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Sex refers to the biological differences between women and
men.
 
 Gender refers to:
• The roles and responsibilities of women and men and the
relationship between them.
• The way behaviors and identities are determined through the

process of socialization.
 
Socialisation starts from birth
People are born male and female
 Learn to become boys & girls
 Grow into men and women in
a socio cultural context
 Gender-the socially defined roles
and responsibilities assigned to
men and women in a given culture,
location, society and time
 Training for adult roles imparted
through play and education

“SEX” and “GENDER” are not the same!
SEX
 Biological
 Constant across time
and location
 Universal

GENDER
 Social
 Varies across time and
location
 Contextual
 

These roles and expectations are:
Usually unequal in terms of
• power and control
• over decision-making
• assets and freedom of action
• culturally specific
• change over time
Women-Productive life
+ Reproductive life

Do you see any imbalance?
Gender inequity to equity
Definition of Roles
 

• Productive roles
• Work done by women and men for payment in cash or kind.

 

• Reproductive roles
• Childbearing/rearing responsibilities and domestic tasks

 

required to guarantee the maintenance and well-being of all
family members.

• Community management roles
• Activities taken at the community level for its development and

political organization
• Usually voluntary, unpaid work
WHO SEAR Gender Analysis Matrix
Research and Evidence
Biological and
Social variables

Exposure and
vulnerability

• Biological: sex

Outcomes and
Impact

Access and
Utilization

Women during
pregnancy

Women becos’ of
Malaria cause
abortion, SB and too much house
work cannot go to
(reproductive organ) maternal deaths
RHC
Midwife only give
MCH service

Age
•

Middle age men
work in forest
Gender-men has to
work outside to earn

Illness due to
malaria/CM/D
Work loss becos’
of illness
Less income

-Not easily access
to health service
-Late case to hosp
-Poverty hinder
access to health

All information in each column and row should be given separately for male and female
WHO SEAR Gender Analysis Matrix
Biological and
Social variables

Exposure and
vulnerability

Outcomes and
Impact

Access and
Utilization

•Social:
Education

Women /menuneducated refer
malaria to eating
banana/stream water
-Do not know to
sleep under bed nets
-Men and children
sleep under bed nets
-Do not know ITN

Infection off and
on –chronic
malaria
Anaemia in
women-become
pregnant----------

-Afraid to go to
health personnel
-Use traditional
medicine
-pamphlets are
there but not literate
to read
-no TV

Occupation

Men work in forest
Malaria attack
more vulnerable than
Cerebral malaria
women

-Less income and
unable to pay for
treatment
-reluctant due to unaffordability
-men avoid hosp/
health post

Death
Aggravated by
-Malnutrition
Alcohol
WHO SEAR Gender Analysis Matrix
Biological and
Social variables

Exposure and
vulnerability

Outcomes and
Impact

Access and
Utilization

•Rural/urban

rural-less
availability of HE
media

-still stick to
misinformation
-No idea of ITN

-rely on (aq;

-Rural groups
expose more to
malaria
-traditional belief

iIlness to both
men and women

Tribal groups

•Qualitative data
on observed
gender
differences

+rD;wdk)
Gender
Is a dimension that has to be incorporated in all policies,
programmes and organizations------since it helps to
understand better attitudes, needs and roles of women and
men in society, on the basis of social, economic, political
and cultural factors.
Gender has to be considered as part of the general analysis
of an activity, policy, programme, event or process.
It should be mainstreamed and should not be considered as
a separate issue.
Gender Mainstreaming
Women and men are biologically different

& Women and men are shaped by different gender
construction
Women and men have different health needs
This must be understood so as to respond in an

equitable and efficient manner

Understanding and responsiveness to differential

needs of women and men in a sensitive and fair
manner-Gender Mainstreaming
WHO SEAR Gender Mainstreaming Matrix
Actions to be taken
Influence of
gender roles in
sex differentials

Policy/ Legislation Programme and
Budget allocation
services:
for gender activities Clinical,
communication
administration

Information
Systems:
Reports,
monitoring,
evaluation

• Observations
related to
exposure and
vulnerability
• Observations
related to
outcomes and
impact
• Observations
related to access
and utilization of
services

Budget allocation
for management of
pregnant women
with malaria

-Include sex
disaggregated
data for malaria
morbidity and
mortality
-monitor pregnant
women with
malaria to prevent
abortion, SB and
MMR

Encourage policy
for case detection
of women in
remote areas with
pregnancy and
malaria

MCH services
integrate with
Malaria program
to help pregnant
women with
malaria
-train midwives
on early Dx and
prompt Rx for
malaria
-free of charge?
WHO SEAR Gender Mainstreaming Matrix
Actions to be taken
Influence of
gender roles in
sex differentials

Policy/ Legislation
Programme and
Budget allocation
services:
for gender activities Clinical,
communication
administration

Information
Systems:
Reports,
monitoring,
evaluation

• Observations
related to
exposure and
vulnerability
• Observations
related to
outcomes and
impact
• Observations
related to access
and utilization of
services

-Enhancement on
EDPT to both men
and women
-Prevention of
Malaria drug R
-Allocate budget for
gender specific
research-why
women with malaria
come late to health
post

-Include gender
success stories
and patient based
reporting at every
level: eg

Design and use
simple diag
method and to
reach both men
and women
-Expand CORP
to other
townships
-Free malaria
treatment

case detection,
number of women
reporting on their
own and
according to age
and locality
WHO SEAR Gender Mainstreaming Matrix
Actions to be taken
Influence of
gender roles in
sex differentials

Policy/ Legislation Programme and
Budget allocation
services:
for gender activities Clinical,
communication
administration

Information
Systems:
Reports,
monitoring,
evaluation

• Observations
related to
exposure and
vulnerability
• Observations
related to
outcomes and
impact
• Observations
related to access
and utilization of
services

Allocate budget for
dissemination of
information on use
of ITN

-program for use
of ITN to both
men, women
and children

-include sex
disaggregated
data on use of
ITN

More collaboration
with other sectors
forestry, mining,
dam construction

-media
communication

-success stories
on use of ITN by
men and women
in villagesinformed by
CORPs

INGOs
collaboration

-correct method
of impregnation
of bed nets in
communuity
Gender Roles Impact Malaria Vulnerability

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Gender Roles Impact Malaria Vulnerability

  • 1.   Sex refers to the biological differences between women and men.  
  • 2.  Gender refers to: • The roles and responsibilities of women and men and the relationship between them. • The way behaviors and identities are determined through the process of socialization.  
  • 3. Socialisation starts from birth People are born male and female  Learn to become boys & girls  Grow into men and women in a socio cultural context  Gender-the socially defined roles and responsibilities assigned to men and women in a given culture, location, society and time  Training for adult roles imparted through play and education 
  • 4. “SEX” and “GENDER” are not the same! SEX  Biological  Constant across time and location  Universal GENDER  Social  Varies across time and location  Contextual
  • 5.   These roles and expectations are: Usually unequal in terms of • power and control • over decision-making • assets and freedom of action • culturally specific • change over time
  • 6. Women-Productive life + Reproductive life Do you see any imbalance?
  • 7.
  • 9. Definition of Roles   • Productive roles • Work done by women and men for payment in cash or kind.   • Reproductive roles • Childbearing/rearing responsibilities and domestic tasks   required to guarantee the maintenance and well-being of all family members. • Community management roles • Activities taken at the community level for its development and political organization • Usually voluntary, unpaid work
  • 10. WHO SEAR Gender Analysis Matrix Research and Evidence Biological and Social variables Exposure and vulnerability • Biological: sex Outcomes and Impact Access and Utilization Women during pregnancy Women becos’ of Malaria cause abortion, SB and too much house work cannot go to (reproductive organ) maternal deaths RHC Midwife only give MCH service Age • Middle age men work in forest Gender-men has to work outside to earn Illness due to malaria/CM/D Work loss becos’ of illness Less income -Not easily access to health service -Late case to hosp -Poverty hinder access to health All information in each column and row should be given separately for male and female
  • 11. WHO SEAR Gender Analysis Matrix Biological and Social variables Exposure and vulnerability Outcomes and Impact Access and Utilization •Social: Education Women /menuneducated refer malaria to eating banana/stream water -Do not know to sleep under bed nets -Men and children sleep under bed nets -Do not know ITN Infection off and on –chronic malaria Anaemia in women-become pregnant---------- -Afraid to go to health personnel -Use traditional medicine -pamphlets are there but not literate to read -no TV Occupation Men work in forest Malaria attack more vulnerable than Cerebral malaria women -Less income and unable to pay for treatment -reluctant due to unaffordability -men avoid hosp/ health post Death Aggravated by -Malnutrition Alcohol
  • 12. WHO SEAR Gender Analysis Matrix Biological and Social variables Exposure and vulnerability Outcomes and Impact Access and Utilization •Rural/urban rural-less availability of HE media -still stick to misinformation -No idea of ITN -rely on (aq; -Rural groups expose more to malaria -traditional belief iIlness to both men and women Tribal groups •Qualitative data on observed gender differences +rD;wdk)
  • 13. Gender Is a dimension that has to be incorporated in all policies, programmes and organizations------since it helps to understand better attitudes, needs and roles of women and men in society, on the basis of social, economic, political and cultural factors. Gender has to be considered as part of the general analysis of an activity, policy, programme, event or process. It should be mainstreamed and should not be considered as a separate issue.
  • 14. Gender Mainstreaming Women and men are biologically different & Women and men are shaped by different gender construction Women and men have different health needs This must be understood so as to respond in an equitable and efficient manner Understanding and responsiveness to differential needs of women and men in a sensitive and fair manner-Gender Mainstreaming
  • 15. WHO SEAR Gender Mainstreaming Matrix Actions to be taken Influence of gender roles in sex differentials Policy/ Legislation Programme and Budget allocation services: for gender activities Clinical, communication administration Information Systems: Reports, monitoring, evaluation • Observations related to exposure and vulnerability • Observations related to outcomes and impact • Observations related to access and utilization of services Budget allocation for management of pregnant women with malaria -Include sex disaggregated data for malaria morbidity and mortality -monitor pregnant women with malaria to prevent abortion, SB and MMR Encourage policy for case detection of women in remote areas with pregnancy and malaria MCH services integrate with Malaria program to help pregnant women with malaria -train midwives on early Dx and prompt Rx for malaria -free of charge?
  • 16. WHO SEAR Gender Mainstreaming Matrix Actions to be taken Influence of gender roles in sex differentials Policy/ Legislation Programme and Budget allocation services: for gender activities Clinical, communication administration Information Systems: Reports, monitoring, evaluation • Observations related to exposure and vulnerability • Observations related to outcomes and impact • Observations related to access and utilization of services -Enhancement on EDPT to both men and women -Prevention of Malaria drug R -Allocate budget for gender specific research-why women with malaria come late to health post -Include gender success stories and patient based reporting at every level: eg Design and use simple diag method and to reach both men and women -Expand CORP to other townships -Free malaria treatment case detection, number of women reporting on their own and according to age and locality
  • 17. WHO SEAR Gender Mainstreaming Matrix Actions to be taken Influence of gender roles in sex differentials Policy/ Legislation Programme and Budget allocation services: for gender activities Clinical, communication administration Information Systems: Reports, monitoring, evaluation • Observations related to exposure and vulnerability • Observations related to outcomes and impact • Observations related to access and utilization of services Allocate budget for dissemination of information on use of ITN -program for use of ITN to both men, women and children -include sex disaggregated data on use of ITN More collaboration with other sectors forestry, mining, dam construction -media communication -success stories on use of ITN by men and women in villagesinformed by CORPs INGOs collaboration -correct method of impregnation of bed nets in communuity