Presentation –Strategy on women’s health and well-being
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This document outlines a strategy on women's health and well-being with the following key points: 1. It proposes a transformative agenda to improve women's health by addressing gender stereotypes, discrimination, social determinants of health, and biases within health systems. 2. Priority areas include moving beyond just maternal and child health, eliminating gender stereotypes in education and health sectors, and implementing gender budgeting and intersectoral policies. 3. The vision is for all girls and women to achieve their full health potential and well-being with their human rights respected and countries working to reduce gender and socioeconomic health inequities.
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Presentation –Strategy on women’s health and well-being
- 1. Strategy on women’s health and well-being Dr Gauden Galea, Director Isabel Yordi Aguirre, Technical Officer Noncommunicable Diseases and Promoting Health through the Life-course
- 4. Beyond the mortality advantage
- 5. Strengthening governance with women at the centre Eliminating discriminatory values, norms and practices Tackling the impact of gender and other social economic, cultural and environmental determinants Improving health systems responses to women’s health and well-being A transformative agenda: priority areas
- 6. • More than maternal and child health • Health and education sector to eliminate gender stereotypes • Gender budgeting Governance • Intersectoral policies that value girls and eliminate harmful practices • Addressing multiple discriminations • Detecting and addressing discrimination Discrimination • Linking sex and gender with other determinants: noncommunicable diseases and mental health • Health and social protection to reduce impact of precarious income Determinants • Respond to women’s needs with a life-course approach • Gender based models of care: paid and unpaid work • Eliminate sex and gender biases in research, use of medicines, prevention and care Systems A transformative agenda: highlights
- 7. Vision All girls and women are enabled and supported in achieving their full health potential and well-being, with their human rights respected, protected and fulfilled, and in which countries, both individually and together, work towards reducing gender and socioeconomic inequities in health within the Region and beyond.
Editor's Notes
- This Strategy has been coordinated by the Division of Non Communicable Diseases and Promoting Health through the Lifecourse and the Division of Policy and Governance for Health and Wellbeing
- The women’s health strategy strengthens global and regional agendas and supports implementation in MS: One of the main features of the 2030 Agenda is the connection between the different Goals. The strategy shows the links between Goal 5 on gender equality and women empowerment and Goal 3 on health and wellbeing. Actions from the health sector are crucial in order to achieve the following targets under Goal 5: 5. 1End all forms of discrimination against all women and girls everywhere 5.2 Eliminate all forms of violence against all women and girls in the public and private spheres, including trafficking and sexual and other types of exploitation 5.3 Eliminate all harmful practices, such as child, early and forced marriage and female genital mutilation 5.4 Recognize and value unpaid care and domestic work through the provision of public services, infrastructure and social protection policies and the promotion of shared responsibility within the household and the family as nationally appropriate 2. The Strategy also supports the implementation of the Global Strategy for Women’s, Children and Adolescents’ health and its operational framework adopted by the 66th WHA in may 2016. The European Strategy strengthens the areas which are less developed by the Global Strategy which has a strong focus on maternal and child health 3. And last but no least, the Strategy further support efforts to achieve Health 2020 objectives of reducing health inequalities and improving governance for health
- The Strategy has been developed through a consultative process with member States, academia, networks and civil society which started in last years’ RC during the presentation at a Technical Briefing of the evidence gathered in the document Beyond the mortality advantage. This was followed by the SCRC mandate to develop the Strategy. Feedback from consultations and from SCRC were incorporated into the text we are now presenting to you. But this consultation process also identified relevant evidence and evidence gaps. These have been gathered in the report on Women’s Health in Europe supporting the different priority areas of the Strategy.
- FIRST FIGURE (being updated) One of the main drivers behind the Strategy is the recognition that a long life expectancy is not always good news for women. Women in countries with the highest life expectancy experience up to 12 years in ill health. The second driver follows the Regional office work during the last years showing the impact of social, economic, cultural an environmental determinants on health and how unequal distribution and access can lead to inequities. This Strategy highlights the different impact on women’s health of gender as a social determinant of health and address the interactions between gender inequalities and other social inequalities. SECOND FIGURE The use of the different indexes measuring gender equality in our Region shows that no country in the Region has achieved equal levels of opportunities for men and women. We are privilege to live in countries with the highest ranking but, again, differences are striking.
- We believe it is a transformative agenda because it aims at changing some of the social norms and roles deeply rooted in our societies and in our health systems that may have a negative impact on the health of women. Most of these would be applicable to a future men’s health strategy since gender equality is beneficial for women and men now and for future generations.
- Without describing each of the actions, we would like to highlight some of these recommendations. But before that, we would like to mention that these have been crosschecked with recommendations made in the other strategies RC is discussing to avoid duplication and identify synergies. Governance: Most of the national policies and strategies on women’s health focus on women as mothers or as potential mothers and are under the responsibility of family affairs and child protection mechanisms. National policies and strategies need to go beyond that and recognise that, for example, mental health and cardiovascular diseases are a major health issues for women. Join work between education an health sectors is crucial to eliminate gender stereotypes that have negative health outcomes: eating disorders, sexual violence, increase risk behaviours, job segregation, etc Gender equality is not only about commitments. Funding needs to follow. Gender budgeting is a mechanisms to reduce inequalities through redistribution of funds.. Discrimination: Gender based sex selection exists in our Region and it is a demonstration of girls not being valued . So called honour killings, female genital mutilation, child marriage. These are all forms of discrimination present in our region. The strategy makes visible those women experiencing multiple discrimination such as migrants, Roma women, LGBTI, older women, etc Elimination of violence against women has been highlighted as a priority by the WHA and there is still a long way to go. All these forms of discrimination require multisectoral action but the health systems has a crucial role to play to address them Capacity of health care providers to detect, prevention and care needs to be strengthen. Determinants Girls are catching up on risky behaviour but the links between gender norms and roles and other socioeconomic determinants are not well understood: data from HBSC Higher levels of education have not been equally translated into the labour market: women and older women experience higher levels of poverty with impact on their access to health: the wage gap and the accumulation into the pensions gender gap Systems Using a lifecourse approach to women’s health should not focus only on having healthy children… Women are the vast majority of paid and unpaid care workers. A transformative agenda for health systems looks at improving care while properly paying women and decreasing their burden. Bias in research are care have been clearly illustrated by the missed risk of women to cardiovascular diseases.
- Although the action areas are addressing needs and existing gaps, the strategy recognizes the improvements in women’s health and the value of women as agents of change and their value for the health and wellbeing of the society. This is the spirit of the Vision. The challenge is action. The Secretarial is looking forward to the discussion and to working with you by providing technical guidance, building capacity and monitoring progress within national, regional and global accountability mechanisms.