ArticlePloS one2022
Maternal autonomy and associated factors in making decision to utilize health service for themselves and neonates in south Ethiopia: A community based cross-sectional survey.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Exploring parental knowledge, care-seeking, and support strategies for neonatal illness: an integrative review of the African Great Lakes region.Global health action · 2025Pooled it
- Women's decision-making autonomy and early antenatal care initiation in Ghana: a propensity score-matched analysis.BMC women's health · 2026Article
- Development and validation of the Women Autonomy Scale for measuring psychosocial freedom from conventional gender roles.BMC psychology · 2025Article
- Improving Communication during Perinatal Care to Eliminate Preventable Maternal Morbidity and Mortality: The Issue of Communication Hierarchy.MCN. The American journal of maternal child nursingArticle
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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
backgroundThe definition of women's autonomy used in the study is control over finances, decision-making power, and the extent of freedom of movement by women. Lower autonomy of women affects the socio-economic, emotional, fertility decision, contraceptive use, and sexual life of the women. Thus, this study aimed to assess maternal autonomy and associated factors in making a decision to utilize health services for themselves and neonates in south Ethiopia.
methodsCommunity-based cross-sectional study design was conducted from January 1 to March 2, 2021, in Shashamane town. Four hundred ten postpartum mothers were selected using a stratified random sampling technique and interviewed for the survey using questions composed of decision-making autonomy components (decision-making power, control over finances, and freedom of movement). The data were checked for consistency, coded, and entered using EpiData Manager (version 4.6.0.4) and analyzed using Statistical Package for Social Science (SPSS) version 26. Descriptive statistics, composite score analysis, and binary and multivariate logistic regression were done to capture the objectives.
result410 postpartum mothers were interviewed while the mean and standard deviation of the participants' age was 26.96 ± 5.38. About 48.5% of mothers had high decision-making autonomy for their own and their neonates' health service utilization. Being in monogamous marriage (AOR = 1.82, 95% CI: 1.21, 2.74), and mode of delivery (Cesarean section) (AOR = 1.91, 95% CI: 1.18, 3.07) were significantly associated with having high maternal decision-making autonomy.
conclusionsMore than half of the study participants had low maternal decision-making autonomy for their own and their neonates' health service utilization. Being in monogamous marriage, and mode of delivery (Cesarean section) were factors significantly associated with high maternal decision-making autonomy. Encouraging mothers to use facility delivery was recommended.
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