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Is women empowerment important for maternal health care seeking practice in Myanmar?: A cross sectional study
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Introduction: Women in low and middle-income countries are often vulnerable in their sexual and reproductive health. Women empowerment has been highlighted in many studies as important for better sexual and reproductive health outcomes. However, even if many studies have examined the relationship between women empowerment and maternal health care seeking practice in the developing world, this issue rarely has been studied in the context of Myanmar. The aim of this research thus is to examine the association between women empowerment and skilled birth attendance in Myanmar.

Methods: In this study, data comes from the cross-sectional Myanmar Demographic and Health Survey carried out in 2015-2016, which is a nationally representative survey covering demographic and health-related characteristics in Myanmar. The analytical sample included 3,617 women aged 15-49 years who had given birth in last five years, selecting from a total number of 12,885 women aged 15-49 years. The ability for women to decide jointly with partner or independently over health care utilization was used as an indicator of women empowerment while delivery care by skilled birth attendant was used as a measure of maternal health care seeking practice. Odds Ratio was used in logistic regression analyses to study the association between indicator of women empowerment and skilled birth attendance in Myanmar.

Results: Results from the univariate logistic regression indicated that women with higher levels of empowerment had a 1.62 times (95% CI=1.27-2.06) higher odds of having skilled birth attendance, compared to women with less empowerment. After adjusting for potential confounders such as women and partner education, women age group, area of residence, in a multivariate logistic regression analysis, the results still showed that women with higher levels of empowerment had a 1.44 times (95% CI=1.11-1.87) higher odds of having skilled birth attendance, compared to women with less empowerment.

Conclusion: Our findings suggest that women empowerment might be important to obtain birth attendance from a skilled professional in Myanmar. This result remained even after controlling for known social- and sociodemographic characteristic. Policies and health promotion programs working to expand the utilization of skilled birth attendants should consider women empowerment as a potentially important factor. For example, school education about association of womeniiiempowerment and maternal health outcome would be bargained investment for future generation.

Place, publisher, year, edition, pages
2019. , p. 23
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2019:23
Keywords [en]
women empowerment, skilled birth attendance, social determinants for women health care seeking practice, Myanmar Demographic and Health Survey 2015-2016
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-165971OAI: oai:DiVA.org:umu-165971DiVA, id: diva2:1375619
External cooperation
Myanmar Demographic and Health Surevey (MDHS) - Inter City Fund International (ICF)
Educational program
Master's Programme in Public Health
Presentation
2019-05-22, Room A110, Caring Sciences Building, Umeå University, Umeå, 14:00 (English)
Supervisors
Examiners
Available from: 2019-12-06 Created: 2019-12-05 Last updated: 2019-12-06Bibliographically approved

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CiteExportLink to record
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Citation style
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