ArticleBMC public health2023
Prevalence of married women's decision-making autonomy on contraceptive use and its associated factors in high fertility regions of Ethiopia: a multilevel analysis using EDHS 2016 data.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- 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
- Barriers and facilitators to sexual and reproductive healthcare access for women with severe mental illness in low- and middle-income countries: A qualitative systematic review and meta-aggregation.Global mental health (Cambridge, England) · 2026Review
- Prevalence and correlates of reproductive coercion in the months before pregnancy: cross-sectional findings from pregnant women in Ethiopia.Reproductive health · 2025Article
- Validation of the contraception-focused Preference-aligned Fertility Management Index in Uganda and Nigeria.Contraception · 2025Article
- Challenges in reducing grand multiparity rates in Ethiopia: an analysis of 2019 EDHS data using a multilevel model approach.Contraception and reproductive medicine · 2025Article
- Married women's autonomy in modern contraceptive utilization in Kutaber district, Northeast Ethiopia.PLOS global public health · 2025Article
- Article
- Women decision-making on modern contraceptive use and its associated factors among married women in Girawa District, Eastern Ethiopia: a community-based cross-sectional study, 2024.BMC public health · 2024Article
- Women's Empowerment and Associated Factors in Kinshasa, Democratic Republic of Congo: A Secondary Data Analysis of the Performance Monitoring Assessment Survey.International journal of environmental research and public health · 2024Article
- Predictors of maternal health services uptake in West African region: a multilevel multinomial regression analysis of demographic health survey reports.Reproductive health · 2024Article
- Determinants of household decision making autonomy among rural married women based on Ethiopian demography health survey: a multilevel analysis.BMC women's health · 2024Article
- Women alone modern contraceptive use decision making and its correlates, evidence from PMA CS 2021 survey.BMC women's health · 2024Article
- Health care and contraceptive decision-making autonomy and use of female sterilisation among married women in Malawi.Frontiers in global women's health · 2024Article
- High-risk fertility behaviors and associated factors among married reproductive-age women in sub-Saharan Africa: A multilevel mixed-effect analysis of nationally representative data from 35 countries.PLOS global public health · 2024Article
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Abstract
backgroundWomen's independence in reproductive health is crucial to the health of mothers and children. Couples are, however, restricted from discussing their relationship openly. Regarding this, information about women's decision-making autonomy is low in developing countries including Ethiopia. Therefore, this study was aimed to assess married women's decision-making autonomy on contraceptive use in high fertility regions of Ethiopia.
methodsThe study was based on secondary data analysis of the Ethiopian Demographic and Health Survey 2016 data. A total weighted sample of 1157 reproductive age women was included. A multilevel mixed-effect binary logistic regression model was fitted to identify the significant associated factors of decision making autonomy on contraceptive use. Statistical significance was determined using Adjusted Odds Ratio (AOR) with 95% confidence interval.
resultsOverall prevalence of decision making autonomy on contraceptive use was observed to be 17.2% (15.1, 19.5). Women's age 25-34 (AOR = 3.19; 95% CI:1.55, 6.54), and 35-49 (AOR = 3.59; 95% CI: 1.5, 8.36), secondary and above educational level (AOR = 3.38; 95% CI: 1.07, 10.67), being married before 18 years (AOR = 0.42; 95% CI:0.26, 0.68), being Muslim in religion (AOR = 0.47; 95% CI: 0.23, 0.98), women being in urban area (AOR = 2.73; 95% CI: 1.97, 6.35), and community media exposure (AOR = 1.85; 95% CI: 1.15, 2.48) were associated with decision making autonomy on contraceptive use.
conclusionWomen's decision-making autonomy on contraceptive use in this study was low. Age of mothers, educational status of mothers, age at first marriage, residence, religion, and community media exposure were significant factors. Therefore, the government should promote women's autonomy on contraceptive use as an essential component of reproductive health rights through mass media, educating, with particular attention for, youth women, and women living in rural settings.
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