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Is the UK finally poised to close the gender health gap?

With the publication of the first ever government-led women’s health strategy, ministers have vowed to tackle decades of ‘systemic’ and ‘entrenched’ inequality in England.

While women’s health has undergone a generational culture shift in recent years, prompting more open discourse around historically stigmatised concerns regarding our wombs, tales of dismissal by both male and female physicians remain rife.

This issue is known as the gender health gap, whereby women are taken less seriously by medical professionals, particularly in the field of female-specific illnesses like endometriosisperimenopause, and polycystic ovary syndrome (PCOS).

Continually finding it much harder than men to have our bodies understood, women have been conditioned time and time again to believe that pain and discomfort are normal, with receiving a diagnosis – let alone adequate treatment – an all but impossible feat.

It’s for this reason that the UK government’s ‘12-week call for evidence’ last March was welcomed with open arms, an opportunity for women and girls to come forward with our experiences of the nation’s healthcare systems.

Introduced to help policymakers tackle inequalities and build a new Vision for Women’s Health, the move was on the back of acknowledgment from ministers that ‘less [was] known about conditions only affecting women’ and that services for female patients needed improving.

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16 months on, and the strategy (which is the first of its kind) has officially been published, bringing the nation one step closer towards closing the gender health gap once and for all.

The aim is to tackle decades of ‘systemic’ and ‘entrenched’ inequality in England by overhauling medical attitudes to women with several steps.

These include compulsory women’s health training for doctors, more cancer checks, and ‘one-stop shop’ hubs across the NHS.

Access to contraception, IVF for female same-sex couples – there will no longer be a requirement for them to pay for artificial insemination to prove their fertility status – maternity support, and mental health services will also be improved.

In addition, baby-loss certificates will be offered to parents who have lost a child before 24 weeks.

 

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This is in an attempt to acknowledge their difficult situation amid findings that every day around 14 babies die before, during, or soon after birth in the UK, a persistently taboo issue that is often ignored by society.

Perhaps most promising of all, however, is the expansion of research into conditions which affect those with wombs specifically.

As is common knowledge, the lack thereof has, to date, fostered significant disparity in the UK’s healthcare system. Going forward, major new research on women’s health issues to increase understanding of female specific health conditions and tackle the data gap to ensure diagnosis and treatment work for women will be conducted – and funded.

Not only this, but the strategy will ensure specialist endometriosis services have the most up to date evidence and advice. Music to the ears of those of us who suffer from the debilitating illness and about time too considering it currently takes an average of seven years to diagnose despite the fact it affects roughly 10% (190 million) of reproductive age women and girls globally.

‘It is not right that 51% of our population are disadvantaged in accessing the care they need, simply because of their sex,’ says Health Secretary Steve Barclay, who believes action is long overdue.

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‘The publication of this strategy is a landmark moment in addressing entrenched inequalities and improving the health and wellbeing of women across the country.’

As things stand, women live longer than men on average but spend about a quarter of their lives in poor health (limiting their ability to work and participate in day-to-day activities), compared with a fifth for men.

For this reason, if the government’s promises are followed through with tangible action, the strategy – though by no means a silver bullet – could be a total game-changer. An opportunity for the UK to ‘reset the dial’ on women’s health after decades of NHS services ‘failing’ women.

‘Tackling the gender health gap will not be easy. There are deep-seated, systematic issues we must address to ensure women receive the same standards of care as men, universally and by default,’ says Maria Caulfield, Minister for Women’s Health.

‘This strategy is the start of that journey, but eradicating the gender health gap can’t be done through health services alone. I am calling on everyone who has the power to positively impact women’s health, from employers to doctors and teachers to industry, to join us in our journey.’

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