Women in Global Health is an organization and a movement [1] that advocates for inclusive gender equity in health [2] by challenging power and privilege. [3] It is the largest community of its kind, with 40 chapters worldwide, working to put the power into the hands women of all backgrounds to create real change across the health sector. [4]
The organization was founded in 2015 [5] to promote gender equality for health workers and to push for fair governance in health administrations [6] across the world, with a particular focus on the global south. [7] [8] [9] [10] Co-founder Roopa Dhatt [11] is executive director of the organization. In an interview for Forbes magazine in 2022, Dhatt remarked:
“I approach this at both a systems and a personal level, focusing my energy on changing the systems that generate inequity and on a personal level, creating opportunities for authentic voices from the Global South in everything I do.”
Women are form around 70% of the health workers but only 25% of senior roles. Around 70% of global health organizations are headed by men, and 80% of board chairs are men. Women's underrepresentation in health leadership means systems lose critical perspectives, knowledge and expertise, limiting the ability of health systems to keep communities healthy. In a policy action paper in 2021, [12] feasible policy interventions for addressing the under representation of women was highlighted. If current trends persist, gender parity will not be reached among global health CEOs for 40 years.
The fight for gender equality in global health is not a marginal, sector-specific issue. [13] Health is the largest employment sector and investment in the health workforce is a driver of economic growth. Women in health and social care contribute $3 trillion globally, of which almost 50% is unrecognized and unpaid. Bringing this unpaid care into the formal paid labor market would improve the economic and social position of women and girls and be a major economic multiplier for national and global GDP. [14] Some of the world's poorest women and girls are effectively subsidizing health systems and missing out on opportunities to enter education and the formal labor market. In a report published in 2022 entitled Pay Women, Women in Global Health drew attention to the reality that women were subsidizing the true cost of public health programs around the world.
One of the many gender inequities in the health and care workforce that COVID-19 has exposed is around the fit and design of Personal Protective Equipment (PPE). The rapid onset and scale of COVID-19 led to shortages of PPE in most countries, causing preventable infection and mortality among healthcare workers and others on the front lines. Even though most health workers are women, manufacturing specifications for medical PPE are usually drawn up based on the male body and there have been many reports of PPE not designed for women's bodies. WGH undertook a global research project to document the challenges women health workers have faced and published its findings in a report entitled Fit For Women? Safe and Decent PPE for women health and care workers.
In 2022, Women in Global Health was granted official relations status with the World Health Organization (WHO) and sent its first official delegation to the World Health Assembly in May 2022. The organization has engaged actively with WHO since the launch of the movement during the sidelines of the 68th World Health Assembly (2015). Its work to transform the systems, structures, and norms that perpetuate gender inequality in health are ongoing.
Highlights of the partnership include:
Women in Global Health currently has 40 chapters established in 36 countries: Australia, Bangladesh, Benin, Bolivia, Brazil, Burkina Faso Cameroon, Canada, Chile, China, Cote D' Ivoire, Egypt, Finland, Germany, Guinea, India, Ireland, Kenya, Malawi, Niger, Nigeria, Norway, Pakistan, Philippines, Portugal, Somalia, South Africa, Spain, Sweden, Switzerland, Togo, Uganda, UK, USA, Zambia and Zimbabwe. WGH also has regional affiliates in Europe, Africa, West Africa and Latin America.
The inverse care law is the principle that the availability of good medical or social care tends to vary inversely with the need of the population served. Proposed by Julian Tudor Hart in 1971, the term has since been widely adopted. It is considered a landmark publication in the history of The Lancet. The name is a pun on inverse-square law, a term and concept from physics.
International Community for the Relief of Suffering and Starvation (ICROSS) is an international non-governmental organisation that provides health and development services for pastoral communities in East Africa.
The Institute for Health Metrics and Evaluation (IHME) is a research institute working in the area of global health statistics and impact evaluation at the University of Washington in Seattle. The Institute is headed by Christopher J.L. Murray, a physician and health economist, and professor at the University of Washington Department of Global Health, which is part of the School of Medicine. IHME conducts research and trains scientists, policymakers, and the public in health metrics concepts, methods, and tools. Its mission includes judging the effectiveness and efficacy of health initiatives and national health systems. IHME also trains students at the post-baccalaureate and post-graduate levels.
Sexual and reproductive health and rights or SRHR is the concept of human rights applied to sexuality and reproduction. It is a combination of four fields that in some contexts are more or less distinct from each other, but less so or not at all in other contexts. These four fields are sexual health, sexual rights, reproductive health and reproductive rights. In the concept of SRHR, these four fields are treated as separate but inherently intertwined.
Anthony Costello is a British paediatrician. Until 2015 Costello was Professor of International Child Health and Director of the Institute for Global Health at the University College London. Costello is most notable for his work on improving survival among mothers and their newborn infants in poor populations of developing countries. From 2015 to 2018 he was director of maternal, child and adolescent health at the World Health Organization in Geneva.
Vikram Harshad Patel FMedSci is an Indian psychiatrist and researcher best known for his work on child development and mental disability in low-resource settings. He is the Co-Founder and former Director of the Centre for Global Mental Health at the London School of Hygiene and Tropical Medicine (LSHTM), Co-Director of the Centre for Control of Chronic Conditions at the Public Health Foundation of India, and the Co-Founder of Sangath, an Indian NGO dedicated to research in the areas of child development, adolescent health and mental health. Since 2016 he has been Pershing Professor of Global Health and Social Medicine at the Department of Global Health and Social Medicine of Harvard Medical School in Boston. He was awarded a Wellcome Trust Principal Research Fellowship in 2015. In April 2015, he was listed as one of the world's 100 most influential people by TIME magazine.
Jocalyn Clark is a Canadian Public Health Scientist and the International Editor of The BMJ, with responsibility for strategy and internationalising the journal's content, contributors and coverage. From 2016 to 2022, Jocalyn was an Executive Editor at The Lancet, where she led the Commentary section, coordinated peer review, and edited and delivered collections of articles and Commissions on topics such as maternal and child health, oral health, migration, end of life care and gender equity. She led the Lancet's project to advance women in science, medicine, and global health, #LancetWomen. She is also an Adjunct Professor of Medicine at the University of Toronto and an Honorary Associate Professor at the Institute for Global Health at UCL.
Michael Joseph Ryan is an Irish epidemiologist and former trauma surgeon, specialising in infectious disease and public health. He is executive director of the World Health Organization's Health Emergencies Programme, leading the team responsible for the international containment and treatment of COVID-19. Ryan has held leadership positions and has worked on various outbreak response teams in the field to eradicate the spread of diseases including bacillary dysentery, cholera, Crimean–Congo hemorrhagic fever, Ebola, Marburg virus disease, measles, meningitis, relapsing fever, Rift Valley fever, SARS, and Shigellosis.
Uché Blackstock is an American emergency physician and former associate professor of emergency medicine at the New York University School of Medicine. She is the founder and CEO of Advancing Health Equity, which has a primary mission to engage with healthcare and related organizations around bias and racism in healthcare with the goal of mobilizing for health equity and eradicating racialized health inequities. During the COVID-19 pandemic Blackstock used social media to share her experiences and concerns as a physician working on the front lines and on racial health disparities and inequities exposed by the pandemic. She is best known for her work amplifying the message on racial health inequities and her media appearances speaking on the COVID-19 pandemic. She has been featured on Meet the Press, PBS NewsHour, Slate and Forbes among others. Blackstock became a Yahoo! News Medical Contributor in June 2020.
The COVID-19 pandemic has impacted hospitals around the world. Many hospitals have scaled back or postponed non-emergency care. This has medical consequences for the people served by the hospitals, and it has financial consequences for the hospitals. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Health facilities in many places are closing or limiting services. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity. The pandemic also resulted in the imposition of COVID-19 vaccine mandates in places such as California and New York for all public workers, including hospital staff.
The COVID-19 pandemic has impacted healthcare workers physically and psychologically. Healthcare workers are more vulnerable to COVID-19 infection than the general population due to frequent contact with infected individuals. Healthcare workers have been required to work under stressful conditions without proper protective equipment, and make difficult decisions involving ethical implications. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity.
Helena Legido-Quigley is a Spanish public health researcher who is an associate professor in Health Systems at Saw Swee Hock School of Public Health at the National University of Singapore. She serves as an associate fellow of Chatham House and is a member of the Council of the World Economic Forum. She is editor-in-chief of Elsevier's Journal of Migration and Health.
Pascale Allotey is a Ghanaian public health researcher and the Director of the World Health Organization SRH/HRP. Her research focuses on addressing equity, human rights, and social justice as these relate to health and disease, health systems, and global health research. She has held various technical advisory positions for the World Health Organization. Allotey serves on the Paris Institute for Advanced Study World Pandemic Research Network to understand the societal impacts of the COVID-19 pandemic, the Governance of the World Health Summit and the international Advisory Board of the Lancet.
Roopa Dhatt is an Indian American physician, an Assistant Professor and Internal Medicine Hospitalist at Georgetown University Medical Center, and at a community hospital, Washington, DC. In 2015 she co-founded Women in Global Health, which aims to reduce gender disparity among global health leaders, and subsequently became the organisation's Executive Director.
Rachel Kiddell-Monroe LL.M is a Montreal-based academic, activist, and lawyer. She is the General Director of See Change Initiative and faculty at McGill University where she teaches about humanitarian aid.
Health Care In Danger is a campaign organized by the International Committee of the Red Cross that highlights violent attacks on patients, healthcare workers, and healthcare facilities in conflict zones.
Nina Schwalbe is an American public health researcher who is the founder of Spark Street Advisors, a public health think tank based in New York City. Schwalbe specializes in vaccines. She has previously worked at Gavi, UNICEF and USAID.
Felicia Marie Knaul is a British–Canadian health economist who is director of the University of Miami Institute for Advanced Study of the Americas and a professor at the Leonard M. Miller School of Medicine. She is an economist with the Mexican Health Foundation and president of the non-governmental organization Tómatelo a Pecho, an advocacy organisation that promote women's health in Latin America. Her research and leadership has focused around raising awareness of breast cancer in low and middle income countries.
Cathy Lynn Zimmerman is a social scientist and professor at the London School of Hygiene and Tropical Medicine (LSHTM). She founded the LSHTM Gender Violence & Health Centre. Her research investigates migration, violence and health.