卫生系统促进性别平等的监测和评估。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Rosemary Morgan, Anna Kalbarczyk, Michele Decker, Shatha Elnakib, Tak Igusa, Amy Luo, Ayoyemi Toheeb Oladimeji, Milly Nakatabira, David H Peters, Indira Prihartono, Anju Malhotra
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引用次数: 0

摘要

对卫生和卫生系统干预措施和计划进行促进性别平等的监测和评估(M&E),对于改善卫生、卫生系统和性别平等成果至关重要。它可用于识别和解决项目参与、成果和收益方面的性别差异,并确保项目的设计和实施具有包容性,且所有人都能参与。虽然当干预措施和项目有意识地融入性别视角时,促进性别平等的 M&E 最为有效,但它也适用于所有卫生系统项目和干预措施。在文献中,对促进性别平等的 M&E 的定义各不相同,因而难以操作。性别问题的复杂性和多面性更加剧了这一问题。在这一方法论的思考中,我们介绍了不断发展的促进性别平等的监测与评估方法,我们正在 "性别与公平监测"(MAGE)项目中将其付诸实施。我们将促进性别平等的监测与评估定义为:在监测与评估过程中,有意识地将妇女与女童、男子与男童、性别少数群体个人之间,以及社会、政治、经济和卫生系统之间的需求、权利、偏好和权力关系结合起来。要做到这一点,需要整合不同类型的性别数据和指标,包括:特定性或性别、特定性或性别分类、包含需求、权利和偏好的特定性或性别/分类,以及性别权力关系和系统指标。本文件中包含了上述各项指标的实例。积极的方法还可以提高任何监测和评估活动的性别敏感性,包括纳入交叉视角,根据具体情况调整数据和指标的类型以及使用的程序。将性别问题纳入包括监测和评估在内的计划周期,可使计划和干预措施更符合目的、更有效、更公平。本文介绍的框架概述了如何做到这一点,从而使促进性别平等的 M&E 得以采用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender-responsive monitoring and evaluation for health systems.

Gender-responsive monitoring and evaluation (M&E) for health and health systems interventions and programs is vital to improve health, health systems, and gender equality outcomes. It can be used to identify and address gender disparities in program participation, outcomes and benefits, as well as ensure that programs are designed and implemented in a way that is inclusive and accessible for all. While gender-responsive M&E is most effective when interventions and programs intentionally integrate a gender lens, it is relevant for all health systems programs and interventions. Within the literature, gender-responsive M&E is defined in different and diverse ways, making it difficult to operationalize. This is compounded by the complexity and multi-faceted nature of gender. Within this methodological musing, we present our evolving approach to gender-responsive M&E which we are operationalizing within the Monitoring for Gender and Equity project. We define gender-responsive M&E as intentionally integrating the needs, rights, preferences of, and power relations among, women and girls, men and boys, and gender minority individuals, as well as across social, political, economic, and health systems in M&E processes. This is done through the integration of different types of gender data and indicators, including: sex- or gender-specific, sex- or gender-disaggregated, sex- or gender-specific/disaggregated which incorporate needs, rights and preferences, and gender power relations and systems indicators. Examples of each of these are included within the paper. Active approaches can also enhance the gender-responsiveness of any M&E activities, including incorporating an intersectional lens and tailoring the types of data and indicators included and processes used to the specific context. Incorporating gender into the programmatic cycle, including M&E, can lead to more fit-for-purpose, effective and equitable programs and interventions. The framework presented in this paper provides an outline of how to do this, enabling the uptake of gender-responsive M&E.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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