scholarly journals Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea

Author(s):  
Laura K. Merrell ◽  
Sarah R. Blackstone

Improving maternal outcomes and reducing pregnancy morbidity and mortality are critical public health goals. The provision of quality antenatal care (ANC) is one method of doing so. Increasing women’s empowerment is associated with positive women’s health outcomes, including the adequate timing and amount of ANC use. However, little is known about the relationship between women’s empowerment and quality ANC care. Despite a history of political instability, low women’s equality and poor maternal health, the Republic of Guinea has committed to improving the status of women and access to health. However, the 2014 Ebola outbreak may have had a negative impact on achieving these goals. This study sought to examine factors in the relationship between women’s empowerment and the receipt of quality ANC (indicated by the number of health components) within the context of the Ebola outbreak. This study conducted multiple logistic regressions examining associations between covariates and the number of ANC components received using data from the 2012 and 2018 Guinea Demographic Health Surveys. Several aspects of women’s empowerment (healthcare decision-making, literacy/access to magazines, monogamous relationship status, contraceptive use, socio-economic status/employment) were significantly linked with the receipt of a greater number of ANC components, highlighting the importance of women’s empowerment in accessing quality maternity care.

2019 ◽  
Vol 3 ◽  
pp. 1512 ◽  
Author(s):  
Judith Kyei Ansong ◽  
Easmon Otupiri ◽  
Joana Apenkwa ◽  
Patrick Kuma Aboagye

Background: Many reasons have been used to explain why contraceptive uptake in Ghana has not been as impressive as desired. One area that has not received enough attention is that of women’s empowerment. This study sought a better understanding of how women’s empowerment influences contraceptive uptake. Methods: A structured questionnaire was used to interview 761 currently married or cohabiting women aged 15-49 years who were residents of Asawasi and Oforikrom for at least two years and consented to be part of the study. Bivariate and multivariate analyses were used to link the exposure variables: the three measures of empowerment and other variables such as age, marital status, religion, education, ethnicity, income and number of living children with the outcome variable (current or future contraceptive use). Excel was used for data entry and STATA for analyses. Results: In total, 29% of respondents were empowered in all the three categories used to measure empowerment in this study; 34% were empowered in two of the three categories, 29% were empowered in only one category while 9% of the women were not empowered in any of the categories. In multivariate logistic regression analysis, the odds of empowered women using contraceptives was significantly higher than the odds of women who were not empowered. Conclusions: Provision of economic interventions to empower and uplift conditions of women is needed to bring change in the economic status of their families and remove their dependence upon family members. This would make women in peri-urban Kumasi economically independent in making contraceptive choices and decisions, which would help in the realization of the Sustainable Development Goals: One (to end poverty in all its forms everywhere) and Five (to achieve gender equality and empower all women and girls).


2017 ◽  
Vol 49 (6) ◽  
pp. 713-743 ◽  
Author(s):  
Ndola Prata ◽  
Ashley Fraser ◽  
Megan J. Huchko ◽  
Jessica D. Gipson ◽  
Mellissa Withers ◽  
...  

SummaryThis paper reviews the literature examining the relationship between women’s empowerment and contraceptive use, unmet need for contraception and related family planning topics in developing countries. Searches were conducted using PubMed, Popline and Web of Science search engines in May 2013 to examine literature published between January 1990 and December 2012. Among the 46 articles included in the review, the majority were conducted in South Asia (n=24). Household decision-making (n=21) and mobility (n=17) were the most commonly examined domains of women’s empowerment. Findings show that the relationship between empowerment and family planning is complex, with mixed positive and null associations. Consistently positive associations between empowerment and family planning outcomes were found for most family planning outcomes but those investigations represented fewer than two-fifths of the analyses. Current use of contraception was the most commonly studied family planning outcome, examined in more than half the analyses, but reviewed articles showed inconsistent findings. This review provides the first critical synthesis of the literature and assesses existing evidence between women’s empowerment and family planning use.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Myriam de Loenzien ◽  
Quoc Nhu Hung Mac ◽  
Alexandre Dumont

Abstract Background Women’s empowerment, and maternal and neonatal health are important targets of the Sustainable Development Goals. Our objective is to examine the relationship between women’s empowerment and elective cesarean section (ECS), focusing on Vietnam, a country where the use of CS has increased rapidly in recent decades, which raises public health concerns. Methods We hypothesized that in the context of the developing biomedicalization of childbirth, women’s empowerment increases the use of ECS due to a woman’s enhanced ability to decide her mode of delivery. By using microdata from the 2013–2014 Multiple Indicator Clusters Survey, we conducted a multivariate analysis of the correlates of ECS. We studied a representative sample of 1343 institutional single birth deliveries. Due to higher ECS rates among multiparous (18.4%) than primiparous women (10.1%) and the potential interaction between parity and other correlates, we used separate models for primiparous and multiparous women. Results Among the indicators of women’s external resources, which include a higher level of education, having worked during the previous 12 months, and having one’s own mobile phone, only education differed between primiparous and multiparous women, with a higher level among primiparous women. Among primiparous women, no resource indicator was significantly linked to ECS. However, considering women’s empowerment facilitated the identification of the negative impact of having had fewer than 3 antenatal care visits on the use of ECS. Among multiparous women, disapproval of intimate partner violence (IPV) was associated with a doubled likelihood of undergoing ECS (odds ratio = 2.415), and living in an urban area also doubled the likelihood of ECS. The positive association with living in the richest household quintile was no longer significant when attitude towards IPV was included in the model. In both groups, being aged 35 or older increased the likelihood of undergoing ECS, and this impact was stronger in primiparous women. Conclusions These results underline the multidimensionality of empowerment, its links to other correlates and its contribution to clarifying the influence of these correlates, particularly for distinguishing between medical and sociocultural determinants. The results advocate for the integration of women's empowerment into policies aimed at reducing ECS rates.


Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Mhiret Ayele ◽  
Sintayehu Abebe ◽  
Misrak Makonnen ◽  
...  

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.


2021 ◽  
pp. 073112142110286
Author(s):  
Margaret S. Kelley

In this article, I use the 2018 Guns in American Life Survey (GALS) to investigate the relationship between feminist identity, gun ownership, gun carrying, and women’s empowerment. Notably, while identifying as a feminist lessens the likelihood that a woman will own a gun, of women who own handguns, feminists are more likely to carry their guns all or most of the time. Past victimization is associated with ownership and carrying, confirming genuine concern by women about their safety. Finally, findings reveal that women are more empowered by guns than are men and the relationship is moderated by age. Results are discussed in light of the current American gun culture focused on self-defense and a carry mindset that some women develop as feminist culture in action.


2021 ◽  
pp. 088626052110500
Author(s):  
Joseph A. Kilgallen ◽  
Susan B. Schaffnit ◽  
Yusufu Kumogola ◽  
Anthony Galura ◽  
Mark Urassa ◽  
...  

Urbanization in low and middle-income nations is characterized by economic and demographic shifts largely understood to be beneficial to women’s empowerment. These changes include increased education and wage-labor opportunities, a disruption of traditional patrilocal residence systems, and reductions in spousal age gap and fertility. However, such changes may drive a “violence backlash,” with men increasing intimate partner violence (IPV) in efforts to challenge women’s shifting status. To date, tests of this idea primarily relate to women’s changing economic status, with less known about the demographic correlates of IPV in urbanizing settings. Addressing this, we conducted a cross-sectional study of IPV behavior and attitudes in an urbanizing community in Mwanza, northern Tanzania ( n = 317). Consistent with a violence backlash, IPV was reported more often among women educated at higher levels than their husband, and women earning similar, rather than lower, wages to their husband were more likely to report that he condones IPV. These findings were independent of women’s absolute education and income. Furthermore, less frequent paternal kin contact, and relatively small spousal age gaps, generally understood to boost women’s empowerment, were associated with an increased risk of experiencing IPV. Less frequent paternal kin contact was also associated with an increased likelihood that a husband condones IPV. Contrary to our predictions, relatively lower fertility, generally linked to higher women’s empowerment, did not predict IPV behavior and women with high, rather than low, fertility were more likely to report that their husband condones IPV. Overall, our results support the notion of a violence backlash corresponding to economic changes for women that accompany urbanization. In contrast, demographic changes associated with urbanization have more variable relationships. Drawing on these results, we suggest future research avenues for better understanding the vulnerability of women to IPV in urbanizing settings.


2017 ◽  
Vol 5 (1) ◽  
pp. 41-58
Author(s):  
Dwiyana Achmad Hartanto

The legal consequences of Constitutional Court Decision Number 46/PUU-VIII/2010 perspective of national law reform are a progressive development of the law. The ruling granted part of the petition for judicial review of Article 2 (2) and Article 43 (1) of Law Number 1 in 1974 concerning Procurement of Articles 28B (1) and (2), and Article 28 D (1) of the 1945 Constitution of the Republic of Indonesia. The review of Article 2 (2) of the Marriage Law is not granted because the Constitutional Court is of the opinion that marriage registration is not a marriage restriction, but an orderly form of administration. Material review Article 43 (1) of the Marriage Law is granted by the Constitutional Court so that the child is a legal child. The Constitutional Court's decision on the unofficial marriage has positive and negative implications. One of the positive implications is the recognition of the child's relationship status with his biological father as long as it can prove the relationship and have a negative impact because it creates a sense of calm for the offender unofficial marriage (nikah sirri) and increase the quantity.  Akibat hukum putusan MK No.46/PUU-VIII/2010 perspektif pembaharuan hukum nasional merupakan pembangunan hukum progresif. Putusan tersebut mengabulkan sebagian permohonan pengujian materiil pasal 2 (2) dan pasal 43 (1) UUP terhadap pasal 28B (1) dan (2), serta  pasal 28D (1) UUD NRI tahun 1945. Pengujian materiil pasal 2 (2) UUP tidak dikabulkan karena Mahkamah Konstitusi berpendapat pencatatan perkawinan bukan pembatasan perkawinan, melainkan bentuk tertib administrasi. Pengujian materiil pasal 43 (1) UUP dikabulkan MK, sehingga anak tersebut berstatus  anak sah. Fenomena nikah sirri menurut penulis, putusan MK mempunyai implikasi positif dan negatif. Berdampak positif adanya pengakuan status hubungan anak dengan ayah biologisnya sepanjang dapat membuktikan hubungan tersebut dan berdampak negatif karena menimbulkan rasa tenang bagi pelaku nikah sirri dan bertambah kuantitasnya. DOI: 10.15408/jch.v5i1.4691


2008 ◽  
Vol 4 (1) ◽  
pp. 16-27 ◽  
Author(s):  
Puspa Raj Sharma

This paper examines the effects of women’s participation in group-based micro-credit pro-grams on a large set of qualitative responses to questions that characterize women’s autonomy and gender relations within the household. The data come from a special survey carried out in hill and tarai in 2004-2006 of Nepal. The results are consistent with the view that women’s participation in micro-credit programs helps to increase women’s empowerment. Credit program participation leads to women taking a greater role in household decision-making, having greater access to financial and economic resources, having greater social networks, having greater bargaining power compared with their husbands, and having greater freedom of mobility. Female credit also tended to increase spousal communication in general about family planning and parenting concerns. Ecologically, the higher impact on women’s empowerment was noticed in terai. The reason may be relatively lower social and economic status of terai women at the time of program initiation compared to that of hills. As a result, even a small change in their status would get reflected distinctly. The Journal of Nepalese Business Studies Vol. IV, No. 1 (2007) pp. 16-27


2018 ◽  
Vol 14 (2) ◽  
pp. 235-263 ◽  
Author(s):  
Kursat Cinar ◽  
Meral Ugur-Cinar

AbstractThis article examines the relationship between urbanization and women's empowerment through the Turkish case. The article first tests statistically the overall impact of urbanization on women's empowerment by tapping into educational, economic, and political indicators at the province level. The results yield a positive relationship between urbanization and women's empowerment. We argue that these empowerment indicators demonstrate the necessary conditions of women's empowerment, yet whether these are sufficient for women to feel empowered needs to be further tested. To do so, the article utilizes an extensive original survey of 334 well-educated urban women in 43 out of 81 provinces of Turkey to examine the extent to which the results found in the quantitative section are paralleled by the actual experiences of women. The survey analysis reveals prospects and obstacles that well-educated women face in old and new urban centers. This nonrandom, purposive sample of seemingly empowered urban women shows that the barriers faced by these women would easily multiply when lower strata of society are reached. The Turkish case demonstrates that societal transformations such as urbanization have an imprint on the fates of women, yet further women's empowerment needs collective action at the political, legal, and societal levels.


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