Riha Johanna, Ravindran T K Sundari, Atiim George A, Khanna Renu, Remme Michelle
United Nations University International Institute for Global Health (UNU-IIGH), Kuala Lumpur, Malaysia.
Independent Researcher, Thiruvananthapuram, India.
PLOS Glob Public Health. 2025 Jun 4;5(6):e0004697. doi: 10.1371/journal.pgph.0004697. eCollection 2025.
The global nature of on-going crises - climate, economic, social, political - and their impact on health means more than ever a response supported via an effective multilateral system is needed. Not only have these crises worsened health inequities but they have also eroded strides advancing gender equality, with detrimental impacts in the health sector and beyond. Despite recent attacks against multilateralism, the United Nations (UN) and its agencies remain strategically well-placed to provide direction and lead the agenda of gender equality in health, drawing on lessons from the past. Through a collaborative practice-based multi-agency study, 14 case studies from across five UN agencies were documented and analysed to identify what has worked institutionally and programmatically to promote gender equality in health over the last 25 years. The outcomes observed reflected the different levels that UN agencies work at and showcased the capabilities and strengths of the UN system in promoting gender equality in health through its operational functions, global agenda-setting work, and institutional processes and structures. In addition, across the case studies five key factors - feminist civil society, robust evidence, leadership support and gender technical expertise, and institutional structures - consistently stood out as necessary elements to leverage opportunities and produce substantial and sustained advances in gender equality in health. These findings offer important lessons of what to foster more of in multilateral and bilateral health organisations as we seek to continue advancing gender equality in health.
当前气候、经济、社会、政治等危机的全球性及其对健康的影响，比以往任何时候都更意味着需要通过有效的多边系统来支持应对行动。这些危机不仅加剧了健康不平等，还侵蚀了在推进性别平等方面取得的进展，对卫生部门及其他领域产生了不利影响。尽管最近多边主义受到攻击，但联合国及其机构在借鉴过去经验教训的基础上，仍处于有利的战略地位，能够为卫生领域的性别平等提供指导并引领议程。通过一项基于协作实践的多机构研究，记录并分析了来自联合国五个机构的14个案例研究，以确定在过去25年中，在机构层面和项目层面促进卫生领域性别平等方面哪些措施是有效的。观察到的结果反映了联合国各机构的不同工作层面，并展示了联合国系统通过其业务职能、全球议程设定工作以及机构流程和结构，在促进卫生领域性别平等方面的能力和优势。此外，在这些案例研究中，五个关键因素——女权主义民间社会、有力的证据、领导支持与性别技术专长以及机构结构——始终作为利用机会并在卫生领域性别平等方面取得重大和持续进展的必要要素而凸显出来。这些发现为我们在寻求继续推进卫生领域性别平等时，在多边和双边卫生组织中应更多培育哪些方面提供了重要经验教训。
