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  The role of self-efficacy in women’s autonomy for health and nutrition decision-making in rural Bangladesh

Salinger, A. P., Vermes, E., Waid, J. L., Wendt, A., Dupuis, S. J. N., Kalam, M. A., Kader, A., Sinharoy, S. S. (2024): The role of self-efficacy in women’s autonomy for health and nutrition decision-making in rural Bangladesh. - BMC Public Health, 24, 338.
https://doi.org/10.1186/s12889-024-17663-2

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 Creators:
Salinger, Allison P.1, Author
Vermes, Ellen1, Author
Waid, Jillian Lee2, Author              
Wendt, Amanda2, Author              
Dupuis, Sarah J. N.1, Author
Kalam, Md Abul1, Author
Kader, Abdul1, Author
Sinharoy, Sheela S.1, Author
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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Free keywords: Women’s empowerment, Agency, Preference, Measurement, Agriculture
 Abstract: Background: Agency – including the sub-domains of intrinsic agency, instrumental agency, and collective agency – is a critical component of the women’s empowerment process. Self-efficacy (a component of intrinsic agency) may operate as a motivational influence for women to make choices according to their own preferences or goals, such that higher self-efficacy would be associated with more autonomous decision-making (a key component of instrumental agency). - Methods: We examine these relationships using mixed methods. We developed a series of decision-making autonomy indices, which captured alignment between the woman’s reported and preferred roles in health and nutrition decisions. Using ordinal logistic regression, we assessed the relationship between generalized self-efficacy and decision-making autonomy. - Results: There was a consistently positive association across all categories of decision-making, controlling for a number of individual and household-level covariates. In a sub-sample of joint decision-makers (i.e., women who reported making decisions with at least one other household member), we compared the association between generalized self-efficacy (i.e., one’s overall belief in their ability to succeed) and decision-making autonomy to that of domain-specific self-efficacy (i.e., one’s belief in their ability to achieve a specific goal) and decision-making autonomy. Across all decision-making categories, domain-specific self-efficacy was more strongly associated with decision-making autonomy than generalized self-efficacy. In-depth interviews provided additional context for interpretation of the regression analyses. - Conclusions: The results indicate the importance of the role of self-efficacy in the women’s empowerment process, even in the traditionally female-controlled areas of health and nutrition decision-making. The development of the decision-making autonomy index is an important contribution to the literature in that it directly recognizes and captures the role of women’s preferences regarding participation in decision-making.

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Language(s): eng - English
 Dates: 2023-07-172024-01-032024-02-012024-02-01
 Publication Status: Finally published
 Pages: 15
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1186/s12889-024-17663-2
Organisational keyword: RD2 - Climate Resilience
PIKDOMAIN: RD2 - Climate Resilience
Working Group: Climate Change and Health
Research topic keyword: Food & Agriculture
Research topic keyword: Gender Aspects
Research topic keyword: Health
Regional keyword: Asia
Model / method: Quantitative Methods
MDB-ID: No data to archive
OATYPE: Gold Open Access
 Degree: -

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Title: BMC Public Health
Source Genre: Journal, SCI, Scopus, oa
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Pages: - Volume / Issue: 24 Sequence Number: 338 Start / End Page: - Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/bmc-public-health
Publisher: BioMed Central (BMC)