1. Sustainable Development & Environmental Health (SDE) Technical Advisory Group on Gender Equality and Health 10 & 11 November, 2009 Washington DC

2. Sustainable Development & Environmental Health (SDE) Human Security & Urban Health (Violence, Traffic, Urban Health, Solid Waste) Health Determinants & Health Promotion Consumers and Workers’ Health (Toxicology) Alcohol, Tobacco and Substance abuse Intersectoral Alliances & Local Development Risk Assessment & Global Environmental Change Sustainable Development and Environmental Health EquityExcellenceSolidarityRespectIntegrity

3. Sustainable Development and Environmental Health SDE Competencies : Examples of Successful SDE Technical Cooperation: SDE Collaborating Centers & Partners: Leadership in the area of social determinants and health including inequities Information analysis, Identification of environmental risks and preventive strategies Inter-sectoral and inter-institutional management skills. Planning, managing and evaluating Technical Cooperation strategies Prevention of violence and traffic injuries through HP/SD work with municipal and local authorities Project: Youth Development and Violence Prevention Funder/Partner: GTZ/BMZ Project: Injuries surveillance systems Funder/Partner: CDC Support the ratification of Environmental Risk and the application of guidelines Project: DDT/Malaria Funder: UNEP/GEF Ratification of the WHO Framework Convention on Tobacco Control; Support negotiations to determine best mechanism for countries to pursue ratification of WHO FCTC Project: Bloomberg Global Initiative to Reduce Tobacco Use Funder: Bloomberg Philanthropies University of Toronto, ISALUD/Argentina, Ibero-American Network of Cultural Heritage for Humanity, Health and University Cities Fiocruz/Brazil, University of Wisconsin Harvard University, IRET/Costa Rica, CEHI Saint Lucia John Hopkins Bloomberg School of Public Health, Center for Disease Control and Prevention, Instituto Nacional de Cancer (Brazil)

4. Sustainable Development and Environmental Health Cross Organizational Teams MDGs MDGs critical for PAHO’s cooperation with countries Results-based management Mainstreaming and Inter-sectoral collaboration Faces, Voices and Places Initiative taking forward the MDGs PAHO’s commitment to MDGs was ratified in the 45 th Directing Council Intersectoral Alliances & Local Development

5. Why gender matters to SDE? Selected reasons Alcohol –Relationship between alcohol and violence : Men who drink may become more violent and inflict greater harm Women victims of violence may turn to alcohol to self-medicate Violence –Violence affects men and women differently: Men are more likely to be victims of violence by strangers Women are more likely to be victims of violence by a partner or someone known to them Road safety –Road traffic injuries are leading cause of death among adolescent girls in high and middle income countries –Of the deaths caused by traffic accidents in the Americas, almost 80% occur among men Tobacco –Adolescent and young women are specific targets of tobacco companies –Women seem to have greater difficulty in quitting Alcohol –Relationship between alcohol and violence : Men who drink may become more violent and inflict greater harm Women victims of violence may turn to alcohol to self-medicate Violence –Violence affects men and women differently: Men are more likely to be victims of violence by strangers Women are more likely to be victims of violence by a partner or someone known to them Road safety –Road traffic injuries are leading cause of death among adolescent girls in high and middle income countries –Of the deaths caused by traffic accidents in the Americas, almost 80% occur among men Tobacco –Adolescent and young women are specific targets of tobacco companies –Women seem to have greater difficulty in quitting

6. How is SDE mainstreaming gender internally? Internal gender workshop to ensure gender was considered in planning process (in partnership with GEH) Examples of how gender was included in work plans: –3.2.1 - # of countries with intersectoral plans for the prevention of GBV –3.3.1 - # of countries with information systems that include indicators on GBV –3.6.2 - # of countries that include support to quit smoking in their health services, following WHO guidelines –7.2.3 - # of countries that have incorporated the initiative “faces, voices and places” (gender perspective and social determinants of health) Internal gender workshop to ensure gender was considered in planning process (in partnership with GEH) Examples of how gender was included in work plans: –3.2.1 - # of countries with intersectoral plans for the prevention of GBV –3.3.1 - # of countries with information systems that include indicators on GBV –3.6.2 - # of countries that include support to quit smoking in their health services, following WHO guidelines –7.2.3 - # of countries that have incorporated the initiative “faces, voices and places” (gender perspective and social determinants of health)

7. Selected ongoing SDE initiatives and collaborations related to gender Study of unpaid workers to provide evidence to tailor actions to improve the health, safety, and working conditions of women in this sector Study on sexual violence in situations of conflict to guide future action Support to initiative in the area of violence and HIV in Central America (headed by HIV and Gender areas) Gender-based violence observatories (in partnership with GEH) Study of unpaid workers to provide evidence to tailor actions to improve the health, safety, and working conditions of women in this sector Study on sexual violence in situations of conflict to guide future action Support to initiative in the area of violence and HIV in Central America (headed by HIV and Gender areas) Gender-based violence observatories (in partnership with GEH)

8. Future SDE efforts to continue strengthening focus on gender Each SDE team has to report gender oriented outcomes New structure (to start in early 2010) teams will have to have gender based projects Team coordination is strengthened and gender focus is strongly encouraged Advisor on IFV to widen SDE gender perspective Further strengthen work with GHE Each SDE team has to report gender oriented outcomes New structure (to start in early 2010) teams will have to have gender based projects Team coordination is strengthened and gender focus is strongly encouraged Advisor on IFV to widen SDE gender perspective Further strengthen work with GHE