Does women's decision-making autonomy matter in utilization of antenatal care services in India? An analysis from nationally representative survey
The primary goal is to examine the association between women's decision-making autonomy and utilization of antenatal care services among ever-married women in India. The entire study has been accomplished with the help of secondary data composed from the latest round of the National Family Heal...
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| description | The primary goal is to examine the association between women's decision-making autonomy and utilization of antenatal care services among ever-married women in India. The entire study has been accomplished with the help of secondary data composed from the latest round of the National Family Health Survey (NFHS-5) conducted during 2019-21. A total of 34,618 ever-married women aged 15-49 with at least one live birth preceding five years of the survey have been taken into consideration in this study. Bivariate and multivariate analyses were conducted for proper illustration of the outcome. A sizable proportion of women did not fulfill the WHO-recommended criterion of obtaining ANC services. Utilization of full ANC services is found in some regions of southern, eastern, northern, and northeastern states, and in some districts of Gujarat. After adjusting the other explanatory variables, the result of multivariate analysis indicates that women's autonomy is significantly and positively associated with the utilization of full antenatal care services. Women who participate actively in decision-making are more likely to use full ANC services (AOR: 1.316, 95% CI: 1.197-1.446, p |
| doi_str_mv | 10.1371/journal.pone.0308576 |
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An analysis from nationally representative survey</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Majumder, Koyel ; Sarkar, Mithun ; Mallick, Rahul ; Mondal, Sabbir ; Chouhan, Pradip</creator><creatorcontrib>Majumder, Koyel ; Sarkar, Mithun ; Mallick, Rahul ; Mondal, Sabbir ; Chouhan, Pradip</creatorcontrib><description>The primary goal is to examine the association between women's decision-making autonomy and utilization of antenatal care services among ever-married women in India. The entire study has been accomplished with the help of secondary data composed from the latest round of the National Family Health Survey (NFHS-5) conducted during 2019-21. A total of 34,618 ever-married women aged 15-49 with at least one live birth preceding five years of the survey have been taken into consideration in this study. Bivariate and multivariate analyses were conducted for proper illustration of the outcome. A sizable proportion of women did not fulfill the WHO-recommended criterion of obtaining ANC services. Utilization of full ANC services is found in some regions of southern, eastern, northern, and northeastern states, and in some districts of Gujarat. After adjusting the other explanatory variables, the result of multivariate analysis indicates that women's autonomy is significantly and positively associated with the utilization of full antenatal care services. Women who participate actively in decision-making are more likely to use full ANC services (AOR: 1.316, 95% CI: 1.197-1.446, p<0.05). Additionally, likelihood of utilization of full ANC services is high among women aged 25-34 years, are educated, have access to the media, come from richest wealth quintile, and are from southern, western, and eastern regions. Therefore, appropriate measures should be adopted to eliminate gender bias and promote women's empowerment for the overall improvement of maternal health as well as societal health.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0308576</identifier><identifier>PMID: 39172924</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Autonomy ; Autonomy (Psychology) ; Biology and Life Sciences ; Births ; Bivariate analysis ; Decision Making ; Discrimination ; Empowerment ; Female ; Health aspects ; Human bias ; Humans ; India ; Married women ; Maternal health services ; Maternal mortality ; Medical care ; Medicine and Health Sciences ; Middle Aged ; Multivariate analysis ; Patient Acceptance of Health Care - statistics & numerical data ; People and Places ; Personal Autonomy ; Pregnancy ; Prenatal Care - statistics & numerical data ; Social Sciences ; Socioeconomic Factors ; Surveys ; Utilization ; Womens health ; Young Adult</subject><ispartof>PloS one, 2024-08, Vol.19 (8), p.e0308576</ispartof><rights>Copyright: © 2024 Majumder et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Majumder et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Majumder et al 2024 Majumder et al</rights><rights>2024 Majumder et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Utilization of full ANC services is found in some regions of southern, eastern, northern, and northeastern states, and in some districts of Gujarat. After adjusting the other explanatory variables, the result of multivariate analysis indicates that women's autonomy is significantly and positively associated with the utilization of full antenatal care services. Women who participate actively in decision-making are more likely to use full ANC services (AOR: 1.316, 95% CI: 1.197-1.446, p<0.05). Additionally, likelihood of utilization of full ANC services is high among women aged 25-34 years, are educated, have access to the media, come from richest wealth quintile, and are from southern, western, and eastern regions. 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| subjects | Adolescent Adult Autonomy Autonomy (Psychology) Biology and Life Sciences Births Bivariate analysis Decision Making Discrimination Empowerment Female Health aspects Human bias Humans India Married women Maternal health services Maternal mortality Medical care Medicine and Health Sciences Middle Aged Multivariate analysis Patient Acceptance of Health Care - statistics & numerical data People and Places Personal Autonomy Pregnancy Prenatal Care - statistics & numerical data Social Sciences Socioeconomic Factors Surveys Utilization Womens health Young Adult |
| title | Does women's decision-making autonomy matter in utilization of antenatal care services in India? An analysis from nationally representative survey |
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