Employment based health financing does not support gender equity in universal health coverage

Vijayasingham, Lavanya; Govender, Veloshnee; Witter, Sophie; Remme, Michelle

doi:10.1136/bmj.m3384

Cited by 13 publications

(6 citation statements)

References 30 publications

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“…For this to happen, sexual and reproductive healthcare must be included in essential services, and social protection policies should include provision for child care; paid parental, sick, and family care leave; and an old age pension 2. Health services and health insurance funded through tax based systems, including for informal work sectors, will also benefit women 3. Particular focus is required on people facing intersecting forms of discrimination because of age, ethnicity, migration, sexual orientation, and gender identity, among others.…”

Section: Realising the Visionmentioning

confidence: 99%

Gender equality by 2045: reimagining a healthier future for women and girls

Amin

Remme

Allotey

et al. 2021

BMJ

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Section: Realising the Visionmentioning

confidence: 99%

Gender equality by 2045: reimagining a healthier future for women and girls

Amin

Remme

Allotey

et al. 2021

BMJ

Self Cite

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“…56,61 There is a need to ensure continuity of coverage and related health care as workers move in and out of formal employment. [62][63][64] Impoverishment and unemployment will make it difficult to administratively and financially manage schemes that do not do so, given the scale of changes in economic status that are ongoing as a result of the pandemic. This policy shift requires greater reliance on general tax revenues, increased prioritization for health within the government budget, and political commitment to UHC.…”

Section: Within the Health Sectormentioning

confidence: 99%

Will the Quest for UHC be Derailed?

Sparkes

Evans

Kurowski

et al. 2021

Health Systems & Reform

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COVID-19 has shocked all countries' economic and health systems. The combined direct health impact and the current macro-fiscal picture present real and present risks to health financing that facilitate progress toward universal health coverage (UHC). This paper lays out the health financing mechanisms through which the UHC objectives of service coverage and financial protection may be impacted. Macroeconomic, fiscal capacity, and poverty indicators and trends are analyzed in conjunction with health financing indicators to present spending scenarios. The analysis shows that falling or reduced economic growth, combined with rising poverty, is likely to lead to a fall in service use and coverage, while any observed reductions in out-of-pocket spending have to be analyzed carefully to make sure they reflect improved financial protection and not just decreased utilization of services. Potential decreases in out-of-pocket spending will likely be drive by households' financial constraints that lead to less service use. In this way, it is critical to measure and monitor both the service coverage and financial protection indicators of UHC to have a complete picture of downstream effects. The analysis of historical data, including available evidence since the start of the COVID-19 pandemic, lay the foundation for health financing-related policy options that can effectively safeguard UHC progress particularly for the poor and most vulnerable. These targeted policy options are based on documented evidence of effective country responses to previous crises as well as the overall evidence base around health financing for UHC.

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“…Previous research pointed to “the Matilda effect” to describe a bias denying recognition within the medical field [ 8 , 9 ]. Even with the female-dominated response to the pandemic, the traditional gender gap issues in healthcare continue to exist [ 10 , 11 ]. During the epidemic, in numerous reports praising frontline female nurses, we would have thought that the performance of women would be the recognition needed to boost the culmination and long-term benefits of feminism.…”

Section: Introductionmentioning

confidence: 99%

Gender Bias and the Lack of Equity in Pandemic Nursing in China: A Qualitative Study

Zhu

Liu

et al. 2021

IJERPH

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There has long been a gender bias in medicine. This qualitative study aims to identify the experience of sexism among frontline female nurses and further explore their expectations and possible strategies to get rid of gender bias. This is a descriptive phenomenological study of 23 female nurses with 11 ± 3.98 years of experience who spent 36 ± 6.50 days at the frontline during the initial COVID-19 outbreak. We employed Colaizzi’s phenomenological analysis method to understand the subjective experiences, revealing the following themes: (a) materialization of gender identity; (b) incoordinate relationships; (c) future voice of female nurses. The gender bias experienced by female frontline nurses further challenges their emotional identity and self-identity. Therefore, it is important to require extensive consciousness-raising and policy support to defend female nurses’ rights.

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Employment based health financing does not support gender equity in universal health coverage

Abstract: Health financing and entitlement systems linked to employment can disadvantage women, argue Lavanya Vijayasingham and colleagues

Cited by 13 publications

References 30 publications

Gender equality by 2045: reimagining a healthier future for women and girls

Gender equality by 2045: reimagining a healthier future for women and girls

Will the Quest for UHC be Derailed?

Gender Bias and the Lack of Equity in Pandemic Nursing in China: A Qualitative Study

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