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Table 6 Facilitators and impediments to women’s empowerment expressed in FGDs with both men’s and women’s groups

From: Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 8. Impact on women’s empowerment

Facilitators of empowerment

Impediments to empowerment

Level of self-esteem and self-confidence

High self-esteem and self-confidence

Little or no fear of expressing oneself in the presence of men or of assuming community responsibilities

Low self-esteem

Timidity

Fear of speaking in presence of men

Fear of ridicule

Fear of failure

Reluctance to assume community responsibilities

Fear of taking advantage of opportunities to participate in community meetings

Level of education/Spanish fluency

Education (both formal and informal)

Fluency in Spanish

Lack of education

Limited fluency in Spanish

Level of consciousness of rights and self-ownership

Awareness of women’s own civil and human rights

Lack of awareness of women’s civil and human rights

Sense of being owner (dueña) of one’s own body

No sense of being owner (dueña) of one’s own body; husband is owner (dueño) of woman and family

Degree to which relationship with husband/family is supportive

General support from husband (and to a lesser extent from the mother-in-law and/or the woman’s parents)

Domination by husband (and to lesser extent, mother-in- law and/or woman’s parents)

Trust from husband (that his wife will comport herself well, remain faithful, handle money and responsibilities well, and make sound decisions)

Lack of trust from husband (that his wife will comport herself well, remain faithful, handle money and responsibilities well, and make sound decisions)

Good communication with the husband, ability to negotiate her mobility and participation in decisions

Poor or no communication with husband; inability to negotiate her mobility and her participation in decisions

Mobility (ability to leave the household, especially alone, to participate in meetings and community activities, with or without husband’s permission)

Lack of mobility (unable to leave home; forbidden or requires husband’s explicit permission, or required to be accompanied by others)

Permission of husband to participate is not needed or easily granted – often only as a formality or just to know the woman’s whereabouts

Permission of husband to participate is not given, or given grudgingly or conditionally (e.g., after household chores are done)

No fear of husband’s anger or of intra-familial violence

Living in fear of angering husband/provoking “problems” such as domestic violence

Ability to participate (at least nominally) in most decisions regarding place of delivery, family planning, and care seeking for sick children

Recognition by family that “mother knows best” regarding place of delivery or care seeking for sick children

Being ignored or over-ruled by husband and/or mother-in-law in health-related decision-making

Absence of husband – out of town or away working as migrant laborer

Presence of [unsupportive] husband living in household

Level of control over management of household responsibilities

Ability to balance role as participant in community meetings/activities with traditional role as housewife/mother

Ability to not let household responsibilities impede participation in community meetings/activities

Feeling too burdened by household and childcare responsibilities to leave the home to participate in community meetings/activities

Acceding to the traditional housekeeping/childcare role that keeps women isolated in the home

Level of economic autonomy

Produces her own income that she controls (or she has some control over her husband’s/partner’s income)

Economic dependence on husband

Traditional role of husband as breadwinner (the money he earns is “his”, with no sense of joint ownership)

Woman does not generate her own income/money that is “hers”