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Can women's autonomy impede male involvement in pregnancy health in Katmandu, Nepal?

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  • Mullany, Britta C.
  • Hindin, Michelle J.
  • Becker, Stan
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    Abstract

    Women's empowerment programs focus primarily on increasing the decision-making power of women, while male involvement/couple-friendly programs emphasize communication and negotiation within couples in making decisions. In-depth-interviews and focus group discussions were conducted to investigate patterns of household decision-making and the context of male involvement behaviors in Katmandu, Nepal. A questionnaire focusing on household decision-making and husbands' roles during pregnancy was administered to 592 pregnant women receiving antenatal services at a large maternity hospital. Multivariate regression techniques were used to compare male involvement behaviors across varying levels of women's autonomy, represented by different decision-making patterns. Higher women's autonomy, as measured by her sole final decision-making power, was associated with significantly lower male involvement in pregnancy health. After adjustment for other covariates, each additional decision in which a woman had final say was associated with a significantly lower likelihood of her husband accompanying her to antenatal care (OR=0.70, p

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 61 (2005)
    Issue (Month): 9 (November)
    Pages: 1993-2006

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    Handle: RePEc:eee:socmed:v:61:y:2005:i:9:p:1993-2006

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    Related research

    Keywords: Nepal Women's autonomy Male involvement Decision-making Pregnancy health;

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    Cited by:
    1. Ngo, Thi Minh-Phuong & Wahhaj, Zaki, 2012. "Microfinance and gender empowerment," Journal of Development Economics, Elsevier, vol. 99(1), pages 1-12.
    2. Thapa, Deependra Kaji & Niehof, Anke, 2013. "Women's autonomy and husbands' involvement in maternal health care in Nepal," Social Science & Medicine, Elsevier, Elsevier, vol. 93(C), pages 1-10.
    3. Mahmud, Simeen & Shah, Nirali M. & Becker, Stan, 2012. "Measurement of Women’s Empowerment in Rural Bangladesh," World Development, Elsevier, Elsevier, vol. 40(3), pages 610-619.
    4. Story, William T. & Burgard, Sarah A., 2012. "Couples’ reports of household decision-making and the utilization of maternal health services in Bangladesh," Social Science & Medicine, Elsevier, Elsevier, vol. 75(12), pages 2403-2411.
    5. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, Elsevier, vol. 45(C), pages 17-30.

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