day 2 good morning orientation workshop on uhc and ger mainstreaming

Day 2Day 2

Good morningGood morning

Orientation workshop on UHC and GER mainstreamingOrientation workshop on UHC and GER mainstreaming

Session 5Session 5

3

Poster walk

4

Guiding questions

Basic context of the example – What? Why? When?

What were catalysts for mainstreaming equity, gender and/or human rights?

Were there any barriers to mainstreaming equity, gender and/or human rights? How were they overcome?

Has the success been sustained? What kind of follow-up has happened?

+ A typology for the work of health programmes 5

WHO technical programmes

+ Typology and examples of inter-programmatic collaboration on GER

6

Session 6Session 6

8Entry points for GER mainstreaming

Fishbowl exercise

9

Instructions

Two circles of chairs:

The smaller, inner circle (the fish) begins to discuss a series of questions.

The larger, outer circle (the bowl) observe discussions.

10

Discussion questionsfor fish

How can barriers of mainstreaming be overcome?

What are concrete entry points for facilitating change in your area of work?

What are requirements to overcome challenges?

What can you do to help facilitate mainstreaming?

Session 7Session 7

ROLE PLAY

InstructionsInstructions

2 groups, 6 characters each

Other observe and provide feedback: What worked, what did not work….

Write, scribble, doodle and draw key ideas on the flipchart

Tools for GER mainstreaming

Tools for GER mainstreaming

WHO Gender Analysis Matrix (GAM)

Factors that influence health outcomes:

Health-related considerations

Factors that influence health outcomes:

Gender-related considerations Biological factors

Socio-cultural factors Access to, and control over resources

Risk factors and vulnerability

Access and use of health services

Health seeking behaviour

Treatment options

Experiences in health care settings

Health and social outcomes and consequences

• Gender-unequal

• Gender-blind

• Gender-sensitive

• Gender-specific

• Gender-transformative

Gender Responsive Assessment Scale (GRAS):a tool for assessing policies and programmes

Gender Responsive Assessment Scale (GRAS):a tool for assessing policies and programmes

Gender Assessment Tool (GAT)Gender Assessment Tool (GAT)

Entry points for integrating gender into health Entry points for integrating gender into health policies and programmes policies and programmes

Entry points for integrating gender into health Entry points for integrating gender into health policies and programmes policies and programmes

Gender and health Gender and health planning and planning and programming programming

checklistchecklist

Gender and health Gender and health planning and planning and programming programming

checklistchecklist

What is the tool? What is the tool?

Developed in collaboration between WHO, OHCHR and Sida

Designed to support countries to strengthen national health strategies by applying human rights and gender equality commitments and obligations.

Poses critical questions and provides practical guidance when reviewing an existing – or developing a new – national health sector strategy.

Operationalizes a human rights-based approach and gender mainstreaming through their practical application in policy assessments

Scope of the tool:3 assessment levelsScope of the tool:3 assessment levels

Assessment Level 1: To clarify specific State obligations and commitments made on human rights and gender equality.

Assessment Level 2: Reviews if and how governments have translated human rights and gender equality obligations and commitments in the national legal, policy and institutional framework.

Assessment Level 3: Identifies and analyses the incorporation of human rights and gender equality elements into health sector strategies.

Urban HEART:Urban Health Equity Matrix

Urban HEART:Urban Health Equity Matrix

POLICY DOMAIN INDICATORS NEIGHBOURHOODS

#1 #2 #3 #4 #5 #6

PHYSICALENVIRONMENT &INFRASTRUCTURE

Access to safe water

Access to improved sanitation

SOCIAL & HUMANDEVELOPMENT

Prevalence of tobacco smoking

Completion of primary education

Skilled birth attendance

ECONOMICS Poverty

Unemployment

GOVERNANCE Government spending on health

Voter participation

Health Inequality Monitoring | 21 April 202323 |

Handbook on health inequality monitoringHandbook on health inequality monitoring

• A user-friendly resource, developed to help countries establish and strengthen health inequality monitoring practices

• Elaborates on the steps of health inequality monitoring, including:

• selecting relevant health indicators and equity stratifiers,

• obtaining and analyzing data, • reporting results and implementing

changes.

+

The methodology for reviewing for how national health programmes can better address gender, social determinants, equity and human rights.

GER Reorientation tool

24

+

Health Systems Strengthening Methodology:Equity, Human Rights, Gender and Social Determinants of health mainstreaming at member state level

25

+General / overarching aims

Enhanced capacity. Use an “applied learning” approach linked to health professionals’ ongoing programmatic work to strengthen their capacity to understand and apply key related concepts and underlying principles.

Entry points for action. Through a guided analysis conducted by a multidisciplinary review team, identify entry points to strengthen how the programme addresses equity, social determinants of health, gender and human rights.

Sustained change. Improve a programme’s ongoing planning, monitoring, review and evaluation cycles by integrating measures on equity, social determinants of health, gender and human rights.

+Five-step review methodology in progress

27

Session 8Session 8

+United Nations System Wide Action Plan-UNSWAPInstitutional mainstreaming

+ United Nations System Wide Action Planfor Gender Equality and Women’s Empowerment

UNSWAP focuses on corporate processes and institutional arrangements at the individual UN entity level.

Enhances UN accountability to Member States towards the advancement of gender equality in the policies and programmes of UN organizations.

+UNSWAP Objectives

1. To decentralize UN responsibility and accountability for promoting gender equality

2. To establish a common understanding in the UN of what it means to achieve gender equality

3. To enhance UN accountability to Member States towards the advancement of gender equality in the policies and programmes of UN system organizations

+Six UNSWAP mainstreaming domains

1. Accountability

2. Results-based management

3. Oversight through monitoring, evaluation and reporting

4. Human and financial resources

5. Staff capacity in gender mainstreaming

6. Coherence-coordination and knowledge-information management

33UNSWAP Performance Indicator Status of WHO-2015

1. Policy and plan Approval of gender equality and parity policies. 2. Performance management  3. Strategic planning  4. Monitoring and reporting  5. Evaluation WHO evaluations meet the UNEG standards on

evaluation in the UN System on evaluation gender, equity and human rights.

6. Audit  7. Programme review  8. Resource tracking Budget resource allocations across PAN are identified

with use of GER marker. 9. Resource allocation

 Resource allocation benchmark for GER proposed to WHA.

10. Gender architecture/parity

Equality in staffing between men and women at P5 and above at each level of the Organization.

11. Organizational culture  12. Capacity assessment  13. Capacity development GER capacity building mandatory for all technical staff.

14. Knowledge management WHO communication plan includes specific provisions for addressing gender, equity and rights in internal and public information dissemination.

15. Coherence  

+

GER Essential Criteria

34

+ GER essential criteria

What: 12 GER mainstreaming criteria across 4 domains Enabling- Data disaggregation, capacity building, participation Analysis- Gender and equity analysis Action- Operational plans include actions to address gender and

equity coverage gaps , including AAAQ and barriers to inclusion Reporting-Programme documents include information on

gender and equity gaps and actions to remediate

Why: Facilitate inter-programmatic work by translating GER commitments into concrete core actions that every programme can take

35

+GER essential criteria

How: PB 2016-17 target for at least 15 programme areas

(out of 24) to implement at least 6 of the GER criteria by end of 2017.

An assessment of PB 14-15 integrated frameworks against GER criteria indicate a baseline of 10 programme areas which are implementing at least 6.

Operational guidance on integrating the GER criteria is under development.

Who: Technical programmes to identify which GER criteria

to prioritize for 2016-17. GER/ESD to provide guidance and support to

technical programmes in applying GER criteria.

36

+Equity, human rights, gender (and social determinants) productsand normative guidance

WHO Health Equity Monitor (http://www.who.int/gho/health_equity/en/)

Handbook on Health Inequality Monitoring in English (apps.who.int/iris/bitstream/10665/85345/1/9789241548632_eng.pdf)

Advocacy booklet on monitoring health inequality and the accompanied video-clips (http://www.who.int/gho/health_equity/videos/en/ )

PowerPoint lectures based on the handbook (PPT) available from: http://www.who.int/gho/health_equity/handbook/en/index.html

Interactive Visualization (forthcoming May 2015)

State of Inequality : RMNCH (Forthcoming May 2015)

The eLearning module on Health Inequality Monitoring (Forthcoming)

+Equity, human rights, gender (and social determinants) productsand normative guidance (cont.)

WHO Handbook for Guideline Development – chapter 5

WHO Country Cooperation Strategies Guide 2014 –annex

Five-step national programme review tool (Forthcoming)

e-learning core module Platform for action (Forthcoming)

WHO minimum criteria – for budget- and self-analysis (Draft)

Human Rights Case Studies: 7 principles and criteria (Forthcoming)

Session 9Session 9

40

Work planning

InstructionsInstructionsInstructionsInstructions

Fill in planning template:– What are you willing to do now?– What is it concretely that you intend to do?– What are milestones for this activity?– Who leads this activity? Who are partners that you would

like to engage?

Please note that you take personal responsibility for carrying it through and that you have the capacity and means to do so.

Session 10Session 10

43

Thank you