ArticleArchives of public health = Archives belges de sante publique2023
Married women's decision-making autonomy on modern contraceptive use and its associated factors in high fertile sub-Saharan Africa countries: a multi-level analysis of Demographic and Health Surveys.
Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Husbands' knowledge of women's reproductive rights and its associated factors in Gacho Baba District, Southern Ethiopia, 2023: a rights-based approach to male engagement.Reproductive health · 2026Article
- Sexual autonomy and contraceptive use among married or cohabiting female youth: insights from recent Ghana demographic and health survey.Contraception and reproductive medicine · 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
- From fertility intentions to contraceptive behaviour: evidence among women with children in Malawi.Frontiers in reproductive health · 2026Article
- Psychosocial determinants of contraceptive desire and use among sexually-active adolescent girls in Kenya and Nigeria: implications for girl-centered contraceptive programs.Contraception and reproductive medicine · 2025Article
- Understanding men's perspective on women's contraceptive use in Tanzania: insights from the 2022 Demographic and Health Survey.Contraception and reproductive medicine · 2025Article
- Influence of social networks on women's contraceptive decision-making and action: a qualitative study in two districts in Uganda.BMC public health · 2025Article
- Married women's autonomy in modern contraceptive utilization in Kutaber district, Northeast Ethiopia.PLOS global public health · 2025Article
- Determinant of women's autonomy in sexual and reproductive health decision-making in Tanzania: a multilevel analysis of 2022 demographic and health survey.Frontiers in reproductive health · 2025Article
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Abstract
backgroundFor better maternal and child health, women's independence on reproductive health issues is crucial; however, couples are restricted from discussing openly with their partner. Regarding this, information about women's decision-making autonomy is low in the world, including Sub-Saharan Africa; therefore, this study was aimed to assess married women's decision-making autonomy on modern contraceptive utilization in high fertility SSA countries.
methodsData for this study was obtained from the most recent (2010-2018) Demographic and Health Surveys. A total of weighted sample of 14,575 married 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 modern contraceptive utilization. Finally, the Adjusted Odds Ratio (AOR) with 95% confidence interval was used to declare as statistical significance.
resultsOverall prevalence of married women decision-making autonomy on modern contraceptive utilization in the high fertile SSA countries is 25.28% (95% CI:18.32%, 32.24%). The factors significantly associated with the decision-making autonomy on modern contraceptive utilization were women's age 25-34 years (AOR = 1.88, 95% CI = 1.84-1.93) and 35-49 years (AOR = 1.90, 95% CI = 1.82-1.92), had media exposure (AOR = 1.13, 95% CI = 1.00- 1.28), Number of alive children, 1-2 (AOR = 2.35, 95% CI = 1.38-4.01), 3-4 (AOR = 2.98, 95% CI = 1.74-5.10), [Formula: see text] 5 (AOR = 2. 82, 95% CI = 1.63-4.86), educational status; primary education (AOR = 1.93, 95% CI = 1.77-2.83), Secondary and higher (AOR = 2.11, 95% CI = 1.78-2.89), Community media exposure (AOR = 1.80, 95% CI = 1.38-2.34), Community level poverty, (AOR = 1.43, 95% CI = 1.09-1.86) and resides in rural (AOR = 0.67, 95% CI = 0.64-0.71).
conclusionWomen's decision-making autonomy on modern contraception utilization in this study was low. Therefore, the government should promote women's autonomy on contraceptive use as an essential component of SRH rights through mass media, with particular attention for, women living in the poorest communities, and those residing in rural settings of the country. Moreover, health professionals should counsel the women about the benefits of using modern contraceptive to help them managing their number of children.
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