Examining the Effect of Fertility, Achievement of Ideal Family Size, Unmet Need, and Modern Contraceptive Use on Women's Empowerment in Minya, Egypt Open Access

Jayaweera, Ruvani Tharanga (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/p2676v599?locale=en


Objective: This research utilizes longitudinal data to assess the association between fertility control and women's empowerment.

Sample: 575 women from Minya, Egypt who participated in the 2005 Egypt Demographic and Health Survey and a follow-up study in 2012.

Methods: Five separate multivariable logistic regression models explored the relationship between fertility, achievement of ideal family size, unmet need for contraception and modern contraceptive use with agency outcomes across five domains.

Results: Total fertility was not associated with women's agency. Unmet need for contraception was associated with lower odds of agency in the childcare decision-making domain (OR: 0.60, 95% CI: 0.38-0.95). Ever use of modern contraception was associated with higher odds of freedom of movement (OR: 1.89, 95% CI: 1.12-3.18).

Conclusion: There is some evidence to support an association between contraceptive use and women's agency. Future research should further explore the temporal relationship between measures for fertility control and women's empowerment.

Table of Contents

Chapter 1: Literature Review 1
Introduction 2
Empowerment 2
Theory 3
Dimensions of Empowerment 5
Relationship Between Fertility Control and Empowerment 11
Theoretical Pathways 11
Empirical Evidence 12
The Egyptian Context 18
Research Gaps 20
Conceptual Framework 21

Chapter 2: Manuscript 22
Introduction 23
Women's Empowerment 23
Relationship Between Fertility Control and Empowerment 28
Empirical Evidence 29
Conceptual Framework 32
Gaps in Research 33
Hypotheses 33

Methods 34
The Egyptian Context 34
Study Setting 35
Sample 35
Variables 36
Statistical Analyses 41

Results 42
Sample Characteristics 42
Results from Logistic Regression 43

Discussion 46
Strengths and Limitations 50
Implications for Research and Policy 51
Conclusion 52

Tables and Figures 53

Chapter 3: Research Implications 61
Discussion 62
Strengths and Limitations 66
Implications for Research and Policy 68
Conclusion 69

References 70

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