Disrupting gender norms in health systems: making the case for change

INTRODUCTION

Health systems have a role to play in reducing gender inequalities

This article identifies and explores the ways in which restrictive gender norms and gender inequalities are replicated and reinforced in health systems, contributing to gender inequalities in health. Gender-transformative approaches address how gender intersects with other social stratifiers and shift gender norms, reduce inequalities, and improve health outcomes.

A gender equitable system

Overall, a gender-equitable health system is one that reflects and reinforces a gender-equitable society; addresses gender norms and root causes of inequalities across the life course; provides equal opportunity for health-care professionals of all genders; ensures equal access to and utilization of high-quality health services by people of all genders, across all contexts; and is held accountable at all levels.

This evidence suggests that we need to move from a consideration of gender as something that can be easily patched upon existing health systems, towards a recognition that gender inequality fundamentally predetermines and shapes health systems and outcomes in ways that require fundamental changes.

KEY TAKEAWAYS

1. Gender inequalities are linked at all levels of society

   Gender equality in the larger social environment can prevent and reduce gender inequalities in the health workforce.

2. It starts with respect

   Respect and value for women’s professional work are needed from family, community, and institutions to support their productivity and impact, including through shifting norms to reduce their burden of unpaid domestic labour.

3. Involve community-led movements to drive progress

   Community mobilisation through, for example, social movements and women’s empowerment collectives can provide external accountability and push health systems to provide universal and gender-equitable care.

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