Health Sector Approaches to Prevent and Respond to Gender-Based Violence_Taraub Faramand_5.7.14
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  • Incorporate discussions on gender in workshops, learning sessions, and coaching and site visits with QI teamsTest changes to address identified gender-related barriers as you would other changes using the PDSA cycleScale up and spread successful changes…but keep in mind that gender constructs are unique to each community, so what works at one site may not work in another

Transcript

  • 1. 1 Health Sector Approaches to Prevent and Respond to Gender Based Violence Taroub Harb Faramand, MD, MPH President WI-HER, LLC USAID Applying Science to Strengthen and Improve Systems Project
  • 2. USAID Applying Science to Strengthen and Improve Systems The Power of Data
  • 3. USAID Applying Science to Strengthen and Improve Systems Results-Disaggregated by Sex
  • 4. USAID Applying Science to Strengthen and Improve Systems ASSIST Gender Integration Strategy  Build local capacity and foster local partnerships  Integrate gender in improvement activities  Document and share learning through knowledge management strategies and research  Scale up and institutionalize Taroub Harb Faramand MD, MPH WI-HER LLC
  • 5. USAID Applying Science to Strengthen and Improve Systems Science of Improvement • The Science underlying improvement draws on psychology, adult learning, organizational behavior and statistical analysis of variation and is grounded in a systems understanding of work. • The fundamental concept of improvement is that improvement requires change • Not every change leads to improvement, we therefore study and act Taroub Harb Faramand MD, MPH WI-HER LLC
  • 6. USAID Applying Science to Strengthen and Improve Systems Testing Changes Identify gender gaps and issues affecting health outcomes Analyze gender constraints, social political affecting health outcomes Develop activities to address issues and test changes Taroub Harb Faramand MD, MPH WI-HER LLC
  • 7. USAID Applying Science to Strengthen and Improve Systems Example: GBV in Partnership for HIV Free Survival (PHFS) Improve Retention of Mother-Baby Pair in Care Tradition and culture Aim Primary Driver Knowledge Resources Lack of Male Involvement Secondary Drivers Illustrative Activities Taroub Harb Faramand MD, MPH WI-HER LLC Staff unfriendly towards men Fear of Violence Community mobilization Information sharing Staff sensitization Small fee for transportation Family support groups ?????
  • 8. USAID Applying Science to Strengthen and Improve Systems WI HER-Gender Integration Approach on ASSIST Project  Sensitizing health providers is essential  Considering what is viewed as “normal” is important  Using improvement approaches to identify gaps  Identifying local solutions  Continuous monitoring and testing  Documenting and sharing Taroub Harb Faramand MD, MPH WI-HER LLC
  • 9. USAID Applying Science to Strengthen and Improve Systems Sensitization-Beliefs Taroub Harb Faramand MD, MPH WI-HER LLC
  • 10. USAID Applying Science to Strengthen and Improve Systems Sensitization-Perception Taroub Harb Faramand MD, MPH WI-HER LLC
  • 11. USAID Applying Science to Strengthen and Improve Systems Sensitization-Perception Taroub Harb Faramand MD, MPH WI-HER LLC
  • 12. USAID Applying Science to Strengthen and Improve Systems Sensitization-Respecting Culture Taroub Harb Faramand MD, MPH WI-HER LLC
  • 13. USAID Applying Science to Strengthen and Improve Systems Sensitization-Acceptance or a way of life Taroub Harb Faramand MD, MPH WI-HER LLC
  • 14. USAID Applying Science to Strengthen and Improve Systems Sensitization-Acceptance Taroub Harb Faramand MD, MPH WI-HER LLC
  • 15. USAID Applying Science to Strengthen and Improve Systems Boy Child Exploitation
  • 16. USAID Applying Science to Strengthen and Improve Systems Think about • Addressing GBV requires a comprehensive multi-sectoral approach • Use data to make a case • Connect GBV to health outcomes • Men and boys can also be victims • Do no harm—unintended results • Understand real drivers affecting outcomes • Create the “new normal” • Be patient—addressing GBV is a long process • Prevention is the way to go and we should start early Taroub Harb Faramand MD, MPH WI-HER LLC
  • 17. USAID Applying Science to Strengthen and Improve Systems Gender Integration and QI • Focus on Outcomes • Systematic & Efficient • Regular monitoring • Systems and Processes • Test, adjust and scale • Change from within • Research operationalized • Less resistance to gender • Simple, clear & practical • Learning & Sharing • Team work • Country ownership • Leadership
  • 18. USAID Applying Science to Strengthen and Improve Systems For more information about gender integration using quality improvement please contact: Taroub Harb Faramand: tfaramand@wi-her.org or Elizabeth Romanoff Silva: esilva@wi-her.org Learn more about our gender work through ASSIST on our new knowledge portal at: www.usaidassist.org/topics/gender
  • 19. USAID Applying Science to Strengthen and Improve Systems • http://globaldialogues.org