Women’s Empowerment and Women’s Health in Africa

Nwogwugwu, Ngozi

doi:10.1007/978-3-319-77030-7_160-1

Cited by 6 publications

(5 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings from this study indicated that a variation in the use of health facility delivery among women across the clusters of Ethiopia. In adjusted multilevel logistics regression, those women with a high empowerment index and living in the community where the most people encourage a health facility delivery were more likely to use a health facility during their delivery, these findings were consistent with other studies (20,21).…”

Section: Discussionsupporting

confidence: 89%

Women’s Empowerment and Community Norms Association on Women’s Access to Health Facility Delivery in Ethiopia. A Multilevel Analysis.

Bekele

2021

Preprint

View full text Add to dashboard Cite

Background Health-care facility delivery was the most critical in ensuring the provision of high-quality care and a distribution location that was ready in the case of an emergency for reproductive women. However, maternal mortality remains high in African nations, and the majority of women were still giving birth at home. This study was aimed to determine whether women's empowerment and community norms, plus other proximate factors, are related to the health facility delivery utilization of women in Ethiopia. Methods The data for this study was taken from the Performance Monitoring for Action (PMA) in Ethiopia of the 2019 cross-sectional survey. A weighted sample of 4864 women with at least one birth history, clustered within 264 clusters was used for this study. The impact of women's empowerment, cultural norms, and other proximate factors on the use of health facility deliveries among reproductive-age women across clusters in Ethiopia was studied using a two-level multilevel logistic regression. Results In Ethiopia, around 51 % of women were delivered their most recent child at the health facility. The use of a health facility delivery was more common among empowered women and those living in where the most people encourage a health facility delivery. Older women were less likely to deliver at a health facility and women from the highest wealth quantile more likely to have a facility delivery. Those women with higher education and living in an urban area were more likely to have a health facility delivery. Women’s chances of giving birth in health facilities vary significantly across the 264 clusters of Ethiopia ( σ_uo^2 =2.49,p.value<0.001). Conclusions This study emphasizes the importance of women's empowerment and cultural norms in enhancing maternal health outcomes of women in Ethiopia. It is more important than ever that the government and development agency should invest more in women's empowerment and raising community consciousness about the benefits of using health facility delivery as part of a strategic intervention to improve maternal health outcomes.

show abstract

Section: Discussionsupporting

confidence: 89%

Women’s Empowerment and Community Norms Association on Women’s Access to Health Facility Delivery in Ethiopia. A Multilevel Analysis.

Bekele

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The 2018 female HDI value for Congo was 0.591 in contrast with 0.635 for males, resulting in a Gender Development Index (GDI) value of 0.931, placing it into Group 3 [ 19 ]. Poor gender power relations is attributable to inequities across most African countries including the Republic of Congo, resulting to women’s inability to make the decision of having a safe abortion [ 20 , 21 ]. The Republic of Congo is on the WHO list of high burden countries for various health problems [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors of time to first abortion after sexual debut among fragile state Congolese women: a survival analysis

Ekholuenetale

Barrow

2021

BMC Public Health

View full text Add to dashboard Cite

Background Despite the common restrictive abortion laws, abortion remains widespread in sub-Saharan Africa (SSA) countries. Women still utilize abortion services and put their lives and health at risk because abortion can only be procured illegally in private facilities such as mid-level or small patent medicine store that may be manned by unskilled providers or through a non-medicated approach. The objective of this study was to investigate the prevalence of abortion, the reasons women had abortions, median years to first abortion after sexual debut and examine the factors of time to first abortion among women of reproductive age in the Republic of Congo. Methods We used data from the most recent Republic of Congo Demographic and Health Survey (DHS). A total sample of 3622 women aged 15–49 years was analyzed. We estimated the overall prevalence of abortion and median years to first abortion. Furthermore, we examined the factors of time to first abortion after sexual debut using multivariable Cox regression and reported the estimates using adjusted Hazard Ratio (aHR) and 95% confidence intervals (CI). Statistical significance was determined at p < 0.05. Results The prevalence of abortion was 60.0% and median years of time to first abortion after sexual debut was 9.0. The prominent reasons for abortion were due to too short birth interval (23.8%), lack of money (21.0%) and that husband/partner did not need a child at that time (14.0%). Women’s age and region were notable factors in timing to first abortion. Furthermore, women from poorer, middle, richer and richest households had 34, 67, 86 and 94% higher risk of abortion respectively, when compared with women from poorest households (all p < 0.05). Women currently in union/living with a man and formerly in union had 41 and 29% reduction in the risk of abortion respectively, when compared with those never in union (all p < 0.05). In addition, women with primary and secondary+ education had 42 and 76% higher risk of abortion respectively, when compared with women with no formal education (all p < 0.05). Conclusion There was high prevalence of abortion with short years at first abortion. Abortion was associated with women’s characteristics. There is need for unwanted pregnancy prevention intervention and the improvement in pregnancy care to reduce adverse pregnancy outcomes among women.

show abstract

“…Many of them have resigned to their fate by accepting gender-based violence, gender discrimination and other forms of abuse as their lot (Amroussis et al, 2016). Until they are truly emancipated and empowered politically and economically to make free decisions relating to reproduction and reproductive health, women and girls cannot be said to fully enjoy their fundamental rights (Nmadu, 2010;Nwogwugwu, 2020).…”

Section: Health and Reproductive Rights Of Women And Girlsmentioning

confidence: 99%

The Travails of Women and Girls in Northern Nigeria: A Human Rights Issue

Ogbe¹

2020

potentia

View full text Add to dashboard Cite

The vulnerability of women and girls in Northern Nigeria is likened to an ‘endangered species’ that struggles daily to survive. That region of the country is notorious in negativities: poverty, illiteracy, unemployment, insecurity and now, blatant abuse of health and reproductive rights of women and girls. This article, hence, exposes the precarity that pervades the region and highlights the factors above i.e., poverty, illiteracy, unemployment etc., and how women and girls have been made escape goats by the socio-cultural, economic and religious establishment in Northern Nigeria. Using statistics and scholarly findings of researchers and literature, the article articulates these factors, which include but not limited to, abuse of the health and reproductive right of women and girls, illiteracy and early marriage and insecurity. The article concludes by calling the government of Nigeria to treat the condition of women and girls in the Northeast as an emergency, by setting up structures headed by or headed by shared leadership roles of women, that will investigate their situations and proffer solutions. An Empowerment Education Fund should be created to provide accessibility for compulsory primary, secondary and even tertiary education to the girl child in Northern Nigeria.

show abstract

Women’s Empowerment and Women’s Health in Africa

Cited by 6 publications

References 53 publications

Women’s Empowerment and Community Norms Association on Women’s Access to Health Facility Delivery in Ethiopia. A Multilevel Analysis.

Women’s Empowerment and Community Norms Association on Women’s Access to Health Facility Delivery in Ethiopia. A Multilevel Analysis.

Prognostic factors of time to first abortion after sexual debut among fragile state Congolese women: a survival analysis

The Travails of Women and Girls in Northern Nigeria: A Human Rights Issue

Contact Info

Product

Resources

About