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dc.contributor.authorConteh, Abu
dc.contributor.authorWilkinson, Annie
dc.contributor.authorMacarthy, Joseph
dc.contributor.editorSmyth, Ines
dc.date.accessioned2021-03-23T15:48:22Z
dc.date.available2021-03-23T15:48:22Z
dc.date.issued2021-03-23
dc.identifier.issn1355-2074
dc.identifier.doi10.1080/13552074.2021.1885215
dc.identifier.urihttp://hdl.handle.net/10546/621168
dc.description<html> <head> <title></title> </head> <body> <p>This paper applies an intersectional lens to health in informal urban settlements in Freetown, Sierra Leone. We explored how intersecting social characteristics including gender, age, wealth, occupation, and tenant status influence health and well-being outcomes. We found that hazardous environmental conditions, poor waste disposal, and waste burning contribute to health problems at a neighbourhood level. Health-care access was also generally poor in informal settlements. However, beyond this, there were differences in people&#8217;s experiences of coping with health burdens and accessing care. Against a backdrop of limited state support, coping and access strategies were found to be heavily mediated by people&#8217;s social positions and status, especially their ability to draw on support from social networks. There are particular challenges around the management of prolonged health problems. For population groups such as the old and the chronically ill, this creates further vulnerabilities including social isolation, stigma, and cycles of poverty. Although intersecting power dynamics apply to men too, women are particularly disadvantaged by coalescing social inequalities: they are both expected to perform caring roles but are less likely to be cared for. Young and old women were especially vulnerable and reliant on external support or self-sacrifice. This paper contributes to knowledge gaps in intersectional dynamics in urban settings and provides evidence that suggests policy shifts are needed to address the multiple social and health inequalities faced by women in informal settlements in Freetown, Sierra Leone.</p> </body> </html>en_US
dc.format.extent18en_US
dc.language.isoEnglishen_US
dc.publisherOxfam GBen_US
dc.publisherRoutledgeen_US
dc.relation.urlhttp://policy-practice.oxfam.org.uk/publications/exploring-gender-health-and-intersectionality-in-informal-settlements-in-freeto-621168
dc.subjectGenderen_US
dc.subjectHealthen_US
dc.titleExploring gender, health, and intersectionality in informal settlements in Freetownen_US
dc.typeJournal articleen_US
dc.identifier.eissn1364-9221
dc.identifier.journalGender & Developmenten_US
oxfam.signoff.statusFor public use. Can be shared outside Oxfamen_US
oxfam.subject.countrySierra Leoneen_US
oxfam.subject.keywordGenderen_US
oxfam.subject.keywordIntersectionalityen_US
oxfam.subject.keywordInformal urban settlementsen_US
oxfam.subject.keywordVulnerabilityen_US
oxfam.subject.keywordInequityen_US
prism.issuenameHealthen_US
prism.number1en_US
prism.volume29en_US


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