The Interrelationship between Fosterage,Schooling, and Children’s Labor Force Participation in Ghana

This paper examines the interrelationship between fosterage, school attendance, and children’s employment in Ghana. Using the 1991/1992 Living Standards Survey data on children aged 7–17 years and a trivariate probit model, the paper demonstrates that ignoring the linkages between these outcomes leads to downward-biased estimates of the impact of fosterage on schooling and upward-biased estimates of the impact of fosterage on work. Gender and age are important considerations in family decisions regarding children’s activities. Joint decision-making is more common for girls aged 12–17 than for boys of a similar age. A significant negative correlation is also observed between the likelihood of employment and the likelihood of school attendance among adolescent girls.     

Uncovered and disrespected. A qualitative study of Jordanian women’s experience of privacy in birth

BackgroundPrivacy is related to a person’s sense of self and the need to be respected and it is a key factor that contributes to women’s satisfaction with their birth experiences.AimTo examine the meaning of privacy for Jordanian women during labour and birth.MethodA qualitative interpretive design was used. Data were collected through face-to-face semi-structured interviews with 27 Jordanian women. Of these women, 20 were living in Jordan while seven were living in Australia (with birthing experience in both Jordan and Australia). Thematic analysis was used to analyse the data.ResultsThe phrase ‘there is no privacy’ captured women’s experience of birth in Jordanian public hospitals and in some private hospital settings. Women in public hospitals in Jordan had to share a room during their labour with no screening. This experience meant that they were, “lying there for everyone to see”, “not even covered by a sheet” and with doctors and others coming in and out of their room. This experience contrasted with birth experienced in Australia.ConclusionsThis study explicates the meaning of privacy to Jordanian women and demonstrates the impact of the lack of privacy during labour and birth. Seeking a birth in a private hospital in Jordan was one of the strategies that women used to gain privacy, although this was not always achieved. Some strategies were identified to facilitate privacy, such as being covered by a sheet; however, even simple practices are difficult to change in a patriarchal, medically dominated maternity system.     

Social adversity in pregnancy and trajectories of women’s depressive symptoms: A longitudinal study

Background

Sound evidence has linked the experience of adversity with depression. Less is known about this association over time.

Women’s experiences of decision-making and attitudes in relation to induction of labour: A survey study

BackgroundRates of induction of labour have been increasing globally to up to one in three pregnancies in many high-income countries. Although guidelines around induction, and strength of the underlying evidence, vary considerably by indication, shared decision-making is increasingly recognised as key. The aim of this study was to identify women’s mode of birth preferences and experiences of shared decision-making for induction of labour.MethodAn antenatal survey of women booked for an induction at eight Sydney hospitals was conducted. A bespoke questionnaire was created assessing women’s demographics, indication for induction, pregnancy model of care, initial birth preferences, and their experience of the decision-making process.ResultsOf 189 survey respondents (58% nulliparous), major reported reasons for induction included prolonged pregnancy (38%), diabetes (25%), and suspected fetal growth restriction (8%). Most respondents (72%) had hoped to labour spontaneously. Major findings included 19% of women not feeling like they had a choice about induction of labour, 26% not feeling adequately informed (or uncertain if informed), 17% not being given alternatives, and 30% not receiving any written information on induction of labour. Qualitative responses highlight a desire of women to be more actively involved in decision-making.ConclusionA substantial minority of women did not feel adequately informed or prepared, and indicated they were not given alternatives to induction. Suggested improvements include for face-to-face discussions to be supplemented with written information, and for shared decision-making interventions, such as the introduction of decision aids and training, to be implemented and evaluated.     

The Effect of Women’s Empowerment in Agriculture on Household Nutrition and Food Poverty in Northern Ghana

The study examines the effect of women’s empowerment in agriculture on household nutrition—i.e. the availability of carbohydrates, protein, and fat—and household food poverty measured by monetary food shortfall. The analysis is done by applying instrumental variable estimation to a sample of 2642 households from a 2012 population-based survey conducted in northern Ghana. Overall, the results indicate that women’s empowerment positively influences nutrient availability and negatively influences monetary food shortfall. By decomposing women’s empowerment into its component domains, this study identified that the domains of Income, Production, and Leadership are areas for intervention to influence households’ nutrient availability and monetary food shortfall outcomes. The effect of the Time and Resources domains reveal that some intra-household trade-offs may exist. Thus, policies aimed at empowering women to ultimately improve household nutrition and food poverty need to be based on the understanding of these specific interactions.     

Women’s Empowerment in the Context of Millennium Development Goal 3: A Case Study of Married Women in Ghana

This paper assesses women’s empowerment in Ghana in the light of the Millennium Development Goal 3. Data for the study were drawn from the 2008 Ghana Demographic Health Survey with an analytic sample of 1,876 married women aged 15–49. Using binary logistic regression in determining the factors that influence women empowerment, this paper examines the relationship between wealth and women’s involvement in household decision-making in the context of healthcare, large household purchases, daily house hold purchases and mobility. The findings show that wealthier married women were significantly more likely to be involved in decision-making on their own healthcare (OR = 2.14, p ≤ 0.001). Also, age, tertiary education and employment significantly shaped the involvement of married women in household decision-making in Ghana. Surprisingly, married women in the Upper East region (the second poorest) were significantly more likely to be involved in three measures of decision-making except for decisions on large household purchases relative to those in the Greater Accra region (the capital). Policies oriented towards an increase in accessibility to tertiary education, employment equity and the creation of income generating activities for women would enhance women’s empowerment in Ghana.     

Cohort Differences in Women’s Educational Attainment and the Transition to First Marriage in Ghana

This study explores the effects of educational attainment on the transition to first marriage across successive generations of women in Ghana. Considering the significant improvements in women educational attainment and career opportunities in recent decades, the paper questions the tacit assumption of prior research on the time-invariant effect of women’s educational attainment on marriage timing. Using discrete time frailty models with pooled data from the 1988, 1993, 1998 and 2003 Ghana Demographic and Health Survey, women with higher educational attainment were found to have longer transition to first marriage than their less educated counterparts. More importantly, the effect of higher education on the transition to first marriage was larger among younger women even after controlling for other factors. The stronger effect among contemporary women has been discussed in relation to ideational changes on family formation and the enhanced career opportunities for contemporary educated women.

Does son preference influence children's growth in height? A comparative study of Chinese and Filipino children

Research has demonstrated that son preference has a serious impact on the survival and well-being of female infants and children in some parts of South and East Asia, but little is known about the consequences of son preference in later childhood and adolescence. We compare children's growth trajectories in height over childhood and adolescence in China, where the level of son preference is relatively high, and the Philippines, where it is relatively low. Children's height reflects long-term nutritional status and exposure to infectious diseases, both influenced by household decision-making and, presumably, by a preference for sons. Using data from two high-quality longitudinal studies and multilevel growth models, we find that male children in China show an additional height advantage relative to their female counterparts, when compared to the sex difference in growth trajectories in the Philippines. Further analysis reveals that the additional advantage of males in China is stronger in rural areas.     

Immigrant mothers’ preferences for children’s sexes: A register-based study of fertility behaviour in Norway

Parental sex preferences have been documented in many native populations, but much less evidence is available on immigrants’ preferences for the sexes of their children. Using high-quality longitudinal register data from Norway, a country with a recent immigration history, we estimate hazards regression models of third birth risks by the sex composition of the first two children. A central question in the extant literature is whether the sex preferences of immigrant mothers match those observed in their country of origin, or if cultural adaption to local conditions is more important. Our analyses indicate that the sex preferences of immigrants generally match those previously documented for their native population, especially in the case of son preferences. The pattern of sex preferences is unmodified by the mother’s exposure to the host society. In sum, our evidence generally supports theories emphasizing cultural persistence in preferences, rather than theories of adaption or immigrant selectivity.     

A room of one’s own or room enough for two? Access to housing and new household formation in Sweden, 1968–1992

Familistic and individualistic theories both provide explanations for recent declines in family household formation. Securing access to housing plays a key role in new household formation for both these theories. Familistic theories hypothesize a positive relationship between access to housing and new family household formation. Individualistic theories hypothesize a positive relationship between access to housing and nonfamily household formation. Here I test these hypotheses in Sweden by modeling leaving home for family and nonfamily household formation using the Swedish Family Survey and supplemental housing data. I find significant support for the familistic notion that greater access to housing increases the likelihood of family household formation. I fail to find support for the individualistic theory.

Family Planning and Women’s and Children’s Health: Long-Term Consequences of an Outreach Program in Matlab, Bangladesh

We analyze the impact of an experimental maternal and child health and family planning program that was established in Matlab, Bangladesh, in 1977. Village data from 1974, 1982, and 1996 suggest that program villages experienced a decline in fertility of about 17 %. Household data from 1996 confirm that this decline in “surviving fertility” persisted for nearly two decades. Women in program villages also experienced other benefits: increased birth spacing, lower child mortality, improved health status, and greater use of preventive health inputs. Some benefits also diffused beyond the boundaries of the program villages into neighboring comparison villages. These effects are robust to the inclusion of individual, household, and community characteristics. We conclude that the benefits of this reproductive and child health program in rural Bangladesh have many dimensions extending well beyond fertility reduction, which do not appear to dissipate rapidly after two decades.     

Women’s experiences of having depression during pregnancy and receiving acupuncture treatment—A qualitative study

Background

Research indicates some women experiencing depression during pregnancy are dissatisfied with conventional depression treatments due to incomplete effectiveness, dislike of side effects, unsatisfactory experiences with providers and concerns regarding in-utero and breastfeeding safety. Consequently, many explore alternative options including acupuncture. To further understand women’s views, preferences and motivations in this regard, as well as their experiences of receiving acupuncture as part of a three-armed pragmatic randomised controlled trial evaluating acupuncture for antenatal depression in Sydney, Australia, in-depth interviews were conducted with a group of acupuncture recipients.

Women’s experiences of antenatal transfer for threatened premature labour in NSW: A qualitative study

BackgroundEach year thousands of pregnant women experiencing threatened premature labour are transferred considerable distances across Australia to access higher level facilities but only a small proportion of these women go on to actually give birth to a premature baby. Women from regional areas are required to move away from their home, children and support networks because of a perceived risk of birthing in a centre without neonatal intensive care facilities.AimThis study examines the experience of women undergoing antenatal transfer for threatened premature labour in New South Wales and the Australian Capital Territory who do not give birth during their transfer admission.MethodsThirteen semi-structured in-depth interviews were held with women across five tertiary referral sites across New South Wales and the Australian Capital Territory, and analysed until saturation for themes.FindingsSeven urban and six rural women were interviewed. Women and their families were all negatively affected by antenatal transfer. Factors that helped enable a positive experience were; enhanced sense of safety in the tertiary unit, and individual qualities of staff. Factors that contributed to negative experiences were; inadequate and conflicting information, and no involvement or choice in the clinical decision-making process to move to another facility.ConclusionsAntenatal transfer is an extremely stressful experience for women and their families. The provision of high quality written and verbal information, and the inclusion of women's perception of risk in the clinical decision making process will improve the experience for women and their families in NSW and the ACT.