TY - JOUR
T1 - Women’s Independent Household Decision Making Power and its influence on their Autonomy in relation to Child Vaccinations
T2 - A mixed-method study among Women of Reproductive Age in Northwest Ethiopia
AU - Gelagay, Abebaw Addis
AU - Geremew, Alehegn Bishaw
AU - Teklu, Alemayehu
AU - Mekonnen, Zeleke Abebaw
AU - Sharkey, Alyssa
AU - Assan, Abraham
AU - Tilahun, Binyam
N1 - Funding Information:
This study was supported by the Alliance for Health Policy and Systems Research (Alliance). The Alliance is able to conduct its work thanks to the commitment and support from a variety of funders. These include UNICEF and Gavi, the Vaccine Alliance contributing designated funding and support for this project, along with the Alliance's long-term core contributors from national governments and international institutions. For the full list of Alliance donors, please visit: https://ahpsr.who.int/about-us/funders.We are also grateful to data collectors, supervisors, study participants and all stakeholders who were involved in this study.
Publisher Copyright:
© 2021
PY - 2021
Y1 - 2021
N2 - Background: The importance of women’s empowerment in influencing health outcomes has received attention globally, but there is limited information in Ethiopia on the relationship between women’s household decision making power and the autonomy of decision making in relation to child vaccinations. Aim: The study aimed to assess the role of women’s household decision making power on their autonomy in relation to child vaccinations. Methods: A community based mixed method study design was conducted among women who had 12–23-month-old children in Wogera district, Ethiopia. The sample size was determined using a single population proportion formula for the quantitative aspect of the study and the data collection for the qualitative study continued until saturation. The quantitative data was collected using a piloted questionnaire. SPSS software was used for quantitative data analyses. X2-square test was conducted to explore the association between women’s household decision making power and their autonomy in relation to decision making around child vaccinations. Framework analysis was employed to analyse qualitative data using open code software. Results: A total of 584 women participated in the quantitative study and 13 In-depth interviews (IDI) with 13 key informants (KII)were conducted for the qualitative study. Majority, 88.2% (95% CI: 85.7, 90.6) of the respondents have autonomy to vaccinate children. This study showed that nearly two-thirds, 61.6% of the women had household decision making power. Respondents of the qualitative study noted that women had low household decision making power. Women’s household decision making power is associated with women’s autonomy to vaccinate children (x2=92.775a, df=1, P<0.001). Conclusions: The overall level of women’s household decision making power was relatively low compared to EDHS reports whereas women’s autonomy to chid vaccination was high. There was a strong relationship between women’s household decision making power and their autonomy in relation to child vaccinations. It is therefore important to implement activities, for example, provision of behavioural change communication (BCC) in the community, that can improve women’s household decision making power which in turn will influence child vaccination coverage. [Ethiop. J. Health Dev.
AB - Background: The importance of women’s empowerment in influencing health outcomes has received attention globally, but there is limited information in Ethiopia on the relationship between women’s household decision making power and the autonomy of decision making in relation to child vaccinations. Aim: The study aimed to assess the role of women’s household decision making power on their autonomy in relation to child vaccinations. Methods: A community based mixed method study design was conducted among women who had 12–23-month-old children in Wogera district, Ethiopia. The sample size was determined using a single population proportion formula for the quantitative aspect of the study and the data collection for the qualitative study continued until saturation. The quantitative data was collected using a piloted questionnaire. SPSS software was used for quantitative data analyses. X2-square test was conducted to explore the association between women’s household decision making power and their autonomy in relation to decision making around child vaccinations. Framework analysis was employed to analyse qualitative data using open code software. Results: A total of 584 women participated in the quantitative study and 13 In-depth interviews (IDI) with 13 key informants (KII)were conducted for the qualitative study. Majority, 88.2% (95% CI: 85.7, 90.6) of the respondents have autonomy to vaccinate children. This study showed that nearly two-thirds, 61.6% of the women had household decision making power. Respondents of the qualitative study noted that women had low household decision making power. Women’s household decision making power is associated with women’s autonomy to vaccinate children (x2=92.775a, df=1, P<0.001). Conclusions: The overall level of women’s household decision making power was relatively low compared to EDHS reports whereas women’s autonomy to chid vaccination was high. There was a strong relationship between women’s household decision making power and their autonomy in relation to child vaccinations. It is therefore important to implement activities, for example, provision of behavioural change communication (BCC) in the community, that can improve women’s household decision making power which in turn will influence child vaccination coverage. [Ethiop. J. Health Dev.
KW - Household decision making power
KW - Vaccination
KW - Women
KW - Women’s autonomy
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M3 - Article
AN - SCOPUS:85123633465
SN - 1021-6790
VL - 35
SP - 86
EP - 97
JO - Ethiopian Journal of Health Development
JF - Ethiopian Journal of Health Development
IS - Special Issue 3
ER -