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healthcare workers

A lot has been discussed and debated about the negative impacts of the Covid-19 pandemic on women but the contribution of women in fighting the pandemic has found very sparing mention. This is despite the fact that women health workers are the beating heart of every healthcare system which is aiding the recovery of Covid patients across the globe.

For several decades, women have played a vital role in the global healthcare workforce as nurses, midwives, community health workers and doctors. In some countries 90% of nurses are women. Although women are still less likely than men to reach senior positions in healthcare professions, recent data shows a trend reversal which ignites some confidence of rising gender parity in the Healthcare sector.

It is heartwarming to note that women represent close to 70% of the global healthcare workforce. Several studies estimate that women in health contribute 5% to global gross domestic product (GDP) (US$ 3 trillion) annually, out of which almost 50% is unrecognized and unpaid.

In 2017, almost half of all doctors in Organization for Economic Cooperation and Development (OECD) countries were women. Thirteen OECD countries exceeded gender parity for doctors in 2017, including Slovenia (63.0%), the Lithuania (69.4%), Estonia (74.0%), and Latvia (74.3%). France (44.5%), Germany (46.6%), the United Kingdom (47.6%), and Sweden (48.0%) were nearing gender parity among physicians. However, women still only made up one in five (21.0%) doctors in Japan. Globally, women represent the majority of nurses and midwives. The Americas (86%), Europe (84%), and the Western Pacific (81%) are regions with the highest proportion of women among nurses.

In Canada, women dominate the health fields in Higher Education. In 2017, women made up more than 78.7% of post-secondary graduates in health and related fields. In the past four decades, women’s share of medical degrees has substantially increased. In contrast to 2017, when only 12% of women earned MD degrees in Canada, there has been a significant spike until 2018 with 54.5% of women achieving the same feat.

In India, women are responsible for 70-80% of all the healthcare services being provided. Women healthcare providers can play an important role in educating society to recognize their health and nutrition needs. Women professionals and empowerment of women at all levels are required for improvement of the health and nutrition structure in India.

In terms of Gender Career Satisfaction, on average, women in healthcare report high satisfaction with their careers (75 percent versus 71 percent of men). They find opportunities aligned with their passions and can adapt their careers over time. Women in healthcare tend to be more happier about their careers compared with men in the same field.

Largely, the gender gap in promotion rates in healthcare, unlike in many other industries, is narrowing. Both women and men report asking for raises at the same rates, but women in healthcare say they are slightly more successful in achieving positive outcomes. Women in healthcare reported receiving more of what they requested in compensation negotiations more often than what men did. Both women and men report asking for raises at the same rates, but women in healthcare say they are slightly more successful in achieving positive outcomes. Women in healthcare reported receiving more of what they requested in compensation negotiations more often than what men did.

According to a research done collaboratively by Lean In and McKinsey, healthcare appears to be one of the best industries for working women on several counts. A broad industry that includes drug and medical-device manufacturers, as well as service providers and payers, healthcare surpasses other industries in female representation.

On the flip side, it is an uncomfortable fact that health systems are currently subsidized by the unpaid work done by women and girls delivering care to family and others in their communities. If only women were able to participate in the economy equally, it would result in nearly an estimated $160 trillion increase in global GDP or a 21.7% increase in human capital wealth.

24 million of the 28.5 million nurses and midwives globally are women. Men, on the other hand, are more likely to be physicians and specialists than women. In addition, more men reach leadership positions, leaving women under-represented in senior, higher-paid roles. However, recent studies reveal an increasing participation of women in highly paid occupations in health, a trend likely to continue over the next 20 years.

The report “Delivered by women, led by men: A gender and equity analysis of the global health and social workforce”, co-produced by WHO and Women in Global Health, confirms that women health workers are concentrated into lower status, lower paid and often, unpaid roles, facing harsh realities of gender bias and harassment.

It is unfortunate that women lead only 19% of hospitals. When it comes to companies in the healthcare industry, women only hold 13% of CEO roles and 33% of senior leadership positions. However, despite all the roadblocks, some women have made to the top of the ladder with their talent, remarkable contributions and sustained efforts. Some noteworthy names include Emma Walmsley (CEO of GlaxoSmithKline and the first woman to lead a global pharma company), Gail K. Boudreaux (president and CEO of Anthem), and Laura N. Dietch (president and CEO of BioTrace). Frances H. Arnold, who in 2018 became the fifth woman to win the Nobel Prize in Chemistry is yet another example of women in healthcare who have gained worldwide recognition for her achievements. Women are the primary consumers and decision makers in the healthcare market, and they make up almost 50 percent of the workforce: much of their advancement and leadership in the field rests on those facts.

Since women work in the frontline in providing medical care and perform some of the risky jobs, they have an increased risk of contracting infectious diseases. In the United States, the Centers for Disease Control reports that, as of April 2020, 73% of healthcare professionals who tested positive for COVID-19 were women. Exposure to infectious diseases poses a high psychological burden for women healthcare workers. A study of healthcare settings in China during the COVID-19 outbreak found that women workers reported elevated levels of stress, anxiety, and depression.

Despite all the risks taken by women, disparity continues to pervade the industry when it comes to monetary compensation. Women in healthcare are paid Less, on average, than their male counterparts. Women physicians and surgeons made $0.67 to every $1 earned by their male counterparts in 2018. Women in healthcare support occupations, which include home health aides and nursing assistants, made $0.83 for every $1 their male counterparts made in 2018.

Gender equality needs to be looked at holistically in the healthcare sector – Policies, effectiveness of programs initiated by the government, and employee experiences must be taken into consideration to promote diversity and inclusion. While the trends clearly show that significant progress has been made over the last few decades, much remains to be done.

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By Dr. ELSA LYCIAS JOEL

From time immemorial women have been considered to be better caretakers. Nothing unusual about it. History has provided us with many examples of women as nurses and their contributions to our communities. Be it the lady with the lamp or the angel of the battlefield or sojourner truth or the first black woman general of USA or the first lady of nursing, there is no dearth of inspiration. All of us, at least when pandemics hit us come to know what the word ‘nurse’ stands for. The word is derived from the fifth-century post-Classical Latin nutrice a wet-nurse hired to provide an infant with breast milk when the infant’s mother would not or could not do so. Etymologically it is related to our modern word nourish.

As Britain prepares to celebrate Florence Nightingale’s 200th birthday on May 12, the whole world cling to nurses as their saviours and would not let go of them. In today’s scenario, despite intensive care many die. That doesn’t stop anyone from believing that nurses are a courageous lot under the most adverse conditions. Uncomplaining resilience and calm professionalism displayed by them make known that they should be considered essential elements of all societies, at all times. With a long history, they are everywhere as members of the largest health care profession in diverse settings and fields. Stories of army nurses have reinforced the fact that they do their best withstanding hardships at the front and have been awardees of ‘The Purple Heart’. We all know how vulnerable they are under the present circumstances as a vital link between the patient and the rest of the healthcare system. Raincoats and helmets in lieu of coveralls and masks, claps and clanging pots instead of PPEs and a pay raise, it’s a struggle day in and day out. Being around critically ill patients even when the surge hits is an act of self-denial. A listening ear and a calming touch even as they keep their senses alert for one small subtle change to determine what or who needs to be called reflects their flexibility, innovativeness, patience and adaptability.

Severe shortages of nurses characterizing  the current and post pandemic periods is a result of governments’ lethargy and unpreparedness of governments in addition to an uneven battle with the deadly virus in turn threatening the delivery of health services to the public. Though nursing’s image takes on an heroic cast during pandemics and wars,  the reality for most nurses is that the work is incredibly demanding with few financial rewards and poor working conditions. Nursing fails to keep up economically with other occupations. For the sake of four words – Humanity, Fortitude, Devotion and Sacrifice which describe this profession the best and for these words to ring true, the cracks in the current edifice of healthcare safety should not continually grow. For those thousands who died on duty leaving their colleagues and families shaken, their contributions are acknowledged as essential to victory against this evil called COVID19. If we think, nurses report for work in the most challenging of circumstances anyway, because that is their job we should rethink. Well, it’s also because they believe that respect for the inherent dignity and of human lives is a fundamental principle of their profession.

While nurses are looked upon as those holding the fort and expected to go on and on their psychosocial well-being is a concern. At these times, even behind a mask the nurses are not wholly successful in altering their outward demeanour and the presentation of what they see as their ‘detached’ face does not serve to mask feelings of exhaustion, demoralisation, anger or sorrow. Recently, with too many failings and deaths to handle, however, nurses find themselves having to perform a different kind of emotion management than that prescribed by their profession. They have to present the detached face of the professional career as fear of losing grips them. Next moment, they also have to handle intense joy on liberating someone from a ventilator, when another one stabilises and could breathe on her/his own again. ‘Smiling happiest faces’ also means they have to work hard on their emotions especially with families of patients whose expectations of a quality service have been raised beyond anything better than the best. An impending doom or an existing gloom, the overall effect is physically and psychologically palpable. Wobble rooms are indeed “rainbow rooms” that offer peace and quiet plus a space to have a safe conversation. Above all, nurses need not go home thinking, ‘I could have been the kindest to so and so’.

If we think nurses’ experience alternate between periods of intense activity, sleep and anxiety, we are wrong. It’s much more than that. Underpaid, under- resourced and overworked, they are barely holding it together. Patients who arrive in severe shock, others very sick demanding a high level of nursing care and many others on the verge of death needing a kind look or words of comfort, surrender themselves with ‘that’ look in their eyes. ‘Stoicism’ is the ruling word in times of profound upheaval, risk, and strain. Is there anything more traumatic than seeing the one you cared for in the previous shift with lot of hopes and prayers, in a body bag hours later? These soldiers who display courage in the face of duty are more than deserving of a ‘Maidstone Medal’ or “The Christiane Reimann Prize”. What’s more, they put the wellness of others before their own, and many accept their fate with incredible dignity.  Bold voices clearly articulate ethical positions with an astute understanding of human rights, careful discernment of human rights violations and bold acceptance of professional responsibility.  When push comes to shove, many expose racism despite knowing the ordeals ahead with their livelihood at stake, as more than life savers who are willing to advocate for victims and to collaborate with right thinking people in finding solutions to ethical and racial issues. Whatever, deafening sounds of oxygen will accompany them for years to come.

Forget Covid19 for a moment. In normal circumstances, to smooth the often turbulent path of interaction between patient and an overworked health specialist, nurses become able to tolerate differences, willingly keep aside potential perceptions and whole heartedly contribute to shared care plans even when multiple patient handoffs play foul in establishing a trusting and collegial relationship. Nurses must re-define stressful situations, carry on and do their job in any situation with or without resources. There seems to be no recognition anymore of the collective goodwill involved in providing a service, many a time selfless one. A bad job is definitely not excusable, but others involved with nurses ought to understand and appreciate the struggles or shortcomings. At the end of the day, they don’t feel like heroes but rush back home as a daughter, wife, mother, lover or a friend to feel belonged, to care and be cared for. 

Still, everybody fights, nobody quits. 

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The Womb - Encouraging, Empowering and Celebrating Women.

The Womb is an e-platform to bring together a community of people who are passionate about women rights and gender justice. It hopes to create space for women issues in the media which are oft neglected and mostly negative. For our boys and girls to grow up in a world where everyone has equal opportunity irrespective of gender, it is important to create this space for women issues and women stories, to offset the patriarchal tilt in our mainstream media and society.

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