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Volume 17
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10.3390/ijerph17124592
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Article

Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia

by
Muluken Dessalegn
1,2,*,
Mhiret Ayele
1,
Yeshitila Hailu
3,
Genetu Addisu
4,
Sintayehu Abebe
4,
Haset Solomon
4,
Geteneh Mogess
1 and
Virginia Stulz
2
1
Amref Health Africa in Ethiopia, Monitoring, Evaluation and Research Department, Addis Ababa P O Box 20855 Code 1000, Ethiopia
2
School of Nursing and Midwifery, Western Sydney University, Sydney, NSW 2751, Australia
3
Amref Health Africa in Ethiopia, Head of Programs, Addis Ababa P O Box 20855 Code 1000, Ethiopia
4
Amref Health Africa in Ethiopia, Reproductive Maternal and Child Health Department, Addis Ababa P O Box 20855 Code 1000, Ethiopia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4592; https://doi.org/10.3390/ijerph17124592
Submission received: 8 May 2020 / Revised: 1 June 2020 / Accepted: 5 June 2020 / Published: 26 June 2020
(This article belongs to the Section Women's Health)
Versions Notes

Abstract

The main purpose of this research was to analyze gender context in the Afar region of Ethiopia and propose a set of strategies or actions to improve adolescent and youth health. Using a pre-established gender analysis framework, an explorative qualitative study was conducted in five districts. Sixteen key informants and eight focus group discussions were conducted among adult women and men of young adolescents and youth. The study revealed that younger and older women are the most disadvantaged groups of the society. This is due to the high workload on women and girls (housekeeping, building a house and taking care of cattle and children), they also are less valued, have no control over resources and have no part in decision making, including their personal life choices. As a result, they rarely access school and health facilities. They are forced get married according to arranged marriage called “absuma.” As such, they suffer from multiple reproductive health problems. Women have poor decision-making autonomy, lack control over resources, have limited participation in socio-economic practices, and experience child and early forced marriage, and this poor service utilization has exposed them to the worst sexual and reproductive health outcomes.
Keywords: gender; gender analysis; gender equity; value; absuma; empowerment gender; gender analysis; gender equity; value; absuma; empowerment

Share and Cite

MDPI and ACS Style

Dessalegn, M.; Ayele, M.; Hailu, Y.; Addisu, G.; Abebe, S.; Solomon, H.; Mogess, G.; Stulz, V. Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia. Int. J. Environ. Res. Public Health 2020, 17, 4592. https://doi.org/10.3390/ijerph17124592

AMA Style

Dessalegn M, Ayele M, Hailu Y, Addisu G, Abebe S, Solomon H, Mogess G, Stulz V. Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia. International Journal of Environmental Research and Public Health. 2020; 17(12):4592. https://doi.org/10.3390/ijerph17124592

Chicago/Turabian Style

Dessalegn, Muluken, Mhiret Ayele, Yeshitila Hailu, Genetu Addisu, Sintayehu Abebe, Haset Solomon, Geteneh Mogess, and Virginia Stulz. 2020. "Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia" International Journal of Environmental Research and Public Health 17, no. 12: 4592. https://doi.org/10.3390/ijerph17124592

APA Style

Dessalegn, M., Ayele, M., Hailu, Y., Addisu, G., Abebe, S., Solomon, H., Mogess, G., & Stulz, V. (2020). Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia. International Journal of Environmental Research and Public Health, 17(12), 4592. https://doi.org/10.3390/ijerph17124592

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