2010

Plan of Action to Implement the Gender Equality Policy

A Commitment of All

Dr. Marijke Velzeboer

Gender, Diversity and Human Rights

2010

WHY A GENDER EQUALITY POLICY IN HEALTH AND ITS PLAN OF ACTION?

• The Americas has the greatest inequalities.

• Gender and Ethnic inequities are exacerbated by their interaction, and with poverty and exclusion to impact health.

• Gender and Ethnic inequities are those inequalities between men and women of our different populations in the health status, health care and health work that are unjust, unnecessary and avoidable.

2010

INTEGRATING GENDER IN HEALTH: WHY IS IT IMPORTANT?

• Address persistent inequities

• Improve equity and efficiency in health (analysis, services, monitoring)

• Respond to human rights mandates, and other international commitments

2010

INTEGRATING GENDER IN HEALTH: WHY IS IT IMPORTANT?

INTERNATIONAL COMMITMENTS: MDG, CEDAW, Beijing, Cairo, Durban, WHO Gender Policy and Strategy

REGIONAL COMMITMENTS:Belen do Para (GBV), InterAmerican Commitments PAHO: Health Agenda of the Americas PAHO strategic plan, Resolutions for Indigenous Populations, Gender Equality Policy Plan of Action

NATIONAL COMMITMENTS:Gender/Ethnicity laws & policies, CCS, UNDAF

2010

The Gender Equality Policy

• Approved by Directing Council in 2005

• Applies to PAHO Secretariat and Member States

• Calls for Director to develop a Plan of Action for its implementation

• Consultation PAHO technical Offices and country Offices, Member States and Civil Society Organizations

2010

Gender Equality Policy Goal:

Achievement of gender equality in health status and health development

Core objectives-Optimal health status and well being for men & women - Equity in resources allocations for health - Equal participation & empowerment of men a& men in relation to their health - Fairness in distribution of burden and rewards associated with health work for men & women

Action 4: Monitoring and evaluation

Action 2: Capacity Building

Action 1:Evidence building

Action 3: Participatio

n of civil society

PAHO’s Gender Equality Policy

2010

Plan of Action to Implement the Gender Equality Policy

• Five years: 2009-2014• Approved by Directing Council in

2009• Regional Launch • Consulted with 20 country teams• Technical Advisory Group: 3

countries, 3 UN agencies, 3 NGO, • Political will of managers,

colleagues and partners (dissemination, implementation, monitoring)

• Reports to the Directing Council, D and countries, in 2011 and 2013

2010

Plan of Action: Accountability Indicators

Country Cooperation Strategies • By 2010, all new CCS include health

information dissagregated by gender and age, gender analysis and strategies to address the differences

2010

Improving Evidence • By 2013, all regional surveys disaggregate data by

sex and include gender analysis• By 2013, all Health Analysis publications will include

analysis based on data disaggregated by sex and age

Plan of Action: Accountability Indicators

2010

Building Capacity• Number of PASB Offices reporting on advances

of Health and Gender Collaboration Plans, as part of annual reporting process (BWP 2010/11)

• Number of inter-sectoral Technical Advisory groups formed that support PWR and MOH in developing, implementing and monitoring Gender and Health plans in health sector (BWP 2010/11)

Plan of Action: Accountability Indicators

2010

Participation of Civil Society• Number of Civil Society Organizations (CSO)

consulted in the development of the Plan of Action

• By 2013, processes supported, facilitated and documented in three countries that have included CSO participation and resulted in the allocation of health budgets to better address gender inequalities

Plan of Action: Accountability Indicators

2010

Monitoring and Evaluation

• National mechanisms to analyze and follow-up gender equality in health

• By 2013, three national and local observatories on gender will incorporate indicators on gender and will publish presentations that include gender equality in reform processes

Plan of Action: Accountability Indicators

2010

Plan of Action: Accountability Indicators

Monitoring and Evaluation

• By 2013, 75% of BWP include gender indicators

• PASB and Member States report to Governing Bodies in 2011 and 2013 on Member States progress on developing, implementing and

monitoring gender equality plans in health.

2010

Has Gender Equality been incorporated in the BWP 2010/11?

• Discussion of PoA with Gender Focal Points and partners during the training “Gender and Health” (19 countries)

• Gender Check List on the Operational Planning Manual 2010/11 (PRB). Gender Checklist for Products and Services (P&s)

• BWP Planning Session 2010/11 with focal points of 24 countries (July 2009)

• Gender analysis of all BWP 2010/11. Results were sent to entities.

• Analysis of Cross Cutting priorities (CCP) in a selection of 10 BWP: 8 countries and two technical areas

2010INTEGRATION OF GENDER IN THE BWP 2010/11

1) Commitments = MDG. None Mentioned Gender Policy

2) COR + ARG gender priority focus

ARG PAR COL ECU COR GUT JAM SUR FCH HSD

SIT ANALYSIS Commitments       (MDG)

 (VAW Law)

     

Data by Sex         HIV

Traffic

(

HIV)

only TB

Health Situation (M/W of diverse populations)

(work force)

(

HIV,MM)

      X X HIV,

Youth Violenc

e

XSlave

ethn

PROBS/ OPPORTUNITIES

Address M/W (2)    (2)

vague

  + 

IMPLEMENT PLAN Involve M/W           Not Done  

WORK PLAN Link 7.5     Other OSER 1 0 1 0 3 3 0 1 1 1

P/S linked/ not relevant

19/10 19/10 43/34 4/3 13/9 53/38 0VAW

6/6 65/40 67/55

2010

Integration of Gender in the BWP 2010/11

Situation Analysis • 3 countries mentioned international commitments. None mentioned the

Gender Equality Policy• 4 countries and 2 areas dissagregated data by sex, only for specific

situations (HIV, TB, accidents, HR)• 5 countries and 2 areas included women’s and men’s health situation of

diverse populations, also in specific situations. Only JAM and GUT mentioned violence against women

Problems and Opportunities • 5 countries and FCH mentioned gender• ARG and COR identified gender as a priority strategy • FCH and ARG presented consistent analysis Implementation Plan• Only ARG, COR, and FCH mentioned genderWorking Plan • 6 countries made link to RER 7.5 (HSD, no FCH)• Many present related OSERs• Between 4-57 P&S marked with gender. Most of them did not have relation

with gender, however, PAR and GUT had some exemplary P&S

2010

Integration of Gender Equality in 10 BWP 2010/11

Conclusions

• Most PASB staff know the Gender Equality Policy, few apply it throughout work/plan

• Most entities did not understand the gender marking system

• Most P&S of diseases and maternal health were marked with gender, however, it was not reflected on their composition or tasks

2010

VISION: to provide technical collaboration, in partnership with to provide technical collaboration, in partnership with government, non-government, and UN organizations, government, non-government, and UN organizations, especially to priority countries, to advance gender/ethnic especially to priority countries, to advance gender/ethnic equity and human rights to improve efficiency in the health equity and human rights to improve efficiency in the health sector.sector.

OSERS/AREAS OF WORK:OSERS/AREAS OF WORK: Integrating Gender in Health- Technical Areas/HQ- Support to countries Integrating Ethnicity in Health Improving evidence on Gender and Ethnicity in Health Integrating commitments on human rights into the health

policies and plans Managing knowledge for planning, programming,

monitoring and advocacy

GENDER, DIVERSITY AND HUMAN RIGHTS HOW CAN WE SUPPORT YOU?

2010

GENDER, DIVERSITY AND HUMAN RIGHTS TEAM

Marijke Velzeboer, Coordinator

Cathy Cuellar, Regional Advisor/Panama

Cristina Torres, Rocio Rojas, Diversity Advisors

Lily Jara: Evidence Advisor

Javier Vasquez: Human Rights Advisor

Program support: Souad Lakhdim, Esmeralda Burbano, Floriza

Gennari, Cristina Leria (Human Rights)

Communication: Patricia García

Admin Support: Miriam Almazan, BethanyMc Curley

Subregional Focal Points: Sonja Caffe/CAR; Erika Diaz,

CA, Dora Caballero, South AM

Country Focal points

2010

2010

PAHO GDR RegionalTEAM HQ

Decentralized supportRegional Advisor/PAN

Sub-reg. Focal Points

GFP/PWRGFP/PWRGFP/WRTA/FP

MOHMOH

TA/FP TA/FP

HQTechnical Areas (TA):

Focal points fromFCH, PBR,SDE, etc

MOH

HOW DO WE SUPPORT YOU?

2010

GENDER, DIVERSITY AND HUMAN RIGHTS TEAM

HEALTH FOR ALL

THANKS!