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Cross\u2010sectional surveys in Amman, Karak, and Zarqa governates enrolled 3518 pregnant\/lactating women (PLW) in the program (2021\u201323).\u202f PLW respondents indicated whether receiving messages about MIYCN and contraceptive use changed their practices, and whether their decision\u2010making was total, shared with other family members (husbands, mothers, mothers\u2010in\u2010law), or not possible for these choices. Results were analyzed using chi\u2010square tests and multiple linear regressions.\u202f After receiving program messages, 78% of PLW changed \u2265\u20091 practice. Between 52.8% and 90.3% of PLW had decision\u2010making power to accept or reject recommendations for the six targeted behaviors. Compared to Amman, Zarqa residence was negatively associated with decision\u2010making power over women's dietary diversity (OR\u2009=\u20090.418,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05) and early initiation of breastfeeding (OR\u2009=\u20090.493,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), while Karak residence was negatively associated with decision\u2010making power over modern contraceptive use (OR\u2009=\u20090.419, SE\u2009=\u20090.116,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01). Number of children was positively associated with decision\u2010making power over exclusive breastfeeding (OR\u2009=\u20091.18,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01). Nationality, age, and wealth were not associated with decision\u2010making power over these practices. Decision\u2010making power varied among PLW in the program: PLW living outside Amman and those with fewer children had less autonomy to change practices. Further research is needed to understand how to best support decision\u2010making power among these populations.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    Registered at clinicaltrials.gov (NCT05365698).\n                  <\/jats:p>","DOI":"10.1111\/mcn.70184","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T17:23:39Z","timestamp":1776965019000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Her Health Behavior, Her Choice? Decision\u2010Making Power Over Key Health and Nutrition Behaviors Among Pregnant and Lactating Women in Jordan"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-2335","authenticated-orcid":false,"given":"Laurie C.","family":"Miller","sequence":"first","affiliation":[{"name":"Tufts University School of Medicine, Friedman School of Nutrition Science &amp; Policy, and Eliot\u2010Pearson Department of Child Study &amp; Human Development Tufts University Boston Massachusetts USA"},{"name":"Friedman School of Nutrition Science &amp; Policy Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6602-125X","authenticated-orcid":false,"given":"Regina","family":"Brown","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science &amp; Policy Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0820-4262","authenticated-orcid":false,"given":"Reema","family":"Safadi","sequence":"additional","affiliation":[{"name":"Maternal and Child Health Nursing University of Jordan Amman Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8749-5983","authenticated-orcid":false,"given":"Yanlin","family":"Ren","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science &amp; Policy Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6220-394X","authenticated-orcid":false,"given":"Afnan","family":"Alghanmi","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science &amp; Policy Tufts University Boston Massachusetts USA"},{"name":"Clinical Nutrition Department, Faculty of Applied Medical Sciences King Abdulaziz University Jeddah Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4423-2738","authenticated-orcid":false,"given":"Ian G.","family":"Moore","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine, Friedman School of Nutrition Science &amp; Policy, and Eliot\u2010Pearson Department of Child Study &amp; Human Development Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9729-2123","authenticated-orcid":false,"given":"Robin","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science &amp; Policy Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9857-3354","authenticated-orcid":false,"given":"Patrick","family":"Webb","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine, Friedman School of Nutrition Science &amp; Policy, and Eliot\u2010Pearson Department of Child Study &amp; Human Development Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5893-6774","authenticated-orcid":false,"given":"Shibani","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine, Friedman School of Nutrition Science &amp; Policy, and Eliot\u2010Pearson Department of Child Study &amp; Human Development Tufts University Boston Massachusetts USA"},{"name":"Division of Nutritional Sciences, College of Human Ecology Cornell University Ithaca New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0002776"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-7-15"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0277-9536(96)00229-8"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980019000818"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1596\/33587"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)23113-5"},{"key":"e_1_2_11_8_1","unstructured":"Al Sharafat A.(2019).Spatial inequality in Jordan."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14010135"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.qref.2019.08.002"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.15170\/MM.2025.59.02.07"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/socsci14080469"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2013.06.007"},{"issue":"2","key":"e_1_2_11_14_1","first-page":"621","article-title":"Gender, Leadership and Empowerment: The Case of Jordanian Women","volume":"48","author":"Al\u2010Serhan A.","year":"2021","journal-title":"Dirasat: Human and Social Sciences"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e07810"},{"key":"e_1_2_11_16_1","first-page":"187","volume-title":"Advancing Women's Empowerment in the Gulf: Pathways, Challenges, and Policy Implications. 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