Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-23T05:26:53.011Z Has data issue: false hasContentIssue false

WOMEN'S AUTONOMY AND UNINTENDED PREGNANCIES IN THE PHILIPPINES

Published online by Cambridge University Press:  17 September 2012

TERESA ABADA
Affiliation:
Department of Sociology, University of Western Ontario, London, ON, Canada
ERIC Y. TENKORANG
Affiliation:
Department of Sociology, Memorial University of Newfoundland, St John's, NL, Canada

Summary

To date, very few studies have examined what contributes to unwanted and mistimed births in the Philippines. In a country where women have higher educational levels than their male counterparts, and their status is among the highest in Asia, it is expected that unwanted births will be low. The evidence, however, points to the contrary as 44% of births reported in the last five years were unintended. Using the 2003 Philippines National Demographic and Health Survey, this article focuses on married women who are currently pregnant and those who had given birth in the last five years. Multinomial logistic regression is employed to ascertain the risks of a recent birth/pregnancy being unwanted, mistimed or wanted. Regardless of women's status, having a final say in household and sexual matters with husbands lowers the risk of unwanted births but not mistimed births, calling into question the use of status variables such as education and wealth as indicators of women's autonomy. The success of implementing family planning programmes and policies in reducing unintended pregnancies underscores the importance of understanding how women are able (or unable) to make decisions surrounding their reproductive intentions.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adhikari, R., Soonthorndhada, K. & Prasartkul, P. (2009) Correlates of unintended pregnancy among currently pregnant married women in Nepal. BMC International Health and Human Rights 9, 17.CrossRefGoogle ScholarPubMed
Alcantara, N. (1994) Gender roles, fertility and the status of married Filipino men and women. Philippine Sociological Review 42, 94109.Google Scholar
Avila, J. L. & Wong, E. (2001) When fate and husbands prevail: dynamics of decisions and behavior regarding family planning in Cebu, Philippines. Philippine Quarterly of Culture and Society 29, 79104.Google Scholar
Bankole, A. & Singh, S. (1998) Couples' fertility and contraceptive decision-making in developing countries: hearing the man's voice. International Family Planning Perspectives 24, 1524.CrossRefGoogle Scholar
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, 6778.CrossRefGoogle Scholar
Casterline, J. B. & Sinding, S. W. (2000) Unmet need for family planning in developing countries and implications for population policy. Population and Development Review 26, 691723.CrossRefGoogle Scholar
Chakraborty, P. & Anderson, A. (2011) Maternal autonomy and low birth weight in India. Journal of Women's Health 20, 13731382.CrossRefGoogle ScholarPubMed
D'Angelo, D. V., Gilbert, B. C., Rochat, R. W., Santelli, J. S. & Herold, J. M. (2004) Differences between mistimed and unwanted pregnancies among women who have live births. Perspectives on Sexual and Reproductive Health 36, 192197.CrossRefGoogle ScholarPubMed
DaVanzo, J., Peterson, C. & Jones, N. R. (2003) How Well do Desired Fertility Measures for Wives and Husbands Predict Subsequent Fertility? Evidence from Malaysia. Labor and Population Program Working Paper Series 03-16. RAND Corporation.Google Scholar
David, F. (1994) The roles of husbands and wives in household decision making. Philippine Sociological Review 42, 7983.Google Scholar
Dodoo, F. N. (1998) Men matter: additive and interactive gendered preferences and reproductive behavior in Kenya. Demography 35, 229242.CrossRefGoogle ScholarPubMed
Dyson, T. & Moore, M. (1983) On kinship structure, female autonomy, and demographic behavior in India. Population and Development Review 9, 3560.CrossRefGoogle Scholar
Eggleston, E. (1999) Determinants of unintended pregnancy among women in Ecuador. International Family Planning Perspectives 25, 2733.CrossRefGoogle Scholar
Ghuman, S. (2003) Women's autonomy and child survival: a comparison of Muslims and non-Muslims in four Asian countries. Demography 40, 419436.CrossRefGoogle ScholarPubMed
Ghuman, S., Lee, H. & Smith, H. (2006) Measurement of women's autonomy according to women and their husbands: results from five Asian countries. Social Science Research 35, 128.CrossRefGoogle Scholar
Gubhaju, B. (2007) Fertility decline in Asia. Japanese Journal of Population 5, 1942.Google Scholar
Guttmacher Institute (2009) Meeting Women's Contraceptive Needs in the Philippines, 2009. Series, No. 1. URL: http://www.guttmacher.org/pubs/2009/04/15/IB_MWCNP.pdf (accessed September 7th 2009).Google Scholar
Heaton, T., Huntsman, T. & Flake, D. (2005) The effects of status on women's autonomy in Bolivia, Peru and Nicaragua. Population Research and Policy Review 24, 283300.CrossRefGoogle Scholar
Heise, L., Ellsberg, M. & Gottmoelier, M. (2002) A global overview of gender-based violence. International Journal of Gynecology and Obstetrics 78, S514.CrossRefGoogle ScholarPubMed
Hindin, M. (2002) For better or for worse? Women's autonomy and marital status in Zimbabwe. Social Science Research 31, 151172.CrossRefGoogle Scholar
Hindin, M. (2000) Women's autonomy, women's status and fertility-related behavior in Zimbabwe. Population Research and Policy Review 19, 255282.CrossRefGoogle Scholar
Hindin, M. & Muntifering, C. (2011) Women's autonomy and timing of most recent sexual intercourse in sub-Saharan Africa: a multi-country analysis. Journal of Sex Research 48, 511519.CrossRefGoogle ScholarPubMed
Jaeni, N., McDonald, P. & Utomo, I. D. (2009) Determinants of Unintended Pregnancy among Ever-Married Women in Indonesia: An Analysis of the 2007 IDHS. Australian Demographic Research Institute Working Paper. URL: http://www.itp-bkkbn.org/pulin/004-population_data_information/004_Determinants_Unintended_Pregnancy_among_Ever-Married_Women_Indonesia.pdf (accessed 17th May 2011).Google Scholar
Jayaweera, S. (1997) Women's education and empowerment in Asia. Gender and Education 9, 411423.CrossRefGoogle Scholar
Kishor, S. (2000) Empowerment of women in Egypt and links to the survival and health of their infants. In Presser, H. & Sen, G. (eds) Women's Empowerment and Demographic Processes: Moving Beyond Cairo. Oxford University Press, pp. 119159.CrossRefGoogle Scholar
Mason, K. (1984) The Status of Women: A Review of its Relationship to Fertility and Mortality. The Rockefeller Press, New York.Google Scholar
Mason, K. & Smith, H. L. (2000) Husbands' versus wives' fertility goals and use of contraception: the influence of gender context in five Asian countries. Demography 37, 299311.CrossRefGoogle ScholarPubMed
Mason, K. O. (2001) Gender and family systems in the fertility transition. Population and Development 27 (Supplement), 160176.Google Scholar
Measure DHS (2003) Philippines Demographic and Health Survey DHS 2003. URL: http://www.measuredhs.com/what-we-do/survey/survey-display-227.cfm (accessed 1st March 2012).Google Scholar
Morgan, S. P., Stash, S., Smith, H. & Oppenheim Mason, K. (2002) Muslim and non-Muslim differences in female autonomy and fertility: evidence from India, Malaysia, Thailand and the Philippines. Population and Development Review 28, 515537.CrossRefGoogle Scholar
Pallitto, C. C. & O'Campo, P. (2005) Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective. Social Science & Medicine 60, 22052216.CrossRefGoogle ScholarPubMed
Palomo-Nationales, L. (2008) Determinants of unintended pregnancy: results from a re-analysis of the Philippines 2003 DHS. Asia Pacific Social Science Review 8, 99116.Google Scholar
Saleem, S. & Bobak, M. (2005) Women's autonomy, education and contraception use in Pakistan: a national study. Reproductive Health Matters 2, 8.CrossRefGoogle ScholarPubMed
Schiavo-Campo, S. & Judd, M. (2005) The Mindanao Conflict in the Philippines: Roots, Costs and Potential Peace Dividends. The World Bank Social Development Papers: Conflict prevention and reconstruction. Paper No. 24. URL: http://siteresources.worldbank.org/INTCPR/214578-111996036679/20482477/WP24_Web.pdf (accessed 7th September 2009).Google Scholar
Upadhyay, U. & Hindin, M. (2005) Do higher status and more autonomous women have longer birth intervals? Results from Cebu, Philippines. Social Science & Medicine 60, 26412655.CrossRefGoogle ScholarPubMed
Voas, D. (2003) Conflicting preferences: a reason fertility tends to be too high or too low. Population and Development Review 29, 627646.CrossRefGoogle Scholar
Williams, L. & Domingo, L. (1993) The social status of elderly women and men within the Filipino family. Journal of Marriage and the Family 55, 415426.CrossRefGoogle Scholar
Woldemicael, G. (2009) Women's autonomy and reproductive preferences in Eritrea. Journal of Biosocial Science 41, 161181.CrossRefGoogle ScholarPubMed