Gendered time use among specializing medical doctors at Makerere University, Uganda: a cross-sectional study

Abstract

Background Previous research shows that gendered differences in time use unfairly impact women’s career advancement and influence workforce management. Despite a growing body of literature on gendered time use, the topic has not been well documented among specializing medical doctors in sub-Saharan African countries, including Uganda. Objectives This study was conducted among specialist medical doctors at Makerere University to: (i) analyze gendered differences in time use for paid and unpaid activities and (ii) assess whether parenting influences time use. Methods The study sample comprised 244 medical doctors pursuing graduate specialist programs in 2024. The data collection, which utilized a self-administered questionnaire, assessed socio-demographic factors and self-reported time spent on paid work, unpaid domestic work, unpaid care for household members, studying, socializing, and leisure activities. Quantile regression analysis, with 95% confidence intervals, was used to compare median differences in reported time use across various activities for men and women. Results Compared to men, women reported spending more time on unpaid domestic work (2 vs 1 h/day: 95% CI: 0.6, 1.4) and less time on leisure activities (4 vs 7 h/week: 95% CI: −5.3, −0.8). Women with children spent more time on paid work than their male counterparts. Women with children reported spending half a day more on paid work and an additional hour on unpaid domestic work compared to men with children. Conclusion This gender imbalance in time use could negatively impact the career progression and well-being of female doctors and further reinforce gender inequalities in the medical workforce in Uganda.