 Good morning, good afternoon, and good evening everyone, and welcome to this webinar brought to you by the Wonka Working Party on Women in Family Medicine. This is our memorial webinar in honor of Dr. Anne Deborah Atay-Omeroto, a modern-day heroine of Wonka in family medicine during the Ebola epidemic in Liberia. Hello, my thanks to Eileen for inviting me to send this very short video as part of your tribute to our dear friend Atay. Atay, of course, was a wonderful family doctor, a leader in family medicine in Africa, and inspired us all through her work with Ebola epidemics, particularly the crisis in West Africa. For this reason, Atay was named Wonka's five-star family doctor in 2016. At this time of global pandemic, I often think back to Atay and the many lessons that she taught us, but most importantly, the lesson that viruses don't discriminate, people do. And the importance of our work as family doctors looking after everybody in our community and making sure that everybody gets access to the healthcare they need. I join you in loving memories of our dear friend. Atay was a lot of things to many people in Wonka, in Africa, and in the Women's Working Party. For me, she was a bundle of positive energy combined with a no-nonsense attitude. I first met her in Singapore during the 2007 World Conference, and boy, was I impressed. She lent her wealth of knowledge and experience to young women, family doctors like me at the time, as well as her wisdom to everyone in need of her counsel. She was a force to reckon with in Wonka, Africa. She was the first president of the Association of Family Physicians of Uganda, and she brought the association into Wonka, where she became a strong voice, not only for Africa, but also for women and health equity. In 2014, Atay led a WHO team to fight the Ebola outbreak. And for her work in Liberia, she has been named as one of the 11 most important contributors to tackling the Ebola crisis and was awarded the 2015 Uganda Golden Jubilee Medal for her work. So to Atay, wherever you may be, we say thank you. Thank you for making us proud of being women family doctors. Thank you for your life of service. And thank you for your continued inspiration as we waged the fight of our lives against COVID-19. May your example give us hope and strength during these trying times as we face head-on the gender sensitive impact of pandemics now being seen and felt all over the world. We at the Working Party on Women and Family Medicine is grateful to Wonka for giving us this platform not only to raise awareness on the gender impact of COVID-19 but also for giving us an opportunity to highlight the contributions of women family doctors to the pandemic response all over the world. I am Aileen Espina from the Philippines, chair of the Working Party on Women and Family Medicine or WWPWFM, your webinar convener, Dr. Mimi Duhan. The Working Party's chair-elect as my co-conviner and joining us is Dr. Anna Stavdal, Wonka's president-elect as our team guest moderator from the Wonka Executive. Hello Mimi and welcome Anna. Thank you so much. And thank you for such emotional opening of this webinar. Dear Working Party members, panelists, reactors and not least participants all over the globe, welcome to this Wonka webinar. I'm very happy to represent the Wonka Executive on this event, on this session. Gender and family medicine has been a field of interest for me all through my career. So, I'm so much looking forward to hear the presentations and hopefully also we will have some discussion if time allows. But first of all, it's my pleasure to introduce you to Wonka world president, Dr. Donald Lee. He has a message for you. Good morning, afternoon, evening. Thank you for taking time during your busy schedule to attend the second series of Wonka webinars. Family doctors around the world have risen to the challenge of this awful pandemic. In the midst of the massively increased workload for family doctors, I'm proud of the level of support and collegiality displayed within and across our member organizations and from region to region. It is heartening indeed. Indeed, the COVID-19 pandemic is bringing a lot of changes to our professional and personal lives. We are slowly adapting to the use of technology to overcome barriers and challenges created by the pandemic. We are getting used to meet virtually and using the cyberspace like what we're doing now. Colleagues are disseminating scientific advice, clinical updates, reflective messages and professional support through their social media links and connections. They're keeping in touch with each other regularly, like family members, relaying information, urging courage in these extraordinary times. I think all those who participated or listened in our various webinars held in June and July will agree they have been well received and appreciated by family doctors around the world. I'm really looking forward to the next series of webinars which will include presentations from our working party and special interest groups on health equity, women and family medicine, e-health, aging and health, complexities, mental health, palliative care, adolescent and young adults as well as the environment. Before I hand it over to the convener of this sub-webinar, I would like to say that unfortunately this is a pandemic with an unknown end game. I wish each and every one of our family doctors well during this time. Use the best advice available, work collaboratively with your teams, do the best you can for your patients. We should stand proud of your contributions in facing the world crisis. No one knows what will be ahead of us in the weeks but everybody knows enough to understand the COVID-19 will test our capacities to be kind and generous and to see beyond ourselves and our interests. Our task now is to bring the best of who we are and what we do to a world that is more complex and more confused than any of us would like it to be. May we all proceed with Winston and Grace. Thank you. So let me thank Donald. I can tell you that everything is of course turned upside down also running a global organization. I'm very happy having Donald at the helm now. He's doing a great job to secure continuity and to make us work as good as we can in these trying times. Now let me introduce you to the topics and the panel of esteemed speakers from all of the world and the working party has gathered for this webinar. Our first focus for discussion is on the impact of COVID on sexual and reproductive health and safe motherhood. This will be discussed by Lucy and patients. Then it will be followed by an empathetic view on gender-based violence seen from the eyes of Paula from Trinidad and Tobago. The third area of study would be on the gendered impact of COVID in homes and workplaces which will be expounded upon by Victoria and Tin Mewan. Lastly, we would end with an engagement presentation on the leadership roles that women family doctors have taken in the COVID response and recovery efforts in different parts of the world. So over to you Lucy and patients. Good morning. Patients and I are going to talk about the impact of COVID-19 on women's sexual and reproductive health and on safe motherhood. COVID magnifies, unmasks, and worsens whatever inequities are present in wherever it is. For sexual health, this means that it is bypassed and ignored. There is increased gender and sexual violence in the home and out in the community. Vulnerable women in the workplace are at even worse risk because of exposures and lack of food and workplace hazards. And in those fragile contexts that already have malnutrition and epidemics, infant and maternal mortality are worsened. Previous epidemics have shown how our response during these times will impact sexual and reproductive health. During the Ebola West African epidemic, Sarah Leon's total maternal and neonatal death along with stillbirths were almost equivalent to the nation's direct deaths from the Ebola virus because there was a decrease in access to the quality contraceptive services. Next slide. However, during the Zika pandemic, Puerto Rico saw a decrease in unintended pregnancies and adverse birth outcomes from prenatal exposure to Zika because they increased the quality contraceptive service access. As of March 2020, the UN Population Fund estimated 450 million women were using modern contraceptives across 114 low and middle income countries or LMICs. However, they project that 47 million women in these same countries will be at risk of not being able to access modern contraceptives due to the disruptions caused by the COVID-19 pandemic. Next slide. COVID-19 has led to decrease and access to contraceptions and reproductive health services through massive facility closings of clinics and schools. It is important to mention schools here because in many LMICs and some high income countries, schools are a major source of sanitary items as well as emergency contraceptions and condoms for adolescent and young women. Next slide. Facilities that remain open only handle emergency medical issues and or COVID-19 related health issues. Next slide. The supply chain disruptions like those created by certain governments restricts restrictions have led to decrease production of various types of contraceptions. For example, India, one of the largest producers of IUDs, have a curtailed exports of any progesterone containing products. The Malaysian company, Curex, the world's largest condom producer currently is limited to operating at 50% capacity to comply with the new COVID-19 work safety requirements. Next. The imposed lockdowns further limit already restricted abortion access by enabling governments to classify abortion as a non-essential service. This allows them to divert resources earmarked for abortion towards designated essential medical services during the ongoing pandemic. Ultimately, these limitations to safe abortions will only lead to an increase in unsafe abortion practices. In fact, there is research to show if there is just 10% increase of LMIC women during unsafe abortions, it will lead to an additional 3.3 million unsafe abortions in LMICs over the course of a year and an additional 1,000 maternal deaths. Next. Fear of contracting and spreading COVID-19 to their loved ones dissuades many women from seeking outside sexual and reproductive health resources. Next slide. The controlling partner can increase restrictions on the vulnerable partner's financial access and or their ability to leave the home to seek sexual and reproductive health services. They can also increase activities of reproductive coercion or simply force their partners to engage in non-consexual sex. Next slide. All of these disruptions lead to unplanned pregnancies. Next slide. 15 million unintended pregnancies will occur over the course of a year in LMICs if these disruptions remain in place. Next slide. We all know that these unplanned pregnancies will lead to poor health outcomes for the mother, the growing fetus and eventually the growing child. Next. When women do get pregnant, we know that they are more likely to have complications than the COVID infection. It's already higher in low-income women of color and ethnic minorities in many places and once they are out of work, have more poverty, less access to food, increased cost of care and lower quality and less available. Maternal care, clearly their pregnancy health is jeopardized. For girls, there is more risk of dropout from school where they're safe, increased risk of rape, increased risk of female genital mutilation and increased risk of early marriage all which jeopardize their future reproductive potential. For children, there are lower calories, more malnutrition and poor growth and ultimately increased risk of obstructive birth complications for instance, fistuli. When women are pregnant and have COVID, they are at increased risk of complications of pregnancy. They have poor outcomes when they have comorbidities such as hypertension, diabetes, hypertension, advanced maternal age and they have an increased risk three times as much of preterm delivery as other pregnant women. They have more ICU admissions, more needs for ventilatory support and increased separation from the baby, from lactation support and from family members. The newborns have more ICU admissions, more prematurity, more prematurity, more separation for mother. So clearly poor outcomes are the result. In the long term, we anticipate many increased births. Next slide. For the children, the outcome is uncertain both from the long term effects of neonatal COVID infection and from the multi-system inflammatory disease that children are getting on an occasional basis. The increased restrictions on calories in pregnancy can have long term effects on adult offspring later including vascular disease, diabetes and increased mortality. We know this from the Dutch hunger studies of World War II. So in conclusion, safe pregnancies and childbirth depend on functioning and accessible health systems. We know that epidemics curtail preventive care during Ebola, prior to Ebola in Sierra Leone, the number of adequate pregnancy visits was going up. During Ebola, the number of adequate pregnancy visits was going down. But since Ebola in the third panel we see that pregnancy visits, prenatal visits have not recovered. Thus the pandemic is likely to have ongoing bad effects on our preventive care systems. Clearly this work is calling us. Thank you. We know Colin Paula. Good day my fellow colleagues. Thank you for giving me the opportunity to participate in this webinar. My topic today is COVID and mental health impacts. The suicide rate is easy to measure. Anxiety is not. However, it accounts for the condition of this disease. I would discuss IPV globally given sites from a Trinidad and Tobago perspective and the way forward. One in three women experience violence at some point in their lives. The emergence of COVID-19 presents unprecedented challenges in mitigating against family violence in both the developed and undeveloped world. It can be physical, psychological, sexual, economic, religious and reproductive. It is not a respect to other persons. There has been increased reporting from every major city in the world. Let's slide. This slide shows who is likely to be abused. It is the risk of becoming a victim. Today, I want you to remember two important things. Social isolation, financial insecurity and, of course, there is a feeling of inadequacy to provide for one's family. Fear of uncertainty of contracting the virus, decreased access to health care and increased mental responsibility. Previous history of mental illness. COVID-19 has provided a unique opportunity for re-evaluating useful strategies. And just so that you know where we live, Trinidad and Tobago is the southernmost island in the Archipelago, just north of Venezuela and south of Florida. How to train begonians because we call ourselves in Trinidad and Tobago, how to train begonians socialize. Why? Why am I telling you this? Because this is not possible during the lockdown. We go to beaches and rivers. We go to religious services. We eat out. We go to the movie theaters. And, of course, there are always parties around our national instrument, the steel pan. We evolve ourselves in team sports and family gatherings. But today, I want to tell you about the raw shop. The raw shop is a place where men gather to socialize. Alcohol flows freely. Conversations are rife from national issues to family problems. Alcohol is a panacea for all ills in our nation. It is also the singular driving force for IPV in Trinidad and Tobago. But what are some of our challenges? Hotline shelters and social programs are often non-functional. And then there is a large migrant population from Venezuela that I just showed you about south that threatens the security of women concerned with infidelity. This triggers abusive scenarios. Dealing with family conflicts which are often not uncommon. They are dealt with by murder, suicide. So, let us talk about the way forward. Strategy one. Psychosocial support. Very important. Building awareness. Identifying existing programs. Extending existing ones. And innovative solutions. Novel community efforts I will tell you a little bit about Maria. And then there is capacity building. Training. In IPV screening for all healthcare professionals. And I mention here medical students and family doctors because we need to introduce this into the curriculum. Telehealth is becoming more important and we need to improve our conversations. Research and evaluation is important to assess the effectiveness of our programs and to inform long-term planning. We also need to be able to impact structural barriers for family violence intervention. Through advocacy. Policy development and implementation. Government intervention and litigation. And so I will end by stories of hope and good practice. We need to increase our social support because it builds capacity. We need to practice telehealth because it also gives us novel opportunities. And I want to tell you a little bit about Maria. Maria is a nurse who lived in an underserved community in Trinidad and Tobago. And she developed a group during COVID called the Youth Empowerment Group. And that helped teenagers to cope with increasing violence in their families. And most of you know clinical Esperanza. They served the migrant population in Spain using medical students. Mask 19. A code word used to report that there are victims to abuse to their pharmacists. If you see something say something. It encourages persons to report abuse. Thank you for listening. A picture of Tobago. It's a big honor for me to be a speaker today. The actuality of today topics is connected with worldwide COVID-19 pandemic. It's high prevalence and mortality in European region as you can see on the slide according to the data of WHO. Gender features of COVID-19 were mentioned on the beginning of pandemic by high prevalence and mortality rates in men in biological and gender differences. And due to this, the Men's Health Forum developed a gender sensitive approach to COVID-19 and practical guide for men. But the COVID-19 influence on women was underestimated. European Commission case study showed that impact of gender in COVID-19 pandemic is deeper than only influence on health. It also has impact on economy, politics, innovation, care and violence. And complex analysis shows greater impact on women than on men. Next please. United Nations confirmed this by its policy. Apart from the direct impact on women health, COVID-19 limitations cause hard access to maternal services, contraception and services for other women needs. On the other hand, the isolation social distancing cause economic limitations for women left women into the hands of abusers. Eurostat 2020 overview of progress towards sustainable development in European Union context showed that we still have gender inequity in employment and leadership position. And women are paid less on the same position. Additionally, women are more active in carrying responsibilities. Of course, the COVID-19 outbreak is affecting us all, but women are likely to bear the brand of the consequences. European Institute of Gender Equality notices that at the front line of this coronavirus pandemic are the healthcare workers and most of them are women. They are working around the clock under very stressful conditions potentially putting themselves at their families at risk to care for patients. But most personal protective equipment is size for men. This is an example of gender blindness in the health sector which lead to increased challenges for women medical professionals. Women are heavily involved in other forms of accessional care work, both paid and unpaid that continues to be undervalued in our association. With the closure of school and workplaces and older previous please. Closure of schools and workplace and older relative possibilities getting sick women unpaid care workload increase and female employees with children are balancing of work, childcare, homeschool, elder care and housework. Next please. The situation for single parents of whom the majority are women can be even more difficult especially when having to working from home with childcare. This shows why it's so important to recognize the women needs and to have more gender balance in health governance and decision making. The data mentioned above especially the economic impact were confirmed by the preliminary results of United Nations Gender Impact Study among population of 16 countries in Europe and Central Asia. The survey showed that a lot of employed and self-employed women lost their jobs or faced reduced pay working hours. Next please. It was found that women have greater difficulties in paying for basic expenses such as food or rent. Next please. Much bigger number of women spent more time on unpaid domestic work than men and reported increased time spent at care activity for children and three family members. Next please. About half of women are now working from home and had psychological and mental health disorders. Our results were significantly higher in women in comparison to men. Additionally, United Nations Development Program in gender-based violence summarized its increased on approximately 30% in the world due to pandemic. In response to this, the issues of gender-based violence as a priority during lockdown. In addition the police, justice, social and health sectors need to ensure a highly coordinated response to efficiently manage the increased risk of gender-based violence. Thus, 10 lessons from the COVID-19 frontline for a more gender-equial world need to be taken. The most important are to engage women in leadership position for safeguard maternal, sexual and reproductive health. Next slide please. To protect women economic opportunities and challenge gender norms in domestic duties and care work. Thank you for your attention. Good evening to all. I am pleased to present my experience of the COVID-19 regarding the gender role in home and workplace impact on the economy as a representative of the Saudi HR region. As you all know in our region, we have already published a gender impact on COVID-19 since the June 2020 at work and gender-based violence. We are not exception like other region. We have a higher rate of jobs loss and reduce our spent performing domestic work and make care work men and women suffer. Nice. In our epidemic, as with all the COVID-19 hit on the 29th March 2020 with the minimum damage only since morbidity and mortality. However, in the second way, we have a very severe have serious damage you can see in here, now increasing in the positive case and mortality. Nice, please. So, our country also prepared and respond to the COVID-19 epidemic like other country led by our State Councilor of San Suu T. We also set a containment strategy to control our COVID-19 epidemic. Early detection, low-term, business limitation under tracing. All public health awareness and respond plant affect on the prevention or the onset head economic education, social activity and traveling. So, we private GP are not exception We also suffer together with our community for the quarantine policy. We GP head to be shut down our practice. Our practice is utilization behind our community and major and COVID-19 cases and city provider in the during COVID-19. Nice, please. Nice, please. However, our GP is shut down the COVID-19 We are activating many activities of the COVID-19 pandemic. National COVID-19 call standard in the during the first way. PBE training community fever clinic social psychosocial component insight also providing the CME training regarding the COVID-19 and city disease and result. We also provide and the mass media publication to get awareness on the COVID-19 prevention and control activity. However, we are private GP that is why we have had no salary and then no COVID-19 special allowance as a government health staff. Nice. Nice, please. So, we also had our closed shut down at private GP clinic. We are no salary. That is why we also have a financial problem and then we also have a job satisfaction or our priority. As you all know, we are family physician providing quality care as a family physician to community. But now the limitation to provide the family medicine services because of the COVID-19 activity. That's why we have to provide online consultation, telephone consultation. So, we GP our economics but also job satisfaction. So, when we provides our community at solving their physical problem we noted that there's a link between their physical social psychosocial problem and economic problem. So, we are women are staying in the home and they lost their job and they are in camp. That's why we also advising our family patient how to try that they are difficult. Also saving their money for their healthcare. How to take their healthcare by reducing. So, you can see now. So, we family physician providing the COVID-19 prevention and control activity as a volunteer when we looking for the opportunity how to provide our community solving the financial problem at solving the problem. So, we are trying to narrow the temporary impact of the COVID-19 in the workplace at home. So, we have a many opportunity to provide that advice because we have a trusted patient relationship between our family patient and our family doctor. We also have a experience of the family also very close with the that's why the family physician to mitigate the impact of the COVID-19 should be provided to their role. Thank you. Elizabeth and Kate slide on leadership will come on next. It's there. So, hello everyone. Thank you for this opportunity. So, with all our fellow panelists have presented on the pandemic effects on gender, what should we do? So, Elizabeth and I will be talking on women, families, doctors stepping into leadership for the COVID-19 pandemic response and recovery. And this is in a line with Wonka Executive commitment to the advocacy being led by women in global head to increase women leadership in decision making for this pandemic response and recovery. And as we advance in this slide we will see the statistics so globally we have more than 70% of the head workforce being women. They are minimally represented in leadership in decision making for instance in the current COVID-19 pandemic. At the WHO level we have only 20% of women in the emergency response committee and in a developed country USA we have just 10% of women represented in their COVID-19 task force. And in the WHO China collaborative forum we have led about 16% and look back into your national task force in our different countries women are minimally represented but on the contrary we see that women come on with great leadership skills in the next slide where we see that women have the critical expertise they are able to deliver in terms of leadership we have the collaborative and interpersonal skills of course we have the gender lens where we look at each event in terms of imaging infectious disease response and epidemics using the gender lens moreover we have the sense of urgency and honesty and truth to deliver my colleague Elizabeth will allude to this. Using people's skill women communicate effectively to clients and they also show compassion and empathy this results in delivering safe health to the clients quick response with correct decision and taking less harm risk is a phenomenon among women and this response is safe for health. Hello! Hi! I'm Dhanasari Fidiawati one of the members of commission in Indonesia College of Family Medicine and I'm also a teacher in University of Indonesia at the satellite clinic of University of Indonesia I would like to tell you that the leaders of Indonesia College of Family Medicine and the leaders of Indonesia Family Physician Association had a national program in Family Medicine program for COVID-19 responses in the last 3 months 664 family physicians of 20 provinces health education and case studies all of them online are offline for the outputs we recognize the doctors to be competent as primary care family medicine and now we have 1000 what's up health education groups all over Indonesia and we do hope this pandemic will go away soon as a family medicine consultant in a busy family medicine department in the Middle East one of the roles I had during the COVID-19 pandemic was triaging patients presenting with acute respiratory symptoms and deciding whether they needed a COVID test and then making a decision based on the clinical picture whether they needed to be transferred to the ER or admitted to the COVID ward some of the things that I learned during this time was the importance of staff with adequate PPE also having good isolation facilities for patients suspected of COVID-19 I also learned about the importance of teamwork and I saw myself that when women were involved in the decision making process that there was a much greater compassion and empathy for patients and also for other health care staff who were going through stressful times providing care for patients with COVID-19 my name is Marina Jotici-Vanovic I'm a family medicine specialist and I work in Family Medicine Department of Public Health Care Center Doboy in Bosnia in Herzegovina I have been involved in coordination of activities regarding COVID-19 in my department The challenges I have been facing is to arrange personnel at my department to continue the delivery of health care to our patients and to provide safety from my personnel and from our patients We have to think operational use of personal protective equipment Today I'm proud to say that working in these conditions made the connections with my colleagues stronger and we have seen that we can work together in these kinds of conditions I'm the head of department of Family Medicine at University of Free State, South Africa We are the frontline doctors at the district level in this province We screen, test admit patients and manage them at the district hospitals and also manage them at the clinics and community I was the provincial clinical team leader for this COVID response and handling 10 teams at a strategic and operational level Currently I'm a member of that mission team in this province managing the data of the admissions in the hospitals and also at the quarantine sites Lessons learned is self-discipline to handle multiple tasks at the same time Team work empathy to the team members and also to develop innovative and creative measures to curb this COVID Thank you In summary we see that women are underrepresented in the decision-making leadership so we are requesting to upscale leadership opportunities Team work and collaboration and innovative and creative measures are very useful in improving the health system for a safe life to curb this COVID What should we do? Wonka women arrives to lead and services our call to act Thank you Thank you so much ladies for wonderful presentations You are reminding us we are reminded of facts and conditions which are known to us for our main the importance is huge also in the situation we are in Before we go on let me share with you speaking about leadership and influence by women in the European region by the regional office of WHO has established a commission called Rethinking policy priorities in times of pandemic There are 17 members 50% of them are women and I'm honored to be one of them also the only practicing healthcare worker on the commission Wish me good luck on the call to take leadership as much as I can in that connection So thank you for the inspiration because this is really a huge challenge to come across our messages Anyway Thank you so much The working party has also invited to gentlemen to act as reactors and I will start recalling on Irfan Subanto from Rajakumar movement Thank you Professor Why don't you share with us your reflections on how two, three, maybe four minutes because your gentleman colleague hasn't arrived yet Thank you Professor Anastafda and our seniors in Wonka world Thanks for the opportunity for me as panelists here on behalf of young doctors movement of Wonka in Asia Pacific region we call it as the Rajakumar movement Thanks for the great presentation I hope that we are still being inspired by our internal young spirit because young spirit is flexible and open-minded especially in general issues In addition, young doctors are our trace including in this pandemic Most of the young doctors are becoming frontliners in this global disaster and furthermore young doctors are more conscious about general equality We are working each other in good cooperation regardless gender issues et cetera I'm sure that we can see that all of us have given our contribution in this pandemic regardless gender because gender is about role that can be done by any of us regardless our sex, ethnicity et cetera If we are limiting our focus in women's role in this pandemic as young doctor who is also being involved in world association for medical law I'm seeing that even in Asia where paternalism is dominant some of women leaders have shown their great leadership in managing this pandemic especially with clear policy and lawmaking and implementation We are surely proud of them and we can also see great leadership by any women leaders in any part of the world not only in Asia including in Wonka world Of course, we are still struggling in improving gender equality especially equality among men and women in many aspects However, women especially mothers and sisters in our family have continued their role in this pandemic Even they are adding their role in ensuring well-being of the family Many of them are becoming part-time workers or making small businesses to ensure their family survival Thus, we are from Rajakumar movement also is making online training for leadership and entrepreneurship for young doctors as well as emotional well-being session and online research training In health service perspective we should also pay attention to pregnant mothers including those who are committed in breastfeeding for their babies in this pandemic and also adolescent girls in human-traffic crimes and etc Finally, thanks to all mothers and women around the globe especially in Wonka world I'm sure that no woman, no cry is a false statement The truth is that no COVID, no cry and we are very lucky to have mothers and sisters with us Thank you for your attention Thank you so much, Irfan No women, no cry Also I don't think Mr. Wong has a right Haris, just let me double check with you Yeah, that's correct Yeah, that's correct Okay, so let's see if our audience has provided questions We will start with a question from and now you bear with me just a second Erick Potato asks What are your allyship recommendations for men in redressing the isms against women? Anyone who wants to jump on that one Give me a sign You can also think a little bit about it and I will ask one question while you are thinking about and Amanda will answer It will go right away I just wanted to clarify what exactly the question Anna even I couldn't catch So what is the allyship? That means how can we get men to help us to overcome some of these issues Is it? Okay Thank you Yes, but I can let other people comment first Then I'll leave it to you just to think about it and I will ask Paula a question back to gender based violence and practice because this is an issue all over the world and it is a problem how to help women to get them to actually confide in you You used the word screening We need screening procedures Screening can have sort of I don't know Some connotations which we don't like I can tell you in my country we have been discussing every pregnant woman should be asked Are you abused in this way or the other That is nothing you will not get an understand if you just go head on and of course those of us who have been family doctors for decades and know our patients and we have time to build up confidentiality and trust you can get nearer to it and something is wrong here but tell us a little bit Thank you so much First of all if you understand the concept of power in equity that is where it starts I spoke about improving our conversations and this is cultural Different countries have different cultures The Spanish speaking countries would want you to start with how is your family how are the children so you have to understand the culture so this is very important so that's one of it and the other thing is power in equity because of that women might be afraid or sometimes men to speak up so in understanding the culture you would be guided when conversation needs to go and sometimes it's just empowering the gender so when you're empowered you can achieve more I don't know if that answers your question Thank you I think this is a topic where we could reflect for a long time but I just wanted to highlight the importance of doing it and also the difficulties connected to disclose women from my experience I wanted to address the previous question about allyship One thing that Paula had mentioned in her presentation if you see something say something I think that goes across board with all of the things that we discussed As physicians we have a responsibility to listen and not listen to our patients listening just what they're saying but the things that they're not saying and being more attentive especially during these times I think also it's important that specifically if you know that you have women in your practice and you're aware of the challenges that women are facing during these times doing that extra step and having either yourself or your staff to reach out to them especially those who you know or they were supposed to have started medication you're noticing some disruption and their usual routine as far as their care reaching out to them and seeing what are some of the barriers that are causing them to not get general care what are some of the barriers is it financial is it increased stress as far as responsibilities that they're now include or is it there a change in the relationship as Paula had alluded to as well men who are in these relations may not necessarily have been abusive but had other means and outlets to express their anger and because of these lockdowns because of disruptions to their means of releasing their anger they're taking it out on their family so just being more cognizant that these are different times and taking those extra steps to reach out to their patients in things of that nature to come back to the first question posted here about the isms Yeah, what it made me think of was the advice more in a different context of the one that patients has just addressed so that works well but actually talking with men who we feel will listen and respect and may help perhaps more senior figures in influential positions about the issues that people are addressing so that for example the question about I don't know in COVID so much but the question about women getting more chance to take up leadership positions it's quite well known that sometimes if you can get a guy to open the door for you on to a committee because he suddenly thinks he's bright and hey we haven't got any women on this committee then somebody gets a foot in the door and then they also need to ally for other people to come with them so I think talking about the issues trying to get invited on to things I've told younger women to say just go and ask if you can observe some of these committees and then people come to know your face and they may ask you what you thought and then you might say didn't see many other women there don't women usually come to your committee whatever with COVID I think it's kind of a different context but colleague Kate and Elizabeth already gave us some really good examples about women in leadership so Thank you Amanda here's the question someone looking for positive news have there been any silver linings of the pandemic such as telemedicine also in perspective of gender anyone? In our country we started to introduce telemedicine way way back when I was still a resident trainee in the early 2000 and we had a very antiquated law on telehealth but with COVID because of it all of a sudden they were able to pass an executive order covering for the basics about telemedicine and there has been a 300% increase in the number of people downloading digital applications and there has been a number of doctors who are now willing to try doing telemedicine so finally telemedicine has reached Philippine shores thanks to COVID Same thing here in the US specifically my practice at the University of Virginia there were in talks of trying to incorporate telemedicine however it was very slow talks but with COVID it got expedited not just like financial because it was really hurting our practice because many of our practices have to close because we weren't sure of how COVID-19 was spreading we have to get ourselves prepared and not only with the closures our patients were afraid to come in so having that telemedicine access allowed our patients to access us and what I saw that those patients who I had had difficulty reaching either because before COVID they had conflicts with their schedules couldn't take time off and again those same responsibilities that we're seeing have been magnified for women they now have this means to now be able to reach me because they didn't have to leave their home so they're with child and we're talking so it's been great with telemedicine Good, there's a follow up question to this actually Will I mean in the next years one participant asked in the next years with globalization and artificial intelligence will that influence equity? That's also a big big big issue I guess the answer is yes it might I might not but any short reflection from one of you on that one directly related to the pandemic of course Yeah, thank you actually I'm making an application regarding mother regarding electronic version of mother and children handbook and I'm working with our MOH in Indonesia and I hope that this application will be the entry gate for mothers to have bigger role in educating their family in how to survive in the COVID-19 pandemic and also to improve their health especially the adolescent girls health and I think that we can also see that in this part of companies including mine we are trying to include more women because they are maybe this is quite subjective but they are really more detail about anything so I think that they can have more roles in revolution industry 4.0 and also we are also making low and also regulation we got in telemedicine and of course any women can also be involved in thank you Thank you Erkan Ifrem One more question before we go to synthesize part of this webinar this is back to one of the other topics how do we make sure that reproductive rights are approached at the same levels as care for COVID and NCDs Lucy or Kate Kate first you go first and then Lucy Part of the effort is to have an integrated approach previously with each epidemic or pandemic we have this vertical approach to programming in terms of focus on that epidemic alone just like we are doing currently with COVID-19 pandemic and overlooking other disease condition or essential services so the move at this moment both globally and at national level is to see how we can integrate these services so that it's like a one stop shop if you are coming for COVID screening or your other services you should be able to assess your immunizations you should be able to pick up your family planning pills or whatever so that is the drive at the moment even from WHO where we integrate all services and decentralize right to community or primary care not just in one big center Thank you Kate, Lucy I think it is very complicated to understand how to get women's problems raised to a higher level in this time but I think the really the road forward is to recognize all of the forces that keep other people down and to make linkages between the other groups that are struggling really hard against racism or classism and to link up with those groups so if the women's movement is perceived for instance in the United States as largely a white women's activity that's not going to make the changes and build the integrated force for change unless we make a broader platform and sexism for instance are unacceptable we need to have a much broader face to our movements to make change Thank you Good closing words for this session Patience, I'm sorry No, I understand time It's time now to hand over to Amanda Would you like to synthesize a bit for us and I'm sure you will keep time and I will help you if you don't so we will be landing more or less on schedule time So please Amanda Well, thank you very much colleagues and it's a great privilege to see the women's working party producing such great work So some of the themes that I'm sure we're going to go away and think about more is of course, you know whatever is happening there's a gender lens on it and whether colleagues have talked about the need for psychosocial support in this period and working with colleagues capacity building to actually make sure we are all equipped physically and factually and emotionally to deal with these things or actually creating change addressing barriers we know that for women that will always have an additional angle we've heard about the economic impacts being worse for women because of the different characteristics that people have raised very articulately and also the double burden of caring so as well as many women being in the healthcare and social care sectors often the lowest paid and hardest to look after the family and juggle all these things I think that we've heard something about creativity and innovation and I do feel at eye sitting on my shoulder smiling everybody because you know what did she love and innovation, creativity and courage and I think we've heard some great examples just in some of the clips that you showed and examples you gave yourself about how women in our community are demonstrating this if I was going to give common factors then I think one of them is of course the webinar shows that as women family doctors we are united by our passion to care for each other and our patients and our families, our colleagues and do the right things and that is a great unifying force for us in our communities another thing is making sure that we advocate so making sure that if we can't solve it on our own we do stand up and make the networks and get the resources or point out the gaps and make the alliances that will help us as Lucy just mentioned and the question raised earlier because usually you cannot achieve things individually and women sometimes can keep hitting our heads on the brick wall but really resilient systems make sure that we have people who collaborate and persist until the change that is needed is made health systems are a huge common factor in this if you have a good health system when it comes under pressure and if you have a weak health system particularly in primary care then the care that the people can get falls apart under the pressure and all the work that Wonka does with WHO in the different regions and centrally I think about strengthening primary healthcare for universal health coverage COVID is going to give us some real bad examples as well as good examples where we can make up of course it's not just the healthcare system all the other parts of a government system matter too at a time like this but I think that's another unifying factor that shows why we need to be active in those networks as well and then the other common thing I think is we haven't actually talked so much about this but the question of well-being so you know we talk double burden of caring we'll take on more of the caring the heavier dependent patients more of the emotional dynamics in the clinic and that can be at our cost so some of the research we've done in the women's working party project showing that because women take on double burdens of caring they are more vulnerable to burnout and so I think the final thing that unites us is we have to be thinking about our own well-being and what support we have in our own place so that we've got people we can talk about our feelings we can talk about how to solve the problems that we're facing perhaps people outside our immediate team who we can have a zoom with and this again is something that Wonka has offered people it through the working parties, through the SIGs through our young doctors movement through our regional movements please do reach out if you think any of us can help and then the other thing of course is to do something different and one of the unusual things for me with COVID is instead of running around the world or running around the UK I've been cycling past the same field with flowers in it with cattle who are growing up now from being babies and so we really need in our world to take those things and make us think about something that isn't difficult and desperate and be glad for that moment and I've been very glad to spend some of my Sunday doing this webinar much to my so thank you very much I think those are some of the common themes for me Anna, thank you Thank you so much Amanda let me tune in with you this has been a blessed hour and I really enjoyed to be here with you we spoke about family violence just to remind you that's one of the Wonka Webinars this spring was on family violence can be watched on the Wonka YouTube channel it is also my pleasure to promote the next webinar Harry's can we show the poster for the digital webinar or webinar on digital health next Sunday it will come in a few in a few seconds here we are and mind you this is going to take place at 10 am so another time than today and the other webinars thank you so much at least I will take a lot from this webinar Eileen you will now formally close the webinar and I hand over to you thank you again stay safe it has been very good to see your faces and hear your voices and your messages thank you thank you Anna it has been a pleasure and to officially close this webinar I would like to call on our working party Sheri Lek Dr. Mimi Duhan Mimi over to you hello Eileen thank you Anna it has been a pleasure to welcome everyone to this webinar that was organized by the working party not only to pay tribute to one of Wonka's great women leaders a tie but also to raise awareness about some of the gendered impacts that COVID-19 is having in our society this webinar has drawn upon the experiences from different countries across the various Wonka regions to highlight the different realities that women and men are facing in light of this pandemic it has been our aim to put forward a stronger voice that the gender perspective should not be forgotten when important decisions are being made during and after this pandemic and we thank you so much for joining us today we're very grateful thank you thank you bye bye stay safe everyone thank you bye everyone bye