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2.
PLoS One ; 16(9): e0257665, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34555093

RESUMO

Underrepresentation of women in politics is a matter of great concern to social scientists, citizens, and policymakers alike. Despite effort over the past decade to ameliorate it with gender quotas of different types, scientific research provides a mixed picture on the extent to which quotas can close these gender gaps under different conditions. We approach this puzzle by focusing on the orientation of electoral systems-candidate-centered vs. platform-centered-as a context that conditions the effect of quotas on representation. Our analyses of 76 countries' electoral rules and legislatures show that contrary to expectations, it is in candidate-oriented systems that quotas facilitate stronger effect on women's representation. Even after considering proportional representation, district magnitude, human development, or labor-force participation as alternative explanations, we show that quotas foster greater increases in gender representation in candidate-oriented systems. The broader implications are that in electoral systems that tend to have larger gender gaps, quotas have a substantial contribution to equal representation.


Assuntos
Política , Sexismo/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Emprego , Feminino , Humanos , Modelos Teóricos , Ciências Sociais
3.
PLoS One ; 16(8): e0255589, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34347833

RESUMO

Using productivity change as a measure of farm economic performance, we analyze the relationship between women's empowerment in agriculture and farm productivity change and its components, which include efficiency change, technological change, and scale efficiency change. A non-parametric Malmquist approach is used to measure farm specific productivity change and its decomposition. We use a bootstrap regression to analyze factors that cause differences in productivity change and its components, testing, in particular, the role women's empowerment plays. The empirical application focuses on a sample of Bangladesh rice farms over the crop cultivation period 2011 and 2014. Results suggest that improvements in women's empowerment in agriculture were associated with higher levels of productivity change, efficiency change, and technical change, while they had no impact on scale efficiency change. We find that empowering women, specifically, improving their ability to make independent choices regarding agricultural production had a statistically significant positive association with productivity change, efficiency change, and technical change. We also find that lowering the gender parity gap is positively related with improving productivity of the sample farms.


Assuntos
Agricultura/métodos , Empoderamento , Fazendeiros/psicologia , Fazendas/estatística & dados numéricos , Oryza/crescimento & desenvolvimento , Direitos da Mulher/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bangladesh , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Adulto Jovem
4.
New Solut ; 31(2): 113-124, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33966528

RESUMO

Women make up the large majority of workers in global supply chains, especially factories in the apparel supply chain. These workers face significant inequalities in wages, workplace hazards, and a special burden of gender-based violence and harassment. These "normal" conditions have been compounded by the impact of the COVID-19 pandemic, which has exacerbated long-standing structural inequities. Decades of well-financed "corporate social responsibility" programs have failed because they do not address the underlying causes of illegal and abusive working conditions. New initiatives in the past half-decade offer promise in putting the needs and rights of workers front and center. Occupational health and safety professionals can assist in the global effort to improve working and social conditions, and respect for the rights and dignity of women workers, through advocacy and action on the job, in their professional associations, and in society at large.


Assuntos
COVID-19 , Vestuário , Indústria Manufatureira/estatística & dados numéricos , Saúde Ocupacional/estatística & dados numéricos , Ocupações/estatística & dados numéricos , Mulheres , Local de Trabalho , COVID-19/epidemiologia , Feminino , Humanos , Pandemias , Pobreza/estatística & dados numéricos , Salários e Benefícios/estatística & dados numéricos , Assédio Sexual/estatística & dados numéricos , Violência/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Direitos da Mulher/tendências
5.
PLoS One ; 16(4): e0250014, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33882089

RESUMO

This paper draws on data from five sub-Sahara African countries; Uganda, Rwanda, Malawi, Zambia, and Mozambique consisting of 10,041 married women who were cohabitating with a male spouse. The study aim was to investigate the relationship between women's empowerment and women's dietary diversity and consumption of different food items. Women's empowerment was measured using the indicators in the five domains of Women's Empowerment in Agriculture index (WEAI) and women's dietary diversity and food consumption was examined using the women's dietary diversity score (WDDS) measure. OLS and LPM regressions were used and analyses were confirmed using marginal effects from Poisson and logistic regressions. Results suggest that three out of the 10 WEAI indicators of empowerment showed different magnitude and direction in significant associations with improved WDDS and varied associations were found in three out of the five countries examined. In addition, the three significant empowerment indicators were associated with the consumption of different food groups in three out of the five countries examined suggesting that diverse food groups account for the association between the WEAI and WDDS. Improved autonomy, and input in production were associated with improved likelihoods of consumption of dairy products, and fruits and vegetables including vitamin A-rich produce. Empowerment in public speaking was associated with improved consumption of other fruits and vegetables including vitamin A-rich produce. The varied nature of empowerment indicators towards improving women's dietary diversity and food consumption suggests that different empowerment strategies might confer different benefits towards the consumption of different food groups. Further, findings imply that interventions that seek to empower women should tailor their strategies on existing contextual factors that impact on women.


Assuntos
Dieta/estatística & dados numéricos , Alimentos/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Adulto , África Austral , Agricultura/estatística & dados numéricos , Empoderamento , Características da Família , Feminino , Humanos , Desnutrição , Casamento/estatística & dados numéricos , Autonomia Pessoal , Poder Psicológico , Cônjuges/estatística & dados numéricos
6.
PLoS One ; 15(10): e0239589, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33052933

RESUMO

BACKGROUND: The underrepresentation of women in academic medicine at senior level and in leadership positions is well documented. Biomedical Research Centres (BRC), partnerships between leading National Health Service (NHS) organisations and universities, conduct world class translational research funded by the National Institute for Health Research (NIHR) in the UK. Since 2011 BRCs are required to demonstrate significant progress in gender equity (GE) to be eligible to apply for funding. However, the evidence base for monitoring GE specifically in BRC settings is underdeveloped. This is the first survey tool designed to rank and identify new GE markers specific to the NIHR BRCs. METHODS: An online survey distributed to senior leadership, clinical and non-clinical researchers, trainees, administrative and other professionals affiliated to the NIHR Oxford BRC (N = 683). Participants ranked 13 markers of GE on a five point Likert scale by importance. Data were summarised using frequencies and descriptive statistics. Interrelationships between markers and underlying latent dimensions (factors) were determined by exploratory and confirmatory factor analyses. RESULTS: The response rate was 36% (243 respondents). Respondents were more frequently female (55%, n = 133), aged 41-50 years (33%, n = 81), investigators (33%, n = 81) affiliated to the BRC for 2-7 years (39.5%, n = 96). Overall participants ranked 'BRC senior leadership roles' and 'organisational policies on gender equity', to be the most important markers of GE. 58% (n = 141) and 57% (n = 139) respectively. Female participants ranked 'organisational policies' (64.7%, n = 86/133) and 'recruitment and retention' (60.9%, n = 81/133) most highly, whereas male participants ranked 'leadership development' (52.1%, n = 50/96) and 'BRC senior leadership roles' (50%, n = 48/96) as most important. Factor analyses identified two distinct latent dimensions: "organisational markers" and "individual markers" of GE in BRCs. CONCLUSIONS: A two-factor model of markers of achievement for GE with "organisational" and "individual" dimensions was identified. Implementation and sustainability of gender equity requires commitment at senior leadership and organisational policy level.


Assuntos
Pesquisa Biomédica , Sexismo , Sucesso Acadêmico , Adolescente , Adulto , Fatores Etários , Pesquisa Biomédica/organização & administração , Pesquisa Biomédica/estatística & dados numéricos , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Sexismo/estatística & dados numéricos , Inquéritos e Questionários , Ensino/organização & administração , Ensino/estatística & dados numéricos , Pesquisa Translacional Biomédica/organização & administração , Pesquisa Translacional Biomédica/estatística & dados numéricos , Reino Unido , Direitos da Mulher/organização & administração , Direitos da Mulher/estatística & dados numéricos , Adulto Jovem
7.
BMJ Open ; 10(2): e032915, 2020 02 12.
Artigo em Inglês | MEDLINE | ID: mdl-32051310

RESUMO

OBJECTIVES: To promote gender diversity and equity in higher education, Athena Scientific Women's Academic Network (SWAN) supports and recognises higher education institutions (HEI) in advancing the careers of women through charter commitment, awards, training and advocacy since 2005. Most evaluation studies, however, are based on qualitative assessments. This study sought to (1) examine the relationship between Athena SWAN accreditation/awards in the UK and gender diversity of leaders and senior academics using quantitative data from 2012/2013 to 2016/2017, and (2) explore the associations between Athena SWAN awards and university performance as measured by overall scores in global ranking systems. DESIGN: Retrospective cohort study based on the UK HEIs. SETTING: Higher education sector in the UK provided by the Higher Education Statistics Agency. PARTICIPANTS: 148 HEIs who provided employment data on female-to-male ratios (55% complete data) for each academic year between 2012/2013 and 2016/2017. PRIMARY AND SECONDARY OUTCOME MEASURES: Gender diversity, defined as female representation rates of positions in managerial leadership (eg, heads of institutions, department heads) and professors. The Quacquarelli Symonds (QS) World University Rankings scores, an indicator of research, teaching, employability and internationalisation, were collected to measure university performance. RESULTS: Gender diversity of managerial leaders and non-managerial professors at all levels of Athena SWAN status has improved over the 5 years. Linear mixed effects models identified that Athena SWAN awardees had lower female representation than non-awardees in managerial leadership positions (p<0.05), while the gap was narrowed among Silver awardees over time. Athena SWAN Charter members had increasingly higher female representation than those not in the Charter (p<0.05). Silver-award institutions ranked higher in QS rankings than Bronze-award institutions (ß=11.80, p<0.05). CONCLUSIONS: There are overall rising trends in gender diversity from 2012/2013 to 2016/2017. Athena SWAN members showed greater and faster growth in female representations. Silver awardees had greater university performance than Bronze awardees.


Assuntos
Distinções e Prêmios , Mobilidade Ocupacional , Docentes de Medicina/estatística & dados numéricos , Sexismo/prevenção & controle , Universidades/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Estudos Retrospectivos , Sexismo/estatística & dados numéricos , Reino Unido
8.
Artigo em Inglês | MEDLINE | ID: mdl-31956697

RESUMO

Background: The reduction of childhood malnutrition has been identified as a priority for health and development in sub Saharan African countries. The association between women's empowerment and children's nutritional status is of policy interest due to its effect on human development, labour supply, productivity, economic growth and development. This study aimed to determine the association between women's empowerment and childhood nutritional status in sub Saharan African countries. Methods: The study utilized secondary datasets of women in their child bearing age (15-49 years) from the latest Demographic and Health Survey (DHS) conducted in 2011-2017 across 30 sub Saharan Africa countries. The outcome variable of the study was childhood nutritional status while the exposure variable was women's empowerment indicators such as decision making and attitude towards violence. Analyses were performed at bivariate level with the use of chi square to determine association between outcome and exposure variables and at multivariate level with the use of regression models to examine the effect of women's empowerment on childhood nutritional status. Results: Women's socio-demographic and other selected characteristics were statistically significantly associated with childhood nutritional status (stunted and underweight) at p < 0.001. These characteristics were also statistically significantly associated with empowerment status of women (Decision-making, Violence attitudes and Experience of violence) at p < 0.001 except for child age and sex. The association between childhood nutritional statuses and women's empowerment (all three empowerment measures) was significant after controlling for other covariates that could also influence childhood nutrition statuses at p < 001. Two of the empowerment measures (attitudes towards violence and experience of violence) showed positive association with childhood nutritional statuses while the third (decision-making) showed negative association. Conclusion: There is an independent relationship between childhood nutrition status and women's empowerment in sub Saharan African countries. Women's empowerment was found to be related to childhood nutritional status. Policies and programmes aiming at reducing childhood malnutrition should include interventions designed to empower women in Sub-Saharan Africa.


Assuntos
Saúde da Criança/estatística & dados numéricos , Empoderamento , Desnutrição/epidemiologia , Estado Nutricional , Direitos da Mulher/estatística & dados numéricos , Adolescente , Adulto , África Subsaariana/epidemiologia , Características da Família , Feminino , Humanos , Pessoa de Meia-Idade , Fatores Socioeconômicos , Adulto Jovem
9.
Reprod Health ; 16(1): 155, 2019 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-31665037

RESUMO

BACKGROUND: Women's decision-making power regarding reproductive health and rights (RHR) was the central component to achieve reproductive well-being. Literatures agree that a women having higher domestic decision-making power regarding their health care were more likely to utilize health services. More than 80% of women in Ethiopia reside in rural areas where they considered as the subordinates of their husbands. This would restrict women to fully exercise their RHR. Thus, this study aims to determine the factors influencing the women's decision-making power regarding RHR in Mettu rural district, South West Ethiopia. METHODS: A community based cross-sectional study was done among 415 by using randomly selected married women of reproductive age from March to April 2017. Data was entered by using Epi-data manger 1.4 and analyzed by SPSS version 21. Descriptive and multivariate logistic regression analysis was carried out. RESULT: One hundred sixty-eight (41.5%) of the women had greater decision-making power regarding RHR. Woman's primary education AOR 2.62[95% C. I 1.15, 5.97], secondary (9+) education AOR 3.18[95% C. I 1.16, 8.73] and husband's primary education AOR 4.0[95% C. I 1.53, 10.42], secondary (9+) education AOR 3.95 [95% C. I 1.38, 11.26], being knowledgeable about RHR AOR 3.57 [95% C. I 1.58, 8.09], marriage duration of more than 10 years AOR 2.95 [95% C. I 1.19, 7.26], access to micro-credit enterprises AOR 4.26[95% C. I 2.06, 8.80], having gender equitable attitude AOR 6.38 [95% C. I 2.52, 12.45] and good qualities of spousal relation AOR 2.95 [95% C. I 1.30, 6.64] were positively influencing women's decision-making power regarding RHR. CONCLUSION: More than four in ten rural women had greater decision-making power regarding RHR. External pressures (qualities of spousal relation, gender equitable attitude) and knowledge about RHR were found to influence women's decision-making power. Public health interventions targeting women's RHR should take into account strengthening rural micro-credit enterprises, qualities of spousal relations and priority should be given to women with no formal education of husband or herself and marriage duration of < 5 years.


Assuntos
Tomada de Decisões , Autonomia Pessoal , Saúde Reprodutiva/estatística & dados numéricos , Direitos Sexuais e Reprodutivos/estatística & dados numéricos , Cônjuges/psicologia , Direitos da Mulher/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Etiópia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Direitos Sexuais e Reprodutivos/psicologia , População Rural , Fatores Socioeconômicos , Adulto Jovem
10.
Reprod Health ; 16(1): 139, 2019 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-31500638

RESUMO

BACKGROUND: Continuing population growth could be detrimental for social and economic wellbeing. Understanding the factors that influence family planning decisions will be important for policy. This paper examines the effect of childhood mortality and women's bargaining power on family planning decisions. METHODS: Data was from the 2014 Ghana Demographic and Health Survey (DHS). A sample of 3313 women in their reproductive age were included in this study. We created variables on women's exposure to and experience of child mortality risks. Three different indicators of women's bargaining power in the household were also used. Probit models were estimated in accordance with the nature of the dependent variable. RESULTS: Results from the probit models suggest that child mortality has a positive association with higher fertility preference. Also, child mortality risks and woman's bargaining power play important roles in a woman's fertility choices in Ghana. Women with higher bargaining power were likely to prefer fewer children in the face of child mortality risks, compared to women with lower bargaining power. CONCLUSION: In addition to public sensitization campaigns on the dangers of high fertility and use of contraceptives, the findings of this study emphasize the need to focus on reducing child mortality and improving women bargaining power in developing countries.


Assuntos
Mortalidade da Criança/tendências , Serviços de Planejamento Familiar/métodos , Fertilidade , Autonomia Pessoal , Poder Psicológico , Direitos da Mulher/estatística & dados numéricos , Adulto , Criança , Países em Desenvolvimento , Características da Família , Feminino , Gana , Humanos , Fatores Socioeconômicos
11.
J Womens Health (Larchmt) ; 28(11): 1569-1575, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31268398

RESUMO

Background: Women in academic medicine are not attaining parity with men in several domains. This issue is not only one of fairness; some funding agencies are requesting data on gender benchmarking. However, most published reports on gender disparities have not included examination of trends or actionable recommendations to address them. Materials and Methods: The Dean of the Johns Hopkins University School of Medicine charged the Committee on the Status of Women (CSW) with conducting a comprehensive review of gender equity. In 2014, the CSW identified key domains important for academic success and created a sustainable framework to monitor trends by gender. Utilizing data from multiple key sources, the CSW measured differences in the domains of academic promotion, leadership, and satisfaction. Results: Gender differences were present in each domain. Data were not centralized and not readily available for most domains. The CSW recommended strategies to address gender disparities and created a set of measurable recommendations to monitor progress. The recommendations include requiring detailed descriptions of departmental organizational leadership charts; diverse compositions of both search committees and applicant pools; increased proportion of female faculty in top-tier leadership positions; and transparent departmental promotions criteria and processes. Conclusions: To maintain progress, we recommend that data be readily and easily accessible from a central institutional registry rather than come from multiple sources, that data be analyzed on a regular basis, and that results be shared across the institution to ensure transparency and accountability.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Docentes de Medicina/organização & administração , Liderança , Médicas/estatística & dados numéricos , Faculdades de Medicina/organização & administração , Baltimore , Mobilidade Ocupacional , Docentes de Medicina/estatística & dados numéricos , Feminino , Humanos , Masculino , Satisfação Pessoal , Fatores Sexuais , Inquéritos e Questionários , Direitos da Mulher/estatística & dados numéricos
12.
Med Clin North Am ; 103(4): 751-766, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31078205

RESUMO

Reproductive rights are essential to the recognition/treatment of women as full-fledged human beings/citizens. Barriers to reproductive rights pose a grave danger to women's well-being. This article explores the origins of these barriers, their nature, and their impact on mental health. The most controversial relationship is between induced abortion and mental health. Barriers, misinformation, and coercion affecting contraceptive, abortion, and pregnancy care are an ongoing danger to women's mental health and the well-being of their families. Mental health professionals are best qualified, and have an obligation, to know the facts, apply them, and provide accurate information to protect women's health.


Assuntos
Direitos Sexuais e Reprodutivos/estatística & dados numéricos , Saúde da Mulher/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Aborto Induzido/psicologia , Feminino , Humanos , Saúde Mental , Defesa do Paciente/estatística & dados numéricos , Direitos Sexuais e Reprodutivos/psicologia
13.
PLoS One ; 14(5): e0216027, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31071125

RESUMO

BACKGROUND: Maternal mortality rates are still unacceptably high in many countries, indicating violation of women´s human right to life and health. Access to adequate information about maternal health rights and available services are essential aspects of realizing women´s right to accessible health care. This study aimed at assessing awareness of the right to access maternal health services among women who had recently given birth, and the association between such awareness and the utilization of maternal health services in two districts in Tanzania. METHODS: This study was cross sectional in design. Interviews were conducted with women who gave birth within one year prior to the survey in two different district councils (DC) namely Hai DC and Morogoro DC, selected purposively based on the earlier reported rates of maternal mortality. We used a two-stage cluster sampling to select the study sample. Analysis employed Chi-square test and Logistic regression. RESULTS: A total of 547 respondents were interviewed. Only a third (34.4%) reported to be aware of their right to access maternal health services. Main sources of information on maternal health rights were the media and health care providers. Occupation and education level showed a statistically significant association with awareness of access rights. Hai DC had higher proportion of women aware of their access rights compared to Morogoro DC. Women who were aware of their right of access were almost 5 times more likely to use skilled birth attendants compared to those who were not (AOR 4.61 95% CI: 2.14-8.57). CONCLUSION AND RECOMMENDATIONS: Awareness of the right to access maternal health services was low in the studied population. To increase awareness and hence uptake of Pregnancy care and skilled birth attendants at delivery we recommend the government and partners to prioritize provision of information, communication and education on women´s human rights, including the right to access maternal health services, especially to women in rural areas.


Assuntos
Serviços de Saúde Materna/estatística & dados numéricos , Saúde Materna/estatística & dados numéricos , População Rural/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Adulto , Conscientização , Estudos Transversais , Parto Obstétrico/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Humanos , Mortalidade Materna , Parto , Cuidado Pré-Natal/estatística & dados numéricos , Reprodução , Fatores Socioeconômicos , Tanzânia , Adulto Jovem
14.
BMC Womens Health ; 19(1): 54, 2019 04 05.
Artigo em Inglês | MEDLINE | ID: mdl-30953494

RESUMO

BACKGROUND: Nearly all countries with fertility levels of more than five children per woman are in Sub-Saharan Africa. Prestige, insurance in old age, and replacement in case of child deaths are related to preferences for large families. In this paper, we examine the association between women's empowerment and fertility preferences of married women aged 35 years and above in four high fertility Francophone Sub-Saharan Africa (FSSA) countries, namely Burkina Faso, Mali, Niger and Chad. METHOD: The ideal number of children among married women and their ability to have the desired number of children are used to measure fertility preferences. We used principal component analysis to construct a multidimensional empowerment index. We then estimated negative binomial and logistic regression models to examine the association between women's empowerment and fertility preferences. Data are from the most recent Demographic and Health Surveys (DHS) conducted in the countries included in the analysis. RESULTS: Regardless of the country, more empowered women desire significantly fewer children compared with their less empowered counterparts. The first step to having fewer children is formulating programs to improve economic empowerment of women. The specific elements of women's empowerment that were important for fertility preferences included education, skills development, decision-making power, and control over household resources. In addition, familial empowerment matters more than other dimensions of empowerment in influencing women's ability to achieve the desired number of children in the FSSA countries included in the study. CONCLUSION: Paid employment and access to and control over resources are factors which, if improved upon, could significantly reduce the ideal number of children. By taking necessary steps, mass media can be used much more adequately to reduce ideal number of children in FSSA countries. In addition, the desire for many children could also be due to their participation in income-generating activities to improve the household's socio-economic status. The findings suggests that improvement of women's ability to have the desired number of children is a big challenge to which policy makers must pay careful attention.


Assuntos
Autonomia Pessoal , Poder Psicológico , Classe Social , Direitos da Mulher/estatística & dados numéricos , Adulto , África Subsaariana , Países em Desenvolvimento , Características da Família , Feminino , Humanos , Renda/estatística & dados numéricos , Casamento/estatística & dados numéricos , Pessoa de Meia-Idade , Fatores Socioeconômicos
15.
Midwifery ; 74: 44-56, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30925416

RESUMO

BACKGROUND: Complications that occur during the time of delivery can be prevented with proper medical care in the health facilities. Although women status is often cited as a factor related to improving maternal health in sub-Saharan Africa. Unfortunately, there is limited data on woman's position within her household and institutional delivery use in Malawi. Thus, this paper examined whether the women's status in the household influences is associated with institution delivery in Malawi. METHODS: A cross-sectional study that utilized nationally representative data obtained from the 2010 and 2015-16 Malawi Demographic and Health Surveys were conducted. Sample on ever-married women (4273) in 2010 and (2626) in 2015-16 aged 15-49 years were analyzed. The multivariate analyses were conducted using two-level multilevel logistic regression fitting generalized linear mixed models (GLMMs). RESULTS: The GLMMs shows that women's education status, intimate partner violence, women's age, household wealth and media exposure were significantly associated with institutional delivery in 2010 whilst women's decision on how to spend money, women's age, husband's educational level, household wealth, community women's education, community distance to official health facility were significantly associated with institutional delivery in 2015-16. CONCLUSIONS: The study findings recommend that policy actions that increase women's status and position within the household could increase institutional delivery in Malawi.


Assuntos
Identidade de Gênero , Hospitalização/estatística & dados numéricos , Direitos da Mulher/normas , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Malaui , Pessoa de Meia-Idade , Gravidez , Religião , Fatores Socioeconômicos , Inquéritos e Questionários , Direitos da Mulher/estatística & dados numéricos
16.
Perspect Sex Reprod Health ; 51(1): 43-53, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30817858

RESUMO

CONTEXT: Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents' contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap. METHODS: Nationally representative data from 33 countries that participated in the 2013-2014 Health Behaviour in School-Aged Children study and country-level measures of gender equality-using the 2014 Global Gender Gap Index-were analyzed. Multilevel multinomial logistic regression analyses were employed to assess associations between gender equality and contraceptive use (condom only, pill only and dual methods) at last intercourse as reported by 4,071 females and 4,110 males aged 14-16. RESULTS: Increasing gender equality was positively associated with contraceptive use among both males and females. For every 0.1-point increase on the equality scale, the likelihood of condom use at last intercourse rose (odds ratio, 2.1 for females), as did the likelihood of pill use (6.5 and 9.6, respectively, for males and females) and dual method use (2.1 and 5.6, respectively). Associations with pill use and dual use remained significant after national wealth and income inequality were controlled for. Overall, associations were stronger for females than for males. CONCLUSIONS: More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents' contraceptive use may influence one another.


Assuntos
Preservativos/estatística & dados numéricos , Comportamento Contraceptivo/estatística & dados numéricos , Anticoncepcionais Orais/uso terapêutico , Direitos da Mulher/estatística & dados numéricos , Adolescente , Canadá , Europa (Continente) , Feminino , Direitos Humanos/estatística & dados numéricos , Humanos , Israel , Modelos Logísticos , Masculino , Razão de Chances
17.
Climacteric ; 22(3): 283-288, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30810387

RESUMO

More than one-third of the world's population resides in Asia. China and India have the largest population densities and the focus of this article is on these two countries. In the seventeenth century, women were globally treated as inferior and subordinate to men. Women had to listen to their fathers, husbands, and sons, and they could not inherit business or wealth. Starting in the eighteenth century and continuing in the nineteenth century, women's rights became central to political debates in Europe which demanded human rights, leading to the Women's Rights Movement. The Feminist movement began in the twentieth century, which focused on the reproductive rights of women. In the twentieth century, various Declarations have been signed by the United Nations to offer both gender equity and equality to women in the world, but unfortunately many of them have not been put into practice in Asia. In the twenty-first century, the feminist movement is focusing more on women having the power to decide the course of their lives. We still have to overcome challenges of unequal economic opportunity, political empowerment, gender violence, and human trafficking to achieve gender equality in Asia.


Assuntos
Direitos da Mulher , Ásia , China , Europa (Continente) , Feminino , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , Direitos Humanos/história , Direitos Humanos/legislação & jurisprudência , Humanos , Índia , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Fatores Socioeconômicos , Direitos da Mulher/história , Direitos da Mulher/legislação & jurisprudência , Direitos da Mulher/estatística & dados numéricos
18.
Eval Program Plann ; 72: 54-66, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30296722

RESUMO

This article presents a proposal for assessing the progress of least developed countries towards the achievement of the Millennium Development Goals over the period 2000-2015. Composite indices are built to perform spatial and temporal benchmarking relying on the P2 Distance method. The results are contrasted with other indices developed under a multi-criterion approach with a double reference point. The main findings are that all the countries have improved their situation and country disparities have been reduced. Cambodia and Ethiopia have registered the best trends and South Sudan and Timor-Leste show the worse performance. Considering the position in the 2015 ranking, Rwanda and Bhutan performed the best, while Somalia and Chad rank in the last position. Having now reached the end of the Millennium Development Goals period, the gap with respect to the world average indicates that much work remains to be done in the 2030 Agenda for Sustainable Development.


Assuntos
Países em Desenvolvimento/estatística & dados numéricos , Escolaridade , Objetivos , Nível de Saúde , Direitos da Mulher/estatística & dados numéricos , Saúde da Criança/estatística & dados numéricos , Saúde Global , Humanos , Saúde Materna/estatística & dados numéricos , Pobreza , Avaliação de Programas e Projetos de Saúde , Fatores Socioeconômicos , Nações Unidas
20.
JNMA J Nepal Med Assoc ; 56(211): 646-649, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30381756

RESUMO

INTRODUCTION: Despite political commitment and a supportive legal and policy framework, violence against women remains a significant problem in Nepal. Nepal Demographic and Health Survey reported more than one in five women experience violence in lifetime. Three fourth of women who had experienced physical or sexual violence had not sought any help. The aim of the study is to find out the status of early adult hood experience of violence in female. METHODS: Descriptive cross-sectional study was carried out in an Institute in Lalitpur. Accessibility sampling was used to find out the experience of violence from their childhood to this date. The data were collected by self-administered questionnaire was distributed to the female students. Data were analyzed using SPSS. Frequency, mean, percentage and standard deviation were calculated. RESULTS: More than three fourth 71 (79.8%) of the female students were victim of violence and among them most 67 (75.3%) were at age of 11 to 19 years. Majority 63 (70.8%) were victimized from strangers followed by friends 11 (12.4%). Teasing 55 (61.8%) and unwanted touching 35 (39.3%) were the most common type of violence. Most 51 (57.3%) were the victim while traveling by public vehicle and walking on road 47 (52.8%). More than half (57.7%) were suffered <5 times. One third 34 (38.2%) told strict punishment to the offenders followed by awareness program 32 (36%) for the prevention of violence. CONCLUSIONS: Majority of the female students were victim of violence and offenders were young adult. Awareness program, strict rules and punishment to offenders should be implemented to prevent the violence among girls.


Assuntos
Vítimas de Crime , Exposição à Violência , Estupro , Direitos da Mulher/estatística & dados numéricos , Adolescente , Criança , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Estudos Transversais , Exposição à Violência/prevenção & controle , Exposição à Violência/psicologia , Exposição à Violência/estatística & dados numéricos , Feminino , Humanos , Acontecimentos que Mudam a Vida , Nepal/epidemiologia , Estupro/prevenção & controle , Estupro/psicologia , Estupro/estatística & dados numéricos , Saúde da Mulher , Adulto Jovem
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