3. Equity in health
"equity in health" as "Minimizing
avoidable disparities in health and its
determinants – including but not limited
to health care – between groups of
people who have different levels of
underlying social attributes(WHO)
Three views of equity:-
Focus
Inclusion
Narrowing gaps
4. Equity vs. equality
Always controversial what to include.
Equity is an illusive social goal which
allows government to offer all type of
justification when they fall short whereas
Equality is a human right and therefore
poses legal obligation.
Equity is a subjective term that mean
different things to different people
whereas the term equality is
measureable which can only be
achieved when there is no existence of
discrimination against men and women
5. Equity vs equality
Equality is not making women equal to
men rather than to enjoy the status of
human
Equality does not mean to treat all the
sexes identical rather it is
discriminatory to treat different as
identical.
Equality focuses on that whether it is
identical or different measures it
should result in all people enjoying
their human rights on an equal basis.
6. Equality
The convention on all forms of elimination of
discrimination against women(CEDAW)
discrimination against women as "...any
distinction, exclusion or restriction made on the
basis of sex which has the effect or purpose of
impairing or nullifying the recognition,
enjoyment or exercise by women, irrespective
of their marital status, on a basis of equality of
men and women, of human rights and
fundamental freedoms in the political,
economic, social, cultural, civil or any other
field.“
Non descrimination,state obligation and
substantive equality is the key
7. Equity or Equality
Depends on Right to health
Leg obligation
al
Redefining equity in health. What to do?
• inequalities in health that are unjust,
unfair and avoidable.
The measurement of health disparities
without respect to how the disparities are
distributed socially is not a measure of
equity and does not reflect fairness or
justice with respect to health
8. Equity
Health equity is the absence of systematic
disparities in health(or its social
determinants) between more and less
advantaged social groups.
Health equity an ethical concept based on
distributive justice, is also linked to human
rights.
Means equal opportunity to be healthy.
"implies that resources are distributed and
processes are designed in ways most likely
to move toward equalising the health
outcomes of disadvantaged social groups
with the outcomes of their more advantaged
counterparts
9. Gender
social construction
Gender
Men ≠ women
Women ≠ Gender ≠ Sex
Gender is learned socially determined
behaviour.
Focus on unequal relation between the
men and women.
10. Gender inequities in healthcare :Three types
of imbalances.
Opportunities to
enjoy health
Access to health
resources
Health Risks
Power in the
Health Needs health sector
Responsibility in the
health sector
11. Gender Equity in Health
Gender equity in health means
In health status
In access and use
In financing of care
Participation in health production.