TAILIEUCHUNG - Research Women's autonomy in household decision-making: a demographic study in Nepal

To improve their influence on SRH legislation, policy and spending decisions at all levels, it is necessary to strengthen the capacity of marginalised people and of other civil society organisations concerned with SRH including women’s groups, health and human rights groups and elected representatives so they can better negotiate for their demands. Civil society groups should collect evidence to support these demands, support marginalised people to express their concerns, and form alliances to strengthen their representation. The creation of more opportunities and spaces for people to engage in policymaking processes such as independent courts, media. | Acharya et al. Reproductive Health 2010 7 15 http content 7 1 15 REPRODUCTIVE HEALTH RESEARCH Open Access Women s autonomy in household decision-making a demographic study in Nepal Dev R Acharya 1 Jacqueline S Bell2 Padam Simkhada3 Edwin R van Teijlingen4 and Pramod R Regmi5 Abstract Background How socio-demographic factors influence women s autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly studied in Nepal. This study aims to explore the links between women s household position and their autonomy in decision making. Methods We used Nepal Demographic Health Survey NDHS 2006 which provided data on ever married women aged 15-49 years n 8257 . The data consists of women s four types of household decision making own health care making major household purchases making purchase for daily household needs and visits to her family or relatives. A number of socio-demographic variables were used in multivariable logistic regression to examine the relationship of these variables to all four types of decision making. Results Women s autonomy in decision making is positively associated with their age employment and number of living children. Women from rural area and Terai region have less autonomy in decision making in all four types of outcome measure. There is a mixed variation in women s autonomy in the development region across all outcome measures. Western women are more likely to make decision in own health care while they are less likely to purchase daily household needs . Women s increased education is positively associated with autonomy in own health care decision making p however their more schooling SLC and above shows non-significance with other outcome measures. Interestingly rich women are less likely to have autonomy to make decision in own healthcare. Conclusions Women from rural area and Terai region needs specific empowerment programme

• Sức khỏe phụ nữ
• Endometriosis
• Endometriosis and Infertility
• Epidemiological
• Clinical Aspects
• Developing Country
• Early Infant
• Urinary Tract Endometriosis
• Diagnosis and Treatment
• Perineal Endometriosis
• Abdominopelvic Complications
• Complications of Endometriosis