December 07, 2022
A lack of women’s health equity is a lack of equity. Around the world, everyone deserves a fair and just opportunity to achieve, attain and realize their highest quality of health and well-being. To achieve this, employers should develop and maintain comprehensive global benefit designs and inclusive workplace cultures that address the variety of wellness needs of women.
With unique health risks and life experiences, women’s diverse needs should be holistically considered to fully unlock your workplace’s potential. These demands are inclusive of but broader than maternal and reproductive care, and include recognition of work/life demands, mental well-being and preventive health.
With impending and cyclical economic uncertainty, it is important for employers to establish a judicious benefits structure to reinforce diversity and inclusion, address global consistency and shine a light on an employers’ commitment to equity as well as continue to evaluate their program engagement and efficiency. Even though 50% of the world’s population is women, accounting for 80% of consumer health care purchasing decisions, women’s health has traditionally been considered a “niche” market. Yet, one’s gender significantly influences disease prevention, screening capabilities, diagnosis, and treatment. For example, general health conditions impact women differently (i.e., with cardiovascular disease women experience a greater delay in emergency response times and diagnosis compared to men) and disproportionately (i.e., autoimmune disease, migraines and osteoporosis are more prevalent among women compared to men). 1,2,3,4
This guide discusses the contributing factors to women’s health disparities and gives employer recommendations on how to strengthen their overall value proposition. This can be accomplished by unlocking opportunities for women to reach their greatest potential through strengthening preventive health, attention to mental health, work/life and family balance, maternal care and reproductive care.
Key Global Trends in Health Outcomes for Women
The Hologic Global Women’s Health Index shows that most countries where overall health outcomes received the highest scores across health areas like preventive care and emotional health were in high-income countries such as Germany and Switzerland, with the highest being in Taiwan. It was notable that countries and territories that spent more per capita on health care earned higher scores for better health care outcomes for women (except for the United States).
Health outcomes were the lowest in low-income countries, with the poorest outcomes being in Afghanistan. Countries with the lowest health scores were categorized as sharing a “weak or destabilized infrastructure for health care.” Poor or superior health outcomes for women is closely associated with the economy and the health system structure of a particular country.5
More TopicsWebinars & Presentations Mental and Emotional Well-being
- 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