Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment

ABSTRACT Background The increased usage of family planning is positively impacted by women's decision‐making authority. Thus, the purpose of this study was to ascertain the extent of married women's decision‐making authority about the use of family planning and the elements that are relate...

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Main Authors: Yonas Tesfa Negasa, Elias Teferi, Jiregna Darega, Lencho Kajela Solbana
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.71003
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author Yonas Tesfa Negasa
Elias Teferi
Jiregna Darega
Lencho Kajela Solbana
author_facet Yonas Tesfa Negasa
Elias Teferi
Jiregna Darega
Lencho Kajela Solbana
author_sort Yonas Tesfa Negasa
collection DOAJ
description ABSTRACT Background The increased usage of family planning is positively impacted by women's decision‐making authority. Thus, the purpose of this study was to ascertain the extent of married women's decision‐making authority about the use of family planning and the elements that are related to it. Methods A quantitative study supplemented by a qualitative cross‐sectional study was used to gather data from 606 married women in Jeldu District, Ethiopia between September 30, 2022, and October 30, 2022. The quantitative data were gathered using structured questionnaire and focused group discussion guide was used for the qualitative survey. Systematic random sampling was used to select the quantitative survey respondents where as purposive sampling was used to select focused group discussion participants. For analysis, the gathered data were imported into EpiData version 3.1 and exported to SPSS version 20. To identify the factors associated with decision‐making power on family planning utilization, binary and multivariable logistic regression analysis, 95% confidence interval and p value of less than 0.05, were used. Results Among the married women, 69.2% (CI 67%, 74%) reported having decision‐making power over the use of family planning. The study indicated that age > 40 years [AOR: 7.11, 95% CI: 2.31, 21.89], inability to read and write [AOR = 0.23, 95% CI: 0.12, 0.46], lack of information on family planning utilization during the ANC [AOR 0.23, 95% CI 0.10, 0.53], and non‐user of family planning during the study period [AOR: 0.29, 95% CI: 0.18, 0.46]. Conclusion The results of this study show that married women's decision‐making power regarding the use of family planning was generally poor. The decision‐making power on the use of family planning was substantially associated with age, educational attainment, health knowledge, and existing family planning usage. Therefore, it is advised to increase women's decision‐making power on family planning utilization by teaching them about their rights and bringing health services closer to the community.
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spelling doaj-art-b0c8e38489b94e5bb486043d3c13c7c72025-07-28T05:05:06ZengWileyHealth Science Reports2398-88352025-07-0187n/an/a10.1002/hsr2.71003Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women EmpowermentYonas Tesfa Negasa0Elias Teferi1Jiregna Darega2Lencho Kajela Solbana3Gojo Health Center, Oromia Health Bureau Addis Abeba EthiopiaCollege of Medicine and Health Sciences Ambo University Ambo EthiopiaCollege of Medicine and Health Sciences Ambo University Ambo EthiopiaSchool of Public Health Wollega University Nekemte EthiopiaABSTRACT Background The increased usage of family planning is positively impacted by women's decision‐making authority. Thus, the purpose of this study was to ascertain the extent of married women's decision‐making authority about the use of family planning and the elements that are related to it. Methods A quantitative study supplemented by a qualitative cross‐sectional study was used to gather data from 606 married women in Jeldu District, Ethiopia between September 30, 2022, and October 30, 2022. The quantitative data were gathered using structured questionnaire and focused group discussion guide was used for the qualitative survey. Systematic random sampling was used to select the quantitative survey respondents where as purposive sampling was used to select focused group discussion participants. For analysis, the gathered data were imported into EpiData version 3.1 and exported to SPSS version 20. To identify the factors associated with decision‐making power on family planning utilization, binary and multivariable logistic regression analysis, 95% confidence interval and p value of less than 0.05, were used. Results Among the married women, 69.2% (CI 67%, 74%) reported having decision‐making power over the use of family planning. The study indicated that age > 40 years [AOR: 7.11, 95% CI: 2.31, 21.89], inability to read and write [AOR = 0.23, 95% CI: 0.12, 0.46], lack of information on family planning utilization during the ANC [AOR 0.23, 95% CI 0.10, 0.53], and non‐user of family planning during the study period [AOR: 0.29, 95% CI: 0.18, 0.46]. Conclusion The results of this study show that married women's decision‐making power regarding the use of family planning was generally poor. The decision‐making power on the use of family planning was substantially associated with age, educational attainment, health knowledge, and existing family planning usage. Therefore, it is advised to increase women's decision‐making power on family planning utilization by teaching them about their rights and bringing health services closer to the community.https://doi.org/10.1002/hsr2.71003decision‐making powerEthiopiafamily planningJeldumarried women
spellingShingle Yonas Tesfa Negasa
Elias Teferi
Jiregna Darega
Lencho Kajela Solbana
Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
Health Science Reports
decision‐making power
Ethiopia
family planning
Jeldu
married women
title Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
title_full Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
title_fullStr Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
title_full_unstemmed Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
title_short Married Women's Decision‐Making Power on Family Planning Utilization and Associated Factors Among Married Women in Jeldu District, Ethiopia: An Implication for Women Empowerment
title_sort married women s decision making power on family planning utilization and associated factors among married women in jeldu district ethiopia an implication for women empowerment
topic decision‐making power
Ethiopia
family planning
Jeldu
married women
url https://doi.org/10.1002/hsr2.71003
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