Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh
Background: While the importance of women’s participation in household decision making in enhancing access to healthcare services is widely acknowledged, limited evidence exists on the link between women’s participation in household decision making and skilled birth attendants (SBA) supervised deliv...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Health Services Insights |
| Online Access: | https://doi.org/10.1177/11786329251316674 |
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| author | Md Badsha Alam Shimlin Jahan Khanam Md Awal Kabir Atika Rahman Chowdhury Tahir Ahmed Hassen Susmita Das Md Nuruzzaman Khan |
| author_facet | Md Badsha Alam Shimlin Jahan Khanam Md Awal Kabir Atika Rahman Chowdhury Tahir Ahmed Hassen Susmita Das Md Nuruzzaman Khan |
| author_sort | Md Badsha Alam |
| collection | DOAJ |
| description | Background: While the importance of women’s participation in household decision making in enhancing access to healthcare services is widely acknowledged, limited evidence exists on the link between women’s participation in household decision making and skilled birth attendants (SBA) supervised delivery. This study aims to fill this gap by examining the effects of women’s participation in household decision making on SBA supervised delivery in Bangladesh. Methods: Data of 3607 mothers who had given birth within 2 years of the survey date were extracted from the 2022 Bangladesh Demographic and Health Survey (BDHS) and analyzed. The outcome variable considered was SBA supervised delivery, and the primary explanatory variable was a composite index of women’s participation in household decision making generated from their responses regarding decision-making on own healthcare, large household purchases, and visits to their family or relatives. Multi-level mixed-effects logistic regression was used to explore the effects of women’s participation in household decision making on SBA supervised delivery, adjusted for potential confounders. Results: The reported prevalence of SBA supervised delivery was 70%. Women lacking participation power and moderately empowerment in household decision-making were 15% (aOR= 0.85, 95% CI: 0.66-1.08) and 20% less likely to had SBA supervised delivery (aOR = 0.80, 95% CI: 0.64-0.99) compared to those with high participation power, respectively. This association remained consistent across all 3 empowerment domains, with lower likelihoods of SBA supervised delivery among women lacking empowerment. Conclusion: The findings of this research affirm the positive effects of women’s participation in household decision making on SBA supervised delivery in Bangladesh. Recommendations include increasing women’s empowerment in household decision making and raising awareness and education about the importance of SBA supervised delivery. |
| format | Article |
| id | doaj-art-0543958075444783a913df314999b2d1 |
| institution | Kabale University |
| issn | 1178-6329 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Health Services Insights |
| spelling | doaj-art-0543958075444783a913df314999b2d12025-01-30T14:03:20ZengSAGE PublishingHealth Services Insights1178-63292025-01-011810.1177/11786329251316674Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in BangladeshMd Badsha Alam0Shimlin Jahan Khanam1Md Awal Kabir2Atika Rahman Chowdhury3Tahir Ahmed Hassen4Susmita Das5Md Nuruzzaman Khan6Department of Social Work, Pabna University of Science and Technology, Pabna, BangladeshDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, BangladeshDepartment of Social Work, Pabna University of Science and Technology, Pabna, BangladeshDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, BangladeshCentre for Women’s Health Research, Faculty of Health and Medicine, The University of Newcastle, NSW, AustraliaHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, BangladeshNossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, AustraliaBackground: While the importance of women’s participation in household decision making in enhancing access to healthcare services is widely acknowledged, limited evidence exists on the link between women’s participation in household decision making and skilled birth attendants (SBA) supervised delivery. This study aims to fill this gap by examining the effects of women’s participation in household decision making on SBA supervised delivery in Bangladesh. Methods: Data of 3607 mothers who had given birth within 2 years of the survey date were extracted from the 2022 Bangladesh Demographic and Health Survey (BDHS) and analyzed. The outcome variable considered was SBA supervised delivery, and the primary explanatory variable was a composite index of women’s participation in household decision making generated from their responses regarding decision-making on own healthcare, large household purchases, and visits to their family or relatives. Multi-level mixed-effects logistic regression was used to explore the effects of women’s participation in household decision making on SBA supervised delivery, adjusted for potential confounders. Results: The reported prevalence of SBA supervised delivery was 70%. Women lacking participation power and moderately empowerment in household decision-making were 15% (aOR= 0.85, 95% CI: 0.66-1.08) and 20% less likely to had SBA supervised delivery (aOR = 0.80, 95% CI: 0.64-0.99) compared to those with high participation power, respectively. This association remained consistent across all 3 empowerment domains, with lower likelihoods of SBA supervised delivery among women lacking empowerment. Conclusion: The findings of this research affirm the positive effects of women’s participation in household decision making on SBA supervised delivery in Bangladesh. Recommendations include increasing women’s empowerment in household decision making and raising awareness and education about the importance of SBA supervised delivery.https://doi.org/10.1177/11786329251316674 |
| spellingShingle | Md Badsha Alam Shimlin Jahan Khanam Md Awal Kabir Atika Rahman Chowdhury Tahir Ahmed Hassen Susmita Das Md Nuruzzaman Khan Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh Health Services Insights |
| title | Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh |
| title_full | Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh |
| title_fullStr | Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh |
| title_full_unstemmed | Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh |
| title_short | Effects of Women’s Participation in Household Decision Making on Skilled Birth Attendants Supervised Delivery in Bangladesh |
| title_sort | effects of women s participation in household decision making on skilled birth attendants supervised delivery in bangladesh |
| url | https://doi.org/10.1177/11786329251316674 |
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