Janaína Calu Costa
Ghada E. Saad2
Franciele Hellwig
Maria Fatima S. Maia
Aluísio J. D. Barros- 1International Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil
- 2Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Background: Quantifying women's empowerment has become the focus of attention of many international organizations and scholars. We aimed to describe quantitative indicators of women's empowerment that are based on individual-level data.
Methods: In this scoping review, we searched PubMed, Scopus, Web of Science, Science Direct, Google, and Google Scholar for publications describing the operationalization of measures of women's empowerment.
Results: We identified 36 studies published since 2004, half of them since 2019, and most from low- and middle-income countries. Twelve studies were based on data from the Demographic and Health Surveys and used 56 different variables from the questionnaires (ranging from one to 25 per study) to measure the overall empowerment of women 15–49 years. One study focused on rural women, two included married and unmarried women, and one analyzed the couple's responses. Factor analysis and principal component analysis were the most common approaches used. Among the 24 studies based on other surveys, ten analyzed overall empowerment, while the others addressed sexual and reproductive health (4 studies), agriculture (3) and livestock (1), water and sanitation (2), nutrition (2), agency (1), and psychological empowerment (1). These measures were mainly based on data from single countries and factor analysis was the most frequently analytical method used. We observed a diversity of indicator definitions and domains and a lack of consensus in terms of what the proposed indicators measure.
Conclusion: The proposed women's empowerment indicators represent an advance in the field of gender and development monitoring. However, the empowerment definitions used vary widely in concept and in the domains/dimensions considered, which, in turn influence or are influenced by the adopted methodologies. It remains a challenge to find a balance between the need for a measure suitable for comparisons across populations and over time and the incorporation of country-specific elements.
1. Introduction
Power relations that impede women from attaining healthy and fulfilling lives operate at many levels of society, from the most personal to the highly public (United Nations Development Programme, 1994). The limited opportunities to thrive that many women experience are seen as a result, among other elements, of their lack of power and influence in society, lack of choice and autonomy, work overburden, and discrimination. Along with gender equality, the empowerment of women is considered an effective way to fight against poverty, hunger, and disease, and to stimulate truly sustainable development (United Nations General Assembly, 2000).
In the academic literature, empowerment has been defined in many ways, often drawing on constructs of agency, choice, opportunities, resources, and power (Rowlands, 1998; Malhotra et al., 2002; Alsop and Heinsohn, 2005; Ibrahim and Alkire, 2007). The publications by Naila Kabeer are some of the most cited when defining women's empowerment in academic articles. She defines empowerment as a “process of change by which those who have been denied the ability to make choices acquire such an ability” (Kabeer, 1999, 2005). Accordingly, a woman to whom choice is denied is disempowered and a woman who has the possibility of making her choices may be powerful but not empowered if she has never been denied those choices (Kabeer, 2005). This definition views empowerment as a dynamic process that involves change over time, and that comprises the following inter-related dimensions: resources or pre-conditions, including access to, but also future claims to, material, human, and social resources; agency or process, the ability to define one's goals and act upon them, including the process of decision-making, negotiation, manipulation, etc.; and achievements or outcomes, understood as the wellbeing consequences of being empowered. All three are interconnected through an active process (Kabeer, 1999). In summary, the empowerment of an individual should be reflected in the ability to translate choices into action to finally achieve the desired outcomes (Alsop and Heinsohn, 2005). However, it is important to note that although being used to define a process, the term empowerment is more frequently used in the literature to refer to an observed status of a person or a group instead, which, in turn, could reflect the underlying empowerment process of change (Alsop and Heinsohn, 2005; Raj et al., 2021).
Women's empowerment is centered on a way of change that modifies the placement of those in a lesser position due to their gender to allow autonomy and self-determination and has been recognized as an essential part of the effort to promote development and as a goal in itself (Raj et al., 2017). Therefore, women's degree of empowerment is defined by gender and gender relations in society, which makes it highly specific in terms of culture and context.
With an increasing interest in monitoring progress, how to quantify women's empowerment has received a good deal of attention from international organizations and scholars, and quantitative measures have become increasingly common in the global development arena (Gram et al., 2017). Such measures are key for assessing levels of empowerment in countries as well as within social and geographic subgroups, and for exploring the impact of empowerment on health, wellbeing, and economic outcomes. However, women's empowerment is difficult to measure because the concept has diverse definitions and encompasses a broad spectrum of aspects of women's daily lives (Bishop and Bowman, 2014; Ewerling et al., 2017). Numerous metrics have been proposed, however, most of them face the inherent difficulties of measuring a process, which often leads to measures of status instead (Sharaunga et al., 2019). Also, despite the consensus on women's empowerment being a multidimensional construct, the dimensions themselves are far from consistent across conceptualizations and are also employed with different meanings and often used interchangeably.
To provide a better understanding of the current situation of women's empowerment measures, we undertook a scoping literature review aiming to summarize the indicators based on individual-level data and the methodologies used to derive them.
2. Material and methods
A literature search was conducted through PubMed, Scopus, Web of Science Core Collection, and Science Direct databases in June 2021 and updated in September 2022. Key terms related to women's empowerment were identified and combined using Boolean operators with no restrictions on language or publication year as presented in Table 1. Google and Google Scholar were used to identify relevant gray literature. We also manually searched publications on the websites of organizations undertaking research on women's empowerment: WHO Publications (https://www.who.int/publications); IRIS–Institutional Repository for Information Sharing (https://apps.who.int/iris/); UNICEF–Girls empowerment (https://www.unicef.org/topics/girls-empowerment); Naila Kabeer's website–Professor at the Gender Institute, London School of Economics and Political Science (http://nailakabeer.net/); Land Portal (https://landportal.org/); Center on Gender and Equity Health (https://gehweb.ucsd.edu); and EMERGE–Evidence-based Measures of Empowerment for Research on Gender Equality (https://emerge.ucsd.edu).
Table 1. Search strategy.
Publications describing the operationalization of a measure of women's empowerment as the main objective of the study and that relied upon individual-level data were eligible for our review. Documents that focused exclusively on empowerment at the workplace, specific professionals (such as nurses, midwives, caregivers, and sex workers), clinical environment, women in a situation of violence, with specific diseases or health conditions (such as cancer, epilepsy, HIV infections, postpartum depression) were excluded. There was no limit in terms of women's age or presence of children.
All the documents retrieved from the different databases were inserted into a reference manager software (Endnote®) and duplicates were removed automatically, followed by a manual revision. At the first stage of publication selection, titles and abstracts were independently screened by three reviewers (JC, MFM, GS). Studies for which inclusion was uncertain were left for full-text review. The publications selected in the previous step were reviewed in full text, and data of interest were extracted manually and independently documented in a structured extraction spreadsheet by each of the three reviewers. Reference lists of selected publications were screened for further relevant documents. Disagreements regarding whether a manuscript should be included in the review were resolved by consensus.
All analyses were based on previously published articles; therefore, no ethical approval or patient consent was required.
3. Results
A total of 9,802 publications were retrieved from the databases in the first search and 1,954 in the search update. After duplicates removal, titles and abstracts screening, and full-text assessment, we ended up with 36 publications to be included in this review as illustrated in Figure 1.
Figure 1. Flowchart of the study selection procedure.
Out of these 36 publications proposing women's empowerment measures based on data collected at the individual level, 12 relied on Demographic and Health Surveys (DHS) and 24 on other surveys. All studies were published on or after 2004, 55% of them between 2019 and 2022. In most studies empowerment was conceptually defined as a process of change, however, in the end, the proposed indicators were mostly measures of status, most likely due to the cross-sectional nature of the data. Characteristics of the publications and the corresponding reference are presented in Table 2, with the main aspects highlighted in the next paragraphs. The measures are presented by type of survey (DHS or other surveys) and then described in more detail in the following sections.
Table 2. Characteristics of the publications proposing a women's empowerment measure.
Eleven out of the 12 studies based on DHS data were published as peer-reviewed papers and one as a report. All of them proposed measures of women's empowerment with a broad perspective, henceforth called overall empowerment, as opposed to focusing on a specific domain (such as decision-making and agency) or a woman's life area (such as agriculture and nutrition). The analyses included populations from sets of countries from specific regions such as Asia or Africa, or low- and middle-income countries (LMICs) generally. Five studies were based on data from single countries (Kenya, Pakistan, Tanzania, and two from Nigeria). Given the specific survey design, DHS-based studies analyzed the empowerment of women aged 15–49 years. One study focused on rural women only, two included unmarried women in the analysis and one analyzed couple's responses. Factor analysis (exploratory, confirmatory, or both) was used in four studies, principal component analysis (PCA) was used in three while the remaining two used either the Alkire-Foster approach, an axiomatic and counting-based approach designed originally for measuring multidimensional poverty (Alkire and Foster, 2011), or sum of scores. Three studies did not rely on statistical approaches to define the measure and used the sum of scores, a binary indicator of empowerment, or a categorical variable of responses' agreement. The publications in each category can be identified in Table 2.
Regarding the 24 studies based on data from non-DHS surveys, we identified 19 peer-reviewed papers, three reports, and two papers that were not published in peer-reviewed academic journals. Here, the studies typically covered a single country, or sets of selected countries from different regions, usually Africa and South Asia. One publication proposed the methodology for quantitatively measuring women's empowerment in Bangladesh without using data and another presented the steps to calculate an empowerment measurement that could be employed in different contexts with no specific setting under analysis. Ten studies in this group analyzed overall empowerment, while the remaining looked at specific areas of women's life: sexual and reproductive health (4 studies), agriculture (Alsop and Heinsohn, 2005) and livestock (United Nations Development Programme, 1994), water and sanitation (United Nations General Assembly, 2000), nutrition (United Nations General Assembly, 2000), agency (United Nations Development Programme, 1994), and psychological empowerment (United Nations Development Programme, 1994). The population under study varied widely in this group of publications: some studies included both women and men, while others were based on data from ever-married women in different age groups or women from rural areas only. The most used analytical methods were exploratory/confirmatory factor analysis (9 studies, one of which also used the Item Response Theory), followed by the Alkire-Foster approach (Rowlands, 1998) and the Multiple-Indicator-Multiple-Cause model (United Nations General Assembly, 2000). The other methods used and specific characteristics of each publication can be identified in Table 2.
3.1. Measures based on demographic and health survey data
In general, publications describing DHS-based measures were consistent in recognizing the multidimensional nature of women's empowerment. However, these constitutive elements of empowerment received different names, such as components (Phan, 2016), categories (Rettig et al., 2020), domains (Ewerling et al., 2017, 2020; Miedema et al., 2018; Kenya National Bureau of Statistics, 2020; Obayelu and Chime, 2020), dimensions (Soharwardi and Ahmad, 2020), or both dimensions and domains (Asaolu et al., 2018). Also, there was no consensus on a hierarchy of dimensions and domains in terms of having a comparable structure across studies.
The methodologies used by the studies' authors to define these elements were based on literature review, theoretical background, or conceptual framework (Phan, 2016; Asaolu et al., 2018; Miedema et al., 2018; Kenya National Bureau of Statistics, 2020; Soharwardi and Ahmad, 2020); factor analysis (Phan, 2016; Ewerling et al., 2017; Asaolu et al., 2018; Miedema et al., 2018; Kenya National Bureau of Statistics, 2020; Soharwardi and Ahmad, 2020); consultation of experts or organizations (Ewerling et al., 2020); and adaptation from other indices (Ewerling et al., 2020; Obayelu and Chime, 2020). Hereafter we refer to these elements as domains.
Two sets of DHS questions were used to define domains in several of the publications. The first is the set of decision-making questions, named decision-making in seven studies and agency/autonomy in another. The second is the set of questions on whether the woman believes a husband is justified in beating the wife in specific circumstances. Five studies used this set for a domain that received names such as attitude to violence/perception of violence/violence against women/attitude toward wife-beating. A further two domains were based on the same set of variables—human and social resources/human and social assets/social independence/socio-cultural in four publications and labor force participation/women's work status/employment in three publications.
In Table 3, we list all 56 variables from DHS questionnaires that were included in at least one empowerment measure identified by this review and the corresponding domain to which they were assigned, as named by the study authors.
Table 3. Variables used in DHS-based women's empowerment measures and their corresponding domains.
The number of variables in each study ranged from one to 25. The variables most consistently used were those related to who primarily decides on the woman's own health care (nine studies), large household purchases (nine), and visits to family or relatives (eight). Next are the five questions related to whether the woman agrees that a husband is justified in beating his wife in specific situations (all questions in 8 studies). Then comes women's education included in seven studies. Used in five of the studies are age at first birth, age at first marriage/cohabitation, participation in decisions related to partner's earnings, and woman's literacy. The questions on whether the woman can refuse to have sex with her husband or can ask him to use a condom under specific situations are in the HIV/AIDS module that is applied only in specific countries where HIV is endemic and cannot be included in measures to be used in a wider selection of countries, therefore, only two studies included this set of information (Asaolu et al., 2018; Kenya National Bureau of Statistics, 2020).
Next, we present a summary of the methods employed in each study. One publication started the construction of the measure with a hierarchical attribution of dimensions and domains (Asaolu et al., 2018). From theory, the studies' authors identified and selected four empowerment dimensions: economic, socio-cultural, education, and health. Then the variables selected from the survey questionnaires were organized into ten domains. The economic dimension, for instance, had only one domain—labor force participation. In the socio-cultural dimension, on the other hand, the variables were organized in four domains: household decision-making, attitude toward violence, life course indicator, and land or home ownership. The results of the exploratory and confirmatory factor analyses identified four dimensions that the study's authors then call factors: education, attitude toward violence, labor force participation, and access to healthcare (Asaolu et al., 2018).
A more pragmatic approach was taken by Ewerling, Lynch (Ewerling et al., 2017) to create the survey-based women's empowerment index (SWPER) for African countries, where, after selecting suitable variables based on the concept of women's empowerment, PCA was used to understand how those variables were organized into empowerment domains. Here, three domains were found and named social independence, attitude to violence, and decision-making (Ewerling et al., 2017). In the SWPER updated version, which expands the original indicator developed for African countries to the whole of LMICs, these authors adapted the content by excluding women's working status and recategorizing the decision-making-related items (Ewerling et al., 2020). A similar approach was used by Soharwardi and Ahmad (2020), who used PCA and 19 indicators selected with a basis on a theoretical background to define five broad dimensions of empowerment: women's work status, awareness, participation in decision-making, self-esteem, and self-confidence (Soharwardi and Ahmad, 2020). This study's authors also used multiple linear regression models to evaluate the relationship between women's empowerment and socio-economic and demographic characteristics of households and household members (here are included, among other variables, women's education, age at first birth, and age difference with husband).
Other publications started with a conceptual model but grouped the variables and named the resulting domains of empowerment based on a more data-driven approach. Miedema et al. (2018), for instance, started with 24 variables grouped into three dimensions (human and social assets, gender beliefs and attitudes, and household decision-making). After running factor analysis, they ended up with three latent factors that kept the original structure but were based on a smaller set of 12 variables (Miedema et al., 2018). A similar approach was used to assess individual and country-level changes in empowerment in Tanzania over time. The study selected the first set of 27 variables from previous literature and then employed factor analysis to identify the 23 relevant ones and defined six domains based on the factor loadings: attitudes toward violence, decision-making, social independence, age at critical life events, access to healthcare, and property ownership (Mganga et al., 2021).
Orthogonal and oblique factor models were used by Phan (2016) to calculate women's empowerment scores based on 12 variables covering four aspects (or domains) of women's empowerment (labor force participation, household decision-making, family planning, and education). The analyses were performed separately for each of the four countries included in the study (Cambodia, Indonesia, the Philippines, and Timor-Leste). The four items of labor force were consistently identified in the first factor and education items in the second factor. The third factor consisted of three decision-making items in all countries but Timor-Leste while family planning did not appear to be one relevant factor in these analyses.
When constructing the Women's Empowerment Index (WEI) for Kenya, based on aspects of women's empowerment relevant to the country's context, these authors relied upon a review of national and international policy and legal documents and consultations with national stakeholders and development partners (Kenya National Bureau of Statistics, 2020). Only indicators that fulfilled the criteria of great relevance, correspondence with the literature on the topic and with Kabeer's conceptual framework, high variance, and low percentage of missing values were kept in the analysis. The empirical analysis was carried out separately for women in union and women not in union, comprising different sets of variables. The exploratory and confirmatory factor analysis models identified 18 indicators in five domains of empowerment for partnered women (economic, human and social resources, household and decision-making, control over sexual relations, and attitudes toward wife-beating) and 11 indicators distributed in three domains for unpartnered women (economic, human and social resources, and attitudes toward wife-beating) (Kenya National Bureau of Statistics, 2020). To construct the WEI, equal weights were assigned to the domains, and the weight of the domain was distributed equally to its indicators. Therefore, a woman was considered empowered if reached at least 80 percent of the total weighted indicators.
Obayelu and Chime (2020) defined the five domains of the Women's Empowerment Index as agency, resources, income, leadership, and time/workload based on the index previously proposed by The Hunger Project, which in turn has the Women's Empowerment in Agriculture Index (WEAI) as reference (Alkire et al., 2013; The Hunger Project, 2017). Also, the index has the gender parity index component to compare women's and men's achievements. To identify the areas that contribute most to women's disempowerment, it was decomposed by domain and indicators using the Alkire and Foster (2007) methodology. Socioeconomic characteristics that influence women's empowerment were also explored, including women's age, education, marital status; household wealth; and partner's age and education level.
The Female Empowerment Index (FEMI) was developed to assess women's empowerment over time in Nigeria. It was computed based on 19 indicators as the resulting index is expressed as the average proportion (therefore, ranging from 0 to 1) of positive outcomes in six categories: violence against women, employment, education, reproductive healthcare, decision-making, and access to contraceptives (Rettig et al., 2020). The sample includes both married and unmarried women and the measure was estimated for each of the 36 Nigerian states. In addition to the FEMI values, for some categories (such as employment and education) it was possible to estimate women's achievement relative to men's.
Abbas et al. (2021) operationalized empowerment as a binary variable resulting from the combination of two independent domains: decision-making, a dichotomous indicator coded 0 for no involvement at all in any decision and coded 1 for any kind of involvement, either alone or jointly; and ownership of property, coded as 1 when the woman owns a house or land alone or jointly and 0 when she owns neither a house nor a land. Women's empowerment was then recoded as not empowered when the woman was not at all involved in household decision-making and did not possess a house or land and empowered otherwise (Abbas et al., 2021). This variable was used as the dependent variable in a regression analysis aiming to identify determinants of women's empowerment.
A different approach was adopted by Annan et al. (2021), who used a sample of married couples in 23 Sub-Saharan African countries where both spouses answered the question “who usually makes decisions about making major household purchases?” to evaluate their agreement. These authors operationalized the measure in four categories: the woman attributes more decision-making power to herself than her husband does; the husband attributes more decision-making power to the woman than she does to herself; both agree the woman is the main decision-maker or that decision-making is joint; and both agree that husband is the main decisionmaker (Annan et al., 2021). The relationship between this indicator and other proxies of women's empowerment as well as its impact on women's and children's wellbeing outcomes were assessed using regression models.
3.2. Measures based on other surveys
The 24 empowerment measures that were developed based on data from surveys other than DHS varied in their objectives, empowerment dimensions and domains, indicators, data collection procedures, samples, and geographies. In contrast with the DHS-based ones, which were about overall empowerment, some of the measures presented in this section addressed a single empowerment dimension (as agency), specific areas related to women's lives (such as sexual and reproductive health and nutrition), or aspects related to the society/community (such as agriculture, or water and sanitation). A summary of study characteristics related to empowerment domains, measures, and data sources is presented in Table 4.
Table 4. Characteristics of measures based on survey data other than DHS.
The measures in this group were mainly based on populations from individual countries, and often from selected population groups such as subnational regions, villages, or health centers. This set of publications also includes studies proposing measures to be employed in program monitoring and evaluation. All surveys had a cross-sectional design and most of them were especially designed to collect information on empowerment whereas others used secondary data or information from a data collection process with broader objectives. Two studies proposed indicators and metrics without applying them to any specific data (Biswas and Kabir, 2004; Lombardini et al., 2017).
The original WEAI and some of the measures derived from this index present a gender parity component, in addition to the results related to the women's empowerment domains (Alkire et al., 2013; Malapit et al., 2019).
We identified one study that used survey data from different years to test index invariance over time (Cheong et al., 2017) but it was not included in our final selection because the measure definition and validation (Women's Agency Scale) was presented in a separate publication already included in this review (Yount et al., 2016).
It is noteworthy that despite not proposing a new questionnaire for collecting data on women's empowerment, Mohebbi et al. (2018) tested the psychometric properties of the Persian version of the Healthcare Empowerment Questionnaire among Iranian women of reproductive age to validate the instrument for future use. A similar approach was used by Alquwez et al. (2021), who tested the psychometric properties of the Health Empowerment Scale Arabic version in measuring the health empowerment of Saudi working women. These two publications were not included in this review since they did not propose a new empowerment measure.
The number of domains comprised in each of the empowerment measures ranged from two to 11 and are also presented in Table 4, as defined by the studies' authors. As observed for the DHS-based measures, the names employed for the domains varied greatly (e.g., domains, dimensions, levels, subscales, indicators). However, given the specific characteristics of the measures, including women's life area, the purpose of the measure, domain definition processes, indicator operationalization, and data collection procedures, it was not possible to identify similar contents from the selected papers only based on their domains.
4. Discussion
This review of 36 publications that used individual-level data from different sources and distinct analytical procedures revealed the challenges in defining and measuring women's empowerment. The studies were all published from 2004 onwards and almost all of them analyzed data from populations from LMICs, most from African countries, and included mainly samples of women of reproductive age. Although representing an advance in the field of gender equity and development monitoring, a great heterogeneity of definitions and domains under analysis was observed, what seems to constitute a challenge in defining a measure suitable for comparisons across populations and over time.
Conceptually, the authors of the selected publications agree on several fundamental aspects such as that empowering women is not only necessary as a goal in itself, but also instrumental for development and that the construct of women's empowerment is very complex, multidimensional by nature, and context-specific. Nevertheless, the operationalization of the indicators took different paths that led to different measures of empowerment that often are not comparable. The multidimensional characteristic is used to rationalize the creation of either dimension-specific indicators (social, health, nutrition, political, and psychological empowerment) or composite measures attempting to be all-inclusive (Desai et al., 2022). Yet, the definition of the measures fails to translate the concept, especially those related to the definition of empowerment as a process of change in status from disempowered to (more) empowered and the importance of context specificity. We observe this in the selected publications, as many authors of the selected publications start by defining empowerment as a process, still, few elaborate on the need to use longitudinal data and follow-up of cohorts to capture the transformation from disempowerment to empowerment (Yount et al., 2016; Lombardini et al., 2017; Galiè et al., 2019; Dickin et al., 2021). That would be the only approach that aligned with the idea of empowerment as a process.
The different approaches, objectives, and theories could not but lead to a variety of empowerment dimensions and domains constituting each of the measures proposed. In turn, these dimensions were based on a wide selection of variables that were grouped and named differently in each study.
Frameworks conceptualizing women's empowerment in certain fields tended to be made up of empowerment dimensions that lead to an outcome or an achievement. Examples of such outcomes and achievements that are the product of empowering women are self-confidence (Soharwardi and Ahmad, 2020); reproductive health (Santillán et al., 2004); health and wellbeing through better use of water and sanitation (Dickin et al., 2021); improved nutritional status (Narayanan et al., 2019); and livelihood outcomes (Sharaunga et al., 2019).
Another struggle identified in the publications was deciding between a more meaningful and highly context-specific measure and a more generalizable measure that can be compared across settings. The first will be useful for a given country or region and is likely to be able to better capture specific issues that are critical to empowerment in that context. The second approach can help multi-country analyses and be key in global exercises of monitoring and evaluation and may be an important tool for supporting actions in a wider set of contexts. Yet, the validity of the measure in accurately measuring empowerment in different contexts is threatened.
Data sources were found to be critical in the creation of empowerment measures as they can either allow multiple country comparisons and, at the same time, limit the scope of the measure, or make it specific for a given context or objective but limiting the possibilities of comparisons. Measures based on standard surveys, such as the DHS, are based on variables from empowerment-specific modules, are easier to replicate and usually nationally representative, but on the other hand, are likely to cover fewer dimensions and be more general.
Most of the 12 studies that used these datasets employed similar analytical approaches, relying upon exploratory and confirmatory analysis and similar sets of variables, most of them encompassing decision-making, attitude toward violence, and social aspects of women's lives. The domains were usually defined based on statistical criteria. This approach, although allowing the method to be replicated, will vary depending on the set of countries included in the sample. Although not covering the process at the individual level, i.e., following the same set of women over time, a few studies attempted to capture changes over time at the group level using two or more DHS from a given country, such as Pakistan and Tanzania (Abbas et al., 2021; Mganga et al., 2021).
The publications examined presented abundant criticism of their measures and the measures of others. Firstly, regarding the DHS-based measures, the limitations include the fact that many of the relevant questions are answered only by women that are currently in a union, excluding single, widowed, divorced, or separated women and it is also limited to those of reproductive age (15 to 49 years) so that young adolescents, older women, and some of the most disempowered groups are excluded (Ewerling et al., 2017, 2020; Asaolu et al., 2018; Miedema et al., 2018). Besides the fact that the percentage of married women varies widely from country to country, this approach also assumes that women engage only in heterosexual or cohabiting relationships (Ewerling et al., 2017, 2020; Miedema et al., 2018). The studies that attempted to include unpartnered women by using sets of questions different from that used for the partnered ones, could not incorporate key questions such as those in the decision-making module (Kenya National Bureau of Statistics, 2020; Rettig et al., 2020). Also, the survey questions do not cover other sources of restriction to women's agency, such as parents and siblings, grandparents, family in-laws, kin, relatives, and others in the community (Kenya National Bureau of Statistics, 2020). Secondly, DHS covers just a few aspects of empowerment (Ewerling et al., 2017, 2020; Asaolu et al., 2018; Miedema et al., 2018; Kenya National Bureau of Statistics, 2020) not including, for instance, economic empowerment, sexual and reproductive empowerment, power relations outside marriage, participation in the community and public life, political engagement or influence, social and occupational leadership and positioning, freedom of movement and safety at the individual level, psychological empowerment, legal knowledge and rights, and participation, right to inheritance and property ownership is missing and might have led to sub-optimal measurements of empowerment, according to some of the included authors (Ewerling et al., 2017, 2020; Kenya National Bureau of Statistics, 2020; Rettig et al., 2020). Also, questions related to decision-making power are typically restricted to the domestic sphere and do not encompass decisions in the productive and economic sectors (Alkire et al., 2013). The attempt to overcome this limitation has been seen in surveys specifically designed for measuring empowerment in particular areas of women's lives. Finally, concerning the coverage of countries, it was mentioned that a limited number of countries are usually included in the analyses due to data availability, which makes the studies under-representative (Ewerling et al., 2017, 2020; Asaolu et al., 2018) and there may have a wide interval in the timing of the surveys (Miedema et al., 2018).
Those measures based on custom-designed surveys may be excellent for a given aspect as they may allow the theory to be reflected in the measure more adequately, but often cover only specific dimensions or are not easy to replicate or compare.
Our review fills a gap in the literature by summarizing studies intended to propose a women's empowerment measure, contributing to the understanding of different approaches and data sources used for this goal. Given that the evidence gathered spans heterogeneous literature regarding a concept that is very broad in scope, the use of a scoping review methodology is considered more appropriate. Also, we expanded the number of studies identified in previous literature reviews, were able to describe with more detail the methodologies underlying the measure operationalization, which had not been previously addressed, and reported the results separately by survey type given the specificities of the sets of studies identified (Desai et al., 2022; Nahar and Mengo, 2022).
Nevertheless, some caveats in the process need to be mentioned. Firstly, we did not include publications that proposed a particular empowerment measure but did not state that as the main objective of the study, otherwise addressing this among other goals, such as association with health or social outcomes. As a result of the eligibility criteria, we excluded those publications that used women's empowerment as an outcome, leaving out the ones addressing the impact of programs and interventions and therefore, possibly changes over time. It is noteworthy that no indicator included in the review focused on economic empowerment only and we hypothesize that this specific area might have been also captured by intervention studies, rather than using survey data. The measures identified during the review process collected data at the aggregated level rather than at the individual level (UNCDF, 2021; United States Agency for International Development, 2021). Another limitation is that we did not assess study quality, and some of the literature reviewed may suffer from methodologic flaws. Finally, we did not compare the results emerging from the studies. But these last two limitations are justified, at least in part, because our main objective was to explore the definitions and approaches rather than the results themselves.
5. Conclusions
Despite the difficulties and limitations, the fact that the literature has been accumulating proposed empowerment measures is very positive. To overcome the identified problems in the publications, the most important steps are to arrive at some consensus on a main set of constitutive dimensions of empowerment; agree on what would be the underlying information needed to estimate each of the dimensions; and ideally, propose a basic set of questions to be used in studies to collect the information defined above. The next steps would be to include this basic set of questions in standard survey families such as DHS and MICS; agree on a general approach to be used when deriving empowerment indicators that could be used in different applications; and agree on a single more general measure of empowerment to be used in multi-country analysis based on standard surveys. Also, regardless of the data sources, it is important to consider validation of the measures across contexts and consideration of within-country differences and measurement invariance (Asaolu et al., 2018; Desai et al., 2022). In summary, there is no single correct approach to measuring women's empowerment, and one needs to consider the broader purpose of this attempt, which might lead to different possibilities. The challenge is to find a balance between the need for a measure suitable for comparisons across countries or populations and the incorporation of country-specific elements.
Data availability statement
The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.
Author contributions
JC and AB conceptualized the study and contributed to the writing and reviewing of the manuscript. JC, GS, FH, and MM worked on the selection of studies and data extraction. All authors have reviewed and approved the final version of the manuscript.
Funding
This work was supported by the Bill & Melinda Gates Foundation, Seattle, WA, USA [grant No. INV-010051] and Wellcome Trust, London, United Kingdom [grant No. 101815/Z/13/Z]. The study sponsor did not have any role in the study design, collection, analysis, interpretation of data, and writing of the report, or decision to submit the article for publication.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
Abbas, S., Isaac, N., Zia, M., Zakar, R., and Fischer, F. (2021). Determinants of women's empowerment in Pakistan: evidence from Demographic and Health Surveys, 2012-13 and 2017-18. BMC Public Health. 21, 1328. doi: 10.1186/s12889-021-11376-6
Alkire, S., and Foster, J. (2007). Counting and Multidimensional Poverty Measurement. Oxford: University of Oxford, OPHI.
Alkire, S., and Foster, J. (2011). Counting and multidimensional poverty measurement. J. Public Econ. 95, 476–487. doi: 10.1016/j.jpubeco.2010.11.006
Alkire, S., Meinzen-Dick, R., Peterman, A., Quisumbing, A., Seymour, G., Vaz, A., et al. (2013). The women's empowerment in agriculture index. World Dev. 52, 71–91. doi: 10.1016/j.worlddev.2013.06.007
Alquwez, N., Cruz, J. P., Alshammari, F., and Alotaibi, N. S. H. (2021). Psychometric properties of the health empowerment scale arabic version for working women in Saudi Arabia. Inquiry-J. Health Care Organ. Provis. Financ. 58, 10. doi: 10.1177/00469580211056040
Alsop, R., and Heinsohn, N. (2005). Measuring Empowerment in Practice: Structuring Analysis and Framing Indicators World Bank. Policy Research Working Papers. doi: 10.1596/1813-9450-3510
Annan, J., Donald, A., Goldstein, M., Gonzalez Martinez, P., and Koolwal, G. (2021). Taking power: Women's empowerment and household Well-being in Sub-Saharan Africa. World Dev. 140, 105292. doi: 10.1016/j.worlddev.2020.105292
Asaolu, I. O., Alaof,è, H., Gunn, J. K. L., Adu, A. K., Monroy, A. J., Ehiri, J. E., et al. (2018). Measuring women's empowerment in sub-saharan Africa: exploratory and confirmatory factor analyses of the demographic and health surveys. Front. Psychol. 9, 994. doi: 10.3389/fpsyg.2018.00994
Bhattacharya, J., and Banerjee, S. (2013). Women empowerment as multidimensional capability enhancement: an application of structural-equation-modelling. Pover. Public Policy. 4, 79–98. doi: 10.1002/pop4.7
Bishop, D., and Bowman, K. (2014). Still learning: a critical reflection on three years of measuring women's empowerment in Oxfam. Gender Dev. 22, 253–269. doi: 10.1080/13552074.2014.920993
Biswas, T. K., and Kabir, M. (2004). Measuring women's empowerment: Indicators and measurement techniques. Soc. Change. 34, 64–77. doi: 10.1177/004908570403400305
Cheong, Y. F., Yount, K. M., and Crandall, A. A. (2017). Longitudinal measurement invariance of the women's agency scale. Bull. Sociol. Methodol. 134, 24–36. doi: 10.1177/0759106317693787
Desai, S., Chen, F., Reddy, S., and McLaughlin, A. (2022). Measuring women's empowerment in the global south. Ann. Rev. Sociol. 48, 507–527. doi: 10.1146/annurev-soc-030420-015018
Dickin, S., Bisung, E., Nansi, J., and Charles, K. (2021). Empowerment in water, sanitation and hygiene index. World Dev. 137, 105158. doi: 10.1016/j.worlddev.2020.105158
Ewerling, F., Lynch, J. W., Victora, C. G., van Eerdewijk, A., Tyszler, M., Barros, A. J. D., et al. (2017). The SWPER index for women's empowerment in Africa: development and validation of an index based on survey data. Lancet Global Health. 5, e916–e23. doi: 10.1016/S2214-109X(17)30292-9
Ewerling, F., Raj, A., Victora, C. G., Hellwig, F., Coll, C. V., Barros, A., et al. (2020). Global: A survey-based women's empowerment index expanded from Africa to all low- and middle-income countries. J. Glob. Health. 10, 020343. doi: 10.7189/jogh.10.020434
Galiè, A., Teufel, N., Korir, L., Baltenweck, I., Webb Girard, A., Dominguez-Salas, P., et al. (2019). The women's empowerment in livestock index. Soc. Indic. Res. 142, 799–825. doi: 10.1007/s11205-018-1934-z
Gram, L., Morrison, J., Sharma, N., Shrestha, B., Manandhar, D., Costello, A., et al. (2017). Validating an agency-based tool for measuring women's empowerment in a complex public health trial in rural Nepal. J. Hum. Dev. Capabil. 18, 107–135. doi: 10.1080/19452829.2016.1251403
Hinson, L., Edmeades, J., Murithi, L., and Puri, M. (2019). Developing and testing measures of reproductive decision-making agency in Nepal. SSM-Populat. Health. 9, 100473. doi: 10.1016/j.ssmph.2019.100473
Ibrahim, S., and Alkire, S. (2007). Agency and empowerment: a proposal for internationally comparable indicators. Oxford Dev. Stud. 35, 379–403. doi: 10.1080/13600810701701897
Kabeer, N. (1999). Resources, agency, achievements: reflections on the measurement of women's empowerment. Dev. Change. 30, 435–464. doi: 10.1111/1467-7660.00125
Kabeer, N. (2005). Gender equality and women's empowerment: A critical analysis of the third millennium development goal 1. Gender Dev. 13, 13–24. doi: 10.1080/13552070512331332273
Kenya National Bureau of Statistics (2020). Women's Empowerment in Kenya - Developing a measure. Working paper.
Lombardini, S., Bowman, K., and Garwood, R. (2017). A 'How to' Guide to Measuring Women's Empowerment. Sharing Experience from Oxfam's Impact Evaluations. Oxford: Oxfam GB. doi: 10.21201/2017.9750
Malapit, H., Quisumbing, A., Meinzen-Dick, R., Seymour, G., Martinez, E. M., Heckert, J., et al. (2019). Development of the project-level women's empowerment in agriculture index (pro-WEAI). World Dev. 122, 675–692. doi: 10.1016/j.worlddev.2019.06.018
Malapit, H. J., Pinkstaff, C., Sproule, K., Kovarik, C., Quisumbing, A. R., Meinzen-Dick, R. S., et al. (2017). The abbreviated women's empowerment in agriculture index (A-WEAI). IFPRI Discussion Paper 16472017.
Malhotra, A., Schuler, S. R., and Boender, C. (2002). Measuring Women's Empowerment as a Variable in International Development. Washington DC: The World Bank.
Mganga, A. E., Renju, J., Todd, J., Mahande, M. J., and Vyas, S. (2021). Development of a women's empowerment index for Tanzania from the demographic and health surveys of 2004–05, 2010, and 2015–16. Emerg. Themes Epidemiol. 18, 13. doi: 10.1186/s12982-021-00103-6
Miedema, S. S., Haardörfer, R., Girard, A. W., and Yount, K. M. (2018). Women's empowerment in East Africa: Development of a cross-country comparable measure. World Dev. 110, 453–464. doi: 10.1016/j.worlddev.2018.05.031
Mohebbi, B., Tol, A., Shakibazadeh, E., Yaseri, M., Sabouri, M., Agide, F. D., et al. (2018). Testing psychometrics of Healthcare Empowerment questionnaires (HCEQ) among Iranian reproductive age women: persian version. Ethiopian J. Health Sci. 28, 341–346. doi: 10.4314/ejhs.v28i3.12
Moreau, C., Karp, C., Wood, S. N., Galadanci, H., Kibira, S. P. S., Makumbi, F., et al. (2020). Reconceptualizing women's and girls' empowerment: a cross-cultural index for measuring progress toward improved sexual and reproductive health. Int. Perspect. Sexual Reprod. Health 46, 187–198. doi: 10.1363/46e9920
Moubarak, H. F. A., Afthanorhan, A., and Alrasheedi, E. S. N. (2021). Multicultural Psychological Empowerment Scale for Saudi Women. Front Psychol. 12, 768616. doi: 10.3389/fpsyg.2021.768616
Nahar, S., and Mengo, C. W. (2022). Measuring women's empowerment in developing countries: A systematic review. J. Int. Dev. 34, 322–33. doi: 10.1002/jid.3594
Narayanan, S., Lentz, E., Fontana, M., De, A., and Kulkarni, B. (2019). Developing the Women's Empowerment in Nutrition Index in Two States of India. Food Policy. 89, 101780. doi: 10.1016/j.foodpol.2019.101780
Obayelu, O. A., and Chime, A. C. (2020). Dimensions and drivers of women's empowerment in rural Nigeria. Int J. Soc. Econ. 47, 315–333. doi: 10.1108/IJSE-07-2019-0455
Phan, L. (2016). Measuring women's empowerment at household level using DHS data of four southeast asian countries. Soc. Indic. Res. 126, 359–378. doi: 10.1007/s11205-015-0876-y
Rafiey, H., Rarani, M. A., Alipour, F., Rouhi, N., and Morasae, E. K. (2018). Assessment of women's empowerment: An exploratory study to develop a valid and reliable Persian-version tool. Health Care Women Int. 39, 1110–1122. doi: 10.1080/07399332.2018.1442837
Raj, A., Dey, A. K., Lundgren, R, and the EMERGE Team (2021). A Conceptual Framework for Measuring Women's Empowerment. San Diego, CA: Evidence-based Measures of Empowerment for Research on Gender Equality [EMERGE]. Center on Gender Health and Equity (GEH) University of California San Diego.
Raj, A., McDougal, L., and Trivedi, A. (2017). EMERGE Project Report: Theoretical and Definitional Basis for Identification of Measures of Gender Equality and Empowerment. San Diego, CA: Center on Gender Equity and Health (GEH), University of California, San Diego School of Medicine;
Rettig, E., Fick, S., and Hijmans, R. (2020). The Female Empowerment Index (FEMI): spatial and temporal variation in women's empowerment in Nigeria. Heliyon. 6, e03829. doi: 10.1016/j.heliyon.2020.e03829
Rowlands, J. A. (1998). “Word of the times, but what does it mean? Empowerment in the discourse and practice of development,” in Women and Empowerment: Illustrations from the Third World, ed. H., Afshar (London: Palgrave Macmillan UK) 11–34. doi: 10.1007/978-1-349-26265-6_2
Saha, S., and Narayanan, S. (2022). A simplified measure of nutritional empowerment: Using machine learning to abbreviate the Women's Empowerment in Nutrition Index (WENI). World Dev. 154, 105860. doi: 10.1016/j.worlddev.2022.105860
Santillán, D., Schuler, S. R., Anh, H. T., Minh, T. H., Trang, Q. T., Duc, N. M., et al. (2004). Developing indicators to assess women's empowerment in Vietnam. Dev. Pract. 14, 534–549. doi: 10.1080/09614520410001686124
Sharaunga, S., Mudhara, M., and Bogale, A. (2019). Conceptualisation and measurement of women's empowerment revisited. J. Hum. Dev. Capabil. 20, 1–25. doi: 10.1080/19452829.2018.1546280
Sharma, E., and Das, S. (2021). Integrated model for women empowerment in rural India. J. Int. Dev. 33, 594–611. doi: 10.1002/jid.3539
Sinharoy, S. S., Conrad, A., Patrick, M., McManus, S., and Caruso, B. A. (2022). Protocol for development and validation of instruments to measure women's empowerment in urban sanitation across countries in South Asia and Sub-Saharan Africa: the Agency, Resources and Institutional Structures for Sanitation-related Empowerment (ARISE) scales. BMJ Open. 12, e053104. doi: 10.1136/bmjopen-2021-053104
Soharwardi, M. A., and Ahmad, T. I. (2020). Dimensions and determinants of women empowerment in developing countries. Int. J. Sustain. Dev. Plann. 15, 957–964. doi: 10.18280/ijsdp.150620
UNCDF UNDP, and UN Women. (2021). Gidance note: Women's Economic Empowerment Index (WEEI): a tool to assess investments from WEE perspective. UNCDF.
United Nations Development Programme (1994). Issue 7: Women Empowerment: UNFPA. Available online at: https://www.unfpa.org/resources/issue-7-women-empowerment (accessed March 18, 2022).
United Nations General Assembly (2000). A/RES/55/2 United Nations Millennium Declaration. Geneva: UNGA.
United States Agency for International Development (2021). Women's Economic Empowerment and Equality Dashboard Methodology. USAID.
Upadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., et al. (2014). Women's empowerment and fertility: a review of the literature. Soc. Sci. Med. 115, 111–120. doi: 10.1016/j.socscimed.2014.06.014
Varghese, T. (2011). Women empowerment in Oman: a study based on women empowerment index. Far. East J. Psychol. Bus. 2, 17. Available online at: https://tinyurl.com/yckz24tt
Williams, J. (2005). Measuring Gender and Women's Empowerment Using Confirmatory Factor Analysis. Boulder, CO, USA: Population Program, Institute of Behavioural Science, University of Colorado.
Keywords: women's empowerment, gender role, review, methods, measurement methods, girls and women, gender equality
Citation: Costa JC, Saad GE, Hellwig F, Maia MFS and Barros AJD (2023) Measures of women's empowerment based on individual-level data: a literature review with a focus on the methodological approaches. Front. Sociol. 8:1231790. doi: 10.3389/fsoc.2023.1231790
Received: 06 June 2023; Accepted: 21 August 2023;
Published: 14 September 2023.
Edited by:
Antigoni Parmaxi, Cyprus University of Technology, CyprusReviewed by:
Naomi Netsayi Wekwete, University of Zimbabwe, ZimbabweKatie M. Heinrich, The Phoenix, United States
Copyright © 2023 Costa, Saad, Hellwig, Maia and Barros. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Janaína Calu Costa, amNvc3RhJiN4MDAwNDA7ZXF1aWRhZGUub3Jn