2023-09-28 14:46:10 +00:00
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abstract: 'Background: Human resources are at the heart of health systems, playing
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a central role in their functionality globally. It is estimated that up
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to 70\% of the health workforce are women, however, this pattern is not
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reflected in the leadership of health systems where women are
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under-represented. Methods: This systematized review explored the
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existing literature around women''s progress towards leadership in the
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health sector in low- and middle-income countries (LMICs) which has used
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intersectional analysis. Results: While there are studies that have
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looked at the inequities and barriers women face in progressing towards
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leadership positions in health systems within LMICs, none explicitly
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used an intersectionality framework in their approach. These studies did
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nevertheless show recurring barriers to health systems leadership
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created at the intersection of gender and social identities such as
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professional cadre, race/ethnicity, financial status, and culture. These
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barriers limit women''s access to resources that improve career
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development, including mentorship and sponsorship opportunities, reduce
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value, recognition and respect at work for women, and increase the
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likelihood of women to take on dual burdens of professional work and
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childcare and domestic work, and, create biased views about
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effectiveness of men and women''s leadership styles. An intersectional
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lens helps to better understand how gender intersects with other social
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identities which results in upholding these persisting barriers to
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career progression and leadership. Conclusion: As efforts to reduce
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gender inequity in health systems are gaining momentum, it is important
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to look beyond gender and take into account other intersecting social
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identities that create unique positionalities of privilege and/or
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disadvantage. This approach should be adopted across a diverse range of
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health systems programs and policies in an effort to strengthen gender
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equity in health and specifically human resources for health (HRH), and
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improve health system governance, functioning and outcomes. Keywords:
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Gender, Intersectionality, Health Systems, Health Workforce, Leadership,
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Low- and Middle-Income Countries (LMICs) Copyright: (c) 2021 The
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Author(s); Published by Kerman University of Medical Sciences. This is
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an open-access article distributed under the terms of the Creative
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Commons Attribution License (http://creativecommons.org/licenses/
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by/4.0), which permits unrestricted use, distribution, and reproduction
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in any medium, provided the original work is properly cited. Citation:
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Zeinali Z, Muraya K, Molyneux S, Morgan R. The use of intersectional
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analysis in assessing women''s leadership progress in the health
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workforce in LMICs: a review. Int J Health Policy Manag. 2021;x(x):x-x.
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doi:10.34172/ijhpm.2021.06'
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affiliation: 'Zeinali, Z (Corresponding Author), Johns Hopkins Bloomberg Sch Publ
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Hlth, Dept Int Hlth, Baltimore, MD 21205 USA.
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Zeinali, Zahra; Morgan, Rosemary, Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int
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Hlth, Baltimore, MD 21205 USA.
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Kenya Med Res Inst KEMRI Wellcome Trust Res Progr, Nairobi, Kenya.
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Univ Oxford, Nuffield Dept Med, Oxford, England.'
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author: Zeinali, Zahra and Muraya, Kui and Molyneux, Sassy and Morgan, Rosemary
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author-email: zzeinal1@alumni.jh.edu
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author_list:
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- family: Zeinali
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given: Zahra
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- family: Muraya
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given: Kui
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- family: Molyneux
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given: Sassy
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- family: Morgan
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given: Rosemary
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da: '2023-09-28'
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doi: 10.34172/ijhpm.2021.06
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earlyaccessdate: FEB 2021
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eissn: 2322-5939
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files: []
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journal: INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
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keywords: 'system governance; functioning Gender; Intersectionality; Health
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Systems; Health Workforce; Leadership; Low-and Middle-Income Countries
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(LMICs)'
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keywords-plus: GENDER BIAS; EXPERIENCES; CARE; MANAGERS
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language: English
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month: 2021 FEB 9
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number-of-cited-references: '58'
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orcid-numbers: 'Molyneux, Catherine/0000-0001-9522-416X
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Morgan, Rosemary/0000-0001-5009-8470
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Zeinali, Zahra/0000-0002-1136-215X'
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papis_id: 5e894993c10791028cd41d57e37af3eb
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ref: Zeinali2021useintersectional
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researcherid-numbers: 'Molyneux, Catherine/HGB-8464-2022
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'
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tags:
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- relevant
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- review
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times-cited: '6'
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title: 'The Use of Intersectional Analysis in Assessing Women''s Leadership Progress
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in the Health Workforce in LMICs: A Review'
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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:000720063200001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '7'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2021'
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