ArticlePloS one2017
Safe delivery care practices in western Nepal: Does women's autonomy influence the utilization of skilled care at birth?
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- The Impact of Women's Agency on Accessing and Using Maternal Healthcare Services: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Empowering Maternal Choice: Exploring Factors Influencing Early Postpartum Contraceptive Adoption Intention Among Pregnant Women in Northeast Ethiopia.International journal of environmental research and public health · 2024Article
- Article
- Article
- Safe delivery kits and newborn infection in rural Ethiopian communities.Frontiers in public health · 2024Article
- Influence of Sociodemographic Factors and Obstetric History on Choice of Place of Delivery: A Retrospective Study Among Post-Natal Women in Ghana.International journal of MCH and AIDS · 2023Article
- Public health insurance and maternal health care utilization in india: evidence from the 2005-2012 mothers' cohort data.BMC pregnancy and childbirth · 2022Article
- Spatial inequalities in skilled birth attendance in India: a spatial-regional model approach.BMC public health · 2022Article
- Childbirth at home and associated factors in Ethiopia: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021Article
- Determinants of short birth interval among women in South Gondar, Ethiopia: community-based unmatched case-control study.Archives of public health = Archives belges de sante publique · 2021Article
- Determinants of Health Facility Delivery in Northwest Ethiopia: A Community-Based Case-Control Study.International journal of general medicine · 2021Article
- Determinants of institutional delivery service utilization in Ethiopia: a population based cross sectional study.BMC public health · 2020Article
- Article
- Young women's attitude toward gender-equitable norms on domestic chores and violence domains in Trivandrum.Journal of education and health promotion · 2019Article
- Multilevel analysis of factors associated with utilization of institutional delivery in Ethiopia.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite various efforts to increase the utilization of skilled birth attendants (SBA), nearly two-thirds of deliveries take place at home without the assistance of SBAs in Nepal. We hypothesized that the ability of women to take decisions about their own lives-women's autonomy-plays an important part in birth choices. To know this, we conducted a community-based cross-sectional study for assessing women's autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014. We used multivariate modeling to associate socioeconomic factors and women's autonomy with the utilization of safe delivery care services. Just over one-third of women sought institutional delivery care during the birth of their last child. Out of the total deliveries at health facilities, nearly 58% women visited health facility for self-reported emergency obstructive care. Only 6.2% home deliveries were handled by health workers and 14.7% women used the safe delivery kit for home delivery care. Higher levels of women's education had a strong positive association (odds ratio = 24.11, CI = 9.43-61.64) with institutional delivery care. Stratified analysis showed that when the husband is educated, women's education seems to work partly through their autonomy in decision making. Educational status of women emerged as one of the key predictors of the utilization of delivery care services in Kapilvastu district. Economic status of household and husband's education are other dominant predictors of the utilization of safe delivery care services. Improving the economic and educational status may be the way out for improving the proportion of institutional deliveries. Women's autonomy may be an important mediating factor in this pathway.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.