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Critical Shifts: Address Inequity and Manage Power Asymmetries
Shifting how we address inequity and manage power asymmetries
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Contributing to systems that perpetuate gender & power inequity
Fostering systems that promote equity in gender & power
Shift from taking actions that are blind to gender and power inequities and perpetuate hierarchical structures driven by privilege and power to recognizing the role and importance of gender equity in health outcomes. Create a conscientious ecosystem, driving towards greater equity in gender, power, and other forms of inequity.
- Donors and implementing partners acknowledge and openly discuss their biases in power, gender, and equity and the implications on programming.
- Gender experts and community representatives are engaged in the identification of needs and solutions, including seeking out diverse voices and those who are not typically engaged.
- Primary and secondary gender-specific is collected, used, and applied in program design, implementation, monitoring and evaluation (e.g. through an equity analysis, utilization of sex-disaggregated data and assessments of underlying/social determinants of health).
- Project design and implementation includes the use of data on social determinants of health (e.g. income, decision-making, mobility, etc.).
- System change is prioritized with attention and awareness to power dynamics and biases (e.g. sufficient time & budget is allocated to assess, and address these issues).
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Providing limited opportunities or mechanisms for community feedback or dissent
Promoting feedback & learning between communities & donors/funders
Shift from systems that provide limited opportunities or mechanisms for community feedback or dissent, to drive systems that foster feedback and learning across multiple levels (e.g. communities, implementers, governments and donors/funders). Decouple funding power with the right to evaluate and enable all stakeholders to contribute to decisions and evaluation.
- Platforms are included to engage community voices before, during, and after the implementation of an initiative.
- Ongoing dialogue and feedback mechanisms are in place to facilitate continuous engagement and feedback from country partners and stakeholders at all levels (e.g. through joint assessments of TA services); feedback is utilized to support project adaption.
- Collected data is aligned to country needs and systems and made available and accessible for decision-making at different levels of the health system
- Capacity strengthening and technical assistance activities are evaluated directly, even when part of a larger project, to support improved quality of service provided.
- Evaluation needs and approaches are co-designed with key stakeholders at all levels.