Nuances of reproductive decisions by women in a rural community of Lagos, Nigeria
| Autor: | Kikelomo Ololade Wright, Adeyinka Adeniran, Omowunmi Qubrat Bakare, O.O. Goodman, Modupe Rebekah Akinyinka, Y A Kuyinu |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Rural Population Adolescent media_common.quotation_subject Decision Making Nigeria Developing country maternal health Young Adult Health care medicine Humans Maternal Health Services Spouses Reproductive health media_common Pregnancy business.industry Research decision-making spouse Prenatal Care General Medicine Middle Aged medicine.disease Contraception Cross-Sectional Studies Maternal Mortality Spouse Family planning Family Planning Services Pill Personal Autonomy Female business Autonomy Demography |
| Zdroj: | Pan African Medical Journal; Vol. 37 No. 1 (2020) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2020.37.133.18235 |
| Popis: | Introduction:inadequate utilization of maternal health services due to limited reproductive decision-making capacity could be contributory to high maternal mortality in developing countries. This study sought to assess nuances of reproductive decisions by women in a rural community of Lagos Nigeria. Methods:this descriptive, cross-sectional house to house survey was part of a study conducted in April 2015 on females selected from 298 households chosen based on geographical clusters by simple random sampling. The study instrument was adapted from a USAID-funded project and was interviewer-administered. Data entry and analysis were performed with the aid of Epi-info™7.0.8.3 statistical software and ethical approval was obtained for the study. Results:spousal age difference was less than 10 years for about half (51.3%) of the respondents. The majority (91.6%) of the respondents had received antenatal care during pregnancy and jointly decided with their spouses on place of care. The most commonly used contraceptives were the pills (23.5%), injectables (16.8%) and condoms (13.8%). Spousal disapproval regarding the use of family planning was almost nil at 1%. Employment status as a socio-economic factor did not significantly affect respondents´ involvement in decision-making. However, there were statistically significant associations between spousal age differences and some indicators of autonomy such as respondents´ involvement in health care decisions and the determinant on choice of antenatal care provider. Conclusion:women´s reproductive independence and involvement in health decisions could result in reduction of maternal ill-health and mortality whilst promoting higher male involvement and better maternal health. |
| Databáze: | OpenAIRE |
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