Integrando Igualdad de Genero en la OPS Logros

Integrando Igualdad de Genero en la OPS: Logros y oportunidades, Informe del 2009 – 2011 Mesa Directiva - Conferencia Regional sobre la Mujer Jueves 8 de noviembre, 2012 Santiago, Chile Cathy Cuellar Oficina Genero, Diversidad y Derechos Humanos (GDR)

Gender Inequalities persist… • Women live longer than men, with lower mortality throughout, though added years are not quality years – burden of disease? • 1/3 of women experience partner violence: discrimination and impunity continues. • Women/girls are principal care providers of children, elderly and disabled • Gender inequality is more explicit when illness/ death disproportionately affect poor women, ethnic groups or adolescents

2005 Policy approved by MS Resolution: Po. A, TAG, Monitoring 2012 Monitoring Report (Sanitary Conference)

Po. A Monitoring Process • GDR – coordinator • Developed monitoring tool; gathered information and prepared report in participatory process (36 countries) • Prepared GB document.

Monitoring Framework follows Strategic Objectives of GE Policy and Po. A Action 1: Evidence building Action 4: Monitoring and evaluation Gender Equality Policy Goal: Achievement of gender equality in health status and health development Action 3: Participatio n of civil society Action 2: Capacity Building

Action Area 1: Improving Evidence PASB 2005 - 2010 ü Health in the Americas (2012) ü Health situation of Women and Men in the Americas (2009) (with UN) ü Gender, Health and Development in the Americas: Basic Indicators, 2009

Action Area 1: Improving Evidence Publications (63), Guidelines (50), ¾ disaggregated by sex

PASB Evidence Publications Regional level Subregional level National level

Action Area 2 : Capacity-Building Staff and partner training - - PASB staff /partners from 20 Cs (2008/09): 30 PASB gender focal points Virtual course on Gender and Health: intersectoral teams from 5 Cs = 57 Mandatory e learning (WHO in process) BWP training/manual for all PAHO staff Knowledge platforms - Webpage, listserve, databases Annual Best Practice contest!

Action Area 2: Capacity-Building (cont) PASB STAFF PARITY

Action Area 2: Capacity-Building (cont) MEMBER STATES: • Most Cs have national gender equality or equal opportunity laws that apply to the health sector. • 17 Cs have specific health and gender policies • 8 have specific units • 14 Cs have budgets by law • Gender activities mostly donor supported. • 80% have no parity policies for staffing

Países con políticas/programas/planes de género y salud; y países que cuentan con presupuestos para género. Treinta y seis países de ALC Países de CA y República Dominicana

Action Area 3: Participation of Civil Society PASB • • • Consultation Po. A, monitoring Technical Advisory Group Training International events, UN panels Collaboration with Network of Women’s Health of LAC Countries • Half report CSO participation

Action Area 4: Monitoring and Evaluation • WHO evaluation • Review of PASB corporate documents • Monitoring of Po. A and reporting 2012 and 2014 • PMA

Obstacles to mainstreaming Gender in Health • Resistance to change => biomedical and patriarchal model of health. • Lack of political will • Limited coordination between health managers, stakeholders and/or sectors and donors • Lack of training and culture of gender analysis in health sector (inequalities invisible) • Constant rotation of trained health staff

CONCLUSIONS • Even with challenges, results show progress. • The greatest challenge to Gender Mainstreaming (GM) in health is political support. • More health information produced by PASB HQ could be disaggregated by sex, and even more should be analyzed with a gender perspective. • Countries report important levels of CSO participation, as partners in GMS. • Most support for GMS provided by donors and UN agencies. PAHO’s contribution varied and absent in some countries. • PAHO's strong commitment to mainstreaming gender and Director’s leadership is a model for the Region…

Country Recommendations • MOH should clearly position theintegration of gender in national health plans: § § specific gender policy and plan of action with indicators designated budget and trained staff (focal points at all levels) coordinating units monitoring systems • The Gender Policy should include other components related to gender equality and health: masculinity/male involvement, unpaid health care, equal compensation of health workers and sexual harassment policies.

What next…

Gender Equality is Good for Health! www. paho. org/gdr