How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
| Autor: | Daniel G. Datiko, Sabina Faiz Rashid, Rachel Tolhurst, Lilian Otiso, Maryse Kok, Miriam Taegtmeyer, Woedem Gomez, Hermen Ormel, Sally Theobald, Rukhsana Ahmed, Rosalind Steege, Rosalind McCollum, Mohsin Sidat, Kingsley Chikaphupha, Kate Hawkins |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Health (social science) Asia wa_395 Empirical Research 03 medical and health sciences 0302 clinical medicine Empirical research 5. Gender equality History and Philosophy of Science Remuneration Humans Interpersonal Relations 030212 general & internal medicine Sociology Community Health Services 10. No inequality Community Health Workers wa_30 wa_546 business.industry 030503 health policy & services Equity (finance) Service provider Public relations 3. Good health wa_100 Conceptual framework Community health Africa Position (finance) Female 0305 other medical science business Qualitative research |
| ISSN: | 0277-9536 |
| Popis: | Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver. This study uses a two-stage exploratory approach drawing upon qualitative research from the six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium. This research took place from 2013 to 2014. This was followed by systematic review that took place from January-September 2017, using critical interpretive synthesis methodology. This review included 58 papers from the literature. The resulting findings from both stages informed the development of a conceptual framework. We present the holistic conceptual framework to show how gender roles and relations shape CTC provider experience at the individual, community, and health system levels. The evidence presented highlights the importance of safety and mobility at the community level. At the individual level, influence of family and intra-household dynamics are of importance. Important at the health systems level, are career progression and remuneration. We present suggestions for how the role of a CTC provider can, with the right support, be an empowering experience. Key priorities for policymakers to promote gender equity in this cadre include: safety and well-being, remuneration, and career progression opportunities. Gender roles and relations shape CTC provider experiences across multiple levels of the health system. To strengthen the equity and efficiency of CTC programmes gender dynamics should be considered by policymakers and implementers during both the conceptualisation and implementation of CTC programmes. |
| Databáze: | OpenAIRE |
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