Does financial autonomy imply reproductive and sexual autonomy? Evidence from urban poor women in Accra, Ghana

This article investigates the association between financial autonomy and three other measures of autonomy–sexual autonomy, perceived reproductive autonomy and actual reproductive autonomy in Ga-Mashie, Accra, Ghana. From anthropological accounts, the financial independence of women from this community, coupled with unique living arrangements, have resulted in them being independent and autonomous. The analytical sample consists of 172 women who were in union at the time of the survey. Binary logistic and ordered logistic regression models ran between financial autonomy and the other measures of autonomy, and controlling for relevant socioeconomic and demographic characteristics of the women, reveal that in this context, financial autonomy does not have the perceived effect of increasing autonomy in the three other spheres. Rather, measures that hint at egalitarianism and close marital relationships–namely, marital power, agreement with partners about reproductive issues and marital duration–are more significantly associated with sexual and reproductive autonomy. We conclude that, coupled with schemes to increase the financial autonomy of women, in this context, other measures aimed at improving marital relationships should be explored and encouraged.