Jhpiego recognizes the importance of gender equity as critical to enhancing the health of women, girls, and their families. Gender inequality inhibits women and girls from effectively understanding, accessing, and utilizing sexual, reproductive, maternal, neonatal, child, and adolescent health (RMNCAH) services. These include the lack of power to decide to use family planning methods to control if, when, and how often to become pregnant; health risks due to gender-based violence (GBV); the lack of mobility, resources or decision-making capacity to deliver safely in a facility or with a skilled birth attendant; and discrimination and abuse in health facilities that are rooted in gender norms.
Gender refers to the economic, social, political, and cultural attributes and opportunities associated with being women and men. The social definitions of what it means to be a woman or a man vary among cultures and change over time. Gender is a sociocultural expression of particular characteristics and roles that are associated with certain groups of people with reference to their sex and sexuality.
Across our programs and our workforce, Jhpiego scored high on a first-ever, in-depth gender equality analysis of 140 leading global health organizations. We couldn’t be more thrilled.
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The 2016 Jhpiego Gender Analysis Toolkit is a practical guide for public health professionals seeking to understand how gender can impact health outcomes, both through service delivery and access to information and care. Its primary focus is sexual, reproductive, maternal, newborn, child and adolescent health.
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Jhpiego’s Gender Service Delivery Standards are a tool to assess and improve the quality of facility’s provision of gender-sensitive, respectful care.
When women are empowered to make decisions about their bodies and their families, studies show they are healthier, happier, and more prosperous. Jhpiego works to mitigate the inequalities that act as barriers to optimal health outcomes for women and girls. In Kenya and Tanzania, we are providing young women and girls with life skills and comprehensive sexuality education, including addressing gender norms, to prevent HIV and unwanted pregnancies.
Jhpiego works with providers and facilities to ensure equal access to gender-sensitive, respectful, high-quality care for clients of any gender, ensuring accessibility, privacy and confidentiality, and a cordial and non-discriminatory provider-client interaction. Jhpiego is improving gender-sensitive service delivery in facilities in Liberia, Nigeria, Tanzania, Rwanda and Mozambique through sensitization, skills-building and mentorship.
Studies across multiple global regions have consistently demonstrated that GBV is associated with poor reproductive and maternal and child health outcomes. Violence during pregnancy has been associated with (but not limited to): miscarriage, late entry into prenatal care, stillbirth, hemorrhage, low-birth-weight or small-for-gestational age infants, fetal injury, unsafe abortion, premature labor and birth, STIs including HIV, obstetric complications, depression, substance abuse during pregnancy, suicide and homicide. In Guinea, Haiti, Mozambique, Nepal, Rwanda and Tanzania, we are strengthening gender-based violence services and engaging communities to raise awareness about and increase access to GBV services.
Men play a key part in health, yet they are often neglected in outreach and service delivery. In many countries, men make most household decisions about sexual behavior, the use of family planning, family size, whether to give birth in a facility or at home, whether a sick child will be brought to a health facility, the allocation of household assets, and the division of household labor and caregiving. Additionally, men themselves are sexual beings and have their own needs and right to services. In Mozambique, Nigeria, Rwanda, and Tanzania, we are engaging men not only by encouraging their participation sexual, reproductive, maternal, newborn and child health services but also transforming male norms that inhibit their participation in the first place.
Jhpiego recognizes that female health workers face greater challenges than their male counterparts, including but not limited to fewer opportunities for hiring, training and promotion; sexual harassment; pressure by families to manage both work and household duties; and unequal pay. In Ethiopia, Liberia and Tanzania, Jhpiego also works to empower female health workers to overcome gender discrimination in the workplace and educational settings to deliver high quality care.
The USAID Maternal and Child Survival Program in Nigeria, led by Jhpiego, conducted a GBV Service Mapping and Provider Knowledge Assessment in July 2017 to assess the existence of services in Kogi and Ebonyi States, and provider knowledge/attitudes.Download Case Study
This case study examines Jhpiego’s efforts under the Strengthening Human Resources for Health Program to empower female health science students. Through financial aid, gender clubs, anti-sexual harassment policies, academic counseling and tutorials, Jhpiego is working to improve school performance and graduation rates. The program aims to build a high-quality cadre of female health professionals to address shortages in Ethiopia’s health system.Download Case Study
This case study examines Jhpiego’s efforts to improve access to— and quality of— health services for women and families in Afghanistan. By integrating gender into our work, we were able to improve women’s ability to seek health services, make decisions about family planning in partnership with their male partners or mother in law, access care 24 hours a day, and overcome transportation and geographic barriers.Download Case Study
This case study details Jhpiego’s work to help Mozambique’s Ministry of Health establish and improve health services for survivors of GBV, to ensure they receive high quality clinical care, counseling, safety planning and referrals. Jhpiego has done this through developing and implementing training materials for health providers, guidelines, job aids, infrastructure improvements in facilities, and quality improvement tools.Download Case Study
Jhpiego, in collaboration with the United Nations Population Fund (UNFPA) has worked with the Government of Nepal to develop a comprehensive training curriculum and clinical protocol to provide high quality health services for survivors of gender-based violence. The training covers every step of care from putting in place appropriate infrastructure that ensures the privacy of the survivor, to compassionate counseling techniques, to appropriate collection and storage of forensic evidence.Learn More
The 2016 Jhpiego Gender Analysis Toolkit is a practical guide for public health professionals seeking to understand how gender can impact health outcomes, both through service delivery and access to information and care. Its primary focus is sexual, reproductive, maternal, newborn, child and adolescent health.Learn More Watch Video