Tools and approaches to operationalize the commitment to equity, gender and human rights: towards <i>leaving no one behind</i> in the Sustainable Development Goals

Zamora, Gerardo; Koller, Theadora Swift; Thomas, Rebekah; Manandhar, Mary; Lustigova, Eva; Diop, Adama; Magar, Veronica

doi:10.1080/16549716.2018.1463657

Cited by 22 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…International commitments to advance gender equality have brought about improvements in some areas: child marriage and female genital mutilation have declined in recent years, and women’s representation in the political arena and in managerial positions is higher than ever before [ 6 ]. In order to facilitate the implementation, numerous tools have been developed such as guides, manuals, and indicators [ 7 , 8 , 9 , 10 ] that constitute a wide range of proposals, from global health policies to actions directly aimed at health care services. However, despite the efforts and commitments, gender inequity in health persists today [ 11 ], and our health systems continue to be a fundamental source of these inequalities [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Have Policies Tackled Gender Inequalities in Health? A Scoping Review

Crespí-Lloréns

Hernández-Aguado

Chilet-Rosell

2021

IJERPH

View full text Add to dashboard Cite

Gender is recognized as one of the most relevant determinants of health inequalities. This scoping review sought to identify and analyse policies, either implemented or formulated as proposals, which aimed to reduce gender inequalities in health. We searched Medline, Web of Science, and Scielo. Of 2895 records, 91 full text articles were analysed, and 33 papers were included. Of these papers, 22 described the process of formulation, implementation, or evaluation of policies whose aim was to reduce gender inequalities in health; six focused on recommendations, and the remaining five dealt with both issues. Our review showed that the policies aimed at reducing gender inequalities in health, either implemented or formulated as proposals, are scarce. Moreover, despite some success, overall progress has been slow. The studies show failures in design and particularly in the implementation process. We found a lack of awareness and capacity in the policy-making progress, under-financing, bureaucratization, shortage of relevant data, and absence of women’s participation in decision-making. Therefore, an emphasis on the design and implementation of gender-sensitive policies seems essential to advance gender equality in health. This scoping review gathers evidence to support the design of such policies and recommendations that can facilitate their implementation.

show abstract

Section: Introductionmentioning

confidence: 99%

Have Policies Tackled Gender Inequalities in Health? A Scoping Review

Crespí-Lloréns

Hernández-Aguado

Chilet-Rosell

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The second debate article showcases WHO’s broad strategy for Gender, Equity and Human Rights to which health inequality monitoring is a major contributor [16]. It presents definitions of key concepts and principles in this domain – equity, gender and the right to health.…”

mentioning

confidence: 99%

Monitoring health inequality in Indonesia

Hosseinpoor

Nambiar

Schlotheuber

2018

Global Health Action

View full text Add to dashboard Cite

“…At the core of the SDGs is the notion of leaving no one behind, which, "represents the unequivocal commitment … to reduce the inequalities and vulnerabilities that leave people behind and undermine the potential of individuals and of humanity as a whole" [9 , p. 6]. This idea underscores the interconnectedness of the SDGs and principles of health equity [10]-a noted limitation of the MDGs [11]. As such, under the auspices of the SDGs [12], there is a need for research that focuses on identifying (health) inequalities that exist, examining the factors that perpetuate and exacerbate these inequalities, understanding how specific inequalities are related to broader health inequity [13], and developing strategies to minimize or, ideally, eliminate them.…”

Section: Introductionmentioning

confidence: 99%

Leaving no one behind? An equity analysis of the HIV care cascade among a cohort of people living with HIV in Manitoba, Canada

2021

View full text Add to dashboard Cite

Background Manitoba is a central Canadian province with annual rates of new HIV infections consistently higher than the Canadian average. National surveillance statistics and data from the provincial HIV care program suggest that epidemiological heterogeneity exists across Manitoba. New HIV cases are disproportionately reported among females, Indigenous-identifying individuals, and those with a history of injection drug use. Given the heterogeneity in acquisition, it is of interest to understand whether this translates into inequalities in HIV care across Manitoba. Methods A sample of 703 participants from a clinical cohort of people living with HIV in Manitoba, with data current to the end of 2017, was used to conduct cross-sectional, disaggregated analyses of the HIV care cascade to identify heterogeneity in service coverage and clinical outcomes among different groups receiving HIV care in Manitoba. Equiplots are used to identify and visualize inequalities across the cascade. Exploratory multivariable logistic regression models quantify associations between equity variables (age, sex, geography, ethnicity, immigration status, exposure category) and progression along the cascade. Adjusted odds ratios (AOR) and 95% confidence intervals (95%CI) are reported. Results Equity analyses highlight inequalities in engagement in and coverage of HIV-related health services among cohort participants. Equiplots illustrate that the proportion of participants in each cascade step is greater for those who are older, white, non-immigrants, and report no history of injection drug use. Compared to those living in Winnipeg, participants in eastern Manitoba have greater odds of achieving virologic suppression (AOR[95%CI] = 3.8[1.3–11.2]). The odds of Indigenous participants being virologically suppressed is half that of white participants (AOR[95%CI] = 0.5[0.3–0.7]), whereas African/Caribbean/Black participants are significantly less likely than white participants to be in care and retained in care (AOR[95%CI] = 0.3[0.2–0.7] and 0.4[0.2–0.9], respectively). Conclusions Inequalities exist across the cascade for different groups of Manitobans living with HIV; equiplots are an innovative method for visualizing these inequalities. Alongside future research aiming to understand why inequalities exist across the cascade in Manitoba, our equity analyses can generate hypotheses and provide evidence to inform patient-centred care plans that meet the needs of diverse client subgroups and advocate for policy changes that facilitate more equitable HIV care across the province.

show abstract

Tools and approaches to operationalize the commitment to equity, gender and human rights: towards leaving no one behind in the Sustainable Development Goals

Cited by 22 publications

References 20 publications

Have Policies Tackled Gender Inequalities in Health? A Scoping Review

Have Policies Tackled Gender Inequalities in Health? A Scoping Review

Monitoring health inequality in Indonesia

Leaving no one behind? An equity analysis of the HIV care cascade among a cohort of people living with HIV in Manitoba, Canada

Contact Info

Product

Resources

About