
A recently independent state, Timor-Leste, is progressing towards socioeconomic development, prioritizing women empowerment while its increased fertility rate (4.1) could hinder the growth due to an uncontrolled population. Currently, limited evidence shows that indicators of women's empowerment are associated with fertility preferences and rates. The objective of this study was to assess the association between women empowerment and fertility preferences of married women aged 15 to 49 years in Timor-Leste using nationally representative survey data. The study was conducted using the data of the latest Timor-Leste Demographic and Health Survey 2016. The study included 4040 rural residents and 1810 urban residents of Timor-Leste. Multinomial logistic regression has been performed to assess the strength of association between the exposures indicating women's empowerment and outcome (fertility preference). After adjusting the selected covariates, the findings showed that exposures that indicate women empowerment in DHS, namely, the employment status of women, house and land ownership, ownership of the mobile phone, and independent bank account status, contraceptive use, and the attitude of women towards negotiating sexual relations are significantly associated with fertility preferences. The study shows higher the level of education, the less likely were the women to want more children, and unemployed women were with a higher number of children. Our study also found that the attitude of violence of spouses significantly influenced women's reproductive choice. However, employment had no significant correlation with decision-making opportunities and contraceptive selection due to a lack of substantial data. Also, no meaningful data was available regarding decision-making and fertility preferences. Our findings suggest that women's empowerment governs decision-making in fertility preferences, causing a decline in the fertility rate.
Citation: Nandeeta Samad, Pranta Das, Segufta Dilshad, Hasan Al Banna, Golam Rabbani, Temitayo Eniola Sodunke, Timothy Craig Hardcastle, Ahsanul Haq, Khandaker Anika Afroz, Rahnuma Ahmad, Mainul Haque. Women's empowerment and fertility preferences of married women: analysis of demographic and health survey’2016 in Timor-Leste[J]. AIMS Public Health, 2022, 9(2): 237-261. doi: 10.3934/publichealth.2022017
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A recently independent state, Timor-Leste, is progressing towards socioeconomic development, prioritizing women empowerment while its increased fertility rate (4.1) could hinder the growth due to an uncontrolled population. Currently, limited evidence shows that indicators of women's empowerment are associated with fertility preferences and rates. The objective of this study was to assess the association between women empowerment and fertility preferences of married women aged 15 to 49 years in Timor-Leste using nationally representative survey data. The study was conducted using the data of the latest Timor-Leste Demographic and Health Survey 2016. The study included 4040 rural residents and 1810 urban residents of Timor-Leste. Multinomial logistic regression has been performed to assess the strength of association between the exposures indicating women's empowerment and outcome (fertility preference). After adjusting the selected covariates, the findings showed that exposures that indicate women empowerment in DHS, namely, the employment status of women, house and land ownership, ownership of the mobile phone, and independent bank account status, contraceptive use, and the attitude of women towards negotiating sexual relations are significantly associated with fertility preferences. The study shows higher the level of education, the less likely were the women to want more children, and unemployed women were with a higher number of children. Our study also found that the attitude of violence of spouses significantly influenced women's reproductive choice. However, employment had no significant correlation with decision-making opportunities and contraceptive selection due to a lack of substantial data. Also, no meaningful data was available regarding decision-making and fertility preferences. Our findings suggest that women's empowerment governs decision-making in fertility preferences, causing a decline in the fertility rate.
Observers have attributed the surge in the number of corporate failures, fines and lawsuits, to inadequate or failed governance, risk and compliance processes (Chikwiri and de la Rosa, 2015; PWC, 2019). Similarly, commentators have suggested that the 2008 global financial crisis was caused by poor risk management, exacerbated by the failure to timeously discover and mitigate risks due to ineffective identification or assessment processes (Decaux and Sarens, 2015; Forte and Barac, 2015). Others opined that boards of directors do not always have access to pertinent risk-related information, to properly discharge their oversight responsibilities, and that even when they do have access, may be unable to process the available information (Decaux and Sarens, 2015; KPMG, 2021; Pirson and Turnbull, 2011). The focus of the monitoring and control function should therefore move away from assuring the effectiveness of internal controls, to assuring the effectiveness of risk management processes (Decaux and Sarens, 2015; KPMG, 2021; Shortreed et al., 2012). Internal controls alone are insufficient, a broader risk management strategy is necessary (Ampri and Adhariani, 2019), since risk management is integrated with the strategic side of business and is more inclusive than internal controls, which focus on the operational side of business and may not effectively link with higher objectives and strategies (Decaux and Sarens, 2015).
Organisational governance therefore tends to improve when boards receive assurance about the effectiveness of both risk management and internal control systems. The introduction of the combined assurance model confirms the importance of a robust system of enterprise risk management (ERM) and attempts to provide the board with a broad range of assurance over an organisation's activities. ERM is a process of identifying events that could negatively impact organisational activities, requiring identified risks to be managed within the organisation's risk appetite, across all business making ERM a fundamental and integral component of corporate governance (Forte and Barac, 2015; Prinsloo and Maroun, 2020). Organisations constantly face new and disruptive challenges, ever-increasing levels of complexity, regulatory challenges, as well as market instability and unforeseen global events such as wars, pandemics and climate change (PWC, 2021). Organisations should therefore ensure that their operations are safeguarded, and that stakeholder confidence is preserved (PWC, 2021).
PWC's 24th Annual Global CEO Survey for 2021, finds that the main way business leaders regain stakeholder trust, is by transparently sharing information about how their organisations create value for their beneficiaries. However, CEOs expressed concern about the spread of organisational misinformation (PWC, 2021), which historically contributes to low levels of trust. Boards must therefore adopt a broader and more holistic approach to identifying and managing risk to protect stakeholder trust (IoDSA, 2016, 2009; PWC, 2021). One of the tools that has recently emerged to deal with such a risk management approach, is the combined assurance model.
Not only was the concept of integrated reporting first introduced by the King Report on Governance for South Africa (King Ⅲ), in 2009, so too was combined assurance (IoDSA, 2009). Combined assurance is a reporting innovation aimed at integrating and optimising all assurance services and functions, to facilitate an effective control environment, support the integrity of information used by management and the governing body for internal decision-making, while providing assurance about the veracity of the disclosures in external organisational reports (Hoang and Phang, 2020; IoDSA, 2016; Decaux and Sarens, 2015). Combined assurance coordinates and integrates the diverse assurance services provided by various role-players, responding to increasing organisational complexity. Combined assurance decreases assurance fatigue, reducing the duplication of assurance services, improving reporting quality, while also being a tool to assist with risk management (Decaux and Sarens, 2015; Zhou et al., 2019). The combined assurance model promotes a shared understanding of risk and control information, enabling the board to confidently assess whether controls are really addressing critical operational risks, reducing siloed thinking, and enabling an integrated approach to developing, implementing and maintaining an effective internal control environment (CGF Research Institute, 2019). Unlike King Ⅲ, which required the governing bodies of organisations to apply the combined assurance model (principle 3.5) (IoDSA, 2009), or to explain why it has not, in addition to applying its principles, principle 15 of King Ⅳ requires organisations to describe how the various assurance providers have enabled an effective control environment with reference to combined assurance (IoDSA, 2016). It is important to note that the various iterations of the King Reports, apply equally to both private and public sector organisations, and to SOEs in particular. The board of directors, also referred to as the accounting authority, or those charged with governance, is the governing body of a South African SOE accountable to Parliament (IoDSA, 2016).
The internal audit function's unique position within the organisation, arguably perfectly positions it to coordinate the combined assurance model (Coetzee and Lubbe, 2011; Hoang and Phang, 2020). Recent corporate governance developments, further underscore the important contribution of internal audit in this regard (Millichamp and Taylor, 2018). Although internal audit is usually considered a voluntary governance intervention in most jurisdictions around the world, the Public Finance Management Act (PFMA), applicable to the South African public sector, makes the provision of an effective internal audit function, mandatory for all SOEs (South Africa, 1999). Despite being independent of operations and adopting a risk-based auditing approach, the internal audit activities are overseen and approved by the audit committee and/or the board, which may be unduly influenced by management (Keasey and Wright, 1993). Combined assurance assists in reducing the opportunity for management, the audit committee and/or the board, to influence the activities of the internal audit function for their benefit (Ampri and Adhariani, 2019; Hoang and Phang, 2020).
Corporate governance has been identified as the most problematic issue facing SOEs (Okhmatovskiy et al., 2021). Although effective corporate governance may assist to resolve agency problems, such as information asymmetry (Hussain et al., 2018), the audit committee and accordingly the board, usually rely on disparate information for effective decision-making. Correctly implemented combined assurance is not only able to streamline assurance processes, but it also to provide more holistic and comprehensive insights into how the organisation is managing its material risks. Engaging with several assurance providers, as well as receiving appropriate assurances from management, contribute to the board's ability to ensure the veracity of organisational reports and disclosures, which both internal and external stakeholders rely on.
Relatively little is known about the extent to which public sector organisations, have implemented the combined assurance model for their annual/integrated reports (hereafter, annual reports), with prior research mainly focusing on private sector enterprises (Decaux and Sarens, 2015; Maroun and Prinsloo, 2020; Prinsloo and Maroun, 2020), resulting in a paucity of research on combined assurance amongst SOEs. Given that combined assurance is a key principle of King Ⅳ, this paper appropriately investigates the combined assurance disclosures of commercially oriented South African SOEs, an African Union and Southern African Development Community (SADC) member country.
Our paper makes three main contributions. The first, reflects on the evolution from a 'comply or explain' approach advocated by King Ⅲ to King Ⅳ's 'apply and explain' approach. The second, reflects on the extent to which South African SOEs have deployed the combined assurance model. Finally, we document the implications for policy and practice and provide recommendations to improve implementation of the combined assurance model.
Often utilising public resources to provide goods and services on behalf of their respective governments, obliges SOEs to not only to account to the state, but also to the taxpaying public. Notwithstanding the state being the notional shareholder of SOEs, given the state's use of public funds to finance SOEs, we assert that the public are the real providers of financial capital and accordingly, the real owners of SOEs, to whom they should account (Ackers and Adebayo, 2022). The issue of accountability is accordingly more relevant to public sector organisations (Bovens et al., 2014). We commence the literature review by discussing how combined assurance, could be deployed as a mechanism to augment corporate governance practices, improve risk management and enhance the credibility of SOE disclosures. Thereafter, we examine the corporate governance provisions applicable to South African SOEs, before developing a framework of the indicators SOEs should disclose about their combined assurance practices.
South Africa has more than 700 public enterprises1, categorised as Constitutional Institutions (Schedule 1), Major Public Enterprises (Schedule 2), and Other Public Entities (Schedule 3), which is further divided into National Public Entities (Part A), National Government Business Enterprises (Part B), Provincial Public Entities (Part C) and Provincial Government Business Enterprises (Part D) (South Africa, 1999). This study is however, confined to the SOEs listed in Schedule 2, mandated to generate funds to cover their own operational costs and expansion programmes (Thomas, 2012). This profit-orientation differentiates Schedule 2 SOEs from other PFMA entities. Apart from Telkom, which is partly state-owned, listed on the Johannesburg Stock Exchange and operates autonomously, the remaining SOEs operate under the executive authority of various government departments, such as National Treasury or Public Enterprises.
1Available at: https://www.state.gov/reports/2021-investment-climate-statements/south-africa/.
Governance in the public sector and in particularly in SOEs, usually involves balancing the conflicting objectives of providing affordable public goods and services, and surplus generation, despite SOEs often being loss-making and requiring substantial state subsidies (Ebrahim et al., 2014; Klijn, 2008). Since the primary purpose of SOEs, is arguably to serve the public interest (Mansi et al., 2017), SOEs often focus their accountability disclosures on how they have addressed their social mandates (Almquist et al., 2013). Accountability involves being answerable for decisions or actions, which is a critical component of good governance (Bovens, 2010; Devaney, 2016).
Each South African SOE is governed by a combination of its own enabling legislation, the PFMA and the Companies Act of 2008, and not by an overarching central Act. The Companies Act stipulates that the provisions applicable to publicly listed companies, apply equally to SOEs. When conflicts arise between an individual SOE Act and the Companies Act, the Companies Act prescribes that "(a) the provisions of both Acts apply concurrently, to the extent that it is possible to apply and comply with one of the inconsistent provisions without contravening the second; and (b) to the extent that it is impossible to apply or comply with one of the inconsistent provisions without contravening the second" (South Africa, 2008, p.38). Other legislation, regulations and frameworks relevant to South African SOEs include King Ⅳ, the Protocol on Corporate Governance in the Public Sector (the Protocol) (South Africa, 2002), the Treasury Regulations for Departments, Trading Entities, Constitutional Institutions and Public Entities, issued in terms of the PFMA (South Africa, 2005). Unlike the King code which covers a broad range of private and public sector organisations, the Protocol provides the public sector with specific guidance and takes the unique mandate of each SOE into account, including the need to achieve the state's socio/politico/economic objectives (South Africa, 2000). Part 5 of the Protocol addresses governance in public enterprises, including issues such as boards of directors and financial governance. Part 2, Section 2.1 of the Protocol specifically identifies the King Code as the main corporate governance, legal and policy framework, applicable to South African SOEs, asserting that "The purpose of the King Report is to promote the highest standards of corporate governance in South Africa; the Code of Corporate Practices and Conduct contained in the King Report applies inter alia, to SOEs and agencies that fall under the PFMA" (South Africa, 2000, p.3). Notwithstanding the various legislation, regulations, frameworks, protocols and guidelines, the application of the King Ⅳ principles is not mandatory for South African SOEs, but arguably remains a voluntary governance intervention. Although the PFMA does not explicitly list or categorise South African SOEs as SOEs, some SOEs are included under Schedule 2 (Major Public Entities), with others under Schedule 3B (National Government Business Enterprises) (South Africa, 1999).
The Public Audit Act (South Africa, 2004) provides the Auditor-General of South Africa (AGSA) with a mandate to perform regularity audits over South African public sector organisations, including SOEs (Nzewi and Musokeru, 2014; South Africa, 2004). Unlike external auditors in the private sector, the Public Audit Act provides public sector auditors with an expanded mandate to not only provide an audit opinion on the extent to which the annual financial statements are fairly presented in all material respects, but also on the extent of compliance with applicable legislation and regulations, as well as on their performance against predetermined objectives (South Africa, 2004, p.23). However, the Public Audit Act and King Ⅳ, allows the AGSA to either audit the SOEs, or permits the audit committees of SOEs to nominate third party external auditors to fulfil this role (IoDSA, 2016).
Combined assurance assists to ensure that material organisational risks are effectively and efficiently managed, optimally integrating various assurance processes and providers (Decaux and Sarens, 2015; Donkor et al., 2021). Unlike assurance models that deal with single reports in an insular manner, such as financial statements or sustainability reports, the need for a combined assurance model is necessitated by increasing organisational complexity, requiring a diversity of both internal and external assurance role-players (Donkor et al., 2021). Assurance in this regard, is therefore more than the opinion by an independent assuror on the financial statements, or on selected disclosures in sustainability or integrated reports (Maroun, 2019).
Combined assurance, shared between a range of internal and external assurance providers, enables a holistic overview of the entire assurance process (Engelbrecht and Deegan, 2010). It promotes a shared understanding of risk and control information, improving the board's ability to competently assess the extent to which internal controls address critical business risks, reducing organisational siloed thinking, and enabling an integrated approach to developing an effective control environment (CGF Research Institute, 2019). The emphasis on ensuring effective risk management, expands the orientation of internal audit from merely being compliance-based, to adopting a risk-based approach as expounded by King Ⅳ (IoDSA, 2016). Combined assurance is therefore more than simply obtaining assurance from independent third-party experts, and should be part of a broader ERM strategy, which address various types of systems, processes, controls and professional services, upon which the board relies to effectively discharge its fiduciary duties. As such, combined assurance serves a dual purpose: first, as a risk management tool; and second, as an assurance tool (Simnett et al., 2016). Combined assurance, accordingly, provides a contemporary cost-effective assurance framework, which enhances the quality and credibility of information relating to the organisation (Zhou et al., 2019).
Integrating and aligning assurance processes, optimises oversight over organisational risk management, corporate governance and control efficiencies, while optimising overall assurance received by the audit and risk committee, within the organisation's risk appetite, is a key benefit of an effective combined assurance model (Engelbrecht and Deegan, 2010). In this regard, Hoang and Phang (2020) found that communicating combined assurance assisted in restoring the confidence of investors about the reliability of reported information, increasing their willingness to invest. A combined assurance approach enhances the reliability of existing information (de Villiers, et al., 2017), with the combined assurance model influencing the accuracy of analyst forecasts, thereby reducing information risk (Zhou et al., 2016). However, although combined assurance does enhance the reliability of existing information, it does not add new information, which analysts can use for more accurate forecasts. The ability of combined assurance to provide an appreciable level of assurance therefore depends on the effectiveness of the combined assurance model and how innovatively management describes how combined assurance has been used (Deloitte, 2016). Organisations have and increasingly continue developing integrated audits to ensure that the combined assurance model comprehensively covers the entire business (Sierra-García et al., 2015; Rivera-Arrubla et al., 2017). Combined assurance may therefore be considered a proxy of quality that could impact the presentation quality and disclosures of annual reports.
As discussed earlier, King Ⅲ principle 3.5 first introduced the combined assurance model, to coordinate all assurance activities and to overcome the information asymmetry arising from the agency problem (Ackers, 2017; BDO, 2017). King Ⅲ identifies the organisation's audit committee as the body responsible for monitoring the combined assurance model and ensuring that material risks have been identified and are being appropriately mitigated, within the organisation's risk appetite. Although King Ⅲ suggests that that the activities of the internal and external auditors should be coordinated to optimise assurance, it identifies the primary assurance role-players as including internal audit, risk management, quality assurers, environmental and occupational health and safety auditors, external audit, other external assurance providers and management (IoDSA, 2009). These assurance role-players were colloquially referred to as the 'three lines of defence' depicted in Figure 1 below, with management, internal assurors (such as internal audit) and external assurors (such as external audit), each providing the audit committee and/or the board, with assurance relating to different risks (Sarens et al., 2012).
The manner in which combined assurance has evolved since first being introduced in King Ⅲ, is reflected in the comprehensive way that King Ⅳ principle 15, requires the governing body to "ensure that assurance services and functions enable an effective control environment, and that these support the integrity of information for internal decision-making and the organisation's external reports", when compared to the narrower view reflected in King Ⅲ principle 3.5, requiring the audit committee to "ensure that a combined assurance model is applied to provide a coordinated approach to all assurance activities". King Ⅳ further expands the concept of combined assurance by promoting a more inclusive approach and positioning combined assurance as a model that consolidates and enhances all assurance services and functions, enabling an effective control environment and improving the integrity of information used for internal decision-making by management, the governing body and its committees while supporting the integrity of the organisations' external reports (Hoang and Phang, 2020; IoDSA, 2016; Decaux and Sarens, 2015). As illustrated in Figure 2 below, King Ⅲ's 'three lines of defence' have evolved into King Ⅳ's 'five lines of assurance', which now include (ⅰ) line functions that own and manage risk, (ⅱ) specialist functions that oversee risk management and compliance, (ⅲ) internal assurance providers, such as internal auditors and forensic accountants, (ⅳ) external assurance providers, such as external auditors, and (ⅴ) other external assurance providers, such as sustainability auditors and external actuaries, and arguably also regulatory inspectors (Botes et al., 2020; IoDSA, 2016, p.68).
As illustrated in Figure 2 above, combined assurance harnesses the work of different types of assurance providers and the various types of assurances, while including relevant external regulators able to provide assurance on different aspects of organisational activities. In addition to independent third-party assurance providers, these external assurance providers, for example, include standards bureaux as well as health and safety bodies for manufacturing firms, civil aviation authorities for airlines and communications regulatory authorities for telecommunication firms. The combined assurance model introduces the concept of horizontal and vertical relationships relating to the depth and reach of the assurance providers, requiring coordination of assurance activities to enable the matrix of assurance providers to support the development of an effective control environment and ensure the integrity of reports. The five lines of assurance illustrated in Figure 2 above, are separated by the level of risk, ownership as well as the level of independence of assurance provider (Deloitte, 2016). The specific goal of combined assurance, as documented in King Ⅳ, is assisting the board assess the adequacy and effectiveness of the internal control environment, as well as the integrity of the information used for reporting and decision-making (Deloitte, 2016). As such, combined assurance provides assurance about the reliability of external stakeholder reporting, such as the annual reports, while remaining focused on the internal risk and control components (Hoang and Phang, 2020).
Audit committees and/or boards have a fiduciary responsibility to provide effective oversight over the combined assurance process, ensuring that the information contained in external reports are reliable. Whereas financial statement audits are usually mandatory in most jurisdictions, combined assurance remains a voluntary governance intervention covering unregulated reporting practices, such as integrated reporting. It is therefore imperative for the audit committee and/or board to consider whether the process or data will be assured, to determine the boundaries of such assurance, the level of assurance, the criteria against which the assurance will be evaluated, as well as assurance over future-orientated information. King Ⅳ specifically requires organisations to disclose and describe the nature of the assurance work performed, as well as the assurance conclusion (Deloitte, 2016; IoDSA, 2016).
King Ⅳ does not specify what the contents of organisational reports should include in relation to combined assurance. However, the 'apply and explain' approach advocated by King Ⅳ, not only requires South African organisations to implement combined assurance, but more importantly, to describe how the combined assurance model has been applied, increasing transparency (IoDSA, 2016; Prinsloo and Maroun, 2020; PWC, 2019). The combined assurance section of the annual report should at least cover seven areas identified in the literature (see especially Prinsloo and Maroun, 2020; PWC, 2019; Decaux and Sarens, 2015), as well as from King Ⅳ (IoDSA, 2016). These include: (ⅰ) assurance strategy, (ⅱ) assurance mapping, (ⅲ) diagrammatic modelling, (ⅳ) combined assurance forum, (ⅴ) assurance provided in the report, (ⅵ) combined assurance report and (ⅶ) audit committee review on effectiveness of combined assurance. These indicators discussed below should be disclosed in the annual report, and constitute the elements of the specifically developed combined assurance conformance reporting quality (CACRQ) index, reflected in Appendix Table A1.
The efficacy of the combined assurance model rests on the effectiveness of the organisation's risk management processes. The first step in implementing combined assurance, is therefore compiling a comprehensive assurance strategy to address the material risks facing the organisation. Combined assurance requires the board to actively consider the assurance it receives on the identified risks to which the organisation is exposed, focusing on how assurance is achieved and reported (PWC, 2009). To ensure that assurance efforts focus on the significant risks, requires high level agreement on the material risks (Decaux and Sarens, 2015). The effectiveness of the combined assurance model to address the identified risks, therefore depends on comprehensively documenting and mapping the risk universe, enabling the effective coordination of the assurance provided by the various lines of assurance.
Implementing the combined assurance model requires all assurance providers to be identified and mapped, according to their respective contributions to the lines of assurance (IoDSA, 2016; Decaux and Sarens, 2015). It is imperative to provide a clear accountability model that addresses the organisation's significant risks (Decaux and Sarens, 2015). As more assurance providers emerge, a comprehensive mapping process provides an integrated view of the various assurance processes and providers, ensuring that the participants in each line of assurance, are aware of their respective responsibilities.
The next step involves diagrammatically illustrating the combined assurance model. Graphically providing pertinent information about both the process and the role-players, improves the ability of report users to understand who is doing what (Decaux and Sarens, 2015). The importance of diagrammatically modelling the combined assurance process, was illustrated by Nkonki2 in their SOE Integrated Reporting Awards for 2016, noting that the judges were particularly impressed at how ESKOM had innovatively "included a very good graphic of the combined assurance model with the lines of defence" in their 2015 integrated report (Nkonki, 2016, p.17), depicted in Figure 3, below.
2A South African firm of external auditors at the time.
The key to implementing combined assurance is the establishment of combined assurance forums to implement and embed the combined assurance framework principles (Chikwiri and de la Rosa, 2015). Thus, establishing a new governance committee (combined assurance forum) should assist in ensuring that various aspects of the combined assurance process have been effectively implemented. Decaux and Sarens (2015) note that such forums ensure that organisations receive the right amount of assurance over the correct areas, from appropriate assurance providers, with the most relevant expertise and skills, as cost effectively as possible. Forums permit participants to assess various aspects of combined assurance, such as the views of assurance providers, the planned assurance activities, the assurance activities covered, as well as emerging areas of concern. In this regard, as previously submitted, the internal audit function is ideally positioned to coordinate the combined assurance model and accordingly the forum (Coetzee and Lubbe, 2011; Hoang and Phang, 2020). Decaux and Sarens (2015) contend that forums permit organisations to:
● Report combined assurance activities to the audit committee, providing the board and other stakeholders with assurance that an appropriate combined assurance process exists;
● Define a framework and consistent reporting requirements for combined assurance, as well as the taxonomy to be used;
● Communicate combined assurance activities and impacts to the stakeholders;
● Provide guidance and direction regarding combined assurance activities; and,
● Escalate to those charged with governance, when combined assurance activities are not progressing as intended.
Since it is not mandatory for all annual report disclosures to be independently assured, organisations should identify the components that have been subject to some type of assurance, thereby assisting report users understand which disclosures have been assured (IoDSA, 2016, 2009). This assurance should be provided as an affirmative statement and described in the combined assurance report section of the annual report.
Since the provision of combined assurance is a specific King Ⅳ requirement, South African organisations, including SOEs, should not only disclose the adoption of combined assurance, but also explain how the combined assurance model has been implemented. King Ⅳ enhances accountability by requiring organisations to disclose sufficient relevant information, allowing report users understand exactly what has been assured and by whom. The annual report should therefore include a section clearly demarcated as a combined assurance report.
The combination of fiduciary responsibilities, strategic role and oversight function of the governing body, makes it the appropriate custodian of the combined assurance model. King Ⅳ requires the governing body, or the audit committee on its behalf, to establish and oversee the implementation of the combined assurance model, ensuring that all assurance activities are effectively coordinated and that all significant risks are adequately addressed (Deloitte, 2016). As illustrated in Figure 2, since the governing body and its committees represent the fifth or final line of assurance, it is appropriate for them to have the final say on how the combined assurance model will be implemented and the process mapped. The specific tasks include, providing oversight to ensure that the following objectives are achieved:
1. Enabling an effective internal control environment;
2. Supporting the integrity of information used for internal decision-making by management, the governing body and its committees; and,
3. Supporting the integrity of external reports.
The empirical component of this study included a thematic content analysis of archival documents, guided by the approach exemplified by Thomas (2012). Using the CACRQ index specifically developed for this study, the first phase thematically analysed the extent to which purposively selected South African SOEs disclosed their combined assurance practices in publicly available annual reports. For the purpose of this paper, annual reports include integrated reports. In the second phase, the annual reports were scrutinised to establish how innovatively SOEs disclosed their combined assurance practices, especially since the King Ⅳ apply and explain principle, advocates an innovative approach to corporate governance. Investigating the combined assurance disclosures of South African SOEs, provides important insights into how effective implementation of the combined assurance model could assist organisations ensure that both internal and external stakeholders are provided with accurate, complete and reliable reports, thereby improving external report credibility.
This study investigates the disclosed combined assurance practices of SOEs in South Africa. Although South Africa has approximately 700 SOEs (USA, 2021), the purposively selected sample for this study is confined to the 21 Major Public Entities (SOEs) listed in Schedule 2 of the PFMA (South Africa, 1999), based on their size, national importance and the expectation that they should fund their own operational costs and expansion programmes. The perception that South Africa has strong corporate governance practices, including leadership in combined assurance (Atkins et al., 2015; Zhou et al., 2019), makes it a suitable country to investigate the disclosure of combined assurance practices by SOEs. Despite increased topicality, combined assurance has been part of South African corporate governance practices since 2002 (Maroun and Prinsloo, 2020). It has since become an embedded practice amongst many private and public sector organisations in South Africa, and is widely acknowledged as a credible mechanism to ensure the integrity of organisational reporting (IoDSA, 2016, 2009). Consequently, South Africa offers a mature assurance environment for studying variations in combined assurance models (Zhou et al., 2019).
The content analysis used a purposively developed index of CACRQ indicators (disclosed in Appendix Table A1), to identify the SOEs whose annual reports referenced their combined assurance practices, and the extent thereof, as well as how the index allowed for comparability and cross-indicator analysis (Miles and Huberman, 1994). We obtained secondary data from the most recent annual reports of the 21 South African SOEs, publicly available on their institutional websites. However, our search revealed that the most recent annual reports of the South African SOEs related to 2021/2022, 2020/2021 or even 2019/2020, with the most recent reports of South African Airways and South African Express being for 2016/2017, caused by serious failures in financial governance (Daily Maverick, 2019). Therefore, to meaningfully compare the combined assurance disclosures of the various SOEs across the same reporting period, we only used the reports for the 2019/2020 year (even when they were not the most recent), and excluded the reports of South African Airways and South African Express, reducing the study sample to 19 SOEs. Of these 19 SOEs, six prepared annual reports (31.6%) and thirteen SOEs prepared integrated reports (68.4%), as reflected in Appendix Table A2. It is noteworthy that all four SOEs achieving perfect CACRQ index scores (reflected in Appendix Table A2) prepared integrated reports.
Important themes relating to the disclosure of combined assurance practices were identified through thematic analysis (Daly et al., 1997). These themes are posteriori indicators based on the review of scholarly literature, corporate governance codes, internal organisational documents, as well as documents from professional accounting bodies and firms. The data emerging from the content analysis of the SOE annual reports, were analysed using scores calculated using the CACRQ index, based on whether the predetermined combined assurance reporting indicators were disclosed (Gerged et al., 2018). The semantic content analysis coding was based on the perceived meaning of the textual narrative, or diagrams, and not simply on the occurrence of specific words, or images (Liu et al., 2019). Similar studies using content analysis have either used disclosure indices (Abhishek and Divyashree, 2019; Chariri, 2019; Kiliç and Kuzey, 2018; Liu et al., 2019; Nakib and Dey, 2018; Rivera-Arrubla, et al., 2017), or scoring systems (Eccles et al., 2019; Ghani et al., 2018; Pistoni et al., 2018; Ruiz-Lozano and Tirado-Valencia, 2016).
To meaningfully interpret these SOE annual report disclosures within the context of the combined assurance framework, ordinal measures are used to categorise the SOE's CACRQ scores, reflected in Table 1, based on the following two-point scale.
SN | Rating categories |
1 | Assurance strategy |
2 | Assurance mapping |
3 | Diagrammatic modelling |
4 | Combined assurance forum |
5 | Assurance provided in the report |
6 | Combined assurance report |
7 | Audit committee reviews the effectiveness of combined assurance |
1. no relevant disclosures.
2. relevant disclosures.
A two-point rather than a three- or four-point scale was adopted to limit researcher bias by using binary classification, simply based on whether the identified category has been disclosed. The purposively developed rating system and disclosure indicators, identifies the seven core categories (identified in Table 1 and described in Appendix Table A1), that should be reflected relating to combined assurance. The raw scores used to calculate the disclosure index, is based on a scores of one (1) representing no relevant disclosures, or non-reporting on the underlying category, and two (2) indicating disclosure of the category. Thus, the maximum cumulative score for the seven CACRQ indicators is 14 points. Similarly, the optimal score for each individual SOE is 14 points. To limit research subjectivity, quality elements were treated as having equal importance (Prinsloo and Maroun, 2020). The equation below is used to establish the cumulative mean value of the CACRQ, indicating that scores tending towards two (2) implies better SOE adherence with the combined assurance principles:
CACRQ=(STRATEGY+MAPPING+MODELLING+FORUM+PROVISION+REPORT+AUDITCOMM.REVIEW)/7 | (1) |
Researcher bias may occur in qualitative research generally, and in archival analysis in particular (Mackieson et al., 2018). Thus, purposive and not convenience sampling, was used to minimise selection bias (Smith and Noble, 2014), with the selection process being described. Further, to minimise analysis bias (Smith and Noble, 2014), some order was imposed on the data by developing a rating scale to ensure a systematic and rigorous analysis of the unstructured data used in this study (Mackieson et al., 2018). An applied thematic approach (Guest et al., 2012) (ATA) was used to limit researcher bias (Mackieson et al., 2018). The ATA framework was specifically developed to provide a purposeful and systematic approach to qualitative research and for planning and preparing text-based qualitative analysis. To further reduce bias, the analysis was undertaken in three distinct phases, informed by insights from Mackieson et al. (2018) and Guest et al. (2012). In the first phase, the rating tool was developed in line with similar previous studies and observations by credible professional bodies. In the second phase, each of the two researchers on the project, independently analysed the reports of the sampled SOE reports using the CACRQ rating tool. Finally, in the third phase, the results were compared and deliberated in depth on a few minor discrepancies found, before consensus was reached and conclusions drawn.
The study observations provide a general overview of the state of combined assurance amongst the SOEs included in the study, before reflecting on each of the seven indicators, both at a cumulative level, as well as by each included SOE.
The CACRQ index scores depicted in Table 2, ranging from a perfect mean score of 2.0, in terms of which all SOEs mapped their risks and described their combined assurance strategy, to the lowest mean score of 1.26 for diagrammatically modelling the combined assurance process, reveal inconsistent SOE conformance with the CACRQ indicators. It is however, acknowledged that mapping the risks and disclosing the assurance strategy, does not necessarily translate into conformance with the combined assurance principles. Although all the SOEs reported their risks and strategies, not all formally adopted the combined assurance model (see for example, Independent Development Trust, South African Airways and South African Express).
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | ||
N | Valid | 19 | 19 | 19 | 19 | 19 | 19 | 19 |
Missing | 2 | 2 | 2 | 2 | 2 | 2 | 2 | |
Mean | 2.0 | 1.42 | 1.26 | 1.37 | 1.89 | 1.42 | 1.47 | |
Minimum | 2 | 1 | 1 | 1 | 1 | 1 | 1 | |
Maximum | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
It may be argued that the 100% conformance of SOEs disclosing their combined assurance strategies, suggests that risk management may already have been an integral SOE reporting practice (Maroun and Prinsloo, 2020; Chikwiri and de la Rosa, 2015; Decaux and Sarens, 2015), before King Ⅲ (IoDSA, 2009) formally introduced of combined assurance. By contrast to the optimal assurance strategy disclosure score (μ = 2.00), the lowest disclosure score achieved was for diagrammatically modelling the combined assurance process (μ = 1.26). Although this aspect is not mandatory, graphically depicting it in a report reflects innovative combined assurance reporting (Nkonki, 2016), providing users with an overview of the combined assurance approach adopted.
Developing an appropriate assurance strategy requires organisations to first identify the significant risks that could prevent the achievement of objectives. ERM is therefore about articulating the universe of risks that should be assured through a comprehensive combined assurance programme (Chikwiri and de la Rosa, 2015; Forte and Barac, 2015). It is accordingly unsurprising that SOEs conformed better in respect of identifying their risks and disclosing their assurance strategies (μ = 2), than in respect of the other five indicators. Further analysis reveals that in addition to having audit committees, some SOEs also have enterprise risk committees charged with assessing and managing risks, while others have consolidated these into a single committee. In this regard, in addition to a Board Audit Committee, the Industrial Development Corporation also has a Board Risk and Sustainability Committee (Industrial Development Corporation, Integrated Report, 2020). Similarly, Telkom also has a Risk Committee in addition to its Audit Committee (Telkom, Integrated Report, 2020). In essence, all SOEs appear to have adequate risk assessment practices and assurance strategies.
Since assurance mapping provides a comprehensive overview of the assurance provided by all internal and external assurance providers, it may be argued that mapping may be the most important component of combined assurance disclosure (Deloitte, 2016; IoDSA, 2016). Nevertheless, Table 2 reveals that most SOEs do not really disclose this indicator (μ = 1.42). Further analysis, illustrated in Table 3, shows that only eight SOEs (42%) disclosed this indicator. The 2020 Integrated Report of DENEL (p.94) compellingly describes assurance mapping as:
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | |
Relevant disclosure by SOEs | 19 | 8 | 5 | 7 | 17 | 8 | 9 |
% of Relevant disclosures | 100% | 42% | 26% | 37% | 89% | 42% | 47% |
"Assurance is provided through management self-assessments, observations, risk management, internal audit, external audit, the Parliamentary Portfolio Committee, as well as various external bodies. External bodies involved in Denel include the National Key Point Secretariat, National Conventional Arms Inspections and Audit Directorate, Armscor, the South African Bureau of Standards, Dekra, Bureau Veritas, OEMs and the South African National Accreditation System. Internal Audit conducts a risk-based assessment of the control environment, and management assurance covers all critical business processes and their performance. Internal audit completes its assurance processes based on the approved audit plan designed for Denel's risk profile. External Audit follows a specific audit scope approved by the Audit Committee and places reliance on internal audit work, as and where appropriate".
In addition to assisting DENEL streamline its operations by engaging both internal and external experts, disclosing this information in their publicly available integrated report appears to confirm DENEL's desire to continuously improve its combined assurance processes and enhance the understanding of report users about how assurance is provided over the veracity of the disclosures, highlighting the importance of the combined assurance model to both shareholders and stakeholders (Hoang and Phang, 2020; Prinsloo and Maroun, 2020; IoDSA, 2016, 2009).
Diagrammatically modelling the combined assurance process, reveals how concisely organisations have implemented combined assurance and how innovatively their combined assurance practices have been disclosed. However, Table 2 identifies this indicator as having the lowest cumulative mean score (μ = 1.26) of the seven indicators. Table 3 shows that only five of the SOEs (26%), diagrammatically modelled their combined assurance process, albeit not always in sufficient detail. It is submitted that this may be attributed to King Ⅳ not diagrammatically representing the five lines of assurance (IoDSA, 2016), unlike King Ⅲ where the (previous) three lines of defence were graphically illustrated. The ambiguity resulting from the inconsistent requirements of King Ⅲ and King Ⅳ, may also have contributed to the poor conformance, as evidenced by Telkom's diagrammatic modelling of its combined assurance process (depicted in Figure 4), still being based on the three lines of defence presented in King Ⅲ, and not on King Ⅳ's five lines of assurance encapsulated by ESKOM (reflected in Figure 5). Although Telkom should be commended for its diagrammatic presentation, it should be noted that not only is their model based on the outdated three lines of defence, but it also fails to disclose pertinent information required to comprehensively illustrate its combined assurance process.
Interestingly, by comparison, reflecting the evolutionary nature of the quest to constantly improve the quality of the accountability mechanisms and disclosures of organisations, it should be noted that whereas the combined assurance model of ESKOM lauded by Nkonki in 2016 (illustrated in Figure 3), was based on the 'three lines of defence' advocated by King Ⅲ, by 2020, ESKOM had refined their combined assurance model to incorporate the 'five lines of assurance' promoted by King Ⅳ (depicted in Figure 5 below). ESKOM's revised combined assurance model now includes assurance provided by the (1) oversight bodies (including the board and audit committee), (2) assurance providers (including both internal and external auditors), (3) functional management (including those responsible for specialist control functions, and those responsible for management of risk, resilience and compliance), (4) operational management (including those responsible for management and review functions), and (5) those responsible for operational execution and provision of supervisory oversight.
Table 2 reveals that SOEs appear to implement combined assurance differently (μ = 1.37). The majority of SOEs (n = 12), representing 63%, did not report on establishing a separate committee to oversee the adoption and implementation of the combined assurance model. Instead, some SOEs assigned the responsibility for implementation directly to the audit committee, whereas others established forums. Our results indicate that five of the seven SOEs that achieved maximum cumulative mean scores (μ = 2) (reflected in Table 4), established a sub-committee (forum) with a specific mandate to address combined assurance matters. This appears to imply that establishing a special forum to deal with combined assurance is more likely to result in better adoption and reporting of the combined assurance.
Cumulative mean | 2.00 | 1.86 | 1.71 | 1.43 | 1.29 | 1.14 |
Sampled SOEs | Broadband Infrastructure Company | ESKOM | DENEL | Alexkor | Air Traffic and Navigation Services | Independent Development Trust |
Industrial Development Corporation | Development Bank | Armaments Corporation | Airports Company | Transnet | ||
Land and Agricultural Bank | Trans-Caledon Tunnel Authority | Central Energy Fund | South African Broadcasting Corporation | |||
Telkom | South African Forestry Company | South African Nuclear Energy Corporation | ||||
South African Post Office |
Table 2 shows that the majority of SOEs disclosed that some assurance was provided over some aspect(s) of the disclosures presented in the reports (μ = 1.89). As reflected in Table 3, 17 of the SOEs (89%) disclosed that their reports were subjected to some form of assurance process. King Ⅳ, the Companies Act, as well as the incorporating legislation of the respective SOEs, require South African publicly-listed companies and SOEs to disclose how they have applied the combined assurance model and to identify which aspects of their reports have been independently and fully assured (IoDSA, 2016; 2009). Although this is a fundamental regulatory requirement with which all SOEs were expected to comply, not all did. For example, neither the Independent Development Trust, nor Transnet appear to have adopted the combined assurance model.
The requirement for reports of organisations in South Africa, including SOEs, to indicate that it has been independently and fully assured, coupled with the King Ⅳ requirement that organisations should explain how they have applied combined assurance, implies that including a combined assurance report provides veracity to the underlying annual report disclosures. The low mean score achieved for this indicator (μ = 1.42), results from only eight SOEs (42%) appearing to recognise the importance of having a separate section dealing with combined assurance, although no SOEs actually referred to it as a report. Five of the eight conforming SOEs that provided a separate section dealing with combined assurance, achieved the maximum mean score (μ = 2) relating to their performance across the seven indicators (as seen in Table 4). It remains disconcerting that none of the combined assurance models of any of the SOEs appear to have sufficiently matured to convince both internal and external stakeholders that the combined assurance model has been properly applied, improving the integrity of the information used for internal operations or to ensure the veracity of external reporting.
The combined assurance report should describe how the audit committee monitored the relationship between the external assurance providers and the organisation, as well as how it has ensured that the combined assurance model addresses all the material risks facing the organisation, or to at least provide a review statement on combined assurance. Although no SOEs adhered with the former, the observed mean score for this indicator (μ = 1.47) suggests that the audit committees of several SOEs did provide some type of review of the combined assurance process, albeit not in sufficient detail. In total only nine SOEs (47%) addressed this indicator. However, these disclosures are not what was envisaged for review statements, as illustrated by ESKOM's Audit and Risk Committee (ARC) revealing that:
"ARC has concluded that the systems and processes of risk management and compliance are adequate, although the effectiveness and application thereof need to be improved. Internal financial controls are considered adequate for Eskom's financial records to be relied upon, and for the preparation of reliable financial statements. Furthermore, ARC is satisfied that A & F is operated effectively and that Eskom has access to adequate resources, facilities and support from Government to be able to continue its operations as a going concern for the foreseeable future. ARC is satisfied with the quality of the external audit as well as the independence and objectivity of the external auditors" (ESKOM Integrated Report, 2020, p.28).
The main difference between the statement by ESKOM and the other eight SOEs, is that only ESKOM presented the statement in a separate combined assurance section. Furthermore, with reference to the other six indicators, it is self-evident that the above review statement itself, falls short of what such a report should entail.
As illustrated in Table 4, the cumulative mean scores for the seven indicators, shows that four SOEs (19%) achieved maximum scores (μ = 2) across the seven indicators. This observation suggests that SOEs have not really conformed to the requirements of the combined assurance model. The lowest mean score (μ = 1.14) was also achieved by four SOEs, with the highest modal score (μ = 1.29) by five SOEs (24%) and the lowest modal score (μ = 1.86) by one SOE (5%). Cumulatively, the scores of more SOEs (13), representing 62%, tend toward the minimum than the maximum, pointing to significant room for improvement by SOEs, on how they report on their combined assurance practices.
Typically utilising public funds in the form of taxpayers' monies, elevates the need for SOEs to account to the public, resulting in the accountability expectations tending to be greater in the public sector than the private sector (Ackers and Adebayo, 2022; Bovens et al., 2014). SOEs should therefore timeously provide the public with complete and credible information about how efficiently, effectively and economically, they have deployed taxpayers' funds to deliver on their respective mandates. As argued by Abishek and Divyashree (2019), since annual reports represent a useful tool for tracking organisational activities and processes, organisations should present credible and comprehensive reports, enabling stakeholders to effectively assess how they have discharged their accountability obligations. Using the indicators in this study to assess SOE adherence to the combined assurance principles, will directly benefit those working in, or advising public sector organisations, such as SOEs. This will enhance their understanding of how SOEs, listed in Schedule 2 of the PFMA, have discharged their accountability obligations. Despite overall low levels of conformance with the CACRQ, a few SOEs had high conformance levels. The combined assurance practices of these high conforming SOEs, could be used to guide lesser conforming SOEs improve their combined assurance practices, improving the confidence of stakeholders about the veracity of their disclosures. The observations emerging from this study, have important implications for management in public sector organisations around the world, to consider where SOE reporting practices are not prescribed. It shows that the combined assurance model places a premium on innovation and creativity in organisational reporting. This paper also offers important insights into the intricate interrelationships required to create effective governance and accountability structures, by meaningfully integrating the knowledge and expertise of various internal and external assurance providers, to achieve organisational objectives. Despite this study focusing on SOEs, it is expected that the observations would be of value to those governing, working in, or engaging with public sector organisations and SOEs, as well as in other sectors and organisations around the world.
An annual report that simply states that a combined assurance approach has been adopted, does not in itself provide users of an organisation's reports with confidence that they have taken due care in their business operations, especially in relation to ensuring that all material risks are adequately mitigated, which ultimately, is the core tenet of combined assurance, while simultaneously improving the integrity of such reports. Hence, by fully disclosing in the annual report how the combined assurance model was applied, underpins the essence of a governance framework and demonstrates the board's commitment to ensuring good corporate governance (CGF Research Institute, 2019). Although demonstrating conformance with the governance principles implicit in the combined assurance model, provides stakeholders with a good understanding of how the principles of combined assurance have been applied, organisations should at a minimum, disclose the following information in the annual report:
● the process by which an organisation has managed risk (assurance strategy, mapping); and
● information about how the organisation has implemented its combined assurance model, including details about the overall assurance measures, providers and reports obtained to verify and substantiate the integrity of internal and external reports relied on by stakeholders for decision-making (diagrammatic modelling, combined assurance forum, assurance provided in the report, combined assurance report and audit committee review) (CGF Research Institute, 2019).
We found that the SOE disclosures of some SOEs, appear to conform to some combined assurance indicators, the extent of this conformance varies. We found that although the combined assurance related disclosures some SOEs appear to suggest high levels of adoption, the majority have not provided sufficient information to adequately explain how they have applied combined assurance, if at all. Despite acknowledging that combined assurance tends to be an internal management tool, we posit that to enhance the quality of the future-orientated organisational reporting, requires the development and promotion of a universal template for the reporting of combined assurance. This standardisation will provide organisations with an opportunity to explain how the principles of combined assurance have been applied, ultimately enhancing the completeness and credibility of externally oriented reports. Aside from enhancing the quality of organisational reports, the template will also have the advantage of improving the comparability of the combined assurance sections of different annual reports.
This study could be replicated using private sector enterprises in the country, but using a different sampling regimen to that used by Prinsloo and Maroun (2021). Additional studies could also be undertaken on SOEs in other countries, such as Namibia where the combined assurance model is incorporated in the NamCode. Taken together, these recommendations for further research promise useful insights.
Since the scope of the study was confined to assessing whether SOEs had adopted and disclosed their combined assurance practices, it is accordingly proposed that future research should be conducted to develop a mechanism to evaluate the quality, completeness and veracity of the combined assurance practices of SOEs. Such a study, which could adapt the conformance index to assess the quality of these disclosures using a Likert scale, would provide deeper insights into the extent to which SOEs complied with the requirement. Furthermore, experimental research could also be undertaken in the public and private sector to understand how investors/stakeholders perceive the usefulness of each of the seven indicators of combined assurance reporting quality proposed in this study.
All authors declare no conflicts of interest in this paper.
[1] |
Guinness L, Paul RC, Martins JS, et al. (2018) Determinants of health care utilization: the case of Timor-Leste. Int Health 10: 412-420. https://doi.org/10.1093/inthealth/ihy044. doi: 10.1093/inthealth/ihy044
![]() |
[2] | Witter S, Bertone M, Dale E, et al. World Health Organization, Geneva. Health Financing in Fragile and Conflict-Affected Situations: A Review of The Evidence (2020) .Available from: https://www.who.int/publications/i/item/health-financing-policy-in-fragile-conflict-affected-situations. |
[3] |
Bertone MP, Jowett M, Dale E, et al. (2019) Health financing in fragile and conflict-affected settings: What do we know, seven years on? Soc Sci Med 232: 209-219. https://doi.org/10.1016/j.socscimed.2019.04.019. doi: 10.1016/j.socscimed.2019.04.019
![]() |
[4] |
Qin VM, Hone T, Millett C, et al. (2018) The impact of user charges on health outcomes in low-income and middle-income countries: a systematic review. BMJ Glob Health 3: e001087https://doi.org/10.1136/bmjgh-2018-001087. doi: 10.1136/bmjgh-2018-001087
![]() |
[5] |
McKinnon B, Harper S, Kaufman JS (2015) Who benefits from removing user fees for facility-based delivery services? Evidence on socioeconomic differences from Ghana, Senegal, and Sierra Leone. Soc Sci Med 135: 117-123. https://doi.org/10.1016/j.socscimed.2015.05.003. doi: 10.1016/j.socscimed.2015.05.003
![]() |
[6] |
McKinnon B, Harper S, Kaufman JS, et al. (2015) Removing user fees for facility-based delivery services: a difference-in-differences evaluation from ten sub-Saharan African countries. Health Policy Plan 30: 432-441. https://doi.org/10.1093/heapol/czu027. doi: 10.1093/heapol/czu027
![]() |
[7] | The World Bank Health Equity and Financial Protection Report–Timor-Leste (2014) .Available from: https://documents1.worldbank.org/curated/en/959881467992506455/pdf/103445-WP-P146116-Timor-Leste-Health-Equity-and-Financial-Protection-Report-FINAL-PUBLIC.pdf. |
[8] |
Mackenbach JP, Valverde JR, Artnik B, et al. (2018) Trends in health inequalities in 27 European countries. Proc Natl Acad Sci U S A 115: 6440-6445. https://doi.org/10.1073/pnas.1800028115. doi: 10.1073/pnas.1800028115
![]() |
[9] |
Leão T, Campos-Matos I, Bambra C, et al. (2018) Welfare states, the great recession, and health: trends in educational inequalities in self-reported health in 26 European countries. PLoS One 13: e0193165https://doi.org/10.1371/journal.pone.0193165. doi: 10.1371/journal.pone.0193165
![]() |
[10] |
Besnier E, Thomson K, Stonkute D, et al. (2019) Which public health interventions are effective in reducing morbidity, mortality, and health inequalities from infectious diseases amongst children in low-income and middle-income countries (LMICs): protocol for an umbrella review. BMJ Open 9: e032981https://doi.org/10.1136/bmjopen-2019-032981. doi: 10.1136/bmjopen-2019-032981
![]() |
[11] | The Democratic Republic of Timor-Leste Timor-Leste Strategic Development Plan 2011–2030, 2013 Available from: https://www.adb.org/sites/default/files/linked-documents/cobp-tim-2014-2016-sd-02.pdf. |
[12] |
Wing K, Low G, Sharma M, et al. (2018) Building a national eye-care service in post-conflict Timor-Leste. Bull World Health Organ 96: 716-722. https://doi.org/10.2471/BLT.18.212506. doi: 10.2471/BLT.18.212506
![]() |
[13] |
Guest GD, Scott DF, Xavier JP, et al. (2017) Surgical capacity building in Timor-Leste: a review of the first 15 years of the Royal Australasian College of Surgeons-led Australian Aid program. ANZ J Surg 87: 436-440. https://doi.org/10.1111/ans.13768. doi: 10.1111/ans.13768
![]() |
[14] |
Watters DA, McCaig E, Nagra S, et al. (2019) Surgical training programs in the South Pacific, Papua New Guinea and Timor Leste. Br J Surg 106: e53-e61. https://doi.org/10.1002/bjs.11057. doi: 10.1002/bjs.11057
![]() |
[15] |
Asante AD, Martins N, Otim ME, et al. (2014) Retaining doctors in rural Timor-Leste: a critical appraisal of the opportunities and challenges. Bull World Health Organ 92: 277-282. https://doi.org/10.2471/BLT.13.123141. doi: 10.2471/BLT.13.123141
![]() |
[16] |
Hou X, Witter S, Zaman RU, et al. (2016) What do health workers in Timor-Leste want, know and do? Findings from a national health labor market survey. Hum Resour Health 14: 69https://doi.org/10.1186/s12960-016-0164-1. doi: 10.1186/s12960-016-0164-1
![]() |
[17] | UNFPA, Plan International and República Democrática de Timor-Leste. Teenage pregnancy and early marriage in Timor-Leste. Research on the decision-making pathways of young women in the municipalities of Covalima, Aileu, and Dili, 2017 Available from: https://timor-leste.unfpa.org/sites/default/files/pub-pdf/TPEM%20REPORT_ENGLISH_LOW%20DEF%20-%2048%20pages.pdf. |
[18] |
Kennedy E, Gray N, Azzopardi P, et al. (2011) Adolescent fertility and family planning in East Asia and the Pacific: a review of DHS reports. Reprod Health 8: 11https://doi.org/10.1186/1742-4755-8-11. doi: 10.1186/1742-4755-8-11
![]() |
[19] |
Gray N, Azzopardi P, Kennedy E, et al. (2013) Improving adolescent reproductive health in Asia and the Pacific: do we have the data? A review of DHS and MICS surveys in nine countries. Asia Pac J Public Health 25: 134-144. https://doi.org/10.1177/1010539511417423. doi: 10.1177/1010539511417423
![]() |
[20] |
de Vargas Nunes Coll C, Ewerling F, Hellwig F, et al. (2019) Contraception in adolescence: the influence of parity and marital status on contraceptive use in 73 low- and middle-income countries. Reprod Health 16: 21https://doi.org/10.1186/s12978-019-0686-9. doi: 10.1186/s12978-019-0686-9
![]() |
[21] |
Yaya S, Zegeye B, Ahinkorah BO, et al. (2020) Inequality in fertility rate among adolescents: evidence from Timor-Leste demographic and health surveys 2009–2016. Arch Public Health 78: 98https://doi.org/10.1186/s13690-020-00484-1. doi: 10.1186/s13690-020-00484-1
![]() |
[22] |
Kennedy E, Binder G, Humphries-Waa K, et al. (2020) Gender inequalities in health and wellbeing across the first two decades of life: an analysis of 40 low-income and middle-income countries in the Asia-Pacific region. Lancet Glob Health 8: e1473-e1488. https://doi.org/10.1016/S2214-109X(20)30354-5. doi: 10.1016/S2214-109X(20)30354-5
![]() |
[23] |
Rees SJ, Tol W, Mohsin M, et al. (2016) A high-risk group of pregnant women with elevated levels of conflict-related trauma, intimate partner violence, symptoms of depression, and other forms of mental distress in post-conflict Timor-Leste. Transl Psychiatry 6: e725https://doi.org/10.1038/tp.2015.212. doi: 10.1038/tp.2015.212
![]() |
[24] | Asian Development Bank Timor-Leste. Country Gender Assessment, 2017 Available from: https://www.adb.org/sites/default/files/institutional-document/84126/timor-leste-country-gender-assessment.pdf. |
[25] | Nguyen A, Darcy A, Kelly L CARE rapid gender analysis COVID-19 Timor-Leste. Care, 2020 Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/20200515%20Timor-Leste%20Rapid%20Gender%20Analysis%20COVID-FINAL.pdf. |
[26] | World Health Organization Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence, 2017 Available from: https://apps.who.int/iris/bitstream/handle/10665/85239/9789241564625_eng.pdf. |
[27] | Plan International, Save the Children Because We Matter. Addressing COVID-19 and violence against girls in Asia-Pacific, 2020 Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/PI_STC_BecauseWeMatterPolicyBrief-FINAL.pdf. |
[28] | Niner S Barlake: an exploration of marriage practices and issues of women's status in Timor-Leste, 2012 Available from: https://research.monash.edu/en/publications/barlake-an-exploration-of-marriage-practices-and-issues-of-womens. |
[29] | Roque R (2013) Marriage traps: colonial interactions with indigenous marriage ties in East Timor. Brit Acad Scholarship Online https://doi.org/10.5871/bacad/9780197265246.003.0011. |
[30] |
Samanta T (2020) Women's empowerment as self-compassion? Empirical observations from India. PLoS One 15: e0232526https://doi.org/10.1371/journal.pone.0232526. doi: 10.1371/journal.pone.0232526
![]() |
[31] | Samari G (2019) Women's empowerment in Egypt: the reliability of a complex construct. Sex Reprod Health Matters 27: 1586816https://doi.org/10.1080/26410397.2019.1586816. |
[32] |
Singh SK, Sharma B, Vishwakarma D, et al. (2019) Women's empowerment and use of contraception in India: macro and micro perspectives emerging from NFHS-4 (2015–16). Sex Reprod Healthc 19: 15-23. https://doi.org/10.1016/j.srhc.2018.11.003. doi: 10.1016/j.srhc.2018.11.003
![]() |
[33] | United Nations Department of Economic and Social Affairs. World fertility and family planning 2020, 2020 Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Aug/un_2020_worldfertilityfamilyplanning_highlights.pdf. |
[34] | Sudharsanan N, Bloom DE (2018) Future directions for the demography of aging: proceedings of a workshop. The demography of aging in low- and middle-income countries: chronological versus functional perspectives Washington (DC): National Academies Press (US), Available from: https://www.ncbi.nlm.nih.gov/books/NBK513069/. |
[35] | Kurjak A, Carrera JM (2005) Declining fertility in the developed world and high maternal mortality in developing countries—how do we respond? J Perinat Med 33: 95-99. https://doi.org/10.1515/JPM.2005.017. |
[36] |
Sánchez-Barricarte JJ (2017) Mortality-fertility synergies during the demographic transition in the developed world. Popul Stud 71: 155-170. https://doi.org/10.1080/00324728.2017.1294701. doi: 10.1080/00324728.2017.1294701
![]() |
[37] |
Bongaarts J (2003) Completing the fertility transition in the developing world: The role of educational differences and fertility preferences. Popul Stud 57: 321-335. https://doi.org/10.1080/0032472032000137835. doi: 10.1080/0032472032000137835
![]() |
[38] |
Ahmed S, Li Q, Liu L, et al. (2012) Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet 380: 111-125. https://doi.org/10.1016/S0140-6736(12)60478-4. doi: 10.1016/S0140-6736(12)60478-4
![]() |
[39] | Basu A, Bharati P, Mukhopadhyay B, et al. Fertility decline and differences in less-developed countries: an anthropological microstudy of some communities of West Bengal, India, and Upper Khumbu, Nepal, 1981 Available from: https://pubmed.ncbi.nlm.nih.gov/7348192/. |
[40] |
Barham T, Champion B, Foster AD, et al. (2021) Thirty-five years later: Long-term effects of the Matlab maternal and child health/family planning program on older women's well-being. Proc Natl Acad Sci U S A 118: e2101160118https://doi.org/10.1073/pnas.2101160118. doi: 10.1073/pnas.2101160118
![]() |
[41] |
Rogers E, Stephenson R (2018) Examining temporal shifts in the proximate determinants of fertility in low- and middle-income countries. J Biosoc Sci 50: 551-568. https://doi.org/10.1017/S0021932017000529. doi: 10.1017/S0021932017000529
![]() |
[42] |
Wulifan JK, Brenner S, Jahn A, et al. (2016) A scoping review on determinants of unmet need for family planning among women of reproductive age in low- and middle-income countries. BMC Womens Health 16: 2https://doi.org/10.1186/s12905-015-0281-3. doi: 10.1186/s12905-015-0281-3
![]() |
[43] |
Atake EH, Gnakou Ali P (2019) Women's empowerment and fertility preferences in high fertility countries in sub-Saharan Africa. BMC Womens Health 19: 54https://doi.org/10.1186/s12905-019-0747-9. doi: 10.1186/s12905-019-0747-9
![]() |
[44] |
Haque R, Alam K, Rahman SM, et al. (2021) Women's empowerment and fertility decision-making in 53 low and middle resource countries: a pooled analysis of demographic and health surveys. BMJ Open 11: e045952https://doi.org/10.1136/bmjopen-2020-045952. doi: 10.1136/bmjopen-2020-045952
![]() |
[45] |
Yaya S, Odusina EK, Uthman OA, et al. (2020) What does women's empowerment have to do with malnutrition in sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries. Glob Health Res Policy 5: 1https://doi.org/10.1186/s41256-019-0129-8. doi: 10.1186/s41256-019-0129-8
![]() |
[46] |
Abreha SK, Zereyesus YA (2021) Women's empowerment and infant and child health status in sub-Saharan Africa: a systematic review. Matern Child Health J 25: 95-106. https://doi.org/10.1007/s10995-020-03025-y. doi: 10.1007/s10995-020-03025-y
![]() |
[47] |
Upadhyay UD, Gipson JD, Withers M, et al. (2014) Women's empowerment and fertility: a review of the literature. Soc Sci Med 115: 111-120. https://doi.org/10.1016/j.socscimed.2014.06.014. doi: 10.1016/j.socscimed.2014.06.014
![]() |
[48] |
Prata N, Fraser A, Huchko MJ, et al. (2017) Women's empowerment and family planning: a review of the literature. J Biosoc Sci 49: 713-743. https://doi.org/10.1017/S0021932016000663. doi: 10.1017/S0021932016000663
![]() |
[49] |
Chung H, van der Horst M (2018) Women's employment patterns after childbirth and the perceived access to and use of flexitime and teleworking. Hum Relat 71: 47-72. https://doi.org/10.1177/0018726717713828. doi: 10.1177/0018726717713828
![]() |
[50] |
Van den Broeck G, Maertens M (2015) Female employment reduces fertility in rural Senegal. PLoS One 10: e0122086https://doi.org/10.1371/journal.pone.0122086. doi: 10.1371/journal.pone.0122086
![]() |
[51] |
Götmark F, Andersson M (2020) Human fertility in relation to education, economy, religion, contraception, and family planning programs. BMC Public Health 20: 265https://doi.org/10.1186/s12889-020-8331-7. doi: 10.1186/s12889-020-8331-7
![]() |
[52] |
Sheikh SM, Loney T (2018) Is educating girls the best investment for South Asia? Association between female education and fertility choices in South Asia: a systematic review of the literature. Front Public Health 6: 172https://doi.org/10.3389/fpubh.2018.00172. doi: 10.3389/fpubh.2018.00172
![]() |
[53] | Ononokpono DN, Odimegwu CO, Usoro NA (2020) Contraceptive use in Nigeria: Does social context matter? Afr J Reprod Health 24: 133-142. https://doi.org/10.29063/ajrh2020/v24i1.14. |
[54] |
Na M, Jennings L, Talegawkar SA, et al. (2015) Association between women's empowerment and infant and child feeding practices in sub-Saharan Africa: an analysis of Demographic and Health Surveys. Public Health Nutr 18: 3155-3165. https://doi.org/10.1017/S1368980015002621. doi: 10.1017/S1368980015002621
![]() |
[55] |
Bado AR, Sathiya Susuman A (2016) Women's education and health inequalities in under-five mortality in selected sub-Saharan African countries, 1990–2015. PLoS One 11: e0159186https://doi.org/10.1371/journal.pone.0159186. doi: 10.1371/journal.pone.0159186
![]() |
[56] |
Gudbrandsen NH (2013) Female autonomy and fertility in Nepal. South Asia Econ J 14: 157-173. https://doi.org/10.1177/1391561413477945. doi: 10.1177/1391561413477945
![]() |
[57] | Khare S (2021) Impact of women's education on decision making regarding their children affairs. J Sci Res 65: 144-149. https://doi.org/10.37398/JSR.2021.650424. |
[58] |
Nkoka O, Lee D, Chuang KY, et al. (2021) Multilevel analysis of the role of women's empowerment on use of contraceptive methods among married Cambodian women: evidence from demographic health surveys between 2005 and 2014. BMC Womens Health 21: 9https://doi.org/10.1186/s12905-020-01141-z. doi: 10.1186/s12905-020-01141-z
![]() |
[59] |
Shittu WO, Abdullah A (2019) Fertility, education, and female labor participation: Dynamic panel analysis of ASEAN-7 countries. Int J Soc Econ 46: 66-82. https://doi.org/10.1108/IJSE-11-2017-0559. doi: 10.1108/IJSE-11-2017-0559
![]() |
[60] | Asian Development Bank Gender equality in the labor market in the Philippines. Asian Development Bank, 2013 Available from: https://www.adb.org/sites/default/files/publication/31194/gender-equality-labor-market-philippines.pdf. |
[61] |
Nguyen TT, Darnell A, Weissman A, et al. (2020) Social, economic, and political events affect gender equity in China, Nepal, and Nicaragua: a matched, interrupted time-series study. Glob Health Action 13: 1712147https://doi.org/10.1080/16549716.2020.1712147. doi: 10.1080/16549716.2020.1712147
![]() |
[62] |
de Loenzien M, Mac QNH, Dumont A (2021) Women's empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam. BMC Pregnancy Childbirth 21: 3https://doi.org/10.1186/s12884-020-03482-x. doi: 10.1186/s12884-020-03482-x
![]() |
[63] |
Anik AI, Islam MR, Rahman MS (2021) Do women's empowerment and socioeconomic status predict the adequacy of antenatal care? A cross-sectional study in five South Asian countries. BMJ Open 11: e043940https://doi.org/10.1136/bmjopen-2020-043940. doi: 10.1136/bmjopen-2020-043940
![]() |
[64] | American Bar Association Women's entrepreneurship in Timor-Leste: an assessment of opportunities, barriers, and a path forward. Key findings and recommendations, 2021 Available from: https://www.americanbar.org/content/dam/aba/directories/roli/timorleste/wagetimorleste.pdf. |
[65] |
Sebayang SK, Efendi F, Astutik E (2019) Women's empowerment and the use of antenatal care services: analysis of demographic health surveys in five Southeast Asian countries. Women Health 59: 1155-1171. https://doi.org/10.1080/03630242.2019.1593282. doi: 10.1080/03630242.2019.1593282
![]() |
[66] |
Phan L (2016) Measuring women's empowerment at household level using DHS data of four Southeast Asian countries. Soc Indic Res 126: 359-378. https://doi.org/10.1007/s11205-015-0876-y. doi: 10.1007/s11205-015-0876-y
![]() |
[67] |
Khanal V, Brites da Cruz JL, Mishra SR, et al. (2015) Under-utilization of antenatal care services in Timor-Leste: results from Demographic and Health Survey 2009–2010. BMC Pregnancy Childbirth 15: 211https://doi.org/10.1186/s12884-015-0646-5. doi: 10.1186/s12884-015-0646-5
![]() |
[68] | United Nations Educational, Scientific and Cultural Organization Literacy rates continue to rise from one generation to the next, 2017 Available from: http://uis.unesco.org/sites/default/files/documents/fs45-literacy-rates-continue-rise-generation-to-next-en-2017_0.pdf. |
[69] |
Gupta MD, Zhenghua J, Bohua L, et al. (2015) Why is son preference so persistent in East and South Asia? A cross-country study of China, India, and the Republic of Korea. J Dev Stud 40: 153-187. https://doi.org/10.1080/00220380412331293807. doi: 10.1080/00220380412331293807
![]() |
[70] |
Hesketh T, Lu L, Xing ZW (2011) The consequences of son preference and sex-selective abortion in China and other Asian countries. CMAJ 183: 1374-1377. https://doi.org/10.1503/cmaj.101368. doi: 10.1503/cmaj.101368
![]() |
[71] |
Channon MD, Puri M, Gietel-Basten S, et al. (2021) Prevalence and correlates of sex-selective abortions and missing girls in Nepal: evidence from the 2011 Population Census and 2016 Demographic and Health Survey. BMJ Open 11: e042542https://doi.org/10.1136/bmjopen-2020-042542. doi: 10.1136/bmjopen-2020-042542
![]() |
[72] |
Hoq MN (2020) Influence of the preference for sons on contraceptive use in Bangladesh: a multivariate analysis. Heliyon 6: e05120https://doi.org/10.1016/j.heliyon.2020.e05120. doi: 10.1016/j.heliyon.2020.e05120
![]() |
[73] |
Miller BD (2001) Female-selective abortion in Asia: patterns, policies, and debates. Am Anthropol 103: 1083-1095. https://doi.org/10.1525/aa.2001.103.4.1083. doi: 10.1525/aa.2001.103.4.1083
![]() |
[74] |
Ganatra B (2008) Maintaining access to safe abortion and reducing sex ratio imbalances in Asia. Reprod Health Matters 16: 90-98. https://doi.org/10.1016/S0968-8080(08)31394-9. doi: 10.1016/S0968-8080(08)31394-9
![]() |
[75] |
Browne TK (2017) How sex selection undermines reproductive autonomy. J Bioeth Inq 14: 195-204. https://doi.org/10.1007/s11673-017-9783-z. doi: 10.1007/s11673-017-9783-z
![]() |
[76] |
Chakrabarti A (2017) Female land ownership and fertility in Nepal. J Dev Stud 54: 1698-1715. https://doi.org/10.1080/00220388.2017.1400017. doi: 10.1080/00220388.2017.1400017
![]() |
[77] |
Mishra K, Sam A (2016) Does women's land ownership promote their empowerment? Empirical evidence from Nepal. World Dev 78: 360-371. https://doi.org/10.1016/j.worlddev.2015.10.003. doi: 10.1016/j.worlddev.2015.10.003
![]() |
[78] |
Seidu AA, Aboagye RG, Okyere J, et al. (2021) Women's autonomy in household decision-making and safer sex negotiation in sub-Saharan Africa: an analysis of data from 27 Demographic and Health Surveys. SSM Popul Health 14: 100773https://doi.org/10.1016/j.ssmph.2021.100773. doi: 10.1016/j.ssmph.2021.100773
![]() |
[79] |
Seidu AA, Ahinkorah BO, Ameyaw EK, et al. (2020) What has women's reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? Evidence from 27 cross-sectional surveys. PLoS One 15: e0235329https://doi.org/10.1371/journal.pone.0235329. doi: 10.1371/journal.pone.0235329
![]() |
[80] |
Atteraya MS, Kimm H, Song IH (2014) Women's autonomy in negotiating safer sex to prevent HIV: findings from the 2011 Nepal Demographic and Health Survey. AIDS Educ Prev 26: 1-12. https://doi.org/10.1521/aeap.2014.26.1.1. doi: 10.1521/aeap.2014.26.1.1
![]() |
[81] |
Debnath S (2015) The impact of household structure on female autonomy in developing countries. J Dev Stud 51: 485-502. https://doi.org/10.1080/00220388.2014.983909. doi: 10.1080/00220388.2014.983909
![]() |
[82] |
Do M, Kurimoto N (2012) Women's empowerment and choice of contraceptive methods in selected African countries. Int Perspect Sex Reprod Health 38: 23-33. https://doi.org/10.1363/3802312. doi: 10.1363/3802312
![]() |
[83] |
Some SYM, Pu C, Huang SL (2021) Empowerment and use of modern contraceptive methods among married women in Burkina Faso: a multilevel analysis. BMC Public Health 21: 1498https://doi.org/10.1186/s12889-021-11541-x. doi: 10.1186/s12889-021-11541-x
![]() |
[84] |
Maxwell L, Devries K, Zionts D, et al. (2015) Estimating the effect of intimate partner violence on women's use of contraception: a systematic review and meta-analysis. PLoS One 10: e0118234https://doi.org/10.1371/journal.pone.0118234. doi: 10.1371/journal.pone.0118234
![]() |
[85] |
Maxwell L, Brahmbhatt H, Ndyanabo A, et al. (2018) The impact of intimate partner violence on women's contraceptive use: evidence from the Rakai Community Cohort Study in Rakai, Uganda. Soc Sci Med 209: 25-32. https://doi.org/10.1016/j.socscimed.2018.04.050. doi: 10.1016/j.socscimed.2018.04.050
![]() |
[86] |
Forrest W, Arunachalam D, Navaneetham K (2018) Intimate partner violence and contraceptive use in India: the moderating influence of conflicting fertility preferences and contraceptive intentions. J Biosoc Sci 50: 212-226. https://doi.org/10.1017/S002193201700013X. doi: 10.1017/S002193201700013X
![]() |
[87] |
Williams CM, Larsen U, McCloskey LA (2008) Intimate partner violence and women's contraceptive use. Violence Against Wom 14: 1382-1396. https://doi.org/10.1177/1077801208325187. doi: 10.1177/1077801208325187
![]() |
[88] |
Dalal K, Andrews J, Dawad S (2012) Contraception use and associations with intimate partner violence among women in Bangladesh. J Biosoc Sci 44: 83-94. https://doi.org/10.1017/S0021932011000307. doi: 10.1017/S0021932011000307
![]() |
[89] |
Rabbi AMF (2014) Factors influencing fertility preference of a developing country during demographic transition: evidence from Bangladesh. SE Asian J Public Health 4: 23-30. https://doi.org/10.3329/seajph.v4i2.23691. doi: 10.3329/seajph.v4i2.23691
![]() |
[90] | Calache H, Christian B, Mamerto M, et al. (2019) An epidemiological study of dental caries and associated risk factors among primary school children in the Aileu Municipality, Timor-Leste. Rural Remote Health 19: 5322https://doi.org/10.22605/RRH5322. |
[91] |
Thompson S, Mercer MA, Hofstee M, et al. (2019) Connecting mothers to care: effectiveness and scale-up of an mHealth program in Timor-Leste. J Glob Health 9: 020428https://doi.org/10.7189/jogh.09.020428. doi: 10.7189/jogh.09.020428
![]() |
[92] |
Ung M, Boateng GO, Armah FA, et al. (2014) Negotiation for safer sex among married women in Cambodia: the role of women's autonomy. J Biosoc Sci 46: 90-106. https://doi.org/10.1017/S0021932013000151. doi: 10.1017/S0021932013000151
![]() |
[93] |
Marphatia AA, Ambale GS, Reid AM (2017) Women's marriage age matters for public health: a review of the broader health and social implications in South Asia. Front Public Health 5: 269https://doi.org/10.3389/fpubh.2017.00269. doi: 10.3389/fpubh.2017.00269
![]() |
[94] |
Wild KJ, Gomes L, Fernandes A, et al. (2019) Responding to violence against women: a qualitative study with midwives in Timor-Leste. Women Birth 32: e459-e466. https://doi.org/10.1016/j.wombi.2018.10.008. doi: 10.1016/j.wombi.2018.10.008
![]() |
[95] |
Meiksin R, Meekers D, Thompson S, et al. (2015) Domestic violence, marital control, and family planning, maternal, and birth outcomes in Timor-Leste. Matern Child Health J 19: 1338-1347. https://doi.org/10.1007/s10995-014-1638-1. doi: 10.1007/s10995-014-1638-1
![]() |
[96] |
Taft AJ, Powell RL, Watson LF (2015) The impact of violence against women on reproductive health and child mortality in Timor-Leste. Aust N Z J Public Health 39: 177-181. https://doi.org/10.1111/1753-6405.12339. doi: 10.1111/1753-6405.12339
![]() |
[97] |
Wallace HJ, McDonald S, Belton S, et al. (2018) What influences a woman's decision to access contraception in Timor-Leste? Perceptions from Timorese women and men. Cult Health Sex 12: 1317-1332. https://doi.org/10.1080/13691058.2018.1433330. doi: 10.1080/13691058.2018.1433330
![]() |
[98] |
Richards E (2015) The Catholic Church and reproductive health and rights in Timor-Leste: contestation, negotiation, and cooperation. Cult Health Sex 17: 343-358. https://doi.org/10.1080/13691058.2014.966255. doi: 10.1080/13691058.2014.966255
![]() |
[99] |
Nie J, Unger JA, Thompson S, et al. (2016) Does mobile phone ownership predict better utilization of maternal and newborn health services? A cross-sectional study in Timor-Leste. BMC Pregnancy Childbirth 16: 183https://doi.org/10.1186/s12884-016-0981-1. doi: 10.1186/s12884-016-0981-1
![]() |
[100] |
Khanal V, Lee AH, da Cruz JL, et al. (2014) Factors associated with non-utilization of health service for childbirth in Timor-Leste: evidence from the 2009–2010 demographic and health survey. BMC Int Health Hum Rights 14: 14https://doi.org/10.1186/1472-698X-14-14. doi: 10.1186/1472-698X-14-14
![]() |
[101] |
Mandal M, Muralidharan A, Pappa S (2017) A review of measures of women's empowerment and related gender constructs in family planning and maternal health program evaluations in low- and middle-income countries. BMC Pregnancy Childbirth 17: 342https://doi.org/10.1186/s12884-017-1500-8. doi: 10.1186/s12884-017-1500-8
![]() |
[102] |
Shimamoto K, Gipson JD (2017) Examining the mechanisms by which women's status and empowerment affect skilled birth attendant use in Senegal: a structural equation modeling approach. BMC Pregnancy Childbirth 17: 341https://doi.org/10.1186/s12884-017-1499-x. doi: 10.1186/s12884-017-1499-x
![]() |
[103] | The World Bank Timor-Leste-Total fertility rate, 2020 Available from: https://knoema.com/atlas/Timor-Leste/Fertility-rate. |
[104] |
Summers KH, Baird TD, Woodhouse E, et al. (2020) Mobile phones and women's empowerment in Maasai communities: How men shape women's social relations and access to phones. J Rural Stud 77: 126-137. https://doi.org/10.1016/j.jrurstud.2020.04.013. doi: 10.1016/j.jrurstud.2020.04.013
![]() |
[105] |
Beaujoin C, Bila A, Bicaba F, et al. (2021) Women's decision-making power in a context of free reproductive healthcare and family planning in rural Burkina Faso. BMC Womens Health 21: 272https://doi.org/10.1186/s12905-021-01411-4. doi: 10.1186/s12905-021-01411-4
![]() |
[106] |
Yaya S, Uthman OA, Ekholuenetale M, et al. (2018) Women empowerment as an enabling factor of contraceptive use in sub-Saharan Africa: a multilevel analysis of cross-sectional surveys of 32 countries. Reprod Health 15: 214https://doi.org/10.1186/s12978-018-0658-5. doi: 10.1186/s12978-018-0658-5
![]() |
[107] |
Blackstone SR (2017) Women's empowerment, household status and contraception use in Ghana. J Biosoc Sci 49: 423-434. https://doi.org/10.1017/S0021932016000377. doi: 10.1017/S0021932016000377
![]() |
[108] |
Whidden C, Keita Y, Treleaven E, et al. (2021) Women's empowerment, intrahousehold influences, and health system design on modern contraceptive use in rural Mali: a multilevel analysis of cross-sectional survey data. Reprod Health 18: 55https://doi.org/10.1186/s12978-020-01061-z. doi: 10.1186/s12978-020-01061-z
![]() |
[109] | Asian Development Bank Timor-Leste Country Gender Assessment, 2014 Available from: https://www.adb.org/sites/default/files/institutional-document/84126/timor-leste-country-gender-assessment.pdf. |
[110] |
Afulani PA, Altman M, Musana J, et al. (2017) Conceptualizing pathways linking women's empowerment and prematurity in developing countries. BMC Pregnancy Childbirth 17: 338https://doi.org/10.1186/s12884-017-1502-6. doi: 10.1186/s12884-017-1502-6
![]() |
[111] | Croft TN, Marshall AMJ, Allen CK, et al. (2018) Guide to DHS Statistics Rockville, Maryland, USA: ICF (version 2), Available from: https://dhsprogram.com/pubs/pdf/DHSG1/Guide_to_DHS_Statistics_DHS-7_v2.pdf. |
[112] | General Directorate of Statistics (GDS) Ministry of Health and ICF, 2018. Timor-Leste Demographic and Health Survey, 2016 Available from: https://www.dhsprogram.com/publications/publication-fr329-dhs-final-reports.cfm. |
[113] | United Nations Human Rights Office of the United Nations High Commissioner for Human Rights (OHCHR). Convention on the rights of the child adopted and opened for signature, ratification, and accession by General Assembly resolution 44/25 of 20 November 1989. Entry into force 2 September 1990, in accordance with article 49, 1990 Available from: https://www.ohchr.org/Documents/ProfessionalInterest/crc.pdf. |
[114] |
Efevbera Y, Bhabha J (2020) Defining and deconstructing girl child marriage and applications to global public health. BMC Public Health 20: 1547https://doi.org/10.1186/s12889-020-09545-0. doi: 10.1186/s12889-020-09545-0
![]() |
[115] |
Zaman M, Koski A (2020) Child marriage in Canada: a systematic review. PLoS One 15: e0229676https://doi.org/10.1371/journal.pone.0229676. doi: 10.1371/journal.pone.0229676
![]() |
[116] |
Paul P, Chouhan P, Zaveri A (2019) Impact of child marriage on nutritional status and anemia of children under 5 years of age: empirical evidence from India. Public Health 177: 95-101. https://doi.org/10.1016/j.puhe.2019.08.008. doi: 10.1016/j.puhe.2019.08.008
![]() |
[117] |
Khan S, Zaheer S, Safdar NF (2019) Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012–2013 Pakistan demographic and health survey. BMC Public Health 19: 358https://doi.org/10.1186/s12889-019-6688-2. doi: 10.1186/s12889-019-6688-2
![]() |
[118] |
Elnakib S, Hussein SA, Hafez S, et al. (2021) Drivers and consequences of child marriage in a context of protracted displacement: a qualitative study among Syrian refugees in Egypt. BMC Public Health 21: 674https://doi.org/10.1186/s12889-021-10718-8. doi: 10.1186/s12889-021-10718-8
![]() |
[119] |
Yaya S, Odusina EK, Bishwajit G (2019) Prevalence of child marriage and its impact on fertility outcomes in 34 sub-Saharan African countries. BMC Int Health Hum Rights 19: 33https://doi.org/10.1186/s12914-019-0219-1. doi: 10.1186/s12914-019-0219-1
![]() |
[120] |
Bhan N, Gautsch L, McDougal L, et al. (2019) Effects of parent-child relationships on child marriage of girls in Ethiopia, India, Peru, and Vietnam: evidence from a prospective cohort. J Adolesc Health 65: 498-506. https://doi.org/10.1016/j.jadohealth.2019.05.002. doi: 10.1016/j.jadohealth.2019.05.002
![]() |
[121] |
Raj A, Salazar M, Jackson EC, et al. (2019) Students, and brides: a qualitative analysis of the relationship between girls' education and early marriage in Ethiopia and India. BMC Public Health 19: 19https://doi.org/10.1186/s12889-018-6340-6. doi: 10.1186/s12889-018-6340-6
![]() |
[122] | UNICEF Child marriage: latest trends and future prospects, 2018 Available from: https://data.unicef.org/resources/child-marriage-latest-trends-and-future-prospects/. |
[123] | Nour NM Child marriage: a silent health and human rights issue, 2009 Avaliable from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672998/pdf/RIOG002001_0051.pdf. |
[124] |
Marphatia AA, Saville NM, Amable GS, et al. (2020) How much education is needed to delay women's age at marriage and first pregnancy? Front Public Health 7: 396https://doi.org/10.3389/fpubh.2019.00396. doi: 10.3389/fpubh.2019.00396
![]() |
[125] | United Nations Human Rights Office of the High Commission. Convention on consent to, marriage, minimum age for marriage, and registration of marriages. Opened for signature and ratification by General Assembly resolution 1763 A (XVII) of November 7, 1962. Entry into force: December 9, 1964, in accordance with article 6, 2021 Available from: https://www.ohchr.org/Documents/ProfessionalInterest/convention.pdf. |
[126] | United Nations Development Program. Challenges & Opportunities. Our Focus: Gender equality, 2021 Available from: https://www.tl.undp.org/content/timor_leste/en/home/gender-equality.html. |
[127] | International Women's Health Coalition The facts on child marriage, 2021 Available from: https://iwhc.org/resources/facts-child-marriage/. |
[128] | Bhabha J, Kelly O Child marriage and the right to education: evidence from India. Evidence submitted to the Office of High Commission of Human Rights. University of Harvard, 2013 Available from: https://www.ohchr.org/Documents/Issues/Women/WRGS/ForcedMarriage/NGO/HavardUniversityFXB3.pdf. |
[129] |
Abera M, Nega A, Tefera Y, et al. (2020) Early marriage and women's empowerment: the case of child-brides in Amhara National Regional State, Ethiopia. BMC Int Health Hum Rights 20: 30https://doi.org/10.1186/s12914-020-00249-5. doi: 10.1186/s12914-020-00249-5
![]() |
[130] |
Aychiluhm SB, Tesema AK, Tadesse AW (2021) Early marriage and its determinants among married reproductive age group women in Amhara Regional State, Ethiopia: a multilevel analysis. Biomed Res Int 2021: 1969721https://doi.org/10.1155/2021/1969721. doi: 10.1155/2021/1969721
![]() |
[131] |
Alhuzai NA (2020) The adjustment process of young Bedouin women who were child brides. J Community Psychol 48: 1882-1897. https://doi.org/10.1002/jcop.22379. doi: 10.1002/jcop.22379
![]() |
[132] |
Ahinkorah BO, Dickson KS, Seidu AA (2018) Women decision-making capacity and intimate partner violence among women in sub-Saharan Africa. Arch Public Health 76: 5https://doi.org/10.1186/s13690-018-0253-9. doi: 10.1186/s13690-018-0253-9
![]() |
[133] |
Sanawar SB, Islam MA, Majumder S, et al. (2019) Women's empowerment and intimate partner violence in Bangladesh: investigating the complex relationship. J Biosoc Sci 51: 188-202. https://doi.org/10.1017/S0021932018000068. doi: 10.1017/S0021932018000068
![]() |
[134] | Warner X The Asia Foundation. New study reveals patterns of violence against women in Timor-Leste, 2015 Available from: https://asiafoundation.org/2015/12/09/new-study-reveals-patterns-of-violence-against-women-in-timor-leste/. |
[135] | The Asia Foundation Women's economic empowerment in Timor-Leste, 2016 Available from: https://www.think-asia.org/bitstream/handle/11540/9330/TimorLesteWEPECON.pdf?sequence=1. |
[136] |
Samari G (2019) Education and fertility in Egypt: mediation by women's empowerment. SSM Popul Health 9: 100488https://doi.org/10.1016/j.ssmph.2019.100488. doi: 10.1016/j.ssmph.2019.100488
![]() |
[137] |
Thurston RC, Matthews KA (2019) Women and children first: promoting empowerment through resistance education-reply. JAMA Intern Med 179: 278-279. https://doi.org/10.1001/jamainternmed.2018.7813. doi: 10.1001/jamainternmed.2018.7813
![]() |
[138] |
McClelland KI, Petrany SM, Davies TH (2019) Women and children first: promoting empowerment through resistance education. JAMA Intern Med 179: 277-278. https://doi.org/10.1001/jamainternmed.2018.7837. doi: 10.1001/jamainternmed.2018.7837
![]() |
[139] |
Patidar H (2018) Women's empowerment and fertility behavior among the tribals of Rajasthan, India. Space Cult India 5: 129-139. https://doi.org/10.20896/saci.v5i3.285. doi: 10.20896/saci.v5i3.285
![]() |
[140] | Dasvarma GL, Lina H, Kosal S, et al. (2018) Fertility preferences in Cambodia. Family demography in Asia. A comparative analysis of fertility preferences Edward Elgar Publishing, https://doi.org/10.4337/9781785363559.00010. |
[141] |
Andersen SH, Ozcan B (2021) The effects of unemployment on fertility. Adv Life Course Res 49: 100401https://doi.org/10.1016/j.alcr.2020.100401. doi: 10.1016/j.alcr.2020.100401
![]() |
[142] |
Miettinen A, Jalovaara M (2020) Unemployment delays first birth but not for all. Life stage and educational differences in the effects of employment uncertainty on first births. Adv Life Course Res 43: 100320https://doi.org/10.1016/j.alcr.2019.100320. doi: 10.1016/j.alcr.2019.100320
![]() |
[143] |
Honjo K, Iso H, Ikeda A, et al. (2020) Cross-sectional association between employment status and self-rated health among middle-aged Japanese women: The influence of socioeconomic conditions and work-life conflict. J Epidemiol 30: 396-403. https://doi.org/10.2188/jea.JE20190005. doi: 10.2188/jea.JE20190005
![]() |
[144] |
Esteban-Gonzalo S, Aparicio M, Estaban-Gonzalo L (2018) Employment status, gender and health in Spanish women. Women Health 58: 744-758. https://doi.org/10.1080/03630242.2017.1353574. doi: 10.1080/03630242.2017.1353574
![]() |
[145] |
Prettner K, Strulik H (2017) Gender equity and the escape from poverty. Oxf Econ Pap 69: 55-74. https://doi.org/10.1093/oep/gpw043. doi: 10.1093/oep/gpw043
![]() |
[146] |
Doepke M, Tertilt M (2018) Women's empowerment, the gender gap in desired fertility, and fertility outcomes in developing countries. AEA Pap Proc 108: 358-362. https://doi.org/10.1257/pandp.20181085. doi: 10.1257/pandp.20181085
![]() |
[147] |
Samari G (2017) First birth and the trajectory of women's empowerment in Egypt. BMC Pregnancy Childbirth 17: 362https://doi.org/10.1186/s12884-017-1494-2. doi: 10.1186/s12884-017-1494-2
![]() |
[148] |
Kalwij A (2000) The effects of female employment status on the presence and number of children. J Popul Econ 13: 221-239. https://doi.org/10.1007/s001480050135. doi: 10.1007/s001480050135
![]() |
[149] |
Behrman J, Duvisac S (2017) The relationship between women's paid employment and women's stated son preference in India. Demographic Res 36: 1601-1636. https://doi.org/10.4054/DemRes.2017.36.52. doi: 10.4054/DemRes.2017.36.52
![]() |
[150] |
Muanda MF, Ndongo GP, Lauren J, et al. (2017) Barriers to modern contraceptive use in rural areas in DRC. Cult Health Sex 19: 1011-1023. https://doi.org/10.1080/13691058.2017.1286690. doi: 10.1080/13691058.2017.1286690
![]() |
[151] |
Najafi-Sharjabad F, Yahya SZS, Rahman HA, et al. (2013) Barriers of modern contraceptive practices among Asian women: a mini literature review. Glob J Health Sci 5: 181-192. https://doi.org/10.5539/gjhs.v5n5p181. doi: 10.5539/gjhs.v5n5p181
![]() |
[152] | Kahraman K, Göç G, Taşkın S, et al. (2012) Factors influencing the contraceptive method choice: a university hospital experience. J Turk Ger Gynecol Assoc 13: 102-105. https://doi.org/10.5152/jtgga.2012.07. |
[153] | National Institutes of Health US Department of Health and Human Services. What are the different types of contraception? Know the 5 main types of contraception, 2017 Available from: https://www.nichd.nih.gov/health/topics/contraception/conditioninfo/types. |
[154] |
Ajayi AI, Adeniyi OV, Akpan W (2018) Use of traditional and modern contraceptives among childbearing women: findings from a mixed-methods study in two southwestern Nigerian states. BMC Public Health 18: 604https://doi.org/10.1186/s12889-018-5522-6. doi: 10.1186/s12889-018-5522-6
![]() |
[155] |
Withers M, Dworkin SL, Zakaras JM, et al. (2015) ‘Women now wear trousers’: men's perceptions of family planning in the context of changing gender relations in western Kenya. Cult Health Sex 17: 1132-1146. https://doi.org/10.1080/13691058.2015.1043144. doi: 10.1080/13691058.2015.1043144
![]() |
[156] | Wigglesworth A, Niner S, Arunachalam D, et al. Attitudes and perceptions of young men towards gender equality and violence in Timor-Leste, 2015 Avaliable from: https://vc.bridgew.edu/cgi/viewcontent.cgi?article=1799&context=jiws. |
[157] | Tadesse M, Teklie H, Yazew G, et al. Women's empowerment as a determinant of contraceptive use in Ethiopia. Further analysis of the 2011 Ethiopia Demographic and Health Survey, 2013 Available from: https://dhsprogram.com/pubs/pdf/FA82/FA82.pdf. |
[158] | The World Bank Fertility rate, total (births per woman)—Indonesia, 2021 Available from: https://data.worldbank.org/indicator/SP.DYN.TFRT.IN?locations=ID. |
[159] | Rabbi AMF Relationship between contraceptive prevalence rate and total fertility rate: revisiting the empirical model, 2014 Available from: https://dpsdu.edu.bd/images/1RelationshipbetweenContraceptivePrevalenceRate.pdf. |
[160] | Larsson C, Stanfors M (2014) Women's education, empowerment, and contraceptive use in sub-Saharan Africa: findings from recent demographic and health surveys. Afr Pop Stud 28: 1022-1034. https://doi.org/10.11564/28-0-554. |
![]() |
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SN | Rating categories |
1 | Assurance strategy |
2 | Assurance mapping |
3 | Diagrammatic modelling |
4 | Combined assurance forum |
5 | Assurance provided in the report |
6 | Combined assurance report |
7 | Audit committee reviews the effectiveness of combined assurance |
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | ||
N | Valid | 19 | 19 | 19 | 19 | 19 | 19 | 19 |
Missing | 2 | 2 | 2 | 2 | 2 | 2 | 2 | |
Mean | 2.0 | 1.42 | 1.26 | 1.37 | 1.89 | 1.42 | 1.47 | |
Minimum | 2 | 1 | 1 | 1 | 1 | 1 | 1 | |
Maximum | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | |
Relevant disclosure by SOEs | 19 | 8 | 5 | 7 | 17 | 8 | 9 |
% of Relevant disclosures | 100% | 42% | 26% | 37% | 89% | 42% | 47% |
Cumulative mean | 2.00 | 1.86 | 1.71 | 1.43 | 1.29 | 1.14 |
Sampled SOEs | Broadband Infrastructure Company | ESKOM | DENEL | Alexkor | Air Traffic and Navigation Services | Independent Development Trust |
Industrial Development Corporation | Development Bank | Armaments Corporation | Airports Company | Transnet | ||
Land and Agricultural Bank | Trans-Caledon Tunnel Authority | Central Energy Fund | South African Broadcasting Corporation | |||
Telkom | South African Forestry Company | South African Nuclear Energy Corporation | ||||
South African Post Office |
SN | Rating categories |
1 | Assurance strategy |
2 | Assurance mapping |
3 | Diagrammatic modelling |
4 | Combined assurance forum |
5 | Assurance provided in the report |
6 | Combined assurance report |
7 | Audit committee reviews the effectiveness of combined assurance |
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | ||
N | Valid | 19 | 19 | 19 | 19 | 19 | 19 | 19 |
Missing | 2 | 2 | 2 | 2 | 2 | 2 | 2 | |
Mean | 2.0 | 1.42 | 1.26 | 1.37 | 1.89 | 1.42 | 1.47 | |
Minimum | 2 | 1 | 1 | 1 | 1 | 1 | 1 | |
Maximum | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
Assurance Strategy | Assurance Mapping | Diagrammatic Modelling | Combined Assurance Forum | Assurance Provided in the Report | Combined Assurance Report | Audit Committee review | |
Relevant disclosure by SOEs | 19 | 8 | 5 | 7 | 17 | 8 | 9 |
% of Relevant disclosures | 100% | 42% | 26% | 37% | 89% | 42% | 47% |
Cumulative mean | 2.00 | 1.86 | 1.71 | 1.43 | 1.29 | 1.14 |
Sampled SOEs | Broadband Infrastructure Company | ESKOM | DENEL | Alexkor | Air Traffic and Navigation Services | Independent Development Trust |
Industrial Development Corporation | Development Bank | Armaments Corporation | Airports Company | Transnet | ||
Land and Agricultural Bank | Trans-Caledon Tunnel Authority | Central Energy Fund | South African Broadcasting Corporation | |||
Telkom | South African Forestry Company | South African Nuclear Energy Corporation | ||||
South African Post Office |