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Association between women's empowerment and demand for family planning satisfied among Christians and Muslims in multireligious African countries.
Hellwig, Franciele; Wado, Yohannes; Barros, Aluisio J D.
Afiliação
  • Hellwig F; International Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil fhellwig@equidade.org.
  • Wado Y; Posgraduate Program of Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
  • Barros AJD; African Population and Health Research Center, Nairobi, Kenya.
BMJ Glob Health ; 9(5)2024 May 09.
Article em En | MEDLINE | ID: mdl-38724069
ABSTRACT

BACKGROUND:

Although the levels of demand for family planning satisfied (DFPS) have increased in many countries, cultural norms remain a significant barrier in low- and middle-income countries. In the context of multireligious African countries, our objective was to investigate intersectional inequalities in DFPS by modern or traditional contraceptives according to religion and women's empowerment.

METHODS:

Analyses were based on Demographic and Health Surveys carried out between 2010 and 2021 in African countries. Countries with at least 10% of Muslims and Christians were selected to analyse inequalities in family planning. The religious groups were characterised by wealth, area of residence, women's age and women's empowerment. The mean level of empowerment was estimated for each religious group, and multilevel Poisson regression was used to assess whether DFPS varied based on the level of women's empowerment among Muslims and Christians.

RESULTS:

Our study sample of 14 countries comprised 35% of Muslim and 61% of Christian women. Christians had higher levels of empowerment across all three domains compared with Muslims and women with no/other religion. DFPS was also higher among Christians (57%) than among Muslims (36%). Pooled analysis indicated a consistent association between DFPS and women's empowerment, with higher prevalence ratios among Muslims than Christians, especially in the decision-making domain.

CONCLUSIONS:

The gap between Muslims and Christians in DFPS significantly reduced as the level of empowerment increased. It highlights the importance of understanding and addressing cultural factors sensibly and respectfully to satisfy the demand for family planning services.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cristianismo / Serviços de Planejamento Familiar / Empoderamento / Islamismo Limite: Adolescent / Adult / Female / Humans / Middle aged País/Região como assunto: Africa Idioma: En Revista: BMJ Glob Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cristianismo / Serviços de Planejamento Familiar / Empoderamento / Islamismo Limite: Adolescent / Adult / Female / Humans / Middle aged País/Região como assunto: Africa Idioma: En Revista: BMJ Glob Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido