Showing papers on "Empowerment published in 2014"

Voice and Agency: Empowering Women and Girls for Shared Prosperity

Abstract: This report on voice and agency, which builds on the 2012 World Development Report, focuses on several areas key to women's empowerment: freedom from violence, control over sexual and reproductive health and rights, ownership and control of land and housing, and voice and collective action. It explores the power of social norms in dictating how men and women can and cannot behave, deterring women from owning property or working even where laws permit, for example, because those who do become outcasts. The report distills vast data and hundreds of studies to shed new light on constraints facing women and girls worldwide, from epidemic levels of gender-based violence to biased laws and norms that prevent them from owning property, working, and making decisions about their own lives. It highlights promising reforms and interventions from around the world and lays out an urgent agenda for governments, civil society, development agencies, and other stakeholders. Among its keys findings: girls with little or no education are far more likely to be married as children, suffer domestic violence, live in poverty, and lack a say over household spending or their own health care than better-educated peers, which harms them, their children, and communities.

Empowering patients through social media: The benefits and challenges

Abstract: This article explores the range of social media platforms used by patients and examines the benefits and challenges of using these tools from a patient perspective. A literature review was performed to investigate the use of social media technology by patients. The MEDLINE database was searched using the terms "social media" and "patient." The search was conducted in September 2012 and yielded 765 abstracts. Initially, 63 abstracts were selected. All articles dating from 2004 through 2012 were included. Only 12 articles were found to be relevant for the purposes of the review. The results of this research found that there appears to be an increase in the use of social media by patients across the healthcare spectrum. The research indicates a promising future for the use of social media by patients; however, evidence related to the efficacy and effectiveness of social media is currently limited. Various challenges have also been identified relating to privacy and security concerns, usability, the manipulation of identity, and misinformation. The use of social media technology is an emerging trend for patients who are seeking health information. Conclusions are that such technology holds promise for improving patient engagement and empowerment and community building. Social media has a future in healthcare, especially with regard to patient engagement and empowerment; however, there are several challenges to overcome before the technology can achieve its potential.

Improving Social Well- Being Through New Democratic Institutions

Abstract: We evaluate the role of a new type of democratic institution, participatory budgeting (PB), for improving citizens' well-being. Participatory institutions are said to enhance governance, citizens' empowerment, and the quality of democracy, creating a virtuous cycle to improve the poor's well-being. Drawing from an original database of Brazil's largest cities over the last 20 years, we assess whether adopting PB programs influences several indicators of well-being inputs, processes, and outcomes. We find PB programs are strongly associated with increases in health care spending, increases in civil society organizations, and decreases in infant mortality rates. This connection strengthens dramatically as PB programs remain in place over longer time frames. Furthermore, PB's connection to well-being strengthens in the hand of mayors from the nationally powerful, ideologically and electorally motivated Workers' Party. Our argument directly addresses debates on democracy and well-being and has powerful implications for participation, governance, and economic development.

Success and failure of grassroots innovations for addressing climate change: The case of the Transition Movement

Abstract: Grassroots innovations emerge as networks generating innovative solutions for climate change adaptation and mitigation. However, it is unclear if grassroots innovations can be successful in responding to climate change. Little evidence exists on replication, international comparisons are rare, and research tends to overlook discontinued responses in favour of successful ones. We take the Transition Movement as a case study of a rapidly spreading transnational grassroots network, and include both active and non-active local transition initiatives. We investigate the replication of grassroots innovations in different contexts with the aim to uncover general patterns of success and failure, and identify questions for future research. An online survey was carried out in 23 countries (N=276). The data analysis entailed testing the effect of internal and contextual factors of success as drawn from the existing literature, and the identification of clusters of transition initiatives with similar internal and contextual factor configurations. Most transition initiatives consider themselves successful. Success is defined along the lines of social connectivity and empowerment, and external environmental impact. We find that less successful transition initiatives might underestimate the importance of contextual factors and material resources in influencing success. We also find that their diffusion is linked to the combination of local-global learning processes, and that there is an incubation period during which a transition initiative is consolidated. Transition initiatives seem capable of generalising organisational principles derived from unique local experiences that seem to be effective in other local contexts. However, the geographical locations matter with regard to where transition initiatives take root and the extent of their success, and ‘place attachment’ may have a role in the diffusion of successful initatives. We suggest that longitudinal comparative studies can advance our understanding in this regard, as well as inform the changing nature of the definition of success at different stages of grassroots innovation development, and the dynamic nature of local and global linkages.

Workplace empowerment and nurses' job satisfaction: a systematic literature review.

Abstract: Aims This systematic review aimed to synthesize and analyse the studies that examined the relationship between nurse empowerment and job satisfaction in the nursing work environment. Background Job dissatisfaction in the nursing work environment is the primary cause of nursing turnover. Job satisfaction has been linked to a high level of empowerment in nurses. Evaluation We reviewed 596 articles, written in English, that examined the relationship between structural empowerment, psychological empowerment and nurses' job satisfaction. Twelve articles were included in the final analysis. Key issue A significant positive relation was found between empowerment and nurses' job satisfaction. Structural empowerment and psychological empowerment affect job satisfaction differently. Conclusion A satisfying work environment for nurses is related to structural and psychological empowerment in the workplace. Structural empowerment is an antecedent of psychological empowerment and this relationship culminates in positive retention outcomes such as job satisfaction. Implication for nursing management This review could be useful for guiding leaders' strategies to develop and maintain an empowering work environment that enhances job satisfaction. This could lead to nurse retention and positive organisational and patient outcomes.

Participatory Budgeting as if Emancipation Mattered

Abstract: Participatory Budgeting has by now been widely discussed, often celebrated, and is now instituted in at least 1,500 cities worldwide. Some of its central features—its structure of open meetings, its yearly cycle, and its combination of deliberation and representation—are by now well known. In this article, however, we critically reflect on its global travel and argue for more careful consideration of some of its less well-known features, namely the coupling of the budgeting meetings with the exercise of power. We disaggregate PB into its communicative and empowerment dimensions and argue that its empowerment dimensions have usually not been part of its global expansion—and this is cause for concern from the point of view of emancipation. We thus discuss the specific institutional reforms associated with empowerment in the original version as well as its analytic dimensions. We also address some of the specific dangers of a communication-only version of PB as well as some suggestions for reintroducing empo...

Studies in Empowerment : Steps Toward Understanding and Action

Abstract: Contents Foreword: Empowerment: An Antidote for Folly * Studies in Empowerment: Introduction to the Issue * Citizen Empowerment: A Developmental Perspective * Empowerment in a Religious Setting: A Multivariate Investigation * The Fort McDowell Yavapai: From Pawns to Powerbrokers * Vehicles for Empowerment: The Case of Feminist Movement Organizations * Help Seeking and Receiving in Urban Ethnic Neighborhoods: Strategies for Empowerment * Creating and Using Social Technologies for Community Empowerment * The Illusion of Empowerment: Community Development Within a Colonial Context * Empowerment and Synergy: Expanding the Community's Healing Resources * Thoughts on Empowerment

Gender mainstreaming and climate change

Abstract: Synopsis Gender mainstreaming refers to the process of incorporating a gender perspective to any action, policy, legislation or action in order to ensure that the concerns of all are addressed and that gender inequalities are not perpetuated through institutional means. However the implementation of gender mainstreaming across the globe has not necessarily resulted in advances for women, as it is usually associated with a winding back of women-focused policies and programs. Emerging research indicates that climate change has significant gendered impacts and yet policies and practices designed to address and shape mitigation and adaptation strategies have failed to incorporate gender mainstreaming. Further the scientific and technological focus of many of these institutional responses has led to a lack of attention to social outcomes more generally. This has resulted in a lack of attention to the vulnerable groups, including women. This paper outlines an argument not only for gender mainstreaming of climate policy but also for policy focused specifically on women's empowerment. Gender mainstreaming is essential in ensuring that not only climate policies and programs are comprehensive, but so too are women-focused policies designed to ensure that women are supported and empowered to take action on their own behalf.

Empowerment, patient centred care and self-management

Abstract: Background Patient or person centred care is widely accepted as the philosophy and practice that underpins quality care. An examination of the Australian National Chronic Disease Strategy and literature in the field highlights assumptions about the self-manager as patient and a focus on clinical settings. Objective and Conclusion This paper considers patient or person centred care in the light of empowerment as it is understood in the health promotion charters first established in Alma Ata in 1977. We argue that patient or person centred care can be reconfigured within a social justice and rights framework and that doing so supports the creation of conditions for well-being in the broader context, one that impacts strongly on individuals. These arguments have broader implications for the practice of patient centred care as it occurs between patient and health professional and for creating shared responsibility for management of the self. It also has implications for those who manage their health outside of the health sector.

Linking organizational trust with employee engagement: the role of psychological empowerment

Abstract: Purpose – This study aims to investigate the relationship between organizational trust, psychological empowerment, and employee engagement. In addition, the study seeks to test the moderating role of psychological empowerment on the relationship between trust and engagement. Design/methodology/approach – Hierarchical regression analyses were carried out on a sample of 715 employees from seven commercial banks and four pharmaceutical companies in south-eastern Nigeria who participated in the survey. Findings – The results showed that organizational trust and psychological empowerment were predictors of work engagement. There was a moderating effect of empowerment on the relationship between trust and engagement. Research limitations/implications – The findings show that organizational trust and psychological empowerment that predict positive job behaviour in Western cultures are also critical in understanding Nigerian workers ' positive organizational behaviour such as work engagement. Practical implicatio...

The economic impact of digital technologies in Europe

Abstract: This paper analyses the economic impact of digital technologies in Europe distinguishing between different stages/domains of the digitalization process. A set of composite Information and Communication Technologies (ICT) indicators is used for capturing the access to ICTs, the ability to use them and the digital empowerment of individuals in key social and economic domains. We argue that the mere accessibility to ICT facilities is only a pre-condition for moving towards a digitalized society, while the ‘level’ and the ‘quality’ in the use of these technologies, as well as the conditions facilitating or hampering digital empowerment, play a much more important role. Several transmission mechanisms from ICT access, usage and digital empowerment to key macro-economic variables (namely labour productivity, gross domestic product per capita, employment growth and the employment rate) are identified. The econometric evidence supports our hypotheses showing that the usage of ICT, and mostly digital empowerment, ...

Women's empowerment and economic development

Abstract: Women empowerment and economic development are closely related: in one direction, development alone can play a major role in driving down inequality between men and women; in the other direction, empowering women may benefit development. Development policies and programs tend not to view women as integral to the economic development process. This is reflected in the higher investments in women's reproductive rather than their productive roles, mainly in population programs. Yet women throughout the developing world engage in economically productive work and earn incomes. They work primarily in agriculture and in the informal sector and increasingly, in formal wage employment. Their earnings, however, are generally low. Since the 1950s, development agencies have responded to the need for poor women to earn incomes by making relatively small investments in income-generating projects. Often such projects fail because they are motivated by welfare and not development concerns, offering women temporary and part-time employment in traditionally feminine skills such as knitting and sewing that have limited markets. By contrast, over the past twenty years, some nongovernmental organizations, such as the Self-Employed Women's Association in India, have been effective in improving women's economic status because they have started with the premise that women are fundamental to the process of economic development.

An Evidence Review of Gender-Integrated Interventions in Reproductive and Maternal-Child Health

Abstract: Evidence-based behavior change interventions addressing gender dynamics must be identified and disseminated to improve child health outcomes. Interventions were identified from systematic searches of the published literature and a web-based search (Google and implementer's websites). Studies were eligible if an intervention addressed gender dynamics (i.e., norms, unequal access to resources), measured relevant behavioral outcomes (e.g., family planning, antenatal care, nutrition), used at least a moderate evaluation design, and were implemented in low- or middle-income countries. Of the 23 interventions identified, 22 addressed reproductive and maternal-child health behaviors (e.g., birth spacing, antenatal care, breastfeeding) that improve child health. Eight interventions were accommodating (i.e., acknowledged, but did not seek to change gender dynamics), and 15 were transformative (i.e., sought to change gender dynamics). The majority of evaluations (n = 12), including interventions that engaged men and women to modify gender norms, had mixed effects. Evidence was most compelling for empowerment approaches (i.e., participatory action for maternal-child health; increase educational and economic resources, and modify norms to reduce child marriage). Two empowerment approaches had sufficient evidence to warrant scaling-up. Research is needed to assess promising approaches, particularly those that engage men and women to modify gender norms around communication and decision making between spouses.

Forty years of gender research and environmental policy: Where do we stand?

Abstract: Synopsis Forty years of gender research has ensured that gender is an important category that needs to be taken into account in environmental policy and practice. A great deal of finances and attention are currently being directed to gender in development and environmental organizations. At the same time, as gender research has become more sophisticated and theoretically strong, there is also frustration among academic researchers as well as practitioners and policy makers that it appears to have had a marginal effect on environmental practice on the ground. Policies have turned to gender mainstreaming, attempted to include women and other marginalized social groups in environmental management and markets. Change has been mixed. Mainstreaming can become a technocratic exercise. The assumption that competing interests can be negotiated by adding women to organizations for environmental governance, in disregard for social relations, is problematic. Stereo-types about women and men, sometimes buttressed by gender research predominate in policy and programs. Inclusion in markets offer new options but can further curb women's agency. Contradictions arise - as gender becomes a part of the official machinery, when women are regarded as a collective but addressed as individuals in programs and when the focus is on the governance of gender with little attention on the gender of neoliberal governance. Yet, support for ‘gender programs’ has also led to unintended openings for empowerment. It is clear that the meaning of gender is far from settled and there are intensified efforts to define what ‘gender’ is in each context. I discuss the renewed interest in gender and what this engagement with power might mean for gender research, policy and practice and where we might go from here.

Women's empowerment and male involvement in antenatal care: analyses of Demographic and Health Surveys (DHS) in selected African countries

Abstract: Increasing women’s status and male involvement are important strategies in reducing preventable maternal morbidity and mortality. While efforts to both empower women and engage men in maternal health care-seeking can work synergistically, in practice they may result in opposing processes and outcomes. This study examines whether a woman’s empowerment status, in sum and across economic, socio-familial, and legal dimensions, is associated with male partner accompaniment to antenatal care (ANC). Women’s empowerment was measured based on the sum of nine empowerment items in the 2010–2011 Demographic and Health Surveys in eight sub-Saharan African countries: Burkina Faso (n = 2,490), Burundi (n = 1,042), Malawi (n = 1,353), Mozambique (n = 414), Rwanda (n = 1,211), Senegal (n = 505), Uganda (n = 428) and Zimbabwe (n = 459). In cross-sectional analyses, bivariate and multivariable logistic regressions models were used to examine the odds of male partner accompaniment to ANC between women with above-average versus below-average composite and dimensional empowerment scores. In the majority of countries, male accompaniment to ANC was not uncommon. However, findings were mixed. Positive associations in women’s composite empowerment and male involvement were observed in Burkina Faso (OR = 1.27, 95% CI: 1.08, 1.50) and Uganda (OR = 1.53, 95% CI: 1.00-2.35), and in the economic empowerment dimension in Burkina Faso (OR = 1.24, 95% CI: 1.05-1.47). In Malawi, significant negative associations were observed in the odds of male accompaniment to ANC and women’s composite (OR = 0.77, 95% CI: 0.62-0.97) and economic empowerment scores (OR = 0.75, 95% CI: 0.59-0.94). No significant differences were observed in Burundi, Mozambique, Rwanda, Senegal, or Zimbabwe. Women’s empowerment can be positively or negatively associated with male antenatal accompaniment. Male involvement efforts may benefit from empowerment initiatives that promote women’s participation in social and economic spheres, provided that antenatal participation does not undermine women’s preferences or autonomy. The observation of mixed and null findings suggests that additional qualitative and longitudinal research may enhance understanding of women’s empowerment in sub-Saharan African settings.

Empowerment Theory: Clarifying the Nature of Higher-Order Multidimensional Constructs

Abstract: Development of empowerment theory has focused on defining the construct at different levels of analysis, presenting new frameworks or dimensions, and explaining relationships between empowerment-related processes and outcomes. Less studied, and less conceptually developed, is the nature of empowerment as a higher-order multidimensional construct. One critical issue is whether empowerment is conceptualized as a superordinate construct (i.e., empowerment is manifested by its dimensions), an aggregate construct (i.e., empowerment is formed by its dimensions), or rather as a set of distinct constructs. To date, researchers have presented superordinate models without careful consideration of the relationships between dimensions and the higher-order construct of empowerment. Empirical studies can yield very different results, however, depending on the conceptualization of a construct. This paper represents the first attempt to address this issue systematically in empowerment theory. It is argued that superordinate models of empowerment are misspecified and research that tests alternative models at different levels of analysis is needed to advance theory, research, and practice in this area. Recommendations for future work are discussed.

’The Girl Effect’: Liberalism, Empowerment, and the Contradictions of Development

Abstract: The ‘girl effect’ – the idea that investment in the skills and labour of young women is the key to stimulating economic growth and reducing poverty in the global South – has recently become a key development strategy of the World Bank, the imf, usaid and dfid, in partnership with corporations such as Nike and Goldman Sachs. This paper examines the logic of this discourse and its stance towards kinship in the global South, situating it within the broader rise of ‘gender equality’ and ‘women’s empowerment’ as development objectives over the past two decades. Empowerment discourse, and the ‘capability’ approach on which it is based, has become popular because it taps into ideals of individual freedom that are central to the Western liberal tradition. But this project shifts attention away from more substantive drivers of poverty – structural adjustment, debt, tax evasion, labour exploitation, financial crisis, etc – as it casts blame for underdevelopment on local forms of personhood and kinship. As a result,...

Women's Empowerment and Contraceptive Use: The Role of Independent versus Couples' Decision-Making, from a Lower Middle Income Country Perspective

Abstract: Introduction: There is little available evidence of associations between the various dimensions of women's empowerment and contraceptive use having been examined - and of how these associations are mediated by women's socio-economic and demographic statuses We assessed these phenomena in Pakistan using a structured-framework approach Methods: We analyzed data on 2,133 women who were either using any form of contraceptive or living with unmet need for contraception The survey was conducted during May - June 2012, with married women of reproductive age (15-49 years) in three districts of Punjab The dimensions of empowerment were categorized broadly into: economic decision-making, household decision-making, and women's mobility Two measures were created for each dimension, and for the overall empowerment: women's independent decisions, and those taken jointly by couples Contraceptive use was categorized as either female-only or couple methods on the basis of whether a method requires the awareness of, or some support and cooperation from, the husband Multinomial regression was used, by means of Odds Ratios (OR), to assess associations between empowerment dimensions and female-only and couple contraceptive methods Results: Overall, women tend to get higher decision-making power with increased age, higher literacy, a greater number of children, or being in a household that has superior socio-economic status The measures for couples' decision-making for overall empowerment and for each dimension of it showed positive associations with couple methods as well as with female-only methods The only exception was the measure of economic empowerment, which was associated only with the couple method Conclusion: Couples' joint decision-making is a stronger determinant of the use of contraceptive methods than women-only decision-making This is the case over and above the contribution of women's socio-demographic and economic statuses Effort needs to be made to educate women and their husbands equally, with particular focus on highly effective contraceptive methods

Indigenous ecotourism in the Mayan rainforest of Palenque: empowerment issues in sustainable development

Abstract: Indigenous ecotourism in the Mayan rainforest has received little research attention. This study examines issues related to the level of empowerment in a Mayan village located near the Palenque World Heritage Site in southern Mexico. An adapted empowerment framework was used to assess community empowerment and its relationship with stakeholders’ participation by collecting the views of internal and external stakeholders in indigenous ecotourism. Using a checklist of 60 empowerment indicators, the study developed a wheel of empowerment tool that graphically illustrates and compares levels of empowerment/disempowerment in local communities. Results indicate that although there is a will from many villagers to participate in tourism, lack of knowledge, limited economic resources and the poor negotiation skills of local leaders have disempowered the community from undertaking ecotourism ventures. Non Governmental Organisations (NGOs) have not supported the community until recently, the private sector has play...

Agency, Affect, and the Immunological Politics of Disaster Resilience

Abstract: Resilience has become a foundational component within disaster management policy frameworks concerned with building �cultures of safety� among vulnerable populations. These attempts at social engineering are justified through a discourse of agency and empowerment, in which resilience programming is said to enable marginalized groups to become self-sufficient and manage their own vulnerabilities. This paper seeks to destabilize this political imaginary through a critical analysis of participatory disaster resilience programming in Jamaica. Drawing on ethnographic fieldwork conducted with Jamaica�s national disaster management agency, I argue that resilience operates through an affective economy of fear, hope, and confidence that enacts an immunitary biopolitics. The object of this biopolitics is excess adaptive capacity that results from affective relations between participants and their socioecological milieu. Participatory techniques such as transect walks, focus groups, and education programs attempt to encode and manipulate these affective relations in order to construct an artificial and depoliticized form of adaptive capacity that does not threaten neoliberal order. Recognizing the immunological logic at the heart of disaster resilience opens up new ethical and political imperatives in disaster management that value adaptive capacity as the vital force of new socioecological futures, rather than as an object of governmental intervention and control