Catalyzing NTD gender and equity research: A call for papers

Means, Arianna Rubin; Krentel, Alison; Theobald, Sally; Dean, Laura; Mbabazi, Pamela Sabina; Elphick-Pooley, Thoko; Fleming, Fiona; Jacobson, Julie; Simpson, Sarah; Ducker, Camilla

doi:10.1371/journal.pntd.0006681

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Intersectoral frameworks to study the relationship between gender equity and Neglected Tropical Diseases (NTDs) in LMICs have so far been applied to women’s and men’s differential disease rates, access to healthcare and treatment, and caring roles [ 11 , 68 , 71 , 81 , 91 , 98 ]. Most MBVD prevention studies (as a sub-set of NTDs) represent women’s roles as unpaid organisers or health education volunteers or managing household water sources or waste as part of their domestic workloads [ 23 , 31 , 46 , 84 , 96 , 115 ] whilst men mainly hold formal paid roles [ 25 , 32 , 39 , 42 , 45 , 73 , 101 , 110 ].…”

Section: Introductionmentioning

confidence: 99%

“…More research is needed on gender equity in vector control interventions and the NTD workforce [ 68 , 110 ] and none have confirmed the existence of gender equitable large-scale vector control programmes [ 25 ]. Whilst social science research suggests how women can contribute to dengue prevention [ 73 ], a recent mixed methods systematic review reported that most vector-borne disease studies lack detail on women’s roles [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

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Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

Mungall-Baldwin

2022

Int J Equity Health

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Background Dengue, a mosquito-borne viral disease, causes significant mortality and morbidity in low- to middle-income countries. A body of research indicates that women can be effective in implementing vector borne disease control, but they still face inequitable opportunities for participation, leadership and decision-making in the execution of dengue prevention and vector control programmes. Yet implementing informal environmental management practices to prevent mosquito vector breeding forms part of their domestic household responsibilities. Understanding the enablers and barriers to women’s equitable roles with men in formal and informal disease prevention, and the benefits of their participation could help to increase their role and may be a contributing factor to reducing disease rates. The objective of this qualitative meta-synthesis was to synthesise evidence about women’s roles in dengue prevention and control in the global south and generate insights around the barriers, enablers, and benefits. Methods Eight databases were searched from inception to 7th December 2020. One investigator independently reviewed all titles and abstracts for relevant articles. Grey literature was searched using 34 websites of global health and international development organisations. Results A total of 18 articles representing qualitative research or the qualitative component of mixed methods studies from Latin American and Caribbean (n = 8), Asia (n = 9), and one international review were included in the meta-synthesis. Relevant scholarship from Africa was lacking. This meta-synthesis revealed five unique themes surrounding women’s participation, seven categories of barriers, six of enablers, four health, well-being and social benefits for individuals, and four for communities . Conclusion An analysis of the results confirmed that women’s participation in dengue prevention was not gender equitable, gender sensitive nor transformative although women are the primary human resource for household and community-based prevention. Women demonstrated specific qualities aiding successful implementation. Corrective action is urgently needed to shift unhelpful gender norms, and empower women into leadership and decision-making roles.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

Mungall-Baldwin

2022

Int J Equity Health

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“…Differences in roles and responsibilities expose women and girls to additional risks . In addition to gender, other axes of power and inequalities such as race, socioeconomic status, occupation, age, disability, and sexual preference all influence people's vulnerability . This makes the intersectional analysis of global health problems, including SRH, extremely relevant …”

Section: Introductionmentioning

confidence: 99%

Zika and women's sexual and reproductive health: Critical first steps to understand the role of gender in the Colombian epidemic

Forero-Martínez

Murad

Calderón‐Jaramillo

et al. 2020

Intl J Gynecology & Obste

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Objectives:To describe the mechanisms of implementation of Zika virus diagnosis, prevention, and management guidelines in Colombia, and to characterize their influence on efforts to defend sexual and reproductive rights. Methods:A qualitative study performed between February and April 2018 in three municipalities in Colombia. We conducted 30 semistructured interviews and five focus groups with key informants who played a role during the epidemic. These included decision-makers, program coordinators, healthcare providers, pregnant women diagnosed with Zika virus, and members of affected communities. Results:We identified barriers to and facilitators for the implementation of the national Zika virus response plan. Barriers included a lack of coordination between vector control efforts and in the realms of sexual and reproductive rights. Facilitators included healthcare providers' response to the epidemic, the development of technical skills, and the establishment of coordination and referral networks across different institutions. Conclusion:A multidimensional approach that considers healthcare services, gender issues, and the environment is crucial. We highlight the epidemic's effects on women's sexual and reproductive rights, mainly related to inequalities in sexual and reproductive health such as the increased risk of sexually transmitted infections experienced by the poorest and most vulnerable women.

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“…Vulnerability during infectious disease epidemics is determined not only by its biology factors but also by differences in gender roles and responsibilities, which often expose women and girls to additional risks and burdens [4]. Additionally, gender is related to other axes of inequality that creates social disadvantages, such as ethnic origin, socioeconomic status, type of employment or occupation, age, disability, migration and sexuality [5].…”

Section: Introductionmentioning

confidence: 99%

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

Rivillas

Forero-Martínez

Calderón‐Jaramillo

et al. 2019

Preprint

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Background There is substantial evidence of the profound consequences of Zika on women's Sexual and Reproductive Health. Health system resilience begins by measuring critical capacities ahead of a crisis such as zika outbreak. Even though zika as vector-borne disease is well documented, there is dearth of studies linking Zika with women's Sexual and Reproductive Health. The main objective of this study was to analyze the national response to the Zika epidemic and its relation to women’s sexual and reproductive health matters through key implementation mechanisms in order to promote resilience of the health system in five cities in Colombia.Methods This study used a qualitative design to enable an in-depth exploration of the national response to the Zika epidemic and sexual and reproductive health matters through key implementation mechanisms (based on facilitators and gaps) within the health system. The overall data set was comprised of 31 semi-structured individual interviews (23 women and 8 men), 25 interviews with key informants responsible for the implementation of the Zika Virus Response Plan; six interviews with pregnant women diagnosed with Zika; and five focus groups discussions with communities (n=122 participants) in five cities in Colombia: Barranquilla, Cucuta, Los Patios, San Andres and Soledad.Results The findings revealed the three major facilitators that promoted the implementation of actions to address the Zika epidemic: i) the role of health care providers; ii) the development of technical equipment capabilities; and iii) inter-institutional coordination. The study also identified implementation gaps: i) absence of a human rights and sexual and reproductive health approach; ii) focus on territorial actions centered on mosquito management; and iii) limited attitudes, behaviors and knowledge at the community level.Conclusion This study provided a comprehensive insight of critical facilitating processes and gaps in the implementation of the government response during the Zika epidemic in Colombia. This study reveals that the lack of understanding of the intersection between gender, the Zika epidemic and Sexual and Reproductive Health limited the adoption, development and implementation of a more comprehensive responses to address the impact on women’s sexual and reproductive health.

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Catalyzing NTD gender and equity research: A call for papers

Cited by 3 publications

References 13 publications

Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

Zika and women's sexual and reproductive health: Critical first steps to understand the role of gender in the Colombian epidemic

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

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