Prevention of mother to child transmission of HIV in Tanzania
Assessing gender mainstreaming on paper and in practice
Bibliographic Data
| ID | 11491325 |
|---|---|
| Authors | Tumaini Nyamhanga (0000-0001-9336-5583, Muhimbili University of Health and Allied Sciences, corresponding author), Gasto Frumence (0000-0003-4605-9457, Muhimbili University of Health and Allied Sciences), Daudi Simba (0000-0002-6158-5562, Muhimbili University of Health and Allied Sciences) |
| Year | 2017 |
| Volume | 32 |
| Issue | suppl_5 |
| Pages | v22-v30 |
| Publication date | 2017-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czx080 |
| PMID | 28985429 |
| OpenAlex | W2734803050 |
| Language | EN |
| Citations received | 6 |
| References cited | 16 |
Although gender mainstreaming has been long recognized as a strategy for addressing gender inequalities and associated negative health outcomes; its implementation has remained a challenge, even in the area of prevention of mother to child transmission of HIV (PMTCT). Despite recognition of gender in Tanzania's political arena and prioritization of PMTCT by the health sector, there is very little information on how well gender has been mainstreamed into National PMTCT guidelines and organizational practices at service delivery level. Using a case study methodology, we combined document review with key informant interviews to assess gender mainstreaming in PMTCT on paper and in practice in Tanzania. We reviewed PMTCT policy/strategy documents using the WHO's Gender Responsive Assessment Scale (GRAS). The scale differentiates between level 1 (gender unequal), 2 (gender blind), 3 (gender sensitive), 4 (gender specific), and 5 (gender transformative). Key informant interviews were also conducted with 26 leaders purposively sampled from three government health facilities in Mwanza city to understand their practices. The gender responsiveness of PMTCT policy/strategy documents varies, with some being at GRAS level 3 (gender sensitive) and others at GRAS level 4 (gender specific). Those which are gender sensitive indicate gender awareness, but no remedial action is developed; while those which are gender specific go beyond indicating how gender may hinder PMTCT to highlighting remedial measures, such as the promotion of couple counselling and testing for HIV. In addition, interviews on organizational processes and practices suggested that there has been little attention to the holistic integration of gender in the delivery of PMTCT services. The study has revealed limited integration of gender concerns in PMTCT policy documents. Similarly, health facility leader responses indicate perspectives and practices that pay little attention to the holistic integration of gender in the delivery PMTCT services.
Economic growth · Economics · Environmental health · Family medicine · Gender equality · Gender mainstreaming · Geography · Human immunodeficiency virus (HIV) · Mainstreaming · Pedagogy · Political science · Socioeconomics · Sociology · Tanzania · Telecommunications · Transmission (telecommunications) · Adolescent Sexual and Reproductive Health · Computer Science · Gender Studies · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Psychology
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How gender is socially constructed in policy making processes
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At-scale evidence from 26 national household surveys on the prevention of mother-to-child transmission of HIV cascade
The importance of gender analysis in research for health systems strengthening
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Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
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Physical violence by a partner during pregnancy in Tanzania
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| Citations per year | 0.67 |
|---|---|
| Citation span | 2017 - 2023 (7) |
| Highly cited | No |