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In the Name of God, the Compassionate, the Merciful

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In the Name of God, the Compassionate, the Merciful

Address by

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

SUZANNE MUBARAK REGIONAL CENTRE FOR WOMEN’S HEALTH AND DEVELOPMENT SEMINAR ON THE ESTABLISHMENT OF A NATIONAL

OBSERVATORY FOR WOMEN’S HEALTH AND DEVELOPMENT Suzanne Mubarak Regional Centre for Women’s Health and Development

Alexandria, April 8, 2010

Ladies and Gentlemen,

I am pleased to participate in the Suzanne Mubarak Regional Centre (SMC) for Women’s Health and Development Seminar on the establishment of a National Observatory for Women’s Health and I thank the SMC for their kind invitation to WHO. WHO has long advocated for the role of women’s empowerment in achieving health for all and is pleased to support the SMC in its valuable activities.

Achievement of ‘health for all’ must begin from the basic acknowledgement that the “all”

being targeted is not always the same. Morbidity patterns, exposure to risk factors, and access to and utilization of health care can be different among males and females. Health systems must target the roots of health-seeking behaviour, and work on increasing access to quality health services by men and women, boys and girls. Addressing gender issues in health means a greater recognition of the demand side component of health services and facilitates health systems response to the differential needs of its male and female populations.

The 2009 WHO report Women and health indicated significant gaps in the data available on the health of women and showed also that social and political structures, as well as conditions

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of inequality, are important determinants of women's health. Women’s contributions to society go beyond their reproductive roles, and therefore a life-course approach is necessary. Such an approach will address their health needs in childhood, through adolescence, during the reproductive years and beyond. The National Observatory for Women’s Health will have an important role to play in collecting and disseminating data that reflects the specific health needs of women in Egypt across the life course and any challenges they may face in accessing the resources they need to attain their optimal health.

Differences in health status can be found among women and girls within countries because of differences in social and economic factors, such as access to education, household wealth and place of residence. The National Observatory will fulfil a necessary function in highlighting health disparities faced by women of lower status and income in Egypt, and thereby support national health systems in better meeting their needs. In almost all countries, girls and women living in wealthier households have lower levels of mortality and make higher use of health care services than those living in the poorest households. Without knowing the specific challenges vulnerable population subgroups face in achieving and maintaining their health, it is not possible to effectively tackle gender or other inequities in health. The National Observatory will therefore also fulfil a critical function in the collection, analysis and publication of quantitative and qualitative data on both health and social determinants of health.

Dear Colleagues,

We are blessed in this region with strong family units held together by religious values and community responsibility. This is a blessing which we cannot take for granted. At the same time, there must be flexibility in our societies to respond to existing conditions that do not favour positive health outcomes for all our men and women. For example, Egypt is one of the countries in which female genital mutilation (FGM) is still widely practised. FGM offers no health benefits and on the contrary has several immediate and long-term adverse health consequences. WHO wants to ensure that health care providers are not performing FGM, because by doing so they undermine efforts to eliminate the practice. I hope one of the functions of the National Observatory will be to raise awareness of the harmful and unnecessary aspects of this practice.

Advocacy for eliminating violence against women is another useful function the National

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Observatory can provide, and I commend the active work the SMC is taking to address violence against women in Egypt. Violence against women is increasingly recognized as a public health problem that causes adverse physical, mental and reproductive health problems and no country is exempt from this problem.

In recent years the world has shown an increasing commitment to the value and spirit of health promotion in an endeavour to reduce inequities in health. The adoption of the Millennium Development Goals (MDGs), especially those related to health, gender, poverty reduction and improving people’s lives, has added to the challenges and opportunities. The World Health Organization’s Regional Office for the Eastern Mediterranean has been endeavouring to support Member States to meet these challenges. The National Observatory for Women’s Health will be an effective tool for policy advisers, decision-makers and strategic planners in Egypt to strategically and effectively meet the differential health needs of women and girls across Egypt, no matter what their economic or social position. It can also play a role in identifying social inequities faced by women and girls, such as harmful traditional practices or violence, and advocate for the end of gender inequities. The focus of the National Observatory should be data that will guide, monitor and evaluate action towards better health for all and in this way it will provide a valuable contribution to Egyptian society.

Ladies and Gentlemen,

I wish you great success in your deliberations and am confident, with the wide array of experience and wisdom sitting before me, that relevant and practical recommendations will be formulated for the Suzanne Mubarak Regional Centre.

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