adjusted odds ratio = 1.67, 95% confidence interval = 1.32–3.11), and visiting health facility (adjusted odds ratio = 2.01, 95% confidence interval = 1.34–3.87) were positively associated with women’s decision-making autonomy on contraceptive use. On the contrary, being Muslim (adjusted odds ratio = 0.53, 95% confidence interval = 0.29–0.95), being married before the age of 18 years (adjusted odds ratio = 0.33, 95% confidence interval = 0.12–0.92), and residing in rural residence (adjusted odds ratio = 0.48, 95% confidence interval = 0.23–0.87) were negatively associated with women’s independent decision on contraceptive use. Conclusion: Less than one-fourth of married reproductive age women in Ethiopia had the decision-making autonomy on contraceptive use. Media exposure, women’s age, household wealth, religion, age at marriage, visiting health facilities, community exposure to family planning messages, and residence were the factors associated with women’s decision-making autonomy on contraceptive use. The government should promote women’s autonomy on contraceptive use as an essential component of sexual and reproductive health rights through mass media, with particular attention for adolescent women, women living in households with poor wealth, and those residing in rural settings.

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“…Researchers have recently focused on developing improved measurement of women’s empowerment and most conceptual frameworks and empirical studies centre decision-making. 17 , 20 , 21 , 23–25 Among these are efforts to understand the inner processes of decision-making within couples or households as they relate to various types of decisions. 19 , 26 , 27 Meanwhile, empowerment is multi-dimensional, encompassing socio-cultural, domestic, economic, political, legal, and other domains; 28 although these are linked, women can be more empowered in some areas and less empowered in others.…”

Section: Introductionmentioning

confidence: 99%

Women’s decision-making and contraceptive use in Pakistan: an analysis of Demographic and Health Survey data

MacQuarrie

Aziz

2022

Sexual and Reproductive Health Matters

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Women Decision Making Autonomy as a Facilitating Factor for Contraceptive Use for Family Planning in Pakistan

Cited by 25 publications

References 20 publications

Trends and Determinants of Contraceptive Use among Women in Nigeria: Does Decision Making Involvement Within the Family Count?

Trends and Determinants of Contraceptive Use among Women in Nigeria: Does Decision Making Involvement Within the Family Count?

Married women’s decision-making autonomy on contraceptive use and its associated factors in Ethiopia: A multilevel analysis of 2016 demographic and health survey

Women’s decision-making and contraceptive use in Pakistan: an analysis of Demographic and Health Survey data

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