Data for: Synthesis of Findings from the Literature and a Qualitative Research Study on the Impacts of Gender, Disability, and Ethnicity in Neglected Tropical Diseases Programs
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<h3>Project Overview</h3><p>The United States Agency for International Development’s (USAID) Act to End Neglected Tropical Diseases (NTDs) | West (Act | West) program is a five-year USAID-funded cooperative agreement that seeks to eliminate or control five NTDs (lymphatic filariasis, trachoma, onchocerciasis, schistosomiasis, soil-transmitted helminths) in 11 West African countries: Benin, Burkina Faso, Cameroon, Ghana, Guinea, Ivory Coast, Mali, Niger, Senegal, Sierra Leona and Togo. The program – managed as a consortium of partners, with FHI 360 as the overall lead – supports national governments to roll out mass drug administration (MDA) campaigns to treat all eligible individuals in an affected community with drugs that both treat the disease in those who are infected, as well as protect those who aren’t from future infection. These campaigns are primarily carried out by community drug distributors (CDDs) who are trained by government health teams to raise awareness of NTDs and the drugs used to treat them, as well as ensure all eligible individuals participate in the MDA campaigns.</p><p>As a way to ensure the program is equitably addressing the needs of men, women, boys and girls with NTD control and elimination activities, Act | West conducted a gender and social inclusion (GESI) analysis study in 2019 to determine how NTDs differentially impact various populations and how gender and social norms and power differentials between men and women might impact results, with a view to informing future NTD programming, integrating elements to explicitly advance gender equality and social inclusion. The GESI analysis took an intersectional approach, looking not just at how gender norms and roles impact various components of NTD programming, but also looking at ethnicity, geographic context, urban vs. rural, and disability.</p><p>The objectives of the gender and social inclusion analysis were to identify the following:<ul><li>How neglected tropical diseases (NTDs) might differentially impact women, men, and school-aged children 6-15 years old, recognizing intersectionality such as disability, ethnicity, etc.;</li><li>How gender norms, roles, and power dynamics, including social exclusion of people with disabilities, might affect the attainment of program results; and</li><li>How program activities might advance gender equality and social inclusion and promote sustainable health outcomes in the context of NTD control and elimination programming.</li></ul></p>
<h3>项目概述</h3><p>美国国际开发署（United States Agency for International Development, USAID）发起的“消除被忽视热带病西部行动（Act | West）”项目，是一项由USAID资助的五年期合作协议，旨在在11个西非国家——贝宁、布基纳法索、喀麦隆、加纳、几内亚、科特迪瓦、马里、尼日尔、塞内加尔、塞拉利昂、多哥——消除或控制5种被忽视热带病（Neglected Tropical Diseases, NTDs）：淋巴丝虫病、沙眼、盘尾丝虫病、血吸虫病、土源性蠕虫病。本项目由多方伙伴联盟管理，FHI 360担任总牵头机构，支持各国政府开展大规模药物给药（mass drug administration, MDA）活动，为受影响社区内所有符合条件的人群施用治疗药物：此类药物既可治愈已感染者的病症，也可保护未感染者免受未来感染。此类给药活动主要由社区药物分发员（community drug distributors, CDDs）执行，他们经政府卫生团队培训，负责宣传被忽视热带病及其治疗药物，并确保所有符合条件的人群参与MDA活动。</p><p>为确保项目能公平满足受NTD影响的男性、女性、男孩与女孩的防控与消除需求，Act | West于2019年开展了性别与社会包容性（gender and social inclusion, GESI）分析研究，以厘清被忽视热带病对不同人群的差异化影响，以及性别规范、社会差异与男女权力失衡可能如何影响项目成效，旨在为未来的NTD项目提供决策参考，并纳入相关元素以明确推进性别平等与社会包容性。本次GESI分析采用交叉性研究方法，不仅考察性别规范与角色如何影响NTD项目的各个实施环节，还同步考量了种族、地域背景、城乡差异以及残疾状况等多元交叉因素。</p><p>本次性别与社会包容性分析的目标如下：<ul><li>明确被忽视热带病可能如何对女性、男性以及6-15岁学龄儿童造成差异化影响，并兼顾残疾、种族等交叉性身份维度；</li><li>明确性别规范、角色与权力动态（包括对残疾人的社会排斥）可能如何影响项目目标的达成；</li><li>明确在NTD防控与消除项目框架下，项目活动可如何推进性别平等与社会包容性，助力实现可持续的健康成果。</li></ul></p>
