Stronger Intentions Research Articles

Intention, barriers and opportunities to exit from commercial sex work among female sex workers in Ethiopia: Qualitative study

Background: Commercial sex work exposed women to countless risks and exit is recommended as an essential strategy to tackle those risks. Intention to exit can predict women’s actual exit potential from commercial sex work. Therefore, the purpose of the study was to explore intention, barriers and facilitating situations to exit from commercial sex work among female sex workers in Dire Dawa, Ethiopia.
 Method: We conducted qualitative research among 18 female sex workers using in-depth interviews. Once data was collected with the local language, we transcribed the recorded data and translated to English before exporting to ATLASti7 to facilitate the data analysis process. We used respondent-driven sampling to recruit study participants. We implemented the inductive thematic analysis approach.
 Result and discussion: Women had a strong intention to exit from commercial sex work. Although women intended to give up on commercial sex work, they needed to pass barriers like financial insecurity, social stigma and discrimination, skill gap, lack of support and poor education status before they successfully exit. Their demand for minimal financial supports to open a private business and strong motivation are opportunities for a successful exit from commercial sex work.
 Conclusion: Women had a strong intention to exit from commercial sex work though they demanded support from others. Therefore, government and other stakeholders need to provide comprehensive support to commercial sex workers like financial support, fill skill gap and improve poor saving habit through training and establish functioning rehabilitation centers for drug addict women.

NORMA SUBYEKTIF DAN NIAT BERPENGARUH TERHADAP PERILAKU MEROKOK REMAJA DI YOGYAKARTA

ABSTRACTBackground: Smoking behavior is an act that is very detrimental to the health of the perpetrators and those around them. In cigarettes there are chemical substances that are very dangerous for one's health, both active smokers and passive smokers. The purpose of this study was to determine the effect of the non-smoking subjective norm and non-smoking intention on the smoking behavior of adolescents in Kulon Progo Yogyakarta.Subject and Method: This was a case control study conducted in Kulon Progo, Yogyakarta, from April to June 2018. A total of 400 adolescents consisiting of 200 smokers and 200 non smokers were selected for this study. The dependent variable was smoking behavior. The independent variables were intention and subjective norm. The data were collected by questionnaire and analyzed by a path analysis.Results: The decision not to smoke was associated with strong intention (b= 1.74; 95% CI= 2.29 to 1.18; p<0.001), favorable subjective norm (b= 1.58; 95% CI = 0.99 to 2.18; p<0.001)Conclusion: The decision not to smoke is associated with intention, subjective norm. Keywords: Smoke, Intention, Subjective norm.

The vicious cycle of stressors, food advertising and overeating: how stigmatizing anti-obesity PSAs, which precede food commercials, influence subsequent implicit and explicit attitudes toward high- and low-calorie food

ABSTRACT The present study examined how negative feelings induced by anti-obesity Public Service Announcements (PSAs) influence viewers’ emotional processing of subsequent food commercials. We also investigated how this viewing experience differentially influenced viewers’ explicit and implicit attitudes toward high-calorie foods, thereby influencing their behavioral intentions towards healthy eating. In an experiment, participants first watched a series of non-obesity PSAs followed by commercials for high-calorie, low-calorie, and non- food commercials. Next, they were exposed to a set of stigmatizing anti-obesity PSAs followed by the same types of commercials. Continuous response measurements (CRM) demonstrated that viewers experienced more negative feelings during anti-obesity PSAs than during non-obesity PSAs and that they also experienced more negative feelings during high-calorie food commercials compared to low-calorie food commercials when these ads were preceded by the anti-obesity PSAs. In turn, both regular-weight and overweight viewers reported less positive explicit attitudes toward high-calorie foods. Regular-weight viewers also had lower implicit attitudes toward high-calorie foods, leading to lower behavioral intentions toward healthy eating. In contrast, overweight viewers had more positive implicit attitudes toward high-calorie foods resulting in stronger intentions toward healthy eating.

Parent-Adolescent Sexual Communication in India: Responses of Middle Class Parents

Parents are an important source of sexual health information for adolescents, and quality parent–adolescent sexual communication has been linked to positive sexual health outcomes. We sought to enhance the limited information about parent–adolescent sexual communication in India. The participants were 78 mothers and 91 fathers of adolescents ages 12–19 years. Both mothers and fathers reported limited past sexual communication, on average having talked to their child in general terms only and only a few times, although communication was somewhat better when the sex of the parent and adolescent were congruent. Only half of the parents had strong intentions to engage in these conversations during the following year. Parents’ reports and multiple regression analyses identified parents’ attitudes, knowledge, comfort, and history of sexual communication with their own parents as key factors in limiting parent–adolescent sexual communication engagement and intentions. A number of strategies to enhance parent-adolescent sexual communication are discussed.

When East meets West: Understanding residents’ home energy management system adoption intention and willingness to pay in Japan and the United States

A Home Energy Management System (HEMS) is a system for increasing energy efficiency and demand flexibility. Despite the steady advances in HEMS technology, there are still several barriers impeding its acceptance. This paper investigates the multifaceted factors influencing residents' willingness to adopt and pay for HEMS in New York (N.Y.) and Tokyo areas. Our findings suggest that perceived usefulness, a favorable attitude toward HEMS, and social norms are positively associated with adoption intention in both areas. While lacking perceived behavioral control is a barrier for adoption intention in Tokyo, privacy and cybersecurity concerns are barriers for N.Y. residents. The majority of residents indicate a strong or moderately strong adoption intention even when their cost concerns are great. Cost concerns, however, are associated with low willingness to pay (WTP) in both areas, as is perceived ease of use. Technology anxiety only negatively affects WTP in Tokyo. Positive attitudes, social norms, and perceived usefulness are positive predictors of WTP in both areas. Younger and higher-income were associated with higher WTP only in N.Y. Unexpectedly, trust in utilities is not a significant predictor of adoption intention or WTP. Finally, this study provides useful policy recommendations for promoting HEMS in two distinct cultures.

Abstract B118: Using a multimodal strategy to engage Latino communities and improve colorectal cancer screening disparities

Abstract Introduction: Colorectal cancer (CRC) is one of the most commonly diagnosed and one of the leading causes of cancer deaths in both Latino men and women. Latino adults also have disproportionately lower CRC screening rates than their white peers. Methods: To improve CRC education and screening rates, we at UT Health San Antonio used a variety of culturally tailored activities and partnerships to engage the majority-Latino local community to promote and implement the national Screen to Save (S2S): NCI Colorectal Cancer Outreach and Screening Initiative. Our local S2S efforts focused on one-on-one patient encounters at the clinic level, community-wide outreach events, training and incorporating community health workers, and airing powerful Latino role model stories and education through partnerships with local Spanish-language TV station Univision, as well as digitally via the Salud America! Latino health and social media platform. Results: For one-on-one outreach, we partnered with CommuniCare, a local Federally Qualified Health Center situated in high-risk and underserved parts of town, to deliver CRC education via flipchart and screening via FIT kit. Pre- and post-survey data showed increased knowledge and strong intention to get screened for CRC. At 3-month follow-up, strong positive behavior change was observed with majority of patients (73.4%) talking to their doctor about CRC screening and half of patients (51.1%) completing CRC screening as a result of the initiative. We also partnered with the Mays Cancer Center to host tours of a giant inflatable colon, where we educated more than 250 individuals, and invited partners such as the American Cancer Society to participate in educational outreach. Because stories are a proven and powerful tool to motivate people to get screened, we recruited real-life community role models and CRC survivors to help us reach the broader community. Our role models, including a Latina mother diagnosed at age 33 and a Latino husband and wife each diagnosed with CRC, shared their experience with screening, early detection, treatment, and survivorship. We shared these role models' stories of resiliency and hope on multimedia platforms—blogs, social media, and weekly TV segments on Univision. Overall, through our in-person and digital implementation of S2S, we were able to educate more than 450 individuals and distribute 244 FIT kits. Conclusion: We observed increased CRC knowledge, attitudes, positive behavior change, intent for screening, and screening thanks to our culturally tailored, bilingual in-person educational intervention and multimedia approach. Citation Format: Sneha Prabhu, Armida Flores, Kipling J. Gallion, Edgar Munoz, Laura Tenner, Amelie G. Ramirez. Using a multimodal strategy to engage Latino communities and improve colorectal cancer screening disparities [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr B118.

A dynamic account of self-efficacy in entrepreneurship.

We present a dynamic account of self-efficacy in entrepreneurship that integrates social-cognitive and control theory. According to our dynamic account, variability in self-efficacy energizes action because it involves self-motivation and discrepancy perception as competing motivational processes. We argue that variability and the average level in self-efficacy nascent entrepreneurs display over time support the enactment of entrepreneurial intentions and predict business ownership. The proposed positive effect of variability further implies an inverted u-shaped relationship between self-efficacy at a single point in time and business ownership. To test these hypotheses, we repeatedly assessed entrepreneurial self-efficacy of nascent African entrepreneurs during a 12-week entrepreneurship training program (total N = 241). Twelve months later, we assessed business ownership (total N = 190). We found that variability and the average level in entrepreneurial self-efficacy participants displayed during the training program were positively related to business ownership. Furthermore, for participants with strong entrepreneurial intentions, we found an inverted u-shaped relationship between entrepreneurial self-efficacy after the training program and business ownership. The study suggests that social-cognitive and control theory highlight different facets of self-regulation that both need to be accounted for to explain goal achievement in entrepreneurship. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Investigating EFL Teachers’ Barriers of Using Internet Application at University Level

This study examines perceived barriers of using internet application in higher education level. Quantitative data were collected by using questionnaires. A total of 16 participants assigned to teach English were randomly selected from 3 faculties using both simple random and purposive sampling procedures. Data were analyzed both descriptively and statistically and were presented in tables and percentages. Microsoft excel was used in the descriptive statistics The study found several barriers of using internet application for teaching and learning which include: lack of personal’s ICT competency, lack of consistent technical support, lack of training on how to use internet application for teaching and learning, and poor internet connectivity. This study recommends to the management of the institution to facilitate and support the teachers actively with many training activities to improve the academic performance of the teachers so that can fulfill the millennial students’ learning needs. 
 HIGHLIGHTS:
 
 English teachers have strong intention for the integration of ICT into classroom context, but they encountered many barriers to implement it.
 The major barriers faced in this study were lack of facilities or infrastructure, training, and time constraint.
 The presence of ICT competency increases technology integration in learning and teaching process. 
 

“I only relieve myself when I get home in the afternoons”

abstract This article investigates how lesbian students experience microaggressions in bathrooms at a South African university. We conveniently and purposively used in-depth interviews with 17 lesbian students largely from one of the faculties. Our findings show that notions of microaggression in university bathrooms were not always subtle but pervaded with strong intentions of cissexism and heteronormative messages that had serious implications for the wellbeing of same-sex sexual identity students. Although the university’s intent to introduce gender-neutral bathrooms was to address concerns of safety and forceful sexing of the body through the architecture of the traditional gender-binaried bathrooms, lack of engagement with the diverse student populations created confusion and anxiety. In light of the severity of hate crimes towards lesbians in South Africa, participants were of the view that the newly queered bathrooms made them more vulnerable to violence and ostracism. Implications are that the protection and inclusion of people with same-sex sexual identities in university bathroom spaces remain compromised. Tokenistic attempts at gender transformation in institutions of higher learning are indicative of the need for more focused and thought-through approaches with various stakeholders to consider the voices and needs of those directly affected.

Factors Affecting Pregnant Women Behavior on Antenatal Care (Anc) Examination in Three Health Centers in Jombang Regency

Background: The development of health problems that affect the pregnancy of mothers starting from noncommunicablediseases and infectious diseases makes the health condition of pregnant women become oneof the priority health problems that must be considered. Early detection on pregnant women is a way to findout pregnancy disorders or problems so that they can prevent the severity and even death of the mother. TheIntegrated ANC at health center is an antenatal care development program with a comprehensive examinationconducted comprehensively to find out problems in pregnancy. The purpose of this study was to analyzethe factors that influence maternal behavior in the three working areas of Jombang Regency health centers.Material and Method: Research uses a quantitative approach with observational research and is classifiedas cross sectional. The research sample are 110 pregnant women with 1-5 months gestational age who arepermanent residents in 3 regions of Jombang Regency PHC.Result: The factor that influences the behavior of the Integrated ANC examination is the intention to performthe behavior of the mother to do the Integrated ANC examination (Sig = 0.001) and the Salience of thebehavior (Sig = 0,000) the mother has related to the Integrated ANC examination at the health center.Conclusion: Information about the Integrated ANC raises a good understanding of the importance of behavior,so that the mother has a strong intention to make a decision to conduct an Integrated ANC examination.

Worldview-based hospitality brand support: belief in a just world theory perspectives

Purpose Despite the well-established branding literature, how a brand is connected to individual, market and societal/ideological levels are largely unknown. Grounded in the belief in a just world (BJW) theory, the purpose of this study is to investigate the effects of brand positioning status (BPS) on the support of certain brands (financially and non-financially) and examine the moderating roles of brand ideology and protestant work ethic (PWE). Design/methodology/approach In Study 1, a 2 (BPS: topdog vs underdog) × 2 (brand ideology: universalism vs power) between-subjects experimental design is conducted on overall brand support, purchase intention and word-of-mouth. To build upon the findings, Study 2 explores the three-way interaction effects on the same dependent variables by using a 2 (BPS: topdog vs underdog) × 2 (ideology: universalism vs power) × 2 (PWE: high vs low) quasi-experimental between-subjects design study. Findings The results of these studies reveal that customers have a strong intention to support the brands with universalism values, regardless of BPS, as power imbalance in the marketplace is not as salient. When a brand conveys the power ideology, the BPS greatly matters in earning customers’ support. This tendency, however, is varied among customers based on their level of PWE. This is because customers’ justification and evaluation on capitalism differs and their views toward market competitions between topdogs and underdogs are influenced by the personal worldviews. Originality/value The findings build upon belief in a just world theory and branding literature and discuss the importance of considering the BPS and the ideology a brand conveys in the marketplace, as the meanings and messages could be perceived differently based on what kind of work ethic one possesses and supports.

Psychosocial factors associated with pharmacists’ antidepressant drug treatment monitoring

ObjectivePatients undergoing antidepressant drug treatment (ADT) may face challenges regarding its adverse effects, adherence, and efficacy. Community pharmacists are well positioned to manage ADT-related problems. Little is known about the factors influencing pharmacists’ ADT monitoring. This study aimed to identify the psychosocial factors associated with pharmacists’ intention to perform systematic ADT monitoring and report on this monitoring. DesignCross-sectional study based on the Theory of Planned Behavior (TPB). Setting and participantsCommunity pharmacists in the province of Quebec, Canada. Outcome measuresPharmacists completed a questionnaire on their performance of ADT monitoring, TPB constructs (intention; attitude; subjective norm; perceived behavioral control; and attitudinal, normative, and control beliefs), and professional identity. Systematic ADT monitoring was defined as pharmacists’ reporting 4 or more consultations with each patient during the first year of ADT to address adverse effects, adherence, and efficacy. Hierarchical linear regression models were used to identify the factors associated with the intention and reporting of systematic ADT monitoring and Poisson working models to identify the beliefs associated with intention. ResultsA total of 1609 pharmacists completed the questionnaire (participation = 29.6%). Systematic ADT monitoring was not widely reported (mean score = 2.0 out of 5.0), and intention was moderate (mean = 3.2). Pharmacists’ intention was the sole psychosocial factor associated with reporting systematic ADT monitoring (P < 0.0001; R2 = 0.370). All TPB constructs and professional identity were associated with intention (P < 0.0001; R2 = 0.611). Perceived behavioral control had the strongest association. ConclusionInterventions to promote systematic ADT monitoring should focus on developing a strong intention among pharmacists, which could, in turn, influence their practice. To influence intention, priority should be given to ensuring that pharmacists feel capable of performing this monitoring. The main barriers to overcome were the presence of only 1 pharmacist at work and limited time. Other factors identified offer complementary intervention targets.

The Process of Establishing Family Support for Rehabilitated Adolescent Drug Abusers at Bangli Mental Hospital

According to UNODC (The United Nations Office on Drugs and Crime) in the World Drug Report in 2015, the estimated drug users in 2013 were 246 million people, where the highest number of drug cases occurred in the population of 15-64 years of age. The biggest factor that can influence the success of drug users to leave drugs forever is the strong intentions from within and positive family support. This study aimed to find out in depth regarding the process of establishing family support for rehabilitated adolescent drug abusers at Bangli Mental Hospital. This study employed a qualitative design. The qualitative data were gathered through in-depth interview to 12 informants, where 6 informants were the parents of the drug abusers, 3 nurses in the rehabilitation room, and 3 adolescents who were being rehabilitated in Bangli mental hospital. This study revealed that the family had internal and external factors as well as inhibiting factors in forming and providing support to residents. In forming support, the residents’ family had internal and external factors that influenced it, moreover they also had inhibiting factors such as feeling of weary and distance from home.&#x0D; Index Terms— support, family, adolescents, rehabilitation

중간수입공제 법리에 관한 검토

Conclusions are as follows:BR First, in case of dismissal nullity, a term of dismissal may be regarded as the term that the employer did not receive the worker’s work because the employer ignored the worker’s strong intention to provide his or her work. The employer’s payment of retroactive wages against worker’s dismissal period as a result of the nullification of the dismissal shall be regarded as a performance of the employer’s responsibility for the delay in the receipt of the worker’s work. On the other hand the interim earning can be also seen as an income from avoiding the workers’ duty to provide his or her work under the Civil Act.BR Second, where the employer had fired the worker only to expel the worker from the workplace, the deduction of the interim earning shall be denied.BR Third, under the Labor Standards Act, the protection of wage is being enforced by the Act. Therefore, the deduction of the interim earning shall be strictly restricted. Accordingly, in case of the deduction of the interim earning not by the Labor Commission or the Court, but by the employer, it would be construed as requiring the consent of the worker to deduct his or her interim earning from retroactive wages, excepting cases of special circumstances, such as resignation or termination of employment.BR Fourth, the Labor Standards Act provides the principle of periodical payment of wages. Where the interim earning is deducted, the deduction shall be made based on each wage payment periodBR Finally, the Labor Commission has also considerable discretion in determining the amount of the deduction of the interim earning. In other words, the Commission may reduce the deduction, taking into account the employer’s negligence in the dismissal, etc.

A Research Brief on Prospective Marital Expectations among Cohabitors with Initial Marital Intentions

Having initial intentions to marry increases cohabitors’ likelihood of marriage, yet some cohabitors with such plans do not marry. One explanation for non-marriage may be that prior union experiences and the challenges of raising shared or stepchildren could temper initially strong marital intentions. Using the 2011–15 National Survey of Family Growth (NSFG), I examine prospective marital expectations among 531 current cohabitors in short-term unions (≤ 36 months) who report they were engaged or had definite plans to marry at the start of coresidence, focusing on prior union experiences, stepchildren, shared children, and pregnancy. A fifth of current cohabitors with initial marital intentions did not definitely expect to marry their partner, and the odds of definite expectations were lower if respondents’ partners had children from a prior union and higher if respondents were expecting a child. Prior union experiences, shared children, and the respondent’s own prior children were unrelated to expectations.

Transforming Turkish Universities to Entrepreneurial Universities for Sustainability: From Strategy to Practice

Today, universities are seen as the main actors of technological change, innovation, and social development; this situation causes new roles for universities, as well as forces them to change. At present, universities face very important expectations such as research and entrepreneurial activities by providing the industry–university cooperation along with education and training. In order to manage that transformation, it is seen that the universities across the world evolve to context of entrepreneurial university. Within this general framework, the main objective of this research is to determine where Turkish universities stand on the transformation of entrepreneurial university. In order to achieve this goal, 68 public universities’ strategic plans, which are thought to reflect the intentions for the future, were subjected to content analysis. The findings showed that the majority of universities in our country did not have entrepreneurial university features but they have strong intention and desire for a transformation in this direction.

Identifying predictors of teachers’ intention and willingness to teach about cancer by using direct and belief-based measures in the context of the theory of planned behaviour

ABSTRACTThis study investigated factors influencing teachers’ intention and willingness to teach about cancer in the context of the theory of planned behaviour. Because teaching about cancer is mandatory in Germany, we compared n=355 teachers’ intention to teach about cancer under mandatory conditions and their willingness to teach about cancer if they had free choice. Teachers signalled strong intention and a strong willingness to teach about cancer. Teachers did not perceive teaching about cancer to be a burden and strongly considered it to be necessary. Structural equation modelling showed that perceived autonomy was the only significant predictor of teachers’ intention, whereas attitude towards the perceived necessity to teach about cancer, attitude towards the perceived burden of teaching about cancer and social norm were significant predictors of willingness. We attributed these differences to the observation of a ceiling effect for intention but not for willingness. There were systematic differences among the variables predicting teachers’ intention and willingness depending on whether the teachers had personal experience with cancer. Indirect measures yielded insights into which teacher beliefs affected the direct measures. We discuss implications for professional development, such as reducing the burden of teaching about cancer by adequately addressing emotionally-charged classroom situations.

Determinants of intentions to prevent triatomine infestation based on the health belief model: An application in rural southern Ecuador.

IntroductionControl of triatomine infestation is a key strategy for the prevention of Chagas disease (CD). To promote this strategy, it is important to know which antecedents to behavioral change are the best to emphasize when promoting prevention.ObjectiveThe aim of this study was to determine predictors for intention to prevent home infestation based on the Health Belief Model (HBM), a commonly used health intervention planning theory.Materials & methodsA cross-sectional study was conducted with 112 heads of household in six communities with endemic and high rates of triatomine infestation in Loja province, Ecuador. The data was collected by a questionnaire including perceived severity, susceptibility, benefits to action, barriers to action, and self-efficacy. These data were also used to predict actual infestation of homes.ResultsCommunity members reported strong intentions to prevent home infestation. HBM constructs predicted about 14% of the observed variance in intentions. Perceived susceptibility and severity did not predict behavioral intention well; perceived barriers to small-scale action that reduce likelihood of infestation and self-efficacy in participating in surveillance systems did. Self-efficacy and perception of barriers were equally powerful predictors. The HBM constructs, however, did not predict well actual infestation.ConclusionThe findings supported the HBM as a way to predict intentions to prevent infestation of the home by triatomine bugs. The findings highlight that messages emphasizing self-efficacy in participating in surveillance systems and overcoming barriers to small-scale action that reduce likelihood of infestation, rather than a focus on risk, should be central messages when designing and implementing educational interventions for CD. The gap between behavioral intention and actual infestation reveals the need to assess home practices and their actual efficacy to fully enact and apply the HBM.

The Impact of Social Network Marketing on University Students' Purchase Intention and How It Is Affected of Consumer Engagement

The research conducted is to know the impact of social network marketing on consumer purchase intention and consumers who become research are active students at private universities in Jakarta, and how social network marketing also affect consumer engagement (as moderate variable). The research method used in this research is quantitative research method. A method of data collection used in this research is a questionnaire distributed to 119 university students. The results of this study showed that social network marketing has a strong and significant impact oncustomer engagement, customer engagementhas a strong and significant impact on consumer purchase intention, social network marketing has a strong and significant impact consumer purchase intention, and also there is a significant impact from social network marketing on consumer purchase intention through consumer engagement.

Using the theory of planned behavior to explain birth in health facility intention among expecting couples in a rural setting Rukwa Tanzania: a cross-sectional survey

BackgroundAccording to the theory of planned behavior, an intention to carry out a certain behavior facilitates action. In the context of birth in health facility, the intention to use health facilities for childbirth may better ensure better maternal and neonatal survival. Little is known on the influence of the domains of theory of planned behavior on birth in health facility intention. The study aimed to determine the influence of the domains of theory of planned behavior on birth in health facility intention among expecting couples in the rural Southern Highlands of Tanzania.MethodsA community based cross-sectional study targeting pregnant women and their partners was performed from June until October 2017. A three-stage probability sampling technique was employed to obtain a sample of 546 couples (making a total of 1092 study participants). A structured questionnaire based upon the Theory of Planned Behavior was used. The questionnaire explored three main domains of birth in health facility intentions. These three domains included; 1) attitudes towards maternal services utilization, 2) perceived subjective norms towards maternal services utilization and 3) perceived behavior control towards maternal services utilization.ResultsThe vast majority of study participants had birth in health facility intention. This included 499(91.2%) of pregnant women and 488(89.7%%) of their male partners partner. Only perceived subjective norms showed a significant higher mean score among pregnant women (M = 30.21, SD = 3.928) compared to their male partners (M = 29.72, SD = 4.349) t (1090) = − 1.965 at 95% CI = -0.985 to − 0.002; p < 0.049. After adjusting for the confounders, no intention to use health facility for childbirth decreased as the attitude [pregnant women (B = − 0.091; p = 0.453); male partners (B = − 0.084; p = 0.489)] and perceived behavior control [pregnant women (B = − 0.138; p = 0.244); male partners (B = − 0.155; p = 0.205)] scores increase among both pregnant women and their male partners.ConclusionDespite the fact that majority of study respondents had birth in health facility intention, the likelihood of this intention resulting into practice is weak because none of the domains of theory of planned behavior showed a significant influence. Innovative interventional strategies geared towards improving domains of intention is highly recommended in order to elicit strong intention to use health facilities for childbirth.