Does women's empowerment and socio-economic status predict adequacy of antenatal care in sub-Saharan Africa?

Aboagye, Richard Gyan; Okyere, Joshua; Seidu, Abdul‐Aziz; Budu, Eugene; Yaya, Sanni

doi:10.1093/inthealth/ihad016

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…The demographic landscape of Africa is a critical factor in understanding the continent's socio-economic development, particularly in the context of youth empowerment. The youth demographic in Africa is substantial and pivotal to the continent's future (Aboagye et al, 2023). Dum and Nwafor (2019) emphasizes that the common belief that African youth have not significantly contributed to national development is a misconception.…”

Section: Introduction 1contextualizing Youth Empowerment In Africamentioning

confidence: 99%

Youth empowerment in Africa: Lessons for U. S. youth development programs

Chioma Ann Udeh,

Rosita Eberechukwu Daraojimba,

Bukola A. Odulaja

et al. 2024

World J. Adv. Res. Rev.

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This scholarly investigation delves into the realm of youth empowerment in Africa, aiming to distill pivotal lessons for enhancing youth development programs in the United States. Anchored in a comparative framework, the study meticulously juxtaposes African and U.S. youth empowerment paradigms, unraveling the intricate tapestry of socio-economic, cultural, and educational dynamics that shape these programs. The study meticulously analyzes various case studies of successful youth empowerment initiatives across diverse African nations. These case studies were selected based on stringent criteria, ensuring a comprehensive representation of the continent's youth empowerment landscape. The methodology eschews statistical or fieldwork analysis, instead focusing on a critical review of existing literature and program reports to glean insights into the efficacy and impact of these initiatives. Central to the findings is the burgeoning demographic of African youth, poised as a catalyst for socio-economic transformation. Despite facing formidable challenges, the study highlights how African youth empowerment programs have triumphed in fostering educational, vocational, and community engagement outcomes. These successes offer a reservoir of strategies and insights applicable to the U.S. context, particularly in enhancing community involvement and resilience among youth. The conclusion synthesizes these insights, emphasizing the transformative potential of youth empowerment in socio-economic development. Recommendations advocate for the integration of African models into U.S. youth programs, emphasizing community-centric approaches, entrepreneurship, and technological integration. This study bridges a crucial knowledge gap and serves as a beacon for future youth empowerment strategies, both in Africa and globally. It underscores the universality of youth aspirations and the power of tailored empowerment strategies in realizing these aspirations.

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Section: Introduction 1contextualizing Youth Empowerment In Africamentioning

confidence: 99%

Youth empowerment in Africa: Lessons for U. S. youth development programs

Chioma Ann Udeh,

Rosita Eberechukwu Daraojimba,

Bukola A. Odulaja

et al. 2024

World J. Adv. Res. Rev.

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Demographic and economic inequality of antenatal care coverage in 4 African countries with a high maternal mortality rate

Belay,

Mengesha

et al. 2024

Arch Public Health

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Background Maternal deaths are concentrated in low and middle-income countries, and Africa accounts for over 50% of the deaths. Women from socioeconomically disadvantaged households have higher morbidity and mortality rates and lower access to maternal health services. Understanding and addressing these inequalities is crucial for achieving the Sustainable Development Goals and improving maternal health outcomes. This study examines the demographic and economic disparities in the utilization of antenatal care (ANC) in four countries with high maternal mortality rates in Africa, namely Nigeria, Chad, Liberia, and Sierra Leone. Method The study utilised data from Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) from Nigeria, Chad, Liberia, and Sierra Leone. The data was obtained from the Health Equity Assessment Toolkit (HEAT) database. The study examined ANC service utilisation inequality in four dimensions such as economic status, education, place of residence, and subnational region across different subgroups by using four summary measures (Difference (D), Absolute Concentration Index (ACI), Population Attributable Risk (PAR), and Population Attributable Factor (PAF)). Result A varying level of inequality in ANC coverage across multiple survey years was observed in Nigeria, Chad, Liberia, and Sierra Leone. Different regions and countries exhibit varying levels of inequality. Disparities were prominent based on educational attainment and place of residence. Higher level of inequality was generally observed among individuals with higher education and those residing in urban areas. Inequality in ANC coverage was also observed by economic status, subnational region, and other factors in Nigeria, Chad, Liberia, and Sierra Leone. ANC coverage is generally higher among the richest quintile subgroup, indicating inequality. Nigeria and Chad show the highest levels of inequality in ANC coverage across multiple measures. Sierra Leone displays some variation with higher coverage among the poorest quintile subgroup. Conclusion and recommendation Inequalities in ANC coverage exist across age groups and survey years in Nigeria, Chad, Liberia, and Sierra Leone. Disparities are prominent based on education, residence, and economic status. Efforts should focus on improving access for vulnerable groups, enhancing education and awareness, strengthening healthcare infrastructure, and addressing economic disparities.

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Women’s Decision-Making Autonomy as a Mitigating Factor for Complete Antenatal Care Coverage: Evidence from Bangladesh Demographic and Health Survey, 2017-18

Morshed,

Sohan,

Afrin

et al. 2023

Preprint

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The study defines complete antenatal care (ANC) coverage as a measure of better quality ANC by using three indicator variables: ANC from skilled health providers, initiating ANC during the first trimester, and receiving at least 4 ANC visits. The research work is aimed to determine the impact of women’s household decision-making autonomy on complete ANC coverage and investigates other potential factors associated with complete ANC coverage. As per researchers’ knowledge, this is the first study in Bangladesh where the association between women’s decision-making autonomy and complete ANC coverage has been explored. The study obtained data from 4864 women on their last successful pregnancy which has been extracted from Bangladesh Demographic and Health Survey (BDHS), 2017-18. Descriptive and analytical analysis has been carried out using frequency tables, the chi-square test of association, and the binary logistic regression model. The result shows that almost one-fourth of women (25.5%) fulfill the requirements of complete ANC coverage. Moreover, both the chi-square test and the logistic regression model confirm the significant association between women’s decision-making autonomy and complete ANC coverage. It is evident from the study that women with higher decision-making autonomy have significantly 25% higher adjusted odds of experiencing complete ANC coverage compared to those who have low autonomy power. Moreover, the findings of the study signify the factors Division, Place of residence, Maternal education level, Wealth index, Mother’s age at birth, Media coverage, Exposure to domestic violence, Partner’s education level, and Birth order as potential factors affecting complete ANC coverage in Bangladesh. Therefore effective policies are required to prioritize interventions that promote women's autonomy in household decision making which in return can lead to better maternal and child health outcomes in Bangladesh.

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Does women's empowerment and socio-economic status predict adequacy of antenatal care in sub-Saharan Africa?

Cited by 4 publications

References 22 publications

Youth empowerment in Africa: Lessons for U. S. youth development programs

Youth empowerment in Africa: Lessons for U. S. youth development programs

Demographic and economic inequality of antenatal care coverage in 4 African countries with a high maternal mortality rate

Women’s Decision-Making Autonomy as a Mitigating Factor for Complete Antenatal Care Coverage: Evidence from Bangladesh Demographic and Health Survey, 2017-18

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