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Health Policy Plan. 2016 Oct;31(8):1069-78. doi: 10.1093/heapol/czw037. Epub 2016 Apr 26.

How to do (or not to do)… gender analysis in health systems research.

Author information

1
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA rosemary.morgan@jhu.edu.
2
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA.
3
School of Women and Gender Studies, Makerere University, Kampala, Uganda.
4
Pamoja Communications, Brighton, UK.
5
Kenya Medical Research Institute (KEMRI) - Wellcome Trust Research Programme, Kilifi, Kenya Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, Oxford University, Oxford, UK Nuffield Department of Population Health, Ethox Centre, Oxford University, Oxford, UK and.
6
Department of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK.

Abstract

Gender-the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for males, females and other genders-affects how people live, work and relate to each other at all levels, including in relation to the health system. Health systems research (HSR) aims to inform more strategic, effective and equitable health systems interventions, programs and policies; and the inclusion of gender analysis into HSR is a core part of that endeavour. We outline what gender analysis is and how gender analysis can be incorporated into HSR content, process and outcomes Starting with HSR content, i.e. the substantive focus of HSR, we recommend exploring whether and how gender power relations affect females and males in health systems through the use of sex disaggregated data, gender frameworks and questions. Sex disaggregation flags female-male differences or similarities that warrant further analysis; and further analysis is guided by gender frameworks and questions to understand how gender power relations are constituted and negotiated in health systems. Critical aspects of understanding gender power relations include examining who has what (access to resources); who does what (the division of labour and everyday practices); how values are defined (social norms) and who decides (rules and decision-making). Secondly, we examine gender in HSR process by reflecting on how the research process itself is imbued with power relations. We focus on data collection and analysis by reviewing who participates as respondents; when data is collected and where; who is present; who collects data and who analyses data. Thirdly, we consider gender and HSR outcomes by considering who is empowered and disempowered as a result of HSR, including the extent to which HSR outcomes progressively transform gender power relations in health systems, or at least do not further exacerbate them.

KEYWORDS:

Framework; gender; gender analysis; health systems; health systems research

PMID:
27117482
PMCID:
PMC6616028
DOI:
10.1093/heapol/czw037
[Indexed for MEDLINE]
Free PMC Article

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