scholarly journals The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

2021 ◽  
Vol 2 (3) ◽  
pp. 234-256
Author(s):  
Jondan Indhy Prastyo
Keyword(s):  
Decision Making ◽  
Health Survey ◽  
Demographic Variables ◽  
Demographic And Health Survey ◽  
Medical Professionals ◽  
Early Age ◽  
Vaccine Preventable Disease ◽  
Joint Decision ◽  
Completion Status ◽  
Decision Making Processes

The 2017 diphtheria outbreaks in Indonesia shows the downside of inadequate immunization for certain group that could endanger public health. Despite years of government intervention on this vaccine-preventable disease, insofar mandating basic vaccination for children from an early age, ultimately, it is parents that will decide on having their children being immunized. Utilizing the 2017 Indonesia Demographic and Health Survey, this study aims to uncover the association between parents' decision-making processes and their demographic variables to their children's immunization completion status. Logistic regression suggests discussion between parents in household's major purchases, more likely to result in complete basic immunization for their children. Additionally, mothers' traits, which are education, frequency of access to mass media, and exposure to medical professionals, are positively associated with compliance with basic vaccines administration. Differences in compliance can also be observed in children's gender and order of birth.

scholarly journals Women's empowerment and fertility preferences of married women: analysis of demographic and health survey’2016 in Timor-Leste

2022 ◽  
Vol 9 (2) ◽  
pp. 237-261
Author(s):  
Nandeeta Samad ◽  
◽  
Pranta Das ◽  
Segufta Dilshad ◽  
Hasan Al Banna ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Survey ◽  
Women's Empowerment ◽  
Married Women ◽  
Fertility Rate ◽  
Demographic And Health Survey ◽  
Women’S Empowerment ◽  
Women Empowerment ◽  
Fertility Preferences ◽  
Timor Leste

<abstract> <p>A recently independent state, Timor-Leste, is progressing towards socioeconomic development, prioritizing women empowerment while its increased fertility rate (4.1) could hinder the growth due to an uncontrolled population. Currently, limited evidence shows that indicators of women's empowerment are associated with fertility preferences and rates. The objective of this study was to assess the association between women empowerment and fertility preferences of married women aged 15 to 49 years in Timor-Leste using nationally representative survey data. The study was conducted using the data of the latest Timor-Leste Demographic and Health Survey 2016. The study included 4040 rural residents and 1810 urban residents of Timor-Leste. Multinomial logistic regression has been performed to assess the strength of association between the exposures indicating women's empowerment and outcome (fertility preference). After adjusting the selected covariates, the findings showed that exposures that indicate women empowerment in DHS, namely, the employment status of women, house and land ownership, ownership of the mobile phone, and independent bank account status, contraceptive use, and the attitude of women towards negotiating sexual relations are significantly associated with fertility preferences. The study shows higher the level of education, the less likely were the women to want more children, and unemployed women were with a higher number of children. Our study also found that the attitude of violence of spouses significantly influenced women's reproductive choice. However, employment had no significant correlation with decision-making opportunities and contraceptive selection due to a lack of substantial data. Also, no meaningful data was available regarding decision-making and fertility preferences. Our findings suggest that women's empowerment governs decision-making in fertility preferences, causing a decline in the fertility rate.</p> </abstract>

Association between women’s empowerment and diarrhoea in children under five years: evidence from the 2017/18 Benin Demographic and Health Survey

2021 ◽  
pp. 1-20
Author(s):  
Betregiorgis Zegeye ◽  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Decision Making ◽  
Health Survey ◽  
Women's Empowerment ◽  
Married Women ◽  
Demographic And Health Survey ◽  
Wife Beating ◽  
Women’S Empowerment ◽  
Children Under Five ◽  
Under Five ◽  
Childhood Diarrhoea

Abstract Globally, diarrhoea is the third leading cause of death for under five-children. Women’s empowerment can significantly reduce under-five mortality due to diarrhoea. This study investigated the association between women’s empowerment and childhood diarrhoea in Benin using data from the 2017/18 Benin Demographic and Health Survey. A total of 7979 currently married women were included in the study. A logistic regression model was used to control for possible confounders. The prevalence of diarrhoea among children under five years of age was 13.6%. About 36.3% of the currently married women decided either alone or together with their husband on their own health, purchase of large household items and visiting family/relatives. Close to 65.4% of currently married women disagreed with all five reasons to justify wife-beating. The children of mothers who had decision-making power were less likely to have diarrhoea (aOR = 0.74, 95% CI: 0.57–0.96) than the children of mothers who had no decision-making power. Moreover, the children of mothers who disagreed with all five reasons to justify wife-beating (aOR = 0.79, 95% CI: 0.65–0.96) were less likely to have diarrhoea than the children of mothers who accepted wife-beating as a part of life. Women’s age, educational level, wealth index and region were associated with childhood diarrhoea in Benin. The role of women’s empowerment, as determined by decision-making power and wife-beating attitude, was found to be significantly associated with the risk of childhood diarrhoea in Benin, after adjusting for other variables. Therefore, it is essential for policymakers in Benin to reinforce strategies and interventions focusing on women’s empowerment to avert childhood mortality caused by diarrhoea. This includes improving household economic status, women’s education and decision-making power and enhancing awareness of women’s human and democratic rights.

scholarly journals Prevalence and factors associated with sexual violence among rural women aged 15-49 years in Uganda: evidence from the Uganda demographic and health survey 2016

2020 ◽  
Author(s):  
Joseph Kawuki ◽  
Quraish Sserwanja ◽  
David Mukunya ◽  
Abigail Sitsope Sepenu ◽  
Milton Musaba
Keyword(s):  
Decision Making ◽  
Sexual Violence ◽  
Health Survey ◽  
Rural Women ◽  
Tertiary Education ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Healthcare Decision ◽  
Factors Associated ◽  
Healthcare Decision Making

Abstract Background and Aim: Sexual violence is a serious global health problem with short and long-term physical, mental, and reproductive adverse-effects. We aimed to determine the prevalence and factors associated with sexual violence among rural women of reproductive age in Uganda.Methods: We used the Uganda Demographic and Health Survey (UDHS) 2016 data for 5,259 rural women aged 15 to 49 years. Multi-stage stratified sampling was used to select respondents, and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with sexual violence. All analyses we carried out in SPSS (version 25). Results: The overall prevalence of sexual violence was 24.3% (95% CI: 23.4-25.7), while that among pregnant women was 22.2% (95% CI: 19.1-25.6). Women of primary education had higher odds of sexual violence compared to those of tertiary education (AOR=3.01, 95% CI: 1.17-7.72), and those from the Western region compared to those in the Northern region (AORs=2.01, 95% CI: 1.41-2.87). Women of poorer wealth quintile also had higher odds of sexual violence compared to those of the richest quintile (AOR=2.06, 95% CI: 1.02-4.17). Higher odds of sexual violence were also found among women who justified beating (AOR=1.42, 95% CI: 1.12-1.79), those who were not involved in healthcare decision-making (AOR=1.38, 95% CI: 1.01-1.91), and those whose husbands often got drunk (AOR=2.07, 95% CI: 1.30-3.31), compared to their counterparts.Conclusions: The prevalence of sexual violence among rural women in Uganda was high and associated with factors such as education level, region, wealth index, justified beating, healthcare decision making, and husband drunk frequency. Thus, there is a need for improving livelihoods and income of rural women, promotion of girl-child education as well as strengthening protective laws and policies to curb this public health issue.

scholarly journals Women’s autonomy in healthcare decision-making and healthcare seeking behaviour for childhood illness in Ghana: Analysis of data from the 2014 Ghana Demographic and Health Survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241488
Author(s):  
Eugene Budu ◽  
Abdul-Aziz Seidu ◽  
Ebenezer Kwesi Armah-Ansah ◽  
Francis Sambah ◽  
Linus Baatiema ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Survey ◽  
Statistical Significance ◽  
Total Sample ◽  
Childhood Illness ◽  
Demographic And Health Survey ◽  
Healthcare Decision ◽  
Healthcare Seeking ◽  
Childhood Illnesses ◽  
Healthcare Decision Making

Introduction The capacity of women to decide on their healthcare plays a key role in their health. In this study, we examined the association between women’s healthcare decision-making capacity and their healthcare seeking behaviour for childhood illnesses in Ghana. Materials and methods We used data from the 2014 Ghana Demographic and Health Survey. A total sample of 2,900 women with children less than 5 years was used for the analysis. Data were processed and analysed using STATA version 14.0. Chi-square test of independence and binary logistic regression were carried out to generate the results. Statistical significance was pegged at 95% confidence intervals (CIs). We relied on the ‘Strengthening the Reporting of Observational Studies in Epidemiology’ (STROBE) statement in writing the manuscript. Results Out of the 2,900 women, approximately 25.7% could take healthcare decisions alone and 89.7% sought healthcare for childhood illnesses. Women who decided alone on personal healthcare had 30% reduced odds of seeking healthcare for childhood illnesses compared to those who did not decide alone [AOR = 0.70, CI = 0.51–0.97]. With age, women aged 45–49 had 69% reduced odds of seeking healthcare for childhood illnesses compared to those aged 25–29 [AOR = 0.31, CI = 0.14–0.70]. Women from the Northern and Upper West regions had 72% [AOR: 0.28, CI: 0.11–0.70] and 77% [AOR: 0.23, CI: 0.09–0.58] reduced odds of seeking healthcare for childhood illnesses respectively, compared to those from the Western region. Conclusion Ghanaian women with autonomy in healthcare decision-making, those who were older and those from the Northern and Upper West regions were less likely to seek healthcare for childhood illness. To reduce childhood mortalities and morbidities in Ghana, we recommend educating women such as those who take healthcare decisions alone, older women and women from deprived regions like the Northern and Upper West regions on the need to seek healthcare for childhood illnesses.

Women's autonomy and antenatal care utilization in Nepal: A study from Nepal demographic and health survey 2016

2019 ◽  
Vol 8 (4) ◽  
pp. 261-267
Author(s):  
Naba Raj Thapa
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Health Survey ◽  
Wealth Quintile ◽  
Maternal Health Services ◽  
Demographic And Health Survey ◽  
Wife Beating ◽  
Care Utilization ◽  
Women’S Autonomy ◽  
Women's Autonomy

Nepal has made remarkable progress in reduction of maternal mortality but utilization of maternal health services is below the acceptance level. This study seeks to examine the effect of women's autonomy on the utilization ANC services in Nepal. Data is taken from the 2016 Nepal Demographic and Health Survey. A total of 3,998 women age 15-49 who had given birth in the 5 year preceding the survey. Logistic regression analysis is performed to examine the effects of women's autonomy on the use of ANC. The results of Model I revealed that women's decision making autonomy and attitudes towards wife beating are significantly associated with at least four ANC visits. When women's autonomy variables and other socio-demographic variables are taken into consideration, women decision making autonomy and attitudes towards wife beating are not significant association with at least four ANC visits. To improve maternal health care, the interventions are needed to target women of low autonomy, less educated and from low wealth quintile.

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