ArticleBMC pregnancy and childbirth2022
Influence of women's decision-making autonomy on antenatal care utilisation and institutional delivery services in Nigeria: evidence from the Nigeria Demographic and Health Survey 2018.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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
29 citing papers in PubMed.
- Article
- Survival analysis of maternal, household, environmental, and child-level determinants of under-five mortality in Nigeria.BMC pediatrics · 2026Article
- Factors Influencing Timing of First Antenatal Care Visit Among Bangladeshi Women: Application of Accelerated Failure Time Models Using Demographic Health Survey 2022.Health science reports · 2026Article
- Decomposition analysis and spatial change of age disparities in antenatal care utilisation among women with high-risk pregnancies in Nigeria.BMC pregnancy and childbirth · 2026Article
- Gender dynamics affecting women's uptake of maternal health service in agrarian and pastoral settings in Ethiopia: a community-based cross-sectional study.Reproductive health · 2026Article
- Article
- Article
- Assessing primary health care facilities in six prioritized Nigerian states: Linking facility readiness with service availability.PloS one · 2026Article
- Generational disparities in maternal healthcare: a life-course perspective on social determinants in Kersa, Eastern Ethiopia.BMJ public health · 2026Article
- The role of significant others in the inadequate use of maternal healthcare among married women in Uganda: a secondary analysis of the 2016 demographic and health survey.Journal of health, population, and nutrition · 2025Article
- Disability status and socioeconomic related inequality in receiving quality antenatal care in nine low- and middle-income countries: A multilevel analysis.Reproductive health · 2025Article
- Exploring the multifaceted correlates of household decision-making autonomy among married women in Cameroon.BMC women's health · 2025Article
- Exploring multilevel determinants of stillbirth: a comprehensive analysis across sub-Saharan African countries.BMJ open · 2025Article
- Article
- Predicting delayed antenatal care initiation among pregnant women in East Africa: using machine learning algorithms.Frontiers in global women's health · 2025Article
- Article
- Compliance with the 2016 WHO's antenatal care recommendation and its determinants among women in Sub-Saharan Africa: a multilevel-analysis of population survey data.BMC health services research · 2024Article
- Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review.BMC women's health · 2024Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
- Women's autonomy and maternal health decision making in Kenya: implications for service delivery reform - a qualitative study.BMC women's health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the context of global health priority, understanding the role of power dynamics among women as an important intervention required towards achieving optimum maternal and child health outcomes is crucial. This study examined the influence of women's decision-making autonomy on antenatal care utilisation and institutional delivery services in Nigeria.
methodsThe data for the study were derived from the 2018 Nigeria Demographic and Health Survey and comprised a weighted sample of 20,100 births in the last five years that preceded the survey among married/cohabiting childbearing women. Descriptive and analytical analyses were carried out, including frequency tables and multivariate using the binary logistic regression model.
resultsThe study revealed that despite a large number of women initiating antenatal care visits before 12 weeks of pregnancy (75.9%), far fewer numbers had at least eight antenatal care visits (24.2%) and delivered in a health facility (58.2%). It was established that the likelihood of having at least eight antenatal care visits was significantly increased among women who enjoyed decision-making autonomy on their healthcare (aOR: 1.24, CI: 1.02-1.51) and how their earnings are spent (aOR: 2.02, CI: 1.64-2.48). Surprisingly, women's decision-making autonomy on how their earnings are spent significantly reduced the odds of initiating antenatal care visits early (aOR: 0.75, CI: 0.63-0.89). Some socio-economic and demographic factors were observed to have a positive influence on quality antenatal care utilisation and delivery in a health facility.
conclusionIn conclusion, women's decision-making autonomy on their healthcare and how their earnings are spent was significantly found to be protective factors to having eight antenatal care visits during pregnancy. Conversely, women's autonomy on how their earnings are spent significantly hindered their initiation of early antenatal care visits. There is a need for more pragmatic efforts through enlightenment and empowerment programmes of women to achieve universal access to quality maternal healthcare services in Nigeria.
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.