Handbook on Gender and Health
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Handbook on Gender and Health

Edited by Jasmine Gideon

This Handbook brings together a groundbreaking collection of chapters that uses a gender lens to explore health, healthcare and health policy in both the Global South and North. Empirical evidence is drawn from a variety of different settings and points to the many ways in which the gendered dimensions of health have become reworked across the globe.
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Chapter 24: Citizen monitoring: promoting health rights among socially excluded women in Andean Peru

Jeannie Samuel


This chapter explores the complexities of social inclusion and exclusion in health care. It presents a study of a group of indigenous women in Peru who act as ‘citizen monitors’ using a human rights-based approach to health. The monitors document and confront problems that indigenous health users face with discrimination, cultural insensitivity, poor treatment and illegal charges for services in public health care facilities. The study findings suggest that measures taken by the citizen monitors can help to address these problems. However, systemic deficiencies, including underfunding, poor management and neglect, are characteristic of the health system’s weakest segment which serves the monitors’ communities. These systemic issues underlie many of the problems identified by the monitors.

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