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Gender Mainstreaming

Gender Mainstreaming. IN THE HEALTH SECTOR MOZAMBIQUE. Agenda. Where are we? Main Health Problems Strategies to Ensure Gender Responsiveness and Increased Resources for women Capacities needed to Equitable Development Results Q&A. Where are We?.

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Gender Mainstreaming

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  1. Gender Mainstreaming IN THE HEALTH SECTOR MOZAMBIQUE Responding to the changing context in International Health: Opportunities and Challenges for Gender Mainstreaming

  2. Agenda Where are we? Main Health Problems Strategies to Ensure Gender Responsiveness and Increased Resources for women Capacities needed to Equitable Development Results Q&A

  3. Where are We? • Illiteracy rate and protective role of education • Coverage of health services • Quality of health care services • Accessibility to health care

  4. Where are We? • PARP (ActionPlan for PovertyReduction) • NationalGenderPolicy and Implementation Strategies • NationalActionPlanontheAdvancementofWomen • Health Sector StrategicPlan • Strategies for Gender Equality in the Health Sector (incl. Gender ResponsivePlanningand Budgeting)

  5. Main Health Problems • Men • Die earlier, • High risk behaviour • Anti social behaviour • Violence and trauma (work accident, car crash) • Alcohol and smoking related diseases , e.g. lung and hepatic cancer

  6. Main Health Problems • Women • Live longer • 1/3 of deaths related to sexual and reproductive role: • High maternal mortality rate, fistula ... • High rates of STI/HIV/AIDS • Malaria • Tuberculosis • Depression , anxiety (violence)

  7. Strategies to Ensure Gender Responsiveness and Increased Resources for women • Situation analysis • Research • Gender and health equity at community level • Constraints faced by women in the health workforce • Male involvement in SRH • Policy and Program development • Women health • Safe motherhood • Human Resources Development • Gender based violence

  8. Strategies to Ensure Gender Responsiveness and Increased Resources for women • Human Resources • Training on Gender: • Curricula review, • Health planners and • Health care providers • Reshaping of the human resources pyramid • New policies on vehicle drivers, security personnel and quota on students enrolment on paramedical schools

  9. Strategies to Ensure Gender Responsiveness and Increased Resources for women • Processes: • SWAP • Working Groups on Gender • Different levels including on Health • Identification of entry points for gendermainstreaming • Advocacy • Capacity building on G responsiveness • Planners • Programme managers of the entire Ministry (Central level)

  10. Strategies to Ensure Gender Responsiveness and Increased Resources for women • Processes: • Identification of gender gaps at service delivery • SRH (maternal mortality, STI/HIV and AIDS) • Communicable diseases (Malaria, Tuberculosis) • Non Communicable diseases (violence, trauma, diabetes, hypertension, mental disorders) • Identification of women’s health diseases • Cervix and breast cancer

  11. Strategies to Ensure Gender Responsiveness and Increased Resources for women • Processes: • Identification of gender gaps at health work force • Careers • Managers • Leadership • Role of the Ministry of Planning and Development

  12. Capacities needed to Equitable Development Results • Gender Gender Planning and budgeting • The exercise showed the shortcomings of the systems • Health information system • Data partially disaggregated by sex (HR, STI/ HIV/AIDS) • Under review • Top down bottom-up

  13. Main Challenges • Slow process • Changes to be made simultaneously at different levels • Understanding the constraints on providers and working with them to effect improvements in services • Low morale and motivation • Poor communication between management and providers

  14. Main Challenges • Development of tools for empowering people • Build a bottom-up quality assurance, through a participatory process • Ask community members in their homes ‘the likes and dislikes’ of the local health centre

  15. Main Challenges • Long term challenges • Institutionalization: strong commitment is not enough • Gender awareness • Women’s issues/ gender issues

  16. Opportunities • Political commitment • Multi-sectorial approach (Coordinated by Ministry of Women and Social Action) • Development of Gender Machinery • Definition of priorities to enable a focus • Interactions with NGOs and other partners (SWAP, etc.)

  17. Thank you.Q&A

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