Women’s Decision-Making Autonomy and their Attitude towards Wife-Beating: Findings from the 2011 Ethiopia’s Demographic and Health Survey

Ebrahim, Nasser B.; Atteraya, Madhu Sudhan

doi:10.1007/s10903-017-0592-6

Cited by 25 publications

(34 citation statements)

References 16 publications

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“…The current levels of approval of partner beating in Lao PDR represent a concern for public health practitioners and researchers. Furthermore, consistent with other studies in developing nations, the level of acceptance of partner beating was the highest among the most deprived strata of the society 22 , 23 , 24 , 26 ) . Women who are poor, reside in rural areas, are not sexually empowered, and have lower levels of education are more likely to be accepting of partner abuse than other women are.…”

Section: Discussionsupporting

confidence: 90%

“…Approving partner abuse can affect health service utilization via several mechanisms. Evidence indicates that women who accept partner abuse have reduced decision making autonomy, less freedom of movement, and greater economic dependency 22 ) , all of which reduce their decision-making capability regarding proper reproductive health care. It has also been reported that women who condone partner abuse are less likely to be sexually empowered 23 , 30 ) , and are therefore less likely to deny sex with their partner and may be less likely to use condoms 31 ) for the fear of retaliation, thus increasing the risk of unwanted or unplanned pregnancies and the corresponding lower utilization of health services.…”

Section: Discussionmentioning

confidence: 99%

“…Control variables: We incorporated sociodemographic variables theoretically and analytically related to the utilization of reproductive health services 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ) and acceptance of partner abuse 22 , 23 , 24 ) . We codified the participants based on their current age, into the following three broad groups according to their fertility and reproductive behavior: adolescence (1 = 15–19 years), young adult (2 = 20–34 years), and older (3 = 35–49 years).…”

Section: Methodsmentioning

confidence: 99%

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Assessing the link between endorsing attitudes justifying partner abuse and reproductive health care utilization among women in Lao PDR

et al. 2018

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Objective: Evidence from developing countries on the association between women’s endorsement of attitudes justifying partner abuse and their use of reproductive health services is suggestive but inconclusive. This study uses a nationally representative dataset from Lao PDR to provide strong evidence for the relationship between women’s endorsement of attitudes justifying partner abuse and use of reproductive health services.Methods: This study used data from the 2011–2012 Lao Social Indicator survey (LSIS). The analyses were performed on the responses of 4227 women. The exposure of interest in this study was endorsement of attitudes justifying partner abuse. Antenatal care (ANC) visits divided according to amount and quality, delivery care by type and place, and utilization of postnatal care (PNC) for mothers and newborn infants were used as representative outcome variables of reproductive health service utilization.Results: Approximately seven out of ten respondents (67.9%) believed that partner abuse was justified. Women who endorsed these attitudes were significantly less likely to receive any ANC, to seek institutional delivery, and to use trained medical personnel for delivery assistance. Endorsing attitudes were associated with reduced probability of receiving PNC services for mothers and newborn infants, reduced frequency of ANC visits, and receiving a fewer number of ANC components. Other sociodemographic factors likely to affect the increased utilization of several of the indicators of reproductive health care were living in the central region, belonging to the high bands of wealth, having higher level of education, being a young adult (20–34 years) or older (35–49 years), residing in urban areas, and being sexually empowered.Conclusions: In addition to a broad range of sociodemographic factors, our findings suggested that women’s endorsement of attitudes justifying partner abuse should be treated as an important psychosocial determinant of reproductive health care service utilization in Lao PDR.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Assessing the link between endorsing attitudes justifying partner abuse and reproductive health care utilization among women in Lao PDR

et al. 2018

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“…There are studies conducted on the prevalence and associated factors of women’s decision-making autonomy in Ethiopia [ 18 , 31 , 32 ]. However, in making health care decisions, these findings fail to capture the spatial distribution of women’s autonomy.…”

Section: Introductionmentioning

confidence: 99%

Spatial clusters distribution and modelling of health care autonomy among reproductive‐age women in Ethiopia: spatial and mixed‐effect logistic regression analysis

Tesema

Yeshaw

Kasie

et al. 2021

BMC Health Serv Res

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Background While millions of women in many African countries have little autonomy in health care decision-making, in most low and middle-income countries, including Ethiopia, it has been poorly studied. Hence, it is important to have evidence on the factors associated with women’s health care decision making autonomy and the spatial distribution across the country. Therefore, this study aimed to investigate the spatial clusters distribution and modelling of health care autonomy among reproductive-age women in Ethiopia. Methods We used the 2016 Ethiopian Demographic and Health Survey (EDHS) data for this study. The data were weighted for design and representativeness using strata, weighting variable, and primary sampling unit to get a reliable estimate. A total weighted sample of 10,223 married reproductive-age women were included in this study. For the spatial analysis, Arc-GIS version 10.6 was used to explore the spatial distribution of women health care decision making and spatial scan statistical analysis to identify hotspot areas. Considering the hierarchical nature of EDHS data, a generalized linear mixed-effect model (mixed-effect logistic regression) was fitted to identify significant determinants of women’s health care decision making autonomy. The Intra-Class Correlation (ICC) were estimated in the null model to estimate the clustering effect. For model comparison, deviance (-2LLR), Akakie Information Criteria (AIC), and Bayesian Information Criteria (BIC) parameters were used to choose the best-fitted model. Variables with a p-value < 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multivariable mixed-effect logistic regression analysis, the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were reported to declare the strength and significance of the association between women’s decision-making autonomy and independent variables. Results In this study, about 81.6% (95% CI: 80.6%, 82.2%) of women have autonomy in making health care decisions. The spatial distribution of women’s autonomy in making health decisions in Ethiopia was non-random (global Moran’s I = 0.0675, p < 0.001). The significant hotspot areas of poor women’s autonomy in making health care decisions were found in north Somali, Afar, south Oromia, southwest Somali, Harari, and east Southern Nations Nationalities and Peoples (SNNP) regions. In the mixed-effect logistic regression analysis; being urban (AOR = 1.59, 95% CI: 1.04, 2.45), having secondary education (AOR = 1.60, 95% CI: 1.06, 2.41), having an occupation (AOR = 1.19, 95% CI: 1.01, 1.40) and being from the richest household (AOR = 2.14, 95% CI: 1.45, 3.14) were significantly associated with women autonomy in deciding for health care. Conclusions The spatial distribution of women’s autonomy in making the decision for health care was non-random in Ethiopia. Maternal education, residence, household wealth status, region, and maternal occupation were found to influence women’s autonomy. Public health interventions targeting the hotspot areas of poor women autonomy through enhancing maternal occupation and employment is needed to improve women empowerment in making decisions for health care.

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“…The resulting inequality in women's positions in societies and relationships engenders and perpetuates violence against women (Dobash, 1979;Yodanis, 2004). Empowering women and achieving gender equality appear to ameliorate IPV (Jewkes, 2002;Ebrahim & Atteraya, 2018). Women's household decision-making, a reflection of interpersonal power dynamics in intimate relationships, has become an important focus for governments because it is assumed to play a central role in eliminating violence against women (United Nations, 2013).…”

Section: Introductionmentioning

confidence: 99%

Women’s Household Decision-Making and Intimate Partner Violence in Ethiopia

Ebrahim¹,

Atteraya²

2019

Academic Journal of Interdisciplinary Studies

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Women’s household decision-making, a reflection of interpersonal power dynamics in intimate relationships is assumed to play a central role in eliminating violence against women. Thus we sought to examine the association between women’s household decision-making autonomy and the occurrence of intimate partner violence (IPV) among Ethiopian women. We used data gathered in the 2016 Ethiopia Demographic and Health Survey (EDHS-2016). We limited our study to ever-married women (aged: 15 - 49 years) who responded to the domestic violence questions (n = 4,469). Sampling weights were applied and effects associated with complex survey design were accounted for. Overall, 24%, 23.1%, and 10.1% of women have experienced emotional abuse, physical violence, or sexual violence, respectively in their lifetimes. The relationship between demographic variables and IPV were inconsistent and mostly non-significant. We found significant association between decision-making autonomy and IPV variables. Women who made decisions jointly with their husbands/partners had lower risk of domestic violence as compared to women with low level of household decision-making autonomy. No significant difference between women in the low and high level of decision-making groups. Egalitarian family power structures may be beneficial toward reducing IPV and achieving gender equality in Ethiopia.

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Women’s Decision-Making Autonomy and their Attitude towards Wife-Beating: Findings from the 2011 Ethiopia’s Demographic and Health Survey

Cited by 25 publications

References 16 publications

Assessing the link between endorsing attitudes justifying partner abuse and reproductive health care utilization among women in Lao PDR

Assessing the link between endorsing attitudes justifying partner abuse and reproductive health care utilization among women in Lao PDR

Spatial clusters distribution and modelling of health care autonomy among reproductive‐age women in Ethiopia: spatial and mixed‐effect logistic regression analysis

Women’s Household Decision-Making and Intimate Partner Violence in Ethiopia

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