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The U.S. Army is an example of an account that understands the familial decision-making dynamic in Hispanic households.
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The aim of this paper is to address this gap by exploring how intra-familial decision-making within the household, family and community affects women's ability to access and use maternal health services in Ghana, focusing on communities in both southern and northern Ghana.
These socio-economic and cultural contexts make Ghana an ideal case for investigating how intra-familial decision-making influences women's maternal health-seeking behaviours.
Finally, only women were asked questions about intra-familial decision-making.
However, there are few studies that examine how intra-familial decision-making power may affect women's ability to access and use maternal health services.
The purpose of this paper is to examine how intra-familial decision-making affects women's ability to access and use maternal health services.
In Ghana, few studies have however examined how intra-familial decision-making may affect women's ability to access and use skilled maternal and healthcare services.
Our study however revealed that the influences of women's autonomy and intra-familial decision-making on maternal health-seeking differed for different women.
In addition to providing important insights into how intra-familial decision-making influences women's maternity care seeking behaviours in Ghana, the findings demonstrate how efforts to achieve the maternal health related Millennium Development Goals could be undermined by women's limited participation in intra-familial decision-making, freedom of mobility, and self efficacy or agency.
While focusing on a small number of participants enabled greater in-depth understanding of how intra-familial decision-making may influence women's maternal healthcare seeking behaviours, the limitation of generalising the findings to other parts of the country is acknowledged.
The findings of this paper contribute to the growing body of empirical research on the influences of women's autonomy and intra-familial decision-making on maternal health seeking behaviour in Ghana.
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