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Womens Empowerment through Inner Spaces Outer Faces Initiatives

Suniti Neogy: India

Presentation Objectives
Inner Spaces Outer Faces Initiatives:
What does it mean for

empowerment of women?
Study design and objectives

Intervention design
Outcomes Challenges/Opportunities

Background
Inner Spaces and the Outer Faces: What does this mean for a sexual health programming?

Factors influencing maternal health


Maternal and neonatal Health factors: Ante Natal Care New born Care Immediate and exclusive breast feeding Post natal care Family planning

Womens Empowerment factors: Womens decision making Mobility for women Womens access to resources Gendered division of labor Couple communication Gender based violence Son preference

CAREs Womens Empowerment Framework


Agency

Relations

Structure

Intervention design
Transform Staff Capacity

Reflect with the Community


Plan for action Implement Plans Evaluate

Overview of intervention
Support womens empowerment
One to one counseling through Home Visits Couple Counseling Activate mothers committees and use them as agents of change

Create Enabling Environment


Activate Village Health and Sanitation Committee (VHSC) members Improve Couple communication Sensitize the larger community through BCC activity

Study description
A joint operations research project by CARE and International Center for Research on Women(ICRW) Investigated outcome of systematic integration of gender and sexuality Case/Control, Pre/post intervention study used a quantitative survey among randomly selected married women

Data collected via structured interview 1331 completed/ analyzed using bivariate and multivariate analysis Qualitative interviews with 10 men, 13 women and 7 health care workers at end-line Difference in Difference analysis: BCC villages and Non BCC villages in case district at the endline

Results: Womens mobility


ISOFI India: Able to Go Out Unaccompanied (2007-2009) 40% 35% 30% 25% 20% 15% 10% 5% 0% 38% 27% 18% 12%

% Respondents

Baseline

Endline

Baseline

Endline

Intervention

Control

Results: Sexuality
ISOFI India: Woman Feels Justified in Refusing Sex (2007-2009) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 95% 71% 54% 37%

% Respondents

Baseline

Endline

Baseline Control

Endline

Intervention

Results: Couple communication


ISOFI India: Couple Communicates about Family Size and Timing of Children (2007-2009) 80% 70% 60% 50% 40% 30% 20% 10% 0% 71%

% Respondents

65%

66% 55%

Baseline

Endline

Baseline Control

Endline

Intervention

Lessons Learnt: Scale up through Join My Village


Systematically support gender transformation; agency structures relation More structured ways to work with men Modules for men and womens groups Regular reflective sessions with the service providers and staff Mock sessions with staff for implementation of tools Work with adolescent girls on girls empowerment