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Universal access: making health systems work for women
1Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Medical College, Trivandrum, Kerala, India. ravindrans@usa.net
Universal health coverage aims to ensure everyone receives healthcare. However, gender inequalities can prevent women from accessing services, even with nominal coverage.
Area of Science:
- Public Health
- Gender Studies
- Health Policy
Background:
- Universal coverage is a key government obligation, but does not guarantee healthcare access.
- Structural inequalities (caste, race, ethnicity, gender) challenge equitable healthcare access.
- Gender disparities significantly impact healthcare access and outcomes for women.
Framework:
- This paper employs a gender-analysis framework to examine healthcare policies.
- The analysis focuses on how gender differentials affect policy benefits for women.
- A gender lens is crucial for understanding disparities in healthcare access.
Implementation:
- Policies promoting universal coverage may inadvertently exclude women.
- Gender-blind healthcare systems can deny access despite nominal universal coverage.
- Organizational and delivery mechanisms often fail to address women's specific needs.
Implications:
- Addressing gender inequalities is essential for achieving true universal healthcare access.
- Recommendations are provided to ensure equitable benefits from universal coverage policies.
- Integrating gender perspectives into health services is vital for inclusivity.
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