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The Role of Women’s Autonomy and Experience of Intimate Partner Violence as a Predictor of Maternal Healthcare Service Utilization in Nepal

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  • Sujan Gautam

    (Department of Health Administration, Graduate School, Yonsei University, 1 Yonseidae-gil, Wonju, Gangwon-do 26493, Korea)

  • Hyoung-Sun Jeong

    (Department of Health Administration, Graduate School, Yonsei University, 1 Yonseidae-gil, Wonju, Gangwon-do 26493, Korea)

Abstract

This study aims to identify the relationship of women’s autonomy and intimate partner violence (IPV) with maternal healthcare service utilization among married women of reproductive age in Nepal. This study used data from the 2016 Nepal Demographic and Health Survey (NDHS), which is a nationally representative sample survey. The association between outcome variables with selected factors were examined by using the Chi-square test (χ 2 ), followed by multiple logistic regression. The sample was adjusted for multi-stage sampling design, cluster weight, and sample weight. Of the total sample, 68.4% reported attending sufficient Antenatal care (ANC) visits throughout their pregnancy, while 59.9% reported having a health facility delivery. The factors associated with both, sufficient ANC visits and institutional delivery includes ethnicity, place of residence, household wealth status, and the number of living children. Women who have access to media, and who have intended pregnancy were more likely to have sufficient ANC visits. Exposure to some forms of violence was found to be the barrier for maternal health service utilization. Attending ANC visits enables mothers to make the decision regarding skilled attendance or health facility delivery. Preventing any forms of violence need to be considered as a vital element in interventions aimed at increasing maternal health service utilization.

Suggested Citation

  • Sujan Gautam & Hyoung-Sun Jeong, 2019. "The Role of Women’s Autonomy and Experience of Intimate Partner Violence as a Predictor of Maternal Healthcare Service Utilization in Nepal," IJERPH, MDPI, vol. 16(5), pages 1-18, March.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:895-:d:213214
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    References listed on IDEAS

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    1. Bimala Sharma & Eun Woo Nam, 2018. "Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15–49 Years in Nepal," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
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    Cited by:

    1. Francisco A. Barón-Lozada & Gianfranco W. Basualdo-Meléndez & Rodrigo Vargas-Fernández & Akram Hernández-Vásquez & Guido Bendezu-Quispe, 2022. "Women’s Autonomy and Intimate Partner Violence in Peru: Analysis of a National Health Survey," IJERPH, MDPI, vol. 19(21), pages 1-13, November.

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