1. IN THE HEALTH SECTOR MOZAMBIQUE
Gender Mainstreaming
IN THE HEALTH SECTOR
MOZAMBIQUE
Responding to the changing context in International Health: Opportunities and Challenges for Gender Mainstreaming

2. Agenda Where are we? Main Health Problems
Strategies to Ensure Gender Responsiveness and Increased Resources for women
Capacities needed to Equitable Development Results
Q&A

3. Where are We? Illiteracy rate and protective role of education
Coverage of health services
Quality of health care services
Accessibility to health care

4. Where are We? PARP (Action Plan for Poverty Reduction)
National Gender Policy and Implementation Strategies
National Action Plan on the Advancement of Women
Health Sector Strategic Plan
Strategies for Gender Equality in the Health Sector (incl. Gender Responsive Planning and Budgeting)

5. Main Health Problems Men Die earlier, High risk behaviour
Anti social behaviour
Violence and trauma (work accident, car crash)
Alcohol and smoking related diseases , e.g. lung and hepatic cancer

6. Main Health Problems Women Live longer
1/3 of deaths related to sexual and reproductive role:
High maternal mortality rate, fistula ...
High rates of STI/HIV/AIDS
Malaria
Tuberculosis
Depression , anxiety (violence)

7. Strategies to Ensure Gender Responsiveness and Increased Resources for women
Situation analysis
Research
Gender and health equity at community level
Constraints faced by women in the health workforce
Male involvement in SRH
Policy and Program development
Women health
Safe motherhood
Human Resources Development
Gender based violence

8. Strategies to Ensure Gender Responsiveness and Increased Resources for women
Human Resources
Training on Gender:
Curricula review,
Health planners and
Health care providers
Reshaping of the human resources pyramid
New policies on vehicle drivers, security personnel and quota on students enrolment on paramedical schools

9. Capacity building on G responsiveness
Strategies to Ensure Gender Responsiveness and Increased Resources for women
Processes:
SWAP
Working Groups on Gender
Different levels including on Health
Identification of entry points for gendermainstreaming
Advocacy
Capacity building on G responsiveness
Planners
Programme managers of the entire Ministry (Central level)

10. Identification of gender gaps at service delivery
Strategies to Ensure Gender Responsiveness and Increased Resources for women
Processes:
Identification of gender gaps at service delivery
SRH (maternal mortality, STI/HIV and AIDS)
Communicable diseases (Malaria, Tuberculosis)
Non Communicable diseases (violence, trauma, diabetes, hypertension, mental disorders)
Identification of women’s health diseases
Cervix and breast cancer

11. Identification of gender gaps at health work force
Strategies to Ensure Gender Responsiveness and Increased Resources for women
Processes:
Identification of gender gaps at health work force
Careers
Managers
Leadership
Role of the Ministry of Planning and Development

12. Capacities needed to Equitable Development Results
Gender Gender Planning and budgeting
The exercise showed the shortcomings of the systems
Health information system
Data partially disaggregated by sex (HR, STI/ HIV/AIDS)
Under review
Top down bottom-up

13. Main Challenges Slow process
Changes to be made simultaneously at different levels
Understanding the constraints on providers and working with them to effect improvements in services
Low morale and motivation
Poor communication between management and providers

14. Main Challenges Development of tools for empowering people
Build a bottom-up quality assurance, through a participatory process
Ask community members in their homes ‘the likes and dislikes’ of the local health centre

15. Main Challenges Long term challenges
Institutionalization: strong commitment is not enough
Gender awareness
Women’s issues/ gender issues

16. Opportunities Political commitment
Multi-sectorial approach (Coordinated by Ministry of Women and Social Action)
Development of Gender Machinery
Definition of priorities to enable a focus
Interactions with NGOs and other partners (SWAP, etc.)

19. Thank you. Q&A