2023-09-28 14:46:10 +00:00
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abstract: 'This commentary brings together theory, evidence and lessons from 15
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years of gender and HRH analyses conducted in health systems in six WHO
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regions to address selected data-related aspects of WHO''s 2016 Global
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HRH Strategy and 2022 Working for Health Action Plan. It considers
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useful theoretical lenses, multi-country evidence and implications for
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implementation and HRH policy. Systemic, structural gender
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discrimination and inequality encompass widespread but often masked or
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invisible patterns of gendered practices, interactions, relations and
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the social, economic or cultural background conditions that are
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entrenched in the processes and structures of health systems (such as
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health education and employment institutions) that can create or
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perpetuate disadvantage for some members of a marginalized group
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relative to other groups in society or organizations. Context-specific
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sex- and age-disaggregated and gender-descriptive data on HRH systems''
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dysfunctions are needed to enable HRH policy planners and managers to
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anticipate bottlenecks to health workforce entry, flows and exit or
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retention. Multi-method approaches using ethnographic techniques reveal
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rich contextual detail. Accountability requires that gender and HRH
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analyses measure SDGs 3, 4, 5 and 8 targets and indicators. To achieve
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gender equality in paid work, women also need to achieve equality in
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unpaid work, underscoring the importance of SDG target 5.4. HRH policies
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based on principles of substantive equality and nondiscrimination are
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effective in countering gender discrimination and inequality. HRH
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leaders and managers can make the use of gender and HRH evidence a
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priority in developing transformational policy that changes the actual
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conditions and terms of health workers'' lives and work for the better.
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Knowledge translation and intersectoral coalition-building are also
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critical to effectiveness and accountability. These will contribute to
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social progress, equity and the realization of human rights, and expand
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the health care workforce. Global HRH strategy objectives and UHC and
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SDG goals will more likely be realized.'
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affiliation: 'Newman, C (Corresponding Author), Univ N Carolina, UNC Gillings Sch
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Global Publ Hlth, Dept Maternal \& Child Hlth, 135 Dauer Dr, Chapel Hill, NC 27599
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USA.
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Newman, Constance, Univ N Carolina, UNC Gillings Sch Global Publ Hlth, Dept Maternal
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\& Child Hlth, 135 Dauer Dr, Chapel Hill, NC 27599 USA.
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Nayebare, Alice, Cordaid Uganda, Nakawa Div, Plot 12B Farady Rd Bugolobi, Kampala,
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Uganda.
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Gacko, Ndeye Mingue Ndiate Ndiaye, Formerly Minist Hlth \& Social Act, Gacko Consulting,
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Fann Residence, Rue Aime Cesaire, Dakar, Senegal.
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Okello, Patrick, Minist Hlth, POB 7272,Plot 6,Lourdel Rd, Kampala, Uganda.
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Gueye, Abdou; Gaye, Sokhna; Gueye, Babacar; Dial, Yankouba, Formerly Intrahlth Int,
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Cite Keur Gorgui,Immeuble Hadji Bara Fall Lot R73, Dakar, Senegal.
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Bijou, Sujata, Intrahlth Int, 6340 Quadrangle Dr,Suite 200, Chapel Hill, NC 27510
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USA.
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Ba, Selly; N''doye, Maimouna, Independent Consultant, Dakar, Senegal.
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Coumba, N''deye, Minist Hlth \& Social Act, Fann Residence, Rue Aime Cesaire, Dakar,
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Senegal.'
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article-number: '37'
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author: Newman, Constance and Nayebare, Alice and Gacko, Ndeye Mingue Ndiate Ndiaye
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and Okello, Patrick and Gueye, Abdou and Bijou, Sujata and Ba, Selly and Gaye, Sokhna
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and Coumba, N'deye and Gueye, Babacar and Dial, Yankouba and N'doye, Maimouna
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author-email: constancenewman88@gmail.com
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author_list:
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- family: Newman
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given: Constance
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- family: Nayebare
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given: Alice
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- family: Gacko
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given: Ndeye Mingue Ndiate Ndiaye
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- family: Okello
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given: Patrick
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- family: Gueye
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given: Abdou
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- family: Bijou
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given: Sujata
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- family: Ba
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given: Selly
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- family: Gaye
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given: Sokhna
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- family: Coumba
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given: N'deye
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- family: Gueye
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given: Babacar
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- family: Dial
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given: Yankouba
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- family: N'doye
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given: Maimouna
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da: '2023-09-28'
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doi: 10.1186/s12960-023-00813-9
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eissn: 1478-4491
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files: []
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journal: HUMAN RESOURCES FOR HEALTH
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keywords: 'Systemic structural gender discrimination; Gender inequality; Health
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labor market; Gender transformative policy; Nondiscrimination and
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substantive equality'
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keywords-plus: FEMALE; JOBS
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language: English
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month: MAY 4
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number: '1'
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number-of-cited-references: '50'
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papis_id: 140ec83b64c2c71891857cf42f7f746b
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ref: Newman2023systemicstructural
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times-cited: '0'
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title: 'Systemic structural gender discrimination and inequality in the health workforce:
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theoretical lenses for gender analysis, multi-country evidence and implications
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for implementation and HRH policy'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000984871300001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '2'
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volume: '21'
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web-of-science-categories: Health Policy \& Services; Industrial Relations \& Labor
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year: '2023'
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