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Contraceptive use and its effect on Indian women’s empowerment: evidence from the National Family Health Survey-4

Published online by Cambridge University Press:  10 October 2019

Biplab Dhak Open the ORCID record for Biplab Dhak [Opens in a new window] ,
Niranjan Saggurti  and
Faujdar Ram
Biplab Dhak*
Affiliation:
A. N. Sinha Institute of Social Studies, Patna, Bihar, India
Niranjan Saggurti
Affiliation:
Population Council, New Delhi, India
Faujdar Ram
Affiliation:
Population Council, New Delhi, India
*
*Corresponding author. Email: [email protected]
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Abstract

The positive effect of women’s empowerment on the use of contraceptives is well established. However, the reverse effect, i.e. the potential effect of use of contraceptives on women’s empowerment, is relatively unexplored. This study examined the direct impact of contraceptive use on women’s empowerment in currently married women aged 15–49 years in India using data from the National Family Health Survey-4 conducted in 2015–16. A two-stage least squares (2SLS) regression model was used to account for the issue of endogeneity that appears in a general logit model. The use of contraceptives by the sample women was found to be associated with greater women’s empowerment in terms of both their mobility and decision-making power. The pathways to greater women’s empowerment are often presumed to be factors such as changing perception of their domestic role and sense of control over their own body. While these are integral, this paper highlights how the possible control over family size and birth interval through use of contraception may also be critical pathways to increasing women’s empowerment.

Keywords

Contraceptive useWomen’s autonomyIndia
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 4 , July 2020 , pp. 523 - 533
Copyright
© Cambridge University Press 2019

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References

Alano, A and Hanson, L (2018) Women’s perception about contraceptive use benefits towards empowerment: a phenomenological study in Southern Ethiopia. PLoS One 13(9), e0203432.CrossRefGoogle ScholarPubMed
Basu, AM (1992) Culture, the Status of Women and Demographic Behaviour. Clarendon Press, Oxford.Google Scholar
Bhatia, JC and Cleland, J (1995) Determinants of maternal care in a region of south India. Health Transition Review 5(2), 127–142.Google Scholar
Carr, B, Gates, MF, Mitchell, A and Shah, R (2012) Giving women the power to plan their families. Lancet 380, 80–82.CrossRefGoogle ScholarPubMed
Cleland, J, Bernstein, S, Ezeh, A, Faundes, A, Glasier, A and Innis, J (2006) Family planning: the unfinished agenda. Lancet 368(9589), 1810–1827.CrossRefGoogle ScholarPubMed
Dixon, MR (1993) Population Policies and Women’s Rights: Transforming Reproductive Choice. Praeger, Westport, CT.Google Scholar
Dixon-Mueller, RB (1978) Rural Women at Work: Strategies for Development in South Asia. Johns Hopkins University Press, Baltimore, MD.Google Scholar
Dyson, T and Moore, M (1983) On kinship structure, female autonomy, and demographic behavior in India. Population and Development Review 9(1), 35–60.CrossRefGoogle Scholar
Gupta, K and Yesudian, P (2006) Evidence of women’s empowerment in India: a study of socio-spatial disparities. GeoJournal 65(4), 365–380.CrossRefGoogle Scholar
IIPS and ICF (2017) National Family Health Survey (NFHS-4), 2015–16: India. International Institute for Population Sciences, Mumbai.Google Scholar
Jejeebhoy, SJ (1984) Household type and family size in Maharashtra, 1970. Social Biology 31(1–2), 91–100.Google Scholar
Jejeebhoy, SJ (1991) Women’s status and fertility: successive cross-sectional evidence from Tamil Nadu, India. Studies in Family Planning 22(4), 217–230.CrossRefGoogle ScholarPubMed
Jejeebhoy, SJ (1995) Women’s Education, Autonomy and Reproductive Behaviour: Experiences from Developing Countries. Clarendon Press, Oxford.Google Scholar
Kabeer, N (1999) The Conditions and Consequences of Choice: Reflections on the Measurement of Women’s Empowerment. Discussion Paper 108, United Nations Research Institute for Social Development, Geneva. URL: http://www.unrisd.org/80256B3C005BCCF9/(httpAuxPages)/31EEF181BEC398A380256B67005B720A/$file/dp108.pdf (accessed 10th May 2019).Google Scholar
Kabeer, N (2008) Paid Work, Women’s Empowerment, and Gender Justice: Critical Pathways of Social Change. Pathways Paper No. 3, Institute for Development Studies, Sussex.Google Scholar
Lee-Rife SM (2010) Women’s empowerment and reproductive experiences over the life course. Social Science & Medicine 71(3), 634–642.CrossRefGoogle Scholar
Mahmud, S and Johnson, AM (1994) Women’s status, empowerment, and reproductive outcomes. In Gita, S, Germain, A and Chen, LC (eds) Population Policies Reconsidered: Health, Empowerment, and Rights. Harvard School of Public Health, MA, pp. 67–75.Google Scholar
Mason, KO (1987) The impact of women’s social position on fertility in developing countries. Sociological Forum 2(4), 718–745.CrossRefGoogle Scholar
Mason, KO (1993) The impact of women’s position on demographic change during the course of development. In Federici, N, Mason, KO and Sogner, S (eds) Women’s Position and Demographic Change, Clarendon, Oxford, pp. 19–42.Google Scholar
Mason, KO and Smith, HL (2000) Husbands’ versus wives’ fertility goals and use of contraception: the influence of gender context in five Asian countries. Demography 37(3), 299–311.CrossRefGoogle ScholarPubMed
Narayan, D (2002) Empowerment and Poverty Reduction: A Sourcebook. World Bank, Washington, DC.Google Scholar
Ram, F (2014) NFHS4: An Introduction. Demography India 43(1&2), 1–8.Google Scholar
Roy, TK and Saggurti, N (2004) Indicators of women’s empowerment in India. Asia-Pacific Population Journal 19(3), 23–38.CrossRefGoogle Scholar
Patrikar, SR, Basannar, DR and Sharma, MS (2014) Women empowerment and use of contraception. Medical Journal Armed Forces India 70(3), 253–256.CrossRefGoogle ScholarPubMed
Sen, A (1985) Well-being, agency, and freedom: The Dewey Lectures 1984. Journal of Philosophy 82(4), 169–221.Google Scholar
Sen, A (1990) Gender and cooperative conflicts. In Tinker, I (ed.) Persistent Inequalities, Oxford University Press, New York, pp. 103–148.Google Scholar
Stephenson, R and Tsui, AO (2002) Contextual influence on reproductive health service use in Uttar Pradesh, India. Studies in Family Planning 33(4), 309–320.CrossRefGoogle ScholarPubMed
Ting, H, Chon, K and Ming, J (2014) Television on women’s empowerment in India. Journal of Development Studies 50(11), 1523–1537.CrossRefGoogle Scholar
Thang, NM, Swenson, IE, Man, VD and Trinh, P (1992) Contraceptive use in Vietnam: the effect of individual and community characteristics. Contraception 45(5), 409–427.CrossRefGoogle Scholar
Upadhyay, DU, Gipson, JD, Withers, M, Lewis, S, Ciaraldi, E, Fraser, Aet al. (2014) Women’s empowerment and fertility: a review of the literature. Social Science & Medicine 115(2014), 111–120.CrossRefGoogle ScholarPubMed
Upadhyay, UD and Karasek, D (2010) Women’s Empowerment and Achievement of Desired Fertility in Sub-Saharan Africa. DHS Working Paper No. 80. ICF Macro, Calverton, MD.Google Scholar
Visaria, L (1993) Regional Variations in Female Autonomy and Fertility and Contraception in India. GIDR Working Paper Series No. 50. Gujarat Institute of Development Research, Ahmedabad.Google Scholar
WHO (1995) Health Benefits of Family Planning. Family Planning and Population Division of Reproductive Health. World Health Organization, Geneva. URL: https://apps.who.int/iris/bitstream/handle/10665/62091/WHO_FHE_FPP_95.11.pdf;jsessionid=080B32D6CCE77CF9298196D8AA51A5ED?sequence=1 (accessed 10th May 2019).Google Scholar
World Bank (2012) World Development Report 2012: Gender Equality and Development. World Bank, Washington, DC. URL: https://openknowledge.worldbank.org/%20handle/10986/4391 (accessed 1st August 2019).Google Scholar