Women’s Agency and Fertility: Recent Evidence from Egypt

Abstract

Fertility reached a two decade high of 3.5 births per woman in Egypt in 2014. Lower status of women is associated with higher fertility. Majority of the studies on women’s agency and fertility rely on individual-level cross-sectional data from South Asia, which limits the understanding of variation among communities and the direction of the relationship between women’s agency and fertility in other global contexts. This study examines the relationship between women’s agency and fertility longitudinally and among communities in the most populous country in the Middle East-Egypt. For 3795 ever married women 15–49 years old in the 2006 and 2012 Egyptian Labor Market Panel Survey, multilevel models are estimated for having given birth and number of births between 2006 and 2012. Contrary to expectation, women with more agency with greater participation in household decision-making and mobility are, in fact, more likely to have had a birth and have a greater total number of births. Only women with more egalitarian attitudes are associated with fewer births. Community membership explains 5% of the variation in fertility. Since social norms in Egypt favor a higher number of births and labor market participation among women is low, women with agency could be fulfilling social expectations of having children and choosing to have more children.

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References

  1. Abadian, S. (1996). Women’s autonomy and its impact on fertility. World Development, 24(12), 1793–1809.

    Article  Google Scholar 

  2. Acharya, D. R., Bell, J. S., Simkhada, P., van Teijlingen, E. R., & Regmi, P. R. (2010). Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health, 7, 15.

    Article  Google Scholar 

  3. Allendorf, K. (2012). Women’s agency and the quality of family relationships in India. Population Research and Policy Review, 31(2), 187–206.

    Article  Google Scholar 

  4. Ambrosetti, E., Abu Amara, N., & Condon, S. (2013). Gender-based violence in Egypt: Analyzing impacts of political reforms, social, and demographic change. Violence Against Women, 19(3), 400–421.

    Article  Google Scholar 

  5. Amin, R., Hill, R. B., & Li, Y. (1995). Poor women’s participation in credit-based self-employment: The impact on their empowerment, fertility, contraceptive use, and fertility desire in rural Bangladesh. The Pakistan Development Review, 34(2), 93–119.

    Google Scholar 

  6. Assaad, R., H. Nazier, and R. Ramadan. (2015). Empowerment is a community affair: Community level determinatns of married women’s empowerment in Egypt. In Working Paper Series. Cairo, Egypt: Economic Research Forum.

  7. Assaad, R., & Krafft, C. (2013). The Egypt Labor Market Panel Survey: Introducing the 2012 round. IZA Journal of Labor & Development, 2(1), 1–30.

    Article  Google Scholar 

  8. Balk, D. (1994). Individual and community aspects of women’s status and fertility in rural Bangladesh. Population Studies, 48(1), 21–45.

    Article  Google Scholar 

  9. Baschieri, A. (2007). Effects of modernisation on desired fertility in Egypt. Population, Space and Place, 13(5), 353–376.

    Article  Google Scholar 

  10. Bertoli, S., & Marchetta, F. (2015). Bringing it all back home—Return migration and fertility choices. World Development, 65, 27–40.

    Article  Google Scholar 

  11. Bhatti, F., & Jeffery, R. (2012). Girls’ schooling and transition to marriage and motherhood: Exploring the pathways to young women’s reproductive agency in Pakistan. Comparative Education, 48(2), 149–166.

    Article  Google Scholar 

  12. Blanc, A. K. (2001). The effect of power in sexual relationships on sexual and reproductive health: An examination of the evidence. Studies in Family Planning, 32(3), 189–213.

    Article  Google Scholar 

  13. Casterline, J. B., El-Zanaty, F., & El-Zeini, L. O. (2003). Unmet need and unintended fertility: Longitudinal evidence from Upper Egypt. International Family Planning Perspectives, 29(4), 158–166.

    Article  Google Scholar 

  14. Central Agency for Population Mobilization and Statistics. (2014). Vital statistics. Cairo: Egypt.

    Google Scholar 

  15. Crandall, A., VanderEnde, K., Cheong, Y. F., Dodell, S., & Yount, K. M. (2016). Women’s age at first marriage and postmarital agency in Egypt. Social Science Research, 57, 148–160.

    Article  Google Scholar 

  16. Dyson, T., & Moore, M. (1983). On kinship structure, female autonomy, and demographic behavior in India. Population and Development Review, 9(1), 35–60.

    Article  Google Scholar 

  17. El-Safty, M. (2004). Women in Egypt: Islamic rights versus cultural practice. Sex Roles, 51(5–6), 273–281.

    Article  Google Scholar 

  18. El-Zanaty, F., & Way, A. (2009). Egypt demographic and health survey 2008. Cairo, Egypt: Ministry of Health, El-Zanaty and Associates, and Macro International.

    Google Scholar 

  19. El-Zeini, L. O. (2008). The path to replacement fertility in Egypt: Acceptance, preference, and achievement. Studies in Family Planning, 39(3), 161–176.

    Article  Google Scholar 

  20. Eswaran, M. (2002). The empowerment of women, fertility, and child mortality: Towards a theoretical analysis. Journal of Population Economics, 15(3), 433–454.

    Article  Google Scholar 

  21. Ghuman, S. J., Lee, H. J., & Smith, H. L. (2006). Measurement of women’s autonomy according to women and their husbands: Results from five Asian countries. Social Science Research, 35(1), 1–28.

    Article  Google Scholar 

  22. Govindasamy, P., & Malhotra, A. (1996). Women’s position and family planning in Egypt. Studies in Family Planning, 27(6), 328–340.

    Article  Google Scholar 

  23. Gupta, M. D. (1995). Life course perspectives on women’s autonomy and health outcomes. American Anthropologist, 97(3), 481–491.

    Article  Google Scholar 

  24. Handoussa, H. (2008). Egypt human development report 2008, Egypt’s social contract: The role of civil society. United Nations Development Program: Egypt

  25. Harvey, S. M., Bird, S. T., Galavotti, C., Duncan, E. A., & Greenberg, D. (2002). Relationship power, sexual decision making and condom use among women at risk for HIV/STDs. Women and Health, 36(4), 69–84.

    Article  Google Scholar 

  26. Hindin, M. J. (2000). Women’s autonomy, women’s status and fertility-related behavior in Zimbabwe. Population Research and Policy Review, 19(3), 255–282.

    Article  Google Scholar 

  27. Hogan, D. P., Berhanu, B., & Hailemariam, A. (1999). Household organization, women’s autonomy, and contraceptive behavior in southern Ethiopia. Studies in Family Planning, 30(4), 302–314.

    Article  Google Scholar 

  28. Inhorn, M. C. (2003). “The Worms Are Weak”: Male infertility and patriarchal paradoxes in Egypt. Men and Masculinities, 5(3), 236–256.

    Article  Google Scholar 

  29. Jejeebhoy, S. J. (1991). Women’s status and fertility: Successive cross-sectional evidence from Tamil Nadu, India, 1970-80. Studies in Family Planning, 22(4), 217–230.

    Article  Google Scholar 

  30. Jejeebhoy, S. J., & Sathar, Z. A. (2001). Women’s autonomy in India and Pakistan: The influence of religion and region. Population and Development Review, 27(4), 687–712.

    Article  Google Scholar 

  31. Kabeer, N. (1999a). The conditions and consequences of choice: Reflections on the measurement of women’s empowerment. Geneva: United Nations Research Institute for Social Development.

  32. Kabeer, N. (1999b). Resources, agency, achievements: Reflections on the measurement of women’s empowerment. Development and Change, 30(3), 435–464.

    Article  Google Scholar 

  33. Kabeer, N. (2011). Between affiliation and autonomy: Navigating pathways of women’s empowerment and gender justice in rural Bangladesh. Development and Change, 42(2), 499–528.

    Article  Google Scholar 

  34. Kabir, A., Ibrahim, Q., & Kawsar, L. (2005). Relationships between factors affecting contraception and fertility in Bangladesh. International quarterly of community health education, 24(1), 45–53.

    Article  Google Scholar 

  35. Kaufman, G. (2000). Do gender role attitudes matter?: Family formation and dissolution among traditional and egalitarian men and women. Journal of Family Issues, 21(1), 128–144.

    Article  Google Scholar 

  36. Khadivzadeh, T., Roudsari, R. L., & Bahrami, M. (2014). The influence of gender role and women’s empowerment on couples’ fertility experience in urban society of Mashhad, Iran. Journal of Midwifery & Reproductive Health, 2(3), 170–179.

    Google Scholar 

  37. Khan, H. T. A., & Raeside, R. (1997). Factors affecting the most recent fertility rates in urban-rural Bangladesh. Social Science and Medicine, 44(3), 279–289.

    Article  Google Scholar 

  38. Kishor, S. (1995). Autonomy and Egyptian women: Findings from the 1988 Egypt Demographic and Health Survey.

  39. Kishor, S. (2000). Empowerment of women in Egypt and links to the survival and health of their infants. In H. Presser & G. Sen (Eds.), Women’s empowerment and demographic processes. New York: Oxford University Press Inc.

    Google Scholar 

  40. Kishor, S. and L. Subaiya. (2008). Understanding womens empowerment: A comparative analysis of Demographic and Health Surveys (DHS) data.

  41. Kritz, M. M., Makinwa-Adebusoye, P., & Gurak, D. T. (2000). The role of gender context in shaping reproductive behavior in Nigeria. In H. Presser & G. Sen (Eds.), Women’s empowerment and demographic processes. New York: Oxford University Press Inc.

    Google Scholar 

  42. Malhotra, A. (2012). Remobilizing the gender and fertility connection: The case for examining the impact of fertility control and fertility declines on gender equality. Fertility and Empowerment Work Paper Series pp. 001–2012.

  43. Malhotra, A., & Mather, M. (1997). Do schooling and work empower women in developing countries? Gender and domestic decisions in Sri Lanka. Sociological Forum, 12(4), 599–630.

    Article  Google Scholar 

  44. Malhotra, A., Vanneman, R., & Kishor, S. (1995). Fertility, dimensions of patriarchy, and development in India. Population and Development Review, 21(2), 281–305.

    Article  Google Scholar 

  45. Mason, K. O. (1987). The impact of women’s social position on fertility in developing countries. Sociological Forum, 2(4), 718–745.

    Article  Google Scholar 

  46. Mason, K. O., & Smith, H. L. (2000). Husbands’ versus wives’ fertility goals and use of contraception: The influence of gender context in five Asian countries. Demography, 37(3), 299–311.

    Article  Google Scholar 

  47. Mason, K. O., & Smith, H. L. (2003). Women’s empowerment and social context: Results from five Asian countries. Washington, DC: Gender and Development Group, World Bank.

    Google Scholar 

  48. McDonald, P. (2000). Gender equity in theories of fertility transition. Population and Development Review, 26(3), 427–439.

    Article  Google Scholar 

  49. Mensch, B. S., Ibrahim, B. L., Lee, S. M., & El-Gibaly, O. (2003). Gender-role attitudes among Egyptian adolescents. Studies in Family Planning, 34(1), 8–18.

    Article  Google Scholar 

  50. Morgan, S. P., Sharon, S., Smith, H. L., & Mason, K. O. (2002). Muslim and non-muslim differences in female autonomy and fertility: Evidence from four Asian countries. Population and Development Review, 28(3), 515–537.

    Article  Google Scholar 

  51. Moursund, A., & Kravdal, O. (2003). Individual and community effects of women’s education and autonomy on contraceptive use in India. Population Studies: A Journal of Demography, 57(3), 285–301.

    Article  Google Scholar 

  52. Mumtaz, Z., & Salway, S. (2005). ‘I never go anywhere’: extricating the links between women’s mobility and uptake of reproductive health services in Pakistan. Social Science and Medicine, 60(8), 1751–1765.

    Article  Google Scholar 

  53. Namoro, S., & Roushdy, R. (2009). Intrahousehold resource allocation in Egypt: Women’s empowerment and investment in children. Middle East Development Journal, 01(01), 105–121.

    Article  Google Scholar 

  54. Ojo, S. S., & Adesina, A. S. (2014). Women empowerment and fertility management in Nigeria: A study of Lafia Area of Nasarawa State. Mediterranean Journal of Social Sciences, 5(26), 9.

    Google Scholar 

  55. Pebley, A.R. and N. Sastry. (2004). Neighborhoods, poverty, and children’s well-being. Social inequality, New York. pp. 119–145.

  56. Rashad, H., M. Osman, and F. Roudi-Fahimi. (2005). Marriage in the Arab world: Population reference bureau (PRB).

  57. Rashad, H.and H. Zaky. (2014). A Comparative Analysis of Fertility Plateau In Egypt, Syria and Jordan: Policy Implications. pp. 265–302 in ICPD Beyond 2014 Arab States Report: Development Challenges and Population Dynamics in a changing Arab World Background Papers: United Nations Population Fund.

  58. Sathar, Z.A.and S. Kazi. (1997). Women’s autonomy, livelihood and fertility: A study of rural Punjab. Women’s autonomy, livelihood and fertility: a study of rural Punjab.

  59. Social Institutions & Gender Index. (2014). Egypt country profile. Paris, France: Organization for Economic Cooperation and Development.

    Google Scholar 

  60. United Nations. (2012). World Population Prospects: The 2012 Revision. edited by D.o.E.a.S.A. Population Division: United Nations.

  61. Upadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., et al. (2014). Women’s empowerment and fertility: A review of the literature. Social Science and Medicine, 115, 111–120.

    Article  Google Scholar 

  62. Upadhyay, U. D., & Hindin, M. J. (2005). Do higher status and more autonomous women have longer birth intervals? Results from Cebu, Philippines. Social Science and Medicine, 60(11), 2641–2655.

    Article  Google Scholar 

  63. Upadhyay, U. D., & Karasek, D. (2012). Women’s empowerment and ideal family size: An examination of DHS empowerment measures in Sub-Saharan Africa. International Perspectives on Sexual and Reproductive Health, 38(2), 78–89.

    Article  Google Scholar 

  64. VanderEnde, K. E., Sibley, L. M., Cheong, Y. F., Naved, R. T., & Yount, K. M. (2015). Community economic status and intimate partner violence against women in Bangladesh: Compositional or contextual effects? Violence Against Women, 21(6), 679–699.

    Article  Google Scholar 

  65. Weeks, J. R., Getis, A., Hill, A. G., Gadalla, M. S., & Rashed, T. (2004). The fertility transition in Egypt: Intraurban patterns in Cairo. Annals of the Association of American Geographers, 94(1), 74–93.

    Article  Google Scholar 

  66. Woolf, S. E., & Maisto, S. A. (2008). Gender differences in condom use behavior? The role of power and partner-type. Sex Roles, 58(9–10), 689–701.

    Article  Google Scholar 

  67. Yount, K. M. (2005). Women’s family power and gender preference in Minya, Egypt. Journal of Marriage and Family, 67(2), 410–428.

    Article  Google Scholar 

  68. Yount, K. M., & Agree, E. M. (2004). The power of older women and men in Egyptian and Tunisian families. Journal of Marriage and Family, 66(1), 126–146.

    Article  Google Scholar 

  69. Yount, K. M., Dijkerman, S., Zureick-Brown, S., & VanderEnde, K. E. (2014). Women’s empowerment and generalized anxiety in Minya, Egypt. Social Science and Medicine, 106, 185–193.

    Article  Google Scholar 

  70. Yount, K. M., & Khadr, Z. (2008). Gender, social change, and living arrangements among older Egyptians during the 1990s. Population Research and Policy Review, 27(2), 201–225.

    Article  Google Scholar 

  71. Yount, K. M., & Li, L. (2010). Domestic violence against married women in Egypt. Sex Roles, 63(5–6), 332–347.

    Article  Google Scholar 

  72. Yount, K. M., VanderEnde, K. E., Dodell, S., & Cheong, Y. F. (2015). Measurement of Women’s Agency in Egypt: A National Validation Study. Social Indicators Research, 128(3), 1–22.

    Google Scholar 

  73. Zaky, H. (2004). Fertility transition and female rational choices in Egypt. Journal of Health and Population in Developing Countries 5.

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Acknowledgements

I thank Anne Pebley and Gilbert Gee for their helpful comments on a previous version of this paper, and Steven Wallace, Linda Bourque, Judith Seltzer, and Megan Sweeney for general guidance. This research uses data from the Egyptian Labor Market Panel Survey, a program project directed by Ragui Assaad at the University of Minnesota and the Economic Research Forum. The Economic Research Forum granted access to relevant data, after subjecting data to processing aiming to preserve the confidentiality of individual data. The research was supported by Eunice Kennedy Shriver National Institute of Child Health & Human Development training grants at UCLA (T32HD007545) and the University of Texas at Austin (T32HD007081) and the California Center for Population Research at UCLA (P2C-HD041022) and the Population Research Center at the University of Texas at Austin (R24HD042849). The content is solely the responsibility of the author.

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Correspondence to Goleen Samari.

Appendix

Appendix

See Tables 6 and 7.

Table 6 Questions comprising Agency Scales, 2006 Egyptian Labor Market Panel Survey
Table 7 Correlation of Agency Measures, 2006 Egyptian Labor Market Panel Survey

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Samari, G. Women’s Agency and Fertility: Recent Evidence from Egypt. Popul Res Policy Rev 36, 561–582 (2017). https://doi.org/10.1007/s11113-017-9427-3

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Keywords

  • Women’s Agency
  • Fertility
  • Empowerment
  • Women’s health
  • Egypt