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Cathy Cuellar Oficina Genero, Diversidad y Derechos Humanos (GDR)

Integrando Igualdad de Genero en la OPS: Logros y oportunidades, Informe del 2009 – 2011 Mesa Directiva - Conferencia Regional sobre la Mujer Jueves 8 de noviembre, 2012 Santiago, Chile. Cathy Cuellar Oficina Genero, Diversidad y Derechos Humanos (GDR). Gender Inequalities persist….

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Cathy Cuellar Oficina Genero, Diversidad y Derechos Humanos (GDR)

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  1. Integrando Igualdad de Genero en la OPS: Logros y oportunidades,Informe del 2009 – 2011Mesa Directiva - Conferencia Regional sobre la MujerJueves 8 de noviembre, 2012Santiago, Chile Cathy Cuellar Oficina Genero, Diversidad y Derechos Humanos (GDR)

  2. Gender Inequalities persist… Women live longer than men, with lower mortality throughout, though added years are not quality years – burden of disease? 1/3 of women experience partner violence: discrimination and impunity continues. Women/girls are principal care providers of children, elderly and disabled Gender inequality is more explicit when illness/ death disproportionately affect poor women, ethnic groups or adolescents

  3. 2005 Policy approved by MS Resolution: PoA, TAG, Monitoring 2012 Monitoring Report (Sanitary Conference)

  4. PoA Monitoring Process • GDR – coordinator • Developed monitoring tool; gathered information and prepared report in participatory process (36 countries) • Prepared GB document.

  5. Monitoring Framework follows Strategic Objectives of GE Policy and PoA Action 1: Evidence building Gender Equality Policy Goal: Achievement of gender equality in health status and health development Action 4: Monitoring and evaluation Action 2: Capacity Building Action 3: Participation of civil society

  6. Action Area 1: Improving Evidence PASB 2005- 2010 • Health in the Americas (2012) • Health situation of Women and Men in the Americas (2009) (with UN) • Gender, Health and Development in the Americas: Basic Indicators, 2009

  7. Action Area 1: Improving Evidence Publications (63), Guidelines (50), ¾ disaggregated by sex

  8. PASB Evidence Publications Regional level Subregional level National level

  9. Action Area 2 : Capacity-Building Staff and partner training • PASB staff /partners from 20 Cs (2008/09): 30 PASB gender focal points • Virtual course on Gender and Health: intersectoral teams from 5 Cs = 57 • Mandatory e learning (WHO in process) • BWP training/manual for all PAHO staff Knowledge platforms • Webpage, listserve, databases • Annual Best Practice contest!

  10. Action Area 2: Capacity-Building (cont)PASB STAFF PARITY

  11. Action Area 2: Capacity-Building (cont) MEMBER STATES: • Most Cs have national gender equality or equal opportunity laws that apply to the health sector. • 17 Cs have specific health and gender policies • 8 have specific units • 14 Cs have budgets by law • Gender activities mostly donor supported. • 80% have no parity policies for staffing

  12. Países con políticas/programas/planes de género y salud; y países que cuentan con presupuestos para género. Treinta y seis países de ALC Países de CA y República Dominicana

  13. Action Area 3: Participation of Civil Society PASB • Consultation PoA, monitoring • Technical Advisory Group • Training • International events, UN panels • Collaboration with Network of Women’s Health of LAC Countries • Half report CSO participation

  14. Action Area 4: Monitoring and Evaluation • WHO evaluation • Review of PASB corporate documents • Monitoring of PoA and reporting 2012 and 2014 • PMA

  15. Obstacles to mainstreaming Gender in Health • Resistance to change => biomedical and patriarchal model of health. • Lack of political will • Limited coordination between health managers, stakeholders and/or sectors and donors • Lack of training and culture of gender analysis in health sector (inequalities invisible) • Constant rotation of trained health staff

  16. CONCLUSIONS • Even with challenges, results show progress. • The greatest challenge to Gender Mainstreaming (GM) in health is political support. • More health information produced by PASB HQ could be disaggregated by sex, and even more should be analyzed with a gender perspective. • Countries report important levels of CSO participation, as partners in GMS. • Most support for GMS provided by donors and UN agencies. PAHO’s contribution varied and absent in some countries. • PAHO's strong commitment to mainstreaming gender and Director’s leadership is a model for the Region…

  17. Country Recommendations • MOH should clearly position theintegration of gender in national health plans: • specific gender policy and plan of action with indicators • designated budget and trained staff (focal points at all levels) • coordinating units • monitoring systems • The Gender Policy should include other components related to gender equality and health: masculinity/male involvement, unpaid health care, equal compensation of health workers and sexual harassment policies.

  18. What next…

  19. Gender Equality is Good for Health! • www.paho.org/gdr

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