Abstract
Claire Somerville uses the feminist concept of gendered institutions to view how labour is divided in global health. Her starting position is that global health and its constituent networks and institutions are gendered entities acting within a neoliberal environment, which helps explain why and how they are ordered. Her analysis helps explain why popular mechanisms to promote gender parity found within gender mainstreaming approaches can become co-opted and defanged by patriarchal institutions.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Understood here to be constructed through targets, parity goals, quotas, gender trainings, performance indicators, gender budgeting, monitoring, or any number of other gender mainstreaming technologies of governance (Prugl, 2011).
- 2.
The use of institutions and their networks is intentional. The politics and exercise of power in geopolitical constellations are shown in the literature to determine global health agendas and prioritizations (Shiffman et al., 2016; Shiffman & Smith, 2007, etc.), but to date no theorizing or evidence around the gendered dimensions, let alone the place of women, in such networks has been forthcoming. For this reason, I include as global health not only its institutions—old and new—but also the emergence of global health networks and their functioning that politically prioritize the global health agenda (Shiffman et al., 2015, 2016; Heller et al., 2019).
- 3.
At the Fourth United Nations World Conference on Women, 189 member states unanimously agreed the Beijing Declaration and Platform for Action that prioritized gender mainstreaming as a mechanism to achieve gender equality.
- 4.
This line of argument is in reference to Fraser’s theorizing on the globalizing financialized capitalism of the third regime of capitalism, the crisis of care, and role of “affective labour” and care work.
- 5.
The economic, political, and ideological neoliberalization of global health, it is argued, drives inequities.
- 6.
Interviews conducted by Somerville during 2017–2018.
References
Acker, J. (1990). Hierarchies, jobs, bodies: A theory of gendered organizations. Gender and Society, 4(2), 139–158.
Acker, J. (1992). From sex roles to gendered institutions. Contemporary Sociology, 21(5), 565–567.
Acker, J. (2006). Inequality regimes: Gender, class, and race in organizations. Gender and Society, 20(4), 441–464.
Bell, K., & Green, J. (2016). On the perils of invoking neoliberalism in public health critique. Critical Public Health, 26(3), 239–243.
Bergeron, S. (2003). The post-Washington consensus and Economic Representations of Women in Development at the World Bank. International Feminist Journal of Politics, 5(3), 397–419.
Bradshaw, S., Linneker, B., & Sanders-McDonagh, E. (2019). It’s gender Jim, but not as we know it…A critical review of constructions of gendered knowledge of the Global South. European Journal of Women’s Studies, 1–17.
Clinton, C., & Sridhar, D. (2017). Governing global health: Who runs the world and why? Oxford University Press.
Connell, E. (2019). New maps of struggle for gender justice: Rethinking feminist research on organizations and work. Gender, Work and Organization, 25, 54–63.
Cornwall, A., Gideon, J., & Wilson, K. (2008). Introduction: Reclaiming feminism: Gender and neoliberalism. IDS Bulletin, 39(6), 1–19.
Downs, J., Reif, K., & Fitzgerald, D. (2014). Increasing women in leadership in global health. Academic Medicine, 89(8), 1103–1107.
Doyal, L. (2002). Putting gender into health and globalisation debates: New perspectives and old challenges. Third World Quarterly, 23(2), 233–250.
Frazer, N. (2009). Feminism, capitalism and the cunning of history. New Left Review, 56.
Goetz, A. M. (1997). Getting institutions right for women. Zed Books.
Guy, M., & Fenley, V. (2013). Inch by inch: Gender equality since the Civil Rights Act of 1964. Review of Public Personnel Administration, 34(1), 40–58.
Harding, S. (1986). The science question in feminism. Cornell University Press.
Hay, K., McDougal, V., Henry, S., Wurie, H., et al. (2019). Disrupting gender norms in health systems: Making the case for change. Lancet, 393(10190), 2535–2549.
Heller, O., Somerville, C., Suggs, S., Lachat, S., Piper, J., Pastrana, J., Correia, J., Miranda, J., & Beran, D. (2019). The process of prioritization of non-communicable diseases in the global health policy arena. Health Policy and Planning, 34(5), 370–383.
Kanter, R. (1977). Men and women of the corporation. Basic Books.
Keshavjee, S. (2014). Blind sport: How neoliberalism infiltrated global health. University of California Press.
Mastracci, S., & Arreola, V. (2016). Gendered organizations: How human resource management practices produce and reproduce administrative man. Administrative Theory and Praxis, 38(2), 137–149.
Nightingale, F. (1860). Notes on nursing. D. Appleton & Company. http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html
Packard, R. (2016). A history of global health: Interventions into the lives of other peoples. Johns Hopkins University Press.
Prugl, E. (2011). Diversity management and gender mainstreaming as technologies of government. Politics and Gender, 7(1), 71–89.
Prugl, E. (2014). Equality means business: Governing gender through public-private partnerships. Review of International Political Economy, 21(6), 1137–1167.
Prugl, E. (2016). Neoliberalism with a feminist face: Crafting a new hegemony at the World Bank. Feminist Economics, 23(1), 30–53.
Risman, B., & Davis, G. (2013). From sex roles to gender structure. Current Sociology, 61(5), 733–755.
Schrecker, T. (2016). Neoliberalism and health: Linkages and the dangers. Sociology Compass, 10(10), 952–971.
Scott, J. (1986). Gender: A useful category of historical analysis. The American Historical Review, 91(5), 1053–1075.
Shakow, A., Yates, R., & Keshavjee, S. (2018). Neoliberalism and global health. In S. Cahill, M. Cooper, M. Kongings, & D. Primose (Eds.), The Sage handbook of neoliberalism. SAGE.
Shiffman, J., & Smith, S. (2007). Generation of political priority for global health initiatives: A framework and case study of maternal mortality. Lancet, 370, 1370–1379.
Shiffman, J., Quissell, K., Schmitz, H. P., Pelletier, D., Smith, S., Berlan, D., Gneiting, U., Van Slyke, D., Mergel, I., Rodriguez, M., & Walt, G. (2015). A framework on the emergence and effectiveness of global health networks. Health Policy and Planning, 21(1), i3–i16.
Shiffman, J., Schmitz, H. P., Berlan, D., Smith, S. L., Quissell, K., Gneiting, U., & Pelletie, D. (2016). The emergence and effectiveness of global health networks: Findings and future research. Health Policy and Planning, 31(1), 110–123.
Talib, Z., Burke, K., & Barry, M. (2017). Women leaders in global health. The Lancet Global Health, 5(6).
Reports
United Nations. (2017). System-wide strategy on gender parity. Retrieved from https://www.un.int/sites/www.un.int/files/Permanent%20Missions/delegate/17-00102b_gender_strategy_report_13_sept_2017.pdf
The Global Health 50/50. (2019). Report: Equality works. Retrieved from www.globalhealth5050.org
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Somerville, C. (2022). Gendered Institutions in Global Health. In: Morgan, R., Hawkins, K., Dhatt, R., Manzoor, M., Bali, S., Overs, C. (eds) Women and Global Health Leadership. Springer, Cham. https://doi.org/10.1007/978-3-030-84498-1_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-84498-1_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-84497-4
Online ISBN: 978-3-030-84498-1
eBook Packages: MedicineMedicine (R0)