Transcript Women’s Health & Empowerment Center of Expertise Vision: We envision a world in which all women and girls are empowered and healthy. Mission: Our.

Women’s Health & Empowerment Center of
Expertise
Vision: We envision a world in which all women and girls
are empowered and healthy.
Mission: Our mission is to promote justice, equity and
scientific advances to reduce gender and health disparities
globally.
COE Vision of Empowerment
Empowerment is the ABILITY to
ACT on choices, involving
three related processes:
1.
Address causes of
disempowerment;
2.
Improve women’s access to and
control over current and future
resources; and
3.
Use improved access to resources
& decision-making to achieve
individual and collective well-being
and health.
Women’s Health & Empowerment Organization
UC Global Health Institute
(UCGHI)
WHE Leadership Core
Steering
Committee
Focal points
from each of
the campuses
WHE Co-Directors:
Craig Cohen, MD, MPH (UCSF)
Paula Tavrow, PhD, MSc, MALD
(UCLA)
COE Coordinator
Lindsey Zwicker, JD, MPP
Co-Director Alternates: Nancy Milliken, MD (UCSF)
Lara Stemple, JD (UCLA)
Education Representative: Amy Levi, CNM, PhD (UCSF)
Standing Committee Co-Chairs
Education
Committee
Research
Committee
Co-chairs: Amy Levi,
CNM, PhD (UCSF),
Deborah Mindry, PhD
(UCLA)
Co-chairs: Shari
Dworkin, PhD (UCSF),
Ndola Prata, MD, MPH
(UCB)
Student Committee
Knowledge
Dissemination
Committee
Co-chairs: Monica
Gandhi, MD, MPH
(UCSF), Paige
Passano, MPH (UCB)
Fundraising and
Partnerships
Committee
Chair: Philip Darney, MD,
MSc (UCSF)
Women’s Health & Empowerment Goals
 Advancing sexual and reproductive
health and rights
 Safe motherhood
 Reducing violence against women
 Family planning and reproductive
health technologies
 HIV/AIDS prevention, care and
treatment
 Reduction of environmental threats to
women
Women’s Health & Empowerment
Contribution to the Field
Key Components
Inter-Disciplinary Approach
• Focus on the interplay and
interconnectedness of women’s
empowerment and health
Health Sciences
 Medicine
 Public Health
 Nursing & Midwifery
• Conduct research on women’s
empowerment and health;
connect research with education
and training of new leaders
Empowerment Sciences
 Anthropology
 Law
 Sociology
 Arts & Culture
 Psychology
 Political science
DEFINITIONS OF WOMEN’S
EMPOWERMENT
From thefreedictionary.com:
em·pow·er (m-pour) tr.v. em·pow·ered,
em·pow·er·ing, em·pow·ers:
1. To invest with power, especially legal power or
official authority
2. To equip or supply with an ability; enable
U.N. Agency Definition after ICPD:
“Women's empowerment has five components:
1. Women's sense of self-worth;
2. Their right to have and to determine choices;
3. Their right to have access to opportunities and
resources;
4. Their right to have the power to control their own lives,
both within and outside the home; and
5. Their ability to influence the direction of social change
to create a more just social and economic order,
nationally and internationally.”
Key Domains / Dimensions of
Women’s Empowerment
Economic
Socio-cultural
Familial/interpersonal
Legal
Political
Psychological
Levels of Empowerment
Individual
Household
Community
Regional
National
Global
Measuring Women’s Empowerment
Social and Cultural Measures
 Mobility/Freedom of movement*
 Social capital
 Membership in an association
 Ability to interact in the public sphere
 Public status
 Participation in non-family groups
 Attitudes about gender roles
 Acceptability of IPV and refusing sex
* Most frequently used in the literature
Familial / Interpersonal
 Household decision-making power*
 Pulerwitz sexual relationship power scale (SRPS)*
 Age at first birth
 Control over spouse selection
 Natal family support
 Living with in-laws
 Inter-spousal differences—education, age
* Most frequently used in the literature
Economic Measures
 Control over earnings*
 Access to and control of family resources*
 Having a bank account
 Access to credits
 Ownership of assets and land
 Relative contribution to family support
* Most frequently used in the literature
Legal Measures
Knowledge of legal rights
Inheritance law
Land rights
Laws against GBV
Access to and control over land
Political Measures
Ability to exercise the right to vote
Knowledge of political system
Representation in local/regional government
Participation in public protests and political
campaigning
Psychological Measures
Self-efficacy
Psychological well-being
Fulfillment
Research Projects
Family AIDS Care and Education Services
(FACES)
 Family-focused HIV
prevention, care and
treatment program in Nairobi
and Nyanza Province
 Began in 2004
 UCSF/KEMRI collaboration
 President’s Emergency Plan
for AIDS Relief (PEPFAR)/CDC
funded
 Partners with Provincial &
District Ministries of Health
 Platform for implementation
research
FACES Sites as of Dec. 2010
Nyanza Province
Kisumu (17 sites)
Suba (42 sites)
Rongo (14 sites)
Migori (44 sites)
Nairobi (2 sites)
21
Enrollment in HIV Care & Treatment
FACES Patient Enrollment & ART Scale Up Over Time
120000
100000
96,821
Patients
80000
60000
40000
37,310
20000
0
Mar '05
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Cumulative HIV Care Enrolment
Jun '10
Sep '10
Dec '10
Cumulative ART
22
FACES-affiliated Research Projects
 Integration of family planning services
into HIV Care and Treatment
 Integration of HIV Care and Treatment
into MCH
 Cervical cancer screening and
treatment in HIV-infected women
 Formative research for gender-based
violence intervention
 Agricultural intervention for food
security and HIV health outcomes,
Shamba Maisha
Shamba Maisha Objective
 Test hypothesis that multisectoral agricultural
intervention leads to improved health of families living
with HIV.
Shamba Maisha: Model
Education and Knowledge Dissemination
Key Initiatives
Postdoctoral Fellowship in Women’s Health
& Empowerment
Principle Invesitgators:

Craig Cohen, MD, MPH (UCSF)

Professor in the UCSF Department of
Obstetrics, Gynecology and
Reproductive Sciences

Lara Stemple, JD (UCLA)

Director of Graduate Studies and
Director of the Health and Human
Rights Law Project at UCLA School of
Law.
The Fellows:

Karuna S. Chibber, DrPH, MHS, MA (UCSF)

Emily Nagisa Keehn, JD (UCLA)

Deborah Mindry, PhD (UCLA)

Manisha Munshi, JD (UCLA)

Ushma Upadhyay, PhD, MPH (UCSF)
Women’s Health & Empowerment and
UCSF GHS Masters program
 UCSF Global Health Sciences (GHS) Masters started 2008-09
 One of kind in U.S.: 7 students (’08-’09) to 18 (’09-’10) to 30 (’10’11), just matriculated 34
 ¾ students express interest in WH&E; ½ of ’10-’11 students with
related fieldwork
 CoE inserting WH&E discipline into GHS MS
 year long elective course
 fieldwork projects
 mentoring
 Intensive, two-week, 4-credit interdisciplinary program
(UCLA Aug 22-Sept 2)
 Open to incoming and current graduate or professional
students in any discipline
 Will provide students interested in improving women’s
health and well-being with knowledge and skills from
several disciplines
 Instructors from UCLA, UCSF, and other UC campuses
Book Commissioned by UC Press
• In Justice and In Health: A New Era in Women’s Health
and Empowerment
• First textbook/general book of its kind “marrying”
disciplines of WH&E
• Executive editors: Shari Dworkin, Monica Gandhi, Paige
Passano (Associate: Lindsey Zwicker)
• Chapter authors from global call for abstracts
WH&E Book Project
Framework
• 3 sections, 3 major tools of empowerment,
each with chapters across life course
– Section 1:Sociocultural and Educational
Interventions
• Section editors: Dallas Swendeman/Paula Tavrow
– Section 2: Economic Interventions
• Section editors: Shelley Grabe/Sheri Weiser
– Section 3: Systems Interventions
• Section editors: Ndola Prata/ Joanna Weinberg
“Study after study has taught us that there is
no tool more effective for development
than the empowerment of women”
- Former UN Secretary General, Kofi Annan
Thank you
UCGHI, Center of Expertise in Women’s Health & Empowerment:
http://www.ucghi.universityofcalifornia.edu/coes/womenshealth/index.aspx