Autonomy, intimate partner violence, and maternal health-seeking behavior: Findings from mixed-methods analysis in Kenya

Gendered norms and discriminatory practices often limit women’s decision-making power, which over time can lead to social norms that systematically disadvantage women. Aspects of empowerment were explored in a global evaluation of Demographic and Health Survey data that measured how gendered social norms influenced maternal health-seeking behaviors. Analysis specifically explored associations of women’s autonomy and acceptability of intimate partner violence against women (IPVAW) on antenatal care use and facility delivery in 63 low- and middle-income countries. Service utilization is positively associated with increased autonomy and negatively associated with increased acceptability of IPVAW, but variability exists across countries and regions. In Kenya, maternal health-seeking behaviors are influenced by numerous interrelated factors. Little research exists on how gender dynamics and norms, including acceptability of various forms of IPVAW, may influence women’s decision-making autonomy, health-seeking behavior, and overall well-being. This country brief highlights quantitative and qualitative findings on the relationship between women’s autonomy and IPVAW acceptability and maternal health-seeking behaviors in Kenya