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Dimensions of women's decision-making power and the influence on quality early prenatal care in Burkina Faso

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  • Ngaba, Eric Allara

Abstract

Access to prenatal care in Burkina Faso does not always comply with WHO standards and guidelines, and many maternal deaths could have been avoided if these guidelines had been adhered to. Early initiation of prenatal care plays a critical role in identifying health problems and providing timely solutions. The woman's status within the household is likely to affect her access to such care. This paper aims to analyse the effects of the dimensions of decision-making power of women who are married and living with their partners on the quality of early prenatal care in Burkina Faso. With data from the 2021 Burkina Faso Demographic and Health Survey, the study uses binary probit, recursive bivariate probit model, and robustness methods to assess this relationship. The results show that most women involved in household decision-making have access to quality early prenatal care. The proportions range from 54 % to 58 % for all dimensions. The econometric estimates indicate that the dimensions of women's decision-making power significantly affect the quality of early prenatal care. These results appear to be relatively robust to concerns about selection and endogeneity biases. The study confirms the assertion that the status of women within the household is significantly related to maternal healthcare in developing countries. Policymakers in Burkina Faso must not only implement direct maternal health interventions but also focus on broader policies that aim to strengthen women's decision-making power within the household.

Suggested Citation

  • Ngaba, Eric Allara, 2025. "Dimensions of women's decision-making power and the influence on quality early prenatal care in Burkina Faso," Social Science & Medicine, Elsevier, vol. 380(C).
    • Handle: RePEc:eee:socmed:v:380:y:2025:i:c:s0277953625005660
    DOI: 10.1016/j.socscimed.2025.118235
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    References listed on IDEAS

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    1. Kristine Husøy Onarheim & Johanne Helene Iversen & David E Bloom, 2016. "Economic Benefits of Investing in Women’s Health: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-23, March.
    2. Belayet Hossain & Ahmed A. Hoque, 2015. "Women empowerment and antenatal care utilization in Bangladesh," Journal of Developing Areas, Tennessee State University, College of Business, vol. 49(2), pages 109-124, April-Jun.
    3. Li, Chuhui & Poskitt, D.S. & Zhao, Xueyan, 2019. "The bivariate probit model, maximum likelihood estimation, pseudo true parameters and partial identification," Journal of Econometrics, Elsevier, vol. 209(1), pages 94-113.
    4. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    5. Kamiya, Yusuke, 2011. "Women's autonomy and reproductive health care utilisation: Empirical evidence from Tajikistan," Health Policy, Elsevier, vol. 102(2), pages 304-313.
    6. Sado, Lantona & Spaho, Alma & Hotchkiss, David R., 2014. "The influence of women's empowerment on maternal health care utilization: Evidence from Albania," Social Science & Medicine, Elsevier, vol. 114(C), pages 169-177.
    7. Peterman, Amber & Schwab, Benjamin & Roy, Shalini & Hidrobo, Melissa & Gilligan, Daniel O., 2021. "Measuring women’s decisionmaking: Indicator choice and survey design experiments from cash and food transfer evaluations in Ecuador, Uganda and Yemen," World Development, Elsevier, vol. 141(C).
    8. Mark L Bryan & Nigel Rice & Jennifer Roberts & Cristina Sechel, 2022. "Mental Health and Employment: A Bounding Approach Using Panel Data," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 84(5), pages 1018-1051, October.
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