Essue Beverley M, Danforth Kristen, Langer Ana, Acharya Pratyasha, Knaul Felicia Marie
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Nat Med. 2025 Aug 7. doi: 10.1038/s41591-025-03864-8.
Investments in women and their health hold transformative potential, serving as powerful drivers of gender equality, poverty reduction, equity and economic development. However, current investments are both insufficient and inappropriately designed to address the complex health needs of women throughout the life course. This paper explores the intrinsic returns that would stem from a virtuous cycle of investment in the health of women-by allowing full access to education and fair labor-force participation-as well as the instrumental returns to economic growth and sustainability. We highlight the vital and dual role of health systems in challenging structural biases affecting women in their consumption of health-care services, as well as appropriately recognizing and compensating women's contributions as health care and care producers. By proactively and deliberately investing in gender equality throughout the life course and addressing the social determinants of women's health, heath systems and governments can support optimal health as well as economic and equity outcomes for all women and for the societies in which they thrive.
对妇女及其健康的投资具有变革潜力,是性别平等、减贫、公平和经济发展的强大驱动力。然而,目前的投资既不足,设计也不合理,无法满足妇女一生复杂的健康需求。本文探讨了通过让妇女充分接受教育和公平参与劳动力市场,对妇女健康进行良性投资循环所产生的内在回报,以及对经济增长和可持续性的工具性回报。我们强调卫生系统在挑战影响妇女获得医疗保健服务的结构性偏见方面的关键和双重作用,以及适当地承认和补偿妇女作为医疗保健提供者和护理生产者的贡献。通过在妇女一生积极主动地投资性别平等并解决妇女健康的社会决定因素,卫生系统和政府可以支持所有妇女及其繁荣发展的社会实现最佳健康以及经济和公平成果。