Shilpa Drakshi on gender-based violence against women health workers in India
10 December 2024
As part of Women in Global Health’s 16 Days of Activism Against Gender-Based Violence (GBV) campaign, #WomenUnderFire, we spotlight Dr. Shilpa Drakshi, Assistant Professor at the School of Public Health, JSS University (Jagadguru Sri Shivarathreeshwara University, India), and a public health advocate deeply committed to addressing systemic issues faced by women health workers in India.
Witnessing Challenges Firsthand
“As a public health professional, over the years I have observed the numerous challenges that health workers in India face, particularly regarding gender-based violence. Through my extensive work with grassroots health initiatives, including the National Health Mission and various immunization campaigns, I have gained a deep understanding of the systemic issues that make women health workers vulnerable. These individuals, often the frontline defenders of public health in remote and underserved areas, are frequently subjected to harassment and violence.
They [Women health workers] endure long, arduous journeys on foot while carrying heavy registers, and are often too intimidated by the hierarchy to voice their concerns. This fear prevents them from speaking out about issues, as they find the system unaccommodating.
They struggle to maintain a work-life balance, often sacrificing their own health to meet their professional obligations. This not only affects their personal well-being but also hampers the overall effectiveness of health delivery.”
Harrowing Experiences of Women Health Workers
“In my role, I have encountered numerous instances where women health workers have shared their harrowing experiences of gender-based violence. These incidents range from verbal abuse to physical assaults, often perpetuated by the very communities they serve.
Despite their critical role in improving health outcomes, these workers face cultural and societal barriers that undermine their safety and dignity. The lack of adequate support systems and protective measures further exacerbates their plight, leading to a high turnover rate and a demoralized workforce. This issue is not just a matter of personal security but also one of public health, as the safety of health workers is intrinsically linked to the quality of care they can provide.”
A Call to Action
- Robust Policy Framework:
Establishing a robust policy framework that ensures the safety and protection of health workers, with strict penalties for perpetrators of violence and advocate for stronger laws and regulations specifically addressing violence against health workers. - Community Sensitization:
Conducting regular training programs to sensitize communities about the vital role of women health workers and implement awareness campaigns to educate the public on their value and contributions. - Support Network for Health Workers:
Establishing a support network that includes counseling services, legal assistance, and peer support groups to offer emotional, psychological, and legal support to health workers facing violence. - Workplace Safety Measures:
Developing and enforcing security protocols to protect health workers, especially those in high-risk areas, and implement confidential, accessible reporting mechanisms for incidents of violence without fear of retribution. - Training and Empowerment Programs:
Developing programs that empower women health workers with skills and knowledge to protect themselves, including offering self-defense training. - Collaboration with NGOs and Community Leaders:
Collaborating with non-governmental organizations (NGOs) and community leaders to create a supportive environment for health workers, engaging them to champion health worker safety and address cultural norms perpetuating violence.
“Addressing gender-based violence against health workers requires a comprehensive and multi-pronged approach. By implementing these actions, we can create a safer and more supportive environment for women health workers. This will enable them to continue their indispensable work without fear of violence or discrimination, ultimately leading to better health outcomes for the communities they serve. Ensuring the safety and well-being of these workers is not just a moral imperative but a critical component of a functional and effective health system.”
