Gender Mainstreaming IN THE HEALTH SECTOR MOZAMBIQUE Responding to the changing context in International Health: Opportunities and Challenges for Gender Mainstreaming
Feb 09, 2016
Gender MainstreamingIN THE HEALTH SECTOR
MOZAMBIQUE
Responding to the changing context in International Health: Opportunities and Challenges for Gender Mainstreaming
Agenda
• Where are we?• Main Health Problems• Strategies to Ensure Gender Responsiveness and Increased Resources for women • Capacities needed to Equitable Development Results• Q&A
• Illiteracy rate and protective role of education• Coverage of health services• Quality of health care services• Accessibility to health care
Where are We?
• PARP (Action Plan for Poverty Reduction)
• National Gender Policy and Implementation Strategies
• National Action Plan on the Advancement of Women
• Health Sector Strategic Plan
• Strategies for Gender Equality in the Health Sector (incl. Gender Responsive Planning and Budgeting)
Where are We?
• Men – Die earlier, – High risk behaviour– Anti social behaviour– Violence and trauma (work accident, car crash)– Alcohol and smoking related diseases , e.g. lung
and hepatic cancer
Main Health Problems
• Women – Live longer – 1/3 of deaths related to sexual and reproductive
role:oHigh maternal mortality rate, fistula ...oHigh rates of STI/HIV/AIDS–Malaria– Tuberculosis– Depression , anxiety (violence)
Main Health Problems
• Situation analysis• Research– Gender and health equity at community level– Constraints faced by women in the health workforce– Male involvement in SRH
• Policy and Program development– Women health– Safe motherhood– Human Resources Development– Gender based violence
Strategies to Ensure Gender Responsiveness and Increased Resources for women
Strategies to Ensure Gender Responsiveness and Increased Resources for women
• Human ResourcesoTraining on Gender: • Curricula review, • Health planners and • Health care providers
oReshaping of the human resources pyramidoNew policies on vehicle drivers, security personnel
and quota on students enrolment on paramedical schools
Strategies to Ensure Gender Responsiveness and Increased Resources for women
• Processes:• SWAP–Working Groups on Gender • Different levels including on Health• Identification of entry points for gendermainstreaming• Advocacy
• Capacity building on G responsiveness– Planners– Programme managers of the entire Ministry
(Central level)
Strategies to Ensure Gender Responsiveness and Increased Resources for women
• Processes:• Identification of gender gaps at service
delivery– SRH (maternal mortality, STI/HIV and AIDS)– Communicable diseases (Malaria, Tuberculosis)–Non Communicable diseases (violence, trauma,
diabetes, hypertension, mental disorders)• Identification of women’s health diseases– Cervix and breast cancer
Strategies to Ensure Gender Responsiveness and Increased Resources for women
• Processes:• Identification of gender gaps at health work
force– Careers–Managers – Leadership
• Role of the Ministry of Planning and Development
Capacities needed to Equitable Development Results
• Gender Gender Planning and budgeting
• The exercise showed the shortcomings of the systems
• Health information system– Data partially disaggregated by sex (HR, STI/
HIV/AIDS)– Under review
• Top down bottom-up
1. Slow process 3. Changes to be made simultaneously at
different levels4. Understanding the constraints on providers and
working with them to effect improvements in services• Low morale and motivation• Poor communication between management and
providers
Main Challenges
4. Development of tools for empowering people• Build a bottom-up quality assurance, through a
participatory process• Ask community members in their homes ‘the likes
and dislikes’ of the local health centre
Main Challenges
Main Challenges
5. Long term challenges• Institutionalization: strong commitment is not
enough• Gender awareness• Women’s issues/ gender issues
Opportunities
• Political commitment• Multi-sectorial approach (Coordinated by
Ministry of Women and Social Action)• Development of Gender Machinery• Definition of priorities to enable a focus• Interactions with NGOs and other partners
(SWAP, etc.)
Thank you.
Q&A