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      The role of women's leadership and gender equity in leadership and health system strengthening

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          Abstract

          Gender equity is imperative to the attainment of healthy lives and wellbeing of all, and promoting gender equity in leadership in the health sector is an important part of this endeavour. This empirical research examines gender and leadership in the health sector, pooling learning from three complementary data sources: literature review, quantitative analysis of gender and leadership positions in global health organisations and qualitative life histories with health workers in Cambodia, Kenya and Zimbabwe. The findings highlight gender biases in leadership in global health, with women underrepresented. Gender roles, relations, norms and expectations shape progression and leadership at multiple levels. Increasing women's leadership within global health is an opportunity to further health system resilience and system responsiveness. We conclude with an agenda and tangible next steps of action for promoting women's leadership in health as a means to promote the global goals of achieving gender equity.

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          Towards a common definition of global health

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            Increasing women in leadership in global health.

            Globally, women experience a disproportionate burden of disease and death due to inequities in access to basic health care, nutrition, and education. In the face of this disparity, it is striking that leadership in the field of global health is highly skewed towards men and that global health organizations neglect the issue of gender equality in their own leadership. Randomized trials demonstrate that women in leadership positions in governmental organizations implement different policies than men and that these policies are more supportive of women and children. Other studies show that proactive interventions to increase the proportion of women in leadership positions within businesses or government can be successful. Therefore, the authors assert that increasing female leadership in global health is both feasible and a fundamental step towards addressing the problem of women's health. In this Perspective, the authors contrast the high proportion of young female trainees who are interested in academic global health early in their careers with the low numbers of women successfully rising to global health leadership roles. The authors subsequently explore reasons for female attrition from the field of global health and offer practical strategies for closing the gender gap in global health leadership. The authors propose solutions aimed to promote female leaders from both resource-wealthy and resource-poor countries, including leadership training grants, mentorship from female leaders in global professions, strengthening health education in resource-poor countries, research-enabling grants, and altering institutional policies to support women choosing a global health career path.
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              Using life histories to explore gendered experiences of conflict in Gulu District, northern Uganda: Implications for post-conflict health reconstruction

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                Author and article information

                Journal
                Glob Health Epidemiol Genom
                Glob Health Epidemiol Genom
                GHG
                Global Health, Epidemiology and Genomics
                Cambridge University Press (Cambridge, UK )
                2054-4200
                2017
                17 May 2017
                : 2
                : e8
                Affiliations
                [1 ]Women in Global Health , 30901 Wiegmen Road, Hayward, CA 94544, USA
                [2 ]Liverpool School of Tropical Medicine , Pembroke Pl, Liverpool L3 5QA, UK
                [3 ]Institute of Development Studies, Institute of Development Studies , Library Road Brighton BN1 9RE, UK
                [4 ]Biomedical Training Research Institute , 10 Seagrave Road, Avondale Harare, Zimbabwe
                [5 ]Cambodia Development Resource Institute , 56 St. 315, Phnom Penh 622, Cambodia
                [6 ]Kenya Medical Research Institute – KEMRI-Wellcome Trust Research Programme , P.O. Box 230, Kilifi, Kenya
                [7 ]Nuffield Department of Medicine, Centre for Global Health and Tropical Medicine, University of Oxford , Oxford, UK
                [8 ]Pamoja Communications, UK Bishopstone , 36 Crescent Road, Worthing BN11 1RL, UK
                [9 ]Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon , Rua da Junqueira 100, Lisbon, Portugal
                Author notes
                [* ]Address for correspondence: R. Dhatt, M.D., Women in Global Health, 30901 Wiegmen Road, Hayward, CA 94544, USA and Department of Medicine, Case Western Reserve University , Case Medical Center- 11100 Euclid Ave, Cleveland, OH 44106, USA. (Email: roopa.dhatt@ 123456womeningh.org )
                Article
                S2054420016000221 00022
                10.1017/gheg.2016.22
                5870471
                29868219
                c8844c75-5cf5-4e43-89ed-091e1eba4551
                © The Author(s) 2017

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 July 2016
                : 02 December 2016
                : 02 December 2016
                Page count
                References: 36, Pages: 9
                Categories
                Health Care Systems
                Women in Global Health
                Original Research Article

                gender and health systems,gender equality,gender in health systems resilience,gender responsive,global health,health systems,health systems strengthening,international health,women in global health,women leadership in health,women's leadership,women's leadership in global health

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