Major Causes For Poor Health and Nutritional Status Among Rural Women

Women in Agriculture

Lesson 3 : Health and Nutritional Status of Women in Agriculture

Major Causes For Poor Health and Nutritional Status Among Rural Women

Gender disparity in nutrition:
Gender disparities in nutrition are evident from infancy to adulthood. In fact, gender has been the most statistically significant determinant of malnutrition among young children and malnutrition is a frequent direct or underlying cause of death among girls below age 5. Girls are breast-fed less frequently and for shorter durations in infancy; in childhood and adulthood, males are fed first and better.

Nutritional deprivation
Nutritional deprivation has two major consequences for women: they never reach their full growth potential and anaemia. Both are risk factors in pregnancy, with anaemia ranging from 40-50 percent in urban areas to 50-70 percent in rural areas. This condition complicates childbearing and result in maternal and infant deaths, and low birth weight babies.

Poor health care
As adults, women get less health care than men. They tend to be less likely to admit that they are sick and they'll wait until their sickness has progressed before they seek help or help is sought for them. Studies on attendance at rural primary health centers reveal that more males than females are treated in almost all parts of the country.
Women's socialization to tolerate suffering and their reluctance to be examined by male personnel are additional constraints in their getting adequate health care.

Maternal Mortality
India's maternal mortality rates in rural areas are among the highest in the world. A factor that contributes to India's high maternal mortality rate is the reluctance to seek medical care for pregnancy - it is viewed as a temporary condition that will disappear. The estimates nationwide are that only 40-50 percent of women receive any antenatal care. Evidence from the states of Bihar, Rajasthan, Orissa, Uttar Pradesh, Maharashtra and Gujarat find registration for maternal and child health services to be as low as 5-22 per cent in rural areas and 21-51 percent in urban areas.
Even a woman who has had difficulties with previous pregnancies is usually treated with home remedies only for three reasons: the decision that a pregnant woman seeks help rests with the mother-in-law and husband; financial considerations; and fear that the treatment may be more harmful than the malady.
It is estimated that pregnancy-related deaths account for one-quarter of all fatalities among women aged 15 to 29, with well over two-thirds of them considered preventable. For every maternal death in India, an estimated 20 more women suffer from impaired health.

Contraception Use
Women's health is harmed by lack of access to and the poor quality of reproductive services. Some estimates suggest that some 5 million abortions are performed annually in India, with the large majority being illegal. As a result, abortion-related mortality is high. Although abortion has been legal since 1972 in India .Moreover physicians trained to perform abortions are not working in rural areas.

Selective Abortions
The most extreme expression of the preference for sons is female infanticide and sex-selective abortion.

Job Impact on Maternal Health
Working conditions result in premature and stillbirths.

The tasks performed by women are usually those that require them to be in one position for long periods of time, which can adversely affect their reproductive health. A study in a rice-growing belt of coastal Maharashtra found that 40 percent of all infant deaths occurred in the months of July to October. The study also found that a majority of births were either premature or stillbirths. The study attributed this to the squatting position that had to be assumed during July and August, the rice transplanting months.

Impact of pollution on women
Women's health is further harmed by air and water pollution and lack of sanitation

Women are uneducated
Women and girls receive far less education than men, due to social norms. India has the largest population of non-school-going working girls.

Women are overworked
Women work longer hours and their work is more arduous than men's. Women work roughly twice as many as many hours as men.Women's contribution to agriculture - whether it be subsistence farming or commercial agriculture - when measured in terms of the number of tasks performed and time spent, is greater than men. "The extent of women's contribution is aptly highlighted by a micro study conducted in the Indian Himalayas which found that on a one-hectare farm, a pair of bullocks works 1,064 hours, a man 1,212 hours and a woman 3,485 hours in a year."

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Last modified: Friday, 1 June 2012, 5:55 AM