Maternal Autonomy and Attitudes Towards Gender Norms: Associations with Childhood Immunization in Nigeria
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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.
KeywordsGender Autonomy Nigeria Immunizations Children
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.
- 1.WHO, Unicef, World Bank. (2009). State of the world’s vaccines and immunization (3rd ed.). Geneva: WHO.Google Scholar
- 2.UNICEF. (2009). At a glance: Nigeria 2009. Available at: http://www.unicef.org/infobycountry/nigeria_statistics.html.
- 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
- 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
- 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
- 10.Blumberg, R. L. (Ed.). (1991). Gender, family and economy: The triple overlap. Newbury Park, CA: Sage Publications.Google Scholar
- 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.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
- 14.Mason, K. (2003). Measuring empowerment: A social demographers view. Washington, DC: The World Bank.Google Scholar
- 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