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					Women’s Health & Empowerment Center of
   Vision: We envision a world in which all women and girls
   are empowered and healthy.
   Mission: Our mission is to promote justice, equity and
   scientific advances to reduce gender and health disparities
            COE Vision of Empowerment

Empowerment is the ABILITY to
ACT on choices, involving
three related processes:
1.   Address causes of

2.   Improve women’s access to and
     control over current and future
     resources; and

3.   Use improved access to resources
     & decision-making to achieve
     individual and collective well-being
     and health.
Women’s Health & Empowerment Organization

                                  UC Global Health Institute
                                  WHE Leadership Core
   Steering        WHE Co-Directors:        Craig Cohen, MD, MPH (UCSF)
  Committee                                 Paula Tavrow, PhD, MSc, MALD        COE Coordinator
  Focal points                              (UCLA)                          Lindsey Zwicker, JD, MPP
  from each of
  the campuses     Co-Director Alternates: Nancy Milliken, MD (UCSF)
                                            Lara Stemple, JD (UCLA)
                   Education Representative: Amy Levi, CNM, PhD (UCSF)
                   Standing Committee Co-Chairs

       Education               Research               Knowledge
                                                     Dissemination            Fundraising and
      Committee               Committee                                        Partnerships
 Co-chairs: Amy Levi,                                                           Committee
                          Co-chairs: Shari        Co-chairs: Monica
 CNM, PhD (UCSF),         Dworkin, PhD (UCSF),                             Chair: Philip Darney, MD,
                                                  Gandhi, MD, MPH
 Deborah Mindry, PhD      Ndola Prata, MD, MPH                             MSc (UCSF)
                                                  (UCSF), Paige
 (UCLA)                   (UCB)                   Passano, MPH (UCB)

 Student Committee
  Women’s Health & Empowerment Goals

 Advancing sexual and reproductive
  health and rights

 Safe motherhood

 Reducing violence against women

 Family planning and reproductive
  health technologies

 HIV/AIDS prevention, care and

 Reduction of environmental threats to
    Women’s Health & Empowerment
       Contribution to the Field
Key Components                      Inter-Disciplinary Approach

• Focus on the interplay and        Health Sciences
  interconnectedness of women’s      Medicine
  empowerment and health             Public Health
                                     Nursing & Midwifery
• Conduct research on women’s       Empowerment Sciences
  empowerment and health;            Anthropology
  connect research with education
                                     Law
  and training of new leaders
                                     Sociology
                                     Arts & Culture
                                     Psychology
                                     Political science

em·pow·er (m-pour) tr.v. em·pow·ered,
 em·pow·er·ing, em·pow·ers:
1. To invest with power, especially legal power or
 official authority
2. To equip or supply with an ability; enable
       U.N. Agency Definition after ICPD:

―Women's empowerment has five components:
1. Women's sense of self-worth;
2. Their right to have and to determine choices;
3. Their right to have access to opportunities and
4. Their right to have the power to control their own lives,
   both within and outside the home; and
5. Their ability to influence the direction of social change
   to create a more just social and economic order,
   nationally and internationally.‖
      Key Domains / Dimensions of
        Women’s Empowerment
          Levels of Empowerment






Measuring Women’s Empowerment
          Social and Cultural Measures
 Mobility/Freedom of movement*
 Social capital
 Membership in an association
 Ability to interact in the public sphere
 Public status
 Participation in non-family groups
 Attitudes about gender roles
 Acceptability of IPV and refusing sex

* Most frequently used in the literature
                    Familial / Interpersonal
 Household decision-making power*
 Pulerwitz sexual relationship power scale (SRPS)*
 Age at first birth
 Control over spouse selection
 Natal family support
 Living with in-laws
 Inter-spousal differences—education, age
* Most frequently used in the literature
                    Economic Measures

 Control over earnings*
 Access to and control of family resources*
 Having a bank account
 Access to credits
 Ownership of assets and land
 Relative contribution to family support
* Most frequently used in the literature
               Legal Measures

Knowledge of legal rights

Inheritance law

Land rights

Laws against GBV

Access to and control over land
              Political Measures

Ability to exercise the right to vote

Knowledge of political system

Representation in local/regional government

Participation in public protests and political
        Psychological Measures


Psychological well-being

Research Projects
Family AIDS Care and Education Services
        Family-focused HIV
         prevention, care and
         treatment program in Nairobi
         and Nyanza Province

        Began in 2004

        UCSF/KEMRI collaboration

        President’s Emergency Plan
         for AIDS Relief (PEPFAR)/CDC

        Partners with Provincial &
         District Ministries of Health

        Platform for implementation
FACES Sites as of Dec. 2010

                Nyanza Province

                   Kisumu (17 sites)

                   Suba (42 sites)

                   Rongo (14 sites)

                   Migori (44 sites)

                Nairobi (2 sites)

Enrollment in HIV Care & Treatment
                                      FACES Patient Enrollment & ART Scale Up Over Time







                        Mar '05   Dec '05   Dec '06   Dec '07     Dec '08     Dec '09   Jun '10    Sep '10   Dec '10

                                                      Cumulative HIV Care Enrolment     Cumulative ART

FACES-affiliated Research Projects
     Integration of family planning services
      into HIV Care and Treatment

     Integration of HIV Care and Treatment
      into MCH

     Cervical cancer screening and
      treatment in HIV-infected women

     Formative research for gender-based
      violence intervention

     Agricultural intervention for food
      security and HIV health outcomes,
      Shamba Maisha
          Shamba Maisha Objective
 Test hypothesis that multisectoral agricultural
  intervention leads to improved health of families living
  with HIV.
Shamba Maisha: Model
Education and Knowledge Dissemination
            Key Initiatives
    Postdoctoral Fellowship in Women’s Health
                 & Empowerment
Principle Invesitgators:
    Craig Cohen, MD, MPH (UCSF)
          Professor in the UCSF Department of
           Obstetrics, Gynecology and
           Reproductive Sciences

    Lara Stemple, JD (UCLA)
         Director of Graduate Studies and
          Director of the Health and Human
          Rights Law Project at UCLA School of

The Fellows:
    Karuna S. Chibber, DrPH, MHS, MA (UCSF)

    Emily Nagisa Keehn, JD (UCLA)

    Deborah Mindry, PhD (UCLA)

    Manisha Munshi, JD (UCLA)

    Ushma Upadhyay, PhD, MPH (UCSF)
     Women’s Health & Empowerment and
        UCSF GHS Masters program
 UCSF Global Health Sciences (GHS) Masters started 2008-09

 One of kind in U.S.: 7 students (’08-’09) to 18 (’09-’10) to 30 (’10-
  ’11), just matriculated 34

 ¾ students express interest in WH&E; ½ of ’10-’11 students with
  related fieldwork

 CoE inserting WH&E discipline into GHS MS
    year long elective course
    fieldwork projects
    mentoring
 Intensive, two-week, 4-credit interdisciplinary program
  (UCLA Aug 22-Sept 2)
 Open to incoming and current graduate or professional
  students in any discipline
 Will provide students interested in improving women’s
  health and well-being with knowledge and skills from
  several disciplines
 Instructors from UCLA, UCSF, and other UC campuses
Book Commissioned by UC Press
• In Justice and In Health: A New Era in Women’s Health
  and Empowerment

• First textbook/general book of its kind ―marrying‖
  disciplines of WH&E

• Executive editors: Shari Dworkin, Monica Gandhi, Paige
  Passano (Associate: Lindsey Zwicker)

• Chapter authors from global call for abstracts
     WH&E Book Project
• 3 sections, 3 major tools of empowerment,
  each with chapters across life course
  – Section 1:Sociocultural and Educational
    • Section editors: Dallas Swendeman/Paula Tavrow
  – Section 2: Economic Interventions
    • Section editors: Shelley Grabe/Sheri Weiser
  – Section 3: Systems Interventions
    • Section editors: Ndola Prata/ Joanna Weinberg
“Study after study has taught us that there is
  no tool more effective for development
  than the empowerment of women”
 - Former UN Secretary General, Kofi Annan
                    Thank you
UCGHI, Center of Expertise in Women’s Health & Empowerment:

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