Rosemary Morgan
Biographic Data
| ID | 3582176 |
|---|---|
| NAME | Rosemary Morgan |
| GIVEN NAMES | Rosemary |
| FAMILY NAME | Morgan |
| SIGNATURE | MORGAN R |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0001-5009-8470 |
| VERIFIED | Yes |
| TOTAL WORKS | 47 |
| TOTAL CITATIONS | 27 |
| AUTHOR COUNT | 47 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Mapping the gendered dynamics of cesarean section
Cesarean section (CS) is a lifesaving obstetric intervention when medically indicated, yet global rates have risen sharply over recent decades, with substantial variation across and within countries. While underuse persists in many low-resource settings, overuse is increasingly documented in higher-income and private-sector facilities, raising concerns about inequitable access, unnecessary surgical intervention, and divergent quality of maternity…
“That's not my silo”
Background: Long COVID is a chronic illness affecting multiple organ systems, which can be at odds with a highly specialized and siloed U.S. healthcare system. Patients frequently see multiple specialists for diverse symptoms, creating substantial coordination challenges. Methods: We conducted a qualitative study using semi-structured interviews with 69 U.S. Mid-Atlantic adults diagnosed with or suspected of having Long COVID, recruited through a…
WHO launches global network of institutes to strengthen capacity for health inequality monitoring
This article introduces the global WHO-managed Health Inequality Monitoring Network, which is dedicated to strengthening and expanding health inequality monitoring practices at global, regional and country levels. Launched in 2025, the Health Inequality Monitoring Network consists of 12 inaugural institutional members, represented by over 140 affiliated individuals spanning all world regions. The Network aims to: strengthen capacities for health …
Applying a gender and equity matrix for a contextualized antimicrobial stewardship intervention in Pakistan
Antimicrobial resistance (AMR) is a growing global health threat that extends beyond biomedical dimensions, as it is profoundly shaped by social and structural determinants such as gender, socioeconomic status, and access to care. However, research exploring these factors remains limited. This study adapts and applies a gender and equity matrix to examine how these factors intersect to affect AMR risks in rural Pakistan. We synthesized literature…
Towards a common lexicon in gender analysis for health programs and policies
Gender and gender analysis are frequently misunderstood or conflated with sex and gender identity, resulting in inconsistent terminology across cultural, social, and organizational contexts in global public health. This ambiguity has proliferated diverse frameworks and scales to assess gender-responsiveness, hindering comparison and implementation. Terms like gender mainstreaming, integration, and analysis are often used interchangeably despite d…
Exploring the perceived impact and influence of women leaders across sub-Saharan Africa on health policy and gender equity
INTRODUCTION: Women make up a significant portion of the global health workforce but are under-represented in leadership roles. In sub-Saharan Africa (SSA), 70% of the health workforce is women, yet only 38% hold leadership positions in health ministries. This gap can lead to gender biases in health research and policymaking, perpetuating systemic gender biases. Despite these barriers, women leaders are making an impact globally. However, evidenc…
A scoping review on the impact of women’s global leadership
INTRODUCTION: The documented benefits of gender parity in leadership are emerging-women leaders have been shown to have a positive impact on maternal and health care policies, strengthen health facilities, and reduce health inequalities. More research is needed, however, to document their impact on global health. We go beyond the well-documented barriers that uphold the lack of gender parity by identifying areas where women leaders are making an …
Stakeholder mapping for a complex and diverse population
This paper's focus on creating a sampling universe of women leaders in RMNCAH-N and immunization in SSA fills a gap in current operational and implementation research. The insights derived from the adaptation and application of this methodology highlight the value of a structured approach to capturing the complexities of stakeholder and leadership dynamics in global health, particularly when applied to systematically map health topics or discipli…
Developing cadres of gender specialists in global public health to meet increasing demand
Gender is increasingly prioritized in global health and embedded across the Sustainable Development Goals. This shift has created a demand for gender specialists with skills to integrate gender into research and programs. Most global health professionals lack formal training in gender analysis or integration. Gender is often misunderstood-conflated with sex, focused only on women, or limited to maternal health. Training can equip professionals to…
Leadership dynamics in health
Gender-responsive monitoring and evaluation for health systems
Gender-responsive monitoring and evaluation (M&E) for health and health systems interventions and programs is vital to improve health, health systems, and gender equality outcomes. It can be used to identify and address gender disparities in program participation, outcomes and benefits, as well as ensure that programs are designed and implemented in a way that is inclusive and accessible for all. While gender-responsive M&E is most effective when…
Rehabilitation services must include support for sexual and gender-based violence survivors in Ukraine and other war- and conflict-affected countries
Sexual and gender-based violence (SGBV)—both during times of war and peace—can have impactful negative social and health outcomes. Reports of rape being used as an act of war in Ukraine are drawing global attention to the need for specialized care for SGBV survivors during times of war and thereafter. While data remain limited, in 3 November 2022, 7 million people in Ukraine were reported to need SGBV prevention and response services. Services of…
A Social Cure for Covid-19
The Bangladesh government issued a lockdown throughout the country from March–May 2020 in response to the COVID-19. The sudden lockdown caused economic ruptures across the country due to job loss. We conducted a comprehensive analysis of the outbreak through 40 in-depth interviews with men and women living in three Dhaka informal settlements from January to November 2021 to identify gaps to mitigate negative downstream effects of global pandemic …
An Intersectional Analysis of Moral Distress and Intention to Leave Employment Among Long-Term Care Providers in British Columbia
Objectives: In this study, we aimed to explore the relationship between intersectional inequities and moral distress among those working in Long-Term Care (LTC) in British Columbia, Canada. Methods: This was a cross-sectional and retrospective study. We assessed moral distress, of 1678 respondents, using a modified Moral Distress Scale, and an equivalent distress mitigation score, at the intersections of gender and racial/ethnic identity. Then, w…
Gendered and differential effects of the Covid-19 pandemic on paid and unpaid work in Nigeria
The COVID-19 pandemic and subsequent policy responses continue to have widespread social and economic effects across the globe. These effects are not experienced equally. Taking Lagos as a case study, we explored gendered and differential effects of COVID-19 and subsequent policy responses on paid and unpaid work. Using an intersectionality framework and qualitative methodology, we analyze how social divisions interacted, contributing to individu…
WuhanDiary and #WuhanLockdown
Social media can be both a source of information and misinformation during health emergencies. During the COVID-19 pandemic, social media became a ubiquitous tool for people to communicate and represents a rich source of data researchers can use to analyse users’ experiences, knowledge and sentiments. Research on social media posts during COVID-19 has identified, to date, the perpetuity of traditional gendered norms and experiences. Yet these stu…
Scoping ‘sex’ and ‘gender’ in rehabilitation
Strengthening effectiveness evaluations through gender integration to improve programs for women, newborn, child, and adolescent health
Over the past decade, there has been substantial progress towards integrating our understanding of social determinants of reproductive, maternal, newborn, child, and adolescent health (RMNCAH) into health planning and programs. For these programs, gender inequity remains one of the most harmful factors for women's access to healthcare. Designing RMNCAH programs to be gender-responsive through active engagement with and overcoming of gender-relate…
Using gender analysis matrixes to integrate a gender lens into infectious diseases outbreaks research
Evidence shows that infectious disease outbreaks are not gender-neutral, meaning that women, men and gender minorities are differentially affected. This evidence affirms the need to better incorporate a gender lens into infectious disease outbreaks. Despite this evidence, there has been a historic neglect of gender-based analysis in health, including during health crises. Recognizing the lack of available evidence on gender and pandemics in early…
Integrating Gender-Based Analysis Plus into Policy Responses to Covid-19
Recognition of the differential effects of COVID-19 on women has led to calls for greater application of gender-based analysis within policy responses. Beyond pointing out where such policies are implemented, there is little analysis of the effects of efforts to integrate gender-based analysis into the COVID-19 response. Drawing on interviews informing a lived experienced approach to policy analysis, this article asks if, how, and to what effect …
The burdens of participation
Development programs often rely on women’s participation. However, there is little evidence of whether development programs that engage women’s unpaid labor – particularly in care work – add to their time burdens. We tested this hypothesis on a nutrition-sensitive agriculture program delivered through community-based preschools in Malawi. The mixed-methods study was conducted over one year using data from 1,168 female caregivers from a cluster-ra…
Reconceptualizing successful pandemic preparedness and response
Pandemic preparedness and COVID-19 response indicators focus on public health outcomes (such as infections, case fatalities, and vaccination rates), health system capacity, and/or the effects of the pandemic on the economy, yet this avoids more political questions regarding how responses were mobilized. Pandemic preparedness country rankings have been called into question due to their inability to predict COVID-19 response and outcomes, and COVID…
Covid-19, nutrition, and gender
Stop ‘controlling’ for sex and gender in global health research
box If you read any global health publication—whether it be about injury prevention, non-communicable diseases or vaccines—you are likely to find a footnote in a table or a sentence in the statistical methods section indicating that the results were ‘controlled’ for sex or gender. Although the terms sex and gender are often used interchangeably in the literature, the distinction between them is important. Sex, or the biological differences betwee…
Beyond a Zero-Sum Game
Epidemics and pandemics, like COVID-19, are not gender neutral. Much of the current work on gender, sex, and COVID-19, however, has seemed implicitly or explicitly to be attempting to demonstrate that either men or women have been hardest hit, treating differences between women and men as though it is not important to understand how each group is affected by the virus. This approach often leaves out the effect on gender and sexual minorities enti…
We also deserve help during the pandemic”
The coronavirus disease 2019 (COVID-19) pandemic poses particular challenges for migrant workers around the world. This study explores the unique experiences of foreign domestic workers (FDWs) in Hong Kong, and how COVID-19 impacted their health and economic wellbeing. Interviews with FDWs ( n = 15) and key informants ( n = 3) were conducted between May and August 2020. FDWs reported a dual-country experience of the pandemic, where they expressed…
Gender dynamics affecting maternal health and health care access and use in Uganda
Despite its reduction over the last decade, the maternal mortality rate in Uganda remains high, due to in part a lack of access to maternal health care. In an effort to increase access to care, a quasi-experimental trial using vouchers was implemented in Eastern Uganda between 2009 and 2011. Findings from the trial reported a dramatic increase in pregnant women's access to institutional delivery. Sustainability of such interventions, however, is …
Integrating Gender-Based Analysis Plus into Policy Responses to Covid-19
Recognition of the differential effects of COVID-19 on women has led to calls for greater application of gender-based analysis within policy responses. Beyond pointing out where such policies are implemented, there is little analysis of the effects of efforts to integrate gender-based analysis into the COVID-19 response. Drawing on interviews informing a lived experienced approach to policy analysis, this article asks if, how, and to what effect …
Reconceptualizing successful pandemic preparedness and response
Pandemic preparedness and COVID-19 response indicators focus on public health outcomes (such as infections, case fatalities, and vaccination rates), health system capacity, and/or the effects of the pandemic on the economy, yet this avoids more political questions regarding how responses were mobilized. Pandemic preparedness country rankings have been called into question due to their inability to predict COVID-19 response and outcomes, and COVID…
How parental and school responses to choice policies reconfigure a rural education market in Victoria, Australia
Market principles now dominate the education and social policies of many Anglophone countries, including Australia, but articulate differentially within specific contexts. Existing historical legacies, local economic and social conditions, and geographical settings interact with federal and state funding and transport policies to shape the nature of regional education markets and the choices families make in a rural school market in Australia. Th…
Health systems of oppression
Intersectionality is a useful lens to understand how inequities in health develop and are experienced. Intersectionality is both a theory and methodological approach that demonstrates how overlaying social stratifiers (e.g. gender, ableness, sexual orientation and identity) can result in mutually enforced vulnerabilities that render some groups at an advantage and others at a disadvantage (Bowleg, 2008; Nixon, 2019). For example, as described in …
The burdens of participation
Development programs often rely on women’s participation. However, there is little evidence of whether development programs that engage women’s unpaid labor – particularly in care work – add to their time burdens. We tested this hypothesis on a nutrition-sensitive agriculture program delivered through community-based preschools in Malawi. The mixed-methods study was conducted over one year using data from 1,168 female caregivers from a cluster-ra…
Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries
This article poses questions, challenges, and dilemmas for health system researchers striving to better understand how gender shapes accountability mechanisms, by critically examining the relationship between accountability and gender in health systems. It raises three key considerations, namely that: (1) power and inequities are centre stage: power relations are critical to both gender and accountability, and accountability mechanisms can transf…
The importance of gender analysis in research for health systems strengthening
Aligning faith-based and national HIV/Aids prevention responses? Factors influencing the HIV/Aids prevention policy process and response of faith-based NGOs in Tanzania
Faith-based organizations (FBOs) have a long tradition of providing HIV/AIDS prevention and mitigation services in Africa. The overall response of FBOs, however, has been controversial, particularly in regard to HIV/AIDS prevention and FBO's rejection of condom use and promotion, which can conflict with and negatively influence national HIV/AIDS prevention response efforts. This article reports the findings from a study that explored the factors …
How parental and school responses to choice policies reconfigure a rural education market in Victoria, Australia
Market principles now dominate the education and social policies of many Anglophone countries, including Australia, but articulate differentially within specific contexts. Existing historical legacies, local economic and social conditions, and geographical settings interact with federal and state funding and transport policies to shape the nature of regional education markets and the choices families make in a rural school market in Australia. Th…
Aligning faith-based and national HIV/Aids prevention responses? Factors influencing the HIV/Aids prevention policy process and response of faith-based NGOs in Tanzania
Faith-based organizations (FBOs) have a long tradition of providing HIV/AIDS prevention and mitigation services in Africa. The overall response of FBOs, however, has been controversial, particularly in regard to HIV/AIDS prevention and FBO's rejection of condom use and promotion, which can conflict with and negatively influence national HIV/AIDS prevention response efforts. This article reports the findings from a study that explored the factors …
Hiv/Aids Prevention Strategies Within a Catholic Ngo in Tanzania
The HIV/AIDS epidemic has proven to be an increasing health challenge in sub-Saharan Africa since its onset almost three decades ago. Due to the magnitude and impact of the epidemic, many actors ha
Best resources on… intersectionality with an emphasis on low- and middle-income countries
Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them. It promotes an understanding of the dynamic nature of the privileges and disadvantages that permeate health systems and affect health. It considers the interaction of different social stratifiers (e.g. ‘race’/ethnicity, indigeneity, gender, class, sexuali…
How to do (or not to do)… gender analysis in health systems research
Gender—the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for males, females and other genders—affects how people live, work and relate to each other at all levels, including in relation to the health system. Health systems research (HSR) aims to inform more strategic, effective and equitable health systems interventions, programs and policies; and the inclusion of gender analysis into…
Gender dynamics affecting maternal health and health care access and use in Uganda
Despite its reduction over the last decade, the maternal mortality rate in Uganda remains high, due to in part a lack of access to maternal health care. In an effort to increase access to care, a quasi-experimental trial using vouchers was implemented in Eastern Uganda between 2009 and 2011. Findings from the trial reported a dramatic increase in pregnant women's access to institutional delivery. Sustainability of such interventions, however, is …
The importance of gender analysis in research for health systems strengthening
How do gender and disability influence the ability of the poor to benefit from pro-poor health financing policies in Kenya? An intersectional analysis
Intersections of gender, poverty, and disability influenced the experiences of women with disabilities living in poverty with pro-poor health financing policies in Kenya. Addressing the healthcare access barriers they face could entail ensuring availability of disability-friendly health facilities and public transport systems, building cultural competence in health service delivery, and empowering them to engage in public participation
Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries
This article poses questions, challenges, and dilemmas for health system researchers striving to better understand how gender shapes accountability mechanisms, by critically examining the relationship between accountability and gender in health systems. It raises three key considerations, namely that: (1) power and inequities are centre stage: power relations are critical to both gender and accountability, and accountability mechanisms can transf…
Disrupting gender norms in health systems
Maternal and newborn health needs for women with walking disabilities; “the twists and turns”
Women with walking disabilities have needs addressable by their communities and the health system. Communities, and health workers need to be sensitized on these needs and policies to meet and implement health system-related needs of women with disability
Mainstreaming gender into global health programming to improve women’s health
In this paper, a case is made for mainstreaming gender into global women's health programming and policies. The potential implications of conflating "gender" with "women'" in the design and evaluation of women's health programming are first considered. HIV/AIDS case studies are then used to depict examples of (a) where gender has been well integrated and (b) where policies fall short of gender mainstreaming. Finally, practical approaches to mains…
Impact of sex and gender on Covid-19 outcomes in Europe
Women are most affected by pandemics — lessons from past outbreaks
The social and economic impacts of COVID-19 fall harder on women than on men. Governments need to gather data and target policy to keep all citizens equally safe, sheltered and secure.
Covid-19
Roundtable Discussion on Covid-19 Through a Sex and Gender Lens
Although the full and lasting impact of the coronavirus disease 2019 (COVID-19) outbreak is yet to be determined, there is evidence that sex and gender play a significant role in determining patient outcomes across the globe. This roundtable discussion is a transcript of a seminar held by several representatives from Johns Hopkins University on the impact of the global pandemic on women’s health and well-being. They reported on the various pathop…
Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda
The maternal health challenges faced by adolescents in Kibuku have a cultural, legal, social and health service dimension. There is therefore need to look at a multi-faceted approach to holistically address them. CSCs that are targeted at the entire community are unlikely to address specific needs of vulnerable groups such as adolescents. To address the maternal health challenges of adolescents, there is need to have separate meetings with adoles…
Health systems of oppression
Intersectionality is a useful lens to understand how inequities in health develop and are experienced. Intersectionality is both a theory and methodological approach that demonstrates how overlaying social stratifiers (e.g. gender, ableness, sexual orientation and identity) can result in mutually enforced vulnerabilities that render some groups at an advantage and others at a disadvantage (Bowleg, 2008; Nixon, 2019). For example, as described in …
Stop ‘controlling’ for sex and gender in global health research
box If you read any global health publication—whether it be about injury prevention, non-communicable diseases or vaccines—you are likely to find a footnote in a table or a sentence in the statistical methods section indicating that the results were ‘controlled’ for sex or gender. Although the terms sex and gender are often used interchangeably in the literature, the distinction between them is important. Sex, or the biological differences betwee…
Beyond a Zero-Sum Game
Epidemics and pandemics, like COVID-19, are not gender neutral. Much of the current work on gender, sex, and COVID-19, however, has seemed implicitly or explicitly to be attempting to demonstrate that either men or women have been hardest hit, treating differences between women and men as though it is not important to understand how each group is affected by the virus. This approach often leaves out the effect on gender and sexual minorities enti…
Health systems of oppression
More than a public health crisis
Gender norms, roles and relations differentially affect women, men, and non-binary individuals' vulnerability to disease. Outbreak response measures also have immediate and long-term gendered effects. However, gender-based analysis of outbreaks and responses is limited by lack of data and little integration of feminist analysis within global health scholarship. Recognising these barriers, this paper applies a gender matrix methodology, grounded i…
The role of gender power relations on women’s health outcomes
The association between decision-making and other gender domains with women's health outcomes highlights the need for heightened attention to gender dimensions of intervention coverage in maternal health. Future studies should integrate and analyze gender-sensitive questions within coverage surveys
We also deserve help during the pandemic”
The coronavirus disease 2019 (COVID-19) pandemic poses particular challenges for migrant workers around the world. This study explores the unique experiences of foreign domestic workers (FDWs) in Hong Kong, and how COVID-19 impacted their health and economic wellbeing. Interviews with FDWs ( n = 15) and key informants ( n = 3) were conducted between May and August 2020. FDWs reported a dual-country experience of the pandemic, where they expressed…
Gendered and differential effects of the Covid-19 pandemic on paid and unpaid work in Nigeria
The COVID-19 pandemic and subsequent policy responses continue to have widespread social and economic effects across the globe. These effects are not experienced equally. Taking Lagos as a case study, we explored gendered and differential effects of COVID-19 and subsequent policy responses on paid and unpaid work. Using an intersectionality framework and qualitative methodology, we analyze how social divisions interacted, contributing to individu…
Medicine (33 works) · Political science (27 works) · Sociology (24 works) · Psychology (18 works) · Public health (18 works) · Economic growth (16 works) · Nursing (16 works) · Economics (15 works) · Environmental health (15 works) · Sex and Gender in Healthcare (15 works)