The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change

There is still a substantial knowledge gap on how gender mediates child health in general, and child immunisation outcomes in particular. Similarly, implementation of interventions to mitigate gender inequities that hinder children from being vaccinated requires additional perspectives and research....

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Main Authors: Alyssa Sharkey, Marta Feletto
Format: Article
Language:English
Published: BMJ Publishing Group 2019-09-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/4/5/e001711.full
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author Alyssa Sharkey
Marta Feletto
author_facet Alyssa Sharkey
Marta Feletto
author_sort Alyssa Sharkey
collection DOAJ
description There is still a substantial knowledge gap on how gender mediates child health in general, and child immunisation outcomes in particular. Similarly, implementation of interventions to mitigate gender inequities that hinder children from being vaccinated requires additional perspectives and research. We adopt an intersectional approach to gender and delve into the social ecology of implementation, to show how gender inequities and their connection with immunisation are grounded in the interplay between individual, household, community and system factors. We show how an ecological model can be used as an overarching framework to support more precise identification of the mechanisms causing gender inequity and their structural complexity, to identify suitable change agents and interventions that target the underlying causes of marginalisation, and to ensure outcomes are relevant within specific population groups.
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spelling doaj.art-476b0830b66b49a3a444a55540565b382022-12-21T22:26:33ZengBMJ Publishing GroupBMJ Global Health2059-79082019-09-014510.1136/bmjgh-2019-001711The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to changeAlyssa Sharkey0Marta Feletto1Health Section, UNICEF, New York, New York, USAHealth Section, UNICEF, New York, New York, USAThere is still a substantial knowledge gap on how gender mediates child health in general, and child immunisation outcomes in particular. Similarly, implementation of interventions to mitigate gender inequities that hinder children from being vaccinated requires additional perspectives and research. We adopt an intersectional approach to gender and delve into the social ecology of implementation, to show how gender inequities and their connection with immunisation are grounded in the interplay between individual, household, community and system factors. We show how an ecological model can be used as an overarching framework to support more precise identification of the mechanisms causing gender inequity and their structural complexity, to identify suitable change agents and interventions that target the underlying causes of marginalisation, and to ensure outcomes are relevant within specific population groups.https://gh.bmj.com/content/4/5/e001711.full
spellingShingle Alyssa Sharkey
Marta Feletto
The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
BMJ Global Health
title The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
title_full The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
title_fullStr The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
title_full_unstemmed The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
title_short The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
title_sort influence of gender on immunisation using an ecological framework to examine intersecting inequities and pathways to change
url https://gh.bmj.com/content/4/5/e001711.full
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