Solving gender gaps in health, what else is missing?

Chilet-Rosell, Elisa; Hernández-Aguado, Ildefonso

doi:10.1016/j.gaceta.2021.10.002

“…Overall, these findings support arguments that the drive toward progress on gender equity in DAH is a political project more than a technical one, requiring shifts in power and relationship dynamics at micro and macro levels 16 , 35 , 65 .…”

Section: Discussionsupporting

confidence: 69%

Exploring system drivers of gender inequity in development assistance for health and opportunities for action

Bartel

¹

,

Coile²,

Zou

³

et al. 2023

Gates Open Res

0

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Background: Deep-rooted and widespread gender-based bias and discrimination threaten achievement of the Sustainable Development Goals. Despite evidence that addressing gender inequities contributes to better health and development outcomes, the resources for, and effectiveness of, such efforts in development assistance for health (DAH) have been insufficient. This paper explores systemic challenges in DAH that perpetuate or contribute to gender inequities, with a particular focus on the role of external donors and funders. Methods: We applied a co-creation system design process to map and analyze interactions between donors and recipient countries, and articulate drivers of gender inequities within the landscape of DAH. We conducted qualitative primary data collection and analysis in 2021 via virtual facilitated discussions and visual mapping exercises among a diverse set of 41 stakeholders, including representatives from donor institutions, country governments, academia, and civil society. Results: Six systemic challenges emerged as perpetuating or contributing to gender inequities in DAH: 1) insufficient input and leadership from groups affected by gender bias and discrimination; 2) decision-maker blind spots inhibit capacity to address gender inequities; 3) imbalanced power dynamics contribute to insufficient resources and attention to gender priorities; 4) donor funding structures limit efforts to effectively address gender inequities; 5) fragmented programming impedes coordinated attention to the root causes of gender inequities; and 6) data bias contributes to insufficient understanding of and attention to gender inequities. Conclusions: Many of the drivers impeding progress on gender equity in DAH are embedded in power dynamics that distance and disempower people affected by gender inequities. Overcoming these dynamics will require more than technical solutions. Groups affected by gender inequities must be centered in leadership and decision-making at micro and macro levels, with practices and structures that enable co-creation and mutual accountability in the design, implementation, and evaluation of health programs.

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“…For instance, as reflected in syndromes one, three, four, and five, DAH funding limits engagement and leadership of those most affected by gender inequities and reinforces power imbalances that favor donors. The findings confirm that the drive toward progress on gender equity in DAH is a political project more than a technical one, requiring shifts in power and relationship dynamics at micro and macro levels 14,33,64 .…”

Section: Discussionsupporting

confidence: 61%

Exploring system drivers of gender inequity in development assistance for health and opportunities for action

Bartel

¹

,

Coile²,

Zou

³

et al. 2022

Gates Open Res

0

View full text Add to dashboard Cite

Background: Deep-rooted and widespread gender-based bias and discrimination threaten achievement of the Sustainable Development Goals. Despite evidence that addressing gender inequities contributes to better health and development outcomes, the resources for, and effectiveness of, such efforts in development assistance for health (DAH) have been insufficient. This paper explores systemic challenges in DAH that perpetuate or contribute to gender inequities, with a particular focus on the role of external donors and funders. Methods: We applied a co-creation system design process to map and analyze interactions between donors and recipient countries, and articulate drivers of gender inequities within the landscape of DAH. We conducted qualitative primary data collection and analysis in 2021 via virtual facilitated discussions and visual mapping exercises among a diverse set of 41 stakeholders, including representatives from donor institutions, country governments, academia, and civil society. Results: Six systemic challenges emerged as perpetuating or contributing to gender inequities in DAH: 1) insufficient input and leadership from groups affected by gender bias and discrimination; 2) decision-maker blind spots inhibit capacity to address gender inequities; 3) imbalanced power dynamics contribute to insufficient resources and attention to gender priorities; 4) donor funding structures limit efforts to effectively address gender inequities; 5) fragmented programming impedes coordinated attention to the root causes of gender inequities; and 6) data bias contributes to insufficient understanding of and attention to gender inequities. Conclusions: Many of the drivers impeding progress on gender equity in DAH are embedded in power dynamics that distance and disempower people affected by gender inequities. Overcoming these dynamics will require more than technical solutions. Groups affected by gender inequities must be centered in leadership and decision-making at micro and macro levels, with practices and structures that enable co-creation and mutual accountability in the design, implementation, and evaluation of health programs.

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“Hacer género” en psicoterapia: fundamentos teóricos para visibilizar prejuicios y estigmas de género en la psicoterapia con personas LGBTIQA+

Navarro Cerda,

Giménez Páez,

Aparicio García

2024

Investig. fem.

0

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Introducción: La investigación en salud con perspectiva de género demuestra que hoy en día continúan reproduciéndose acciones discriminatorias y estigmatizantes en la atención sanitaria a personas LGBTIQA+, a pesar de las intenciones de les profesionales de salud en ofrecer un espacio seguro y una atención afirmativa. Existe una brecha entre la intención y la práctica, que perpetúa la estigmatización y las barreras de acceso a la salud para el Colectivo. Objetivos: Presentar fundamentos teóricos actuales para analizar cómo se manifiesta esta contradicción en la psicoterapia con personas LGBTIQA+. Metodología: Revisión asistemática sobre modelos de psicoterapia en salud mental LGBTIQA+ y marcos teóricos socioconstructivistas sobre el género. Resultados: Los modelos de Competencia Multicultural, las Teorías Relacionales del género y la perspectiva de “Hacer Género” permiten estudiar la psicoterapia como microproceso y revelar procesos implícitos en que los estereotipos de género se reproducen. Conclusiones: Se espera contribuir a visibilizar las profundas repercusiones del prejuicio y los estigmas de género en la psicoterapia, y con ello aportar a mejorar la calidad de atención en salud mental para el colectivo LGBTIQA+, repensar los modelos de competencias para terapeutas y fortalecer la posición crítica de la psicoterapia en su aporte hacia la justicia social.

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Solving gender gaps in health, what else is missing?

Cited by 3 publications

References 14 publications

Exploring system drivers of gender inequity in development assistance for health and opportunities for action

Exploring system drivers of gender inequity in development assistance for health and opportunities for action

Exploring system drivers of gender inequity in development assistance for health and opportunities for action

“Hacer género” en psicoterapia: fundamentos teóricos para visibilizar prejuicios y estigmas de género en la psicoterapia con personas LGBTIQA+

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