Community Coalitions’ Gender-Aware Policy and Systems Changes to Improve the Health of Women and Girls

Kowalczyk, Shelly; Randolph, Suzanne M.; Oravecz, Linda M.

doi:10.1016/j.whi.2017.09.004

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Few studies prior to this one had examined policies for guidance on gendered inequities in healthcare. In the United States, 51.0% of 77 public health policies at the state, organisational or school level were assessed as being gender aware [60]. A narrative synthesis of literature found that policy reforms or strategies achieved limited success in improving gender equality in health [61].…”

Section: Discussionmentioning

confidence: 99%

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Gagliardi

Dunn

Foster

et al. 2020

Health Res Policy Sys

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Background: Considerable research shows that women experience gendered disparities in healthcare access and quality. Patient-centred care (PCC) could reduce inequities by addressing the patient's clinical and personal needs. Healthcare policies can influence service delivery to optimise patient outcomes. This study assessed whether and how government policies recognise and promote PCC for women (PCCW). Methods: We analysed the content of English-language policies published in Canada from 2010 to 2018 on depression and cardiac rehabilitationconditions featuring known gendered inequitiesthat were identified on government websites. We extracted data and used summary statistics to enumerate mentions of PCC and women's health. Results: We included 30 policies (20 depression, 10 cardiac rehabilitation). Of those, 20 (66.7%) included any content related to PCC (median 1.0, range 0.0 to 5.0), most often exchanging information (14, 46.7%) and making decisions (13, 43.3%). Less frequent domains were enabling self-management (8, 26.7%), addressing emotions (6, 20.0%) and fostering the relationship (4, 13.3%). No policies included content for the domain of managing uncertainty. A higher proportion of cardiac rehabilitation guidelines included PCC content. Among the 30 policies, 7 (23.3%) included content related to at least one women's health domain (median 0.0, range 0.0 to 3.0). Most frequently included were social determinants of health (4, 13.3%). Fewer policies mentioned any issues to consider for women (2, 28.6%), issues specific to subgroups of women (2, 28.6%) or distinguished care for women from men (2, 28.6%). No policies included mention of abuse or violence, or discrimination or stigma. The policies largely pertained to depression. Despite mention of PCC or women's health, policies offered brief, vague guidance on how to achieve PCCW; for example, "Patients value being involved in decision-making" and "Women want care that is collaborative, woman-and family-centered, and culturally sensitive." Conclusions: Despite considerable evidence of need and international recommendations, most policies failed to recognise gendered disparities or promote PCC as a mitigating strategy. These identified gaps represent opportunities by which government policies could be developed or strengthened to support PCCW. Future research should investigate complementary strategies such as equipping policy-makers with the evidence and tools required to develop PCCW-informed policies.

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Section: Discussionmentioning

confidence: 99%

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Gagliardi

Dunn

Foster

et al. 2020

Health Res Policy Sys

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“…In addition to developing a list of community changes, they articulated the role of the coalition in creating the change, with networking/creating linkages, staffing/leading activities, or providing financial support most common. Kowalsczyk, Randolph, and Oravecz () similarly described the role of progress reports in documenting PSE change in ten coalitions focused on women's health. Herman et al.…”

Section: Resultsmentioning

confidence: 99%

Evaluation Methods Commonly Used to Assess Effectiveness of Community Coalitions in Public Health: Results From a Scoping Review

Kegler

Halpin²,

Butterfoss

2020

New Drctns Evaluation

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Community coalitions are well established as an important strategy for addressing public health problems through the lens of health equity, social determinants of health, and/or a social ecologic perspective. After almost three decades of practice and research on community‐based collaborative approaches, a large number of evaluations have been conducted to examine the processes of coalition formation, approaches to creating community change, and whether intermediate and longer‐term outcomes have been achieved. This chapter reports the results of a scoping review of the methods commonly used to evaluate community coalitions. English‐language articles were identified through a search of keywords, including community coalitions and evaluation published in the PubMed database between 2000 and 2018. Only outcome evaluations were included for a total of fifty‐five eligible papers. Two coders abstracted the following domains: public health topic, number of coalitions, framework or theory, study design, data collection methods, temporality, and types of outcomes (i.e., behavioral or health, community change, community capacity). Strategies for attributing observed outcomes to coalitions also were assessed. Findings suggest that the same challenges which limited the field a decade ago remain. Community changes were documented most often, with no behavioral or health outcomes. Studies that evaluated behavioral or health outcomes most commonly evaluated a single program, with limited or no examination of how the coalition(s) influenced program effectiveness. Current methods are adequate for assessing community changes and community capacity outcomes and evaluating specific intervention strategies. The two real stumbling blocks are documenting whether complex and synergistic multi‐sectoral community change leads to population‐level behavioral and health outcomes and, then, parceling out the added value of a coalition approach over other approaches to creating community change.

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“…So it is difficult for them to be aware of any injustice which happens to them. In addition, based on the study which was done by Shelly Kowalczyk, Suzanne M. Randolph, Linda Oravecz, shows that genderresponsive policies and systems can improve the health of women and children [12]. That is intervention through policies, systems, and programs to increase awareness of gender individuals or group which in turn can be an agent in promoting gender equality.…”

Section: Discussionmentioning

confidence: 99%

“…The UN through SDGs (Sustainability Development Goals) targeted be achieved by 2030 still makes gender equality as one of the 17 goals of MDGs (Millennium Development Goals) that should have been achieved by 2015. The seventeen objectives are (1) no poverty, (2) zero hunger, (3) good health and well-being, (4) quality of education, (5) gender equality, (6) clean water and sanitation, (7) affordable and clean of energy, (8) decent work and economic growth, (9) industry, innovation and infrastructure, (10) sustainable cities and communities, (12) responsible consumption and production, (13) life action, (15) life on land, (16) peace, justice and strong institutions, (17) partnership for the goals. The reality shows the whole countries in the world recognize that gender inequality is a problem in world development.…”

Section: Introductionmentioning

confidence: 99%

Breaking the Chain of Social Injustice Through Gender Responsive Civic Education

Fatmariza¹,

Dewi²,

Isnarmi³

et al. 2018

Proceedings of the Annual Civic Education Conference (ACEC 2018)

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The objective of the research is to analyze the development of awareness about gender equality in students through the learning process of citizenship education. This is one of the strategies to resolve the chain of gender injustice in communities that tend to discriminate against women. This research use qualitative with a participatory action research approach. The subjects are the civic education student's who attend the Perspective Gender class during the semester of July-December 2017. The results show that there are three stages of gender equality awareness of the students. First, to accept the issue of gender inequality within society and the state. Second, respond to the gender inequalities for reasons. The last, analyze gender inequality and giving solutions. The result of the research concluded that there has been a change in gender equality awareness of the students throughout the process of recovery. This condition is assumed can be one of the Efforts in breaking the links of gender inequality and social Injustice, because social Injustice is basically rooted in gender inequality.

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Community Coalitions’ Gender-Aware Policy and Systems Changes to Improve the Health of Women and Girls

Cited by 5 publications

References 8 publications

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Evaluation Methods Commonly Used to Assess Effectiveness of Community Coalitions in Public Health: Results From a Scoping Review

Breaking the Chain of Social Injustice Through Gender Responsive Civic Education

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