a Gender and Health Research Unit , South African Medical Research Council , Pretoria , South Africa.
b Women for Women International , Kabul , Afghanistan.
Glob Public Health. 2018 Nov;13(11):1702-1712. doi: 10.1080/17441692.2018.1427276. Epub 2018 Jan 22.
The processes through which women's economic empowerment interventions are envisaged to improve women's health are strongly embedded in notions of building women's agency and autonomy. Yet despite the ubiquity of such interventions, there remains incredibly little qualitative work exploring how women actually utilise interventions to reshape their lives and wellbeing. Drawing on 9 focus groups discussions among 52 women who participated in the Women for Women International intervention in Afghanistan, an economic strengthening and social empowerment intervention, we explore processes of change. Data showed women learnt new skills around numeracy and animal husbandry; they perceived themselves to have become more respected within the household setting; they invested cash they received for intervention attendance in businesses, primarily their husband's or family's, and saved cash. Women did not, however, report their relationships to have been radically restructured. Rather women described incremental changes in their relationships within their household and used what they gained from the intervention to secure and sustain this. This conceptualisation of agency and empowerment reflects approaches to understanding agency, which move away from 'action-oriented' understandings, to ones that recognise 'distributed agency' as pathways to change through interventions.
妇女经济赋权干预措施旨在改善妇女健康,其背后的理念是增强妇女的权能和自主性。然而,尽管此类干预措施无处不在,但几乎没有任何定性研究探讨妇女实际上如何利用这些干预措施来改变她们的生活和福祉。本研究通过在阿富汗参加妇女互助国际组织的妇女经济增强和社会赋权干预措施的 52 名妇女的 9 次焦点小组讨论,探讨了变化的过程。数据显示,妇女们学习了有关算术和畜牧业的新技能;她们认为自己在家庭环境中受到了更多的尊重;她们将因参加干预措施而获得的现金投资于企业,主要是丈夫或家庭的企业,并将现金储蓄起来。然而,妇女们并没有报告说她们的关系发生了根本性的改变。相反,妇女们描述了她们在家庭内部关系中的渐进式变化,并利用她们从干预措施中获得的东西来确保和维持这种变化。这种对权能的概念化反映了理解权能的方法,这些方法不再是“面向行动”的理解,而是承认“分布式权能”是通过干预措施实现变革的途径。