Publications by authors named "L K McDougal"

Studies largely from high-income countries show that children exposed to intimate partner violence (IPV) face potential adverse health and developmental outcomes. Limited research has focused on whether IPV exposure affects children's early education participation, particularly in low- and middle-income countries where early education is gaining traction. This study examines whether young children aged 3 to 5 years, living in households affected by IPV, are less likely to be enrolled in school using nationally representative data from India.

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Objectives: Adapting and testing a novel measure of family planning self-efficacy (FPSE) and examining its association with fertility intention and contraceptive use in India.

Study Design: Data were analyzed from 13,901 non-sterilized, currently married women of reproductive age (15-49 years) in the Bihar Integrated Family Planning Survey (BIFS) 2021. We adapted an FP Self Efficacy measure comprising women's agency to overcome barriers to accessing, discussing and using contraception, regardless of family pressure and social judgment.

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We draw lessons from immunization research by assessing the applicability of the 5C framework of vaccine hesitancy to contraceptive acceptability in sub-Saharan Africa.

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Background: Gender-based violence is a tool that primarily functions to maintain gendered power hierarchies. Manifestations of gender-based violence, sexual assault and street harassment have been shown to have significant effects on mental wellbeing in the global North, however there is little research centering the experiences and consequences of gendered harassment in the Africa region.

Methods: We analyzed a cross-sectional random sample of 372 women attending a major university in Eswatini in 2017 to measure the prevalence of street harassment among female university students and assess the relationship between experiences of sexual assault, sexualized street harassment, and mental health outcomes in this population.

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Rationale: Women's empowerment is a UN Sustainable Development Goal and a focus of global health and development but survey measures and data on gender empowerment remain weak. Existing indicators are often disconnected from theory; stronger operationalization is needed.

Objective: We present the EMERGE Framework to Measure Empowerment, a framework to strengthen empowerment measures for global health and development.

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