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Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world

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  • Pratley, Pierre

Abstract

Research on the association between women's empowerment and maternal and child health has rapidly expanded. However, questions concerning the measurement and aggregation of quantitative indicators of women's empowerment and their associations with measures of maternal and child health status and healthcare utilization remain unanswered. Major challenges include complexity in measuring progress in several dimensions and the situational, context dependent nature of the empowerment process as it relates to improvements in maternal and child health status and maternal care seeking behaviors. This systematic literature review summarizes recent evidence from the developing world regarding the role women's empowerment plays as a social determinant of maternal and child health outcomes. A search of quantitative evidence previously reported in the economic, socio-demographic and public health literature finds 67 eligible studies that report on direct indicators of women's empowerment and their association with indicators capturing maternal and child health outcomes. Statistically significant associations were found between women's empowerment and maternal and child health outcomes such as antenatal care, skilled attendance at birth, contraceptive use, child mortality, full vaccination, nutritional status and exposure to violence. Although associations differ in magnitude and direction, the studies reviewed generally support the hypothesis that women's empowerment is significantly and positively associated with maternal and child health outcomes. While major challenges remain regarding comparability between studies and lack of direct indicators in key dimensions of empowerment, these results suggest that policy makers and practitioners must consider women's empowerment as a viable strategy to improve maternal and child health, but also as a merit in itself. Recommendations include collection of indicators on psychological, legal and political dimensions of women's empowerment and development of a comprehensive conceptual framework that can guide research and policy making.

Suggested Citation

  • Pratley, Pierre, 2016. "Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world," Social Science & Medicine, Elsevier, vol. 169(C), pages 119-131.
    • Handle: RePEc:eee:socmed:v:169:y:2016:i:c:p:119-131
    DOI: 10.1016/j.socscimed.2016.08.001
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    References listed on IDEAS

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    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    2. Sharon Ghuman, 2003. "Women’s autonomy and child survival: A comparison of muslims and non-muslims in four Asian countries," Demography, Springer;Population Association of America (PAA), vol. 40(3), pages 419-436, August.
    3. Solava Ibrahim & Sabina Alkire, 2007. "Agency and Empowerment: A Proposal for Internationally Comparable Indicators," Oxford Development Studies, Taylor & Francis Journals, vol. 35(4), pages 379-403.
    4. Quisumbing, Agnes R. & Otsuka, Keijiro, 2001. "Land Inheritance and Schooling in Matrilineal Societies: Evidence from Sumatra," World Development, Elsevier, vol. 29(12), pages 2093-2110, December.
    5. Bandiera, Oriana. & Buehren, Niklas. & Burgess, Robin & Goldstein, Markus P., & Gulesci, Selim. & Rasul, Imran. & Sulaiman, Munshi., 2015. "Women’s economic empowerment in action : evidence from a randomized control trial in Africa," ILO Working Papers 994874053402676, International Labour Organization.
    6. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    7. Katsushi S. Imai & Samuel Kobina Annim & Raghav Gaiha & Veena S. Kulkarni, 2012. "Does Women's Empowerment Reduce Prevalence of Stunted and Underweight Children in Rural India?," Discussion Paper Series DP2012-11, Research Institute for Economics & Business Administration, Kobe University, revised Dec 2012.
    8. Oriana Bandiera & Niklas Buehren & Robin Burgess & Markus Goldstein & Selim Gulesci & Imran Rasul & Munshi Sulaiman, 2020. "Women's Empowerment in Action: Evidence from a Randomized Control Trial in Africa," American Economic Journal: Applied Economics, American Economic Association, vol. 12(1), pages 210-259, January.
    9. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2006. "Contextual influences on the use of health facilities for childbirth in Africa," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 84-93.
    10. Deepa Narayan, 2002. "Empowerment and Poverty Reduction : A Sourcebook," World Bank Publications - Books, The World Bank Group, number 15239, December.
    11. Upadhyay, Ushma D. & Hindin, Michelle J., 2005. "Do higher status and more autonomous women have longer birth intervals?: Results from Cebu, Philippines," Social Science & Medicine, Elsevier, vol. 60(11), pages 2641-2655, June.
    12. Hashemi, Syed M. & Schuler, Sidney Ruth & Riley, Ann P., 1996. "Rural credit programs and women's empowerment in Bangladesh," World Development, Elsevier, vol. 24(4), pages 635-653, April.
    13. Deepa Narayan, 2005. "Measuring Empowerment : Cross Disciplinary Perspectives," World Bank Publications - Books, The World Bank Group, number 7441, December.
    14. Jacques Charmes & Saskia Wieringa, 2003. "Measuring Women's Empowerment: An assessment of the Gender-related Development Index and the Gender Empowerment Measure," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 4(3), pages 419-435.
    15. Michael Koenig & Saifuddin Ahmed & Mian Hossain & A. Mozumder, 2003. "Women’s status and domestic violence in rural Bangladesh: Individual- and community-level effects," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 269-288, May.
    16. Mistry, Ritesh & Galal, Osman & Lu, Michael, 2009. "Women's autonomy and pregnancy care in rural India: A contextual analysis," Social Science & Medicine, Elsevier, vol. 69(6), pages 926-933, September.
    17. Ramzi Mabsout, 2011. "Capability and Health Functioning in Ethiopian Households," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 101(3), pages 359-389, May.
    18. Shroff, Monal R. & Griffiths, Paula L. & Suchindran, Chirayath & Nagalla, Balakrishna & Vazir, Shahnaz & Bentley, Margaret E., 2011. "Does maternal autonomy influence feeding practices and infant growth in rural India?," Social Science & Medicine, Elsevier, vol. 73(3), pages 447-455, August.
    19. Sabina Alkire, 2005. "Subjective Quantitative Studies of Human Agency," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 74(1), pages 217-260, October.
    20. Becker, Stan & Fonseca-Becker, Fannie & Schenck-Yglesias, Catherine, 2006. "Husbands' and wives' reports of women's decision-making power in Western Guatemala and their effects on preventive health behaviors," Social Science & Medicine, Elsevier, vol. 62(9), pages 2313-2326, May.
    21. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, vol. 45(C), pages 17-30.
    22. Story, William T. & Burgard, Sarah A., 2012. "Couples’ reports of household decision-making and the utilization of maternal health services in Bangladesh," Social Science & Medicine, Elsevier, vol. 75(12), pages 2403-2411.
    23. Sabina Alkire, 2008. "Concepts and Measures of Agency," OPHI Working Papers 9, Queen Elizabeth House, University of Oxford.
    24. Bolaji M Fapohunda & Nosakhare G Orobaton, 2013. "When Women Deliver with No One Present in Nigeria: Who, What, Where and So What?," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-12, July.
    25. Alsop, Ruth & Heinsohn, Nina, 2005. "Measuring empowerment in practice: structuring analysis and framing indicators," Policy Research Working Paper Series 3510, The World Bank.
    26. Naila Kabeer, 1999. "Resources, Agency, Achievements: Reflections on the Measurement of Women's Empowerment," Development and Change, International Institute of Social Studies, vol. 30(3), pages 435-464, July.
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