Abstract
Background
Women’s sexual autonomy may influence child health outcomes. This analysis explored its relationship with neonatal, infant, and child mortality across sub-Saharan Africa.
Methods
Data from DHS surveys from 31 countries were analyzed. Sexual autonomy was assessed via women’s ability to refuse sex or negotiate condom use.
Results
Higher sexual autonomy was significantly associated with lower odds of neonatal and infant mortality. The relationship was mediated by maternal health-seeking behaviors.
Conclusion
Sexual autonomy plays a protective role in child survival and should be promoted as part of maternal and child health interventions.
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