Evidence map›Paper›PMID 30625212›Full record

ArticlePloS one2019

Women's reproductive health decision-making: A multi-country analysis of demographic and health surveys in sub-Saharan Africa.

Eugene Kofuor Maafo Darteh, Kwamena Sekyi Dickson, David Teye Doku

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Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  18. Measuring adolescent girls' agency.Journal of adolescence · 2025
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Eugene Kofuor Maafo DartehDepartment of Population and Health, University of Cape Coast, Cape Ghost, Ghana.ORCID 0000-0003-4689-8891
Kwamena Sekyi DicksonDepartment of Population and Health, University of Cape Coast, Cape Ghost, Ghana.
David Teye DokuDepartment of Population and Health, University of Cape Coast, Cape Ghost, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWomen's ability to make decisions regarding their reproductive health has important implications for their health and well-being. We studied the socio-demographic factors affecting reproductive health decision-making among women in 27 sub-Sahara African countries. MATERIALS AND

methodsThe study made use of pooled data from current Demographic and Health Survey (DHS) conducted from January 1, 2010 and December 31, 2016 in 27 countries in sub-Sahara African. Binary and multivariate logistic regression models were used to investigate the associations of women's socio-demographic factors with decision-making regarding sexual reproductive health.

resultsThe proportion of women who can ask their partners to use a condom during sexual intercourse ranged from lowest in Mali (16.6%) to highest in Namibia (93.4%). Furthermore, the proportion of women who can refuse sex ranged from 18.3% in Mali to 92.4% in Namibia. Overall, approximately every five out of ten women can ask their partners to use a condom, six out ten women could refuse their partners sex and seven out of ten women could make at least 1 decision. Women from rural areas (OR = 0.51, CI = 0.48-0.54), those with no education (OR = 0.11, CI = 0.10-0.12), Muslim women (OR = 0.29, CI = 0.27-0.31), women not working (OR = 0.53, CI = 0.51-0.56) and women whose partners had no education (OR = 0.17, CI = 0.16-0.19) were less likely to make a decision on their reproductive health.

conclusionResidence, age, level of education, religion, occupation and partner's education were found to be associated with women's decision-making about sexual intercourse, condom use and reproductive health decision-making index. This study contributes to the discourse on reproductive health decision-making in Africa. Policies and intervention targeted at improving women's autonomy and empowering them to take charge of their sexual and reproductive health issues should be focused on these factors.

Indexed as

Decision MakingAdolescentAdultAfrica South of the SaharaFemaleHealth SurveysHumansMiddle AgedReproductive HealthWomen's HealthYoung Adult

Identifiers

PMID30625212
PMCPMC6326492

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LicenceCC BY
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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.