How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework

Social Science & Medicine
Rosalind SteegeSally Theobald

Abstract

Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver. This study uses a two-stage exploratory approach drawing upon qualitative research from the six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium. This research took place from 2013 to 2014. This was followed by systematic review that took place from January-September 2017, using critical interpretive synthesis methodology. This review included 58 papers from the literature. The resulting findings from both stages informed the development of a conceptual framework. We present the holistic conceptual framework to show how gender roles and relations shape CTC provider experience at the individual, community, and health system levels. The evidence presented highlights the importance of safety and mobility at the community level. At ...Continue Reading

Citations

Nov 10, 2018·Emergency Medicine International·Francisco Martín-RodríguezMiguel Ángel Castro Villamor
Feb 1, 2019·International Journal for Equity in Health·Rosalind McCollumSally Theobald
Nov 18, 2018·Primary Health Care Research & Development·Michelle R BrearHelen Keleher
Dec 20, 2019·PloS One·Erica A ShoemakerMargaret C Baker
May 31, 2019·Health Policy and Planning·Svea ClosserYihenew Tesfaye
Jun 21, 2020·International Journal of Environmental Research and Public Health·Rima R HabibLayal Hneiny
Dec 18, 2020·The Lancet. Psychiatry·Liana E ChaseSunita Rumba
Oct 16, 2020·Sexual and Reproductive Health Matters·Priya NandaSuneeta Krishnan
Apr 6, 2021·World Development·Kate HampshireAdetayo Kasim
Aug 26, 2021·Global Public Health·Svea Closser, Surendra Singh Shekhawat

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