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Women’s empowerment  and  choice of family planning methods Mai Do and Nami Kurimoto Department of International Health and Development Tulane University School of Public Health and Tropical Medicine
Women’s empowerment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Study purposes ,[object Object],[object Object],[object Object]
Country selection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Analytical framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence of current contraceptive use (%)
Measure of women’s empowerment * Adapted from Maholtra and Schuler (2005) and Maholtra, Schuler and Boender (2002) Dimension* Questions asked in DHS 1. Household economy ,[object Object],[object Object],2. Socio-cultural activities Decision maker about visits to family and relatives 3. Health seeking behavior Decision maker about health care for yourself (i.e. women themselves) 4. Perceived agreement on fertility preferences Perceptions about husband’s desired number of children (same as wife’s, more or less) 5. Sexual activity negotiation Can refuse sex or ask for condom use in a number of situations: tired, husband has STDs, husband has sex with other women, etc. 6. Domestic violence attitudes Whether a husband is justified in hitting/beating wife in a number of situation: she goes out without telling him, neglects children, refuses sex, burns the food, etc.
Relative risk ratios of overall women’s empowerment ^ p<.10; * p<.05; ** p<.01; *** p<.001 Ghana  ‘ 08 Namibia  ‘ 06/07 Uganda  ‘ 06 Zambia  ‘ 07 Female Couple Female Couple Female Couple Female Couple Overall score 1.14 ^ 1.27 * 1.19 *** 1.24 *** 1.21 *** 1.31 *** 1.17 *** 1.08 **
Relative risk ratios of women’s empowerment dimensions ^ p<.10; * p<.05; ** p<.01; *** p<.001 Swaziland: non significant associations Ghana ’08 Namibia ‘06/07 Uganda ‘06 Zambia ‘07 Female Couple Female Couple Female Couple Female Couple Household economy 1.10 ^ 1.02  1.09 ** 1.05  1.09 ** 1.09 * NS NS Socio-Cultural activities Others/husband alone Joint/women alone NS NS NS NS NS NS NS NS Health seeking behavior Others/husband alone Joint/women alone NS NS NS NS NS NS 1.00 1.21 ^ 1.00 0.95  Perceived agreement on fertility preference No agreement Agreement NS NS 1.00 1.48 *** 1.00 1.02  1.00 1.20 ^ 1.00 1.60 *** 1.00 1.45 *** 1.00 1.31 * Sexual activity negotiation   1.18 * 1.13 * NS NS NS NS 1.03  1.08 * Domestic violence attitudes 0.95 1.11 ^ 0.99 1.11 * NS NS NS NS
Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Take home messages ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Women's Power and Choice of Family Planning Methods

  • 1. Women’s empowerment and choice of family planning methods Mai Do and Nami Kurimoto Department of International Health and Development Tulane University School of Public Health and Tropical Medicine
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  • 7. Prevalence of current contraceptive use (%)
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  • 9. Relative risk ratios of overall women’s empowerment ^ p<.10; * p<.05; ** p<.01; *** p<.001 Ghana ‘ 08 Namibia ‘ 06/07 Uganda ‘ 06 Zambia ‘ 07 Female Couple Female Couple Female Couple Female Couple Overall score 1.14 ^ 1.27 * 1.19 *** 1.24 *** 1.21 *** 1.31 *** 1.17 *** 1.08 **
  • 10. Relative risk ratios of women’s empowerment dimensions ^ p<.10; * p<.05; ** p<.01; *** p<.001 Swaziland: non significant associations Ghana ’08 Namibia ‘06/07 Uganda ‘06 Zambia ‘07 Female Couple Female Couple Female Couple Female Couple Household economy 1.10 ^ 1.02 1.09 ** 1.05 1.09 ** 1.09 * NS NS Socio-Cultural activities Others/husband alone Joint/women alone NS NS NS NS NS NS NS NS Health seeking behavior Others/husband alone Joint/women alone NS NS NS NS NS NS 1.00 1.21 ^ 1.00 0.95 Perceived agreement on fertility preference No agreement Agreement NS NS 1.00 1.48 *** 1.00 1.02 1.00 1.20 ^ 1.00 1.60 *** 1.00 1.45 *** 1.00 1.31 * Sexual activity negotiation 1.18 * 1.13 * NS NS NS NS 1.03 1.08 * Domestic violence attitudes 0.95 1.11 ^ 0.99 1.11 * NS NS NS NS
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  • 14.