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Beyond the statistic: exploring the process of early marriage decision-making using qualitative findings from Ethiopia and India.

Lotus McdougalEmma C JacksonKatherine A McClendonYemeserach BelaynehAnand SinhaAnita Raj
Published in: BMC women's health (2018)
The breadth and number of individual and social influences involved in marital decision-making in these settings means that effective early marriage prevention efforts must involve girls, families and communities. While underlying norms need to be addressed, programs should also engage and enable the choice, voice and agency of girls. Empowerment was important in this sample, but generally required additional social resources and support to have impact. Girls with greater social vulnerability, such as those without a male caretaker, had more compromised voice, choice and agency with regards to early marriage. Understanding early marriage decision-making as a process, rather than an endpoint, will better equip programs and policies that aim to eliminate early marriage to address the underlying norms that perpetuate this practice, and is an important lens through which to support the health and human rights of women and girls globally.
Keyphrases
  • decision making
  • healthcare
  • public health
  • mental health
  • endothelial cells
  • systematic review
  • type diabetes
  • pregnant women
  • skeletal muscle
  • quality improvement
  • polycystic ovary syndrome