Relationship between women's decision-making power over their own health care and use of modern contraception in the Democratic Republic of the Congo: a cross-sectional secondary data analysis.

Tytuł:: Relationship between women's decision-making power over their own health care and use of modern contraception in the Democratic Republic of the Congo: a cross-sectional secondary data analysis.
Autorzy:: Butler MG; Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada.
Walker M; Department of Emergency Medicine, Queen's University, Kingston, ON, K7L 2V7, Canada.; Department of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada.
Pablo LA; Department of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada.
Bartels SA; Department of Emergency Medicine, Queen's University, Kingston, ON, K7L 2V7, Canada. .; Department of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada. .
Źródło:: BMC women's health [BMC Womens Health] 2021 Aug 21; Vol. 21 (1), pp. 309. Date of Electronic Publication: 2021 Aug 21.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: [London] : BioMed Central, 2001-
MeSH Terms:: Data Analysis*
Decision Making*
Contraception ; Contraception Behavior ; Cross-Sectional Studies ; Delivery of Health Care ; Democratic Republic of the Congo ; Family Planning Services ; Female ; Humans ; Pregnancy
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Contributed Indexing:: Keywords: Decision-making; Democratic Republic of the Congo; Demographic and health survey; Health care; Modern contraception; Reproductive health
Entry Date(s):: Date Created: 20210822 Date Completed: 20211001 Latest Revision: 20211001
Update Code:: 20240104
PubMed Central ID:: PMC8379842
DOI:: 10.1186/s12905-021-01450-x
PMID:: 34419026
: Czasopismo naukowe

Pełny tekst

Background: In sub-Saharan Africa, the use of modern contraception (MC) is a critical intervention aimed at reducing mortality rates associated with unintended, high-risk pregnancies. However, among Congolese women aged 15-49, the prevalence of MC use is low. Research suggests that women's general participation in decision-making is important in increasing MC use. However, little is known about the specific role of women's decision-making power over their own health care and how it relates to MC use. Thus, this study aimed to investigate the relationship between women's decision-making power over their own health care and use of MC.
Methods: A cross-sectional secondary data analysis was conducted using the most recent data from the 2013-2014 Democratic Republic of the Congo (DRC) Demographic and Health Survey. Women who were considered in need of contraception based on their family planning preferences were included in the study population (N = 6422). Multivariate logistic regression was used to determine whether women's decision-making power over their own health care was associated with the use of MC.
Results: Only one in ten women reported using a modern method of contraception. Logistic regression showed that women who made decisions alone regarding their own health care were more likely to use MC than women who had no say in these decisions, even after controlling for important covariates (OR 1.48; 95% CI 1.00, 2.17).
Conclusion: The results of this study lend further support that promoting women's autonomy and right to independently make decisions regarding their own health may be important in increasing the use of MC in the DRC. However, in order to effectively empower women to negotiate for the use of MC, qualitative research is needed to further assess the relationship between decision-making power and MC use.
(© 2021. The Author(s).)

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