{"title":"The ShEPower Index for Women's Empowerment in India: Development and Validation of an Index Based on National Family Health Survey-V, 2019-2021.","authors":"Jaya Prasad Tripathy","doi":"10.1002/hpm.70022","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Sustainable Development Goal (SDG) 5 reminds us to have a reliable indicator to track women's empowerment. Our objective was to develop a composite index from the National Health Family Survey-V India (NFHS-V) dataset, broadening opportunities for monitoring and research on women's empowerment. We also explored the association between women's empowerment and their adoption of healthier practices and utilization of health care services.</p><p><strong>Methods: </strong>We identified items related to women's empowerment from the NFHS-V dataset and used principal component analysis with varimax rotation to extract the components and confirmatory factor analysis to test the structure. We also explored the association between women's empowerment and adoption of healthier practices after adjusting for age, wealth index and residence.</p><p><strong>Results: </strong>19 items across six domains were selected to form the ShEPower women's empowerment Index: attitude towards domestic violence, freedom of movement, decision making, wife's right to say no to sex, ownership of land/house and social independence. Women with high ShEPower Index were more likely to use modern methods of contraception, regularly consume green leafy vegetables/fruits, sleep under a mosquito net, and were less likely to experience physical or sexual violence at home.</p><p><strong>Conclusion: </strong>The ShEPower Index is a valid and reliable 19-item index to measure women's empowerment. It has the potential to widen the research agenda on women's empowerment and its impact on health outcomes and monitor progress towards achieving SDG 5 targets. Women with high ShEPower score make healthier choices with regards to their diet and health.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Health Planning and Management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hpm.70022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The Sustainable Development Goal (SDG) 5 reminds us to have a reliable indicator to track women's empowerment. Our objective was to develop a composite index from the National Health Family Survey-V India (NFHS-V) dataset, broadening opportunities for monitoring and research on women's empowerment. We also explored the association between women's empowerment and their adoption of healthier practices and utilization of health care services.
Methods: We identified items related to women's empowerment from the NFHS-V dataset and used principal component analysis with varimax rotation to extract the components and confirmatory factor analysis to test the structure. We also explored the association between women's empowerment and adoption of healthier practices after adjusting for age, wealth index and residence.
Results: 19 items across six domains were selected to form the ShEPower women's empowerment Index: attitude towards domestic violence, freedom of movement, decision making, wife's right to say no to sex, ownership of land/house and social independence. Women with high ShEPower Index were more likely to use modern methods of contraception, regularly consume green leafy vegetables/fruits, sleep under a mosquito net, and were less likely to experience physical or sexual violence at home.
Conclusion: The ShEPower Index is a valid and reliable 19-item index to measure women's empowerment. It has the potential to widen the research agenda on women's empowerment and its impact on health outcomes and monitor progress towards achieving SDG 5 targets. Women with high ShEPower score make healthier choices with regards to their diet and health.
期刊介绍：
Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
