This brief addresses gender inequities that health workers who provide maternal and newborn health services experience. Key issues faced by providers include long working hours, poor remuneration, lack of training opportunities, violence, and restrictions on mobility. Example indicators under each area are provided.
The Gender Competency Self-Assessment Tool for Family Planning Providers provides a method for measuring the knowledge, attitudes, and skills of individual providers in six domains of gender competency. By completing this self-assessment, providers can determine their current level of gender competency, and thereby identify areas of strength and weakness in each domain.
The tool uses a gender analysis matrix to interrogate the ways in which gender inequities or power relations manifest to affect each of the recommendations within the WHO Guideline on Health Policy and System Support to Optimize Community Health Worker Programmes. Policymakers and programmers can use the tool to: conduct research with CHWs on specific aspects of CHW work related to gender; develop CHW and gender related indicators; develop gender responsive CHW interventions or programmes; and/or engage with CHWs, CHW supervisors and policy makers on the gendered nature of their work.
The tool was originally developed by Jhpiego Mozambique with providers and program planners, and has been adapted, piloted and refined in several low and middle-income countries. The standards are organized by different aspects of service delivery (e.g., facility readiness, clinical care, etc.). The toolkit aims to provide participants with knowledge and skills to provide high-quality, gender-sensitive, and transformative services to individuals and couples including females, males, and lesbian, gay, bisexual, transgender, and intersex (LGBTI) clients.
The toolkit reflects numerous calls to action for equitable representation of women in global health decision-making. The strategies shared in the toolkit’s modules apply an intersectional lens and complement existing leadership curricula, providing tools to health care workers and managers to advance gender equality. The approach is particularly relevant in the context of the COVID-19 pandemic, but it can also be used long-term to spur greater inclusion of women’s voices in global health.
This tool was designed to measure the gender-sensitivity of Afghan health facilities, and data are intended to be collected across all facilities annually. This tool will benefit the country’s healthcare system and enhance the measurement of gender sensitivity in health facilities, But can be applied to other contexts as well.