In August 2019, we trained 18 team members in Achham, Dolakha and Kathmandu on why gender caste, and other marginalized identities are foundational to how we approach healthcare. This is in line with sustainable development goals, outlined by the WHO.
Over the next few months, the trainers will sensitize more than 400 team members across the organization to recognize unconscious biases, address discrimination and utilize paradigms of Gender Equity and Social Inclusion (GESI) to ensure healthcare for all.
Two years after initiating a GESI Committee, we have achieved substantial results. Women in leadership has increased across teams, locations and functions (see graph below).
Source: Working Towards Gender Equity in Health: Experiences from Rural Nepal
— Global Health Epidemiology and Genomics by Duncan Maru, CEO, Possible
On a programmatic level, our community healthcare team has been leading efforts to combat chaupadi; we mapped its prevalence in our catchment area in Achham. Out of 14,000 women of reproductive age, more than 66% stay inside sheds during menstruation, practicing chaupadi.
We also documented over 25% of pregnant women visiting our hospital in Achham are adolescents, so are identifying unique opportunities to address this sub-group.
There is much work to be done, but now that we are actively tracking where we are and setting targets, we are making progress. We hope that a stronger commitment to GESI will also result in better patient experience and outcomes.
– Subeksha Poudel is the Senior Manager, Communications & GESI at Nyaya Health Nepal.