Child poverty, status of rural women and education in sub Saharan Africa

Background Over the years, sanitation programs over the world have focused more on household sanitation, with limited attention towards the disposal of children’s stools. This lack of attention could be due to the misconception that children’s stools are harmless. The current study examined the individual and contextual predictors of safe disposal of children’s faeces among women in sub-Saharan Africa (SSA). Methods The study used secondary data involving 128,096 mother-child pairs of under-five children from the current Demographic and Health Surveys (DHS) in 15 sub-Saharan African countries from 2015 to 2018. Multilevel logistic analysis was used to assess the individual and contextual factors associated with the practice of safe disposal of children’s faeces. We presented the results as adjusted odds ratios (aOR) at a statistical significance of p< 0.05. Results The results show that 58.73% (57.79–59.68) of childbearing women in the 15 countries in SSA included in our study safely disposed off their children’s stools. This varied from as high as 85.90% (84.57–87.14) in Rwanda to as low as 26.38% (24.01–28.91) in Chad. At the individual level, the practice of safe disposal of children’s stools was more likely to occur among children aged 1, compared to those aged 0 [aOR = 1.74; 95% CI: 1.68–1.80] and those with diarrhoea compared to those without diarrhoea [aOR = 1.17, 95% CI: 1.13–1.21]. Mothers with primary level of education [aOR = 1.42, 95% CI: 1.30–1.5], those aged 35–39 [aOR = 1.20, 95% CI: 1.12–1.28], and those exposed to radio [aOR = 1.23, 95% CI: 1.20–1.27] were more likely to practice safe disposal of children’s stools. Conversely, the odds of safe disposal of children’s stool were lower among mothers who were married [aOR = 0.74, 95% CI: 0.69–0.80] and those who belonged to the Traditional African Religion [aOR = 0.64, 95% CI: 0.51–0.80]. With the contextual factors, women with improved water [aOR = 1.13, 95% CI: 1.10–1.16] and improved toilet facility [aOR = 5.75 95% CI: 5.55–5.95] had higher odds of safe disposal of children’s stool. On the other hand, mothers who lived in households with 5 or more children [aOR = 0.89, 95% CI: 0.86–0.93], those in rural areas [aOR = 0.86, 95% CI: 0.82–0.89], and those who lived in Central Africa [aOR = 0.19, 95% CI: 0.18–0.21] were less likely to practice safe disposal of children’s stools. Conclusion The findings indicate that between- and within-country contextual variations and commonalities need to be acknowledged in designing interventions to enhance safe disposal of children’s faeces. Audio-visual education on safe faecal disposal among rural women and large households can help enhance safe disposal. In light of the strong association between safe stool disposal and improved latrine use in SSA, governments need to develop feasible and cost-effective strategies to increase the number of households with access to improved toilet facilities.

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Sociodemographic Inequalities in Health Insurance Ownership among Women in Selected Francophone Countries in Sub-Saharan Africa

BioMed Research International ◽

10.1155/2021/6516202 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Yiting Wang ◽

Xuhui Wang ◽

Lu Ji ◽

Rui Huang

Keyword(s):

Health Insurance ◽

Rural Women ◽

Rural Areas ◽

Household Wealth ◽

Access To Healthcare ◽

Sub Saharan Africa ◽

Demographic And Health Surveys ◽

Universal Healthcare ◽

Explanatory Factors ◽

Sub Saharan

In sub-Saharan Africa, improving equitable access to healthcare remains a major challenge for public health systems. Health policymakers encourage the adoption of health insurance schemes to promote universal healthcare. Nonetheless, progress towards this goal remains suboptimal due to inequalities health insurance ownership especially among women. In this study, we aimed to explore the sociodemographic factors contributing to health insurance ownership among women in selected francophone countries in sub-Saharan Africa. Methods. This study is based on cross-sectional data obtained from Demographic and Health Surveys on five countries including Benin ( n = 13,407 ), Madagascar ( n = 12,448 ), Mali ( n = 10,326 ), Niger ( n = 12,558 ), and Togo ( n = 6,979 ). The explanatory factors included participant age, marital status, type of residency, education, household wealth quantile, employment stats, and access to electronic media. Associations between health insurance ownership and the explanatory factors were analyzed using multivariate regression analysis, and effect sizes were reported in terms in average marginal effects (AMEs). Results. The highest percentage of insurance ownership was observed for Togo (3.31%), followed by Madagascar (2.23%) and Mali (2.2%). After stratifying by place of residency, the percentages were found to be significantly lower in the rural areas for all countries, with the most noticeable difference observed for Niger (7.73% in urban vs. 0.54% in rural women). Higher levels of education and wealth quantile were positively associated with insurance ownership in all five countries. In the pooled sample, women in the higher education category had higher likelihood of having an insurance: Benin ( AME = 1.18 ; 95% CI = 1.10 , 1.27), Madagascar ( AME = 1.10 ; 95% CI = 1.05 , 1.15), Mali ( AME = 1.14 ; 95% CI = 1.04 , 1.24), Niger ( AME = 1.13 ; 95% CI = 1.07 , 1.21), and Togo ( AME = 1.17 ; 95% CI = 1.09 , 1.26). Regarding wealth status, women from the households in the highest wealth quantile had 4% higher likelihood of having insurance in Benin and Mali and 6% higher likelihood in Madagascar and Togo. Conclusions. Percentage of women who reported having health insurance was noticeably low in all five countries. As indicated by the multivariate analyses, the actual situation is likely to be even worse due to significant socioeconomic inequalities in the distribution of women having an insurance plan. Increasing women’s access to healthcare is an urgent priority for population health promotion in these countries, and therefore, addressing the entrenched sociodemographic disparities should be given urgent policy attention in an effort to strengthen universal healthcare-related goals.

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Women Access to Land and Legal Security of Tenure in Ohafia Abia State Nigeria

Journal of Physical Science and Environmental Studies ◽

10.36630/jpses_21008 ◽

2021 ◽

Vol 7 (4) ◽

pp. 45-51

Author(s):

Chidinma J Nwobi ◽

◽

Eugene E Kalu

Keyword(s):

Decision Making ◽

Land Tenure ◽

Rural Women ◽

Quantitative Methods ◽

Sub Saharan Africa ◽

Structured Interviews ◽

Gender Integration ◽

Qualitative And Quantitative Methods ◽

Sub Saharan ◽

Legal Security

Across the developing world, rural women suffer widespread gender-based discrimination in laws, customs and practices which cause severe inequalities in their ability to access, control, own and use land and limit their participation in decision-making at all levels of land governance. Most literature on land tenure in sub-Saharan Africa has presented women as a homogenous group. This study uses cases from Ohafia to show that women have differentiated problems, needs, and statuses in their quest for land access and tenure security. Ohafia in Abia State, Nigeria was the study area. The study employed both qualitative and quantitative methods including household surveys, semi-structured interviews, key informant interviews and observations. The experience of women revolved around fear of been cheated (19.7%), need a supporting hand (46.8%) and need approval from their husband (33.6%). The consequences of perceived exclusion and/or marginalization of women as revealed by women owner-occupiers are women subordination (70.2%) and marginalization of widow (29.8%). The study recommends the promotion of gender integration at all levels of projects and programmes by integrating gender perspectives in all future activities as it is required, for example, the FAO Gender Plan of Action and the UNCHS. To ensure gender inclusiveness in project and programme planning and in policy and decision-making, aiming towards a balanced representation of men and women in these bodies. Keywords: Land, Land Rights, Land Tenure, Women, Legal Security of Tenure

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Gender Roles, Implications for Water, Land, and Food Security in a Changing Climate: A Systematic Review

Frontiers in Sustainable Food Systems ◽

10.3389/fsufs.2021.707835 ◽

2021 ◽

Vol 5 ◽

Author(s):

Henry Bikwibili Tantoh ◽

Tracey T. J. M. McKay ◽

Felix Ekwabena Donkor ◽

Mulala Danny Simatele

Keyword(s):

Systematic Review ◽

Food Security ◽

Gender Roles ◽

Rural Women ◽

Policy Development ◽

Sub Saharan Africa ◽

Gender Inequalities ◽

Top Down ◽

Changing Climate ◽

Sub Saharan

Water and land are vital resources essential to ensuring sustainable and productive rural economies. They are also essential for safeguarding food security and socio-economic development. In spite of this, the concept of water-land-food (WLF) security nexus has generally been examined from a top-down manner with women mostly disenfranchised in the access and management of water and land in particular. Concurrently, risks linked with climate crisis aggravate gender inequalities. The limited access to resources, restricted formal rights through top-down management exacerbates the vulnerability of poor rural women. Furthermore, policy development procedures follow a sectoral approach with no account of interrelationship and interdependence between the sectors. This, directly and indirectly limits the stewardship of natural resources and mitigation of the effects of climate change. This study, therefore, examines gender roles and their implications for water, land, and food security in a changing climate through an integrative systematic review of literature in Sub-Saharan Africa. It further explains the importance to consider the nexus in adaptation. Food security and sustainable livelihoods could be ensured if women can freely and adequately access land and participate in decision-making processes.

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Dietary Patterns as Characterized by Food Processing Levels and Their Association with the Health Outcomes of Rural Women in East Africa

Nutrients ◽

10.3390/nu13082866 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2866

Author(s):

Jacob Sarfo ◽

Elke Pawelzik ◽

Gudrun Keding

Keyword(s):

East Africa ◽

Rural Women ◽

Rural Areas ◽

Food Processing ◽

Positive Association ◽

Overweight And Obesity ◽

Sub Saharan Africa ◽

Processed Foods ◽

Urban Centers ◽

Sub Saharan

Overweight and obesity are rapidly rising in Sub-Saharan Africa including in rural areas. However, most studies focus on urban centers, and have attributed this epidemic to the consumption of processed foods without their clear characterization. This study investigated food intake patterns defined by food processing levels and their association with overweight/obesity in rural areas. Four 24-h dietary recalls, anthropometric measurements, and socio-demographic characteristics were collected from 1152 women in Kenya, Tanzania, and Uganda. The PCA method was used to extract patterns characterized by food processing levels. The association between patterns and overweight/obesity was ascertained with regression models. The overweight/obesity rate was 47%, 42%, 26%, and 38% in Kenya, Tanzania, Uganda, and East Africa (as pooled data), respectively. Several patterns were identified, yet a “plant-based pattern” largely characterized by unprocessed and minimally processed foods and a “purchase pattern” mainly distinguished by highly processed foods were dominant. The “plant-based pattern” was inversely or not associated with overweight/obesity, while the “purchase pattern” had a positive association or no association. A clear distinction on processed foods as healthy and unhealthy should be made based on their nutrient provision to avoid their mischaracterization as unhealthy. Policies to reverse consumption of unhealthy processed foods while promoting healthy ones should be pursued.

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Association of spousal violence and women’s empowerment status among the rural women of sub-Saharan Africa

Journal of Biosocial Science ◽

10.1017/s0021932021000602 ◽

2021 ◽

pp. 1-19

Author(s):

Asibul Islam Anik ◽

Muhammad Ibrahim Ibne Towhid ◽

M Atiqul Haque

Keyword(s):

Health Care ◽

Rural Women ◽

Significant Risk ◽

Women's Empowerment ◽

Sub Saharan Africa ◽

Women’S Empowerment ◽

Demographic And Health Surveys ◽

Spousal Violence ◽

Index Of Inequality ◽

Sub Saharan

Abstract Spousal violence (SV) is a global problem for women and its elimination is one of the prime targets of Sustainable Development Goal-5. Data from the Demographic and Health Surveys of seventeen countries, representing two sub-Saharan Africa (SSA) regions (East and Southern Africa [ESA] and West and Central Africa [WCA]), were used to examine the relationship between all types of SV and women’s empowerment status among rural married women aged 15–49 years. Multivariate logistic regression analysis was used to explore adjusted associations, and a relative index of inequality (RII) and slope index of inequality (SII) were used to measure the inequality in experiencing SV by rural women based on their overall empowerment position. Within the period 2015–2019, the reported rate of SV was higher in the ESA (physical SV: 33.55%; sexual SV: 16.96%; any type of SV: 46.14%) than the WCA countries (physical SV: 27.80%; sexual SV: 7.63%; any type of SV: 40.83%), except for emotional SV (WCA: 31.28% vs ESA: 29.35%). In terms of overall empowerment status, rural WCA women were slightly ahead of their counterparts in the ESA region (46.09% and 44.64%, respectively). For both ESA and WCA countries, women who didn’t justify violence and who had access to health care (except physical SV in WCA) showed negative but significant association with all types of SV in the adjusted analysis. Conversely, economic empowerment significantly increased the odds of experiencing physical and any type of SV in both regions. The significant risk ratios obtained from RII, for any SV were 0.83 and 1.09, and the β-coefficients from SII were –0.082 and 0.037 units, respectively, in ESA and WCA. Multi-sectoral microfinance-based intervening programmes and policies should be implemented regionally to empower women, especially in the economic, socio-culture, health care accessibility dimensions, and this will eventually reduce all types of spousal violence in rural SSA.

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