An intersectionality-based policy analysis framework: critical reflections on a methodology for advancing equity

Hankivsky, Olena; Grace, Daniel; Hunting, Gemma; Giesbrecht, Melissa; Fridkin, Alycia; Rudrum, Sarah; Ferlatte, Olivier; Clark, Natalie

doi:10.1186/s12939-014-0119-x

Cited by 306 publications

(249 citation statements)

References 34 publications

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“…5. Intersectionality: This involves moving away from viewing people through a single lens, towards understanding the intersection of their various characteristics [28]. For example, the interplay of characteristics, such as an older woman, from a culturally and linguistically diverse background, living in a remote community with few services, will inform this woman's ability to participate in healthcare in a meaningful way.…”

Section: Awareness Of Unconscious Bias and Prejudicementioning

confidence: 99%

The inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study

Ogrin

Meyer

Appannah

et al. 2020

Int J Equity Health

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Background: The health and aged care workforce must understand and support the diverse needs of older people to enhance their care experience. We previously identified five principles of diversity training for this workforce: awareness of unconscious bias and prejudice; promotion of inclusion; access and equity; appropriate engagement; and intersectionality. This study aims to explore how these principles are considered from the perspectives of older Australians. Methods: Older people (≥65 years) receiving home care and nursing services based in Victoria, Australia were invited to participate in a home-based semi-structured interview about their experience of, or with, diversity. Interviews were thematically analysed using a priori categories based on our previous work on principles of diversity training, and themes were interpreted and expanded upon based on the participants' experiences and understanding of diversity concepts and their care needs.Results: Fifteen older people (seven female, eight male), mean age 76 years (range 71-85 years), were interviewed. Five themes were drawn from the data. It was found that human connection through building (1) trust and rapport was highly valued as an approach by older people, crucial as a first step to understanding what is important to the older person. Identifying with (2) intersectionality, that is, the different intersecting aspects of who they are and their experiences was understood by the participants as an important framework to meet their needs. The participants were aware of (3) unconscious bias and prejudice by health professionals and its impact on their care. Participants also noted that (4) promotion of inclusion through language was important to for a positive relationship with the healthcare worker. The participants understood that to facilitate human connection, these four principles of human interaction were critical, underpinned by (5) access and equity of the system. A model articulating these relationships was developed. Conclusion: Health and aged care training should incorporate the five diversity principles to support older people to participate in their own care.

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Section: Awareness Of Unconscious Bias and Prejudicementioning

confidence: 99%

The inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study

Ogrin

Meyer

Appannah

et al. 2020

Int J Equity Health

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“…Illustrative quotes and field notes were selected to represent of the findings. As gender relations and multilevel power dynamics were important themes, an intersectional approach was used to guide analyses about power and control (Doyal, 2009;Hankivsky et al, 2014). This approach was used in the current study to identify aspects of interrelational, political, and normative power at play in shaping maternity care, including couples' HIV testing.…”

Section: Methodsmentioning

confidence: 99%

Antenatal Care and Couples’ HIV Testing in Rural Northern Uganda: A Gender Relations Analysis

2015

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HIV rates continue to increase among heterosexual couples in many countries including Uganda. This article examines approaches to antenatal care and heterosexual partners' HIV testing in Amuru subcounty, northern Uganda, drawing on findings derived from fieldwork and interviews. The study findings reveal how institutional structures influence the uptake of HIV testing amid power dynamics, wherein many male partners refuse to be tested. Discussed are the coercive approaches to HIV testing in which couples' participation in HIV testing is leveraged by connecting testing to future maternity care. This article advances understandings about how heterosexual gender relations at the local, regional, and global levels affect the health of women, men, and families in Amuru subcounty.

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“…health, education, agriculture, etc.) in the core curriculum (Modules 3-6); and systematic inclusion of crosscutting themes of GBV, intersectionality and masculinities (Grieg, n.d.;Hankivsky et al, 2014;USAID, 2016b). Also new is the emphasis on gender analysis and integration in actual work-related documents and tasks (e.g.…”

Section: Innovation 2: Professional Development Short Course: Sector mentioning

confidence: 99%

Professionalising gender and development expertise: innovations in capacity‐building and credentialing

Mehra

Malhotra

Alleman

et al. 2020

Int J Training Development

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Gender training does not adequately prepare gender and development professionals (GDPs) to undertake robust gender integration of development and humanitarian assistance (D&H) policies and programmes and limits their ability to impact gender equity and equality and development overall. In particular, GDPs lack sector-specific and applied technical skills in gender analysis and integration. These limitations undermine GDPs' own performance and their credibility with employers and colleagues who rely on them for professional guidance in gender integration. To address these shortcomings and advance the field of gender and D&H, this note describes a new model of gender capacity-building that introduces three innovations: (1) sector-specific, job-related and outcome-based gender analysis and integration competencies, (2) a professional development capacity-building short course based on the competencies and applications to D&H policies and programmes and (3) a professional credential that recognizes possession of these critical competencies.

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An intersectionality-based policy analysis framework: critical reflections on a methodology for advancing equity

Cited by 306 publications

References 34 publications

The inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study

The inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study

Antenatal Care and Couples’ HIV Testing in Rural Northern Uganda: A Gender Relations Analysis

Professionalising gender and development expertise: innovations in capacity‐building and credentialing

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