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Gender and decision-making over condom use in two districts in Uganda
1Blancroft Research International, 11718 Lightfall Court, Columbia, Maryland 21044, USA.
African Journal of Reproductive Health
|December 11, 2002
Summary
Gender inequality impacts condom use in Uganda. While women face disadvantages, increased control over fertility and empowerment for both partners positively influence condom discussion and usage.
Area of Science:
- Public Health
- Sociology
- Gender Studies
Background:
- Gender inequality is a significant factor in sexual health outcomes.
- Understanding decision-making dynamics in couples is crucial for effective reproductive health interventions.
Purpose of the Study:
- To examine the role of gender inequality in fertility and sexual decision-making regarding condom use among couples in Uganda.
- To test the hypothesis that increased female influence enhances condom discussion and use.
Main Methods:
- Survey of couples in long-term unions in Masaka and Lira districts, Uganda.
- Analysis of sexual context and condom negotiation processes from both male and female perspectives.
- Statistical testing of the relationship between relative partner influence and condom use.
Main Results:
- Both men and women face barriers in condom negotiation, with women experiencing greater disadvantages.
- A sense of control over fertility positively impacts condom use for both partners.
- Women's empowerment enhances condom use without diminishing the positive effect of men's empowerment.
Conclusions:
- Addressing gender inequality and enhancing women's decision-making power are vital for improving condom use.
- Promoting shared control over fertility and mutual empowerment can strengthen sexual health outcomes in long-term unions.
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