Urban impact on spousal communication and its role on achieving reproductive and child health services through women's empowerment in three South Asian Countries
Abstract
Women commonly have less power and empowerment in making decision about RCH matters between husband and wife in most parts of South Asia. It is associated mainly with urban/rural classification, her ethnicity, deprivation... [ view full abstract ]
Women commonly have less power and empowerment in making decision about RCH matters between husband and wife in most parts of South Asia. It is associated mainly with urban/rural classification, her ethnicity, deprivation level, and education. This study tries to understand the association of empowerment with spousal communication on RCH matters with considering urban rural differential. From DHS-2006-07 data of India, Nepal and Bangladesh on currently married women 15-49, the findings shows that large proportion of women with low socio-economic and demographic status like age, residence, wealth, religion, education and media exposure have low level of empowerment and from rural areas. This proportion of women is increasing with increasing the level of empowerment in all communication variables related to RCH matters. Multilevel results found in range 5 to 8 of residual variance in spousal communication with and without empowerment for decision making is attributable to differences between regions. Spousal communication on RCH matter positively associated with empowerment in all countries.Overall conclusion decision making for contraception is satisfactory but the empowerment in other reproductive and child health (RCH) services is very low, and level of women empowerment for all three dimensions in Bangladesh is least effective. A large proportion of women are living with medium group of empowerment in Nepal and in Bangladesh the distribution of women is similar in all level of empowerment. It may be due influence of religious and culture factors. There should be improvement in the level of women’s empowerment to making more decision regarding RCH matters in these all countries. So, by increasing information, education and communication strategy they can achieve a desire level of women empowerment for making decision to access health services in all these three countries.
Authors
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BRAJESH -
(International Institute for Population Sciences,)
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Chander Shekhar
(International Institute for Population Sciences,)
Topic Areas
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He , II. Urban Health at the intersection of urban environment, social determinants and places
Session
UH-HS-O-01 » Urban Health - Healthcare Service - 01 (08:00 - Saturday, 2nd April, TBA)
Paper
Brajesh_2016.docx
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