Volume 3, Issue 2, June 2018, Page: 22-28
Women’s Autonomy and Reproductive Healthcare-Seeking Behavior in Bangladesh: Further Analysis of the 2014 Bangladesh Demographic and Health Survey
Sohani Afroja, Department of Statistics, Khulna University, Khulna, Bangladesh
Mahmudur Rahman, Department of Horticulture, Bangladesh Agricultural Research Institute, Dhaka, Bangladesh
Lopa Islam, Department of Urban and Rural Planning, Khulna University, Khulna, Bangladesh
Received: Jul. 2, 2018;       Accepted: Jul. 16, 2018;       Published: Aug. 14, 2018
DOI: 10.11648/j.bsi.20180302.13      View  451      Downloads  17
Women’s autonomy or empowerment is an important issue to achieve targets for the Sustainable Development Goals (SDGs) of Bangladesh. There are several indicators to measure the women empowerment. Health seeking information is one of the most important indicators in this view. This study aims at identifying women’s maternal and child health-care seeking in relation to women empowerment in Bangladesh. Bangladesh Demographic and Health Survey (BDHS) 2014 data was used for the study. A total of 1875 women of reproductive age with complete information on the selected predictors were identified for this analysis by multistage stratified cluster sampling design. Multiple logistic regression and X2 statistic were used to study determinant factors. A p-value less than 0.05 was considered as statistically significant. Among 1875 women sampled, 87.7% and 88.5% were received antenatal care and postnatal care respectively. Out of women who resided in urban areas, 91.2% women got postnatal care and 93.7% women received antenatal care where as only 83.4% rural women’s get antenatal care and 86.6% women got postnatal care respectively. Division, type of residence, respondent’s education level, wealth index, decision maker for using contraception, partner's education level, respondent’s currently working status, beating justified if wife goes out without telling husband, neglects the children, argues with husband, refuses to have sex with husband, burns the food respectively, women’s body mass index and age of 1st birth were found to be statistically significant determinants of receiving antenatal care. Type of residence, wealth index, respondent’s currently working status, person who usually decides on visits to family or relatives, beating justified if wife argues with husband were found to be statistically significant determinants of receiving postnatal care. In summary, our analysis highlights concerning continuing healthcare-seeking challenges in Bangladesh. This study explores the factors associated with women’s autonomy and reproductive healthcare-seeking behavior in Bangladesh.
Women Empowerment, Decision-Making, Health Seeking Behavior, BDHS, Bangladesh
To cite this article
Sohani Afroja, Mahmudur Rahman, Lopa Islam, Women’s Autonomy and Reproductive Healthcare-Seeking Behavior in Bangladesh: Further Analysis of the 2014 Bangladesh Demographic and Health Survey, Biomedical Statistics and Informatics. Vol. 3, No. 2, 2018, pp. 22-28. doi: 10.11648/j.bsi.20180302.13
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Kabeer N. Reflections on the measurement of women’s empowerment’in ‘Discussing women’s empowerment: theory and practice’. Sida studies. 2001; 3.
Malhotra A, Schuler SR. Women’s empowerment as a variable in international development. Measuring empowerment: Cross-disciplinary perspectives. 2005:71-88.
Sen G. Womens empowerment and human rights: the challenge to policy. In: Population – the complex reality. A Report of the Population Summit of the World's Scientific Academies, edited by Francis Graham-Smith. London: Royal Society; 1994. p. 363–72.
Klugman J, Hanmer L, Twigg S, Hasan T, McCleary-Sills J, Santamaria J. Voice and agency: Empowering women and girls for shared prosperity. Washington: World Bank Publications; 2014.
Pratley P. Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world. Soc Sci Med. 2016; 169:119–31.
James-Hawkins L, Peters C, VanderEnde K, Bardin L, Yount KM. Women's agency and its relationship to current contraceptive use in lower- and middle-income countries: A systematic review of the literature. Glob Public Health. 2016:1–16. doi:10.1080/17441692.2016.1239270. Epub ahead of print.
Ahmed S, Creanga AA, Gillespie DG, Tsui AO. Economic status, education and empowerment: implications for maternal health service utilization in developing countries. PLoS One. 2010; 5 (6):e11190.
Hasan MN, Uddin MS. Women empowerment through health seeking behavior in Bangladesh: Evidence from a national survey. South East Asia Journal of Public Health. 2016 Dec 10; 6 (1):40-5.
Cain MT. The economic activities of children in a village in Bangladesh. Population and development Review. 1977 Sep 1:201-27.
Uteng TP. Gender and mobility in the developing world. 2012.
Bekhouche Y, Hausmann R, Tyson LD, Zahidi S. The global gender gap report 2013. Geneva Switzerland World Economic Forum 2013.
Bangladesh DH. National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International. (2014). Calverton, Maryland: Bangladesh Demographic and Health Survey. 2014.
Garcia ER, Yim IS. A systematic review of concepts related to women’s empowerment in the perinatal period and their associations with perinatal depressive symptoms and premature birth. BMC pregnancy and childbirth. 2017 Nov; 17 (2):347.
Montgomery DC. and Peek E. An introduction to regression analysis. 3rd ed. New York: John Wiley and Sons; 2004.
Gujarati DN., Porter DC. and Gunasekar S. Basic econometrics. 5th ed. New York: McGraw; 2015.
Agresti A. Categorical data analysis. 2nd ed. John Wiley & Sons, Inc; 2002.
Addai, I. Determinants of use of maternal-child health services in rural Ghana. Journal Biosocial Sciences, 2000; 32 (1): 1-15.
Sharma, S. K., Sawangdee Y. and Sirirassamee B. Access to health: women's status and utilization of maternal health services in Nepal. Journal of Biosocial Science, 2007; 39: 671-692.
Faridi MZ, Chaudhry IS, Anwar M. The socioeconomic and demographic determinants of women work participation in Pakistan: evidence from Bahawapur District. South Asian Studies 2009; 24:351-67.
Ashraf J, Ashraf B. Estimating the gender wage gap in Rawalpindi city. J Dev Stud 1993; 29: 365 -76.
Husain Z, Mukerjee D, Dutta M. Are women self -help group members economically more empowered in leftrun municipalities? Dev in Prac 1996; 23:107-22.
Browse journals by subject