Barriers to gender equity for female healthcare academicians and researchers in Pakistan: Is it still an issue?

Equity is defined as “distribution of variable number and types of resources within a group to achieve results in equal magnitude”. However, in contrast, the phenomenon of equality follows “one size fits all” approach which promotes distribution of equal resources among individuals. Gender disparities in the field of healthcare has been subject of interest from many years and increasing trends of gender inequity in healthcare academia has been witnessed over the last decades. Despite rigorous efforts, the disparity lies in availability of growth opportunities and resources as well as rewards for both genders. It has been observed that women are subjected to both inequity and inequality in the field of academia by assigning them greater work load in terms of teaching and advisory duties which further decreases their participation in research as compared to their male colleagues. Throughout the field of healthcare academia, managerial positions are mostly led by males allowing them to take decisions as well as have more opportunities for social networking. The recent global pandemic has further increased the gender gap. Female healthcare professionals are striving hard to balance their work and family commitments leading to reduced productivity and disparity in three main parameters of academic evaluation including teaching, professional service and research. In the recent years, the focus on improving women’s representation in the fields of science, technology, engineering, and mathematics (STEM) has increased; however, interventions focused on increasing gender equity in these fields still has long way to go . These gender disparities are more prominent within the field of academia. The proportion of women faculty in STEM remains low despite of the increased women acquiring their post graduate degrees in the past few years.

Gender equity and women’s empowerment have been set as prime goals by the United Nations for the 2030 global agenda for sustainable development. Although, progress has been made toward achieving these goals and women participation in the workforce has been growing rapidly over the course of time but still women occupy less than one third leadership and management positions. A study reported that generally female academicians are perceived competent, hardworking and committed with their jobs. They are considered more effective teachers but have limited access to opportunities for leadership positions as compared to males. Similar results were reported by a study conducted in Germany where majority of the women doctors were of the view that they have less access to administrative positions as compared to their male counterparts.

Perceptions of Healthcare Professionals towards Gender Equity

A qualitative study design was used to explore perceptions of healthcare professionals toward gender equity in healthcare academia in Pakistan. Study site for this research included medical colleges, pharmacy schools and healthcare educational institutes. Study respondents included healthcare professionals including doctors and pharmacists working as faculty members.A comprehensive description of the study was introduced to the participants at the first of the interview; they were allowed to reject answering or withdrawing at any time thereafter.

The results of the study concluded that majority of the male as well as female healthcare professionals perceived gender equity as an issue in academia in Pakistan, especially in underprivileged areas. Non-conducive work environment, harassment at workplace and cultural issues were the main barriers identified toward gender equity in healthcare academia in Pakistan. Equal research opportunities exist for both genders but female academicians are unable to access them due to their personal issues and family commitments. Generally, female academicians are perceived competent, hardworking, committed and more effective teachers but still have limited access to opportunities for leadership positions as compared to the males. Although, female academicians are generally more accepted in the society for marriage than any other profession but still less support is provided by the male partner. Appropriate organizational policies must be introduced to address recruitment and advancement processes to ensure quality between women and men; equal pay for equal work; recognition and rewards that are unbiased and based on contribution and performance; non-discriminatory approaches to care and family responsibilities; and genuine access to various positions and levels of leadership by removing gender-based barriers in order to improve status of gender equity and economic development in Pakistan.