Systems thinking in COVID-19 recovery is urgently needed to deliver sustainable development for women and girls.
Systems thinking in COVID-19 recovery is urgently needed to deliver sustainable development for women and girls.
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DOI：
10.1016/s2542-5196(21)00232-1
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发表时间：
2021-12
期刊：
影响因子：
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通讯作者：
Grugel J
中科院分区：
文献类型：
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作者：
Omukuti J;Barlow M;Giraudo ME;Lines T;Grugel J
在低收入和中等收入国家，例如撒哈拉以南非洲和拉丁美洲的国家，COVID-19 大流行对妇女的福祉产生了重大影响。针对 COVID-19 大流行的政策反应凸显了大流行的性别方面；然而，要全面有效地解决 COVID-19 大流行对性别的影响，需要从地球健康角度出发，对不平等问题进行系统思考。本观点基于作者对 2020 年 6 月至 2021 年 6 月期间国际和区域组织以及各国政府在拉丁美洲和撒哈拉以南非洲地区的 COVID-19 应对措施进行的研究的集体反思。自大流行开始以来，一系列国际和区域行动者提出了重要的政策建议，以解决 COVID-19 大流行对妇女健康和福祉的性别影响。然而，在撒哈拉以南非洲和拉丁美洲，国家层面对 COVID-19 大流行的政策反应在性别方面是片面且不一致的，很大程度上未能认识到性别健康不平等的多重驱动因素。该观点提出，解决 COVID-19 大流行对低收入和中等收入国家妇女的影响应采用系统思维方法，并了解谁受到影响而不是谁被感染的问题。通过采用系统思维方法，应对措施将能够更好地认识和解决这一流行病的直接性别影响，以及通过长期存在的结构性不平等和对这一流行病的性别应对措施相结合而间接产生的影响。
In low-income and middle-income countries, such as those in sub-Saharan Africa and Latin America, the COVID-19 pandemic has had substantial implications for women's wellbeing. Policy responses to the COVID-19 pandemic have highlighted the gendered aspect of pandemics; however, addressing the gendered implications of the COVID-19 pandemic comprehensively and effectively requires a planetary health perspective that embraces systems thinking to inequalities. This Viewpoint is based on collective reflections from research done by the authors on COVID-19 responses by international and regional organisations, and national governments, in Latin America and sub-Saharan Africa between June, 2020, and June, 2021. A range of international and regional actors have made important policy recommendations to address the gendered implications of the COVID-19 pandemic on women's health and wellbeing since the start of the pandemic. However, national-level policy responses to the COVID-19 pandemic have been partial and inconsistent with regards to gender in both sub-Saharan Africa and Latin America, largely failing to recognise the multiple drivers of gendered health inequalities. This Viewpoint proposes that addressing the effects of the COVID-19 pandemic on women in low-income and middle-income countries should adopt a systems thinking approach and be informed by the question of who is affected as opposed to who is infected. In adopting the systems thinking approach, responses will be more able to recognise and address the direct gendered effects of the pandemic and those that emerge indirectly through a combination of long-standing structural inequalities and gendered responses to the pandemic.