Taking Power: Women's Empowerment and Household Well-Being in Sub-Saharan Africa

Annan, Jeannie; Donald, Aletheia; Goldstein, Markus; Martinez, Paula Gonzalez; Koolwal, Gayatri B.

doi:10.1596/1813-9450-9034

Cited by 15 publications

(20 citation statements)

References 27 publications

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“…This is in line with other studies conducted in different countries. [41][42][43][44][45] Wealth is a key indicator of access to most health services, because wealthy people might be more likely to pay for what they want. Wealthier women are more likely to pay for their services and increase access to health services.…”

Section: Discussionmentioning

confidence: 99%

<p>Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017</p>

Minyihun

Tessema

2020

RMHP

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Background: Access to essential health care is one of the major factors associated with maternal mortality. In developing countries, improving women's access to health care has significantly reduced maternal death. Therefore, this study aimed to identify the determinants of access to health care among women in East African countries based on 2008 to 2017 Demographic and Health Surveys (DHSs). Methods: This study used secondary data from 2008 to 2017 DHSs of 12 East African countries. A two-level mixed-effects logistic regression analysis was employed to determine the variables associated with women's access to maternal health care. The adjusted odds ratios (AORs), 95% CI, and P-value were computed. Variables with P<0.05 were considered as determinants of access to maternal health care. Results: A total of 148,483 study participants were included in this study. Women who accessed health care were 64,218 (42.91%) in the region. The study revealed that access to women's health care was positively associated with factors; being educated women, having an educated husband, being from households with middle and richest wealth status, and living in different countries compared to Comoros. The study also revealed that living in a rural setting and having unplanned pregnancy were barriers to access to health care. Conclusion and Recommendation: Women in East Africa countries have poor access to maternal health care. Residence, maternal education, husband education, income, and planned pregnancy were the predictors of access to health care. Therefore, there should be a common strategy to enhance the accessibility of health service utilization among women in the region and financial support for the poor that enables women to use health services. For better health care access, increasing the awareness of women and their partners about the significance of utilization of healthcare service focusing on uneducated persons are crucial activities.

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Section: Discussionmentioning

confidence: 99%

<p>Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017</p>

Minyihun

Tessema

2020

RMHP

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“…However, for subsistence consumers, their role in their family's decision-making process is an important component of their autonomous functioning (Seymour and Peterman 2018). Scholars who study vulnerable consumers argue that well-being should incorporate autonomy (Martin and Hill 2012), empowerment (Baker, Gentry, and Rittenburg 2005), and domestic stability (Annan et al 2019). We reflected these aspects in our measure and assessed the 392 women farmers' pre-and posttreatment psychological well-being with a fiveitem, five-point Likert scale (Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…In addition to these material resource constraints, gender-based norms impede low-income women's autonomy and empowerment in general, and their ability to enforce decisions within their families in particular. However, when they have some degree of control over their environment, a voice in their family's decisions, and a stable home, women experience well-being (Annan et al 2019).…”

Section: Predictionsmentioning

confidence: 99%

Marketplace Literacy as a Pathway to a Better World: Evidence from Field Experiments in Low-Access Subsistence Marketplaces

Viswanathan

Umashankar²,

Sreekumar³

et al. 2021

Journal of Marketing

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Multinational companies increasingly focus on subsistence marketplaces, given their enormous market potential. Nevertheless, their potential is untapped because subsistence consumers face extreme constraints. The authors contend that subsistence consumers need marketplace literacy to effectively and beneficially participate in marketplaces. Marketplace literacy entails the knowledge and skills that enable them to participate in a marketplace both as a consumer and as an entrepreneur. This is crucial for subsistence consumers, as they often need to function in both roles to survive. Past research, however, has not empirically examined the influence of marketplace literacy on wellbeing or marketing outcomes related to wellbeing. To address this gap, the authors implemented three large-scale field experiments with approximately 1,000 people in 34 remote villages in India and Tanzania. They find that marketplace literacy causes an increase in psychological wellbeing and consumer outcomes related to wellbeing (e.g., consumer confidence and decision-making ability), especially for subsistence consumers with lower marketplace access, whereas it causes an increase in entrepreneurial outcomes related to wellbeing (e.g., starting a microenterprise) for those with higher marketplace access. Overall, this research generates practical implications for the use of marketplace literacy as a pathway to a better world.

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“…Their findings suggest that while measurement error likely accounts for some portion of the discordance, asymmetric information in the form of hidden assets or decisions also contributes to the patterns seen in the data. Annan et al (2019) take a different approach in which they conceptualize disagreement over the wife's role in decision making as women "taking power" or men "giving power" depending on the direction of the discordance. They relate patterns of discordance in the wife's role in decision making in Sub-Saharan Africa to theories of power, arguing that woman claiming power is an important element of empowerment.…”

Section: Introductionmentioning

confidence: 99%

“…The high levels of concordance in the survey data are driven by both spouses reporting that the wife does not own assets or participate in decision making. Previous work suggests that women acknowledging their role even though men do not is associated with improved outcomes for women, although it is better when both men and women acknowledge women's roles (Ambler et al, 2021, Annan et al 2019.…”

Section: Introductionmentioning

confidence: 99%

Spousal concordance in joint and separate households: Survey evidence from Nepal

Ambler¹,

Doss²,

Kieran³

et al. 2020

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in 1975, provides research-based policy solutions to sustainably reduce poverty and end hunger and malnutrition. IFPRI's strategic research aims to foster a climate-resilient and sustainable food supply; promote healthy diets and nutrition for all; build inclusive and efficient markets, trade systems, and food industries; transform agricultural and rural economies; and strengthen institutions and governance. Gender is integrated in all the Institute's work. Partnerships, communications, capacity strengthening, and data and knowledge management are essential components to translate IFPRI's research from action to impact. The Institute's regional and country programs play a critical role in responding to demand for food policy research and in delivering holistic support for country-led development. IFPRI collaborates with partners around the world.

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Taking Power: Women's Empowerment and Household Well-Being in Sub-Saharan Africa

Cited by 15 publications

References 27 publications

<p>Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017</p>

<p>Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017</p>

Marketplace Literacy as a Pathway to a Better World: Evidence from Field Experiments in Low-Access Subsistence Marketplaces

Spousal concordance in joint and separate households: Survey evidence from Nepal

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