Showing posts from category gender.
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IGWG’s K4Health Gender and Health Toolkit Is a One-Stop Shop for Integration
›November 30, 2010 // By Ramona Godbole
Addressing and analyzing gender norms, roles, and relations is increasingly viewed as critical in the development of equitable, effective, and sustainable health care. However, there has been relatively little integration of gender into health policies, programs, and systems.
The Interagency Gender Working Group (IGWG) – founded in 1997 as a way to bring together NGOs and parts of USAID to share best practices – has partnered with K4Health to create a Gender and Health Toolkit specifically designed to bridge this gap.IGWG’s Gender and Health Toolkit provides access to hundreds of tools, databases, training modules, websites, and publications in one place. Broadly divided into sections including program design, implementation approaches, capacity building, monitoring and evaluation, health systems, best practices examples, and even country-specific case studies, the toolkit provides nearly everything needed to begin integrating gender into new or existing public health programs.
Practitioners can also post questions and comments about the toolkit through an integrated discussion board. The toolkit even has a database to share gender-related photos.
While designed primarily for gender and health specialists and practitioners, the scope of the toolkit extends beyond typical public health issues like maternal health, family planning, HIV/AIDS, and reproductive health. The toolkit links to resources and training modules covering a wide range of cross-cutting topics including gender-based violence; nutrition and food security; integrated population, health and environment; and conflict/post-conflict humanitarian assistance.
The accumulated wealth of knowledge presented in the IGWG Gender and Health Toolkit is an impressively comprehensive resource, and it should be bookmarked by environment, health, and gender specialists and interested policymakers alike.
Image Credit: K4Health. -
Former Botswana President Champions Health, Governance Issues
›November 16, 2010 // By Wilson Center StaffOriginally featured in the Scholar Spotlight, Centerpoint, November 2010.
His Excellency Festus Mogae, who served as president of Botswana from 1998–2008, recently spent several months at the Wilson Center as a public policy scholar. During his stay, he conducted research, networked with senior policy officials in the U.S. government, the United Nations, and with NGO representatives in Washington and New York, and attended Wilson Center seminars related to health and governance.
Since leaving office, Mogae has advocated for governance reform in Africa, notably presidential term limits, and efforts to mitigate the effects of climate change. Another critical initiative he is pursuing actively is HIV/AIDS prevention across Africa.
Mogae is the founder and chairman of Champions for an HIV-Free Generation, a group that assists current African presidents in dealing with the AIDS pandemic. This year, the delegation visited South Africa, Namibia, Mozambique, and Swaziland and, most recently, Zambia in October. The group seeks policy and attitude changes among the leaders of these nations and also advocates for increased financing for AIDS prevention in their health budgets. “If [these countries] allocate their own resources, the donor agencies will see they are serious about this problem” and match funds, said Mogae.
“We take the view that a more outspoken leadership must come from the continent regarding the AIDS epidemic,” he said. “African leaders must not only care but also be seen by donor countries and agencies as leading from the front on these matters.”
The group includes Mozambique’s Joaquim Chissano, Tanzania’s Benjamin Mkapa, Zambia’s first president Kenneth Kaunda, former Vice President of Uganda Speciosa Wandira, and former Chairperson of Kenya’s National AIDS Control Council, Miriam Were. Also in the coalition are two notables from South Africa, Nobel Laureate Archbishop Desmond Tutu and Constitutional Court judge, Justice Edwin Cameron.
The Champions coordinate with local health representatives based in Africa, from UNAIDS, the World Health Organization, PEPFAR, and the Gates Foundation, which prepare country reports on the status of AIDS. Then, armed with this research, the group meets with African leaders, including the presidents, finance and health ministers, local government and parliamentary officials, private sector, union, and civil society representatives, and church groups to lobby for policy changes.
“We highlight success stories on the continent so others can emulate them,” Mogae said. “We are calling for social behavioral change, but that can only happen if advocated and led by the top religious and traditional leadership.”
One particular challenge has been mother-to-child transmissions. He said in sub-Saharan Africa, in 2000, 40 percent of children born to HIV-positive mothers got infected but by 2008, the figure was down to three percent. The target is zero, he said.
Another major initiative chaired by Mogae is the Coalition for Dialogue on Africa, or, CoDA, a joint venture among the African Development Bank, the African Union Commission, and the UN Economic Commission for Africa. This global effort focuses on education, agriculture and conservation, energy and natural resources, and helping women. CoDA currently is organizing a symposium on women’s empowerment, he said, that will focus on education, and reforming land ownership and marriage laws.
These and other organizations with which he is affiliated aim to help shape policies and set priorities for Africa. He said, “We can’t ask the international community for help unless we first help ourselves.”
Dana Steinberg is the editor of the Wilson Center’s Centerpoint.
Photo Credit: AIDS sign in Gaborone, Botswana, courtesy of flickr user cordelia_persen. -
No Peace Without Women
›November 11, 2010 // By Kayly OberOn October 31, 2000, the UN Security Council adopted Resolution 1325, which calls for women’s equal participation in all efforts to maintain and promote peace and security. The resolution sought to exorcise the demons of the 1990s, when genocide took over 800,000 lives in Rwanda, thousands of women were raped in Bosnia, and millions more were displaced. However, the truth is that little progress has been made over these last 10 years and women remain on the periphery when it comes to post-conflict reconstruction and development.
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John Bongaarts on the Impacts of Demographic Change in the Developing World
›“The UN projects about 9.1 billion people by 2050, and then population growth will likely level off around 9.5 billion later in the century. Can the planet handle 9 billion? The answer is probably yes. Is it a desirable trajectory? The answer is no,” said John Bongaarts, vice president of the Policy Research Division at the Population Council, in this interview with ECSP.
Although family planning was largely brushed aside by international policymakers following the 1994 UN International Conference on Population and Development in Cairo, Bongaarts said he is hopeful because it is now enjoying a higher profile globally – and receiving greater funding.
“I am optimistic about the understanding now, both in developing and developed world, and in the donor community, that [family planning] is an important issue that should be getting more attention,” Bongaarts said. “And therefore I think the chances of ending up with a positive demographic outlook are now larger than they were a few years ago.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Demography and Women’s Empowerment: Urgency for Action?
›Why do Middle Eastern women participate in economic life at a rate lower than that of female citizens of other regions? According to Nadereh Chamlou, a senior advisor at the World Bank, restrictive social norms are to blame. At the Middle East and Environmental Change and Security Programs’ “Demography and Women’s Empowerment: Urgency for Action?” event, Chamlou argued that the region’s women must be empowered to participate in a more significant way if their countries are to effectively exploit, instead of squander, the current economic “window of opportunity.”According to Chamlou, the region is facing a “demographic window of opportunity” where its relatively high numbers of working-age people create the potential for rapid economic growth. However, Middle Eastern countries also have the highest dependency rates in the world. Without opening more economic opportunities for women, the region’s demographic window of opportunity will not be exploited to its full advantage.
Chamlou disputed the commonly held assumptions regarding the historic lack of female participation in the Middle East’s economic sphere, such as the belief that women abstain from joining the workforce because they do not possess the necessary education and skills. She cited statistics showing that the region’s women are represented at a near-equal level as men in secondary school, and to an even greater degree at the university level. They are also studying in marketable fields, disproving the theory that they are not acquiring employable skills.
A survey conducted by the World Bank in three Middle Eastern capital cities — Amman, Jordan; Cairo, Egypt; and Sana’a, Yemen — showed that negative male attitudes regarding women working outside the home were the most significant reason for poor female representation in the workforce. Notably, negative male attitudes restricted women’s participation far more than child-rearing duties. Despite the successful efforts of most Middle Eastern states to improve female education, conservative social norms that pose a barrier to female empowerment remain in place.
Chamlou concluded her remarks with three policy recommendations: 1) Focus on medium-educated, middle-class women; 2) Undertake more efforts to bring married women into the workforce; and 3) Place a greater emphasis on changing attitudes, particularly among conservative younger men, towards women working outside the home. Such changes could more effectively utilize the Middle East’s demographic window of opportunity.
Luke Hagberg is an intern and Haleh Esfandiari is director of the Middle East Program at the Wilson Center.
Sources: Population Reference Bureau.
Photo Credit: Adapted from “Obey Stikman,” courtesy of flickr user sabeth718. -
Tamara Kreinin on Women’s Empowerment, Population Growth, and Sustainability
›“We know that when that when we empower women – whether it’s giving them control over their bodies and access to family planning or whether it’s by including them in planning around climate change – their agency can make huge leaps for us,” said Tamara Kreinin, executive director of women and population at the UN Foundation, in this interview with ECSP.
Seventy percent of the world’s poor are women and they’re also the members of the household most likely to be responsible for food, water, and firewood collection.
“At the same time, we know that women are often not at the table,” she said. “They’re not at the table in country when countries are creating aid to adaptation strategies around the environment and climate change, and they’re not at the table at places like Copenhagen and some of the big climate change meetings.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Mobile Phones for Maternal Health in the Developing World
›With rising use in the developing world, cell phones and mobile technologies can create “connected and coordinated health systems that save more lives,” said Josh Nesbit at the GHI event “New Applications for Existing Technologies to Improve Maternal Health,” on October 27. Capitalizing on these new technologies could increase efficiency, cost-effectiveness, and efficacy of public health programs. Nesbit, executive director of FrontlineSMS: Medic, was joined by Alain Labrique, assistant professor at the Johns Hopkins School of Public Health, and David Aylward, executive director of the mHealth Alliance at the United Nations Foundation, to discuss the role of Information and Communication Technologies (ICTs) in the prevention of maternal mortality.
Collaborations for mHealthWhile “cell phones can’t save lives, the lack of information does kill,” said Aylward. Using technology that many people already own and use, mobile technology is an appropriate tool for disseminating health data and information. Existing technologies such as mobile phones and SMS text messaging can revolutionize healthcare by improving data collection and disease tracking, expanding patient diagnostics, and advancing education and awareness among health workers and patients.
With 64 percent of all mobile phone users located in the developing world, the use of mobile devices to improve health services in low-income countries is especially promising.
Aylward hopes that mobile health technology (mHealth) will help combat maternal mortality in the developing world. With approximately 350,000 women dying in childbirth each year, and only marginal progresses towards achieving Millennium Development Goal 5, finding such innovative solutions to improve maternal health is crucial.
Public-private partnerships are particularly important when considering the long-term sustainability of mHealth programs. “This didn’t happen because of the World Bank, it happened because people who are very poor voted with their very limited funds to have access to information,” said Aylward.
Aylward is hopeful that government and donor support will continue to become more supportive of mobile technology and coordinated in their implementation of mHealth programs globally.
Mobile Health Solutions in the Developing World
“Through mobile tools, we can act as quickly as possible to improve access to skilled birth attendants, emergency obstetric care, and access to reproductive health commodities,” said Nesbit.Nesbit’s organization, FrontlineSMS: Medic, is working to eliminate barriers created by the lack of resources and infrastructure in the developing world using mobile health technology. Now working in 20 countries, the organization uses free software “that enables large-scale, two-way text messaging using only a laptop, a GSM modem, and inexpensive cell phones,” explained Nesbit.
“One of the best measures is whether people continue to use your tools, and they will if it impacts their lives positively and they won’t if it doesn’t—sometimes it’s as simple as that,” said Nesbit on why communities in the developing world are eagerly embracing mobile technology.
Moving forward, Nesbit hopes to “scale and replicate, both vertically and horizontally, models that we’ve shown can work, but also to build new tools” and work with the health community “to help identify the needs and the gaps in these systems.”
However, Nesbit stresses that “these are very much tools and not solutions; they become solutions when they are paired with people on the ground who use them.”
Compressing the Time Between Crisis and Care
“The opportunities for mobile phones to act synergistically with existing health systems in low- to middle-income countries are many,” said Labrique. The current challenge is to harness this technology to improve health outcomes in the developing world, where disease burden is disproportionately high.
In the developing world, “decisions influenced by the lack of resources, such as poverty, or lack of information have led to highly convoluted patterns of care-seeking,” said Labrique.“Delayed decision-making compounded by delayed transport can have tragic consequences for maternal mortality,” said Labrique, and the most immediate use of mobile technology is “getting the necessary care, on time, to where these deaths are taking place.” Cell phones can help women, their families, and local health workers to seek timely, appropriate medical help for an obstetric emergency.
“Addressing equity and access to phones when evaluating the impact or success of mHealth interventions is critical,” Labrique said. Although cell phone use is high and steadily increasing, social and cultural norms in some countries might prevent women from using them. Further, Labrique notes, in Bangladesh, cell phone use among the poorest families is noticeably less than those with higher socioeconomic status.
“ICT and mHealth solutions have tremendous promise to improve maternal health in resource limited settings; however, it’s important not to let the technology guide the public health agenda,” said Labrique. More data is needed to determine how these tools might strengthen and enhance health systems and a clearer research agenda can help ensure evidence-based solutions guide programming.
For more from David Aylward and mHealth, be sure to see “Watch: David Aylward on How Wireless Technology is Changing Global Health and Empowering Women.”
Sources: Lancet, United Nations Foundation.
Photo Credit: “‘SMS till you drop’ — mobile phone ad on van in Kampala, Uganda,” courtesy of flickr user futureatlas.com. -
Watch: David Aylward on How Wireless Technology is Changing Global Health and Empowering Women
›“We have millions of young children, babies, dying unnecessarily, hundreds of thousands of women dying in childbirth – most of them unnecessarily – in large part for lack of access to health, lack of access to health information,” said David Aylward, executive director of the UN Foundation’s mHealth Alliance. “And while wireless doesn’t solve any of those problems by itself, it is a conduit, a pathway to solve those problems.”
We spoke to Aylward before the Global Health Initiative (GHI) event “New Applications for Existing Technologies to Improve Maternal Health,” at the Wilson Center earlier this week.
“We’ve gone from a billion subscribers to five billion subscribers in the last six years, and 70 percent of those are in the developing world,” he said. “So almost everywhere you go a woman has a cellphone or has access to a cellphone.”
This access allows women in the developing world to do basic things those in the developed world take for granted, like call for help or set up reminders. The most important thing to think about in the future is to continue empowering women with the tools and knowledge to understand their own healthcare and supporting them with better care.
“All of which are possible in the very near term if we can get the different parties to get together and work on them together,” said Aylward, “and that’s what our mission is.”
Check out the the full event summary from GHI here.
