The influence of Husbands' Approval on Women's Use of Prenatal Care: Results from Yirgalem and Jimma Towns, South West Ethiopia

Type Journal Article - Ethiopian Journal of Health Development
Title The influence of Husbands' Approval on Women's Use of Prenatal Care: Results from Yirgalem and Jimma Towns, South West Ethiopia
Author(s)
Volume 20
Issue 2
Publication (Day/Month/Year) 2007
Page numbers 84-92
URL http://www.ajol.info/index.php/ejhd/article/view/10017/2270
Abstract
Background: The utilization of formal prenatal care services in Ethiopia could generally be described as low by international standards. While this is attributed to the lack of access to formal maternal health-care service, which is an
important barrier to prenatal care, other important socio-cultural barriers to service utilization also exist.
Objective: The aim of this study is to identify the relative influence of the attitudes and background characteristics of husbands and wives on prenatal care utilization, and in particular to identify the role of a husband’s approval on
prenatal care.
Methods: Data were collected from 1,750 women in a community-based survey of maternal health conducted in Yirgalem town and its surrounding rural areas, as well as in Jimma Town in 1997. Multivariate regression models were used to identify: (1) the relationship between the determinants of whether a woman wanted a pregnancy and whether a husband approves of prenatal care, and (2) the influence of a husband's approval on care utilization net of
pregnancy wantedness and other factors.
Results: It was found out that a husband's approval has a greater effect on prenatal care utilization than whether a wife wanted the pregnancy or a wife’s level of education. It was also found that the impact of a husband's approval on
prenatal care is greatest among women under the age of 20.
Conclusion: The findings of this study underscore the importance of targeting men when designing interventions that are intended to raise the awareness and use of prenatal health-care services.

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