{"id":"https://openalex.org/W7125836409","doi":"https://doi.org/10.1002/hsr2.71791","title":"Prevalence, Determinants, and Barriers to Reproductive Health Decision\u2010Making Autonomy Among Married Women in Rural Parts of Seden Sodo District, Southwest Ethiopia: A Mixed\u2010Methods Study","display_name":"Prevalence, Determinants, and Barriers to Reproductive Health Decision\u2010Making Autonomy Among Married Women in Rural Parts of Seden Sodo District, Southwest Ethiopia: A Mixed\u2010Methods Study","publication_year":2026,"publication_date":"2026-01-26","ids":{"openalex":"https://openalex.org/W7125836409","doi":"https://doi.org/10.1002/hsr2.71791","pmid":"https://pubmed.ncbi.nlm.nih.gov/41608365","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12834692"},"language":"en","primary_location":{"id":"doi:10.1002/hsr2.71791","doi":"https://doi.org/10.1002/hsr2.71791","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.71791","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.71791","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.71791","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123972371","display_name":"Shimelis Gobena","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144065","display_name":"Oromiyaa Regional Health Bureau","ror":"https://ror.org/03k3h8z07","country_code":"ET","type":"government","lineage":["https://openalex.org/I4210100352","https://openalex.org/I4210144065"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Shimelis Gobena","raw_affiliation_strings":["Southwest Shewa Zone Health Office, Oromia Regional Health Bureau Wolliso Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southwest Shewa Zone Health Office, Oromia Regional Health Bureau Wolliso Ethiopia","institution_ids":["https://openalex.org/I4210144065"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010157360","display_name":"Seifadin Ahmed Shallo","orcid":"https://orcid.org/0000-0001-6415-7515","observed_orcids":["https://orcid.org/0000-0001-6415-7515"]},"institutions":[{"id":"https://openalex.org/I4400600922","display_name":"Arsi University","ror":"https://ror.org/04s6kmw55","country_code":"ET","type":"education","lineage":["https://openalex.org/I4400600922"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Seifadin Ahmed Shallo","raw_affiliation_strings":["Department of Public Health College of Medicine and Health Sciences Arsi University Asella Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health College of Medicine and Health Sciences Arsi University Asella Ethiopia","institution_ids":["https://openalex.org/I4400600922"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082048137","display_name":"Gemechu Gelan Bekele","orcid":"https://orcid.org/0000-0002-8476-5320","observed_orcids":["https://orcid.org/0000-0002-8476-5320"]},"institutions":[{"id":"https://openalex.org/I1283442259","display_name":"Madda Walabu University","ror":"https://ror.org/04zte5g15","country_code":"ET","type":"education","lineage":["https://openalex.org/I1283442259"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Gemechu Gelan Bekele","raw_affiliation_strings":["Department of Midwifery College of Health Sciences Madda Walabu University Shashamane Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-8476-5320","affiliations":[{"raw_affiliation_string":"Department of Midwifery College of Health Sciences Madda Walabu University Shashamane Ethiopia","institution_ids":["https://openalex.org/I1283442259"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073203418","display_name":"Eden Girmaye Tefera","orcid":"https://orcid.org/0000-0002-6382-5988","observed_orcids":["https://orcid.org/0000-0002-6382-5988"]},"institutions":[{"id":"https://openalex.org/I4210114632","display_name":"Ambo University","ror":"https://ror.org/02e6z0y17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210114632"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Eden Girmaye Tefera","raw_affiliation_strings":["Department of Midwifery College of Medicine and Health Sciences Ambo University Ambo Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-6382-5988","affiliations":[{"raw_affiliation_string":"Department of Midwifery College of Medicine and Health Sciences Ambo University Ambo Ethiopia","institution_ids":["https://openalex.org/I4210114632"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014673708","display_name":"Gizachew Abdissa Bulto","orcid":"https://orcid.org/0000-0003-4390-1418","observed_orcids":["https://orcid.org/0000-0003-4390-1418"]},"institutions":[{"id":"https://openalex.org/I4210114632","display_name":"Ambo University","ror":"https://ror.org/02e6z0y17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210114632"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Gizachew Abdissa Bulto","raw_affiliation_strings":["Department of Midwifery College of Medicine and Health Sciences Ambo University Ambo Ethiopia"],"raw_orcid":"https://orcid.org/0000-0003-4390-1418","affiliations":[{"raw_affiliation_string":"Department of Midwifery College of Medicine and Health Sciences Ambo University Ambo Ethiopia","institution_ids":["https://openalex.org/I4210114632"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5082048137"],"corresponding_institution_ids":["https://openalex.org/I1283442259"],"apc_list":{"value":3280,"currency":"USD","value_usd":3280},"apc_paid":{"value":3280,"currency":"USD","value_usd":3280},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.03719645,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"2","first_page":"e71791","last_page":"e71791"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.8833000063896179,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.8833000063896179,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.06880000233650208,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11544","display_name":"Gender, Labor, and Family Dynamics","score":0.014600000344216824,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/married-women","display_name":"married women","score":0.9929999709129333},{"id":"https://openalex.org/keywords/rural-ethiopia","display_name":"rural Ethiopia","score":0.6430000066757202},{"id":"https://openalex.org/keywords/family-planning","display_name":"family planning","score":0.75},{"id":"https://openalex.org/keywords/prenatal-care","display_name":"prenatal care","score":0.9810000061988831},{"id":"https://openalex.org/keywords/place-of-delivery","display_name":"place of delivery","score":0.9599999785423279},{"id":"https://openalex.org/keywords/postnatal-care","display_name":"postpartum care","score":0.9990000128746033},{"id":"https://openalex.org/keywords/patriarchal-norms","display_name":"patriarchal norms","score":0.7889999747276306},{"id":"https://openalex.org/keywords/maternal-health","display_name":"maternal health","score":0.609000027179718},{"id":"https://openalex.org/keywords/women-s-education","display_name":"women's education","score":0.6679999828338623},{"id":"https://openalex.org/keywords/husband-s-education","display_name":"husband education","score":0.7329999804496765},{"id":"https://openalex.org/keywords/age-at-marriage","display_name":"age at marriage","score":0.7630000114440918}],"concepts":[{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.6887000203132629},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.6495000123977661},{"id":"https://openalex.org/C2983493262","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal health","level":4,"score":0.43549999594688416},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.4300999939441681},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.40070000290870667},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3968000113964081},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.37540000677108765},{"id":"https://openalex.org/C2994082534","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural population","level":3,"score":0.3513000011444092},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.32350000739097595},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.32109999656677246},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.31779998540878296},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3140999972820282},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.30630001425743103},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.30219998955726624},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.29739999771118164},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.29120001196861267},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.27889999747276306},{"id":"https://openalex.org/C2775982641","wikidata":"https://www.wikidata.org/wiki/Q15675642","display_name":"Women's empowerment","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.2741999924182892},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.26100000739097595},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.25760000944137573}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1002/hsr2.71791","doi":"https://doi.org/10.1002/hsr2.71791","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.71791","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.71791","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},{"id":"pmid:41608365","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41608365","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health science reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12834692","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12834692/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Sci Rep","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1002/hsr2.71791","doi":"https://doi.org/10.1002/hsr2.71791","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.71791","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.71791","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.9444000124931335,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7125836409.pdf","grobid_xml":"https://content.openalex.org/works/W7125836409.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W1964362409","https://openalex.org/W2187557124","https://openalex.org/W2289955743","https://openalex.org/W2295206670","https://openalex.org/W2606329874","https://openalex.org/W2752619759","https://openalex.org/W2883955440","https://openalex.org/W2903969046","https://openalex.org/W2950504429","https://openalex.org/W2982306307","https://openalex.org/W3004337369","https://openalex.org/W3004580215","https://openalex.org/W3022078898","https://openalex.org/W3033020157","https://openalex.org/W3036729823","https://openalex.org/W3111795298","https://openalex.org/W3119235603","https://openalex.org/W3202861124","https://openalex.org/W4225272059","https://openalex.org/W4231465968","https://openalex.org/W4285091434","https://openalex.org/W4289525156","https://openalex.org/W4294339281","https://openalex.org/W4294397804","https://openalex.org/W4299689471","https://openalex.org/W4315649009","https://openalex.org/W4318151169","https://openalex.org/W4384161701","https://openalex.org/W4390661471","https://openalex.org/W4393858866"],"related_works":["https://openalex.org/W4214681649","https://openalex.org/W2606329874","https://openalex.org/W3160623496","https://openalex.org/W4315649009","https://openalex.org/W4225272059","https://openalex.org/W3202861124","https://openalex.org/W4393858866","https://openalex.org/W2029901135","https://openalex.org/W3210671182","https://openalex.org/W2982306307"],"abstract_inverted_index":{"Background":[0],"and":[1,34,87,112,128,211,242,249,274,285],"Aim:":[2],"In":[3],"rural":[4,44,255],"Ethiopia,":[5],"where":[6],"patriarchal":[7,272],"norms":[8],"prevail,":[9],"women's":[10,212,268],"limited":[11],"decision-making":[12,38,94,225,260],"autonomy":[13,39,95],"significantly":[14,221],"restricts":[15],"their":[16],"reproductive":[17,101],"health":[18,102,237,288],"(RH)":[19],"service":[20,246],"utilization.":[21],"However,":[22],"scarcity":[23],"of":[24,46,110,159,168,254],"data":[25,80],"persists.":[26],"Hence,":[27],"this":[28],"study":[29,56],"assesses":[30],"the":[31,72,131,139,160],"prevalence,":[32],"determinants,":[33],"barriers":[35,156,263],"to":[36,62,153,280],"RH":[37,172,204,224,259,283],"among":[40,65],"married":[41,69],"women":[42,70,169,256],"in":[43,71,148,236],"parts":[45],"Seden":[47,73],"Sodo":[48,74],"district,":[49,75],"Southwest":[50,76],"Ethiopia.":[51,77],"Methods:":[52],"A":[53],"community-based":[54],"mixed-methods":[55],"was":[57,96],"conducted":[58],"from":[59],"December":[60],"2022":[61],"January":[63],"2023":[64],"594":[66],"systematically":[67],"selected":[68],"The":[78],"quantitative":[79],"were":[81,141,220],"collected":[82],"using":[83,115],"structured":[84],"interviewer-administered":[85],"questionnaires":[86],"analyzed":[88],"by":[89],"SPSS":[90],"version":[91],"27.":[92],"Women's":[93],"assessed":[97],"across":[98],"four":[99],"key":[100,145,231],"areas":[103],"including":[104],"family":[105],"planning,":[106],"antenatal":[107],"care,":[108],"place":[109],"delivery,":[111],"postnatal":[113],"care":[114],"a":[116],"weighted":[117],"scoring":[118],"system:":[119],"2":[120],"for":[121,125],"sole":[122],"decision-maker,":[123],"1":[124],"joint":[126],"decisions,":[127,238],"0":[129],"if":[130],"husband":[132],"decided":[133],"alone.":[134],"Women":[135],"who":[136],"scored":[137],"above":[138],"mean":[140],"considered":[142],"autonomous.":[143],"Sixteen":[144],"informants":[146],"participated":[147],"qualitative":[149],"interviews":[150],"analysed":[151],"thematically":[152],"explore":[154],"contextual":[155],"with":[157,223],"triangulation":[158],"findings.":[161],"Results:":[162],"Only":[163],"53.2%":[164],"(95%":[165],"CI:":[166,180,193,201,218],"49-57)":[167],"demonstrated":[170],"autonomous":[171,282],"decision-making.":[173],"Merchant":[174],"occupation":[175],"(AOR":[176,189,197,206,214],"=":[177,190,198,207,215],"6.88,":[178],"95%":[179,192,200,209,217],"3.12-15.14),":[181],"age":[182,185],"at":[183],"marriage":[184],">":[186],"18":[187],"years":[188],"5.49,":[191],"3.20-9.43),":[194],"husband's":[195],"education":[196,213],"3.51,":[199],"2.10-5.90),":[202],"favourable":[203],"perceptions":[205],"2.08,":[208],"CI:1.05-4.12)":[210],"0.47,":[216],"0.30-0.76)":[219],"associated":[222],"autonomy.":[226],"Qualitative":[227],"analysis":[228],"revealed":[229],"three":[230],"barriers:":[232],"entrenched":[233],"male":[234,276],"dominance":[235],"female":[239],"economic":[240,269],"marginalization,":[241],"mobility":[243],"restrictions":[244],"impeding":[245],"access.":[247],"Conclusion":[248],"Recommendation:":[250],"While":[251],"approximately":[252],"half":[253],"demonstrate":[257],"some":[258],"autonomy,":[261],"significant":[262],"persist.":[264],"Therefore,":[265],"programs":[266],"promoting":[267],"participation,":[270],"challenging":[271],"norms,":[273],"engaging":[275],"partners":[277],"are":[278],"critical":[279],"enhancing":[281],"decisions":[284],"improving":[286],"maternal":[287],"outcomes.":[289]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-01-28T00:00:00"}