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Gender

Embracing diversity through new LGBTI surveys in Thailand

Piotr Pawlak's picture
Photo: Talashow / Shutterstock


Social inclusion: a core development objective in its own right, the foundation for shared prosperity, and a major player in poverty alleviation.
 

 
As we observe the International Day for Tolerance this month, let’s remind ourselves that tolerance for diversity represents the first step on the path to social inclusion, and that diversity should not just be tolerated—it should be embraced and celebrated.
 
Yet, around the world, lesbian, gay, bisexual, transgender or intersex (LGBTI) people confront multifaceted challenges that prevent them from fully participating in markets, services, and spaces. In some countries, although tolerated, these groups are often at risk of increased discrimination, exclusion, violence, and other vulnerabilities. This robs them of dignity and prevents them from capitalizing on opportunities to lead a better life.
 
For instance, Thailand is a country with multiple regional linguistic, geographical and socio-economic diversities, natural beauty and historical riches, and many localized traditions and cultural practices. Often called the “Land of Smiles,” Thailand, in the eye of the outsider, is a paradise of tolerance, where many sexual orientations and gender identities/expressions are truly to be seen. However, while the demand and support for positive self-identity are growing in Thailand, people with diverse sexual orientations, gender expressions, and identities experience varying degrees of social inclusion.

Gender-based violence and HIV infection: Overlapping epidemics in Brazil

Kristin Kay Gundersen's picture

One woman is victimized by violence every 15 seconds in Brazil, with a total of 23% of all Brazilian women experiencing violence in their lifetime. There are many notable consequences affecting victims of gender-based violence, yet many health consequences of violence have not been widely addressed in Brazil. This leads to the question: Are victims of gender-based violence at a higher risk for HIV infection in Brazil?
 
Brazil has 730,000 people living with HIV, the largest number in Latin America and the Caribbean. Brazil is also one of 15 countries that account for 75% of the number of people living with HIV worldwide. Although the HIV epidemic in Brazil is classified as stable at the national level, incidence is increasing in various geographic regions and among sub-groups of women.
 
Rates of violence against women (VAW) are particularly high in the Southeastern and Southern regions of Brazil. These regions also have the highest HIV prevalence, accounting for 56% and 20% of all the people living with HIV in Brazil, respectively. Violence and HIV in Brazil are clearly linked, with 98% of women living with HIV in Brazil reporting a lifetime history of violence and 79% reporting violence prior to an HIV diagnosis.
 
Despite these statistics, there is limited research in Brazil examining VAW in relation to HIV. Accordingly, a bi-national collaboration of researchers from the University of California, San Diego, University of Campinas, São Paulo and the University of Rio Grande do Sul, Porto Alegre developed an innovative study to investigate these intersecting epidemics.
 
The focus of the study is in the regions of Brazil with the highest rates of VAW and highest prevalence of HIV: São Paulo in the Southeastern region and Porto Alegre in the Southern region.
 
The aims of the research were to describe the contextual factors of violence victimization among women in Brazil and to examine the association with HIV infection.
 
The study merged two population-based studies with identical sampling methodologies conducted in the São Paulo and Porto Alegre, Brazil. Women ages 18-49 years were sampled from public health centers, including 2,000 women from São Paulo and 1,326 from Porto Alegre. These women were administered surveys that gathered extensive data on violence victimization and social-ecological factors on access to preventative health services.

For Bangladeshi women, road maintenance brings better opportunities

Ashis Bhadra's picture
Bangladeshi women holding basket above their heads while working on road project. The Second Bangladesh Rural Transport Improvement Project interventions have created approximately 50,000 person-years of employment in project areas, out of which 30% were for poor women.
Bangladeshi women holding baskets above their heads while working on a road project. The Second Bangladesh Rural Transport Improvement Project has generated nearly 50,000 person-years of employment in project areas, out of which 30% were for poor women. Credit: World Bank

Not long after her husband suddenly died in 2012, Kunti Rabi Das struggled to put three square meals on the table for her family of three. Kunti, a member of the minority ethnic dalit community and living in the remote Rajnagar upazila under the Moulvibazar district of Bangladesh, simply didn’t have the means to produce enough to live on. Moreover, her prospects for any work that could support her family were dim.
 
That was her predicament until a Union Parishad (or village administrative council) representative introduce her to the Performance Based Maintenance Contract, or PBMC, program. Under PBMC, Kunti cleans drains, fills pits, clears minor blockades and plants trees on roadways near her home. Working six days a week, she earns up to 4,500 Taka per month.
 
The program provides a cost-effective and time-saving approach to keeping Bangladesh’s rural roads in optimal riding condition during every season. At the same time, it improves the lives and livelihoods of the country’s poorest women, who are given priority among other contractors vying for the work, according to the World Bank’s women’s empowerment principles.

Women in science: Africa needs more role models

Madiha Waris Qureshi's picture
There is inadequate encouragement of girls to pursue math and science in school. (Photo: Dominic Chavez/World Bank)

UNESCO estimates that barely 30 percent of Africa’s women pursue research in science and engineering fields. I am inspired by one of them – a woman who is among the few female PhDs in the West African nation of Togo, and is helping more girls in her country enroll into science and technology fields.

Visiting Ecuador’s very first metro

Sameh Wahba's picture
It’s easy for me to take public transport for granted: a mere 5 minutes’ walk from my office at the World Bank Headquarters, I have access to 2 metro stations served by 4 different lines that offer easy connections to many parts of the Washington DC area. There is a sense of comfort in knowing that, despite the occasional hiccups that we all love to complain about, metro provides a safe and reliable way for me to commute to work every day.
 
In Quito, Ecuador, many people don’t have that luxury. Granted, there is the notable Bus Rapid Transit (BRT) that operates high-frequency services on dedicated lanes and has significantly reduced travel time. But the system is already crowded, and has exceeded its capacity: during peak hours, each bus carries an average 175 passengers, well above the 165 maximum capacity leading to overcrowding due to a huge flow of passengers.
 
According to 2010 figures, Ecuadorians owned 71 vehicles per 1,000 inhabitants, significantly higher than countries like Bolivia, Nicaragua, Egypt, and Angola, which were respectively at 68, 57, 45, and 31 vehicles per 1,000 inhabitants. In 2010, the government introduced Road Space Rationing, a plan that aims to reduce traffic by limiting the number of vehicles on the road within a certain area based on license plate numbers. These are great initiatives, but more is needed in view of how fast Quito is growing.

Helping children survive and thrive: How toilets play a part

Claire Chase's picture



While child mortality rates have plummeted worldwide, nearly one-third of all children under 5 in developing countries are stunted. Children who are stunted (having low height-for-age) suffer from a long-term failure to grow, reflecting the cumulative effects of chronic deficits in food intake, poor care practices, and illness. The early years of life, especially the first 1,000 days, are critical; if a child’s growth is stunted during this period, the effects are irreversible and have lifelong and intergenerational consequences on their future human capital and potential to succeed.  
 
For the water and sanitation community the year 2009 marked a turning point in our understanding of the role that Water, Sanitation and Hygiene (WASH) has on child stunting. A provocative Lancet article (Humphrey 2009) put forth the hypothesis that a key cause of child stunting is asymptomatic gut infection caused by ingestion of fecal bacteria. Small children living in poor sanitary environments are especially at risk, through frequent mouthing of fingers and objects during exploratory play, playing in areas contaminated with human and animal feces and ingesting contaminated food and water (Ngure et al. 2013). Researchers now estimate that up to 43 percent of stunting may be due to these gut infections, known as environmental enteric dysfunction (EED) (Guerrant et al. 2013).
 
Just last week estimates were released suggesting that poor sanitation is the second leading cause of child stunting worldwide (Danaei et al. 2016). In a key departure from previous work, the researchers defined risk as the sanitation level of a community, rather than an individual. This is consistent with mounting evidence showing that a community’s coverage of sanitation is more important than any one household’s (Andres et al. 2013). Across different studies, data sets and outcomes the evidence consistently shows that a threshold of around 60–70 percent household usage within a community is needed before the health and nutrition benefits of sanitation begin to accrue. Studies that have focused on an individual’s toilet use as a predictor, rather than a community’s use, may have vastly underestimated the impacts (Hunter and Prüss-Ustün 2016).  
 
As we advance our understanding of the ways in which a poor sanitary environment impacts growth in small children, we can better design water and sanitation interventions to target these pathways. While there is a role for multi-sectoral interventions, which can simultaneously target the underlying determinants of child undernutrition, such as food security, access to health services, and childcare practices — there are ways that the water sector can adapt its own approaches so that they are more nutrition-sensitive, and more impactful on nutrition. Here are four key actions:

Why gender equality in doing business makes good economic sense

Cecile Fruman's picture

Photo Credit: Stephan Bachenheimer / The World Bank

Women today represent about 50 percent of the world’s population and, for the past two decades, about 50 percent of the labor force. Yet there are stark differences in the outcomes they achieve: Women are only half as likely as men to have a full-time wage-earning job. The women who do have paid jobs earn as much as one-third less than men. Fewer women than men are involved in trade or own registered companies. And women are more likely to work in low-productivity activities or informal employment.

There are many reasons for these outcomes, including socio-cultural norms, access to high-quality jobs, the lack of transport and the lack of child-care facilities. In many countries, such differences also continue to be written in the law. 
 
For the first time since it was launched in 2002, the World Bank Group’s annual Doing Business report this year added a gender dimension to its measures, including to the annual ranking on each country's ease of doing business. This is good news, since the report attracts the attention of policymakers worldwide. Global benchmarks and indicators are a powerful tool to raise awareness, motivate policy dialogue and, above all, inspire action by policymakers.
 
Ensuring that women have the same economic opportunities by law and in practice is not only a basic human right, it makes economic sense. A recent study estimates that achieving equality in economic opportunities for women and men could spur $28 trillion in world GDP growth by 2025 – about the equivalent of the size of the Chinese and U.S. economies combined.
 
Looking at gender differences when it comes to starting a business, registering property or enforcing contracts, Doing Business shows that 23 countries impose more procedures for women than men to start a business. Sixteen countries limit women’s ability to own, use and transfer property. And in 17 economies, the civil courts do not value a woman’s testimony the same way as a man’s.

This pattern might give the impression that such legal differences are really only an issue in a selected group of countries.  But Doing Business’ sister publication – Women, Business and the Law  tells us otherwise. The report analyzes gender parity in accessing institutions, using property, getting a job, providing incentives to work, building credit, going to court and, most recently, protecting women from violence. It finds that 90 percent of the 173 countries measured have at least one law impeding women’s economic opportunities. In 30 economies, there are 10 or more legal differences between men and women, predominantly across the Middle East and North Africa.
 
To counter this, there is ample evidence that those countries that have integrated women more rapidly into the workforce have improved their international competitiveness by developing export-oriented manufacturing industries that tend to favor the employment of women. Legal gender disparities are also associated with lower female school enrollment and labor-force participation.
 
There is some good news. The Women, Business and the Law 2016 report shows that, between 2013 and 2015, 65 economies made 94 reforms increasing gender parity. The World Bank Group’s Trade & Competitiveness Global Practice (T&C) – a joint practice of the World Bank and the International Finance Corporation (IFC) – works across the world to support governments as they design gender-informed and gender-neutral policies, and in many cases implement gender-targeted interventions to improve the business environment and expand market opportunities for women.

Addressing the urban sanitation crisis: Time for a radical shift

Martin Gambrill's picture

Co-authors:

The Bill & Melinda Gates Foundation – Jan Willem Rosenboom
The University of Leeds – Barbara Evans
Emory University – Christine Moe & Eduardo Perez
The World Bank – Sophie Trémolet, Valérie Sturm, Clémentine Stip
WaterAid – Andrés Hueso
Plan International – Darren Saywell

Children in Maputo, Mozambique 
Photo credit: 
Isabel Blackett/The World Bank

A successful city is economically and culturally vibrant, healthy, safe, clean and attractive to business and tourism, and provides quality of life to its citizens. This vision is appealing but remains hard to realize as developing cities have to cope with changing demographics and climate with limited financial and human resources. The sustainable development goals have given a new impetus for cities to be inclusive, safe, resilient and sustainable (SDG11), ensure citizens’ health and wellbeing (SDG3) and secure access to sustainable water and sanitation services (SDG6).

World Toilet Day on November 19th is the opportunity to remind ourselves of a few facts and propose a set of guiding principles for a renewed and revitalized urban sanitation agenda.

Working to address gender-based violence in fragile situations

Diana J. Arango's picture
World Bank Senior Gender-Based Violence and Development Specialist Diana J. Arango shares insights into her work to operationalize gender-based violence prevention and response in fragile settings.

Why is gender important for development in environments affected by fragility, conflict and violence (FCV), in the context of your work?

Even though we know that 35% of women in the world have experienced physical or sexual violence at the hand of an intimate partner or sexual violence at the hand of a non-partner, we have yet to fully understand the complexity and different manifestations of gender-based violence (GBV) experienced by women and girls in conflict. 
 
Photo: Shutterstock

We do know that women and girls experience increased violence, because of the breakdown in social fabric that regulates the use of violence, the lack of security and services, and the reality of being forcibly displaced and living in areas where there is no protection. UNHCR estimates that globally, women and girls comprise about half of internally displaced or stateless populations.
 
We are learning that the Syrian crisis has led to increases in early marriage, and has severely limited women’s mobility. Girls are not given access to education because they are not allowed to leave their homes. Women in Iraq who are widowed enter into temporary marriages to collect dowry and provide food and shelter for their families. While in these temporary marriages, they are often sexually and physically assaulted. 
 
The increased vulnerability of women and girls in FCV and the entrenchment of norms and attitudes that contribute to violence and eat away at women’s autonomy are reasons why it is especially important to always bear in mind how FCV affects women and men, girls and boys differently. 
 
Tell us about your experience working in this area.
 

I led the creation of the Violence Against Women and Girls Resource Guide which was developed and launched in partnership with the Global Women’s Institute (GWI) at George Washington University, and the Inter-American Development Bank in 2014. The International Center for Research on Women (ICRW) joined the partnership in June 2015.
 
The guide was created to provide basic information on the characteristics and consequences of violence against women and girls, including operational implications. It offers guidance on how to integrate prevention and the provision of quality services to violence survivors within a range of sectoral projects. The guide highlights potential entry points and partners to engage with, while recommending strategies for integrating violence against women and girls into policies and legislation, sector programs and projects. The guide gathers existing global evidence and emerging promising practices, including those implemented by several teams across the World Bank.
 
In addition, we are partnering with the Sexual Violence Research Initiative out of the Medical Research Council of South Africa to address the dearth of evidence. The Development Marketplace for Innovations to Prevent Gender-Based Violence is funding innovation in GBV prevention and response around the world -- including in FCV countries. Two of the nine projects we funded last year are working with Syrian refugees in Lebanon and Turkey. The funding in Lebanon, for example, will help us better understand the drivers of early marriage and how men, women, boys and girls understand this phenomenon. This information will give us the data we need to design an intervention to address the root causes of early marriage.
 
How can we take this agenda forward?
 
The new World Bank Group Gender Strategy and commitments under the International Development Association (IDA) give us the opportunity to continue our research and improve our understanding of the different ways in which FCV affects women and men. We can also integrate into our operations measures to address GBV and increase economic opportunities as well as access to labor markets for women, while also increasing access to assets and services.
 
I hope to use my experiences of working for almost a decade in humanitarian settings and GBV to provide technical support and share examples of evidence-based interventions that we can use across the World Bank’s programs in FCV to help women and girls in these environments.
 

A tale of two disasters: Communities connecting and learning from each other

Margaret Arnold's picture
Community members from Nepal learn how to make paper jewelry crafts from Ibasho-Japan elders.
Community members from Nepal learn how to make paper jewelry crafts from Ibasho-Japan members. 
(Photo: Margaret Arnold / World Bank)
In the aftermath of the earthquake that struck Nepal in April 2015, Santoshi Rana of Bihani, a social venture working with elderly community members in Kathmandu, noticed that many efforts engaged the youth in relief and recovery activities. “Our elderly were completely left out of the equation, and were treated as passive beneficiaries in need of care.” So she took to the Internet to see what resources she could find. She came across a World Bank-Global Facility for Disaster Reduction and Recovery (GFDRR) report, “Elders Leading the Way to Resilience,” which assessed the impact of Ibasho café, an elder-led recovery effort in Ofunato, Japan, following the Great East Japan Earthquake (GEJE) in 2011.

Ibasho: a Japanese approach to community resilience

In Ofunato, elder community members planned and built the Ibasho Café, which serves as a hub to restore the fabric of a community badly damaged by the GEJE disaster. Ibasho Café is an informal gathering place that brings the community together. All generations connect in that space, with children coming to read books in the English library, older people teaching the young how to make traditional foods, younger people helping their elders navigate computer software, etc. With the elderly actively engaged in the operation of the Ibasho café, the place helps build social capital and resilience, while changing people’s mindsets about aging. The café runs as a sustainable business and, over time, has developed a noodle shop, an organic farm, and a farmers market to further support its operation.

In 2014-2015, GFDRR supported the documentation of the Ibasho experience in Japan. Learning about this experience, Santoshi realized the elders and women of her community could also lead the way, and reached out to Emi Kiyota, head of Ibasho, the NGO that facilitated the process in Ofunato.

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