Reproductive Health in Yemen: A Theoretical Approach

Several developing countries introduced family planning programs to reduce their population growth rates. The rapid spread of birth control programs in the developing countries was at times accompanied by measures which violated human rights. In response to the ethical violations and coercive policies on population control, toward the end of 1980s various international committees formulated a reproductive health approach to overcome the limited population control approach. Unlike other population control programs, the focus of reproductive health program is on “reproductive process,” where as the most immediate focus of family planning programs is on fertility. Although studies refer to reproductive health approach as an extension of fertility control approach, literature on reproductive health provides very few systematic approaches toward developing explanations of reproductive health. The current approaches on population control are influenced by the ideological shift towards a broad-based approach which involves fertility or family size as one of the components of reproductive health. The present study uses intermediate variables framework suggested by Davis and Blake to organize reproductive health explanations. The proposed framework suggests that the state of reproductive health is indicated by intercourse, conception, and gestation variables and assumes that reproductive health is a latent dimensional outcome indicated by the measures of the intermediate variables. Also, there is noticeable lack of studies on reproductive health in Muslim countries. Given this shortcoming in the literature on reproductive health, the proposed model on reproductive health is used to assess the reproductive health of women in Yemen. The data are from the Yemen Demographic and Maternal and Child Health Survey (YDMCHS) conducted in 1997. Structural equation analysis is used to analyze the data. It is found that gender power or women's empowerment is more influential than economic status in determining reproductive health outcomes. The results of the study provide support for the proposed model. Implications for social policy making are discussed