Title
Increasing literate and illiterate women's met need for contraception via empowerment: A quasi-experiment in rural India
Date Issued
01 January 2014
Access level
open access
Resource Type
journal article
Author(s)
León and Bustamante Consultores
Publisher(s)
BioMed Central Ltd.
Abstract
Background: Virtually all the evidence on the relationship between women's empowerment and use of contraception comes from cross-sectional studies that have emphasized macrosocial factors. This analysis tested whether literate and illiterate women are empowered by an intervention designed to provide information addressing technical and gender concerns and expand contraceptive choice, and evaluated the effects of women's decision-making power on contraceptive behavior. Methods: The data came from a three-year quasi-experiment conducted in two comparable, yet not equivalent, rural blocks in Jharkhand, India. At the intervention block, a new contraceptive method was introduced at Ministry of Health health centers, providers were trained to offer family planning information and services which took into consideration gender power dynamics, and promotional messages and information about contraception were disseminated community-wide. Married women ages 15-49 who lived in the intervention and control blocks were sampled and interviewed before and after the intervention by a professional research firm. Data analyses included generalized linear models with interactions and covariate control. Results: Women's normative beliefs concerning wives' power in decisions regarding money earned and visits to relatives and friends vis-à-vis their husbands' power were increased by the intervention; similar was the case among illiterate, but not literate, women regarding decisions related to childbearing. Concerning met need for contraception, the change for women with relatively more power who were illiterate was greater in the intervention than in the control area. Conclusion: The findings suggest that women were empowered by outreach visits that addressed gender dynamics and that their empowerment contributed to their met need for contraception. Generalizations to other settings, however, may be limited by cultural differences.
Volume
11
Issue
1
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental
Ciencias socio biomédicas (planificación familiar, salud sexual, efectos políticos y sociales de la investigación biomédica)
Scopus EID
2-s2.0-84930906007
PubMed ID
Source
Reproductive Health
ISSN of the container
17424755
Sponsor(s)
The Institute for Reproductive Health, Department of Obstetrics and Gynecology at Georgetown University, Washington, DC, supported data collection and analysis for this study under cooperative agreement #HRN-00-A-97-00011-00 with the United States Agency for International Development; the preparation of this article was supported under cooperative agreement #GPO-A-00-07-00003-00 with the United States Agency for International Development.
Sources of information:
Directorio de Producción Científica
Scopus