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

Britta C. Mullany, Michelle J. Hindin and Stan Becker

Social Science & Medicine, 2005, vol. 61, issue 9, 1993-2006

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

Keywords: Nepal; Women's; autonomy; Male; involvement; Decision-making; Pregnancy; health (search for similar items in EconPapers)
Date: 2005
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Citations: View citations in EconPapers (14)

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