Gender

Women, men, boys, and girls should have equal opportunities to be healthy and to reach their full potential. Yet differing health-related needs and different social, economic, and cultural barriers to accessing care thwart the ability of certain groups to access and benefit from health care services. Gender is a social determinant of health across all countries and cultures. Gender gaps and issues affect access to, utilization of, and quality of care for women, men, boys, and girls. To truly improve the quality of all care for all, these gender gaps and issues must be explicitly recognized and addressed by providers, facilities, and health systems, and this is especially true in quality improvement activities. In this video, watch Dr. Taroub Harb Faramand of WI-HER, LLC explain how addressing gender considerations in improvement work leads to better outcomes.

Community Quality Improvement Team in Buikwe, Uganda

We take an improvement approach to integrate gender through the USAID Applying Science to Strengthen and Improve Systems (ASSIST) project. By collecting and analyzing sex-disaggregated data and systematically identifying and analyzing gaps in outcomes among women, men, boys and girls, we evaluate what is causing poorer outcomes among one group, and design activities to respond to the needs of males or females to close the gap. We do this in improvement activities across health areas and beyond, including non-communicable diseases (NCDs) programming, HIV and ART services, OVC services, and more. We promote partner involvement in programs targeting either males or females, such as engaging male partners and fathers in ANC visits and PMTCT programs to improve outcomes for mothers and babies, and engaging female partners of males who undergo the VMMC procedure to improve follow-up and decrease adverse events. 

Our innovative and effective six-step approach to identify and close gender-related gaps improves health outcomes for all, and we utilize locally-owned, culturally-sensitive, and innovative models. We recognize that myriad factors at multiple levels of society affect gender norms that influence risk factors, access to care, utilization of care, and equality of treatment and we work to respond to these norms in concert to generate shifts in thinking and behavior. We address gender gaps and issues at the individual, household, and community levels, when necessary, though staff and community sensitization trainings, and we consider the varied contextual factors that drive outcomes for women, men, boys, and girls in the design, implementation, and evaluation of our programs.

To learn more about gender and how to integrate gender in improvement work, download A Guide to Integrating Gender in Improvement.

Guidance for Improving Family Planning/HIV Integration Service Delivery for Adolescent Girls and Young Women

PEPFAR-funded programs for vulnerable children and adolescents are assessed using the Site Improvement Monitoring System (SIMS) to ensure that programs are meeting minimum standards and providing quality services to vulnerable children and...

Dominican Republic Gender Analysis: A study of the impact of the Zika virus on women, girls, boys and men

The USAID ASSIST Project works in the Dominican Republic and other countries in Latin America and the Caribbean to add quality Zika services to existing antenatal care, postpartum, and family planning services. The current outbreak of Zika...

A Guide to Integrating Gender in Improvement

This guide incorporates the USAID ASSIST Project's learning and experience with gender integration in improvement over the last five years. It explains gender and gender integration, details how to integrate gender in improvement...

Increasing male partner participation in PMTCT in Burundi

En français USAID and PEPFAR, through the USAID ASSIST Project, support Burundi’s Ministry of Public Health and the Fight against AIDS (MSPLS) to improve the quality of PMTCT services in Burundi. The project helped form quality improvement...

Why it is Important to Sex-Disaggregate Data in Quality Improvement

The USAID ASSIST Project integrates gender considerations in quality improvement in order to improve outcomes for all — women and men, girls and boys. This video explains a critical part of gender integration in detail: collecting and...

VIDEO: El abordaje de seis pasos para identificar y cerrar las brechas relacionadas con el género

Este video en español se presenta nuestro abordaje de seis pasos para identificar y cerrar las brechas relacionadas con el género . ASSIST utiliza un abordaje holístico para integrar el género durante el mejoramiento de la calidad de...

Empowering women health care workers through quality improvement

Taroub Faramand

Founder and President, WI-HER, LLC

(Staff at an ASSIST-supported health facility. Photo by Taroub Faramand, WI-HER, LLC)

How to Conduct a Gender Analysis

The USAID ASSIST Project integrates gender considerations in quality improvement in order to improve outcomes for all — women and men, girls and boys. ASSIST partner WI-HER, LLC developed an innovative and effective six-step approach to...

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