Maternal and Child Health Journal

, Volume 17, Issue 5, pp 837–841 | Cite as

Maternal Autonomy and Attitudes Towards Gender Norms: Associations with Childhood Immunization in Nigeria

Article

Abstract

Globally 2.5 million children under-five die from vaccine preventable diseases, and in Nigeria only 23 % of children ages 12–23 months are fully immunized. The international community is promoting gender equality as a means to improve the health and well-being of women and their children. This paper looks at whether measures of gender equality, autonomy and individual attitudes towards gender norms, are associated with a child being fully immunized in Nigeria. Data from currently married women with a child 12–23 months from the 2008 Nigeria demographic and health survey were used to study the influence of autonomy and gender attitudes on whether or not a child is fully immunized. Multivariate logistic regression was used and several key socioeconomic variables were controlled for including wealth and education, which are considered key inputs into gender equality. Findings indicated that household decision-making and attitudes towards wife beating were significantly associated with a child being fully immunized after controlling for socioeconomic variables. Ethnicity, wealth and education were also significant factors. Programmatic and policy implications indicate the potential for the promotion of gender equality as a means to improve child health. Gender equality can be seen as a means to enable women to access life-saving services for their children.

Keywords

Gender Autonomy Nigeria Immunizations Children 

Notes

Acknowledgments

This work was funded by the United States Agency for International Development (USAID) through a cooperative agreement with MEASURE Evaluation. The authors would like to thank Shelah Bloom for suggestions on the gender measures and Paul Brodish for data management assistance.

References

  1. 1.
    WHO, Unicef, World Bank. (2009). State of the world’s vaccines and immunization (3rd ed.). Geneva: WHO.Google Scholar
  2. 2.
    UNICEF. (2009). At a glance: Nigeria 2009. Available at: http://www.unicef.org/infobycountry/nigeria_statistics.html.
  3. 3.
    National Population Commission (NPC) and ICF Macro. (2009). Nigeria Demographic and Health Survey 2008: Key findings. Calverton, MD: NPC and ICF Macro.Google Scholar
  4. 4.
    Basu, A. M., & Basu, K. (1991). Women’s economic roles and child survival: The case of India. Health Transition Review, 1(1), 83–103.PubMedGoogle Scholar
  5. 5.
    Dyson, T., & Moore, M. (1983). On kinship structure, female autonomy, and demographic behavior in India. Population and Development Review, 9(1), 35–60.CrossRefGoogle Scholar
  6. 6.
    Jejeebhoy, S. J. (2000). Women’s autonomy in rural India: Its dimensions, determinants, and the influence of context. In H. Presser & G. Sen (Eds.), Women’s empowerment and demographic processes: Moving beyond Cairo. New York: Oxford University Press.Google Scholar
  7. 7.
    Bloom, S. S., Wypij, D., & Das Gupta, M. (2001). Dimensions of women’s autonomy and the influence on maternal health care utilization in a North Indian city. Demography, 38, 67–78.PubMedCrossRefGoogle Scholar
  8. 8.
    Visaria, L. (1993). Female autonomy and fertility behaviour: An exploration of Gujarat data. In Proceedings of international population conference of International Union for Scientific Study of Population, Montreal, Vol. 4. Liege, Belgium: IUSSP, pp. 263–275.Google Scholar
  9. 9.
    Thomas, D. (1990). Intrahousehold resource allocation: An inferential approach. Journal of Human Resources, 25, 635–664.CrossRefGoogle Scholar
  10. 10.
    Blumberg, R. L. (Ed.). (1991). Gender, family and economy: The triple overlap. Newbury Park, CA: Sage Publications.Google Scholar
  11. 11.
    Woldemicael, G. (2007). Do women with higher autonomy seek more maternal and child health-care? Evidence from Ethiopia and Eritrea. MPIDR working paper WP 2007-035. Rostock, Germany: Max Planck Institute for Demographic Research.Google Scholar
  12. 12.
    International Institute for Population Sciences (IIPS) and Macro International. (2007). National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.Google Scholar
  13. 13.
    Babalola, S. (2009). Determinants of the uptake of the full dose of diphtheria-pertusis-tetanus vaccines (DPT3) in northern Nigeria: A multilevel analysis. Maternal and Child Health, 13(4), 550–558.CrossRefGoogle Scholar
  14. 14.
    Mason, K. (2003). Measuring empowerment: A social demographers view. Washington, DC: The World Bank.Google Scholar
  15. 15.
    Kritz, M. M., & Makinwa-Adebusoye, P. (1999). Determinants of women’s decision-making authority in Nigeria: The ethnic dimension. Sociology Forum, 14(3), 399–424.CrossRefGoogle Scholar
  16. 16.
    Kishor, S. (2000). Empowerment of women in Egypt and links to the survival and health of their infants. In Harriet Presser & Gita Sen (Eds.), Women’s empowerment and demographic processes: Moving beyond Cairo. New York: Oxford University Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kavita Singh
    • 1
    • 2
  • Erica Haney
    • 1
  • Comfort Olorunsaiye
    • 3
  1. 1.Department of Maternal and Child Health, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.MEASURE Evaluation, Carolina Population CenterUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.University of North Carolina at CharlotteCharlotteUSA

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