How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework

This article was published in the Social Science and Medicine [© 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).] and the definite version is available at : https://doi.org/10.1016/j.socscimed.2018.05....

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Autors principals: Steege, Rosalind, Taegtmeyer, Miriam, McCollum, Rosalind, Hawkins, Kate, Ormel, Hermen, Kok, Maryse, Rashid, Sabina, Otiso, Lilian, Sidat, Mohsin, Chikaphupha, Kingsley, Datiko, Daniel Gemechu, Ahmeda, Rukhsana, Tolhurst, Rachel, Gomez, Woedem, Theobald, Sally
Altres autors: Brac James P. Grant School of Public Health
Format: Journal Article
Idioma:en_US
Publicat: Science Direct 2022
Matèries:
Accés en línia:http://hdl.handle.net/10361/16397
https://doi.org/10.1016/j.socscimed.2018.05.002
id 10361-16397
record_format dspace
spelling 10361-163972022-03-22T04:19:41Z How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework Steege, Rosalind Taegtmeyer, Miriam McCollum, Rosalind Hawkins, Kate Ormel, Hermen Kok, Maryse Rashid, Sabina Otiso, Lilian Sidat, Mohsin Chikaphupha, Kingsley Datiko, Daniel Gemechu Ahmeda, Rukhsana Tolhurst, Rachel Gomez, Woedem Theobald, Sally Brac James P. Grant School of Public Health Gender Community health workers Close-to-community provider Community health service delivery Health system strengthening Africa Asia This article was published in the Social Science and Medicine [© 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).] and the definite version is available at : https://doi.org/10.1016/j.socscimed.2018.05.002 The Journal's website is at: https://www.sciencedirect.com/science/article/pii/S0277953618302375 Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver. This study uses a two-stage exploratory approach drawing upon qualitative research from the six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium. This research took place from 2013 to 2014. This was followed by systematic review that took place from January–September 2017, using critical interpretive synthesis methodology. This review included 58 papers from the literature. The resulting findings from both stages informed the development of a conceptual framework. We present the holistic conceptual framework to show how gender roles and relations shape CTC provider experience at the individual, community, and health system levels. The evidence presented highlights the importance of safety and mobility at the community level. At the individual level, influence of family and intra-household dynamics are of importance. Important at the health systems level, are career progression and remuneration. We present suggestions for how the role of a CTC provider can, with the right support, be an empowering experience. Key priorities for policymakers to promote gender equity in this cadre include: safety and well-being, remuneration, and career progression opportunities. Gender roles and relations shape CTC provider experiences across multiple levels of the health system. To strengthen the equity and efficiency of CTC programmes gender dynamics should be considered by policymakers and implementers during both the conceptualisation and implementation of CTC programmes. Published 2022-03-06T05:26:49Z 2022-03-06T05:26:49Z 2018 2018-07 Journal Article Steege, R., Taegtmeyer, M., McCollum, R., Hawkins, K., Ormel, H., Kok, M., … Theobald, S. (2018). How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework. Social Science and Medicine, 209, 1–13. doi:https://doi.org/10.1016/j.socscimed.2018.05.002 http://hdl.handle.net/10361/16397 https://doi.org/10.1016/j.socscimed.2018.05.002 en_US https://www.sciencedirect.com/science/article/pii/S0277953618302375 Social Science and Medicine application/pdf Science Direct
institution Brac University
collection Institutional Repository
language en_US
topic Gender
Community health workers
Close-to-community provider
Community health service delivery
Health system strengthening
Africa
Asia
spellingShingle Gender
Community health workers
Close-to-community provider
Community health service delivery
Health system strengthening
Africa
Asia
Steege, Rosalind
Taegtmeyer, Miriam
McCollum, Rosalind
Hawkins, Kate
Ormel, Hermen
Kok, Maryse
Rashid, Sabina
Otiso, Lilian
Sidat, Mohsin
Chikaphupha, Kingsley
Datiko, Daniel Gemechu
Ahmeda, Rukhsana
Tolhurst, Rachel
Gomez, Woedem
Theobald, Sally
How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
description This article was published in the Social Science and Medicine [© 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).] and the definite version is available at : https://doi.org/10.1016/j.socscimed.2018.05.002 The Journal's website is at: https://www.sciencedirect.com/science/article/pii/S0277953618302375
author2 Brac James P. Grant School of Public Health
author_facet Brac James P. Grant School of Public Health
Steege, Rosalind
Taegtmeyer, Miriam
McCollum, Rosalind
Hawkins, Kate
Ormel, Hermen
Kok, Maryse
Rashid, Sabina
Otiso, Lilian
Sidat, Mohsin
Chikaphupha, Kingsley
Datiko, Daniel Gemechu
Ahmeda, Rukhsana
Tolhurst, Rachel
Gomez, Woedem
Theobald, Sally
format Journal Article
author Steege, Rosalind
Taegtmeyer, Miriam
McCollum, Rosalind
Hawkins, Kate
Ormel, Hermen
Kok, Maryse
Rashid, Sabina
Otiso, Lilian
Sidat, Mohsin
Chikaphupha, Kingsley
Datiko, Daniel Gemechu
Ahmeda, Rukhsana
Tolhurst, Rachel
Gomez, Woedem
Theobald, Sally
author_sort Steege, Rosalind
title How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
title_short How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
title_full How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
title_fullStr How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
title_full_unstemmed How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework
title_sort how do gender relations affect the working lives of close to community health service providers? empirical research, a review and conceptual framework
publisher Science Direct
publishDate 2022
url http://hdl.handle.net/10361/16397
https://doi.org/10.1016/j.socscimed.2018.05.002
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