¿Somos iguales? Using a structural violence framework to understand gender and health inequities from an intersectional perspective in the Peruvian Amazon

Figures & data

Table 1. Characteristics of individual participants, by geographic location.

Location	LNR (n = 22)	Iquitos (n = 21)
Mean age (range), years	44 (19–70)	34 (16–53)
Professional backgrounds	Predominantly agricultural, some community members had dual (voluntary) roles as health promotores or Programa Juntos leaders	Teachers, healthcare staff, housewives, mothers and government professionals
Gender breakdown	22 women	21 women

Table 2. Overview of group discussions.

Group details	Overview of group
Health promotores (lay health workers) (n = 19)	Health promotores from up to 25 communities come together for health education with DB Peru annually in a small town, Mazan. Sixteen men and three women participated in April 2015. On the last day of education, GDS gathered all participants in the community maloca and spent four hours discussing their roles, their opinion on gender dynamics and other gender-specific health issues in the community.
Primary and secondary school teachers (n = 8)	Mangua is one of the larger communities of the LNR, and eight teachers live here semi-permanently to run the primary and secondary schools. During an afternoon meeting, GDS sat down with all of them (five women and three men) and discussed key gender issues they have observed.
Volunteer staff at charity (n = 3)	GDS spent two hours interviewing staff (one woman, two men) from a local Iquitos charity, the Arco Iris Orphanage, who had insight into not only children/family issues, but also the local Iquitos community dynamics.

Figure 1. The relationship between symbolic, systemic and individual violence, and how these relate to gender and health outcomes, as derived from Montesanti and Thurston (2015) [23].

*Social determinants of health as identified by Montesanti and Thurston (2015) [23] include: social support, personal health practices, income and social status, education, child development, employment and working conditions, social environments, culture, welfare institutions, civil society, economic institutions.

Montesanti S, Thurston W. Mapping the role of structural and interpersonal violence in the lives of women: implications for public health interventions and policy. BMC Women’s Health. 2015;15.

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