Gender disparity in healthcare sector leadership positions is a major problem among female healthcare professionals in Southern Ethiopia. This study explored gender disparities among healthcare professionals in healthcare sector leadership positions. The findings would be used to develop guidelines to reduce gender disparities in healthcare leadership in healthcare sectors to a minimum in Ethiopia. This study used exploratory and descriptive cross-sectional research design incorporating a mixed methods research approach to collect both quantitative and qualitative data simultaneously which were analyzed during the same phase of the research process. The quantitative survey data was collected using piloted structured questionnaire while qualitative data was collected using semi-structured interview guide containing open questions. Quantitative data was collected from a random sample of 414 healthcare professionals and qualitative data from a purposive sample of 21 healthcare professionals from seven districts having the experiences of gender disparity in healthcare leadership positions. Quantitative data had a compliance rate of 98% and it was entered into EpiData version 3.1 and exported to SPSS (version 24) for further analysis, and the qualitative data was coded and analyzed manually into thematic content. Quantitative findings of the study revealed that only 26% (n=108) of the participants reported that representation of women in healthcare sector leadership positions in the past few years has been increased. The majority of leadership positions assumed by study participants were at department head level while only 1.3 % were on chief excutive officers and 2.3% medical director positions respectively. Of these none was a female and 67%, n=264 of the participants do not have leadership role in a health service facility. Study participants having bachelor degree level of education were 2.3 times more likely to be represented in healthcare sector leadership positions than those participants having master’s degree and diploma [AOR=2.3, (95% CI: 1.289, 4.252)]. Challenges experienced by women health professionals regarding gender disparity in leadership positions in health service facility included family responsibilities, lack of support, lack of self-esteem or self-confidence, lack of career advancement, and cultural bias. The conclusions derived from the study was that women need all the opportunities, encouragement and support to allow them access to and success in healthcare sector leadership positions through informal and formal leadership training. / Health Studies / D. Litt et Phil (Health Studies)

This thesis is a critical review of educated women’s leadership in their emancipation in Ethiopia. Did they provide leadership and to what extent? It is to be noted that educated women’s leadership has been of great importance to women’s emancipation worldwide. Strong leadership was also the driving force behind women’s movements and feminism everywhere. However, the role of educated women in Ethiopia is hard to discern and their leadership efforts are largely invisible. On the other hand, many among the educated also lack the passion and desire to commit themselves in the fight for women’s emancipation. In this thesis I researched the settings and frameworks of women’s leadership and discussed the factors that function as limitations and/or opportunities. Overall there were more limitations than opportunities. These limitations are often historically rooted in the country’s religious, cultural, economic, political and traditional systems. And, as much as history and religion can be a source of strength and pride for many, they can also be a serious obstacle. The political regime of the Derg also scarred an entire population to the extent that despite the currently proclaimed ‘freedom’ of the EPRDF ruling party, women remain reluctant to step forward and claim their rights. The ruling party appears to appropriate women’s emancipation as a “private” interest and to use it for political gain, in the same manner as the Derg regime had done before it. Nowhere is there any sign of genuine freedom and equality for women in practice. Rhetoric reigns supreme through laws and policy documents, but they are not matched by genuine actions and concrete strategies. The traditional religious base of society is also making it more difficult to challenge autocratic tendencies of the ruling elite. The effect is that civil society is slowly being pushed to extinction, leaving the ruling party in charge as the main actor in all public services. This has serious consequences for the genuine emancipation of women in the country. The thesis finds that women’s leadership is not a luxury or personal demand, but a crucial step for the development of the country at large. It is encouraging to note that there are different sections of active women in the country waiting for strong leadership, leadership that can unite them into a movement and guide them on their unique emancipation paths. After all, it is only women themselves who, with their existing epistemic advantage, can transform their situation and change their status. / Sociology / D.Litt. et Phil. (Sociology)

This thesis is a critical review of educated women’s leadership in their emancipation in Ethiopia. Did they provide leadership and to what extent? It is to be noted that educated women’s leadership has been of great importance to women’s emancipation worldwide. Strong leadership was also the driving force behind women’s movements and feminism everywhere. However, the role of educated women in Ethiopia is hard to discern and their leadership efforts are largely invisible. On the other hand, many among the educated also lack the passion and desire to commit themselves in the fight for women’s emancipation. In this thesis I researched the settings and frameworks of women’s leadership and discussed the factors that function as limitations and/or opportunities. Overall there were more limitations than opportunities. These limitations are often historically rooted in the country’s religious, cultural, economic, political and traditional systems. And, as much as history and religion can be a source of strength and pride for many, they can also be a serious obstacle. The political regime of the Derg also scarred an entire population to the extent that despite the currently proclaimed ‘freedom’ of the EPRDF ruling party, women remain reluctant to step forward and claim their rights. The ruling party appears to appropriate women’s emancipation as a “private” interest and to use it for political gain, in the same manner as the Derg regime had done before it. Nowhere is there any sign of genuine freedom and equality for women in practice. Rhetoric reigns supreme through laws and policy documents, but they are not matched by genuine actions and concrete strategies. The traditional religious base of society is also making it more difficult to challenge autocratic tendencies of the ruling elite. The effect is that civil society is slowly being pushed to extinction, leaving the ruling party in charge as the main actor in all public services. This has serious consequences for the genuine emancipation of women in the country. The thesis finds that women’s leadership is not a luxury or personal demand, but a crucial step for the development of the country at large. It is encouraging to note that there are different sections of active women in the country waiting for strong leadership, leadership that can unite them into a movement and guide them on their unique emancipation paths. After all, it is only women themselves who, with their existing epistemic advantage, can transform their situation and change their status. / Sociology / D.Litt. et Phil. (Sociology)

Abstracts in English, Afrikaans and Zulu / This thesis investigates gender relations in agricultural value chains by examining gender differentials in terms of gender roles in agricultural production and marketing, gender division of labour within the household, gendered daily and seasonal activities in the household, decision-making power within the household, and access to productive resources and agricultural support services. The study also assessed historical, socio-cultural, and institutional factors constraining gender equality and women’s empowerment in agricultural value chains. Employing critical theory, the study used a qualitative research approach, specifically basic classical ethnographic methods - participant observation, field notes, in-depth interviews, semi-structured interviews, key informant interviews, focus group discussions and secondary documents. The study also used a time-use survey and seasonal calendar as its primary source of data. The study revealed that women are generally underrepresented in most profitable nodes of the value chains. However, agricultural value chain interventions have different outcomes for women in female-headed households (FHHs) and women in male-headed households (MHHs). The commercialization of agriculture, particularly in MHHs, has led women to lose control over the commodities they traditionally used to control, as these commodities have fallen into the hands of men. Therefore women in this category are either disempowered or at least not empowered by the value chain interventions. Nevertheless, for women of FHHs, gender mainstreaming in agricultural value chains has contributed to improving gender equality, employment, and women’s empowerment by boosting their economic, social, and personal empowerment levels, though they still lag behind the men in many aspects. The participation of women in managing and controlling high-value crops is constrained by unequal power relations within the household and society. This could be explained in terms of limited resources, low level of literacy, shortage of labour and time, limited access to productive inputs, technologies, market information and agricultural extension services, restriction of mobility, and other socio-cultural and institutional barriers. / Hierdie studie handel oor genderverhoudings in landbouwaardekettings deur genderkenmerke te ondersoek ten opsigte van genderrolle in landbouproduksie en -bemarking, die verdeling van take by die huis op grond van gender, daaglikse en seisoenale werksaamhede tuis volgens gender, besluitnemingsbevoegdheid in die huishouding, en toegang tot produktiewe hulpbronne en landbouhulpdienste. Die studie verreken ook die historiese, sosiaal-kulturele en institusionele faktore wat gendergelykheid en die bemagtiging van vroue in landbouwaardekettings belemmer. Genderverhoudings word deur die lens van die kritiese teorie bekyk. ʼn Kwalitatiewe navorsingsbenadering is gevolg en klassieke etnografiese metodes is toegepas, waaronder deelnemerwaarneming, veldaantekeninge, deurtastende en halfgestruktureerde onderhoude, onderhoude met sleutelinformante, fokusgroepbesprekings en sekondêre dokumente. ʼn Tydbenuttingsopname en seisoenale kalender was die primêre databronne. Uit die studie het geblyk dat vroue by die mees winsgewende skakels van die waardeketting grotendeels onderverteenwoordig is. Die uitkomste van landbouwaardekettingintervensies vir vrouehuishoudings (VH) (huishoudings waarin ʼn vrou die broodwinner is) verskil van dié vir mannehuishoudings (MH) (huishoudings waarin ʼn man die broodwinner is). Weens die kommersialisering van die landboubedryf, in veral MH’s, het beheer oor die kommoditeite van vroue se hande in dié van mans oorgegaan. Gevolglik word vroue in hierdie kategorie ontmagtig of ten minste nie deur die waarde van kettingintervensies bemagtig nie. Ofskoon ʼn groter genderbewustheid in die landbouwaardeketting gelyke indiensneming en die ekonomiese, maatskaplike en persoonlike bemagtiging van vroue bevorder het, het vroue steeds ʼn groot agterstand. Ongelyke magsverhoudings tuis en in die samelewing beperk vroue se bestuur van en beheer oor lonende gewasse. Die redes hiervoor is onder meer beperkte hulpbronne, ongeletterdheid, ʼn tekort aan arbeid en tyd, beperkte toegang tot produktiewe insette, tegnologieë, markinligting en landbouverlengingsdienste, beperkte mobiliteit en talle ander sosiaal-kulturele en institusionele struikelblokke. / Lolu cwaningo luphenya ubudlelwano kwezobulili kwezemisebenzi yokukhiqiza ngasemkhakheni wezolimo , lokhu kwenziwa ngokuthi kuhlolwe izimpawu ezahlukile kwezobulili, mayelana nezindima ezidlalwa ubulili emkhakheni wezemikhiqizo yezolimo kanye nokuthengiswa kwemikhiqizo, ukwehlukaniswa kwabasebenzi ngokobulili ngaphakathi kwekhaya kanye nokutholakala kwemithombo yokukhiqiza kanye nemisebenzi yokuxhasa ezolimo. Isifundo futhi sihlola izinto ezithinta umlando, inhlalakahle yabantu kwezolimo kanye nezimo/nezinto ezikumaziko ezidala ukungalingani kobulili kanye nokuhlonyiswa ngamandla kwabesimame emisebenzini yezokukhiqiza kwezolimo. Ukusebenzisa umqondo ogxekayo (critical theory), kusetshenziswe indlela yokucwaninga eyencike kwingxoxo, ikakhulukazi izindlela zokuqala ze-ethinogilafi, phecelezi (basic classical ethnographic methods) – ukubhekisisa izenzo zabadlalindima, ukuthatha amanothi wokwenzeka ezinkundleni zokusebenza ezingaphandle, ukwenza izinhlolo vo ezijulile, ukwenza izinhlolo vo ezimbaxambili, ukwenza izinhlolovo zomuntu onolwazi olunzulu, izingxoxo zeqembu eliqondiwe kanye nemibhalo yesigaba sesibili. Isaveyi yesikhathi ebizwa nge (time-use survey) kanye nekhalenda yenkathi (seasonal calendar ) zisetshenziswe njengemithombo yokuqala yedatha. Ucwaningo luveze ukuthi abesimame ngokwenjwayelo bamele inani elincane labesimame emikhakheni eminingi yezokukhiqiza, okuyimikhakha engenisa inzuzo eningi. Yize kunjalo, imizamo yokuxhasa imisebenzi yokukhiqiza kwezolimo inemiphumela eyehlukahlukene kwabesimame kumakhaya aphethwe abesimame (FHHs) futhi le mizamo inemiphumela eyehlukahlukene kwabesimame kumakhaya aphethwe ngabesilisa (MHHs). Ukufakwa kwemboni yezolimo kwibhizinisi, ikakhulukazi kwimizi ephathwe ngabesilisa (MHHs), sekuholele ekutheni abesimame balahlekelwe yilawulo kwimithombo yezomnotho ebebejwayele ukuyiphatha, njengoba le mithombo yezomnotho seyiwele ngaphansi kwezandla zabesilisa. Ngakho-ke abesimame kulo mkhakha mhlawumbe bephucwe amandla noma mhlawumbe abahlonyisiwe ngokwanele ngamandla ngamakhono okuxhasa imisebenzi yezokukhiqiza. Yize-kunjalo, ngasohlangothini lwabesimame abaphethe imizi FHHs, ukulinganisa amanani ngokobulili kwimisebenzi yezolimo sekube negalelo ekuthuthukiseni ukulingana ngokobulili, kwezemisebenzi kanye nokuhlomisa ngamandla kwabesimame ngokuxhasa amazinga abo ezomnotho, ukuhlonyiswa kwamazinga abantu kanye nomuntu ngamunye, yize abesimame basahamba emuva kwabesilisa emikhakheni eminingi. Ukubandakanyeka kwabesimame ekuphatheni kanye nasekulawuleni kwezitshalo zecophelo eliphezulu kukhinyabezwa ukungalingani ngamandla ngaphakathi kwekhaya kanye nomphakathi. Lokhu kungachazwa ngokwemithombo yomnotho emincane, ngokwamazinga aphansi emfundo, ngokusweleka kwabasebenzi kanye nesikhathi, ngokwamathuba amancane okufinyelela izinsiza zokukhiqiza, ngokwezixhobo zobuchwepheshengokuswela ulwazi lwezimakethe kanye nokwandiswa kwemisebenzi yezolimo, ngokwemigomo evimbezela ukuhamba kanye nezinye izihibe ezivimbela inhlalakahle yabantu kwezolimo kanye nezihibe zamaziko. / Development Studies / D. Phil. (Development Studies)