Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
RESEARCH ARTICLE   (Open Access)

Women Health, Empowerment and Its Association with Contraceptive Use

Md. Amanat Ullah 1, 2, S. M. Mostafa Kamal 3, Rokeya Begum 4, Tanzillah Wahid 5

+ Author Affiliations

Journal of Angiotherapy 8 (6) 1-12 https://doi.org/10.25163/angiotherapy.869768

Submitted: 30 April 2024 Revised: 24 June 2024  Published: 25 June 2024 


Abstract

Background: In Bangladesh, the presence of gender disparities impedes women from fulfilling their reproductive requirements, resulting in elevated levels of unintended pregnancies, abortions, and fatalities. Research findings suggest that the empowerment of women has the potential to enhance the proportion of satisfied demand for modern contraceptive methods (MDFPS); however, limited studies have assessed this phenomenon across various aspects of life. Objectives: Our investigation delved into the impact of empowerment on MDFPS utilization among married women of reproductive age (MWRA) in Bangladesh. Methods: We examined data extracted from the 2020 Bangladesh Demographic and Health Survey (DHS) involving 4714 MWRA with reproductive requirements residing in 573 different localities. Utilizing principal component analysis (PCA) and the Cronbach’s alpha test, we delved into and evaluated specific and consistently significant elements of women's empowerment within marital unions. Aggregated metrics at the community level were employed to evaluate gender norms and interactions within the societies. Results:  Less than one-third (30.8%) of the demand for family planning among MWRA were satisfied with modern methods in general. The components underlying women's agency in marital relationships included participation in household decision-making, freedom in accessing healthcare, and opposition to domestic violence. Conclusion:  Empowering women possesses the capacity to diminish gender disparity, enhance women's agency, and boost MDFPS. Such impact could materialize via equitable marital partnerships and just community gender norms and interactions.

Keywords: Women Empowerment, Gender Inequality, Family Planning, Married Women, Bangladesh

References


Adde, K. S., Ameyaw, E. K., Dickson, K. S., Paintsil, J. A., Oladimeji, O., & Yaya, S. (2022). Women’s empowerment indicators and short-and long-acting contraceptive method use: evidence from DHS from 11 countries. Reproductive Health, 19(1), 222.

Adebowale, A. S., Gbadebo, B., & Afolabi, F. R. (2016). Wealth index, empowerment and modern contraceptive use among married women in Nigeria: are they interrelated? Journal of Public Health, 24, 415–426.

Alano, A., & Hanson, L. (2018). Women’s perception about contraceptive use benefits towards empowerment: A phenomenological study in Southern Ethiopia. PloS One, 13(9), e0203432.

Asaolu, I. O., Okafor, C. T., Ehiri, J. C., Dreifuss, H. M., & Ehiri, J. E. (2017). Association between measures of Women’s empowerment and use of modern contraceptives: an analysis of Nigeria’s demographic and health surveys. Frontiers in Public Health, 4, 293.

Asiimwe, J. B., Ndugga, P., Mushomi, J., & Manyenye Ntozi, J. P. (2014). Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Public Health, 14, 1–11.

Assembly, U. N. G. (2015). Transforming our world: the 2030 agenda for sustainable development. 2015.

Blackstone, S. R. (2017). Women’s empowerment, household status and contraception use in Ghana. Journal of Biosocial Science, 49(4), 423–434.

Crissman, H. P., Adanu, R. M., & Harlow, S. D. (2012). Women’s sexual empowerment and contraceptive use in Ghana. Studies in Family Planning, 43(3), 201–212.

Dhak, B., Saggurti, N., & Ram, F. (2020). Contraceptive use and its effect on Indian women’s empowerment: evidence from the National Family Health Survey-4. Journal of Biosocial Science, 52(4), 523–533.

Do, M., & Kurimoto, N. (2012). Women’s empowerment and choice of contraceptive methods in selected African countries. International Perspectives on Sexual and Reproductive Health, 23–33.

Efendi, F., Sebayang, S. K., Astutik, E., Reisenhofer, S., & McKenna, L. (2023). Women’s empowerment and contraceptive use: Recent evidence from ASEAN countries. PloS One, 18(6), e0287442.

Hameed, W., Azmat, S. K., Ali, M., Sheikh, M. I., Abbas, G., Temmerman, M., & Avan, B. I. (2014). Women’s empowerment and contraceptive use: the role of independent versus couples’ decision-making, from a lower middle income country perspective. PloS One, 9(8), e104633.

James-Hawkins, L., Peters, C., VanderEnde, K., Bardin, L., & Yount, K. M. (2018). Women’s agency and its relationship to current contraceptive use in lower-and middle-income countries: A systematic review of the literature. Global Public Health, 13(7), 843–858.

Khan, M. N., Harris, M. L., Huda, M. N., & Loxton, D. (2022). A population-level data linkage study to explore the association between health facility level factors and unintended pregnancy in Bangladesh. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19559-w

Khatun, N., Howlader, S., & Rahman, M. M. (2023). Women’s Sexual Empowerment and Its Relationship to Contraceptive Use in Bangladesh: Findings From a Recent National Survey. International Journal of Public Health, 68, 1606143.

Kraft, J. M., Serbanescu, F., Schmitz, M. M., Mwanshemele, Y., Ruiz C, A. G., Maro, G., & Chaote, P. (2022). Factors associated with contraceptive use in sub-saharan Africa. Journal of Women’s Health, 31(3), 447–457.

Leal Filho, W., Kovaleva, M., Tsani, S., ?îrca, D. M., Shiel, C., Dinis, M. A. P., Nicolau, M., Sima, M., Fritzen, B., Lange Salvia, A., Minhas, A., Kozlova, V., Doni, F., Spiteri, J., Gupta, T., Wakunuma, K., Sharma, M., Barbir, J., Shulla, K., … Tripathi, S. (2023). Promoting gender equality across the sustainable development goals. Environment, Development and Sustainability, 25(12), 14177–14198. https://doi.org/10.1007/s10668-022-02656-1

MacQuarrie, K. L. D., & Aziz, A. (2022). Women’s decision-making and contraceptive use in Pakistan: an analysis of Demographic and Health Survey data. Sexual and Reproductive Health Matters, 29(2), 2020953.

Mandal, M., Muralidharan, A., & Pappa, S. (2017). A review of measures of women’s empowerment and related gender constructs in family planning and maternal health program evaluations in low- and middle-income countries. BMC Pregnancy and Childbirth, 17. https://doi.org/10.1186/s12884-017-1500-8

Moyehodie, Y. A., Mulugeta, S. S., & Yilema, S. A. (2022). The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia. PLoS ONE, 17(10 October). https://doi.org/10.1371/journal.pone.0275896

Mutumba, M., Wekesa, E., & Stephenson, R. (2018). Community influences on modern contraceptive use among young women in low and middle-income countries: A cross-sectional multi-country analysis. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5331-y

Parvin, N., Rahman, M., Islam, M. J., Haque, S. E., Sarkar, P., & Mondal, M. N. I. (2022). Socioeconomic inequalities in the continuum of care across women’s reproductive life cycle in Bangladesh. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19888-w

Patrikar, S. R., Basannar, D. R., & Sharma, M. S. (2014). Women empowerment and use of contraception. Medical Journal Armed Forces India, 70(3), 253–256.

Rajan, S. I. (2021). Migration, education, and employment in India. In India Higher Education Report 2020 (pp. 51–67). Routledge India.

Samandari, G., Sarker, B. K., Grant, C., Huq, N. L., Talukder, A., Mahfuz, S. N., Brent, L., Nitu, S. N. A., Aziz, H., & Gullo, S. (2020). Understanding individual, family and community perspectives on delaying early birth among adolescent girls: Findings from a formative evaluation in rural Bangladesh. BMC Women’s Health, 20(1). https://doi.org/10.1186/s12905-020-01044-z

Seidu, A.-A., Ahinkorah, B. O., Armah-Ansah, E. K., Dadzie, L. K., Aboagye, R. G., Ameyaw, E. K., Budu, E., Zegeye, B., & Yaya, S. (2022). Women’s household decision-making power and contraceptive use in Mali. Reproductive Health, 19(1), 232.

Shabuz, Z. R., Haque, M. E., Islam, M. K., & Bari, W. (2022). Link between unmet need and economic status in Bangladesh: gap in urban and rural areas. BMC Women’s Health, 22(1). https://doi.org/10.1186/s12905-022-01752-8

Some, S. Y. M., Pu, C., & Huang, S.-L. (2021). Empowerment and use of modern contraceptive methods among married women in Burkina Faso: a multilevel analysis. BMC Public Health, 21, 1–13.

Yaya, S., Uthman, O. A., Ekholuenetale, M., & Bishwajit, G. (2018). Women empowerment as an enabling factor of contraceptive use in sub-Saharan Africa: a multilevel analysis of cross-sectional surveys of 32 countries. Reproductive Health, 15, 1–12.

Zegeye, B., Ahinkorah, B. O., Idriss-Wheeler, D., Olorunsaiye, C. Z., Adjei, N. K., & Yaya, S. (2021). Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis. BMC Public Health, 21, 1–13.

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