Gender Inequality and its Impact on Women's Reproductive Health Status
DOI:
https://doi.org/10.62872/o.v3i1.489Keywords:
Gender Inequality, Gender Norms, Healthcare Access, Maternal Health, Reproductive Health, Women's EmpowermentAbstract
Gender inequality remains a fundamental barrier to achieving optimal reproductive health outcomes for women globally. This literature review synthesizes current evidence examining the multifaceted relationship between gender inequality and women's reproductive health status across diverse geographic contexts. A comprehensive review was conducted analyzing peer-reviewed studies published between 2021-2025 that examined gender inequality and reproductive health outcomes. The evidence reveals that gender inequality consistently correlates with poor reproductive health outcomes through three primary mechanisms: male-dominated decision-making power over healthcare access, unequal resource distribution and workload burdens, and early discrimination including child marriage. Studies from Tanzania, Morocco, Pakistan, Bangladesh, India, and Uganda demonstrate that women with limited decision-making autonomy experience substantially higher rates of unintended pregnancies, lower contraceptive use, and unsafe delivery practices. Educational inequality and economic marginalization further compound these effects by restricting women's knowledge of reproductive rights and limiting access to sexual and reproductive health services. Gender inequality operates independently of poverty as a determinant of reproductive health, though the two often intersect to create compound vulnerabilities. The evidence points toward solutions including women's education, community programs challenging restrictive gender norms, economic empowerment interventions, and policy frameworks promoting gender equality. Gender inequality fundamentally undermines women's reproductive rights and choices, contributing to increased maternal and infant morbidity and mortality. Strengthening gender equality through education, decision-making empowerment, and economic access represents a critical pathway to improving women's reproductive health outcomes globally.
References
Alcalde-Rubio, L., Hernández-Aguado, I., Parker, L., Bueno-Vergara, E., & Chilet-Rosell, E. (2020). Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice. International Journal for Equity in Health, 19. https://doi.org/10.1186/s12939-020-01283-4
Ali, T., Asif, N., Adnan, F., Farooq, M., Shahid, S., Bhutto, K., Lashari, L., Sarfaraz, A., Khan, M., Memon, Z., Soofi, S., & Bhutta, Z. (2025). Sexual and reproductive health in Pakistan: a qualitative exploratory study of gender roles, family planning and adolescent health in Chitral, Gilgit-Baltistan and Sindh. BMJ Public Health, 3. https://doi.org/10.1136/bmjph-2023-000870
Altuzarra, A., Gálvez-Gálvez, C., & González-Flores, A. (2021). Is gender inequality a barrier to economic growth? A panel data analysis of developing countries. Sustainability, 13(1), 367. https://doi.org/10.3390/su13010367
Branisa, B., Klasen, S., & Ziegler, M. (2013). Gender inequality in social institutions and gendered development outcomes. World Development, 45, 252-268. https://doi.org/10.1016/j.worlddev.2012.12.003
Ceci, S., Kahn, S., & Williams, W. (2023). Exploring gender bias in six key domains of academic science: An adversarial collaboration. Psychological Science in the Public Interest, 24, 15-73. https://doi.org/10.1177/15291006231163179
Dutta, N., Stivers, A., & Sobel, R. (2025). To equality: Gendered outcomes, economic freedom & gender laws. Kyklos, 78. https://doi.org/10.1111/kykl.12449
Escot, L., Latorre, M., & Fernández-Cornejo, J. (2023). Tools and data for the analysis of gender policies: A review. Global Policy. https://doi.org/10.1111/1758-5899.13175
Galos, D., & Coppock, A. (2023). Gender composition predicts gender bias: A meta-reanalysis of hiring discrimination audit experiments. Science Advances, 9. https://doi.org/10.1126/sciadv.ade7979
Ganum, P. (2025). Frayed societies: Decoding the interplay between conflicts and gender inequality. IMF Working Papers. https://doi.org/10.5089/9798400292514.001
Gariba, M., & Prokop, V. (2024). Does women in politics and income inequality affect social and economic well-being? Insights from OECD countries. Journal of the Knowledge Economy, 16, 7612-7633. https://doi.org/10.1007/s13132-024-02203-5
Heilman, M., Caleo, S., & Manzi, F. (2023). Women at work: Pathways from gender stereotypes to gender bias and discrimination. Annual Review of Organizational Psychology and Organizational Behavior. https://doi.org/10.1146/annurev-orgpsych-110721-034105
Heise, L., Greene, M., Opper, N., Stavropoulou, M., Harper, C., Nascimento, M., Zewdie, D., Darmstadt, G., Hawkes, S., Henry, S., Heymann, J., Klugman, J., Levine, R., Raj, A., & Gupta, G. (2019). Gender inequality and restrictive gender norms: framing the challenges to health. The Lancet, 393, 2440-2454. https://doi.org/10.1016/s0140-6736(19)30652-x
Horvát, E., & González-Bailón, S. (2023). Quantifying gender disparities and bias online: editors' introduction to "Gender Gaps in Digital Spaces" special issue. Journal of Computer-Mediated Communication, 29. https://doi.org/10.1093/jcmc/zmad054
Ivanova, O. (2024). Socio-economic inequalities and their impact on political processes. Baltic Journal of Legal and Social Sciences. https://doi.org/10.30525/2592-8813-2024-4-30
John, P. (2025). Gender discrimination in the Bible. Literary Voice. https://doi.org/10.59136/lv.2025.3.1.132
Khaidir, A., Jaapar, A., & Chukari, N. (2025). Bridging the gender gap: The impact of education, labor participation, and political representation on ASEAN's economic growth. Semarak International Journal of Entrepreneurship, Economics, and Business Development. https://doi.org/10.37934/sijeebd.4.1.6182
Klasen, S. (2018). The impact of gender inequality on economic performance in developing countries. Annual Review of Resource Economics. https://doi.org/10.1146/annurev-resource-100517-023429
Llorens, A., Tzovara, A., Bellier, L., Bhaya-Grossman, I., Bidet-Caulet, A., Chang, W., Cross, Z., Dominguez-Faus, R., Flinker, A., Fonken, Y., Gorenstein, M., Holdgraf, C., Hoy, C., Ivanova, M., Jimenez, R., Jun, S., Kam, J., Kidd, C., Marcelle, E., Marciano, D., Martin, S., Myers, N., Ojala, K., Perry, A., Pinheiro-Chagas, P., Riès, S., Saez, I., Skelin, I., Slama, K., Staveland, B., Bassett, D., Buffalo, E., Fairhall, A., Kopell, N., Kray, L., Lin, J., Nobre, A., Riley, D., Solbakk, A., Wallis, J., Wang, X., Yuval-Greenberg, S., Kastner, S., Knight, R., & Dronkers, N. (2021). Gender bias in academia: A lifetime problem that needs solutions. Neuron, 109, 2047-2074. https://doi.org/10.1016/j.neuron.2021.06.002
Mitra, A., Bang, J., & Biswas, A. (2015). Gender equality and economic growth: Is it equality of opportunity or equality of outcomes? Feminist Economics, 21, 110-135. https://doi.org/10.1080/13545701.2014.930163
Nguyen, T., Darnell, A., Weissman, A., Frongillo, E., Mathisen, R., Lapping, K., Mastro, T., & Withers, M. (2020). Social, economic, and political events affect gender equity in China, Nepal, and Nicaragua: a matched, interrupted time-series study. Global Health Action, 13. https://doi.org/10.1080/16549716.2020.1712147
Ouahid, H., Mansouri, A., Sebbani, M., Nouari, N., Khachay, F., Cherkaoui, M., Amine, M., & Adarmouch, L. (2023). Gender norms and access to sexual and reproductive health services among women in the Marrakech-Safi region of Morocco: a qualitative study. BMC Pregnancy and Childbirth, 23. https://doi.org/10.1186/s12884-023-05724-0
Raghupathi, W., Wu, S., & Raghupathi, V. (2025). Exploring the association between gender inequality and healthcare: A visualization study. Global Health Economics and Sustainability. https://doi.org/10.36922/ghes.5776
Roy, T., Mallick, S., & Hassan, M. (2022). Rural-urban differentials of gender inequality and reproductive health among married women in southwestern Bangladesh. Khulna University Studies. https://doi.org/10.53808/kus.2010.10.1and2.1001-s
Sedlander, E., Granovsky, R., Birabwa, C., Amongin, D., Wasswa, R., Diamond-Smith, N., Waiswa, P., Holt, K., & Bingenheimer, J. (2024). Adaptation of the G-NORM (Gender norms scale) in Uganda: An examination of how gender norms are associated with reproductive health decision-making. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0308249
Sikdar, R., & Bansod, D. (2025). Does low fertility indicate better reproductive health status? Evidence from nationally representative survey in India. PLOS One, 20. https://doi.org/10.1371/journal.pone.0329375
Tesha, J., Fabian, A., Mkuwa, S., Misungwi, G., & Ngalesoni, F. (2023). The role of gender inequities in women's access to reproductive health services: a population-level study of Simiyu Region Tanzania. BMC Public Health, 23. https://doi.org/10.1186/s12889-023-15839-w
Tomar, V., S, D., Kandasamy, U., Nouman, M., Mehta, S., & Rathore, S. (2024). An examination of gender disparities: An analytical study of the differences and inequalities between genders across various contexts. 2024 1st International Conference on Advances in Computing, Communication and Networking (ICAC2N), 1624-1629. https://doi.org/10.1109/icac2n63387.2024.10895239
Veas, C., Crispi, F., & Cuadrado, C. (2021). Association between gender inequality and population-level health outcomes: Panel data analysis of organization for Economic Co-operation and Development (OECD) countries. EClinicalMedicine, 39. https://doi.org/10.1016/j.eclinm.2021.101051
World Health Organization. (2019). Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization.
Zavala, M., Cejas, C., Rubinstein, A., & López, A. (2024). Gender inequities in the impact of climate change on health: A scoping review. International Journal of Environmental Research and Public Health, 21. https://doi.org/10.3390/ijerph21081093
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