Symptoms of a broken system: the gender gaps in COVID-19 decision-making

Daalen, Kim Robin van; Bajnoczki, Csongor; Chowdhury, Maisoon; Dada, Sara; Khorsand, Parnian; Socha, Anna; Lal, Arush; Jung, Laura; Alqodmani, Lujain; Torres, Irene; Ouédraogo, Samiratou; Mahmud, Amina Jama; Dhatt, Roopa; Phelan, Alexandra; Rajan, Dheepa

doi:10.1136/bmjgh-2020-003549

Cited by 72 publications

(76 citation statements)

References 17 publications

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“…In these conditions of uncertainty and occasional conflict, the design of vaccination programmes cannot be a purely technical task, and hence, there is a need for greater participation in decision-making than has been exercised so far with, for example, poor gender and racial representation on COVID-19 planning task forces. 30 Successful vaccination programmes will require buy-in from patient groups, local implementers and healthcare professionals (including the largely unpaid community health workers who will be relied on to support vaccination programmes in LICs), as well as major players from industry and global donors. Most crucially, investment in COVID-19 vaccination should not be pursued at the expense of ongoing public health prevention and other health needs.…”

Section: Discussionmentioning

confidence: 99%

Priority setting during the COVID-19 pandemic: going beyond vaccines

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Priority setting during the COVID-19 pandemic: going beyond vaccines

et al. 2021

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“…Gender equity is unlikely to play out in the same way in different countries. An analysis [ 130 ] of LED in relation to the GDI Index indicates that there was a positive association in Europe and the Americas but in Africa the relationship was negative. These findings suggest that in Europe and the Americas greater gender equality leads to a narrowing of the gender life expectancy gap while in Africa it had the opposite effect.…”

Section: Discussionmentioning

confidence: 99%

“…Such data will permit more sophisticated analysis, which when analysed in light of social theory, will reveal the ways in which social and economic factors combine to determine life expectancy of different groups. Data collections should also include sex and gender data, which includes going beyond binary representation in order to produce results that are inclusive of the full gender spectrum [ 130 ]. To fully understand why life expectancy differs between gender, data need to be collected as part of official national statistical data and to ensure that data examines the range of economic, social and cultural; factors that affect health.…”

Section: Discussionmentioning

confidence: 99%

New Perspective on Why Women Live Longer Than Men: An Exploration of Power, Gender, Social Determinants, and Capitals

Baum

Musolino

Gesesew

et al. 2021

IJERPH

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Background: Women live longer than men, even though many of the recognised social determinants of health are worse for women than men. No existing explanations account fully for these differences in life expectancy, although they do highlight the complexity and interaction of biological, social and health service factors. Methods: this paper is an exploratory explanation of gendered life expectancy difference (GLED) using a novel combination of epidemiological and sociological methods. We present the global picture of GLED. We then utilise a secondary data comparative case analysis offering explanations for GLED in Australia and Ethiopia. We combine a social determinant of health lens with Bourdieu’s concepts of capitals (economic, cultural, symbolic and social). Results: we confirmed continuing GLED in all countries ranging from less than a year to over 11 years. The Australian and Ethiopian cases demonstrated the complex factors underpinning this difference, highlighting similarities and differences in socioeconomic and cultural factors and how they are gendered within and between the countries. Bourdieu’s capitals enabled us to partially explain GLED and to develop a conceptual model of causal pathways. Conclusion: we demonstrate the value of combing a SDH and Bourdieu’s capital lens to investigate GLED. We proposed a theoretical framework to guide future research.

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“…Ultimately, the collective endeavour of health equity will require policy makers to ensure that leadership in preparedness, response, and recovery for health emergencies places marginalised groups, such as women and minorities, in decision making roles. 47 , 66 Multisectoral and multistakeholder health structures should thus be able to effectively balance the constellation of private sector interests, public sector demands, and political tides. 47 …”

Section: Equity: Apply a Rights-based Approach As The Necessary Foundmentioning

confidence: 99%

Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage

et al. 2021

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The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the crisis. By assessing the ability of health systems to manage COVID-19 from the perspective of two key approaches to global health policy—global health security and universal health coverage—important lessons can be drawn for how to align varied priorities and objectives in strengthening health systems. This Health Policy paper compares three types of health systems (ie, with stronger investments in global health security, stronger investments in universal health coverage, and integrated investments in global health security and universal health coverage) in their response to the ongoing COVID-19 pandemic and synthesises four essential recommendations (ie, integration, financing, resilience, and equity) to reimagine governance, policies, and investments for better health towards a more sustainable future.

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Symptoms of a broken system: the gender gaps in COVID-19 decision-making

Cited by 72 publications

References 17 publications

Priority setting during the COVID-19 pandemic: going beyond vaccines

Priority setting during the COVID-19 pandemic: going beyond vaccines

New Perspective on Why Women Live Longer Than Men: An Exploration of Power, Gender, Social Determinants, and Capitals

Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage

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