Sustaining women's empowerment for development in resource-limited settings: an exploratory qualitative approach.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES Frontiers in health services Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI:10.3389/frhs.2024.1480784
Wanno Wallole, Abraham Alano, Misganu Endriyas
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Abstract

Background: Women's empowerment is one of the fundamental issues for attaining sustainable development goals crossing multiple dimensions. In Ethiopia, Women's Development Network (WDN), a network of women, was established in 2010 with development aims. Ensuring women's empowerment critically needs collective efforts of platforms such as WDN. However, there was a paucity of information about the patterns of WDN functionalities, its contribution, and factors affecting its functionality in rural areas of Southern Ethiopia. Hence, this study aimed to explore WDN status and factors affecting their functionality in Southern Ethiopia.

Methodology: The study employed an exploratory qualitative design. Data were collected from purposively selected zones using focus group discussions and key informant interviews. Audio-taped materials were transcribed verbatim and analyzed using a thematic approach. Initially, data were coded (open coding) and after several reviews, themes were developed and interpreted in line with the study objectives.

Result: WDN has passed several steps from its establishment up to now. It was seen skeptically at its early inception, very good level of acceptance in the middle, and staggering currently. However, WDN has contributed to improvements in household welfare resulting from increased ability to afford food, clothing, health, and education. Specific to health, WDN has contributed to general awareness creation, maternal and child health utilization, and environmental sanitation. On the other hand, the volunteer nature of the job put pressure on WDN and revealed socioeconomic stresses. Moreover, inconsistent support from stakeholders especially health extension workers, inadequate men's engagement, and sidelining of WDN by some educated women remain challenges for the sustainable functionality.

Conclusion: WDN has contributed to multidimensional development goals, especially health services uptake and environmental sanitation. However, over time, it became flaccid and lost adequate emphasis from most of its stakeholders and supportive structures. Therefore, considering such vital inputs from community participation in resource-limited settings, stakeholders should offer adequate attention to WDN in terms of selection, training, orientation, follow-up, and acquainting with the community they serve. Moreover, efforts are needed to retain women voluntarily serving and build positive images across all stakeholders and fellow women receiving the services.

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在资源有限的情况下持续赋予妇女权力促进发展:一种探索性质的办法。
背景:赋予妇女权力是实现跨多个层面可持续发展目标的基本问题之一。在埃塞俄比亚,妇女发展网络(WDN)是一个妇女网络,成立于2010年,旨在实现发展目标。确保妇女赋权迫切需要WDN等平台的集体努力。然而,关于埃塞俄比亚南部农村地区WDN功能的模式、贡献和影响其功能的因素的信息缺乏。因此,本研究旨在探讨埃塞俄比亚南部WDN的现状及其影响其功能的因素。方法:本研究采用探索性定性设计。通过焦点小组讨论和关键信息提供者访谈,从有目的地选择的区域收集数据。录音材料逐字抄录,并采用专题方法进行分析。最初,对数据进行编码(开放式编码),经过几次审查,根据研究目标制定和解释主题。结果:WDN从成立到现在,经历了几个步骤。它在刚开始的时候被认为是怀疑的,在中期被接受的程度很高,而现在则令人震惊。然而,WDN有助于改善家庭福利,因为它提高了人们负担食物、衣服、保健和教育的能力。具体到保健方面,世界妇女日促进了提高普遍认识、利用妇幼保健和环境卫生。另一方面,这项工作的志愿性质给WDN带来了压力,并揭示了社会经济压力。此外,利益攸关方(特别是卫生推广工作者)的支持不一致、男性的参与不足以及一些受过教育的妇女将妇女网络边缘化,仍然是可持续功能面临的挑战。结论:WDN有助于实现多维发展目标,特别是保健服务的获取和环境卫生。然而,随着时间的推移,它变得软弱无力,失去了大多数利益相关者和支持结构的充分重视。因此,在资源有限的情况下,考虑到社区参与的重要投入,利益相关者应该在选择、培训、定向、后续行动和了解他们所服务的社区方面给予WDN足够的重视。此外,需要努力保持妇女自愿服务,并在所有利益攸关方和接受服务的妇女中树立积极形象。
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