USAID
Gender integration is a critical component of the Eradicate Tuberculosis (TB) project, operating in six provinces in Zambia.
2017 · 57 pages

Abstract
The project aims to increase the number of individuals screened for TB by 50 percent and the TB treatment success rate to 85 percent or higher in the target provinces. To achieve these objectives, the project addresses gaps in health-seeking behaviors and effectively addresses barriers that lead to late presentation and poor outcomes. The project adopts a gender-aware approach, emphasizing the need for gender-sensitive activities and monitoring and evaluation (M&E) approaches. The gender integration strategy is guided by the United States President's Emergency Plan for AIDS Relief (PEPFAR) definition of gender as a culturally-defined set of economic, social, and political aspects, including responsibilities, rights, obligations, and power relations between women and men. The project identifies and addresses gender-based cultural norms, cultural norms, and behaviors that contribute to TB stigma. These include gender dimensions of TB stigma related to HIV, traditional beliefs regarding the causes of TB, and social costs of TB for women. The project also examines male gender norms and behaviors, gender roles, responsibilities, and time-use, patterns of decision-making, and access to assets, employment, and employment-related services. The project aims to increase household income and improve food security through sustainable agriculture practices. The project also addresses TB/HIV and MDR-TB needs of poor and vulnerable populations, engages care providers, and enables and promotes research. The project's gender integration strategy involves identifying and addressing gender inequalities during strategy and project implementation and monitoring. The project uses a gender-sensitive approach to address the health-seeking behaviors of both males and females and effectively address barriers that lead to late presentation and poor outcomes. The project's M&E approach is guided by the PEPFAR definition of gender and USAID's operational policy on gender integration. The project's gender analysis reveals that women-headed households show higher adoption rates for certain practices, except for mechanical land preparation. The project's gender integration strategy is guided by the PEPFAR definition of gender and USAID's operational policy on gender integration. The project's approach emphasizes the importance of gender-sensitive activities and M&E approaches. The project's findings indicate that addressing gender-based cultural norms, cultural norms, and behaviors is critical to reducing TB stigma and improving health outcomes. The project's gender integration strategy involves identifying and addressing gender inequalities during strategy and project implementation and monitoring. The project's approach emphasizes the importance of gender-sensitive activities and M&E approaches. The project's findings indicate that addressing gender-based cultural norms, cultural norms, and behaviors is critical to reducing TB stigma and improving health outcomes.
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