ArticleBMC public health2022
"When you live in good health with your husband, then your children are in good health …." A qualitative exploration of how households make healthcare decisions in Maradi and Zinder Regions, Niger.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Household attitudes and associated factors toward community-based health insurance in the Awi Zone, Ethiopia: a community-based cross-sectional study design.BMC health services research · 2025Article
- COVID-19 vaccine barriers among pregnant and lactating refugee women: a case study.Frontiers in public health · 2025Article
- Women's involvement in decision-making and association with reproductive health behaviors: findings from a cross-sectional survey in Niger.BMC women's 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
- Evaluation of the RISE II integrated social and behavior change approach in Niger: A contribution analysis.PloS one · 2024Article
- Application of the integrated gateway model on child nutrition behaviors in Niger: An exploratory analysis.PloS one · 2024Article
- A qualitative exploration of how a community engagement approach influences community and health worker perceptions related to family planning service delivery in Togo.Frontiers in reproductive health · 2024Article
- Creating Reproductive Health Behavioral Profiles for Women of Reproductive Age in Niger Using Cross-Sectional Survey Data: A Latent Class Analysis.International journal of public health · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGender dynamics influence household-level decision-making about health behaviors and subsequent outcomes. Health and development programs in Niger are addressing gender norms through social and behavior change (SBC) approaches, yet not enough is known about how health care decisions are made and if gender-sensitive programs influence the decision-making process.
methodsWe qualitatively explored how households make decisions about family planning, child health, and nutrition in the Maradi and Zinder regions, Niger, within the context of a multi-sectoral integrated SBC program. We conducted 40 in-depth interviews with married women (n = 20) and men (n = 20) between 18 and 61 years of age.
resultsMale heads of household were central in health decisions, yet women were also involved and expressed the ability to discuss health issues with their husbands. Participants described three health decision-making pathways: (1
conclusionsWomen are involved to varying degrees in health decision-making. Program activities that focus on improving communication among spouses should be sustained to enhance women role in health decision-making. Male engagement strategies that emphasize spousal communication, provide health information, discuss household labor may enhance couple communication in Niger. Adapting the outreach strategies and messages by healthcare topic, such as couples counseling for family planning versus community-based nutrition messaging, are warranted.
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