02280nas a2200265   4500000000100000008004100001100001500042700001800057700001100075700001500086700001300101700001400114700001400128700002100142700001600163700001700179700001400196700001400210245011900224856008300343300001200426490000600438520155600444022001402000       2017                            d1 aTheobald S1 aMacpherson EE1 aDean L1 aJacobson J1 aDucker C1 aGyapong M1 aHawkins K1 aElphick-Pooley T1 aMackenzie C1 aKelly-Hope L1 aFleming F1 aMbabazi P00a20 years of gender mainstreaming in health: lessons and reflections for the neglected tropical diseases community.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687534/pdf/bmjgh-2017-000512.pdf  ae0005120 v23 a<p>Neglected tropical diseases (NTDs) affect the poorest of the poor. NTD programmes can and should rise to the challenge of playing a part in promoting more gender equitable societies. Gender equity shapes poverty and the experience of disease in multiple ways; yet to date, there has been little attention paid to gender equity in NTD control efforts. Drawing on a synthesis of relevant literature, the tacit knowledge and experience of the authors, and discussions at a meeting on women, girls and NTDs, this analysis paper distills five key lessons from over 20 years of gender mainstreaming in health. The paper links this learning to NTDs and Mass Drug Administration (MDA). Our first lesson is that tailored gender frameworks support gender analysis within research and programming. We present a gender review framework focusing on different MDA strategies. Second, gender interplays with other axes of inequality, such as disability and geographical location; hence, intersectionality is important for inclusive and responsive NTD programmes. Third, gender, power and positionality shape who is chosen as community drug distributors (CDDs). How CDDs interact with communities and how this interface role is valued and practised needs to be better understood. Fourth, we need to unpack the gender and power dynamics at household level to assess how this impacts MDA coverage and interactions with CDDs. Finally, we need to collect and use sex disaggregated data to support the development of more equitable and sustainable NTD programmes.</p>
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