In sub-Saharan Africa (the setting of this study), women’s participation in health decisions is the lowest in the world, and women generally report that their husbands make decisions about their health without participation. .. Credit: Shutterstock
In most sub-Saharan Africa (SSA) countries in the early 21st century, women’s ability to make decisions about their health increased, but a new Oxford study released today shows that the situation varies widely from region to region. rice field.
According to a study by the Leverhulme Center for Demographic Science, “Many women around the world lack the autonomy to participate in these important decisions. Social norms Empower other (usually male) families to make decisions.
“Women’s participation in sub-Saharan Africa (the setting of this study) health Decision-making is one of the lowest in the world, and women generally report that their husbands make decisions about their health without participation. “
Studies show that there is considerable variability in the degree of superiority of husbands’ decision making within SSA. The treatise states: “Country-level estimates suggest that West African countries have a higher husband’s decision-making advantage over East and Southern countries (with a few important exceptions). Sociocultural factors or roots. Differences in health status. “
Researchers have found that the situation varies significantly over time from country to country. Husband’s decision-making dominance has almost diminished in the first 20 years of the century. However, in some areas, especially Mali, Senegal, Central and West Guinea, East Burkina Faso and Zimbabwe, North Nigeria and Uganda, and Southern Cameroon, husbands’ dominance actually increased over time. “
Francis Dodoo, a global professor at the British Academy in Oxford, commented: “”
Studies show that more education and urbanization for women is associated with greater control over health decisions. “Changes in education, urbanization, media, and communication over the last few decades may respond to a diminishing husband’s decision-making dominance,” the treatise states. [in some countries].. “
This study is “new ideas and norms [about the acceptability of women’s autonomy in decision-making] Diffuse … A combination of social learning, social interaction, and social impact. This can come from a variety of sources, including networks of peers and relatives, schools, media, NGOs, and markets. Medical facility, Religious institutions, and other places of public interaction. “
Dr. Liliana Andriano, the lead author of the treatise, said: Geographical area Women’s participation in health decisions is particularly low, allowing them to better design contextual policies, even within the same country. “
She adds: “In areas where women’s health is less autonomous Decision making Interventions in the health of women and mothers (such as northern Nigeria) may only be effective if they are targeted at both women and their partners. On the other hand, in areas where women have more autonomy in making these decisions (such as southern Nigeria), it may be more appropriate to target women directly. ”
Liliana Andriano et al, Husband’s Superiority in Women’s Health Decision Making: Perspectives on Spatial Diffusion in Sub-Saharan Africa, Demographics (2021). DOI: 10.1215 / 00703370-9429489
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Oxford University
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