Gender inequality and the use of maternal healthcare services in rural sub-Saharan Africa

Health and Place

Volumn 29, Issue , 2014, Pages 67-78

  Adjiwanou, Vissého ^a   LeGrand, Thomas ^b  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b UNIVERSITÉ DE MONTRÉAL   (Canada)

Author keywords

Maternal health service use; Multilevel and structural equation modelling; Sociocultural and gender norms; Sub Saharan Africa; Women's autonomy

Indexed keywords

DECISION MAKING; GENDER DISPARITY; HEALTH SERVICES; MATERNAL HEALTH; MODELING; RURAL AREA; VIOLENCE; WOMENS STATUS;

ADULT; ARTICLE; CONTROLLED STUDY; DECISION MAKING; FEMALE; GHANA; HEALTH CARE DISPARITY; HEALTH CARE UTILIZATION; HUMAN; KENYA; MATERNAL ATTITUDE; MATERNAL CARE; MATERNAL WELFARE; MIDDLE AGED; PERSONAL AUTONOMY; PRENATAL CARE; PRIORITY JOURNAL; RURAL AREA; STRUCTURAL EQUATION MODELING; TANZANIA; TRADITIONAL BIRTH ATTENDANT; UGANDA; WOMEN'S HEALTH; YOUNG ADULT; ADOLESCENT; AFRICA SOUTH OF THE SAHARA; FAMILY RELATION; GENDER IDENTITY; HEALTH CARE DELIVERY; HEALTH SERVICE; HEALTH SURVEY; PARTNER VIOLENCE; PATIENT ATTITUDE; PREGNANCY; PROCEDURES; PSYCHOLOGY; RURAL POPULATION; UTILIZATION;

GHANA; KENYA; TANZANIA; UGANDA;

ADOLESCENT; ADULT; AFRICA SOUTH OF THE SAHARA; DECISION MAKING; FAMILY RELATIONS; FEMALE; GENDER IDENTITY; HEALTH SERVICES ACCESSIBILITY; HEALTH SURVEYS; HEALTHCARE DISPARITIES; HUMANS; MATERNAL HEALTH SERVICES; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; PREGNANCY; PRENATAL CARE; RURAL POPULATION; SPOUSE ABUSE; YOUNG ADULT;

EID: 84903577354     PISSN: 13538292     EISSN: 18732054     Source Type: Journal    
DOI: 10.1016/j.healthplace.2014.06.001     Document Type: Article

References (81)

1. Adjiwanou Vissého Contexte de genre, autonomie de la femme et utilisation des services de santé maternelle en milieu rural africain: Analyse par modèles d'équations structurelles 2013, Université de Montréal, Montréal.
2. Adjiwanou Vissého, LeGrand Thomas Does antenatal care matter in the use of skilled birth attendance in rural Africa: a multi-country analysis. Soc. Sci. Med. 2013, 86(0):26-34.
3. Agarwala Rina, Lynch Scott M. Refining the measurement of women's autonomy: an international application of a multi-dimensional construct. Soc. Forces 2006, 84(4):2077-2098.
4. Ahmed Saifuddin, Creanga Andreea A., Gillespie Duff G., Tsui Amy Ong. Economic status, education and empowerment: implications for maternal health service utilisation in developing countries. PLoS One 2010, 5(6):e11190.
5. Amoakohene Margaret Ivy Violence against women in Ghana: a look at women's perceptions and review of policy and social responses. Soc. Sci. Med. 2004, 59(11):2373-2385.
6. Balk Deborah Individual and community aspects of women's status and fertility in rural Bangladesh. Popul. Stud. 1994, 48(1):21-45.
7. Balk Deborah Defying gender norms in rural Bangladesh: a social demographic analysis. Popul. Stud. 1997, 51(2):153-172.
8. Basu Alaka Malwade Cultural influences on health care use: two regional groups in India. Stud. Family Plan. 1990, 21(5):275-286.
9. Beegle Kathleen, Frankenberg Elizabeth, Duncan Thomas Bargaining power within couples and use of prenatal and delivery care in Indonesia. Stud. Fam. Plann. 2001, 32(2):130-146.
10. Beninguisse, Gervais., (Ed.) Université Catholique de Louvain. 2003. Entre tadition et modernité: Fondements sociaux de la prise en charge de la grossesse et de l'accouchement au Cameroun. Louvain-la-Neuve: Bruylant-Academia s.a.
11. Beninguisse Gervais, Nikiema Béatrice, Fournier Pierre, Haddad Slim L'accessibilité culturelle: une exigence de la qualité des services et soins obstétricaux en Afrique. Afr. Popul. Stud. 2005, 19:243-266.
12. Bhatia J.C., Cleland J. Determinants of maternal care in South India. Health Trans. Rev. 1995, 2:127-142.
13. Blanc Ann K. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Stud. Fam. Plann. 2001, 32(3):189-213.
14. Bloom Shelah, Wypij David, Das Gupta Monica Dimensions of women's autonomy and the influence on maternal health care utilisation in a North Indian city. Demography 2001, 38(1):67-78.
15. Bollen Kenneth A. Structural Equations with Latent Variables 1989, Wiley Series in Probability and Mathematical Statistics, New York. W.S.I.P.A.M. Statistics (Ed.).
16. Caldwell John C. Cultural and social factors influencing mortality levels in developing countries. Ann. Am. Acad. Political Soc. Sci. 1990, 510(1):44-59.
17. Caldwell John C., Caldwell Pat Women's Position and Child Mortality and Morbidity in Less developed Countries. Women's Position and Demographic Change 1993, 122-139. Clarendon Press, Oxford. N. Federici, K.O. Mason, S. Sogner (Eds.).
18. Campbell Oona M R, Graham Wendy J. Strategies for reducing maternal mortality: getting on with what works. Lancet 2006, 386:1284-1299.
19. Carter, Alexandra. 2010. Factors That Contribute to the Low Uptake of Skilled Care During Delivery in Malindi, Kenya. ISP Collection. Paper 821.
20. Corroon M., Speizer I.S., Fotso J.C., Akiode A., Saad A., Calhoun L., et al. The role of gender empowerment on reproductive health outcomes in urban Nigeria. Matern. Child Health J. 2013, 1-9.
21. DeRose L.F., Ezeh Alex C. Decision-making patterns and contraceptive use: evidence from Uganda. Popul. Res. Policy Rev. 2010, 29(3):423-439.
22. Desai Sonalde, Andrist Lester Gender scripts and age at marriage in India. Demography 2010, 47(3):667-687.
23. Desai Sonalde, Johnson Kiersten Women's Decisionmaking and Child Health: Familial and Social Hierarchies. A Focus on Gender: Collected Papers on Gender Using DHS Data. Calverton 2005, 55-68. ORC Macro, MD. S. Kishor (Ed.).
24. Dixon-Mueller Ruth, Germain Adrienne Reproductive Health and the Demographic Imagination. Women's Empowerment and Demographic Processes 2000, University Press, Oxford. H.B. Presser, G. Sen (Eds.).
25. Dodoo F.Nii-Amoo, Frost Ashley E. Gender in African population research: the fertility/reproductive health example. Ann. Rev. Sociol. 2008, 34(1):431-452.
26. Fikree Fariyal F., Pasha Omrana Role of gender in health disparity: the south asian context. Br. Med. J. 2004, 328(3):823-826.
27. Fotso Jean-Christophe, Ezeh Alex, Essendi Hildah Maternal health in resource-poor urban settings: how does women's autonomy influence the utilisation of obstetric care services?. Reprod. Health 2009, 6(1):9.
28. Franzini Luisa, Caughy Margaret, Spears William, Eugenia Fernandez, Esquez Maria Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhood in texas: a multilevel latent variables model. Soc. Sci. Med. 2005, 61:1135-1150.
29. Gabrysch Sabine, Campbell Oona Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnancy Childbirth 2009, 9(1):34.
30. Gage Anastasia J. Barriers to the utilisation of maternal health care in rural Mali. Soc. Sci. Med. 2007, 65(8):1666-1682.
31. Gilfus Mary, Trabold Nicole, O'Brien Patricia, Fleck-Henderson Ann Gender and intimate partner violence: evaluating the evidence. J. Soc. Work Educ. 2010, 46(2):245-263.
32. Gottfredson Nisha C., Panter A.T., Daye Charles E., Allen Walter F., Wightman Linda F. The effects of educational diversity in a national sample of law students: fitting multilevel latent variable models in data with categorical indicators. Multivar. Behav. Res. 2009, 44:305-331.
33. Hadley, Alexandra Craig, Brewis, Pike Ivy Does less autonomy erode women's health? Yes. No. Maybe. Am. J. Hum. Biol. 2010, 22:103-110.
34. Hatcher A.M., Romito P., Odero M., Bukusi E.A., Onono M., Turan J.M. Social context and drivers of intimate partner violence in rural Kenya: Implications for the health of pregnant women. Cult. Health Sex. 2013, 15(4):404-419.
35. Heaton Tim B., Tina J., Huntsman, Flake Dallan F. The effects of status on women's autonomy in Bolivia, Peru, and Nicaragua. Popul. Res. Policy Rev. 2005, 24:283-300.
36. Heckert Jessica, Fabic Madeleine Short Improving Data concerning women's empowerment in Sub-Saharan Africa. Stud. Fam. Plann. 2013, 44(3):319-344.
37. Heise Lori L. Violence against women: an integrated, ecological framework. Violence Against Women 1998, 4(3):262-290.
38. Horne Christine Sociological Perspectives on the Emergence of Social Norms. Social Norms 2001, 3-34. Russel Sage Foundation, New York. M. Hechter, K.-D. Opp (Eds.).
39. Islam M., Yoshida S. MDG5 : how close are we to success?. BJOG Int. J. Obstet. Gynaecol. 2009, 116(Suppl. 1):2-5.
40. Kishor Sunita, Subaiya Lekha Understanding Women's Empowerment : A Comparative Analysis of Demographic and Health Surveys (DHS) Data 2008, Macro International, Calverton, Maryland, USA.
41. Kiss Ligia, Schraiber Lilia Blima, Heise Lori, Zimmerman Cathy, Gouveia Nelson, Watts Charlotte Gender-based violence and socioeconomic inequalities: does living in more deprived neighbourhoods increase Women's risk of intimate partner violence?. Soc. Sci. Med. 2012, 74(8):1172-1179.
42. Koblinsky Marge On the pathway to maternal health. Results from Indonesia. Mother Care Matters Newsl. 1995, 5:1-2.
43. Koenig Michael A., Stephenson Rob, Saifuddin Ahmed, Jejeebhoy Shireen J., Campbell Jacquelyn Individual and contextual determinants of domestic violence in North India. Am. J. Public Health 2006, 96:1.
44. Kritz Mary M, Makinwa-Adebusoye Paulina Determinants of women's decision-making authority in Nigeria: the ethnic dimension. Sociol. Forum 1999, 14(3):399-424.
45. Kritz Mary M, Makinwa-Adebusoye Paulina, Gurak Douglas T The Role of Gender Context in Shaping Reproductive Behaviour in Nigeria. Women's Empowerment and Demographic Processes 2000, 239-260. University Press, Oxford. H.B. Presser, G. Sen (Eds.).
46. Lawn Joy E., Simon Cousens, Jelka Zupan 4 million neonatal deaths: When? Where? Why?. The Lancet 2005, 365(9462):891-900.
47. Lüdtke, Oliver, Herbert W. Marsh, Alexander Robitzsch, Ulrich Trautwein, Tihomir Asparouhov, L.K. and Muthén Muthén, B.O., et al. 2007. The multilevel latent covariate model: a new, More Reliable Approach to Group-Level Effects in Contextual Studies. 1-69.
48. Malhotra Anju, Schuler Sydney Ruth Measuring Women's Empowerment as a Variable in International Development. Measuring Empowerment: Cross-disciplinary Perspectives 2005, 71-88. World Bank Publications, Washington, DC. D. Narayan (Ed.).
49. Mason Karen Oppenheim The impact of women's social position on fertility in developing countries. Sociol. Forum 1987, 2(4):718-745.
50. Montgomery Mark R., Hewett Paul.C. Urban poverty and health in developing countries: household and neighborhood effects. Demography 2005, 42(3):397-425.
51. Moore Melissa Reproductive health and intimate partner violence. Fam. Plann. Perspective 1999, 31(302-306):312.
52. Moursund Anne, Kravdal Oystein Individual and community effects of women's education and autonomy on contraceptive use in India. Popul. Stud. 2003, 57(3):285-301.
53. Mullany Britta C., Hindin Michelle J., Becker Stan Can women's autonomy impede male involvement in pregnancy health in Katmandu, Nepal?. Soc. Sci. Med. 2005, 61:1993-2006.
54. Mumtaz Zubia, Salway Sarah 'I never go anywhere': extricating the links between women's mobility and uptake of reproductive health services in Pakistan. Soc. Sci. Med. 2005, 60(8):1751-1765.
55. Mplus User's Guide 1998-2010, Muthén & Muthén, Los Angeles, CA. Sixth Ed. L. Muthén, B. Muthén (Eds.).
56. Nanda Geeta, Schuler Sidney Ruth, Lenzi Rachel The influence of gender attitudes on contraceptive use in Tanzania: new evidence using husbands' and wives' survey data. J. Biosoc. Sci. firstview 2013, 1-14.
57. OECD Atlas of Gender and Development: How Social Norms Affect Gender Equality in non-OECD Countries 2010, OECD Publishing, (Available /content/book/9789264077478-en).
58. Pallikadavath Saseendran, Foss Mary, Stones William R. Antenatal care: provision and inequality in rural North India. Soc. Sci. Med. 2004, 59:1147-1158.
59. Pullum Thomas W. An Assessment of the Quality of Data on Health and Nutrition in the DHS Surveys, 1993-2003. Methodological Reports No. 6 2008, Macro International Inc, Calverton, Maryland, USA.
60. Rani Manju, Bonu Sekhar, Diop-Sidibe Nafissatou An empirical investigation of attitudes towards wife-beating among men and women in seven sub-Saharan African Countries. Afr. J. Reprod. Health 2004, 8(3):116-136.
61. Raudenbush Stephen The Quantitative Assessment of neighborhood Social Environments. Neighborhoods and Health 2003, 113-131. Oxford University Press, Oxford, (Chapter 5). I. Kawachi, L.F. Berkman (Eds.).
62. Riley Nancy E. Research on gender in demography: limitations and constraints. Popul. Res. Policy Rev. 1998, 17(6):521-538.
63. Sampson Robert J. Neighborhood-Level Context and Health: Lessons from Sociology. Neighborhoods and Health 2003, Oxford University Press, New York. I. Kawachi, L.F. Berkman (Eds.).
64. Sampson Robert J., Morenoff Jeffrey D., Gannon-Rowley Thomas Assessing "neighborhood effects": social processes and new directions in research. Ann. Rev. Sociol. 2002, 28:443-478.
65. Sarkar N.N. The impact of intimate partner violence on women's reproductive health and pregnancy outcome. J. Obstet. Gynaecol. 2008, 28(3):266-271.
66. Schatz Enid, Williams Jill Measuring gender and reproductive health in Africa using demographic and health surveys: the need for mixed-methods research. Cult. Health Sex. 2012, 14(7):811-826.
67. Shroff Monal, Griffiths Paula, Adair Linda, Suchindran Chirayath, Bentley Margaret Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. Mater. Child Nutrit. 2009, 5:64-74.
68. Simkhada Bibha, van Teijlingen Edwin R, Porter Maureen, Simkhada Padam Factors affecting the utilisation of antenatal care in developing countries: systematic review of the literature. J. Adv. Nurs. 2008, 61(3):244-260.
69. Singh, Kavita, Shelah Bloom, and Paul Brodish. 2013. Gender equality as a means to improve maternal and child health in Africa, Health Care for Women International: null-null.
70. Stephenson R., Bartel D., Rubardt M. Constructs of power and equity and their association with contraceptive use among men and women in rural Ethiopia and Kenya. Global Public Health 2012, 7(6):618-634.
71. Stephenson Rob, Baschieri A., Clements S., Hennink M., Madise N. Contextual influences on the use of health facilities for childbirth in Africa. Am. J. Public Health 2006, 96(1):84-93.
72. Stephenson Rob, Koenig Michael A., Ahmed Saifuddin Domestic violence and contraceptive adoption in Uttar Pradesh, India. Stud. Fam. Plan. 2006, 37(2):75-86.
73. Subramanian S.V., Özaltin Emre, Finlay Jocelyn E. Height of nations: a socioeconomic analysis of cohort differences and patterns among women in 54 low- to middle-income countries. PLoS One 2011, 6:4.
74. The Partnership for Maternal, Newborn and Child Health. 2006. Lawn, J. Kerber, K. (Ed.) Opportunities for Africa's newborns: practical data, policy and programmatic support for newborn care in Africa WHO on behalf of The Partnership for Maternal Newborn and Child Health.
75. Upadhyay Ushma D., Dworkin Shari L., Weitz Tracy A., Diana Greene Foster Development and validation of a reproductive autonomy scale. Stud. Fam. Plan. 2014, 45(1):19-41.
76. Wang Guang-Zhen Reproductive Health and Gender Equality: Methods, Measurement, and Implications 2010, Ashgate, Farnham, England.
77. Watts Charlotte, Zimmerman Cathy Violence against women: global scope and magnitude. Lancet 2002, 359:1232-1237.
78. WHO. 2009. WHO Global Database on Maternal Health Indicators, 2009 update. Geneva.
79. Wilson-Williams Lyndsey, Stephenson Rob, Juvekar Sanjay, Andes Karen Domestic violence and contraceptive use in a rural Indian village. Violence Against Women 2008, 14(10):1181-1198.
80. Woldemicael Gebremariam Women's autonomy and reproductive preferences in Eritrea. J. Biosoc. Sci. 2009, 41:161-181.
81. Yount KathrynM, Halim Nafisa, Schuler SidneyRuth, Head Sara A survey experiment of women's attitudes about intimate partner violence against women in Rural Bangladesh. Demography 2013, 50(1):333-357.