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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Science Direct
2022
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| Accés en línia: | http://hdl.handle.net/10361/16397 https://doi.org/10.1016/j.socscimed.2018.05.002 |
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10361-16397 |
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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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