ArticleBMC public health2020
Women's autonomy in health decision-making and its effect on access to family planning services in Senegal in 2017: a propensity score analysis.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.
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Who cites it
61 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The influence of gender norms on women's sexual and reproductive health outcomes: a systematic review.BMC women's health · 2025Pooled it
- Do disempowered bodies risk anaemia? Evidence from married women in Assam's Sixth Schedule areas of Northeast India.Global health action · 2026Article
- Article
- Women's Autonomy in Health Care Decision-Making in Somalia: Evidence from a Multinomial Logistic Regression Analysis of the 2020 National Survey.BMC women's health · 2026Article
- The Double Dominion Over Women's Bodies as a barrier to exercising sexual and reproductive rights: a mixed-methods study in La Ladrillera, Mexico.Lancet regional health. Americas · 2026Article
- Trends and determinants of utilization of traditional contraceptive methods among women of reproductive age (WRA) (15-49 years) in Uganda.Contraception and reproductive medicine · 2026Article
- Women's decision-making autonomy and early antenatal care initiation in Ghana: a propensity score-matched analysis.BMC women's health · 2026Article
- Determinants of women's autonomy in healthcare decision-making in Somalia: evidence from the 2020 demographic and health survey.International journal for equity in health · 2026Article
- Prevalence, Determinants, and Barriers to Reproductive Health Decision-Making Autonomy Among Married Women in Rural Parts of Seden Sodo District, Southwest Ethiopia: A Mixed-Methods Study.Health science reports · 2026Article
- Factors associated with married adolescent girls' and young women's participation in decision-making regarding sexual and reproductive health in Tanzania: a nationwide cross-sectional survey.Reproductive health · 2026Article
- Bridging perception and reality: understanding Chinese women's behavioral intentions toward robot-assisted gynecologic surgery.Frontiers in public health · 2026Article
- When choice is not performative: the struggle for agency among women accessing family planning services in Senegal.Frontiers in global women's health · 2026Article
- Congenital Heart Defect Screening Among Children with Down Syndrome in Rwanda: A Cross-Sectional Study.Pediatric health, medicine and therapeutics · 2026Article
- Women's decision making autonomy on maternal and neonatal health care utilization and associated factors in central Ethiopia: a community based cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Exploring the multifaceted correlates of household decision-making autonomy among married women in Cameroon.BMC women's health · 2025Article
- Effect of women's empowerment on lowering the number of children ever born in Bangladesh.BMC women's health · 2025Article
- Married Women's Decision-Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment.Health science reports · 2025Article
- Socioeconomic Impact of Foot and Mouth Disease Outbreaks on Smallholder Cattle Farmers in Yogyakarta, Indonesia.Veterinary sciences · 2025Article
- Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.BMC women's health · 2025Article
- Investigating the impact of armed conflict, cultural factors, and demographic characteristics on access to family planning services in Northwest Syria: a cross-sectional study.BMC health services research · 2025Article
1 more citing papers are in PubMed but not listed here.
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Abstract
backgroundThe effect of women's autonomy in decision-making for fertility control has been highlighted by research. The objective of this study was to analyze the effect of women's autonomy over decision-making regarding their health and access to family planning in Senegal in 2017.
methodsThe analyses in this study were carried out using data from the Senegal Demographic and Health Survey in 2017. The sample consisted of 8865 women aged 15-49. The propensity score-matching method was applied. Autonomy in health decision-making was considered the treatment variable. Matching was performed using confounding variables. The outcome variables were the current use of modern contraceptive methods and the existence of unmet needs. The common support condition had been met. The analysis was conducted using STATA.15 software.
resultsThis study showed that 6.26% of women had decision-making autonomy in relation to their health. For 80.33% of the women, their husbands/partners made health-related decisions for them. Decision-making autonomy increased significantly with the age of the woman (p < 0.05). In addition, 15.24% of women were using a modern method of contraception. An estimated 26.2% of women had unmet needs. Propensity score matching split the women into two groups based on autonomy over decision-making for their health. After matching, there was no longer a significant difference between women who were autonomous with respect to their decision-making and those who were not autonomous with respect to their current use of a modern contraceptive method. On the other hand, there was a 14.42% reduction (p < 0.05) in unmet needs for family planning in the group of women who were autonomous with respect to their health decision-making.
conclusionAutonomy in health decision-making would reduce unmet needs among Senegalese women. These results show the importance of accounting for gender in health interventions for the accessibility of family planning services.
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