‘Health sector has a crucial role to play’

Kathmandu, March 8

International Women’s Day is an opportunity to celebrate the courage, strength and capacity of ‘ordinary’ women to drive extraordinary change and it is also an opportunity to recommit to our common goal: gender equality and the empowerment of women, the World Health Organisation Regional Office of South-East Asia said today.

Though achieving this outcome requires a whole-of-society approach, the health sector has a crucial role to play. Health authorities across the WHO South-East Asia Region must recognise and embrace it, according to Dr Poonam Khetrapal Singh, WHO regional director for South-East Asia which also includes Nepal.

“Recent progress demonstrates the impact health sector initiatives can have on women’s well-being, a key dimension of their empowerment. Between 1990 and 2015, for example, the region reduced maternal mortality by six per cent. Between 2001 and 2015 contraceptive use increased from 46 per cent to 60 per cent. In the same period, the total fertility rate dropped from three to 2.4 children per woman. The human papilloma virus vaccine, so crucial to preventing cervical cancer, is gaining traction as global calls to eliminate the disease grow,” she said in a press release.

There is, however, a long way to go: In the health sector and beyond, gender equality and women’s empowerment must be a core priority, both to fulfil the human rights of women and girls across the region, as well as to leverage the society-wide benefits it guarantees.

As per the focus of this year’s International Women’s Day – ‘Think equal, build smart, innovate for change’ – a good place to start ‘thinking equal’ is to improve adolescent health, she suggested.

In doing so, young women will not only be healthier; they will also be empowered to choose their own destiny. Increasing access to family planning services more generally will reduce the number of women treated for abortion-related complications and will also reduce unwanted pregnancies that can affect women’s health and limit their life-choices.

According to Dr Chhetrapal Singh, health authorities should likewise ‘build smart’ in their approaches to universal health coverage. Whether for reasons of gender inequality, poverty, ethnicity, education or other factors, many women continue to face barriers to access, even as the coverage and quality of health services increases. These barriers must be addressed as a matter of priority. Importantly, when both women and men can access the services they need, as they need them, the burden of unpaid care in families (which typically falls on women and girls) is reduced and gender equality advanced.

To ‘innovate for change’, creative approaches to grassroots engagement and the use of new technology can be channelled. That could mean working with women’s groups to find ways to address gender-based violence or helping change norms around early marriage. It could also mean reducing the digital gender divide and rolling out health technologies to enhance women’s and girls’ health literacy and encourage timely health-seeking, she said.