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BIOLOGICALLY- DETERMINED DIFFERENCES:  SEX Sex and Gender:  What is the difference? Health ANATOMICAL/PHYSIOLOGICAL DIFFERENCES GENETIC SUSCEPTIBILITIES RESISTANCES/IMMUNITIES NEEDS VULNERABILITIES SOCIALLY-CONSTRUCTED DIFFERENCES:  GENDER ROLES RESPONSIBILITIES BEHAVIORS  EXPECTATIONS POWER   ACCESS RIGHTS ENTITLEMENT Lower status for women Higher status for men
Concept  of ‘child’ not informative beyond identifying ‘age’; every child is first a girl or a boy with associated gender related expections and gender biases in access to food, education, love, and health care And, mothers’ perception of gender worth  may color:  recognition of seriousness of illness amount of resources to expend on the child what kind of medicine best for child What does this mean for children?
How?  Equity and Need To attain equity in health, it is important to recognize that  females and males have different needs and constraints  due both to  biology  and  gender  that  must  be identified and adequately  addressed .
How?  G ender Analysis is a Must! Gender analysis helps to identify the  differences  and  disparities  in the  roles  that men and women play, the  power imbalances  in their relations, their  needs, constraints,  and  opportunities , and  the impact of these differences on  their likelihood of getting infected, accessing care, and  recovering.
How?   Gender Analysis Framework for HIV  Step 1 :  Know the gender structure of your community: Gender norms  regarding behavior, gender relations, etc. Values : Are women and men equally valued?  Attitudes  towards and perpetration of GBV Roles : Productive and reproductive  Access  to education, information, media, resources Control over resources : patterns of decisionmaking  Health service delivery : Availability, gender norms in access and health delivery
How?   Gender Analysis Framework for Health For  women  and  men  separately, fill the matrix: Source: See references on last slide In relation to HIV:  How do gender norms/values/ roles/activities affect: How does experience/ perpetration of GBV affect: How do access to and control over resources affect: How do bio-logical differences between sexes affect: Vulnerability Prevention and treatment options Health-seeking behavior/access to services Experience with health services and providers Outcome of health problem Consequences

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Sex and Gender: What is the difference?

  • 1. BIOLOGICALLY- DETERMINED DIFFERENCES: SEX Sex and Gender: What is the difference? Health ANATOMICAL/PHYSIOLOGICAL DIFFERENCES GENETIC SUSCEPTIBILITIES RESISTANCES/IMMUNITIES NEEDS VULNERABILITIES SOCIALLY-CONSTRUCTED DIFFERENCES: GENDER ROLES RESPONSIBILITIES BEHAVIORS EXPECTATIONS POWER ACCESS RIGHTS ENTITLEMENT Lower status for women Higher status for men
  • 2. Concept of ‘child’ not informative beyond identifying ‘age’; every child is first a girl or a boy with associated gender related expections and gender biases in access to food, education, love, and health care And, mothers’ perception of gender worth may color: recognition of seriousness of illness amount of resources to expend on the child what kind of medicine best for child What does this mean for children?
  • 3. How? Equity and Need To attain equity in health, it is important to recognize that females and males have different needs and constraints due both to biology and gender that must be identified and adequately addressed .
  • 4. How? G ender Analysis is a Must! Gender analysis helps to identify the differences and disparities in the roles that men and women play, the power imbalances in their relations, their needs, constraints, and opportunities , and the impact of these differences on their likelihood of getting infected, accessing care, and recovering.
  • 5. How? Gender Analysis Framework for HIV Step 1 : Know the gender structure of your community: Gender norms regarding behavior, gender relations, etc. Values : Are women and men equally valued? Attitudes towards and perpetration of GBV Roles : Productive and reproductive Access to education, information, media, resources Control over resources : patterns of decisionmaking Health service delivery : Availability, gender norms in access and health delivery
  • 6. How? Gender Analysis Framework for Health For women and men separately, fill the matrix: Source: See references on last slide In relation to HIV: How do gender norms/values/ roles/activities affect: How does experience/ perpetration of GBV affect: How do access to and control over resources affect: How do bio-logical differences between sexes affect: Vulnerability Prevention and treatment options Health-seeking behavior/access to services Experience with health services and providers Outcome of health problem Consequences