Women’s autonomy in health decision-making and its effect on access to family planning services in Senegal in 2017: a propensity score analysis

Autor: O. Bassoum, M. M. M. Leye, Adama Faye, Ndèye Marème Sougou
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Matching (statistics)
Adolescent
media_common.quotation_subject
Decision Making
Psychological intervention
Fertility
Health Services Accessibility
03 medical and health sciences
Young Adult
0302 clinical medicine
Medicine
Humans
030212 general & internal medicine
Family planning
Propensity Score
Spouses
Contraception Behavior
media_common
Demography
Health Services Needs and Demand
030219 obstetrics & reproductive medicine
business.industry
Public health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
Patient Acceptance of Health Care
Health Surveys
Senegal
Contraception
Family Planning Services
Propensity score matching
Personal Autonomy
Female
Autonomy of decision-making for health
Biostatistics
business
Autonomy
Research Article
Zdroj: BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020)
BMC Public Health
ISSN: 1471-2458
DOI: 10.1186/s12889-020-09003-x
Popis: Background The effect of women’s autonomy in decision-making for fertility control has been highlighted by research. The objective of this study was to analyze the effect of women’s autonomy over decision-making regarding their health and access to family planning in Senegal in 2017. Methods The analyses in this study were carried out using data from the Senegal Demographic and Health Survey in 2017. The sample consisted of 8865 women aged 15–49. The propensity score-matching method was applied. Autonomy in health decision-making was considered the treatment variable. Matching was performed using confounding variables. The outcome variables were the current use of modern contraceptive methods and the existence of unmet needs. The common support condition had been met. The analysis was conducted using STATA.15 software. Results This study showed that 6.26% of women had decision-making autonomy in relation to their health. For 80.33% of the women, their husbands/partners made health-related decisions for them. Decision-making autonomy increased significantly with the age of the woman (p p Conclusion Autonomy in health decision-making would reduce unmet needs among Senegalese women. These results show the importance of accounting for gender in health interventions for the accessibility of family planning services.
Databáze: OpenAIRE
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