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Women's decision‐making autonomy and utilization of antenatal, natal and post‐natal healthcare services: Insights from Tajikistan's national surveys

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  • Alena Auchynnikava
  • Nazim Habibov

Abstract

Background The purpose of this article is to investigate the link between women's autonomy and their utilization of antenatal, natal and post‐natal healthcare services in Tajikistan. Previous studies focused only on a single dimension of such services, for instance, utilization of antenatal care. By contrast, we explore antenatal, natal and post‐natal healthcare services utilization using the number of indicator for each of the dimensions. Methods Data come from two national surveys that were conducted in 2012 and 2017. The target population is women of reproductive age (16–49) who were married or cohabitating with a partner (N = 7540). Several regression models were estimated to quantify association between women's autonomy and the utilization. Results Lack of women's autonomy is associated with a lower probability of: (a) having had at least four antenatal check‐ups during pregnancy, (b) beginning first antenatal check‐up early, (c) delivering in a healthcare facility, (d) having the skilled attendance during pregnancy, (e) having a mother post‐delivery check‐up, and (f) having a child post‐delivery check‐up. The size effect of women's autonomy is stronger than that of well‐developed precursors of utilization such as poverty and mothers' education. Conclusion Women autonomy should be improved to achieve higher rates of child and maternal healthcare utilization. Studies of maternal and child healthcare utilization should control explicitly for women's autonomy.

Suggested Citation

  • Alena Auchynnikava & Nazim Habibov, 2021. "Women's decision‐making autonomy and utilization of antenatal, natal and post‐natal healthcare services: Insights from Tajikistan's national surveys," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(1), pages 158-172, January.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:1:p:158-172
    DOI: 10.1002/hpm.3077
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    References listed on IDEAS

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    1. Habibov, Nazim N., 2011. "On the socio-economic determinants of antenatal care utilization in Azerbaijan: evidence and policy implications for reforms," Health Economics, Policy and Law, Cambridge University Press, vol. 6(2), pages 175-203, April.
    2. Francesco Avvisati, 2019. "Is there a generational divide in environmental optimism?," PISA in Focus 95, OECD Publishing.
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    1. Alena Auchynnikava & Nazim Habibov & Yunhong Lyu & Lida Fan, 2024. "Effect of the contextual (community) level social trust on women’s empowerment: an instrumental variable analysis of 26 nations," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.

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