Health Sector Approaches to Prevent and Respond to Gender-Based Violence_Taraub Faramand_5.7.14

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This document discusses integrating gender considerations into health sector quality improvement efforts. It recommends using a multi-sectoral approach to address gender-based violence by building local capacity, integrating gender into improvement activities, documenting and sharing learning, and scaling up efforts. The document provides an example of using improvement approaches to identify gender gaps negatively impacting health outcomes for mother-baby pairs in HIV care, and testing local solutions to address issues like lack of male involvement and staff sensitization.

Technology Education

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

USAID Applying Science to Strengthen and Improve Systems
The Power of Data

USAID Applying Science to Strengthen and Improve Systems
Results-Disaggregated by Sex

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

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

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

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
?????

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

USAID Applying Science to Strengthen and Improve Systems
Sensitization-Beliefs
Taroub Harb Faramand MD, MPH
WI-HER LLC

USAID Applying Science to Strengthen and Improve Systems
Sensitization-Perception
Taroub Harb Faramand MD, MPH
WI-HER LLC

USAID Applying Science to Strengthen and Improve Systems
Sensitization-Respecting Culture
Taroub Harb Faramand MD, MPH
WI-HER LLC

USAID Applying Science to Strengthen and Improve Systems
Sensitization-Acceptance or a way of life
Taroub Harb Faramand MD, MPH
WI-HER LLC

USAID Applying Science to Strengthen and Improve Systems
Sensitization-Acceptance
Taroub Harb Faramand MD, MPH
WI-HER LLC

USAID Applying Science to Strengthen and Improve Systems
Boy Child Exploitation

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

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

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

USAID Applying Science to Strengthen and Improve Systems
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Health Sector Approaches to Prevent and Respond to Gender-Based Violence_Taraub Faramand_5.7.14

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

Editor's Notes

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

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