scholarly journals Socio-demographic predictors of gender inequality among heterosexual couples expecting a child in south-central Uganda

2020 ◽  
Vol 20 (3) ◽  
pp. 1196-1205
Author(s):  
Caroline J Vrana-Diaz ◽  
Jeffrey E Korte ◽  
Mulugeta Gebregziabher ◽  
Lauren Richey ◽  
Anbesaw Selassie ◽  
...  
Keyword(s):  
Decision Making ◽  
Gender Equality ◽  
Gender Inequality ◽  
Linear Mixed Model ◽  
Underserved Populations ◽  
Care Delivery ◽  
Sub Saharan Africa ◽  
Heterosexual Couples ◽  
Model Framework ◽  
South Central

Background: Gender inequality is a pervasive problem in sub-Saharan Africa, and has negative effects on health and de- velopment. Objective: Here, we sought to identify socioeconomic predictors of gender inequality (measured by low decision-making power and high acceptance of intimate partner violence) within heterosexual couples expecting a child in south-central Uganda. Method: We used data from a two-arm cluster randomized controlled HIV self-testing intervention trial conducted in three antenatal clinics in south-central Uganda among 1,618 enrolled women and 1,198 male partners. Analysis included Cochran Mantel-Haenzel, proportional odds models, logistic regression, and generalized linear mixed model framework to account for site-level clustering. Results: Overall, we found that 31.1% of men had high acceptance of IPV, and 15.9% of women had low decision-making power. We found religion, education, HIV status, age, and marital status to significantly predict gender equality. Specifically, we observed lower gender equality among Catholics, those with lower education, those who were married, HIV positive women, and older women. Conclusion: By better understanding the prevalence and predictors of gender inequality, this knowledge will allow us to better target interventions (increasing education, reducing HIV prevalence in women, targeting interventions different reli- gions and married couples) to decrease inequalities and improve health care delivery to underserved populations in Uganda. Keywords: Gender inequality; Pregnancy; HIV/AIDS; Prenatal Care; Uganda.

scholarly journals Canadian Urological Association guideline: Erectile dysfunction

2021 ◽  
Vol 15 (10) ◽  
Author(s):  
Trustin Domes ◽  
Borna Tadayon Najafabadi ◽  
Matthew Roberts ◽  
Jeffrey Campbell ◽  
Ryan Flannigan ◽  
...  
Keyword(s):  
Decision Making ◽  
Erectile Dysfunction ◽  
Care Delivery ◽  
Model Framework ◽  
Health Practitioners ◽  
Assessment And Treatment ◽  
General Readership ◽  
Clinical Questions ◽  
Decision Making Model

Erectile dysfunction (ED) impacts the wellness and quality of life of millions of Canadians. An evaluation focused on the identification of reversible and irreversible underlying factors is recommended for patients presenting with ED. Through a shared decision-making model framework, the goal of ED treatment is to improve functional outcomes and enhance sexual satisfaction while minimizing adverse effects associated with treatment. Given that ED is assessed and treated by multiple different types of health practitioners, the purpose of this guideline is to provide the best available evidence to facilitate care delivery through a Canadian lens. After a narrative review of ED assessment and treatment for general readership, five key clinical questions relating to priority areas of ED are assessed using the GRADE and Evidence to Decision making frameworks.

scholarly journals The Portrayal of Gender Inequality in Selected Female Oriented Bollywood Movies

2020 ◽  
Vol 8 (5) ◽  
pp. 23
Author(s):  
Priyanka Marwaha
Keyword(s):  
Decision Making ◽  
Gender Equality ◽  
Gender Inequality ◽  
Indian Society ◽  
Indian Constitution ◽  
Indian Cinema ◽  
Changing Roles

Men have been considered superior in most cultures since they have been the ones who bring home the bacon, whereas women have always been considered a subject to her father, husband or son, thus inferior. Cinema is not just a modern-day art; rather it is a modern-day mind; while watching a film, we are constantly watching ourselves. In the form of a mirror, Cinema has sharply reflected the Indian psyche and the changing roles of women from time to time. This paper deals with gender inequality and its influence on the patriarchal Indian society with a focus on some female-oriented Bollywood movies. It also tries to highlight how, even though the Indian Constitution emphasises gender equality, Indian Cinema has failed to provide decision making roles to women in Bollywood movies.

Gender Inequality in Postcapitalism: Theorizing Institutions for a Democratic Socialism

2018 ◽  
Vol 50 (4) ◽  
pp. 668-674
Author(s):  
Barbara E. Hopkins
Keyword(s):  
Decision Making ◽  
Social Control ◽  
Gender Equality ◽  
Gender Equity ◽  
Gender Inequality ◽  
Jel Classification ◽  
Care Work ◽  
Democratic Socialism ◽  
Consumer Decisions ◽  
Adequate Provision

In this paper, I explore the implications for gender equality of building democratic institutions in workplaces and democratic planning in the economy. I review proposals for postcapitalism and consider whether those institutional innovations are likely to address three aspects of gender equality: discrimination and harassment at work, adequate provision for care work, and social control over consumer decisions. I propose three areas for developing competency at democratic decision making that could improve gender equity. JEL Classification: P4, B54

Instrumenty polityki równości płci w kontekście sytuacji w Polsce

2016 ◽  
pp. 88-109
Author(s):  
Wiktoria Domagała
Keyword(s):  
European Union ◽  
United Nations ◽  
Gender Equality ◽  
Gender Inequality ◽  
Equal Opportunities ◽  
The European Union ◽  
The United Nations

The article undertakes the issue of gender equality policies in the context of its indicators. The main purpose of the paper is to identify the areas of gender inequality, its scale and determinants. Firstly, the article presents the legislation of gender equality policies – its main objectives. Next, the paper discusses indicators that were implemented by organisations such as the Organisation of the United Nations and the European Union. These selected indicators are presented, taking into account the situation in Poland. In conclusion, the paper highlights the main obstacles to the pursuit of equal opportunities for women and men in Poland.

Islam, Gender, and Democracy in Comparative Perspective

2017 ◽  
Keyword(s):  
Human Rights ◽  
Comparative Literature ◽  
Gender Equality ◽  
Gender Inequality ◽  
Women's Rights ◽  
Women’S Rights ◽  
Muslim Countries ◽  
And Gender ◽  
Shed Light

This volume reframes the debate around Islam and women’s rights within a broader comparative literature. It examines the complex and contingent historical relationships between religion, secularism, democracy, law, and gender equality. Part I addresses the nexus of religion, law, gender, and democracy through different disciplinary perspectives (sociology, anthropology, political science, law). Part II localizes the implementation of this nexus between law, gender, and democracy, and provides contextualized responses to questions raised in Part I. The contributors explore the situation of Muslim women’s rights vis-à-vis human rights to shed light on gender politics in the modernization of the nation and to ponder over the role of Islam in gender inequality across different Muslim countries.

scholarly journals QOLP-03. NEURO-ONCOLOGY PALLIATIVE CARE SURVEY OF PHYSICIANS IN SUB-SAHARAN AFRICA

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii175-ii175
Author(s):  
Ramya Tadipatri ◽  
Amir Azadi ◽  
Madison Cowdrey ◽  
Samuel Fongue ◽  
Paul Smith ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Delivery ◽  
Cultural Beliefs ◽  
Oral Feeding ◽  
Statistical Testing ◽  
Sub Saharan Africa ◽  
Neurological Deficits ◽  
Survey Study ◽  
Prior Training ◽  
Sub Saharan

Abstract BACKGROUND Early access to palliative care is a critical component of treating patients with advanced cancer, particularly for glioblastoma patients who have low rates of survival despite optimal therapies. Additionally, there are unique considerations for primary brain tumor patients given the need for management of headaches, seizures, and focal neurological deficits. METHODS We conducted a survey of 109 physicians in Sub-Saharan Africa in order to determine level of understanding and skill in providing palliative care, types of palliative care therapies provided, role of cultural beliefs, availability of resources, and challenges faced. Demographic data including age, gender, and prior training was collected and analyzed using ANOVA statistical testing. RESULTS Among the participants, 48% felt comfortable in providing palliative care consultations, 62% have not had prior training, 52% believed that palliative care is only appropriate when there is irreversible deterioration, 62% expressed having access to palliative care, 49% do not have access to liquid opioid agents, 50% stated that cultural beliefs held by the patient or family prevented them from receiving, palliative care, and 23% stated that their own beliefs affected palliative care delivery. Older providers (age > 30) had a clearer understanding of palliative care (p = 0.004), were more comfortable providing consultation (p = 0.052), and were more likely to address mental health (p < 0.001). CONCLUSIONS Palliative care delivery to glioblastoma patients in Sub-Saharan Africa is often delayed until late in the disease course. Barriers to adequate palliative care treatment identified in this survey study include lack of training, limited access to liquid opioid agents, and cultural beliefs. Challenges most often identified by participants were pain management and end-of-life communication skills, but also included patient spirituality and psychological support, anxiety and depression, terminal dyspnea, ethics, and intravenous hydration and non-oral feeding.

scholarly journals Health technology assessment in sub-Saharan Africa: a descriptive analysis and narrative synthesis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Samantha Hollingworth ◽  
Ama Pokuaa Fenny ◽  
Su-Yeon Yu ◽  
Francis Ruiz ◽  
Kalipso Chalkidou
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Technical Assistance ◽  
Health Technology ◽  
Sub Saharan Africa ◽  
Main Theme ◽  
Narrative Synthesis ◽  
Policy Makers ◽  
Sub Saharan

Abstract Background Countries in Sub-Saharan Africa (SSA) are moving towards universal health coverage. The process of Health Technology Assessment (HTA) can support decisions relating to benefit package design and service coverage. HTA involves institutional cooperation with agreed methods and procedural standards. We systematically reviewed the literature on policies and capacity building to support HTA institutionalisation in SSA. Methods We systematically reviewed the literature by searching major databases (PubMed, Embase, etc.) until June 2019 using terms considering three aspects: HTA; health policy, decision making; and SSA. We quantitatively extracted and descriptively analysed content and conducted a narrative synthesis eliciting themes from the selected literature, which varied in study type and apporach. Results Half of the 49 papers identified were primary research studies and mostly qualitative. Five countries were represented in six of ten studies; South Africa, Ghana, Uganda, Cameroon, and Ethiopia. Half of first authors were from SSA. Most informants were policy makers. Five themes emerged: (1) use of HTA; (2) decision-making in HTA; (3) values and criteria for setting priority areas in HTA; (4) involving stakeholders in HTA; and (5) specific examples of progress in HTA in SSA. The first one was the main theme where there was little use of evidence and research in making policy. The awareness of HTA and economic evaluation was low, with inadequate expertise and a lack of local data and tools. Conclusions Despite growing interest in HTA in SSA countries, awareness remains low and HTA-related activities are uncoordinated and often disconnected from policy. Further training and skills development are needed, firmly linked to a strategy focusing on strengthening within-country partnerships, particularly among researchers and policy makers. The international community has an important role here by supporting policy- relevant technical assistance, highlighting that sustainable financing demands evidence-based processes for effective resource allocation, and catalysing knowledge-sharing opportunities among countries facing similar challenges.

scholarly journals How Do Women Overcome Gender Inequality by Forming Small-Scale Cooperatives? The Case of the Agricultural Sector in Uganda

2021 ◽  
Vol 13 (4) ◽  
pp. 1797
Author(s):  
Amber Theeuwen ◽  
Valérie Duplat ◽  
Christopher Wickert ◽  
Brian Tjemkes
Keyword(s):  
Developing Countries ◽  
Gender Equality ◽  
Gender Inequality ◽  
Family Business ◽  
Agricultural Sector ◽  
Economic Benefits ◽  
Policy Implications ◽  
Small Scale ◽  
Business Relationships ◽  
Female Farmers

In Uganda, the agricultural sector contributes substantially to gross domestic product. Although the involvement of Ugandan women in this sector is extensive, female farmers face significant obstacles, caused by gendering that impedes their ability to expand their family business and to generate incomes. Gender refers to social or cultural categories by which women–men relationships are conceived. In this study, we aim to investigate how gendering influences the development of business relationships in the Ugandan agricultural sector. To do so, we employed a qualitative–inductive methodology to collect unique data on the rice and cassava sectors. Our findings reveal at first that, in the agricultural sector in Uganda, inter-organization business relationships (i.e., between non-family actors) are mostly developed by and between men, whereas intra-organization business relationships with family members are mostly developed by women. We learn that gendering impedes women from developing inter-organization business relationships. Impediments for female farmers include their restricted mobility, the lack of trust by men, their limited freedom in communication, household duties, and responsibilities for farming activities up until sales. Our findings also reveal that these impediments to developing inter-organization business relationships prevent female farmers from being empowered and from attainting economic benefits for the family business. In this context, the results of our study show that grouping in small-scale cooperatives offers female farmers an opportunity to overcome gender inequality and to become economically emancipated. Thanks to these cooperatives, women can develop inter-organization relationships with men and other women and gain easier access to financial resources. Small-scale cooperatives can alter gendering in the long run, in favor of more gender equality and less marginalization of women. Our study responds to calls for more research on the informal economy in developing countries and brings further understanding to the effect of gendering in the Ugandan agricultural sector. We propose a theoretical framework with eight propositions bridging gendering, business relationship development, and empowerment and economic benefits. Our framework serves as a springboard for policy implications aimed at fostering gender equality in informal sectors in developing countries.

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