Women’s Autonomy and Unintended Pregnancy Among Currently Pregnant Women in Bangladesh
- 630 Downloads
This paper examines the net effect of women’s autonomy on their pregnancy intention status among currently pregnant Bangladeshi women. This study is based on data from the Bangladesh Demographic Health Survey, 2007 (BDHS). A subset of interviews from currently pregnant women (718) were extracted from 10,146 married women of reproductive age. The BDHS 2007 used a pre-tested, structured questionnaire to collect sociodemographic, women’s empowerment, and pregnancy information. Associations between unintended pregnancy and explanatory variables were assessed using bivariate analysis. Logistic regression was used to assess the net effect of women’s autonomy on current pregnancy intention status after controlling for other variables. Results indicate that women’s autonomy is a significant predictor of unintended pregnancy after adjusting for other factors. A unit increase in the autonomy scale decreases the odds of unintended pregnancy by 16%. Besides autonomy, our results also indicate that current age, number of children ever born, age at marriage, religion, media access, and contraceptive use exert strong influences over unintended pregnancy. Women who have ever used contraceptives are 82% more likely to classify their current pregnancies as unintended compared with women who are non-users of contraceptives. Improvement in women’s autonomy and effective and efficient use of contraceptives may reduce unintended pregnancies as well as improve reproductive health outcomes.
KeywordsWomen’s autonomy Unintended pregnancy Decision-making Ever use of contraception Bangladesh
The author wish to thank Sonia Rahman for her support in writing and polishing the language of the manuscript.
- 1.WHO. (2000). Women of South-East Asia: A health profile. New Delhi: Regional office for South-East Asia, World Health Organization, Geneva, Switzerland.Google Scholar
- 2.National Institute of Population Research and Training (NIPORT), Mitra and Associates, ORC Macro. (2009). Bangladesh demographic and health survey 2007. Dhaka, Bangladesh and Calverton, Ml: National Institute of Population Research and Training, Mitra and Associates, and ORC Macro.Google Scholar
- 4.Simmons R, Mita R (1995). Women’s status and family planning in Bangladesh: An analysis of focus group data. University of Michigan and The Population Council.Google Scholar
- 10.Eggleston, E., (Ed.) (1998). Unintended pregnancy and use of prenatal care in Ecuador. Annual meeting of the American Public Health Association, 1998 November 15–19; Washington DC.Google Scholar
- 13.Butler, P. (2003). In J. Khanna (Ed.), Progress in reproductive health research (Vol. 62). World Health Organization.Google Scholar
- 30.Bhatia, J., & Cleland, J. (1995). Determinants of maternal care in a region of South India. Health Transition Review, 5(1), 127–142.Google Scholar
- 31.Matsumura, M., & Gubhaju, B. (2001). Women’s status, household structure and the utilization of maternal health services in Nepal. Asia-Pacific Population Journal, 16(1), 23–44.Google Scholar
- 36.Brown, S. S., & Eisenberg, L. (1995). The best intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academies Press.Google Scholar
- 37.Rutstein, S. (2008). The DHS wealth index: Approaches for rural and urban areas. Calverton, MD: Macro International.Google Scholar
- 38.Rutstein, S., & Johnson, K. (2004). The DHS wealth index (DHS comparative Reports No. 6). Calverton, MD: ORC Macro.Google Scholar
- 40.Abbasi-Shavazi, M. J., Hosseini-Chavoshi, M., Aghajanian, A., et al. (2004). Unintended pregnancies in the Islamic Republic of Iran: Levels and correlates. Asia-Pacific Population Journal, 19(1), 27–38.Google Scholar