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Research Article

Promoting equity in maternal, newborn and child health – how does gender factor in? Perceptions of public servants in the Ethiopian health sector

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Article: 1704530 | Received 12 Aug 2019, Accepted 29 Nov 2019, Published online: 14 Jan 2020

References

  • World Health Organization, Regional Office for Europe. Mainstreaming gender equity in health: the need to move forward. Madrid Statement. Copenhagen: World Health Organization, Regional Office for Europe; 2002.
  • Starfield B. Improving equity in health: a research agenda. Int J Health Serv. 2001;31:545–14.
  • Whitehead M. The concepts and principles of equity and health. Health Promot Int. 1991;6:217–228.
  • Ekbrand H, Halleröd B. The more gender equity, the less child poverty? A multilevel analysis of malnutrition and health deprivation in 49 low-and middle-income countries. World Dev. 2018;108:221–230.
  • Solar O, Irwin A. A conceptual framework for action on the social determinants of health: social determinants of health discussion paper 2 (policy and practice). Geneva: World Health Organization; 2010.
  • Diderichsen F, Evans T, Whitehead M. The social basis of disparities in health. In: Evans T, Whitehead M, Diderichsen F, et al., editors. Challenging inequities in health: from ethics to action. Oxford: Oxford University Press; 2001. p. 12–23.
  • Baker P, Dworkin SL, Tong S, et al. The men’s health gap: men must be included in the global health equity agenda. Bull World Health Organ. 2014;92:618–620.
  • Bates LM, Hankivsky O, Springer KW. Gender and health inequities: a comment on the final report of the WHO commission on the social determinants of health. Soc Sci Med. 2009;69:1002–1004.
  • Boniol M, McIsaac M, Xu L, et al. Gender equity in the health workforce: analysis of 104 countries. Geneva: World Health Organization; 2019.
  • Dhatt R, Theobald S, Buzuzi S, et al. The role of women’s leadership and gender equity in leadership and health system strengthening. Glob Health Epidemiol Genomics. 2017;2:e8. Available from: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/A6AEB63AFE17295E0EF9E40741A2EC5B/S2054420016000221a.pdf/role_of_womens_leadership_and_gender_equity_in_leadership_and_health_system_strengthening.pdf
  • Bayeh E. The role of empowering women and achieving gender equality to the sustainable development of Ethiopia. Pac Sci Rev B Humanit Soc Sci. 2016;2:37–42.
  • World Health Organization. Gender mainstreaming manual for health managers: a practical approach. Geneva: World Health Organization; 2011.
  • De Lange SE. Toward gender equality: affirmative action, comparable worth, and the women’s movement. NYU Rev Law Soc Change. 2007;31:315–360.
  • Government of Canada Global Affairs Canada. Gender analysis. 2017 [cited 2019 Nov 9]. Available from: https://www.international.gc.ca/world-monde/funding-financement/gender_analysis-analyse_comparative.aspx?lang=eng
  • Ethiopia Ministry of Finance and Economic Development. National gender responsive budgeting guidelines: for mainstreaming gender in the programme budget process. Addis Ababa: Ethiopia Ministry of Finance and Economic Development; 2012.
  • Banteyerga H. Ethiopia’s health extension program: improving health through community involvement. MEDICC Rev. 2011;13:46–49.
  • United Nations Human Rights Office of the Higher Commissioner. Women’s human rights and gender equality | women’s rights and gender section. 2019 [cited 2019 Nov 9]. Available from: https://www.ohchr.org/EN/Issues/Women/WRGS/Pages/WRGSIndex.aspx
  • Federal Democratic Republic of Ethiopia. Constitution of the Federal Democratic Republic of Ethiopia. Addis Ababa: Federal Democratic Republic of Ethiopia; 1994.
  • Federal Democratic Republic of Ethiopia. National report on the implementation of the Beijing Declaration and Platform for Action (1995) and the outcome of the 23rd special session of the United Nations General Assembly (2000). Addis Ababa: Federal Democratic Republic of Ethiopia; 2000.
  • World Bank. Ethiopia gender diagnostic report: priorities for equity. Washington, DC: World Bank; 2019.
  • Ambel A, Andrews C, Bakilana A, et al. Maternal and child health inequalities in Ethiopia. Washington DC: The World Bank; 2015.
  • Federal Ministry of Health Ethiopia. State of inequality in Ethiopian health sector. Addis Ababa: Federal Ministry of Health Ethiopia; 2016.
  • United Nations. United Nations millennium development goals. [cited 2019 Sept 30]. Available from: https://www.un.org/millenniumgoals/
  • United Nations General Assembly. Transforming our world: the 2030 Agenda for Sustainable Development. New York: United Nations; 2015.
  • Gebru SG, Demeke MA. The millennium development goals and the status of gender disparity in Ethiopia: achievements and challenges. Afr J Governance Dev. 2015;4:11.
  • AfricaNews. One year on: Ethiopia PM lauded for promoting gender parity. 2019 [cited 2019 Aug 1]. Available from: https://www.africanews.com/2019/04/11/one-year-on-ethiopia-pm-lauded-for-his-efforts-in-promoting-gender-parity/
  • United Nations Development Programme. Table 5: gender inequality index. 2019 [cited 2019 Jul 28]. Available from: http://hdr.undp.org/en/composite/GII
  • Hailu EF. Who speaks for whom? Parliamentary participation of women in the post-1991 Ethiopia. J Dev Soc. 2017;33:352–375.
  • Ethiopia Federal Ministry of Health. Health Sector Transformation Plan. Addis Ababa: Ethiopia Federal Ministry of Health; 2015. ( 2015/15-2019/20).
  • Wang H, Tesfaye R, Ramana GNV, et al. Ethiopia Health Extension Program: an institutionalized community approach for universal health coverage. 2016 [cited 2017 Jul 8]. Available from: http://elibrary.worldbank.org/doi/book/10.1596/978-1-4648-0815-9
  • Yitbarek K, Abraham G, Morankar S. Contribution of women’s development army to maternal and child health in Ethiopia: a systematic review of evidence. BMJ Open. 2019 May;9:e025937.
  • Federal Ministry of Health Ethiopia. Health Sector gender mainstreaming manual. Addis Ababa: Federal Ministry of Health; 2013.
  • Turner S, Cilliers J, Hughes B. Reducing poverty in Africa: realistic targets for the post-2015 MDGs and Agenda 2063. Inst Secur Stud Pap. 2014;2014:28.
  • The African Union Commission. Agenda 2063 framework document: the Africa we want. 2015 [cited 2018 Dec 11]. Available from: www.un.org/en/africa/osaa/pdf/au/agenda2063-framework.pdf
  • Asnake M, Bishaw T. The Addis Ababa declaration on global health equity: a call to action. Ethiop J Health Dev. 2012;26:233–237.
  • World Federation of Public Health Associations. Addis Ababa Declaration on Global Health Equity: a Call to Action. Geneva: World Federation of Public Health Associations; 2012.
  • Bergen N, Labonté R, Asfaw S, et al. Equity in maternal, newborn and child health: expanding health services onto rural Ethiopia. In: Cochrane L, editor. Ethiopia: social, economic and political issues. Hauppauge, NY: Nova Publishers; 2019. p. 91–124.
  • Ethiopia Federal Ministry of Health. National Strategy for Newborn and Child Survival in Ethiopia. Addis Ababa: Ethiopia Federal Ministry of Health; 2015. ( 2015/16-2019/20).
  • Federal Ministry of Health Ethiopia. Transforming health status and health systems in the developing regional states and selected zones with suboptimal performance: plan of action, 2016–2020. Addis Ababa: Federal Ministry of Health Ethiopia; 2016.
  • The World Bank Group. Rural population (% of total population) | data. 2019 [cited 2019 Feb 18]. Available from: https://data.worldbank.org/indicator/sp.rur.totl.zs
  • Bergen N, Abebe L, Asfaw S, et al. Maternity waiting areas–serving all women? Barriers and enablers of an equity-oriented maternal health intervention in Jimma Zone, Ethiopia. Glob Public Health. 2019;14:1509–1523.
  • Asfaw S, Morankar S, Abera M, et al. Talking health: trusted health messengers and effective ways of delivering health messages for rural mothers in Southwest Ethiopia. Arch Public Health. 2019;77:8.
  • Kurji J, Abebe L, Abera M, et al. Factors associated with maternity waiting home use among women in Jimma Zone, Ethiopia: a multi-level cross-sectional analysis. BMJ Open. 2019;9:e028210.
  • Kurji J, Kulkarni MA, Abebe L, et al. Effectiveness of upgraded maternity waiting homes and local leader training in improving institutional births among women in Jimma Zone, Ethiopia: study protocol for a cluster-randomized controlled trial. Trials. 2019;20:1–11.
  • Yin RK. Case study research: design and methods. 4th ed. Thousand Oaks, CA: SAGE Publications Inc.; 2009.
  • Williamson DL, Choi J, Charchuk M, et al. Interpreter-facilitated cross-language interviews: a research note. Qual Res. 2011;11:381–394.
  • Ouedraogo M, Kurji J, Abebe L, et al. A quality assessment of Health Management Information System (HMIS) data for maternal and child health in Jimma Zone, Ethiopia. Plos One. 2019;14:e0213600.
  • Bergen N, Hudani A, Asfaw S, et al. Promoting and delivering antenatal care in rural Jimma Zone, Ethiopia: a qualitative analysis of midwives’ perceptions. BMC Health Serv Res. 2019;19:719.
  • Jackson R, Tesfay FH, Gebrehiwot TG, et al. Factors that hinder or enable maternal health strategies to reduce delays in rural and pastoralist areas in Ethiopia. Trop Med Int Health. 2017;22:148–160.
  • Safe Motherhood Research Project. Baseline qualitative report: an implementation study of interventions to promote safe motherhood in Jimma Zone, Ethiopia. Ottawa: University of Ottawa; 2019.
  • August F, Pembe AB, Mpembeni R, et al. Community health workers can improve male involvement in maternal health: evidence from rural Tanzania. Glob Health Action. 2016;9:30064.
  • Comrie-Thomson L, Tokhi M, Ampt F, et al. Challenging gender inequity through male involvement in maternal and newborn health: critical assessment of an emerging evidence base. Cult Health Sex. 2015;17:177–189.
  • Tokhi M, Comrie-Thomson L, Davis J, et al. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. Plos One. 2018;13:e0191620.
  • Bedford J, Gandhi M, Admassu M, et al. ‘A normal delivery takes place at home’: a qualitative study of the location of childbirth in rural Ethiopia. Matern Child Health J. 2013;17:230–239.
  • Hill Z, Amare Y, Scheelbeek P, et al. ‘People have started to deliver in the facility these days’: a qualitative exploration of factors affecting facility delivery in Ethiopia. BMJ Open. 2019;9:e025516.
  • Gebremichael MW, Worku A, Medhanyie AA, et al. Women suffer more from disrespectful and abusive care than from the labour pain itself: a qualitative study from women’s perspective. BMC Pregnancy Childbirth. 2018;18:392.
  • Bayer R. Stigma and the ethics of public health: not can we but should we. Soc Sci Med. 2008 Aug;67:463–472.
  • Labonté R, Ruckert A. The gendered face of global health. In: Health equity in a globalizing era: past challenges, future prospects. Oxford: Oxford University Press; 2019. p. 296–319.
  • The World Bank. World DataBank: Ethiopia. 2018 [cited 2018 Aug 29]. Available from: https://data.worldbank.org/country/ethiopia
  • Jackson R, Kilsby D, Hailemariam A. Gender exploitative and gender transformative aspects of employing Health Extension Workers under Ethiopia’s Health Extension Program. Trop Med Int Health. 2019;24:304–319.
  • Maes K, Closser S, Vorel E, et al. Using community health workers: discipline and hierarchy in Ethiopia’s Women’s Development Army. Ann Anthropol Pract. 2015;39:42–57.
  • McFadden P Why women’s spaces are critical to feminist autonomy. 2019 [cited 2019 Aug 6]. Available from: http://www.isiswomen.org/index.php?option=com_content&view=article&id=630:why-womens-spaces-are-critical-to-feminist-autonomy&catid=127:theme-mens-involvement-in-womens-empowerment
  • Central Statistical Agency. Ethiopia demographic and health survey 2016. Rockville, MD: The DHS Program; 2017.
  • Bergen N, Mamo A, Asfaw S, et al. Perceptions and experiences related to health and health inequality among rural communities in Jimma Zone, Ethiopia: a rapid qualitative assessment. Int J Equity Health. 2018 Dec;17:84.
  • Ravindran TS, Kelkar-Khambete A. Gender mainstreaming in health: looking back, looking forward. Glob Public Health. 2008;3:121–142.
  • Jackson R. “We prefer the friendly approach and not the facility”: on the value of qualitative research in Ethiopia. Ethiop J Health Sci. 2018;28:555–562.
  • Squires J. Is mainstreaming transformative? Theorizing mainstreaming in the context of diversity and deliberation. Soc Polit Int Stud Gend State Soc. 2005;12:366–388.
  • Cochrane L, Rao N.Is the push for gender sensitive research advancing the SDG agenda of leaving no one behind?. Forum Develop Stud. 2019;46:45–65.
  • Bergen N, Ruckert A, Kulkarni MA, et al. Problematizing “health equity” as a national health sector priority. 2019; under review.
  • Bergen N, Labonté R. “Everything is perfect, and we have no problems”: detecting and limiting social desirability bias in qualitative research. Qual Health Res. 2019 Dec 13:1049732319889354.
  • Bergen N. Narrative depictions of working with language interpreters in cross-language qualitative research. Int J Qual Methods. 2018;17:160940691881230.