Research Journal of Women's Health

Research Journal of Women's Health

ISSN 2054-9865
Original Research

Determinants of health care decision making autonomy among mothers of children under five years in Ghana: analysis of 2014 Ghana demographic and health survey

Henry Ofori Duah1 and Isaac Adisah-Atta2*

*Correspondence: Adisah-Atta iaa408@mail.usask.ca

2. Department of Political Studies, University of Saskatchewan, 283C Arts Building, Saskatoon, SK S7N 5A5, Canada.

Author Affiliations

1. Research Department, Foundation of Orthopaedic and Complex Spine (FOCOS) Hospital, Accra- Ghana.

Abstract

The important role of women’s health care decision making autonomy in enhancing the well-being of women and their families cannot be undervalued. As such, this study sought to examine the determinants of health care decision making autonomy among mothers of children less than five years in Ghana using the 2014 Ghana Demographic and Health Survey dataset. A total of 5076 women were included in the analysis. Results showed that 75% of the Ghanaian women reported exercising health care decision making autonomy either alone (22%) or jointly with their partners (53%). Multivariate logistic regression analysis revealed that independent determinants of women’s health care decision making autonomy were women’s attainment of primary education (OR=1.52, 95%CI 1.1574 to 1.9861), secondary education (OR=1.46, 95% CI 1.1338 to 1.8784) or higher than secondary education (OR=2.20, 95%CI 1.2322 to 3.9547), women’s ability to make decisions about their earnings alone (OR=2.42, 95% CI 1.7570 to 3.3391) or jointly with their partners (OR=9.85, 95% CI 6.7215 to 14.4364), and having a partner who has attained primary education (OR=1.5,95%CI 1.0876 to 2.0641) or secondary education (OR=1.5,95%CI 1.1740 to 1.9247). Therefore, encouraging women to pursue education, improving their earnings autonomy whiles promoting education of partners remains a comprehensive way of enhancing women’s autonomy in health decision making in order to promote reproductive, maternal and child health.

Keywords: healthcare, decision making, autonomy, women, Ghana

ISSN 2054-9865
Volume 4
Abstract Download