December 07, 2022
Globally, some women face issues with lack of contraception and societal pressures, which result in some women becoming pregnant before they are ready. In fact, in 2019, 200 million women who did not want a pregnancy had no access to modern contraception.45
On the flip side, some women struggle with conceiving because of fertility issues. Some countries also have restrictive fertility options due to limiting surrogacy and egg-freezing laws. Women facing involuntary childlessness may deal with shame and anxiety, especially in cultural settings where family lineage is a source of pride and inheritance rights are important.46 The journey of engaging in fertility treatment options like in vitro fertilization( IVF), egg-freezing and surrogacy is time intensive, costly and mentally and emotionally taxing, especially in a culturally and politically restrictive environment. For example, in Australia, commercial surrogacy whereby the surrogate mother makes a profit from the surrogacy is illegal in most Australian states and territories while altruistic surrogacy is legal in most Australian states and territories.47
Menstruation and menopause impact the physical and emotional health of women. While menstruating, some women experience intense physical pain such as cramping and nausea, which is more intense for women with conditions like endometriosis or premenstrual dysphoric disorder (PMDD).48 For women experiencing menopause, their stress and anxiety levels may be higher than usual, and they may be perceived or stereotyped as being “emotional” or “erratic,” labels that could affect their work relationships and induce feelings of guilt or shame.49,50
Both menopause and menstruation are sometimes met with stigma and misunderstanding in the workplace, where women at times feel ashamed taking days off or discussing their challenges with their managers or supervisors.48 A survey found that one in five women in the U.S. left or were considering leaving their job due to menopause symptoms.51 Affordability regarding menstrual products may also pose a challenge that can limit the ability to manage periods, leading to some discomfort in leaving one’s home and navigating public spaces like the workplace. Scotland is the first country to offer period products free of charge on a national scale, and, countries like New Zealand and Kenya distribute free period products in public schools.52
Also, some countries like Japan, Taiwan, Indonesia, South Korea and Zambia have menstrual leaves legislated, while countries like Spain are considering a menstrual leave policy to help address issues concerning time off to tend to menstrual-related needs.53,54 In 2021, the U.K’s Minister for Employment and various U.K. organizations developed a comprehensive report with an analysis on menopause in the workplace and proposed recommendations for the government and workplaces.55 Recommendations included nominating a menopause ambassador on behalf of the government to represent the interests of people experiencing menopause transition and offering employer menopause awareness trainings to combat bias and harassment toward people experiencing menopause. Overall, different countries are increasingly recognizing the importance of supporting women’s reproductive health through financial, leave and awareness support.
What Can Employers Do to Reinforce Their Commitment to Supporting Women’s Reproductive Health?
- Champion policies for women to take time off for the continuum of health needs throughout their life cycle.
- Create a supportive, open and communicative culture that encourages women to use leave and flexible work arrangements to attend necessary appointments, schedule procedures and discuss their experiences and needs. This may include developing employee resource groups (ERGs) and inviting speakers on menopause and menstruation to help foster communities and educational awareness that can address stigma surrounding these topics and increase comfort levels during experience sharing.
Learn more in our related resource:
- Offer essential health items, such as free menstrual products, to reduce lost work hours and relieve stress.
- Implement a “cool room” (a room at a cool temperature) for employees with menopause who may experience hot flashes.
- Review your plan design with a lens toward prioritizing fertility care and family planning to align with inclusion and equity goals. Take into consideration related financial and mental impacts.
- Consolidate resources into one guide that is a “one stop shop” for all available resources, making it easy and digestible to navigate.
- Offer virtual health services to help employees navigate fertility care.
Inclusivity in Women's Health: Transgender and Nonbinary Self-Identifying Individuals
When thinking of inclusivity in women’s health, it’s important to keep in mind transgender and non-binary individuals who are assigned female at birth; these individuals need health services like Pap smears and gynecology-related care.56 Employers themselves and through their partnerships with health care services and vendors can ensure that they are culturally responsive and inclusive when it comes to their definition of women’s health and include transgender women, transgender men and nonbinary individuals.
Learn more in our related resource:
Women deserve an equitable health care and employee experience. However, a vast range of women’s health challenges, along with existing and long-standing disparities, shape how women experience the current health care ecosystem. Employers can be a source of support, empathy and understanding during different phases of women’s lives despite infrastructural, environmental and cultural opposition.
Employers’ awareness and targeted effort to address women’s health concerns through affordable health services, communication efforts, flexible work arrangements and globally synergetic policies are just some ways to ensure that women thrive and prosper in the workforce. By tailoring your benefit strategy to address systemic unmet needs and creating an inclusive organization culture, employers have the opportunity to be a lever for change and become an employer of choice for women, their families and society as a whole.
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- 1 | Gauci S, Cartledge S, Redfern J et al. Biology, bias, or both? The contribution of sex and gender to the disparity in cardiovascular outcomes between women and men. Current Atherosclerosis Reports. 2022;24(9):701-708. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9399064/. Accessed September 28, 2022.
- 2 | Angum F, Khan T, Kaler J, Siddiqui L, Hussain A. The prevalence of autoimmune disorders in women: A narrative review. Cureus. 2020;12(5):e8094. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292717/pdf/cureus-0012-00000008094.pdf. Accessed September 28, 2022.
- 3 | Al-Hassany L, Haas J, Piccininni M, Kurth T, Maassen Van Den Brink A, Rohmann JL. Giving researchers a headache – Sex and gender differences in migraine. Frontiers in Neurology. 2020;11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7642465/pdf/fneur-11-549038.pdf. Accessed September 28, 2022.
- 4 | Cawthon PM. Gender differences in osteoporosis and fractures. Clin Orthop Relat Res. 2011;469(7):1900-1905. https://pubmed.ncbi.nlm.nih.gov/21264553/. Accessed September 28, 2022.
- 5 | Hologic. The Hologic Global Women’s Health Index. Pathways to a Healthy Future for Women. 2022. https://hologic.womenshealthindex.com/sites/default/files/2022-09/Hologic_2021-Global-Women%27s-Health-Index_Full-Report.pdf. Accessed September 02, 2022.
- 6 | Bhargava M, Bhargava R. Heart disease is the leading cause of death in women – here’s how we can address it. World Economic Forum. June 10, 2021. https://www.weforum.org/agenda/2021/06/heart-disease-is-the-leading-cause-of-death-in-women-worldwide-lancetcommission- cvd-stroke/?fbclid=IwAR04AMCaqRg_kq1gRbzvAG9-mIEJhfRcbeZyhtqk2kIfZHQ9VVyv76r51C0. Accessed August 30, 2022.
- 7 | Alshaikh MK, Filippidis FT, Baldove JP, Majeed A, Rawaf S. Women in Saudi Arabia and the prevalence of cardiovascular risk factors: A systematic review. Journal of Environmental and Public Health. 2016;2016:7479357. https://pubmed.ncbi.nlm.nih.gov/27777590/. Accessed February 17, 2022.
- 8 | Rakshit D. Women’s heart health is ignored because of gender bias, needs more research: Lancet Report. The Swaddle. May 19, 2021. https://theswaddle.com/womens-heart-health-is-ignored-because-of-gender-bias-needs-more-research-lancet-report/. Accessed February 17, 2022.
- 9 | British Heart Foundation. Bias and biology: How the gender gap in heart disease is costing women’s lives. 2019. https://www.bhf.org.uk/-/media/files/heart-matters/bias-and-biology-briefing. pdf?rev=cd26147a45f9444098aa2949551f3803&hash=7C4225981A8554B921502F609C42C7F9. Accessed March 01, 2022.
- 10 | The World Health Organization. New recommendations for screening and treatment to prevent cervical cancer. July 06, 2021. https://www.who.int/news/item/06-07-2021-new-recommendations-for-screening-and-treatment-to-prevent-cervical-cancer. Accessed February 17, 2022.
- 11 | The Lancet Regional Health - Western Pacific. Empowering women to take control over cervical screening. The Lancet Regional Health – Western Pacific. 2021;16. https://www.kff.org/womens-health-policy/issue-brief/women-work-and-family-during-covid-19-findings-from-the-kff-womens-health-survey/. Accessed August 11, 2022.
- 12 | Frederiksen B, Ranji U, Salganicoff A, L Michelle. Women's Experiences with Health Care During the COVID-19 Pandemic: Findings from the KFF Women's Health Survey. Kaiser Family Foundation. March 22, 2021. https://www.kff.org/womens-health-policy/issue-brief/women-work-and-family-during-covid-19-findings-from-the-kff-womens-health-survey/. Accessed February 17, 2022.
- 13 | Fedewa SA, Star J, Bandi P et al. Changes in cancer screening in the US during the COVID-19 pandemic. JAMA Network Open. 2022;5(6):e2215490-e2215490. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792956. Accessed August 11, 2022.
- 14 | World Health Organization. World mental health report: Transforming mental health for all. June 16, 2022. https://www.who.int/publications/i/item/9789240049338. Accessed February 07, 2022.
- 15 | Mercer. Diversity, Equity and Inclusion: Supporting the holistic needs of all employees. June 23, 2022 (webinar). https://www.mercer.us/events/webcasts/diversity-equity-and-inclusion-june-23.html. Accessed September 02, 2022.
- 16 | Snider S, Fries D, Furrer P. Gender gap in accessing mental health support. Oliver Wyman. March 18, 2022. https://www.oliverwyman.com/our-expertise/perspectives/health/2022/mar/gender-gap-in-accessing-mental-health-support.html. Accessed September 02, 2022.
- 17 | Berlin G, Chen J, Groh R, Sharma M. Women in healthcare and life sciences: The ongoing stress of COVID-19. McKinsey & Company. April 08, 2022. https://www.mckinsey.com/industries/healthcare/our-insights/women-in-healthcare-and-life-sciences-the-ongoing-stress-of-covid-19. Accessed September 02, 2022.
- 18 | Deloitte. Women @Work 2022: A Global Outlook. https://www2.deloitte.com/content/dam/Deloitte/global/Documents/deloitte-women-at-work-2022-a-global-outlook.pdf. Accessed September 02, 2022.
- 19 | Verstraete S. Teladoc Health. The courage to care: Virtual care and women’s mental health during COVID-19. https://business.teladochealth.com/resources/article/the-courage-to-care-virtual-care-and-womens-mental-health-during-covid-19/. Accessed September 30, 2022.
- 20 | Pifer R. Why are women more likely to use telehealth? Healthcare Dive. November 02, 2021. https://www.healthcaredive.com/news/womenmore- likely-telehealth-patients-providers-covid-19-pandemic/608153/. Accessed September 30, 2022.
- 21 | Reed ME, Huang J, Graetz I et al. Patient characteristics associated with choosing a telemedicine visit vs office visit with the same primary care clinicians. JAMA Network Open. 2020;3(6):e205873-e205873. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767244. Accessed September 30, 2022.
- 22 | Galle A, Semaan A, Huysmans E et al. A double-edged sword—telemedicine for maternal care during COVID-19: findings from a global mixed-methods study of healthcare providers. BMJ Global Health. 2021;6(2):e004575. https://gh.bmj.com/content/6/2/e004575. Accessed September 30, 2022.
- 23 | Ho A, Collins S, Davis K, Doty M. A Look at Working-Age Caregivers’ Roles, Health Concerns, and Need for Support. The Commonwealth Fund. August 2005. https://www.commonwealthfund.org/publications/issue-briefs/2005/aug/look-working-age-caregivers-roles-health-concerns-and-need. Accessed August 11, 2022.
- 24 | Sharma N, Chakrabarti S, Grover S. Gender differences in caregiving among family - caregivers of people with mental illnesses. World J Psychiatry. 2016;6(1):7-17. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804270/pdf/WJP-6-7.pdf. Accessed February 17, 2022.
- 25 | CARE. She told us so: Rapid gender analysis: Filling the data gap to build back equal. September 2020. https://www.care.org/wp-content/uploads/2020/09/RGA_SheToldUsSo_9.18.20.pdf. Accessed February 17, 2022.
- 26 | Del Río-Lozano M, García-Calvente M, Elizalde-Sagardia B, Maroto-Navarro G. Caregiving and caregiver health 1 year into the COVID-19 pandemic (CUIDAR-SE Study): A gender analysis. Int J Environ Res Public Health. 2022;19(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835117/. Accessed August 11, 2022.
- 27 | Seedat S, Rondon M. Women’s wellbeing and the burden of unpaid work. BMJ. 2021;374:n1972. https://www.bmj.com/content/374/bmj.n1972. Accessed August 11, 2022.
- 28 | UN Women. The COVID-19 pandemic has increased the care burden, but by how much? December 03, 2020. https://data.unwomen.org/features/covid-19-pandemic-has-increased-care-burden-how-much-0. Accessed August 11, 2022.
- 29 | Asher & Lyric Fergusson. The Best Countries to Raise a Family in 2020. July 24, 2020. https://www.asherfergusson.com/raising-a-family-index/. Accessed August 11, 2022.
- 30 | Langer A, Meleis A, Knaul FM et al. Women and health: the key for sustainable development. Lancet. 2015;386(9999):1165-1210. https://www.thelancet.com/action/showPdf?pii=S0140-6736%2815%2960497-4. Accessed August 11, 2022.
- 31 | Garijo B. World Economic Forum: COVID-19 highlights how caregiving fuels gender inequality. April 24, 2020. https://www.weforum.org/agenda/2020/04/covid-19-highlights-how-caregiving-fuels-gender-inequality/. Accessed August 11, 2022.
- 32 | Wilson Center. The Global Care Economy. April 2022. https://www.wilsoncenter.org/sites/default/files/media/uploads/documents/The%20Care%20Economy%20-%20MHI%20Policy%20Brief%20Apr%202022.pdf. Accessed August 11, 2022.
- 33 | Hyde E, Greene ME, Darmstadt GL. Time poverty: Obstacle to women's human rights, health and sustainable development. J Glob Health. 2020;10(2):020313. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688061/pdf/jogh-10-020313.pdf. Accessed August 11, 2022.
- 34 | The World Health Organization. Maternal mortality. September 19, 2019. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed February 28, 2022.
- 35 | Rabin R. Maternal deaths rose during the first year of the pandemic. The New York Times. February 23, 2022. https://www.nytimes.com/2022/02/23/health/maternal-deaths-pandemic.html. Accessed February 28, 2022.
- 36 | Roser M, Ritchie H. Maternal mortality. Our world in data. https://ourworldindata.org/maternal-mortality. Accessed February 17, 2022.
- 37 | International Development Research Centre (IDRC). Increasing women's access to skilled pregnancy care in Nigeria (IMCHA). https://www.idrc.ca/en/project/increasing-womens-access-skilled-pregnancy-care-nigeria-imcha. Accessed February 17, 2022.
- 38 | World Health Organization. Trends in Maternal Mortality: 2000 to 2017. 2019. https://apps.who.int/iris/handle/10665/327596. Accessed October 25, 2022.
- 39 | Business Group on Health. Social Determinants of Health: Full Guide. June 15, 2021. https://www.businessgrouphealth.org/resources/social-determinants-full-guide. Accessed February 17, 2022.
- 40 | Merck for Mothers. Where we work - United States of America. https://www.merckformothers.com/where-we-work/usa.html. Accessed February 17, 2022.
- 41 | Business Group on Health. Ending Disparities in Maternal Mortality. April 14, 2021. https://www.businessgrouphealth.org/en/resources/ending-disparities-in-maternal-mortality. Accessed February 17, 2022.
- 42 | Xue T, Guan T, Geng G, Zhang Q, Zhao Y, Zhu T. Estimation of pregnancy losses attributable to exposure to ambient fine particles in south Asia: an epidemiological case-control study. Lancet Planet Health. 2021;5(1):e15-e24. https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(20)30268-0/fulltext. Accessed February 17, 2022.
- 43 | Tikkanen R, Gunja M, FitzGerald M, Zephyrin L. Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countries. November 18, 2020. https://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity-care-us-compared-10-countries. Accessed September 22, 2022.
- 44 | Knight R. How to return to work after taking parental leave. Harvard Business Review. August 02, 2019. https://hbr.org/2019/08/how-to-return-to-work-after-taking-parental-leave. Accessed September 02, 2022.
- 45 | Horton R. Offline: Gender and global health—an inexcusable global failure. The Lancet. February 09, 2019. https://pubmed.ncbi.nlm.nih.gov/30739675/. Accessed February 17, 2022.
- 46 | The Lancet Global Health. Infertility-why the silence? Lancet Global Health. June 2022;10(6):e773. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00215-7/fulltext. Accessed September 02, 2022.
- 47 | Australian Government: Department of Home Affairs. International surrogacy arrangements. https://immi.homeaffairs.gov.au/citizenship/become-a-citizen/by-descent/international-surrogacy-arrangements. Accessed September 02, 2022.
- 48 | Francis A. Could ‘menstrual leave’ change the workplace. BBC. April 28, 2022. https://www.bbc.com/worklife/article/20220426-could-menstrual-leave-change-the-workplace. Accessed September 02, 2022.
- 49 | Circle In. Report: Menopause and the workplace.2022. https://circlein.com/report-menopause-and-the-workplace/. Accessed September 02, 2022.
- 50 | Mathews M. Let’s break the stigma around menopause. Health Awareness. https://www.healthawareness.co.uk/menopause/lets-break-the-stigma-around-menopause/. Accessed September 02, 2022.
- 51 | Elektra Health. Elektra for Organizations: Leading organizations support women in the workplace at every stage of life. 2022. https://www.elektrahealth.com/for-organizations. Accessed October 19, 2022.
- 52 | Sullivan B. Scotland becomes the first country to offer tampons and pads for free, officials say. NPR. August 16, 2022. https://www.npr.org/2022/08/16/1117748486/scotland-tampons-pads-menstrual-free-period-products#:~:text=Scotland%20is%20the%20first%20 country,last%20a%20month%20or%20two. Accessed September 02, 2022.
- 53 | Pattani A. In some countries, women get off for period pain. The New York Times. July 24, 2017. https://www.nytimes.com/2017/07/24/health/period-pain-paid-time-off-policy.html. Accessed September 02, 2022.
- 54 | Kassam A, Wilson J. Spain debates if menstrual leave will help or hurt. AP News. May 12, 2022. https://apnews.com/article/health-spain-021b3cefbf4490c10a6bd9e3f1dc0750. Accessed September 02, 2022.
- 55 | 50 Plus Choices Employer Taskforce. Menopause and Employment. 2021. https://www.thephoenixgroup.com/sites/phoenix-group/files/phoenix-group/views-and-insights/Menopause%20Report/Menopause%20and%20Employment.pdf. Accessed October 19, 2022.
- 56 | Colorado School of Public Health. Refining women's health for transgender and nonbinary inclusivity. January 2, 2020. https://coloradosph.cuanschutz.edu/news-and-events/newsroom/research-news/public-health-main-site-news/redefining-women-s-health-for-transgender-andnonbinary- inclusivity. Accessed September 30, 2022.
IntroductionBecome an Employer of Choice: Prioritizing Women’s Health in Global Benefits Design
Full GuideWomen’s Health: Full Guide
Part 1Women’s Health Guide: Preventive Health
Part 2Women’s Health Guide: Mental Health
Part 3Women’s Health Guide: Work/life and Family
Part 4Women’s Health Guide: Maternal Health
Part 5Women’s Health Guide: Reproductive Health
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