ContributorsKH and AR led conceptualisation and drafting of the paper. AD led the study on nurses in Uttar Pradesh, ND the study on accredited social health activists in Uttar Pradesh, HW and JR the study on community health workers and community health worker policy in Sierra Leone, LM, JK, and AR the study on gender parity in the global physician workforce, and KH, YA, and NS the study on selfhelp groups in India. FS and RF-M led development of the case on the nurse from eSwatini. VP, RH, and EBa did the systematic literature review on health systems models. JGS and AR led the systematic review on gender transformative clinical interventions. KH, LM, JK, FS, RF-M, AD, YA, JY, EBl, NB, JGS, and AR did the critical reviews of the literature on gender inequalities and gender norms affecting health and helped draft pieces of those reviews, with consideration of diverse geographic contexts. All authors offered critical inputs and reviews of this work, contributed intellectual and substantive revisions to the writing, and provided final approval of the submitted version.
Using new data collected in high emigration communities within Mexico, we explore the impact of partial family migration on children left behind in Mexico. Multivariate results suggest that households where respondents have a spouse who was a caregiver and who migrated to the USA are more likely to have at least one child with academic, behavioral, and emotional problems than non-migrant households. This finding supports efforts to decrease the need for families to cross borders either by decreasing the economic necessities for migration or by designing immigration policies aimed at decreasing the separation of families across borders and increasing family support after a caregiver's departure to the USA. The end goal of these efforts and policies is to improve children's health and well-being in communities with high levels of migration. À partir de nouvelles données collectées au Mexique auprès de communautés résidant dans des zones où la migration est très forte, nous explorons l'impact de l'émigration partielle d'une famille aux Etats-Unis sur le bien-être des enfants demeurés au Mexique. Les résultats de modèles multivariés suggèrent que les foyers ayant des répondants avec un époux qui avait plusieurs tâches parentales avant sa migration aux Etats-Unis ont plus de chance d'avoir au moins un enfant avec des problèmes au niveau académique, comportemental et émotionnel que les foyers qui ne sont pas touchés pas la migration. Ces résultats appuient les mesures visant à diminuer les besoins des familles à traverser les frontières telles la diminution des mauvaises conditions économiques qui poussent à émigrer ainsi que l'augmentation du support apporté aux familles suite au départ pour les Etats-Unis d'un parent ou de toute autre personne qui assumait beaucoup de responsabilités parentales. L'objectif ultime pour tous ces efforts et ces politiques est l'amélioration de la santé et du bien-être des enfants vivant dans des communautés à forts courants migratoires.
This preliminary study, using newly available worldwide policy data, demonstrates the potential strength of using globally comparative data to examine SDH. Further data development to make multilevel modeling of the impact of labor conditions possible and to broaden which social policies can be examined is a critical next step.
While over 90 per cent of the 15 million children who have been orphaned by HIV/AIDS are cared for by family members, there is little information about whether adults can meet orphans' essential caregiving needs while working to economically survive. Using a survey we conducted in Botswana of 1033 working adults, we analyse the experience of adults who are caring for orphans. Over one-third of working adults were caring for orphans and many with few financial resources: 82% were living on household incomes below US$10 purchasing power parity adjusted per person per day. Because of their caregiving responsibilities, they were less able to supplement income with overtime, weekend, evening, or night work. At the same time caregiving responsibilities meant orphan caregivers spent fewer hours caring for their own children and other family members. Nearly half of orphan caregivers had difficulties meeting their children's needs, and nearly 75% weren't able to meet with children's teachers. Pay loss at work compounded the problems: One-quarter of orphan caregivers reported having to take unpaid leave to meet sick childcare needs and nearly half reported being absent from work for children's routine health care. This paper makes clear that if families are to provide adequate care for orphans while economically surviving there needs to be increases in social supports and improvements in working conditions.
National paid sick day and paid sick leave policies are compared in 22 countries ranked highly in terms of economic and human development. The authors calculate the financial support available to workers facing two different kinds of health problems: a case of the flu that requires missing 5 days of work, and a cancer treatment that requires 50 days of absence. Only 3 countries--the United States, Canada, and Japan--have no national policy requiring employers to provide paid sick days for workers who need to miss 5 days of work to recover from the flu. Eleven countries guarantee workers earning the national median wage full pay for all 5 days. In Ireland and the United Kingdom, the full-time equivalent benefits are more generous for low-wage workers than for workers earning the national median. The United States is the only country that does not provide paid sick leave for a worker undergoing a 50-day cancer treatment. Luxembourg and Norway provide 50 full-time equivalent working days of leave, while New Zealand provides the least, at 5 days. In 6 countries, paid sick leave benefits are more generous for low-wage workers than for median-wage workers.
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