Journal of Korean Society for Quality Management (품질경영학회지)

Korean Society for Quality Management (한국품질경영학회)
권호 표지
DOI QR코드

DOI QR Code

Women's Empowerment in Making Health Care Decisions in Ethiopia

에티오피아 여성의 권한 부여 정도가 건강 관리 결정에 미치는 영향

  • Azimova, Gulzhan (Department of Healthcare Management, Graduate School, Kyung Hee University) ;
  • Park, Sang Chan (School of Management Kyung Hee University)
  • Received : 2018.11.27
  • Accepted : 2018.12.17
  • Published : 2018.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to explore the health care decision making of Ethiopian women at household level. Moreover it is to understand the factors that influence to potential customers in healthcare industry from the social quality level perspective. Methods: We used Ethiopia Demographic Health Survey (EDHS) 2005 & 2016, which provided data about currently married women aged 15-49 years (N=2003, N=2017, respectively). We performed a chi-square test, and a Pearson correlation and a logistic regression. Andersen model is considered as well. Results: This study revealed that the mobility decision making has an association with health care decision making of women. Furthermore, there is a moderate effect of an economic decision making of women. Lastly, the women's decision making empowerment level increase year by year. Conclusion: Health care industry has to consider potential costumers among women like in Ethiopia, whose decision making empowerment will enhance on their own healthcare in future. It is very important to figure out factors from the social quality management domain. It helps finding a new market from downstream approach. From this point, the impact of decision making of women empowerment has a significant implication from the holistic perspective.

Keywords

PJGOB9_2018_v46n4_1029_f0001.png 이미지

Figure 1. Research model

PJGOB9_2018_v46n4_1029_f0002.png 이미지

Figure 2. Individual percentage of health care decision making in 2005 & 2016

PJGOB9_2018_v46n4_1029_f0003.png 이미지

Figure 3. Individual percentage of mobility decision making in 2005 & 2016

PJGOB9_2018_v46n4_1029_f0004.png 이미지

Figure 4. Individual percentage of economic decision making in 2005 & 2016

Table 1. The Pearson analyses of 2016 year

PJGOB9_2018_v46n4_1029_t0001.png 이미지

Table 2. The Pearson analyses of 2016 year

PJGOB9_2018_v46n4_1029_t0002.png 이미지

Table 3. Socio demographic characteristics

PJGOB9_2018_v46n4_1029_t0003.png 이미지

Table 4. Health care decision making, mobility decision making, and economic decision making (Chi-square test of 2005 survey)

PJGOB9_2018_v46n4_1029_t0004.png 이미지

Table 5. Health care decision making, mobility decision making, and economic decision making (Chi-square test of 2005 survey)

PJGOB9_2018_v46n4_1029_t0005.png 이미지

Table 6. Health care decision making, mobility decision making, economic decision making (Logistic regression analyses of 2005 year)

PJGOB9_2018_v46n4_1029_t0006.png 이미지

Table 7. Health care decision making, mobility decision making, economic decision making(Logistic regression analyses of 2016 year)

PJGOB9_2018_v46n4_1029_t0007.png 이미지

References

  1. Acharya, Dev R., Jacqueline S. Bell, Padam Simkhada, Edwin R. Van Teijlingen, and Pramod R. Regmi. 2010. "Women's Autonomy in Household Decision-Making: A Demographic Study in Nepal." Reproductive Health 7(1):15. https://doi.org/10.1186/1742-4755-7-15
  2. Al-Ibrahim, Abdulaziz. 2014. "Quality Management and its Role in Improving Service Quality in Public Sector." Journal of Business and Management Sciences 2(6):123-147. https://doi.org/10.12691/jbms-2-6-1
  3. Andersen, Ronald M. 1995. "Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?" Journal of Health and Social Behavior:1-10.
  4. Balasubramanian, M. 2016. "Total Quality Management [TQM] in the Healthcare Industry-Challenges, Barriers and Implementation Developing a Framework for TQM Implementation in a Healthcare Setup." Science Journal of Public Health 4(4):271-278. https://doi.org/10.11648/j.sjph.20160404.11
  5. Cattaneo, Lauren Bennett and Aliya R. Chapman. 2010. "The Process of Empowerment: A Model for use in Research and Practice." American Psychologist 65(7):646. https://doi.org/10.1037/a0018854
  6. Gupta, Kamla and P. Princy Yesudian. 2006. "Evidence of Women's Empowerment in India: A Study of Socio-Spatial Disparities." GeoJournal 65(4):365-380. https://doi.org/10.1007/s10708-006-7556-z
  7. Hameed, Waqas, Syed Khurram Azmat, Moazzam Ali, Muhammed Ishaque Sheikh, Ghazunfer Abbas, Marleen Temmerman, and Bilal Iqbal Avan. 2014. "Women's Empowerment and Contraceptive use: The Role of Independent Versus Couples' Decision-Making, from a Lower Middle Income Country Perspective." Plos One 9(8).
  8. Kabeer, Naila. 1999. "Resources, Agency, Achievements: Reflections on the Measurement of Women's Empowerment." Development and Change 30(3):435-464. https://doi.org/10.1111/1467-7660.00125
  9. Mahmud, Simeen, Nirali M. Shah, and Stan Becker. 2012. "Measurement of Women's Empowerment in Rural Bangladesh." World Development 40(3):610-619. https://doi.org/10.1016/j.worlddev.2011.08.003
  10. Mason, Karen Oppenheim and Herbert L. Smith. 2003. "Women's Empowerment and Social Context: Results from Five Asian Countries." Gender and Development Group, World Bank, Washington, DC.
  11. Mesfin, Berouk. 2004. "Women's Participation in Political Leadership and Decision-Making in Ethiopia: A Research Note." Ethiopian Journal of the Social Sciences and Humanities 2(2):80-99.
  12. Phan, Ly. 2016. "Measuring Women's Empowerment at Household Level using DHS Data of Four Southeast Asian Countries." Social Indicators Research 126(1):359-378. https://doi.org/10.1007/s11205-015-0876-y
  13. Pratley, Pierre and John Floyd Sandberg. "Refining the Conceptualization and Measurement of Women's Empowerment in Sub-Saharan Africa using Data from the 2013 Nigerian Demographic and Health Survey." Social Indicators Research:1-17.
  14. Pratley, Pierre. 2016. Associations between Quantitative Measures of Women's Empowerment and Access to Care and Health Status for Mothers and their Children: A Systematic Review of Evidence from the Developing World. Vol. 169. doi:https://doi.org/10.1016/j.socscimed.2016.08.001.
  15. Roy, Kakoli and Anoshua Chaudhuri. 2008. Influence of Socioeconomic Status, Wealth and Financial Empowerment on Gender Differences in Health and Healthcare Utilization in Later Life: Evidence from India. Vol. 66. doi:https://doi.org/10.1016/j.socscimed.2008.01.015.
  16. Tarekegn, Shegaw Mulu, Leslie Sue Lieberman, and Vincentas Giedraitis. 2014. "Determinants of Maternal Health Service Utilization in Ethiopia: Analysis of the 2011 Ethiopian Demographic and Health Survey." BMC Pregnancy and Childbirth 14(1):161. https://doi.org/10.1186/1471-2393-14-161
  17. Tiruneh, Fentanesh Nibret, Kun-Yang Chuang, and Ying-Chih Chuang. 2017. "Women's Autonomy and Maternal Healthcare Service Utilization in Ethiopia." BMC Health Services Research 17(1):718. https://doi.org/10.1186/s12913-017-2670-9
  18. Tulsi Ram, Bhandari. 2015a. Women's Autonomy and Utilization of Maternal Health Services in Kapilvastu District, Nepal.
  19. Tulsi Ram, Bhandari. 2015b.Women's Autonomy and Utilization of Maternal Health Services in Kapilvastu District, Nepal.
  20. WHO, UNICEF and C. Mathers. 2017. "Global Strategy for Women's, Children's and Adolescents' Health (2016-2030)." Organization 2016(9).
  21. Woldemicael, Gebremariam. 2010. "Do Women with Higher Autonomy Seek More Maternal Health Care? Evidence from Eritrea and Ethiopia." Health Care for Women International 31(7):599-620. https://doi.org/10.1080/07399331003599555
  22. World Health Organization (WHO). 2018. "Female genital mutilation."http://www.who.int/news-room/fact-s heets/detail/female-genital-mutilation
  23. United Nations Children's Fund (UNICEF). 2013. "Female Genital Mutilation/Cutting: A statistical overview and exploration of the dynamics of change." https://data.unicef.org/wp-content/uploads/2015/12/FGMC_Lo_res_ Final_26.pdf
  24. United States Agency for International Development. 2018. "Gender equality and women's empowerment." https://www.usaid.gov/ethiopia/gender-equality-and-womens-empowerment
  25. UNWOMEN. 2016. "Advancing gender equality: promising practices-case studies for the millennium development goals achievement funds. http://www.unwomen.org/mdgf/B/Bolivia_B.html