Amref Health Africa, Tanzania. Ali Hassan Mwinyi Road Plot 1019 P O, Box 2773, Dar es Salaam, Tanzania.
Department of Public Health, College of Health Sciences, Dodoma University, P.O.Box 395, Dodoma, Tanzania.
BMC Public Health. 2023 Jun 9;23(1):1111. doi: 10.1186/s12889-023-15839-w.
Amref Health Africa, with support from Global Affairs Canada, examines if women's access to reproductive health services in Tanzania is affected by Gender social norms, decision-making power, roles and responsibility, and access to resources in relation to the utilization of reproductive Health Services in Tanzania. A Gender Need Assessment (GNA) was conducted in five districts in ' 'Tanzania Simiyu Region to improve the infrastructure, supply, quality, and demand for integrated Reproductive, Maternal, Newborn, and Child and Adolescent Health (RMNCAH), Nutrition, and Water, Sanitation, and Hygiene (WASH) services. The analysis identifies gender as a fundamental maternal and child health driver through existing gender inequality at the household and community levels that dictates women's status.
The qualitative assessment involved data collected from gender- and age-desegregated focus group discussions (FGDs) and in-depth interviews (IDIs) of key informants in three districts; Bariadi, Busega, and Meatu, in Simiyu region, Tanzania. Participants comprised 8-10 married women and men, unmarried women and men, and adolescent boys and girls. A total of 129 participants were involved in the FGDs.
This paper reports the critical drivers influencing gender inequality in Simiyu by detailing how Gender inequality affected women's access to reproductive health care in relation to; gender social norms, decision-making power, access to resources at the household and community level, roles and responsibilities, including men's and 'boys' roles are more valued than the roles and responsibilities of women and girls resulted to limited free time to do things for themselves, such as visiting the health facilities for RMNCAH.
This paper explored gender-based enablers and/or barriers influencing women and girls' realization of their sexual and reproductive health and rights. It was found that social norms, decision-making powers, and lack of access to and control over resources presented as key barriers. In contrast, continuous community sensitization and increased scope of women's participation in decision-making served as enabling environment to overcome gender inequities that influence woman's use of RMNCAH services in Tanzania. Such insights will shape interventions geared towards valuing differences in a manner that overcome gender inequities that influence woman's use of RMNCAH services in Tanzania.
在加拿大全球事务部的支持下，非洲援非组织考察了坦桑尼亚的女性获得生殖健康服务的机会是否受到性别社会规范、决策权力、角色和责任以及与利用生殖健康服务相关的资源获取的影响。在坦桑尼亚西米尤地区的五个区进行了一次性别需求评估（GNA），以改善基础设施、供应、质量以及对综合生殖、孕产妇、新生儿和儿童以及青少年健康（RMNCAH）、营养以及水、环境卫生和个人卫生（WASH）服务的需求。分析表明，性别是一个基本的母婴健康驱动因素，因为家庭和社区层面现有的性别不平等决定了妇女的地位。
定性评估涉及从性别和年龄分开的焦点小组讨论（FGD）以及坦桑尼亚西米尤地区三个区（Bariadi、Busega 和 Meatu）的关键信息提供者的深入访谈（IDI）中收集的数据。参与者包括 8-10 名已婚男女、未婚男女和青少年男孩和女孩。共有 129 名参与者参加了 FGD。
本文通过详细说明性别不平等如何影响妇女获得生殖保健的机会，报告了西米尤地区影响性别不平等的关键驱动因素；性别社会规范、决策权力、家庭和社区层面的资源获取、角色和责任，包括男性和“男孩”的角色比女性和女孩的角色更受重视，导致她们没有自由时间为自己做事情，例如去卫生设施接受 RMNCAH 服务。
本文探讨了影响妇女和女孩实现其性健康和生殖健康权利的基于性别的促进因素和/或障碍。研究发现，社会规范、决策权力以及缺乏资源获取和控制是主要障碍。相比之下，持续的社区宣传和增加妇女参与决策的范围是克服影响妇女使用 RMNCAH 服务的性别不平等的有利环境。这些见解将塑造干预措施，以重视差异的方式克服影响妇女使用 RMNCAH 服务的性别不平等。
