Association between women’s autonomy and family planning outcome in couples residing in Isfahan

Abstract

ABSTRACT

Background: One of the important factors in the prediction of family planning outcome is paying attention to women’s role in decision making concerning fertility and household affairs. With the improvement of women’s status and autonomy, their control over fertility is expected to increase. The present study aimed to investigate the association between women’s autonomy and family planning outcome of the couples residing in Isfahan.

Materials and Methods: This is cross-sectional study. Two hundred and seventy women of childbearing age, eligible for family planning and residing in Isfahan, were selected through random cluster sampling and they fi lled a researcher-made questionnaire. Women’s autonomy was measured with the questions on their decision-making autonomy concerning household affairs and physical mobility autonomy. The association between women’s autonomy and family planning outcome was analyzed through statistical methods.

Results: The results showed that the mean of women’s decision-making, physical mobility, and general autonomy was 50. Women’s autonomy had a direct signifi cant association with the type of contraception method (P = 0.01) and the length of usage of their present contraception method (P = 0.04) as well as where they received family planning services (P = 0.02).

Conclusions: Analysis of data revealed women with higher autonomy used a more effi cient contraception method and continued their contraception method for a longer time, which leads to improvement of couples’ family planning outcome. Therefore, family planning services should be planned and provided with women’s autonomy under consideration.

Key words: Autonomy, contraception, decision making, family planning, Iran, physical mobility, women