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Gender and Essential Packages of Health Services: Exploring the Evidence Base


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Presented by Val Percival of Norman Paterson School of International Affairs, Carleton University, Canada.

Part of a session - 'Context, gender, and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explores the evidence-base on such healthcare packages in different contexts and prioritizes areas for strengthening research.

Published in: Health & Medicine
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Gender and Essential Packages of Health Services: Exploring the Evidence Base

  1. 1. Gender and EPHS: Exploring the Evidence Base
  2. 2. The Presentation Background Our Approach to Question of Gender & Humanitarian Action Research Approach and Methods Findings Implications
  3. 3. Key Findings Earlier CAP Research Gender rhetoric, insufficient gender data & analysis; Focus on maternal health; Sexual violence against women/girls; Gender box ticking in Consolidated Appeals – unclear if this has changed in post CAP period; Challenges in implementation of ‘gender’.
  4. 4. Approach to EPHS How are ‘gender’ norms reflected and reinforced through the delivery of health services in humanitarian settings? Specific focus on EPHS. What opportunities exist for health services – specifically EPHS - to address gender norms?
  5. 5. Why Important? Grand Bargain & Reliance on National Actors; Path dependence of health interventions – humanitarian- dev’t nexus/continuum; Some evidence of ‘plateau’ of efficacy of reproductive and maternal health interventions; Focus on gender.
  6. 6. Dr. Denis Mukwege Nadia Murad NOBEL PEACE PRIZE 2018
  7. 7. Methods Research Questions • How are gender issues addressed by health service interventions in humanitarian settings? • How do these health services reflect and reinforce gender norms? • Focus on EPHS. Methods • Rapid Review – Qualitative Analysis – Google Scholar, PubMed • Data Extraction Using Common Codes Articulation of Findings/Themes
  8. 8. Theme One: Technical Approach Improve effectiveness of services through: • coordination and leadership; • better data (sex disaggregated); • evidence based interventions, • improved and consistent training; • Many protocols and tools. Minimum Initial Services Package for SRH (MISP); Focus: Maternal and child health, GBV.
  9. 9. From: Rachel Cooper, K4D “Maternal, Newborn and Child Health in Emergency Settings”
  10. 10. Theme Two: Resource Approach USAID, Essential Packages of Health Services in 24 Countries, 2017.
  11. 11. Theme Three: Avoid Challenging Gender Norms Recognition: • Gender norms key factor that influence effective delivery of health services & health outcomes; • Community engagement is critical; • National providers lack support and knowledge; Piecemeal efforts, overwhelmed providers, uncertainty.
  12. 12. Bricks and Mortar EPHS works to provide the ‘bricks’ of health services; Mortar is social norms, including gender; Ignoring mortar means the walls crumble; Resilience = resistance? Locally driven change.
  13. 13. Next Steps Original research – EPHS and supportive interventions; What is a ‘gender equitable’ EPHS? Gender equity benchmarks; Facilitate knowledge sharing and discussion thru innovative methods.