Women’s Decision-Making Autonomy in Maternal Health Service Utilization and Associated Factors among Reproductive Age Women in Southern, Ethiopia

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Abstract BackgroundWomen autonomy is ability of women to make self-regulating decision to meet their requirement without any one initiation. Women who can autonomously decide on their health utilized maternal health care is poor, even though a lot of effort has been made. Only less than 32% of developing countries women have decision making power to visit maternal health service.ObjectiveTo assess the women decision making autonomy in their maternal health service utilization and its associated factors among reproductive age group women in southern Ethiopia, from March1, 2019 to March 30, 2019.Methods and materialA cross-sectional study design was conducted. Data were analysed using descriptive statistical tests and binary logistic regression was used. All independent variables with p- value of < 0.25 at bivariate analysis were included in multivariate model to determine the predictors of the outcome variable, and to control the confounding factors. For all statistical tests, a P value of < 0.05 was a cut off point for statistical significant.Resultsprevalence of women decision making autonomy in their maternal health service utilization was 58.2% [(AOR = 58.2% (95 %CI (54.2–62.0). Number of family size 2.2 [AOR (95% CI) = 2.2, 95% CI (1.3–3.72)], occupation, 4.3 [AOR (95% CI) = 4.3 95% CI (1.10–9.3)] economic status, 2.2[AOR (95% CI) = 2.2, 95% CI (1.3-.3.72)] respondent age above 35 4.8[AOR(95%CI = 4.8,95%CI(2.3–10)] were the factors significantly associated with decision making autonomy.Conclusionprevalence of women decision making autonomy in their maternal health service utilization was 58.2% which was found to be low. Decision making autonomy was more common with low income, large family size, respondent age and lack women occupation. Improved the women’s decision making by giving Health education on the importance of maternal health services and gender equality recommended to reducing the problem.

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