A community-based study on reproductive empowerment of women aged 15-49 years and associated factors in a rural area of Delhi
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20243597Keywords:
Reproductive health, Women’s health, Women empowerment, Decision making, Social supportAbstract
Background: Reproductive health disparities persist globally, with a significant proportion of women lacking access to modern contraception despite desiring to control their fertility, leading to a substantial number of unintended pregnancies. This study aimed to assess the level of reproductive empowerment among married women in rural areas, specifically focusing on communication, decision-making, social support, and norms related to reproductive health.
Methods: A cross-sectional study was conducted in the rural areas of south Delhi, with a sample size of 215 married women aged 15-49 years. Systematic random sampling was employed, and data was collected using a semi-structured questionnaire validated in Hindi. The reproductive empowerment (RE) scale was utilized, comprising sub-scales related to healthcare provider communication, partner communication, decision-making, social support, and social norms. Data analysis was performed using SPSS software, with a significance level set at p<0.05.
Results: The study reveals that 54.8% of the participants exhibited high levels of reproductive empowerment. The mean RE score was 3.09±0.39 out of 4, indicating moderate to high levels of empowerment. Sub-scale analysis showed higher scores in healthcare provider communication (3.91±0.28) compared to decision-making (2.93±0.65), partner communication (3.53±0.69), social support (2.19±0.89), and social norms (2.13±0.69).
Conclusions: This study underscores the importance of exploring reproductive empowerment as a specific entity and advocates for further research and interventions to promote women’s agency and decision-making autonomy in matters of reproductive health.
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References
Darroch JE, Singh S. Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys. Lancet. 2013;381:1756-62.
Singh S, Sedgh G, Hussain R. Unintended pregnancy: worldwide levels, trends, and outcomes. Stud Fam Plann. 2010;41:241-50.
United Nations Population Fund. Sexual and reproductive health. Available from: https://www.unfpa.org/sexual-reproductive-health. Accessed on 20 June 2022.
United Nations Population Fund. International Conference on Population and Development. Available from: https://www.unfpa.org/sites/default/files/event-pdf/icpd_eng_2.pdf. Accessed on 20 June 2022.
International Centre for Research on Women. Reproductive Empowerment Background. Available from: https://www.icrw.org/wp-content/uploads/ 2018/10/Reproductive-Empowerment-Background-Paper_100318-FINAL.pdf. Accessed on 20 June 2022.
International Centre for Research on Women. Framework for reproductive empowerment. Available from: https://www.icrw.org/publications/framework-for-reproductive-empowerment-brief/. Accessed on 20 June 2022.
Evans I. Reproductive health and human rights: integrating medicine, ethics, and law. JRSM. 2004;97:43-4.
Office of the Registrar General and Census Commissioner. Census 2011- Town and villages directory. Available from: https://censusindia.gov.in/ nada/index.php/catalog/42648. Accessed on 20 June 2022.
Mandal M, Albert LM. Reproductive empowerment scale: psychometric validation in Nigeria. Chapel Hill, NC, USA: MEASURE Evaluation, University of North Carolina. 2020.
Samari G. First birth and the trajectory of women’s empowerment in Egypt. BMC Pregnancy Childbirth. 2017;17:362.
Karp C, Wood SN, Galadanci H, Sebina Kibira SP, Makumbi F, Omoluabi E, et al. ‘I am the master key that opens and locks’: presentation and application of a conceptual framework for women’s and girls’ empowerment in reproductive health. Soc Sci Med. 2020;258:113086.
Diamond-Smith N, Treleaven E, Murthy N, Sudhinaraset M. Women’s empowerment and experiences of mistreatment during childbirth in facilities in Lucknow, India: results from a cross-sectional study. BMC Pregnancy Childbirth. 2017;17:335.
Upadhyay UD, Gipson JD, Withers M, Lewis S, Ciaraldi EJ, Fraser A, et al, Women’s empowerment and fertility: a review of the literature. Soc Sci Med. 2014;115:111-20.
Parsekar SS, Hoogar P, Dhyani VS, Yadav UN. The voice of Indian women on family planning: a qualitative systematic review. Clin Epidemiol Glob Health. 2021;12:100906.
Kc H, Shrestha M, Pokharel N, Niraula SR, Pyakurel P, Parajuli SB: Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study. Reprod Health. 2021;18:28.
Developing Measures of Reproductive Empowerment- A Qualitative Study in Zambia. Measure Evaluation. Available from. https://www.measureevaluation.org/resources/publications/tr-17-185.html. Accessed on 20 June 2022.
Princewill CW, De Clercq E, Riecher-Rössler A, Jegede AS, Wangmo T, Elger BS. Education and reproductive autonomy: the case of married Nigerian women. Narrat Inq Bioeth. 2017;7:231-44.
Dasgupta A, Raj A, Nair S, Naik D, Saggurti N, Donta B, et al. Assessing the relationship between intimate partner violence, externally decided pregnancy and unintended pregnancies among women in slum communities in Mumbai, India. BMJ Sex Reprod Health. 2018:jfprhc-2017-101834.
Corroon M, Speizer IS, Fotso JC, Akiode A, Saad A, Calhoun L, et al. The role of gender empowerment on reproductive health outcomes in urban Nigeria. Matern Child Health J. 2014;18:307-15.
Sharma D, Goel NK, Thakare MM. Prevalence of reproductive tract infection symptoms and treatment-seeking behavior among women: a community- based study. Indian J Sex Transm Dis AIDS. 2018;39:79-83.
Durai V, Varadharajan S, Muthuthandavan AR. Reproductive tract infections in rural India- a population-based study. J Fam Med Prim Care. 2019;8:3578-83.
Bhasin S, Shukla A, Desai S. Services for women’s sexual and reproductive health in India: an analysis of treatment-seeking for symptoms of reproductive tract infections in a nationally representative survey. BMC Womens Health. 2020;20:156.