scholarly journals Women's empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study

2020 ◽  
Author(s):  
Heera KC ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Surya Raj Niraula ◽  
Prajjwal Pyakurel ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Mixed Method ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Key Informants ◽  
Marginalized Communities ◽  
Modern Contraceptives ◽  
Marginalized Women ◽  
Planning Decision

Abstract Background: Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can only be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. Methods: A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15-49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results: Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36-0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. Conclusions: Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status.

scholarly journals Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Heera KC ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Surya Raj Niraula ◽  
Prajjwal Pyakurel ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Mixed Method ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Key Informants ◽  
Marginalized Communities ◽  
Modern Contraceptives ◽  
Marginalized Women ◽  
Planning Decision

Abstract Background Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. Methods A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15–49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. Conclusions Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status.

scholarly journals Women's empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study

2020 ◽  
Author(s):  
Heera KC ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Surya Raj Niraula ◽  
Prajjwal Pyakurel ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Mixed Method ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Key Informants ◽  
Marginalized Communities ◽  
Modern Contraceptives ◽  
Marginalized Women ◽  
Planning Decision

Abstract Background: Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women’s empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. Methods: A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15-49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results: Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36-0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. Conclusions: Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural communities of Nepal irrespective of empowerment status.

scholarly journals Women empowerment for abortion and family planning decision making among marginalised women in Nepal: a mixed method study

2020 ◽  
Author(s):  
Heera KC ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Surya Raj Niraula ◽  
Prajjwal Pyakurel ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Mixed Method ◽  
Reproductive Age ◽  
Mixed Method Study ◽  
Women Empowerment ◽  
Direct Role ◽  
Key Informants ◽  
Modern Contraceptives ◽  
Planning Decision

Abstract Background Women empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can only be achieved by addressing the issues of the poor and marginalised communities. In this context, we aimed to find the association of women empowerment with abortion and family planning decision making among marginalised women in Nepal. Methods A mixed-method study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. Cross sectional study was conducted among 316 married marginalised women of reproductive age (15–49 years) and key informants interview was conducted among 15 representative healthcare providers and local leaders. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results Women empowered above average were 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistical significant differences among women empowerment with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s’ decision for future use of modern contraceptives (p 0.977). Most of key informants reported that unsafe abortion was into practice. Conclusions Women empowerment has no direct role for family planning and abortion decision making at marginalised communities of Morang district of Nepal. There was direct influence of different organisations for seeking healthcare services on abortion and family planning despite having women empowerment.

scholarly journals Family Planning Decision-Making at Grass Roots Level: Case Studies in West Java, Indonesia

2021 ◽  
Author(s):  
◽  
Rina Herartri
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Case Studies ◽  
Family Size ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Family Planning Programme ◽  
The Family ◽  
Planning Decision ◽  
The Village

<p>This thesis examines the process of family planning decision-making with a view to understanding women's empowerment within the context of the Indonesian population policies and family planning programme. The objective of the family planning programme, established in 1970, is to create 'small, happy and prosperous families' through community participation. This goal has been strengthened by the passage of Law No. 10 of 1992 concerning "Population Development and the Development of Prosperous Families". From 2000, in line with the 1994 International Conference on Population and Development Programme of Action, women's empowerment has become one of the major concerns of the family planning programme as stipulated in its new vision and mission statements. Data for this thesis are provided by fieldwork conducted in two villages in West Java province, Indonesia, from December 2002 until May 2003. A qualitative research design, with a phenomenological approach, has shaped the conduct of this study. The case studies in the two villages revealed that the philosophy of 'small and prosperous family' has permeated down to the village. This idea has influenced the village couples' decisions regarding family size. Smaller families with better-educated children are believed to lead to increased family prosperity. Generally, decisions to do with family planning and childbearing are made by women because men regard them as women's business. The contraceptive preferences show that women bear the major responsibility in the use of family planning methods. Thus women in these villages were empowered, but only partially. The women's role in terms of decision-making still exists within the framework of the interests of their husbands. Nevertheless, women's empowerment in family planning, through access to information and contraceptive services, has emerged from the case studies as a key factor that has enabled village women to make informed choices to control their family size. Women's control of fertility has been a major contributor to the success in reducing fertility and increasing family prosperity.</p>

scholarly journals Family Planning Decision-Making at Grass Roots Level: Case Studies in West Java, Indonesia

2021 ◽  
Author(s):  
◽  
Rina Herartri
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Case Studies ◽  
Family Size ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Family Planning Programme ◽  
The Family ◽  
Planning Decision ◽  
The Village

<p>This thesis examines the process of family planning decision-making with a view to understanding women's empowerment within the context of the Indonesian population policies and family planning programme. The objective of the family planning programme, established in 1970, is to create 'small, happy and prosperous families' through community participation. This goal has been strengthened by the passage of Law No. 10 of 1992 concerning "Population Development and the Development of Prosperous Families". From 2000, in line with the 1994 International Conference on Population and Development Programme of Action, women's empowerment has become one of the major concerns of the family planning programme as stipulated in its new vision and mission statements. Data for this thesis are provided by fieldwork conducted in two villages in West Java province, Indonesia, from December 2002 until May 2003. A qualitative research design, with a phenomenological approach, has shaped the conduct of this study. The case studies in the two villages revealed that the philosophy of 'small and prosperous family' has permeated down to the village. This idea has influenced the village couples' decisions regarding family size. Smaller families with better-educated children are believed to lead to increased family prosperity. Generally, decisions to do with family planning and childbearing are made by women because men regard them as women's business. The contraceptive preferences show that women bear the major responsibility in the use of family planning methods. Thus women in these villages were empowered, but only partially. The women's role in terms of decision-making still exists within the framework of the interests of their husbands. Nevertheless, women's empowerment in family planning, through access to information and contraceptive services, has emerged from the case studies as a key factor that has enabled village women to make informed choices to control their family size. Women's control of fertility has been a major contributor to the success in reducing fertility and increasing family prosperity.</p>

scholarly journals The Effect of Women’s Empowerment in the Utilisation of Family Planning in Western Ethiopia: A Structural Equation Modelling Approach

2021 ◽  
Vol 18 (12) ◽  
pp. 6550
Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Mhiret Ayele ◽  
Sintayehu Abebe ◽  
Misrak Makonnen ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Structural Equation ◽  
Contraceptive Use ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Household Decision ◽  
Planning Methods ◽  
Western Ethiopia ◽  
Family Planning Methods

This study examines the associations between women’s empowerment and family planning use in Jimma Zone, Western Ethiopia. A total of 746 randomly selected married women of reproductive age were interviewed. The data were employed by structural equation modelling (SEM) to investigate the complex and multidimensional pathways to show women’s empowerment domains in family planning utilisation. Results of the study revealed that 72% of married women had used family planning. Younger women, having access to information, having access to health facilities and being aware about family planning methods, living in a rural area, having an older partner and increased household decision-making power were associated with using family planning methods. Women’s empowerment is an important determinant of contraceptive use. Women’s empowerment dimensions included increased household decision-making power, socio-demographic variables and having access to information about family planning and accessible health facilities. These were found to be important determinants of contraceptive use. Future interventions should focus on integrating women’s empowerment into family planning programming, particularly in enhancing women’s autonomy in decision making. Further research is warranted on the socio-cultural context of women that influences women’s empowerment and family planning use to establish an in-depth understanding and equity of women in society.

scholarly journals The association of empowerment measures with maternal, child and family planning outcomes in Plateau State Nigeria by urban-rural residence

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kavita Singh ◽  
Ilene S. Speizer ◽  
Rashida-E Ijdi ◽  
Lisa M. Calhoun
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Skilled Birth Attendant ◽  
Women's Empowerment ◽  
Capital City ◽  
Women’S Empowerment ◽  
Plateau State ◽  
And Child Health

Abstract Background Nigeria is experiencing a high level of urbanization and urban poverty. Within Nigeria maternal and child health and family planning outcomes may differ by residence (capital city, urban/non-capital city and rural) as well as by measures of women’s empowerment and wealth. This paper presents a detailed analysis of maternal and child health and family planning outcomes in Plateau State, Nigeria. Methods Data came from the 2017 Nigerian Urban Reproductive Health Initiative Sustainability Study. Multivariable logistic regression was used to study the associations between the key independent variables of residence, women’s empowerment and wealth with having a skilled birth attendant at childbirth and childhood preventative visits. The women’s empowerment variables included perceptions about household decision-making, financial decision-making, views on wife beating and having a prohibition, defined as a restriction on specific activities imposed by a woman’s husband. Multinomial regression was used to study the association of the same factors with the family planning outcome which had three categories – no use, traditional method use and modern method use. Regressions were also run separately for urban and rural populations. Results Women in the capital city of Jos were significantly more likely to have a skilled birth attendant at childbirth, take a child to a preventative visit and use family planning than women in rural areas of Plateau State. Three of the four measures of empowerment (household decision-making, financial decision-making and having a prohibition) were significantly associated with the family planning outcome, while having a prohibition was negatively associated with having a skilled birth attendant at childbirth. In rural areas, women involved in financial decisions were significantly less likely to use a modern method compared to a traditional method. Wealth was a significant factor for all outcomes. Discussion State-level analyses can provide valuable information to inform programs and policies at a local level. Efforts to improve use of maternal and child health and family planning services in Plateau state, Nigeria, should consider women’s empowerment, residence and poverty. Community education on the effectiveness of modern versus traditional methods and potential side effects of specific modern methods, may help women make informed decisions about contraception.

scholarly journals Women’s empowerment and female genital mutilation intention for daughters in Sierra Leone: a multilevel analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Seun Anjorin ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Olalekan A. Uthman ◽  
...  
Keyword(s):  
Decision Making ◽  
Sierra Leone ◽  
Psychological Health ◽  
Female Genital Mutilation ◽  
Labour Force ◽  
Women's Empowerment ◽  
Wife Beating ◽  
Women’S Empowerment ◽  
Genital Mutilation ◽  
Female Genital

Abstract Background Female genital mutilation is common in Sierra Leone. Evidence indicates that empowering women provides protective benefits against female genital mutilation/cutting (FGM/C). Yet, the relationship between women’s empowerment and their intention to cut their daughters has not been explored in Sierra Leone. The aim of this study was to assess the association between women’s empowerment and their intention to have their daughters undergo FGM/C in the country. Methods Data for this study are from the 2013 Sierra Leone Demographic and Health Survey. A total of 7,706 women between the ages of 15 and 49 were included in the analysis. Analysis entailed generation of descriptive statistics (frequencies and percentages), and estimation of multi-level logistic regression models to examine the association between women’s empowerment, contextual factors and their intentions to cut their daughters. Results A significantly higher proportion of women who participated in labour force reported that they intended to cut their daughters compared to those who did not (91.2%, CI = 90.4–91.9 and 86.0%, CI = 84.1–87.8, respectively). Similarly, the proportion intending to cut their daughters was significantly higher among women who accepted wife beating than among those who rejected the practice (94.9%, CI = 93.8–95.8 and 86.4% CI = 84.9–87.8, respectively). A significantly higher proportion of women with low decision-making power intended to cut their daughters compared to those with high decision-making power (91.0%, CI = 89.0–92.8 and 85.0% CI = 82.2–87.4, respectively). Results from multivariate regression analysis showed that the odds of intending to cut daughters were significantly higher among women who participated in labour force (aOR = 2.5, CI = 1.3–4.7) and those who accepted wife beating than among those who did not (aOR = 2.7, CI = 1.7–4.5). In contrast, the likelihood of intending to cut daughters was significantly lower among women with high than low knowledge (aOR = 0.4, CI = 0.3–0.7), and among those aged 45–49  than among those aged 15–19  (aOR = 0.2, CI = 0.0–0.6). Conclusion The findings underscore the need to align anti-FGM/C policies and programmes to women who have undergone FGM/C, those with low knowledge, women who support wife beating and young women. Such interventions could highlight the adverse implications of the practice by stressing the psychological, health and social implications of FGM/C on its survivors.

scholarly journals Concordance, communication, and shared decision-making about family planning among couples in Nepal: A qualitative and quantitative investigation

2019 ◽  
Vol 37 (2) ◽  
pp. 357-376
Author(s):  
Carol R. Underwood ◽  
Lauren I. Dayton ◽  
Zoé Mistrale Hendrickson
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Quantitative Study ◽  
Shared Decision ◽  
Partner Communication ◽  
Joint Decision ◽  
Couple Communication ◽  
Spousal Concordance ◽  
Planning Decision

Couple communication and joint decision-making are widely recommended in the family planning and reproductive health literature as vital aspects of fertility management. Yet, most studies continue to rely on women’s reports to measure couple concordance. Moreover, the association between communication and decision-making is often assumed and very rarely studied. Arguably, associations between dyadic communication and shared decision-making constitute a missing link in our understanding of how communication affects fertility-related practices. Informed by Carey’s notions of transmission and ritual communication, this study sought to address those gaps with two complementary studies in Nepal: a qualitative study of married men and women and a quantitative study of 737 couples. To assess spousal concordance on matters of family planning-related communication and decision-making in the quantitative study, responses from the couple were compared for each question of interest and matched responses were classified as concordant. Quantitative results found that more than one-third of couples reported spousal communication on all measured family planning-related topics. Nearly, 87% of couples reported joint decision-making on both family planning use and method type. Partner communication was significantly and positively associated with concordant family planning decision-making in both bivariate and multivariate models. Couples communicating about three family planning topics had more than twice the odds of concordant family planning decision-making than did those not reporting such communication. The qualitative findings provided insights into discordant as well as concordant interactions, revealing that decision-making, even when concordant, is not necessarily linear and is often complex.

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