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Women’s Health & Empowerment Center of Women’s Health & Empowerment Center of ExpertiseExpertise
Vision: We envision a world in which all women and girls are empowered and healthy. Mission: Our mission is to promote justice, equity and scientific advances to reduce gender and health disparities globally.
COE Vision of EmpowermentCOE Vision of Empowerment
Empowerment is the Empowerment is the ABILITYABILITY to toACTACT on choices, involving on choices, involvingthree related processes:three related processes:1.1. Address causes of Address causes of
disempowerment;disempowerment;
2.2. Improve women’s access to and Improve women’s access to and control over current and future control over current and future resources; andresources; and
3.3. Use improved access to resources Use improved access to resources & decision-making to achieve & decision-making to achieve individual and collective well-being individual and collective well-being and health.and health.
Women’s Health & Empowerment Organization
Education Committee
Co-chairs: Amy Levi, CNM, PhD (UCSF), Deborah Mindry, PhD (UCLA)
Research Committee
Co-chairs: Shari Dworkin, PhD (UCSF), Ndola Prata, MD, MPH (UCB)
Knowledge Dissemination
Committee
Co-chairs: Monica Gandhi, MD, MPH (UCSF), Paige Passano, MPH (UCB)
Fundraising and Partnerships Committee
Chair: Philip Darney, MD, MSc (UCSF)
UC Global Health Institute(UCGHI)
WHE Leadership Core
WHE Co-Directors: Craig Cohen, MD, MPH (UCSF)Paula Tavrow, PhD, MSc, MALD (UCLA)
Co-Director Alternates: Nancy Milliken, MD (UCSF)Lara Stemple, JD (UCLA)
Education Representative: Amy Levi, CNM, PhD (UCSF)
Standing Committee Co-Chairs
COE CoordinatorLindsey Zwicker, JD, MPP
Student Committee
Steering Committee
Focal points from each of the campuses
Women’s Health & Empowerment GoalsWomen’s Health & Empowerment Goals
Advancing sexual and reproductive Advancing sexual and reproductive health and rightshealth and rights
Safe motherhoodSafe motherhood
Reducing violence against women Reducing violence against women
Family planning and reproductive Family planning and reproductive health technologieshealth technologies
HIV/AIDS prevention, care and HIV/AIDS prevention, care and treatmenttreatment
Reduction of environmental threats to Reduction of environmental threats to womenwomen
Women’s Health & Empowerment Women’s Health & Empowerment Contribution to the FieldContribution to the Field
Key ComponentsKey Components
• Focus on the interplay and interconnectedness of women’s empowerment and health
• Conduct research on women’s empowerment and health; connect research with education and training of new leaders
Inter-Disciplinary ApproachInter-Disciplinary Approach
Health Sciences Medicine Public Health Nursing & Midwifery
Empowerment Sciences Anthropology Law Sociology Arts & Culture Psychology Political science
From thefreedictionary.com: From thefreedictionary.com:
em·pow·er (m-pour) tr.v. em·pow·ered, em·pow·er·ing, em·pow·ers:
1. To invest with power, especially legal power or official authority
2. To equip or supply with an ability; enable
U.N. Agency Definition after ICPD:U.N. Agency Definition after ICPD:
“Women's empowerment has five components:
1. Women's sense of self-worth;
2. Their right to have and to determine choices;
3. Their right to have access to opportunities and resources;
4. Their right to have the power to control their own lives, both within and outside the home; and
5. Their ability to influence the direction of social change to create a more just social and economic order, nationally and internationally.”
Key Domains / Dimensions of Key Domains / Dimensions of Women’s EmpowermentWomen’s Empowerment
Economic
Socio-cultural
Familial/interpersonal
Legal
Political
Psychological
Social and Cultural MeasuresSocial and Cultural Measures Mobility/Freedom of movement*
Social capital
Membership in an association
Ability to interact in the public sphere
Public status
Participation in non-family groups
Attitudes about gender roles
Acceptability of IPV and refusing sex
* Most frequently used in the literature
Familial / InterpersonalFamilial / InterpersonalHousehold decision-making power*
Pulerwitz sexual relationship power scale (SRPS)*
Age at first birth
Control over spouse selection
Natal family support
Living with in-laws
Inter-spousal differences—education, age
* Most frequently used in the literature
Economic MeasuresEconomic Measures
Control over earnings*
Access to and control of family resources*
Having a bank account
Access to credits
Ownership of assets and land
Relative contribution to family support
* Most frequently used in the literature
Legal MeasuresLegal Measures
Knowledge of legal rights
Inheritance law
Land rights
Laws against GBV
Access to and control over land
Political MeasuresPolitical Measures
Ability to exercise the right to vote
Knowledge of political system
Representation in local/regional government
Participation in public protests and political campaigning
Family AIDS Care and Education Services Family AIDS Care and Education Services (FACES)(FACES)
Family-focused HIV prevention, care and treatment program in Nairobi and Nyanza Province
Began in 2004
UCSF/KEMRI collaboration
President’s Emergency Plan for AIDS Relief (PEPFAR)/CDC funded
Partners with Provincial & District Ministries of Health
Platform for implementation research
21
FACES Sites as of Dec. 2010FACES Sites as of Dec. 2010
Nyanza Province
Kisumu (17 sites)
Suba (42 sites)
Rongo (14 sites)
Migori (44 sites)
Nairobi (2 sites)
FACES-affiliated Research ProjectsFACES-affiliated Research Projects
Integration of family planning services into HIV Care and Treatment
Integration of HIV Care and Treatment into MCH
Cervical cancer screening and treatment in HIV-infected women
Formative research for gender-based violence intervention
Agricultural intervention for food security and HIV health outcomes, Shamba Maisha
Shamba MaishaShamba Maisha Objective Objective
Test hypothesis that multisectoral agricultural intervention leads to improved health of families living with HIV.
Education and Knowledge DisseminationEducation and Knowledge DisseminationKey InitiativesKey Initiatives
Postdoctoral Fellowship in Women’s Health Postdoctoral Fellowship in Women’s Health & Empowerment& Empowerment
Principle Invesitgators:Principle Invesitgators: Craig Cohen, MD, MPH (UCSF)Craig Cohen, MD, MPH (UCSF)
Professor in the UCSF Department of Obstetrics, Gynecology and Reproductive Sciences
Lara Stemple, JD (UCLA)Lara Stemple, JD (UCLA) Director of Graduate Studies and
Director of the Health and Human Rights Law Project at UCLA School of Law.
The Fellows:The Fellows: Karuna S. Chibber, DrPH, MHS, MA (UCSF)Karuna S. Chibber, DrPH, MHS, MA (UCSF)
Emily Nagisa Keehn, JD (UCLA)Emily Nagisa Keehn, JD (UCLA)
Deborah Mindry, PhD (UCLA)Deborah Mindry, PhD (UCLA)
Manisha Munshi, JD (UCLA)Manisha Munshi, JD (UCLA)
Ushma Upadhyay, PhD, MPH (UCSF)Ushma Upadhyay, PhD, MPH (UCSF)
Women’s Health & Empowerment and Women’s Health & Empowerment and UCSF GHS Masters programUCSF GHS Masters program
UCSF Global Health Sciences (GHS) Masters started 2008-09
One of kind in U.S.: 7 students (’08-’09) to 18 (’09-’10) to 30 (’10-’11), just matriculated 34
¾ students express interest in WH&E; ½ of ’10-’11 students with related fieldwork
CoE inserting WH&E discipline into GHS MS year long elective course fieldwork projects mentoring
Intensive, two-week, 4-credit interdisciplinary program (UCLA Aug 22-Sept 2)
Open to incoming and current graduate or professional students in any discipline
Will provide students interested in improving women’s health and well-being with knowledge and skills from several disciplines
Instructors from UCLA, UCSF, and other UC campuses
Book Commissioned by UC PressBook Commissioned by UC Press
• In Justice and In Health: A New Era in Women’s Health and Empowerment
• First textbook/general book of its kind “marrying” disciplines of WH&E
• Executive editors: Shari Dworkin, Monica Gandhi, Paige Passano (Associate: Lindsey Zwicker)
• Chapter authors from global call for abstracts
WH&E Book ProjectWH&E Book ProjectFrameworkFramework
• 3 sections, 3 major tools of empowerment, each with chapters across life course– Section 1:Sociocultural and Educational
Interventions• Section editors: Dallas Swendeman/Paula Tavrow
– Section 2: Economic Interventions• Section editors: Shelley Grabe/Sheri Weiser
– Section 3: Systems Interventions • Section editors: Ndola Prata/ Joanna Weinberg
“Study after study has taught us that there is no tool more effective for development than the empowerment of women”
- Former UN Secretary General, Kofi Annan