Sunday 9 November 2014

Maternal Health and Empowerment

What exactly is empowerment? Although the term empowerment is frequently used, there is much confusion about what empowerment is.

Empowerment can according to the UNDP be defined in economic, social and political terms. In economic terms, this means being able to engage freely in any economic activity. In social terms, this means being able to join fully in all forms of community life, without regard to religion, colour, sex or race. And in political terms, this means having the freedom to choose and change governance at every level, from the Presidential palace to the village council.[i]

Photo: Simone Periere
Women's empowerment has according to the UN a total of five components: Women’s sense of self-worth; their right to have and to determine choices; their right to have access to opportunities and resources; their right to have the power to control their own lives, both within and outside the home; and their ability to influence the direction of social change to create a more just social and economic order, nationally and internationally.[ii]

The core of empowerment therefore lies in the ability of a woman to control her own destiny. This implies that to be empowered women must not only have equal capabilities (such as in regard to education and health) and equal access to resources and opportunities (such as access to health resources), they must also have the agency to use those rights, capabilities, resources and opportunities to make strategic choices and decisions. And to exercise agency, women must live without the fear of coercion and violence.[iii]

Empowered women experience increased political participation, control of resources including land, access to employment and education - all which are crucial for promoting maternal health. Empowered women are more likely to have fewer children, more likely to access health services and have control over health resources, and less likely to suffer domestic violence. Their children are more likely to survive, receive better childcare at home and receive health care when they need it. At the same time, improved health outcomes for women can help to strengthen their own agency and empowerment. Healthy women are more able to actively participate in society and markets and take collective action to advance their own interests. They are likely to have greater bargaining power and control over resources within the household.

Empowered women understand their value in society and can therefore demand their right to access quality maternal health services, which in return might influence and even improve maternal health practice and policy.[iv]





[i] UNDP (1993) 'Human Development Report 1993: People's Participation', (New York, NY: Oxford University Press).
[ii] UN Secretariat, Inter-agency Task Force on the Implementation of the International Conference on Population and Development’s Programme of Action, ‘Guidelines on Women’s Empowerment’
[www.un.org/popin/unfpa/taskforce/guide/iatfwemp.gdl.html].
[iii] Millennium Project Task Force on Education and Gender Equality (2005) 'Taking action: achieving gender equality and empowering women.'
[iv] Partnership for Maternal Newborn and Child Health (2013) 'Promoting Women's Empowerment for Better Health Outcomes for Women and Children.' (New York, WHO Press)