Decision making power andassociated factors to Reproductive health and rights among Reproductive age women, jimma town, ethiopi, 2016

Abstract

BACKGROUND. In many developing countries most reproductive decisions are made by men although it is, as well, the concern of women. Practicing reproductive health rights is not an individual attribute but an outcome of negotiation between partners. Women in developing countries are either under collective decision making with their partners or completely rely on the male partner’s decision on issues that affect their reproductive live. Objective; The objective of this study was to determine decision making power and practicing the reproductive health rights among reproductive age women’s and to see the relationship between respondents' characteristics and practicing (utilization ) of reproductive health rights, in jimma town, south west Ethiopia, 2016. Methods and materials; an institution based descriptive cross-sectional study, quantitative, supplemented by qualitative was conducted from, January-February, 2016 in Jimma town. The sample size was calculated using a single population proportion, from a sample size of shared decision making , p = 0.81(81% of SRH clients adopted SRH services is taken from a community based survey in Addis Ababa,(EDHS,2005).formula at α 0.05 margin of error at 0.05. Systematic sampling technique was used to select 260 and purposive sampling technique was used for qualitative. Result. A total of 260 study participants included in the study of reproductive decision making power. Male dominancy economic dependency and culture are associated with decision making power. Gender equitable attitude had significant statistical association with decision making on reproductive health and Women’s have fair reproductive rights knowledge deficient. There is no any IEC materials in health facilities related to Reproductive health rights. Omens reproductive health decision making power strongly associated with demographic characteristics of age AOR=0.25CI(0.18,1.18),occupation AOR 7.94CI(1.94,8.68),intention to have more than 5 children AOR 11.28CI(1.56,11.2),knowledge of Reproductive right AOR=4.22(CI3.58,12.4). Conclusion and recommendation. According to this study there is high Male economic dependency and culture are more factors for decision making power. And Gender equitable attitude had significant statistical association with decision making on reproductive health and rights. And this indicates as it needs multisectorial approach to empower women and holds decision making power on reproductive health and rights to reduce maternal mortality and morbidity related to sexual and reproductive health.