Social roles and physical health: The case of female disadvantage in poor countries

Santow, Gigi

doi:10.1016/0277-9536(94)e0069-5

Cited by 95 publications

(50 citation statements)

References 44 publications

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“…Nandraj et al found in their studies that there was underutilisation of health services by women both for deliveries and other illnesses in metropolitan Mumbai (Nandraj et al 1998). Santow (1995) holds the position, after a study on social roles and physical health of the disadvantaged female in poor countries, that women roles directly affect their use of health services, since health, as a good is allocated, and the men who monopolise family decisions have a strong influence on who should utilise health care. In the rural areas in Ghana, male dominance in decision-making is more pronounced than in the urban areas.…”

Section: Women and Health Care Use In Developing Countriesmentioning

confidence: 98%

Determinants of utilisation of health services by women in rural and urban areas in Ghana

Buor

2004

GeoJournal

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The paper examines the factors that influence the utilisation of health services by women in the rural and urban areas in Ghana. The systematic sampling procedure was used to draw the sample from women aged 18 and above with diverse backgrounds from Ahafo-Ano South district, representing the rural districts and Kumasi metropolis, representing the urban districts. The research instruments used for data collection were the questionnaire and formal interviews. Multiple regression was the main tool for analysis. The research reveals that the key factors that impact significantly on the utilisation of health services by women in the Ahafo-Ano South district are, distance, income and family size (number of children) while for Kumasi metropolis they are education, distance and marital status. Whereas it is clear that distance is a common problem facing women in both rural and urban areas in Ghana in the utilisation of health services, marital status and number of children have emerged as contrasting factors influencing utilisation of health services by women in rural and urban Ghana. Recommendations to improve utilisation include the location of maternal and child health services within easy reach in the rural areas, intensification of family planning education in the rural areas, the empowerment of women through access to formal education and vocational training for income generation activities and the full implementation of the National Health Insurance Scheme (NHIS). A model of utilisation of health services by women in the rural and urban areas has emerged. Introduction and the background

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Section: Women and Health Care Use In Developing Countriesmentioning

confidence: 98%

Determinants of utilisation of health services by women in rural and urban areas in Ghana

Buor

2004

GeoJournal

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“…Dankelman and Davidson (1988) describe a shift from the staple diet of beans to other less fuel intensive and nutritious foods in Mexico. These dietary shifts have important health implications for women, since often eating last (Santow 1995), these dietary shortages may result in malnutrition and anemia, which increase susceptibility to illness (Dyches and Rushing 1996) and pregnancy complications (Shen and Williamson 1999).…”

Section: Introductionmentioning

confidence: 99%

Women, non-governmental organizations, and deforestation: a cross-national study

Shandra

London

2008

Popul Environ

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There have been several cross-national studies published in the world polity theoretical tradition that find a strong correlation between nations with high levels of environmental nongovernmental organizations (NGOs) and low levels of various forms of environmental degradation. However, these studies neglect the role that women's NGOs potentially play in this process. We seek to address this gap by conducting a cross-national study of the association between women's NGOs and deforestation. We examine this relationship because deforestation often translates into increased household labor, loss of income, and impaired health for women and, as a result, women's non-governmental organizations have become increasingly involved in dealing with these problems often by protecting forests. We use data from a sample of 61 nations for the period of 1990-2005. We find substantial support for world polity theory that both high levels of women's and environmental NGOs per capita are associated with lower rates of deforestation. We also find that high levels of debt service and structural adjustment are correlated with higher rates of forest loss. We conclude with a discussion of findings, policy implications, and possible future research directions.

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“…Ojanuga and Gilbert, in a work on women's access to health care in developing countries, established the premise that a myriad of socio-cultural factors negatively impinge upon the physical well-being and accessibility of appropriate health care facilities of women [14]. Santow holds the position that in developing nations, women's roles affect their use of health services, since health, as a good is allocated, and the men who monopolise family decisions have a strong influence on who should utilise health care [15]. Given the physiology of women and the numerous problems that they encounter, especially with gynaecological complications, they must have abundant access to health services.…”

Section: Introductionmentioning

confidence: 99%

Gender and the utilisation of health services in the Ashanti Region, Ghana

Buor

2004

Health Policy

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The survey seeks to structure a model for gender-based health services utilisation for the Ashanti Region of Ghana, and in addition, recommend intervention measures to ensure gender equity in the utilisation of health services. A sample size of 650 covered over 3108 houses, and the main research instruments were the questionnaire and formal interview. A multiple regression model is used for the analysis of the relationship between the complex independent variables and utilisation by gender. Results show that although females have a greater need for health services than males, they do not utilise health services as much. Secondly, whereas quality of service, health status, service cost and education have greater effect on male utilisation than females, distance and income have higher impact on female utilisation. It is recommended that, to ensure equity in health care utilisation, females be empowered through increased access to formal education and sustainable income opportunities. The introduction of a national health insurance scheme is also recommended to ensure adequate access by both sexes.

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Social roles and physical health: The case of female disadvantage in poor countries

Cited by 95 publications

References 44 publications

Determinants of utilisation of health services by women in rural and urban areas in Ghana

Determinants of utilisation of health services by women in rural and urban areas in Ghana

Women, non-governmental organizations, and deforestation: a cross-national study

Gender and the utilisation of health services in the Ashanti Region, Ghana

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