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Health Policy and Planning 2005 20(3):150-157; doi:10.1093/heapol/czi017
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© The Author 2005. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved.

Bypassing districts? Implications of sector-wide approaches and decentralization for integrating gender equity in Uganda and Kenya

Helen Elsey1,, Nduku Kilonzo2, Rachel Tolhurst3 and Catherine Molyneux4

1 Gender and Health Group, Liverpool School of Tropical Medicine, Liverpool, UK, 2 Liverpool VCT & Care Kenya, Kenya, 3 Liverpool School of Tropical Medicine, Liverpool, UK and 4 Kenya Medical Research Institute/Welcome Trust Centre for Geographic Medicine Research, Nairobi, Kenya

Correspondence: Helen Elsey, School of Nursing and Midwifery, University of Southampton, Highfield, Southampton, SO17 1BJ, UK. Email: h.elsey{at}soton.ac.uk

While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya and one from Uganda, of experiences of mainstreaming gender at district level; experiences which are set against the context of decentralization and sector-wide approaches (SWAPs). The conceptual framework of social movement theory, as used by Hafner-Burton and Pollack, is drawn upon to analyze the findings of both case studies. This paper has been written in conjunction with a paper by Theobald et al. which explores gender mainstreaming at national level.

Key Words: sector-wide approaches, SWAps, gender mainstreaming, decentralization, districts


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