Effects of male engagement interventions on women’s autonomy in decision making in Iringa Region, Tanzania

Abstract

Maternal and neonatal mortality are largely caused by delays in attending to obstetric complications and this is attributed to limited women’s power in making decisions regarding household resources and utilisation of health care services. This requires effective implementation of male engagement interventions to improve women’s autonomy in making decisions and hence reduce delays in attending to obstetric complications. This study examines the contribution of male engagement interventions in promoting women’s autonomy in decision making within households and society. A structured questionnaire was used to collect data on socio-demographic and household characteristics, women’s practices concerning prenatal care, childbirth, postnatal care, and related decision-making power. Descriptive statistics and inferential analysis were used to analyse the data. The findings show a significant difference in decision making autonomy regarding family planning methods among respondents who had received male engagement education versus those who had not received such education (p-0.001<1%). Again, there was significant participation of women in household purchases for daily needs (p-0.057<10%) and in decisions to work out of homes (p-0.015<5%). This trend was noted among respondents who had received male engagement education as compared to those who had not received such education. There was also greater engagement of women in decision making concerning major household purchases and their health care, although their engagement was not statistically significant (p-0.397>10% and p-0.293>10% respectively). Effective implementation of male engagement interventions may leverage men’s power within households and promote women’s autonomy in decision making, thereby improving healthcare-seeking behaviour.