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he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^
* Shows how development agencies have responded to the need for gender equality at all levels of operation * Scrutinizes the efficacy of gender mainstreaming’s thirty-year history Gender mainstreaming emerged in early gender and development work and gained strength following the 1975 Conference on Women in Mexico City. After three decades of gender and development approaches, and a more recent emphasis on gender mainstreaming, Everywhere/Nowhere presents a timely reflection on the challenges and opportunities development agencies have faced as they attempt to translate gender mainstreaming policies into practice. Reports on gender mainstreaming within development agencies tend to concentrate on technical solutions with little attention to the political changes necessary for transforming the mainstream. Technical solutions (such as quantitative information about the number of female staff members hired or the allocation of a certain amount of resources to gender-related activities) are more frequently reported and more easily measured. An emphasis on technical solutions has resulted in limited impact within organizations and minimal changes to gender inequitable relations. Development agencies and their staff members are, however, finding innovative - or subtle - strategies to transform the mainstream through networking, coalition-building, and leadership initiatives. This book examines these approaches and analyses their contributions to gender mainstreaming.
Confronting Discrimination and Inequality in China focuses on the most challenging areas of discrimination and inequality in China, including discrimination faced by HIV/AIDS afflicted individuals, rural populations, migrant workers, women, people with disabilities, and ethnic minorities. The Canadian contributors offer rich regional, national, and international perspectives on how constitutions, laws, policies, and practices, both in Canada and in other parts of the world, battle discrimination and the conflicts that rise out of it. The Chinese contributors include some of the most independent-minded scholars and practitioners in China. Their assessments of the challenges facing China in the areas of discrimination and inequality not only attest to their personal courage and intellectual freedom but also add an important perspective on this emerging superpower.
From their posts at the center of the pandemic - in the laboratory, the academy, clinics, and community based organizations - experts such as Evelynn Hammonds, Risa Denenberg, Michelle Murrain, and Paul Farmer criticize blind spots in the recognition and treatment of HIV in women and articulate accessible and practical solutions to specific areas of difficulty.
This book examines the gender context of HIV and critiques the global policy response. Anderson contributes to the feminist task of de-invisibilising gender as structural violence and identifies how gendered power structures are responded to at the local level in Malawi.
Sue Holden explains the concept of mainstreaming HIV/AIDS in simple language, with practical guidelines for applying the approach in a wide range of sectors.
Articles discuss how gender mainstreaming has been understood in different organisations; provide examples of good work, which supports the empowerment of women; and look beyond gender mainstreaming to what new possibilities exist for transformation.
Globally, women are facing social, economic, and cultural barriers impeding their autonomy and agency. Accelerated women empowerment programs often fail to attain their targets as envisaged by the policymakers due to a variety of reasons, with the most prominent being the deep-rooted cultural norms ingrained within society. In the era of globalization, empowerment of women demands new approaches and strategies that encourage the mainstreaming of gender equality as a societal norm. The Handbook of Research on New Dimensions of Gender Mainstreaming and Women Empowerment is a critical scholarly publication that examines global gender issues and new strategies for the promotion of women empowerment and gender mainstreaming in various spheres of women’s lives, including education and ICT, economic participation, health and sexuality, mental health, aging, law and judiciary, leadership, and decision making. It provides a comprehensive coverage of all major gender issues with novel ideas on gender mainstreaming being contributed by men and women authors from multidisciplinary backgrounds. Gender perspective and intersectional approach in the discourses make this handbook a unique contribution to the scholarship of social sciences and humanities. The book provides new theoretical inputs and practical directions to academicians, sociologists, social workers, psychologists, managers, lawyers, policy makers, and government officials in their efforts at gender mainstreaming. With a wide range of conceptual richness, this handbook is an excellent reference guide to students and researchers in programs pertaining to gender/women's studies, cultural studies, economics, sociology, social work, medicine, law, and management.
HIV/AIDS is holding firm as one of the worst diseases in history and the leading cause of death in sub-Saharan Africa. This collection of essays shares various case studies from sub-Saharan Africa and one from the African Diaspora that demonstrate how multi-faceted women's lives, and thus their HIV risk, are. Notwithstanding women's marginalisation, the essays in this volume maintain that women in Africa are not merely puppets of globalisation, cultural norms, or biological imperatives, but rather agents in their own livelihoods. In each case we see women presented with many challenges that they must navigate in order to mitigate their HIV risk. Some of the most trying challenges are based on economic and political structures that occur at various scales, from the global to the household. While structural factors are indeed important, the authors in this volume also show that traditional norms, cultural beliefs, and gender roles are equally necessary to consider when planning HIV prevention programs. Gender disempowerment is of particular importance, as it is seen in all of these case studies. In order for the HIV epidemic to dissipate in sub-Saharan Africa, prevention programs that truly understand the local circumstances and strive for gender equality must be instituted immediately and broadly. The book is divided into three parts, each concentrating on a different aspect of women and HIV/AIDS in sub-Saharan Africa. The first part provides case studies of the social, political, economic, cultural, and geographic dynamics that play into women's and girls' risk for the virus. The second part transitions into case studies of prevention, concentrating on condom use. The chapters in the final section expand on Part II by highlighting other ways of promoting HIV/AIDS awareness and prevention across the region. In short, the papers in this volume highlight the complicated decision making processes that women in countries of sub-Saharan Africa must make when it comes to HIV risk. In many cases, women find themselves in economically dependent relationships with men whereby they must stay in sexually risky situations to be able to feed themselves and, very often, their children.