Study Title
The Impact of Women’s Agency on Accessing and Using Maternal Healthcare Services: A Systematic Review and Meta-Analysis
Principal Investigator
Maryam Vizheh, Frances Rapport, Jeffrey Braithwaite, Yvonne Zurynski
Affiliation
Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
Start Date
Not specified
End Date
Not specified
Study Objective
To examine the association between women's agency and the utilization of maternal healthcare services (MHS), evaluating the impact of women’s decision-making power, freedom of movement, and gender-equitable attitudes on accessing MHS.
Short Abstract
This systematic review and meta-analysis investigates the impact of women’s agency on accessing maternal healthcare services, with results indicating significant positive associations between women’s agency and various maternal health outcomes such as skilled antenatal care, facility-based delivery, and postnatal care.
Study Design
Systematic review and meta-analysis
Population
Women of reproductive age (15-49 years), particularly in low- and middle-income countries
Sample Size
82 studies included in the review
Inclusion Criteria
Quantitative studies measuring women's agency (decision-making power, freedom of movement, gender-equitable attitudes) and maternal healthcare utilization
Exclusion Criteria
Qualitative studies or those without quantitative data
Intervention/Exposure
Women’s agency (decision-making power, mobility, gender-equitable attitudes)
Outcome Measures
- Skilled antenatal care (ANC)
- Timing of first ANC visit
- Facility-based delivery
- Skilled birth attendance (SBA)
- Postnatal care (PNC)
Funding Source
National Health and Medical Research Council (NHMRC) Partnership Centre for Health System Sustainability
Collaborating Institutions
Macquarie University, Australian Institute of Health Innovation
Ethics Approval
Not specified
Publication Status
Published in International Journal of Environmental Research and Public Health (2023)
Keywords
Maternal healthcare, women’s agency, empowerment, decision-making, systematic review, meta-analysis
Data Collection Methods
Systematic search in five databases (Scopus, PubMed, Web of Science, Embase, ProQuest) and meta-analysis of quantitative data
Primary Data Availability
Not applicable
Contact Information
Maryam Vizheh: