TY - JOUR
T1 - The impact of women's empowerment on their children's early development in 26 African countries
AU - Ewerling, Fernanda
AU - W Lynch, John
AU - Mittinty, Murthy
AU - Raj, Anita
AU - Victora, Cesar G.
AU - Coll, Carolina V. N.
AU - Barros, Aluisio J. D.
PY - 2020/12
Y1 - 2020/12
N2 - Background Every year more than 200 million children under-five years fail to achieve their full developmental potential in low- and middle-income countries (LMICs). Although women's empowerment has been associated with improved child health and development outcomes, this is a topic little studied in LMICs. We investigated the associations between women's empowerment and early childhood development among a sample population of 84537 children aged 36-59 months from national health surveys of 26 African countries.Methods We used data from Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) ranging from 2010 to 2018. Four developmental domains were assessed among children using the Early Childhood Development Index: literacy-numeracy, physical, learning and socioemotional. Women's empowerment in attitude to violence, social independence and decision-making was evaluated using the SWPER global, a validated survey-based index. We reported effect sizes for each country and a combined estimate of the association. The study covers all countries with surveys in the region and uses a novel approach for measuring women's empowerment, the SWPER.Results Across all countries, 15.1% of the children were on track in the literacy-numeracy domain, 92.3% in physical, 81.3% in learning and 67.8% in socio-emotional. The odds of a child being on track in literacy-numeracy increased by 34% (odds ratio (OR) = 1.34; 95% confidence interval (CI) = 1.31-1.37), 88% (OR = 1.88; 95% CI = 1.85-1.91) and 34% (OR = 1.34; 95% CI = 1.291.39), with a one standard deviation increase in the scores of attitudes to violence, social independence and decision-making domains of empowerment, respectively. No effect of empowerment was observed for the other domains of child development.Conclusions Our results show a consistent positive effect of empowerment on the literacy-numeracy domain of child development cross-nationally in Africa and this was particularly evident for the social independence domain of the SWPER. Programs and interventions may also consider addressing the reduction of gender inequalities to improve child development.
AB - Background Every year more than 200 million children under-five years fail to achieve their full developmental potential in low- and middle-income countries (LMICs). Although women's empowerment has been associated with improved child health and development outcomes, this is a topic little studied in LMICs. We investigated the associations between women's empowerment and early childhood development among a sample population of 84537 children aged 36-59 months from national health surveys of 26 African countries.Methods We used data from Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) ranging from 2010 to 2018. Four developmental domains were assessed among children using the Early Childhood Development Index: literacy-numeracy, physical, learning and socioemotional. Women's empowerment in attitude to violence, social independence and decision-making was evaluated using the SWPER global, a validated survey-based index. We reported effect sizes for each country and a combined estimate of the association. The study covers all countries with surveys in the region and uses a novel approach for measuring women's empowerment, the SWPER.Results Across all countries, 15.1% of the children were on track in the literacy-numeracy domain, 92.3% in physical, 81.3% in learning and 67.8% in socio-emotional. The odds of a child being on track in literacy-numeracy increased by 34% (odds ratio (OR) = 1.34; 95% confidence interval (CI) = 1.31-1.37), 88% (OR = 1.88; 95% CI = 1.85-1.91) and 34% (OR = 1.34; 95% CI = 1.291.39), with a one standard deviation increase in the scores of attitudes to violence, social independence and decision-making domains of empowerment, respectively. No effect of empowerment was observed for the other domains of child development.Conclusions Our results show a consistent positive effect of empowerment on the literacy-numeracy domain of child development cross-nationally in Africa and this was particularly evident for the social independence domain of the SWPER. Programs and interventions may also consider addressing the reduction of gender inequalities to improve child development.
KW - Children
KW - Early development
KW - low- and middle-income countries (LMICs)
KW - Empowerment
KW - Women
KW - Child health outcomes
KW - Child development outcomes
UR - http://www.scopus.com/inward/record.url?scp=85096459618&partnerID=8YFLogxK
U2 - 10.7189/jogh.10.020406
DO - 10.7189/jogh.10.020406
M3 - Article
C2 - 33214898
AN - SCOPUS:85096459618
SN - 2047-2978
VL - 10
JO - Journal of Global Health
JF - Journal of Global Health
IS - 2
M1 - 020406
ER -