The Relationship Between Empowerment and Social Support Among Pregnant Afghan Women: A Cross-sectional Study in Kabul City, Afghanistan

Background and Purpose: Afghanistan has high maternal mortality that woman's empowerment and social support could reduce. This study aimed to determine the relationship between empowerment and social support in pregnant women who came to governmental hospitals in Kabul City, Afghanistan. Materials and Methods: A cross-sectional study was conducted in 4 governmental hospitals in Kabul, Afghanistan, in 2020. Through a convenient sampling, 428 pregnant women were recruited. The Kameda empowerment (Cronbach α = 0.89) was used to measure woman empowerment. Sarason social support questionnaires with two subscales, including social support number (Cronbach α = 0.95) and social support satisfaction (Cronbach α = 0.96), were used to collect the study data. Then, the obtained data were analyzed using SPSS version 16, and the Pearson correlation test determined the association between variables at the significance level of P <0.05. Results: The study participants' mean ± SD age was 26.55 ±5 years. Many were illiterate (28.3%), and more than half (79.7%) were homemakers. Almost two-thirds had no sources of income (71.3%). The mean ± SD gestational age was 32.16 ± 5.04 weeks, and 77.6% of participants wanted their pregnancy. The mean ± SD score for empowerment from 428 research samples was 85.48 ± 9.02, for social support number was 5.49±0.65 (which indicates the low number of people who support women), and for social support satisfaction was 1.5 ± 0.43 (which indicates a low level of social support satisfaction). Empowerment had a positive significant relationship with social support satisfaction (r=0.157, P=0.01) and social support number (r=0.129, P=0.007). Conclusion: Given the significant positive relationship between empowerment and social support in pregnant Afghan women, the low scores of social support call for more attention to the special needs of Afghan women to enhance the social safety net and improve social support, particularly among pregnant women, and eventually enhance the empowerment and reduce the maternal mortality rate among them.