Mainstreaming gender and promoting intersectionality in Papua New Guinea's health policy: a triangulated analysis applying data-mining and content analytic techniques.

BACKGROUND: Gender mainstreaming is an approach to policy and planning that emphasizes equality between the sexes. It is the stated policy for gender equity in Papua New Guinea's (PNG) health sector, as well as all other sectors, and is enshrined in the policies of its biggest aid givers. However, there is criticism that gender mainstreaming's application has too often been technocratic and lacking in conceptual clarity not only in PNG but elsewhere. In the health sector this is further exacerbated by a traditional bio-medical approach, which is often paternalistic and insufficiently patient- and family-centered. METHODS: This study analyses the policy attitudes toward gender in PNG's health sector using both data-mining and a traditional, summative content analysis. RESULTS: Our results show that gender is rarely mentioned. When it is, it is most often mentioned in relation to programs such as maternity and childcare for women, and elsewhere is applied technocratically. CONCLUSION: For PNG to promote greater levels of equity, the focus should first be on conceptualizing gender in a way that is meaningful for Papuans, taking into account the diversity of experiences and setting. Second, there should be greater focus on activists and civil society groups as the stakeholders most likely to make a difference in gender equity.

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol.

INTRODUCTION: Despite widespread interest in the topic, no current synthesis of research is available analysing the linkages between organisational or workplace cultures on the one hand, and patient outcomes on the other. This protocol proposes a systematic review to analyse and synthesise the literature to date on this topic. The resulting review will discuss characteristics of included studies in terms of the type of healthcare settings researched, the measurements of organisational and workplace culture, patient outcomes measured and the influence of these cultures on patient outcomes. METHODS AND ANALYSIS: A systematic review will be conducted aiming to examine the associations between organisational and workplace cultures, and patient outcomes, guided by the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) statement. An English language search of abstracts will be executed using the following academic databases: CINAHL, EMBASE, Ovid MEDLINE, Web of Science and PsycINFO. The review will include relevant peer-reviewed articles from randomised controlled trials (RCTs), non-RCTs, controlled before and after studies, interrupted time series studies, cross-sectional analyses, qualitative studies and mixed-method studies. Multiple researchers will be involved in assessing the quality of articles for inclusion in the review. This protocol documents a detailed search strategy, including terms and inclusion criteria, which will form the basis of the subsequent systematic review. ETHICS AND DISSEMINATION: Ethics approval is not required as no primary data will be collected. Results will be disseminated through a peer-reviewed publication and conference presentations.