[11] Women are playing a disproportionate role in responding to the disease, including as front line healthcare workers (as well as caregivers at home and community leaders and mobilisers).One study attributed these gender differences to greater emotional expression, lower tolerance for uncertainty, and less effective coping strategies among female students.In addition, these studies highlight certain factors that make women more likely to experience these problems, such as being of Asian origin, being in fair to poor health, having a lower than average family or personal income, and knowing someone in their community who has been infected with COVID-19.This includes pre- and post-natal healthcare, access to quality sexual and reproductive health services, and life-saving care and support for survivors of gender-based violence.Before the pandemic, around 810 women died every day from preventable causes related to pregnancy and childbirth—94 per cent of these deaths occurred in low and lower middle-income countries.Multiple and intersecting inequalities, such as ethnicity, socioeconomic status, disability, age, race, geographic location and sexual orientation, among others, can further compound these impacts.[27] Women nurses were reported to have decreased access to tampons and sanitary pads while also working overtime without adequate personal protective equipment during the COVID-19 pandemic in mainland China.[33] In research: It is necessary to promote the inclusion of women in clinical trials of pharmaceutical products for the treatment and prevention of COVID-19, in addition to including disaggregated data (sex, age, pregnancy status in epidemiological studies...).[33] It is worth mentioning that answering key questions and conducting qualitative studies to understand the effects of COVID-19 on emotional health and social impact during pregnancy would help to improve the management and prevention of infection.[33] In public health: COVID-19 prevention guidelines should be established for pregnant women and their entourage, including that, following hygiene and safety protocol, they can attend antenatal visits and childbirth accompanied.[33] In order to identify pregnant women exposed to the virus in advance, it is advisable to record pregnancy status in contact tracing and prioritise them for COVID-19 diagnostic testing.[33] In communication It would be supportive to publish COVID-19 news concerning pregnancy to improve reproductive health knowledge in the general population and thus provide an adequate risk perception with reality, including its corresponding dissemination for specific groups (pregnant women).[33] Promoting an open dialogue, such as interviews, with people specialised in topics such as childbirth, obstetrics, paediatrics..., helps to provide families and/or pregnant women with quality information.[34] In the general population, COVID-19 is associated with high rates of thromboembolic complications, with a study including 184 critically unwell patients reporting that 31% had thrombotic events.[34] Current guidelines recommend that all pregnant women with confirmed COVID-19 should have thromboprophylaxis until 10 days postnatal and that their clinicians have a low threshold for investigation of possible thromboembolism.[48] In Spain, the situation is similar, the late response by the Minister of Health or the President of the Government, all male characters as in the United States, caused a considerable increase in the number of infected people in the country due to their poor instructions.[49][50] For this reason, health workers, especially female characters such as nurses and doctors decided to accomplish a clear proposal that received the name of #QuédateEnCasa through social networks.In addition, the use of social networks was completely successful due to nowadays millions of people use them today, which made the fundamental message diffuse faster and better.[53] The Latin American Council of Social Sciences (CLACSO) states that the burden of care falls on women and that the appearance of new gender divisions at work, as a result of this pandemic that we are having to live, are increasingly unsustainable.They also often work in informal jobs, from selling wares on the streets to sewing at home, that lack protections such as paid sick leave or unemployment insurance.[54] Most of the health sector is made up of women (nurses, auxiliaries, cleaners...), they work in precarious situations with low salaries, and, in addition, they do not have sufficient protections.[29] Various studies also show that the socioeconomic challenges and burdens that disproportionately affected women are known to be associated with greater negative mental health changes and stress compared to men.[55] Moreover, it is important to note that poor hygienic conditions in underdeveloped countries such as the Dominican Republic, where there is also a gender, class, and ethnic gap, complicate the whole process of COVID-19 prevention.This fact was visible during the Ebola pandemic in Liberia, a country in which 85% of all daily market traders are women who were unable to make profit because of the travel restrictions.If the difficulties of access to health, education and employment are severe due to the COVID pandemic and the measures imposed by governments, the effects are amplified in situations of conflict and violence in developing countries.The Center for Law And Policy estimated that childcare providers in the United States will need $9.6 billion per month to economically survive the effects of a hypothetical six-month period of reduced activity.Social distancing measures, school closures and overburdened health systems have put an increased demand on women and girls to cater to the basic survival needs of the family and care for the sick and the elderly.With more than 1.5 billion students at home as of March 2020 due to the pandemic, existing gender norms have put the increased demand for unpaid childcare and domestic work on women.[29] As in many other countries as UK, Italy or France; in Spain is also celebrated the March4Women[86] day on 8 March with the objective of defending the women's rights and the gender equality as well as the feminist movement.The OAS is the American States Organization that gather occidental hemisphere countries to promote the democracy, the human rights, to encourage the economic develop, the peace, the security, the cooperation and, overall, to advance to get common objectives.
70% of global health and social care workers are women, 30% of leaders in the global health sector are women
Unpaid work before and since the COVID-19 pandemic started